132 
drinking, across the underage years from 
early childhood to age 21, including pro-
grams funded and implemented by govern-
ment entities, public health interest groups 
and foundations, and alcohol beverage 
companies and trade associations. 
‘‘(ii) Annually obtain and report more 
precise information than is currently col-
lected on the scope of the underage drink-
ing problem and patterns of underage alco-
hol 
consumption, 
including 
improved 
knowledge about the problem and progress 
in preventing, reducing and treating under-
age drinking; as well as information on the 
rate of exposure of youth to advertising 
and other media messages encouraging and 
discouraging alcohol consumption. 
‘‘(iii) Compiling information on the in-
volvement of alcohol in unnatural deaths of 
persons ages 12 to 20 in the United 
States, including suicides, homicides, and 
unintentional 
injuries 
such 
as 
falls, 
drownings, burns, poisonings, and motor 
vehicle crash deaths. 
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‘‘(B) CERTAIN MATTERS.—The Secretary 
shall carry out activities toward the following 
objectives with respect to underage drinking: 
‘‘(i) Obtaining new epidemiological 
data within the national or targeted sur-
veys that identify alcohol use and attitudes 
about alcohol use during pre- and early 
adolescence, including harm caused to self 
or others as a result of adolescent alcohol 
use such as violence, date rape, risky sex-
ual behavior, and prenatal alcohol expo-
sure. 
‘‘(ii) Developing or identifying suc-
cessful clinical treatments for youth with 
alcohol problems. 
‘‘(C) PEER REVIEW.—Research under sub-
paragraph (A) shall meet current Federal 
standards for scientific peer review. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection $6,000,000 for fiscal year 2011, and 
$6,000,000 for each of the fiscal years 2012 through 
2015. 
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‘‘SEC. 523. SERVICES FOR INDIVIDUALS WITH FETAL ALCO-
HOL SYNDROME. 
‘‘(a) IN
GENERAL.—The Secretary shall make 
awards of grants, cooperative agreements, or contracts to 
public and nonprofit private entities, including American 
Indian and Alaska Native tribes, tribal organizations, and 
a health facility or program operated by or pursuant to 
a contract or grant with the Indian Health Service, to pro-
vide services to individuals diagnosed with fetal alcohol 
syndrome or alcohol-related birth defects. 
‘‘(b) USE OF FUNDS.—An award under subsection 
(a) may, subject to subsection (d), be used to— 
‘‘(1) screen and test individuals to determine 
the type and level of services needed; 
‘‘(2) develop a comprehensive plan for providing 
services to the individual; 
‘‘(3) provide mental health counseling; 
‘‘(4) provide substance use disorder prevention 
services and treatment, if needed; 
‘‘(5) coordinate services with other social pro-
grams including social services, justice system, edu-
cational services, health services, mental health and 
substance use disorder services, financial assistance 
programs, vocational services and housing assistance 
programs; 
‘‘(6) provide vocational services; 
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‘‘(7) provide health counseling; 
‘‘(8) provide housing assistance; 
‘‘(9) parenting skills training; 
‘‘(10) overall case management; 
‘‘(11) supportive services for families of individ-
uals with Fetal Alcohol Syndrome; 
‘‘(12) provide respite care for caretakers of in-
dividuals with Fetal Alcohol Syndrome and other 
prenatal alcohol-related disorders; 
‘‘(13) recruit and train mentors for individuals 
with Fetal Alcohol Syndrome and other prenatal al-
cohol-related disorders; 
‘‘(14) provide educational and supportive serv-
ices to families of individuals with Fetal Alcohol 
Spectrum Disorders; and 
‘‘(15) provide other services and programs, to 
the extent authorized by the Secretary after consid-
eration of recommendations made by the National 
Task Force on Fetal Alcohol Syndrome. 
‘‘(c) REQUIREMENTS.—To be eligible to receive an 
award under subsection (a), an applicant shall— 
‘‘(1) demonstrate that the program will be part 
of a coordinated, comprehensive system of care for 
such individuals; 
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‘‘(2) demonstrate an established communication 
with other social programs in the community includ-
ing social services, justice system, financial assist-
ance programs, health services, educational services, 
mental health and substance use disorder services, 
vocational services and housing assistance services; 
‘‘(3) show a history of working with individuals 
with fetal alcohol syndrome or alcohol-related birth 
defects; 
‘‘(4) provide assurance that the services will be 
provided in a culturally and linguistically appro-
priate manner; and 
‘‘(5) provide assurance that at the end of the 
5-year award period, other mechanisms will be iden-
tified to meet the needs of the individuals and fami-
lies served under such award. 
‘‘(d) RELATIONSHIP TO PAYMENTS UNDER OTHER 
PROGRAMS.—An award may be made under subsection (a) 
only if the applicant involved agrees that the award will 
not be expended to pay the expenses of providing any serv-
ice under this section to an individual to the extent that 
payment has been made, or can reasonably be expected 
to be made, with respect to such expenses— 
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‘‘(1) under any State compensation program, 
under an insurance policy, or under any Federal or 
State health benefits program; or 
‘‘(2) by an entity that provides health services 
on a prepaid basis. 
‘‘(e) DURATION OF AWARDS.—With respect to an 
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may 
not exceed 5 years. 
‘‘(f) EVALUATION.—The Secretary shall evaluate 
each project carried out under subsection (a) and shall dis-
seminate the findings with respect to each such evaluation 
to appropriate public and private entities. 
‘‘(g) FUNDING.— 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
For the purpose of carrying out this section, there 
are authorized to be appropriated $25,000,000 for 
fiscal year 2011, and such sums as may be nec-
essary for each of the fiscal years 2012 through 
2015. 
‘‘(2) ALLOCATION.—Of the amounts appro-
priated under paragraph (1) for a fiscal year, not 
less than $300,000 shall, for purposes relating to 
fetal alcohol syndrome and alcohol-related birth de-
fects, be made available for collaborative, coordi-
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nated interagency efforts with the National Institute 
on Alcohol Abuse and Alcoholism, the National In-
stitute on Child Health and Human Development, 
the Health Resources and Services Administration, 
the Agency for Healthcare Research and Quality, 
the Centers for Disease Control and Prevention, the 
Department of Education, and the Department of 
Justice. 
‘‘SEC. 524. CENTERS OF EXCELLENCE ON SERVICES FOR IN-
DIVIDUALS 
WITH 
FETAL 
ALCOHOL 
SYN-
DROME AND ALCOHOL-RELATED BIRTH DE-
FECTS AND TREATMENT FOR INDIVIDUALS 
WITH SUCH CONDITIONS AND THEIR FAMI-
LIES. 
‘‘(a) IN
GENERAL.—The Secretary shall make 
awards of grants, cooperative agreements, or contracts to 
public or nonprofit private entities for the purposes of es-
tablishing not more than four centers of excellence to 
study techniques for the prevention of fetal alcohol syn-
drome and alcohol-related birth defects and adaptations 
of innovative clinical interventions and service delivery im-
provements for the provision of comprehensive services to 
individuals with fetal alcohol syndrome or alcohol-related 
birth defects and their families and for providing training 
on such conditions. 
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‘‘(b) USE OF FUNDS.—An award under subsection 
(a) may be used to— 
‘‘(1) study adaptations of innovative clinical 
interventions and service delivery improvements 
strategies for children and adults with fetal alcohol 
syndrome or alcohol-related birth defects and their 
families; 
‘‘(2) identify communities which have an exem-
plary comprehensive system of care for such individ-
uals so that they can provide technical assistance to 
other communities attempting to set up such a sys-
tem of care; 
‘‘(3) provide technical assistance to commu-
nities who do not have a comprehensive system of 
care for such individuals and their families; 
‘‘(4) train community leaders, mental health 
and substance use disorder professionals, families, 
law enforcement personnel, judges, health profes-
sionals, persons working in financial assistance pro-
grams, social service personnel, child welfare profes-
sionals, and other service providers on the implica-
tions of fetal alcohol syndrome and alcohol-related 
birth defects, the early identification of and referral 
for such conditions; 
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‘‘(5) develop innovative techniques for pre-
venting alcohol use by women in child bearing years; 
or 
‘‘(6) perform other functions, to the extent au-
thorized by the Secretary after consideration of rec-
ommendations made by the National Task Force on 
Fetal Alcohol Syndrome. 
‘‘(c) REPORT.— 
‘‘(1) IN GENERAL.—A recipient of an award 
under subsection (a) shall at the end of the period 
of funding report to the Secretary on any innovative 
techniques that have been discovered for preventing 
alcohol abuse, alcohol use among women of child 
bearing years, and alcohol use among pregnant 
women and women considering pregnancy. 
‘‘(2) DISSEMINATION OF FINDINGS.—The Sec-
retary shall upon receiving a report under paragraph 
(1) disseminate the findings to appropriate public 
and private entities. 
‘‘(d) DURATION OF AWARDS.—With respect to an 
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may 
not exceed 5 years. 
‘‘(e) EVALUATION.—The Secretary shall evaluate 
each project carried out under subsection (a) and shall dis-
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seminate the findings with respect to each such evaluation 
to appropriate public and private entities. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $9,200,000 for fiscal year 2011, and 
such sums as may be necessary for each of the fiscal years 
2012 through 2015. 
‘‘Subpart 3—Center for Mental Health Services 
‘‘SEC. 525. CENTER FOR MENTAL HEALTH SERVICES. 
‘‘(a) ESTABLISHMENT.—There is established in the 
Administration a Center for Mental Health Services (here-
after in this section referred to as the ‘Center’). The Cen-
ter shall be headed by a Director (hereafter in this section 
referred to as the ‘Director’) appointed by the Secretary 
from among individuals with extensive experience or aca-
demic qualifications in the provision of mental health serv-
ices or in the evaluation of mental health service systems. 
‘‘(b) DUTIES.—The Director of the Center shall— 
‘‘(1) design national goals and establish na-
tional priorities for— 
‘‘(A) the prevention of mental illness; and 
‘‘(B) the promotion of mental health; 
‘‘(2) encourage and assist local entities and 
State agencies to achieve the goals and priorities de-
scribed in paragraph (1); 
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‘‘(3) collaborate with the Department of Edu-
cation and the Department of Justice to develop 
programs to assist local communities in addressing 
violence among children and adolescents; 
‘‘(4) develop and coordinate Federal prevention 
policies and programs and to assure increased focus 
on the prevention of mental illness and the pro-
motion of mental health through programs that re-
duce risk and promote resiliency; 
‘‘(5) develop improved methods of treating indi-
viduals with mental health problems and improved 
methods of assisting the families of such individuals; 
‘‘(6) administer the mental health services block 
grant program authorized in section 1911; 
‘‘(7) promote policies and programs at Federal, 
State, and local levels and in the private sector that 
foster independence, increase meaningful participa-
tion of, and protect the legal rights of persons with 
mental illness, including carrying out the provisions 
of the Protection and Advocacy of Individuals with 
Mental Illness Act; 
‘‘(8) carry out the programs under part C; 
‘‘(9) carry out responsibilities for the Human 
Resource Development program, and programs of 
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clinical training for paraprofessional personnel and 
health professionals; 
‘‘(10) conduct services-related assessments, in-
cluding evaluations of the organization and financing 
of care, self-help and consumer-run programs, men-
tal health economics, mental health service systems, 
rural mental health, tele-mental health, and improve 
the capacity of State to conduct evaluations of pub-
licly funded mental health programs; 
‘‘(11) provide technical assistance to public and 
private entities that are providers of mental health 
services; 
‘‘(12) conduct surveys with respect to mental 
health, such as the National Reporting Program; 
and 
‘‘(13) assist States in improving their mental 
health data collection. 
‘‘(c) GRANTS AND CONTRACTS.—In carrying out the 
duties established in subsection (b), the Director may 
makes grants to and enter into contracts and cooperative 
agreements with public and nonprofit private entities. 
‘‘SEC. 526. PRIORITY MENTAL HEALTH NEEDS OF RE-
GIONAL AND NATIONAL SIGNIFICANCE. 
‘‘(a) PROJECTS.—The Secretary shall address pri-
ority mental health needs of regional and national signifi-
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cance (as determined under subsection (b)) through the 
provision of or through assistance for— 
‘‘(1) knowledge development and application 
projects for prevention, treatment, and rehabilita-
tion, and the conduct or support of evaluations of 
such projects; 
‘‘(2) training and technical assistance pro-
grams; 
‘‘(3) targeted capacity response programs; and 
‘‘(4) systems change grants including statewide 
family network grants and client-oriented and con-
sumer run self-help activities which may include 
technical assistance centers. 
The Secretary may carry out the activities described in 
this subsection directly or through grants, contracts, or 
cooperative agreements with States, territories, political 
subdivisions of States, Indian tribes and tribal organiza-
tions, other public or private nonprofit entities. 
‘‘(b) PRIORITY MENTAL HEALTH NEEDS.— 
‘‘(1) DETERMINATION
OF
NEEDS.—Priority 
mental health needs of regional and national signifi-
cance shall be determined by the Secretary in con-
sultation with States and other interested groups. 
The Secretary shall meet with the States and inter-
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ested groups on an annual basis to discuss program 
priorities. 
‘‘(2) SPECIAL CONSIDERATION.—In developing 
program priorities described in paragraph (1), the 
Secretary shall give special consideration to pro-
moting the integration of mental health services into 
primary health care systems. 
‘‘(c) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—Recipients of grants, con-
tracts, and cooperative agreements under this sec-
tion shall comply with information and application 
requirements determined appropriate by the Sec-
retary. 
‘‘(2) DURATION OF AWARD.—With respect to a 
grant, contract, or cooperative agreement awarded 
under this section, the period during which pay-
ments under such award are made to the recipient 
may not exceed 5 years. 
‘‘(3) MATCHING FUNDS.—The Secretary may, 
for projects carried out under subsection (a), require 
that entities that apply for grants, contracts, or co-
operative agreements under this section provide non- 
Federal matching funds, as determined appropriate 
by the Secretary, to ensure the institutional commit-
ment of the entity to the projects funded under the 
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grant, contract, or cooperative agreement. Such non- 
Federal matching funds may be provided directly or 
through donations from public or private entities 
and may be in cash or in kind, fairly evaluated, in-
cluding plant, equipment, or services. The require-
ments of this paragraph shall apply to Statewide 
consumer family networks. 
‘‘(4) MAINTENANCE OF EFFORT.—With respect 
to activities for which a grant, contract or coopera-
tive agreement is awarded under this section, the 
Secretary may require that recipients for specific 
projects under subsection (a) agree to maintain ex-
penditures of non-Federal amounts for such activi-
ties at a level that is not less than the level of such 
expenditures maintained by the entity for the fiscal 
year preceding the fiscal year for which the entity 
receives such a grant, contract, or cooperative agree-
ment. 
‘‘(d) EVALUATION.—The Secretary shall evaluate 
each project carried out under subsection (a)(1) and shall 
disseminate the findings with respect to each such evalua-
tion to appropriate public and private entities. 
‘‘(e) INFORMATION AND EDUCATION.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish information and education programs to dissemi-
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nate and apply the findings of the knowledge devel-
opment and application, training, and technical as-
sistance programs, and targeted capacity response 
programs, under this section to the general public, 
to health care professionals, and to interested 
groups. The Secretary shall make every effort to 
provide linkages between the findings of supported 
projects and State agencies responsible for carrying 
out mental health services. 
‘‘(2) RURAL
AND
UNDERSERVED
AREAS.—In 
disseminating information on evidence-based prac-
tices in the provision of children’s mental health 
services under this subsection, the Secretary shall 
ensure that such information is distributed to rural 
and medically underserved areas. 
‘‘(f) AUTHORIZATION OF APPROPRIATION.— 
‘‘(1) IN GENERAL.—There are authorized to be 
appropriated to carry out this section, $300,000,000 
for fiscal year 2011, and such sums as may be nec-
essary for each of the fiscal years 2012 through 
2015. 
‘‘(2) DATA INFRASTRUCTURE.—If amounts are 
not appropriated for a fiscal year to carry out sec-
tion 1971 with respect to mental health, then the 
Secretary shall make available, from the amounts 
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appropriated for such fiscal year under paragraph 
(1), an amount equal to the sum of $6,000,000 and 
10 percent of all amounts appropriated for such fis-
cal year under such paragraph in excess of 
$100,000,000, to carry out such section 1971. 
‘‘SEC. 527. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrator of the Substance Abuse and 
Mental Health Services Administration, shall establish a 
research, training, and technical assistance resource cen-
ter to provide appropriate information, training, and tech-
nical assistance to States, political subdivisions of States, 
federally recognized Indian tribes, tribal organizations, in-
stitutions of higher education, public organizations, or pri-
vate nonprofit organizations concerning the prevention of 
suicide among all ages, particularly among groups that are 
at high risk for suicide. 
‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen-
ter established under subsection (a) shall— 
‘‘(1) assist in the development or continuation 
of statewide and tribal suicide early intervention and 
prevention strategies for all ages, particularly among 
groups that are at high risk for suicide; 
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‘‘(2) ensure the surveillance of suicide early 
intervention and prevention strategies for all ages, 
particularly among groups that are at high risk for 
suicide; 
‘‘(3) study the costs and effectiveness of state-
wide and tribal suicide early intervention and pre-
vention strategies in order to provide information 
concerning relevant issues of importance to State, 
tribal, and national policymakers; 
‘‘(4) further identify and understand causes 
and associated risk factors for suicide for all ages, 
particularly among groups that are at high risk for 
suicide; 
‘‘(5) analyze the efficacy of new and existing 
suicide early intervention and prevention techniques 
and technology for all ages, particularly among 
groups that are at high risk for suicide; 
‘‘(6) ensure the surveillance of suicidal behav-
iors and nonfatal suicidal attempts; 
‘‘(7) study the effectiveness of State-sponsored 
statewide and tribal suicide early intervention and 
prevention strategies for all ages particularly among 
groups that are at high risk for suicide on the over-
all wellness and health promotion strategies related 
to suicide attempts; 
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‘‘(8) promote the sharing of data regarding sui-
cide with Federal agencies involved with suicide 
early intervention and prevention, and State-spon-
sored statewide and tribal suicide early intervention 
and prevention strategies for the purpose of identi-
fying previously unknown mental health causes and 
associated risk factors for suicide among all ages 
particularly among groups that are at high risk for 
suicide; 
‘‘(9) evaluate and disseminate outcomes and 
best practices of mental health and substance use 
disorder services at institutions of higher education; 
and 
‘‘(10) conduct other activities determined ap-
propriate by the Secretary. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $5,000,000 for fiscal year 2011, and 
such sums as may be necessary for each of fiscal years 
2012 through 2015. 
‘‘SEC. 528. YOUTH SUICIDE EARLY INTERVENTION AND 
PREVENTION STRATEGIES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Substance Abuse and Mental 
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Health Services Administration, shall award grants or co-
operative agreements to eligible entities to— 
‘‘(1) develop and implement State-sponsored 
statewide or tribal youth suicide early intervention 
and prevention strategies in schools, educational in-
stitutions, juvenile justice systems, substance use 
disorder programs, mental health programs, foster 
care systems, and other child and youth support or-
ganizations; 
‘‘(2) support public organizations and private 
nonprofit organizations actively involved in State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies and in the de-
velopment and continuation of State-sponsored 
statewide youth suicide early intervention and pre-
vention strategies; 
‘‘(3) provide grants to institutions of higher 
education to coordinate the implementation of State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies; 
‘‘(4) collect and analyze data on State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention services that can be used to 
monitor the effectiveness of such services and for re-
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search, technical assistance, and policy development; 
and 
‘‘(5) assist eligible entities, through State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention strategies, in achieving tar-
gets for youth suicide reductions under title V of the 
Social Security Act. 
‘‘(b) ELIGIBLE ENTITY.— 
‘‘(1) DEFINITION.—In this section, the term 
‘eligible entity’ means— 
‘‘(A) a State; 
‘‘(B) a public organization or private non-
profit organization designated by a State to de-
velop or direct the State-sponsored statewide 
youth suicide early intervention and prevention 
strategy; or 
‘‘(C) a federally recognized Indian tribe or 
tribal organization (as defined in the Indian 
Self-Determination and Education Assistance 
Act) or an urban Indian organization (as de-
fined in the Indian Health Care Improvement 
Act) that is actively involved in the development 
and continuation of a tribal youth suicide early 
intervention and prevention strategy. 
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‘‘(2) LIMITATION.—In carrying out this section, 
the Secretary shall ensure that a State does not re-
ceive more than one grant or cooperative agreement 
under this section at any one time. For purposes of 
the preceding sentence, a State shall be considered 
to have received a grant or cooperative agreement if 
the eligible entity involved is the State or an entity 
designated by the State under paragraph (1)(B). 
Nothing in this paragraph shall be constructed to 
apply to entities described in paragraph (1)(C). 
‘‘(c) PREFERENCE.—In providing assistance under a 
grant or cooperative agreement under this section, an eli-
gible entity shall give preference to public organizations, 
private nonprofit organizations, political subdivisions, in-
stitutions of higher education, and tribal organizations ac-
tively involved with the State-sponsored statewide or tribal 
youth suicide early intervention and prevention strategy 
that— 
‘‘(1) provide early intervention and assessment 
services, including screening programs, to youth who 
are at risk for mental or emotional disorders that 
may lead to a suicide attempt, and that are inte-
grated with school systems, educational institutions, 
juvenile justice systems, substance use disorder pro-
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‘‘(12) conduct annual self-evaluations of out-
comes and activities, including consulting with inter-
ested families and advocacy organizations; 
‘‘(13) provide services in areas or regions with 
rates of youth suicide that exceed the national aver-
age as determined by the Centers for Disease Con-
trol and Prevention; and 
‘‘(14) obtain informed written consent from a 
parent or legal guardian of an at-risk child before 
involving the child in a youth suicide early interven-
tion and prevention program. 
‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 
less than 85 percent of grant funds received under this 
section shall be used to provide direct services, of which 
not less than 5 percent shall be used for activities author-
ized under subsection (a)(3). 
‘‘(e) CONSULTATION AND POLICY DEVELOPMENT.— 
‘‘(1) IN GENERAL.—In carrying out this sec-
tion, the Secretary shall collaborate with relevant 
Federal agencies and suicide working groups respon-
sible for early intervention and prevention services 
relating to youth suicide. 
‘‘(2) CONSULTATION.—In carrying out this sec-
tion, the Secretary shall consult with— 
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‘‘(A) State and local agencies, including 
agencies responsible for early intervention and 
prevention services under title XIX of the So-
cial Security Act, the State Children’s Health 
Insurance Program under title XXI of the So-
cial Security Act, and programs funded by 
grants under title V of the Social Security Act; 
‘‘(B) local and national organizations that 
serve youth at risk for suicide and their fami-
lies; 
‘‘(C) relevant national medical and other 
health and education specialty organizations; 
‘‘(D) youth who are at risk for suicide, 
who have survived suicide attempts, or who are 
currently receiving care from early intervention 
services; 
‘‘(E) families and friends of youth who are 
at risk for suicide, who have survived suicide at-
tempts, who are currently receiving care from 
early intervention and prevention services, or 
who have completed suicide; 
‘‘(F) qualified professionals who possess 
the specialized knowledge, skills, experience, 
and relevant attributes needed to serve youth at 
risk for suicide and their families; and 
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‘‘(G) third-party payers, managed care or-
ganizations, and related commercial industries. 
‘‘(3) POLICY DEVELOPMENT.—In carrying out 
this section, the Secretary shall— 
‘‘(A) coordinate and collaborate on policy 
development at the Federal level with the rel-
evant Department of Health and Human Serv-
ices agencies and suicide working groups; and 
‘‘(B) consult on policy development at the 
Federal level with the private sector, including 
consumer, medical, suicide prevention advocacy 
groups, and other health and education profes-
sional-based organizations, with respect to 
State-sponsored statewide or tribal youth sui-
cide early intervention and prevention strate-
gies. 
‘‘(f) RULE
OF
CONSTRUCTION; RELIGIOUS
AND 
MORAL ACCOMMODATION.—Nothing in this section shall 
be construed to require suicide assessment, early interven-
tion, or treatment services for youth whose parents or 
legal guardians object based on the parents’ or legal 
guardians’ religious beliefs or moral objections. 
‘‘(g) EVALUATIONS AND REPORT.— 
‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 
Not later than 18 months after receiving a grant or 
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cooperative agreement under this section, an eligible 
entity shall submit to the Secretary the results of an 
evaluation to be conducted by the entity concerning 
the effectiveness of the activities carried out under 
the grant or agreement. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall 
submit to the appropriate committees of Congress a 
report concerning the results of— 
‘‘(A) the evaluations conducted under 
paragraph (1); and 
‘‘(B) an evaluation conducted by the Sec-
retary to analyze the effectiveness and efficacy 
of the activities conducted with grants, collabo-
rations, and consultations under this section. 
‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA-
TION.—Nothing in this section shall be construed to allow 
school personnel to require that a student obtain any 
medication as a condition of attending school or receiving 
services. 
‘‘(i) PROHIBITION.—Funds appropriated to carry out 
this section, section 527, or section 529 shall not be used 
to pay for or refer for abortion. 
‘‘(j) PARENTAL CONSENT.—States and entities re-
ceiving funding under this section shall obtain prior writ-
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ten, informed consent from the child’s parent or legal 
guardian for assessment services, school-sponsored pro-
grams, and treatment involving medication related to 
youth suicide conducted in elementary and secondary 
schools. The requirement of the preceding sentence does 
not apply in the following cases: 
‘‘(1) In an emergency, where it is necessary to 
protect the immediate health and safety of the stu-
dent or other students. 
‘‘(2) Other instances, as defined by the State, 
where parental consent cannot reasonably be ob-
tained. 
‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth-
ing in this section shall be construed to supersede section 
444 of the General Education Provisions Act, including 
the requirement of prior parental consent for the disclo-
sure of any education records. Nothing in this section shall 
be construed to modify or affect parental notification re-
quirements for programs authorized under the Elementary 
and Secondary Education Act of 1965 (as amended by the 
No Child Left Behind Act of 2001; Public Law 107–110). 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) EARLY INTERVENTION.—The term ‘early 
intervention’ means a strategy or approach that is 
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intended to prevent an outcome or to alter the 
course of an existing condition. 
‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION 
OF HIGHER EDUCATION; SCHOOL.—The term— 
‘‘(A) ‘educational institution’ means a 
school or institution of higher education; 
‘‘(B) ‘institution of higher education’ has 
the meaning given such term in section 101 of 
the Higher Education Act of 1965; and 
‘‘(C) ‘school’ means an elementary or sec-
ondary school (as such terms are defined in sec-
tion 9101 of the Elementary and Secondary 
Education Act of 1965). 
‘‘(3) 
PREVENTION.—The 
term 
‘prevention’ 
means a strategy or approach that reduces the likeli-
hood or risk of onset, or delays the onset, of adverse 
health problems that have been known to lead to sui-
cide. 
‘‘(4) YOUTH.—The term ‘youth’ means individ-
uals who are between 10 and 24 years of age. 
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For 
the purpose of carrying out this section, there are author-
ized to be appropriated $34,000,000 for fiscal year 2011, 
$38,000,000 for fiscal year 2012, and $42,000,000 for fis-
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cal year 2013, $46,000,000 for fiscal year 2014, and 
$50,000,000 for fiscal year 2015. 
‘‘SEC. 529. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDERS SERVICES ON CAMPUS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Center for Mental Health Services, in 
consultation with the Secretary of Education, may award 
grants on a competitive basis to institutions of higher edu-
cation to enhance services for students with mental health 
or substance use disorders that can lead to school failure, 
such as depression, substance use disorders, and suicide 
attempts, so that students will successfully complete their 
studies. 
‘‘(b) USE OF FUNDS.—The Secretary may not make 
a grant to an institution of higher education under this 
section unless the institution agrees to use the grant only 
for— 
‘‘(1) educational seminars; 
‘‘(2) the operation of hot lines; 
‘‘(3) preparation of informational material; 
‘‘(4) preparation of educational materials for 
families of students to increase awareness of poten-
tial mental health and substance use disorders issues 
of students enrolled at the institution of higher edu-
cation; 
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‘‘(5) training programs for students and cam-
pus personnel to respond effectively to students with 
mental health and substance use disorders that can 
lead to school failure, such as depression, substance 
use disorders, and suicide attempts, and for staff on 
voluntary screening for such behavioral health prob-
lems; 
‘‘(6) the creation of a networking infrastructure 
to link colleges and universities that do not have 
mental health services with health care providers 
who can treat mental health and substance use dis-
orders; or 
‘‘(7) the administration of voluntary mental 
health screenings and assessments, not including the 
provision of direct services. 
‘‘(c) ELIGIBLE GRANT RECIPIENTS.—Any institution 
of higher education receiving a grant under this section 
may carry out activities under the grant through— 
‘‘(1) college counseling centers; 
‘‘(2) college and university psychological service 
centers; 
‘‘(3) mental health centers; 
‘‘(4) psychology training clinics; or 
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‘‘(5) institution of higher education supported, 
evidence-based, mental health and substance use dis-
order programs. 
‘‘(d) APPLICATION.—An institution of higher edu-
cation desiring a grant under this section shall prepare 
and submit an application to the Secretary at such time 
and in such manner as the Secretary may require. At a 
minimum, the application shall include the following: 
‘‘(1) A description of identified mental health 
and substance use disorder needs of students at the 
institution of higher education. 
‘‘(2) A description of Federal, State, local, pri-
vate, and institutional resources currently available 
to address the needs described in paragraph (1) at 
the institution of higher education. 
‘‘(3) A description of the outreach strategies of 
the institution of higher education for promoting ac-
cess to services, including a proposed plan for reach-
ing those students most in need of mental health 
services. 
‘‘(4) A plan to evaluate program outcomes, in-
cluding a description of the proposed use of funds, 
the program objectives, and how the objectives will 
be met. 
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‘‘(5) An assurance that the institution will sub-
mit a report to the Secretary each fiscal year on the 
activities carried out with the grant and the results 
achieved through those activities. 
‘‘(e) REQUIREMENT OF MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary may make a 
grant under this section to an institution of higher 
education only if the institution agrees to make 
available (directly or through donations from public 
or private entities) non-Federal contributions in an 
amount that is not less than $1 for each $1 of Fed-
eral funds provided in the grant, toward the costs of 
activities carried out with the grant (as described in 
subsection (b)) and other activities by the institution 
to reduce student mental health and substance use 
disorders. 
‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions required under 
paragraph (1) may be in cash or in kind. Amounts 
provided by the Federal Government, or services as-
sisted or subsidized to any significant extent by the 
Federal Government, may not be included in deter-
mining the amount of such non-Federal contribu-
tions. 
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‘‘(3) WAIVER.—The Secretary may waive the 
requirement established in paragraph (1) with re-
spect to an institution of higher education if the Sec-
retary determines that extraordinary need at the in-
stitution justifies the waiver. 
‘‘(f) REPORTS.—For each fiscal year that grants are 
awarded under this section, the Secretary shall conduct 
a study on the results of the grants and submit to the 
Congress a report on such results that includes the fol-
lowing: 
‘‘(1) An evaluation of the grant program out-
comes, including a summary of activities carried out 
with the grant and the results achieved through 
those activities. 
‘‘(2) Recommendations on how to improve ac-
cess to mental health and substance use disorder 
services at institutions of higher education, including 
efforts to reduce the incidence of suicide and sub-
stance use disorders. 
‘‘(g) DEFINITION.—In this section, the term ‘institu-
tion of higher education’ has the meaning given such term 
in section 101 of the Higher Education Act of 1965. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $5,400,000 for fiscal year 2011, 
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$5,800,000 for fiscal year 2012, $6,200,000 for fiscal year 
2013, $6,600,000 for fiscal year 2014, and $7,000,000 
for fiscal year 2015. 
‘‘SEC. 530. GRANTS FOR JAIL DIVERSION PROGRAMS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary shall 
make up to 125 grants to States, political subdivisions of 
States, American Indian and Alaska Native tribes and 
tribal organizations, acting directly or through agreements 
with other public or nonprofit entities, or a health facility 
or program operated by or pursuant to a contract or grant 
with the Indian Health Service, to develop and implement 
programs to divert individuals with a mental illness from 
the criminal justice system to community-based services. 
‘‘(b) ADMINISTRATION.— 
‘‘(1) CONSULTATION.—The Secretary shall con-
sult with the Attorney General and any other appro-
priate officials in carrying out this section. 
‘‘(2) REGULATORY AUTHORITY.—The Secretary 
shall issue regulations and guidelines necessary to 
carry out this section, including methodologies and 
outcome measures for evaluating programs carried 
out by States, political subdivisions of States, Indian 
tribes, and tribal organizations receiving grants 
under subsection (a). 
‘‘(c) APPLICATIONS.— 
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‘‘(1) IN GENERAL.—To receive a grant under 
subsection (a), the chief executive of a State, chief 
executive of a subdivision of a State, Indian tribe or 
tribal organization shall prepare and submit an ap-
plication to the Secretary at such time, in such man-
ner, and containing such information as the Sec-
retary shall reasonably require. 
‘‘(2) CONTENT.—Such application shall— 
‘‘(A) contain an assurance that— 
‘‘(i) community-based mental health 
services will be available for the individuals 
who are diverted from the criminal justice 
system, and that such services are based 
on evidence-based practices, reflect current 
research findings, include case manage-
ment, 
assertive 
community 
treatment, 
medication management and access, inte-
grated mental health and co-occurring sub-
stance use disorder treatment, and psy-
chiatric rehabilitation, and will be coordi-
nated with social services, including life 
skills training, housing placement, voca-
tional training, education job placement, 
and health care; 
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‘‘(ii) there has been relevant inter-
agency collaboration between the appro-
priate criminal justice, mental health, and 
substance use disorder systems; and 
‘‘(iii) the Federal support provided 
will be used to supplement, and not sup-
plant, State, local, Indian tribe, or tribal 
organization sources of funding that would 
otherwise be available; 
‘‘(B) demonstrate that the diversion pro-
gram will be integrated with an existing system 
of care for those with mental illness; 
‘‘(C) explain the applicant’s inability to 
fund the program adequately without Federal 
assistance; 
‘‘(D) specify plans for obtaining necessary 
support and continuing the proposed program 
following the conclusion of Federal support; and 
‘‘(E) describe methodology and outcome 
measures that will be used in evaluating the 
program. 
‘‘(d) USE OF FUNDS.—A State, political subdivision 
of a State, Indian tribe, or tribal organization that receives 
a grant under subsection (a) may use funds received under 
such grant to— 
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‘‘(1) integrate the diversion program into the 
existing system of care; 
‘‘(2) create or expand community-based mental 
health and co-occurring mental illness and substance 
use disorder services to accommodate the diversion 
program; 
‘‘(3) train professionals involved in the system 
of care, and law enforcement officers, attorneys, and 
judges; and 
‘‘(4) provide community outreach and crisis 
intervention. 
‘‘(e) FEDERAL SHARE.— 
‘‘(1) IN GENERAL.—The Secretary shall pay to 
a State, political subdivision of a State, Indian tribe, 
or tribal organization receiving a grant under sub-
section (a) the Federal share of the cost of activities 
described in the application. 
‘‘(2) FEDERAL SHARE.—The Federal share of a 
grant made under this section shall not exceed 75 
percent of the total cost of the program carried out 
by the State, political subdivision of a State, Indian 
tribe, or tribal organization. Such share shall be 
used for new expenses of the program carried out by 
such State, political subdivision of a State, Indian 
tribe, or tribal organization. 
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‘‘(3) NON-FEDERAL SHARE.—The non-Federal 
share of payments made under this section may be 
made in cash or in kind fairly evaluated, including 
planned equipment or services. The Secretary may 
waive the requirement of matching contributions. 
‘‘(f) GEOGRAPHIC DISTRIBUTION.—The Secretary 
shall ensure that such grants awarded under subsection 
(a) are equitably distributed among the geographical re-
gions of the United States and between urban and rural 
populations. 
‘‘(g) TRAINING
AND
TECHNICAL
ASSISTANCE.— 
Training and technical assistance may be provided by the 
Secretary to assist a State, political subdivision of a State, 
Indian tribe, or tribal organization receiving a grant under 
subsection (a) in establishing and operating a diversion 
program. 
‘‘(h) EVALUATIONS.—The programs described in 
subsection (a) shall be evaluated not less than one time 
in every 12-month period using the methodology and out-
come measures identified in the grant application. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$10,000,000 for fiscal year 2011, and such sums as may 
be necessary for fiscal years 2012 through 2015. 
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‘‘SEC. 531. GRANTS FOR THE INTEGRATED TREATMENT OF 
SERIOUS MENTAL ILLNESS AND CO-OCCUR-
RING SUBSTANCE USE DISORDERS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants, contracts, or cooperative agreements to States, po-
litical subdivisions of States, Indian tribes, tribal organiza-
tions, and private nonprofit organizations for the develop-
ment or expansion of programs to provide integrated 
treatment services for individuals with a serious mental 
illness and a co-occurring substance use disorders. 
‘‘(b) PRIORITY.—In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Sec-
retary shall give priority to applicants that emphasize the 
provision of services for individuals with a serious mental 
illness and a co-occurring substance use disorders who— 
‘‘(1) have a history of interactions with law en-
forcement or the criminal justice system; 
‘‘(2) have recently been released from incarcer-
ation; 
‘‘(3) have a history of unsuccessful treatment in 
either an inpatient or outpatient setting; 
‘‘(4) have never followed through with out-
patient services despite repeated referrals; or 
‘‘(5) are homeless. 
‘‘(c) USE OF FUNDS.—A State, political subdivision 
of a State, American Indian or Alaska Native tribe, tribal 
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organization, or a health facility operated by or pursuant 
to a contract or grant with the Indian Health Service, or 
private nonprofit organization that receives a grant, con-
tract, or cooperative agreement under subsection (a) shall 
use funds received under such grant— 
‘‘(1) to provide fully integrated services rather 
than serial or parallel services; 
‘‘(2) to employ staff that are cross-trained in 
the diagnosis and treatment of both serious mental 
illness and substance use disorders; 
‘‘(3) to provide integrated mental health and 
substance use disorder services at the same location; 
‘‘(4) to provide services that are linguistically 
appropriate and culturally competent; 
‘‘(5) to provide at least 10 programs for inte-
grated treatment of both mental illness and sub-
stance use disorders at sites that previously provided 
only mental health services or only substance use 
disorder services; and 
‘‘(6) to provide services in coordination with 
other existing public and private community pro-
grams. 
‘‘(d) CONDITION.—The Secretary shall ensure that a 
State, political subdivision of a State, Indian tribe, tribal 
organization, or private nonprofit organization that re-
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ceives a grant, contract, or cooperative agreement under 
subsection (a) maintains the level of effort necessary to 
sustain existing mental health and substance use disorder 
programs for other populations served by mental health 
systems in the community. 
‘‘(e) DISTRIBUTION
OF AWARDS.—The Secretary 
shall ensure that grants, contracts, or cooperative agree-
ments awarded under subsection (a) are equitably distrib-
uted among the geographical regions of the United States 
and between urban and rural populations. 
‘‘(f) DURATION.—The Secretary shall award grants, 
contract, or cooperative agreements under this subsection 
for a period of not more than 5 years. 
‘‘(g) APPLICATION.—A State, political subdivision of 
a State, Indian tribe, tribal organization, or private non-
profit organization that desires a grant, contract, or coop-
erative agreement under this subsection shall prepare and 
submit an application to the Secretary at such time, in 
such manner, and containing such information as the Sec-
retary may require. Such application shall include a plan 
for the rigorous evaluation of activities funded with an 
award under such subsection, including a process and out-
comes evaluation. 
‘‘(h) EVALUATION.—A State, political subdivision of 
a State, Indian tribe, tribal organization, or private non-
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profit organization that receives a grant, contract, or coop-
erative agreement under this subsection shall prepare and 
submit a plan for the rigorous evaluation of the program 
funded under such grant, contract, or agreement, includ-
ing both process and outcomes evaluation, and the submis-
sion of an evaluation at the end of the project period. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$14,000,000 for fiscal year 2011, and such sums as may 
be necessary for each of fiscal years 2012 through 2015. 
‘‘SEC. 532. GRANTS RELATING TO THE INTEGRATION AND 
CO-LOCATING OF SERVICES. 
‘‘(a) GRANTS
FOR
INTEGRATION
OF
MENTAL 
HEALTH AND SUBSTANCE USE DISORDER SERVICES IN 
PRIMARY CARE AND MENTAL HEALTH SETTINGS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Center for Mental 
Health Services, shall award grants to public and 
private nonprofit entities to integrate mental health 
and substance use disorder early intervention, pre-
vention, treatment, referral, and recovery services 
into primary care settings, for projects that address 
mental health and substance use disorder needs, in-
cluding programs that— 
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‘‘(A) integrate mental health services for 
older adults into primary care settings, in order 
to provide screening, referrals, and evidence- 
based intervention and treatment services by in-
dividuals with appropriate training and experi-
ence in the treatment of older adults, including 
licensed mental health professionals; and 
‘‘(B) provide mental health and substance 
use disorders early intervention, prevention, 
treatment, referral, and recovery services, for 
children and adults, that are in coordination 
with community mental health service programs 
and other appropriately trained providers of 
care. 
‘‘(2) APPLICATION.—To be eligible to receive a 
grant or cooperative agreement under this sub-
section an entity shall prepare and submit to the 
Secretary an application at such time, in such man-
ner, and containing such information the Secretary 
may require, including— 
‘‘(A) an assessment of the mental health 
and substance use disorders care needs of pa-
tients served by the primary care provider and 
how such needs will be addressed; 
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‘‘(B) assurances that the primary care set-
ting will have appropriately qualified mental 
health and substance use disorders professional 
staff, including licensed mental health profes-
sionals, to ensure prompt treatment or triage 
for referral services or providers; 
‘‘(C) assurances that the primary care set-
ting will encourage formal coordination with 
community mental health service programs and 
other appropriate providers to ensure continuity 
of care; 
‘‘(D) assurances that the primary care set-
ting has experience in providing services to a 
variety of populations, including racial and eth-
nic minorities and low-income populations; 
‘‘(E) assurances that the primary care set-
tings uses evidence-based intervention and 
treatment protocols (to the extent such proto-
cols are available) for mental health and sub-
stance use disorders; 
‘‘(F) assurances to report to the Secretary 
standardized clinical and behavioral data and 
other performance data necessary to evaluate 
patient outcomes and to facilitate evaluations 
across participating projects; and 
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‘‘(G) a plan for sustainability beyond the 
Federal grant period. 
‘‘(3) USE OF FUNDS.—Amounts awarded under 
this subsection may be used to— 
‘‘(A) provide mental health promotion and 
substance use disorder prevention services; 
‘‘(B) screen individuals for mental illness 
or substance use; 
‘‘(C) diagnose and determine an appro-
priate intervention; 
‘‘(D) provide brief intervention for individ-
uals at risk of mental illness or substance use; 
‘‘(E) treat or refer for treatment of a men-
tal illness or substance use disorder; 
‘‘(F) provide recovery support services or 
referring individuals for services; 
‘‘(G) provide caregiver support and edu-
cational and transportation services to improve 
access and retention; or 
‘‘(H) facilitate networking between pri-
mary care professionals and mental health and 
substance use disorders professionals for— 
‘‘(i) case management development; 
and 
‘‘(ii) professional mentoring. 
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‘‘(4) DURATION.—A project may receive fund-
ing pursuant to a grant under this subsection for a 
period of up to 3 years, with an extension period of 
2 additional years at the discretion of the Secretary. 
‘‘(5) SUPPLEMENT, NOT
SUPPLANT.—Funds 
made available under this subsection shall supple-
ment, and not supplant, other Federal, State, or 
local funds available to an entity to carry out activi-
ties described in this subsection. 
‘‘(6) MATCHING REQUIREMENTS.—With respect 
to the costs of the activities to be carried out by an 
entity under a grant or cooperative agreement under 
this subsection, beginning with the third year of the 
grant program, an entity shall provide assurances 
that the entity will make available (directly or 
through donations from public or private entities, in-
cluding in-kind donations) non-Federal contributions 
towards such costs in an amount that is not less 
than $1 for each $4 of Federal funds provided under 
the grant or cooperative agreement. 
‘‘(7) REPORT.—Grantees under this subsection 
shall, beginning with the end of the second year of 
the grant, submit yearly reports to the Secretary on 
the activities of the grantee in support of the grant 
and the latest performance data. Such reports shall 
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contain recommendations as how to replicate the 
project. 
‘‘(b) GRANTS FOR CO-LOCATING PRIMARY AND SPE-
CIALTY CARE IN COMMUNITY-BASED MENTAL HEALTH 
SETTINGS.— 
‘‘(1) DEFINITIONS.—In this subsection: 
‘‘(A) ELIGIBLE ENTITY.—The term ‘eligi-
ble entity’ means a qualified community mental 
health 
program 
defined 
under 
section 
1913(b)(1). 
‘‘(B) SPECIAL
POPULATIONS.—The term 
‘special populations’ refers to the following 3 
groups: 
‘‘(i) Children and adolescents with 
mental and emotional disturbances who 
have co-occurring primary care conditions 
and chronic diseases. 
‘‘(ii) Adults with mental illnesses who 
have co-occurring primary care conditions 
and chronic diseases. 
‘‘(iii) Older adults with mental ill-
nesses who have co-occurring primary care 
conditions and chronic diseases. 
‘‘(2) PROGRAM AUTHORIZED.—The Secretary, 
acting through the Administrator of the Substance 
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Abuse and Mental Health Services Administration 
and in coordination with the Director of the Health 
Resources and Services Administration, shall award 
grants to eligible entities to establish demonstration 
projects for the provision of coordinated and inte-
grated services to special populations through the 
co-location of primary and specialty care services in 
community-based mental health and substance use 
disorder settings. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under this subsection, an eligible entity shall 
submit an application to the Administrator at such 
time, in such manner, and accompanied by such in-
formation as the Administrator may require. Each 
such application shall include— 
‘‘(A) an assessment of the primary care 
needs of the patients served by the eligible enti-
ty and a description of how the eligible entity 
will address such needs; and 
‘‘(B) a description of partnerships, cooper-
ative agreements, or other arrangements with 
local primary care providers, including commu-
nity health centers, to provide services to spe-
cial populations. 
‘‘(4) USE OF FUNDS.— 
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‘‘(A) IN GENERAL.—For the benefit of spe-
cial populations, an eligible entity shall use 
funds awarded under this subsection for— 
‘‘(i) the provision, by qualified pri-
mary care professionals on a reasonable 
cost basis, of— 
‘‘(I) primary care services on site 
at the eligible entity; 
‘‘(II) diagnostic and laboratory 
services; or 
‘‘(III) adult and pediatric eye, 
ear, and dental screenings; 
‘‘(ii) reasonable costs associated with 
medically necessary referrals to qualified 
specialty care professionals; 
‘‘(iii) information technology required 
to accommodate the clinical needs of pri-
mary and specialty care professionals; or 
‘‘(iv) equipment needed to provide pri-
mary care services on site at the eligible 
entity. 
‘‘(B) LIMITATION.—Not to exceed 15 per-
cent of grant funds may be used for activities 
described in clauses (iii) and (iv) of subpara-
graph (A). 
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‘‘(5) GEOGRAPHIC
DISTRIBUTION.—The Sec-
retary shall ensure that grants awarded under this 
subsection are equitably distributed among the geo-
graphical regions of the United States and between 
urban and rural populations. 
‘‘(6) EVALUATION.—Not later than 3 months 
after a grant or cooperative agreement awarded 
under this subsection expires, an eligible entity shall 
submit to the Secretary the results of an evaluation 
to be conducted by the entity concerning the effec-
tiveness of the activities carried out under the grant 
or agreement. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$70,000,0000 for fiscal year 2011 and such sums as may 
be necessary for each of fiscal years 2012 through 2015. 
‘‘SEC. 533. TRAINING GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants in accordance with the provisions of this section. 
‘‘(b) MENTAL
ILLNESS
AWARENESS
TRAINING 
GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States, political subdivisions of States, 
American Indian and Alaska Native tribes, tribal or-
ganizations, a health facility or program operated by 
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or pursuant to a contract or grant with the Indian 
Health Service, and nonprofit private entities to 
train teachers and other relevant school personnel to 
recognize symptoms of childhood and adolescent 
mental disorders, to refer family members to the ap-
propriate mental health services if necessary, to 
train emergency services personnel to identify and 
appropriately respond to persons with a mental ill-
ness, and to provide education to such teachers and 
personnel regarding resources that are available in 
the community for individuals with a mental illness. 
‘‘(2) EMERGENCY
SERVICES
PERSONNEL.—In 
this subsection, the term ‘emergency services per-
sonnel’ includes paramedics, firefighters, law en-
forcement, and emergency medical technicians. 
‘‘(3) DISTRIBUTION
OF
AWARDS.—The Sec-
retary shall ensure that such grants awarded under 
this subsection are equitably distributed among the 
geographical regions of the United States and be-
tween urban and rural populations. 
‘‘(4) APPLICATION.—A State, political subdivi-
sion of a State, Indian tribe, tribal organization, or 
nonprofit private entity that desires a grant under 
this subsection shall submit an application to the 
Secretary at such time, in such manner, and con-
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taining such information as the Secretary may re-
quire, including a plan for the rigorous evaluation of 
activities that are carried out with funds received 
under a grant under this subsection. 
‘‘(5) USE OF FUNDS.—A State, political sub-
division of a State, Indian tribe, tribal organization, 
or nonprofit private entity receiving a grant under 
this subsection shall use funds from such grant to— 
‘‘(A) train teachers and other relevant 
school personnel to recognize symptoms of 
childhood and adolescent mental disorders and 
appropriately respond; 
‘‘(B) train emergency services personnel to 
identify and appropriately respond to persons 
with a mental illness; and 
‘‘(C) provide education to such teachers 
and personnel regarding resources that are 
available in the community for individuals with 
a mental illness. 
‘‘(6) EVALUATION.—A State, political subdivi-
sion of a State, Indian tribe, tribal organization, or 
nonprofit private entity that receives a grant under 
this subsection shall prepare and submit an evalua-
tion to the Secretary at such time, in such manner, 
and containing such information as the Secretary 
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may reasonably require, including an evaluation of 
activities carried out with funds received under the 
grant under this subsection and a process and out-
come evaluation. 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection, $25,000,000 for fiscal year 2011 
and such sums as may be necessary for each of fis-
cal years 2012 through 2015. 
‘‘SEC. 534. OLDER ADULT MENTAL HEALTH GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Center for Mental Health Services, 
shall award grants, contracts, and cooperative agreements 
to public and private nonprofit entities for projects that 
address the mental health needs of older adults, including 
programs to— 
‘‘(1) support the establishment and mainte-
nance of interdisciplinary geriatric mental health 
specialist outreach teams in community settings 
where older adults reside or receive social services, 
in order to provide screening, referrals, and evi-
dence-based intervention and treatment services, in-
cluding services provided by licensed mental health 
professionals; 
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‘‘(2) develop and implement older adult suicide 
early intervention and prevention strategies in 1 or 
more settings that serve seniors, and collect and 
analyze data on older adult suicide early intervention 
and prevention services for purposes of monitoring, 
research, and policy development; and 
‘‘(3) other programs as designated by the Sec-
retary, that would improve the mental health of 
older Americans. 
‘‘(b) CONSIDERATIONS IN AWARDING GRANTS.—In 
awarding grants under this section, the Secretary, to the 
extent feasible, shall ensure that— 
‘‘(1) projects are funded in a variety of geo-
graphic areas, including urban and rural areas; 
‘‘(2) a variety of populations, including racial 
and ethnic minorities and low-income populations, 
are served by projects funded under this section; and 
‘‘(3) older adult suicide intervention and pre-
vention programs are targeted towards areas with 
high older adult suicide rates. 
‘‘(c) APPLICATION.—To be eligible to receive a grant 
under this section, a public or private nonprofit entity 
shall— 
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‘‘(1) submit an application to the Secretary (in 
such form, containing such information, and at such 
time as the Secretary may specify); 
‘‘(2) agree to report to the Secretary standard-
ized clinical and behavioral data or other perform-
ance data necessary to evaluate patient or program 
outcomes and to facilitate evaluations across partici-
pating projects; 
‘‘(3) demonstrate how such applicant will col-
laborate with other State and local public and pri-
vate nonprofit organizations; and 
‘‘(4) submit a plan for the sustainability of the 
program beyond the Federal grant period. 
‘‘(d) DURATION.—A project may receive funding 
under a grant under this section for a period of up to 
3 years, with an extension period of 2 additional years, 
at the discretion of the Secretary. 
‘‘(e) SUPPLEMENT, NOT SUPPLANT.—Funds made 
available under this section shall be used to supplement, 
and not supplant, other Federal, State, or local funds 
available to an entity to carry out activities described in 
this section. 
‘‘(f) MATCHING REQUIREMENT.—With respect to the 
costs of the activities to be carried out by an entity under 
a grant under this section, beginning with the third year 
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of the grant program, an entity shall provide assurances 
that the entity will make available (directly or through a 
donation from public or private entities, including in-kind 
donations) non-Federal contributions towards such costs 
in an amount that is not less than $1 for each $4 of Fed-
eral funds provided under the grant. 
‘‘(g) REPORT.—Grantees under this section shall, be-
ginning with the end of the second year of the grant, sub-
mit yearly reports to the Secretary on the activities of the 
grantee in support of the grant and the latest performance 
data. Such reports shall contain recommendations as how 
to replicate the project. 
‘‘(h) DEFINITIONS.—In this section, the term ‘older 
adult’ has the meaning given the term ‘older individual’ 
in section 101 of the Older Americans Act of 1965. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section, 
such sums as may be necessary for each of fiscal years 
2011 through 2015. 
‘‘SEC. 535. GRANTS FOR TELE-MENTAL HEALTH IN RURAL 
AND MEDICALLY UNDERSERVED AREAS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrator of the Substance Abuse and 
Mental Health Services Administration and in coordina-
tion with the Administrator of the Health Resources and 
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Services Administration and the National Coordinator for 
Health Information Technology, shall award grants to eli-
gible entities to provide tele-mental health in rural and 
medically underserved areas. The Secretary shall ensure 
that such grant are coordinated with, and are not duplica-
tive of, activities funded by the Federal Communications 
Commission. 
‘‘(b) ELIGIBLE ENTITY.—To be eligible for assist-
ance under the program under subsection (a), an entity 
shall be a qualified community program as determined by 
the Secretary. 
‘‘(c) APPLICATION.— 
‘‘(1) IN GENERAL.—Each eligible entity desir-
ing a grant under this section shall submit an appli-
cation to the Secretary at such time, in such man-
ner, and containing such information as the Sec-
retary may reasonably require. 
‘‘(2) ASSURANCES.—The application shall in-
clude assurances that the applicant will meet the re-
quirements of this subsection and that the applicant 
possesses sufficient infrastructure to manage the ac-
tivities to be funded through the grant and to evalu-
ate and report on the outcomes resulting from such 
activities. 
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‘‘(d) USE OF FUNDS.—An eligible entity shall use 
funds received under a grant under this section for— 
‘‘(1) the provision of tele-mental health services, 
including the provision of services to children and 
older adults; or 
‘‘(2) technological improvements for the provi-
sion of tele-mental health services in accordance with 
any guidelines, as available, on health information 
technology that are developed by the Secretary. 
‘‘(e) GEOGRAPHIC DISTRIBUTION.—The Secretary 
shall ensure that grants awarded under this section are 
equitably distributed among the geographical regions of 
the United States and between urban and rural popu-
lations. 
‘‘(f) EVALUATION.—Not later than 3 months after 
the end of a project that is funded by a grant awarded 
under this section, the eligible entity involved shall submit 
to the Secretary the results of an evaluation to be con-
ducted by the entity concerning the effectiveness of the 
activities carried out under the grant. 
‘‘(g) REPORT.—Not later than 5 years after the date 
of enactment of this section, the Secretary shall prepare 
and submit to the appropriate committees of Congress a 
report that shall evaluate the activities funded under this 
section. 
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‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$20,000,000 for fiscal year 2011, and such sums as may 
be necessary for each of fiscal years 2012 through 2015. 
‘‘SEC. 
536. 
IMPROVING 
HEALTH 
INFORMATION 
TECH-
NOLOGY FOR MENTAL HEALTH PROVIDERS. 
‘‘The Secretary, in consultation with the Secretary of 
Veterans Affairs, shall collaborate with the Administrator 
and the National Coordinator for Health Information 
Technology to develop and implement a plan for ensuring 
that the National Health Information Infrastructure ad-
dresses the needs of mental health and substance abuse 
treatment providers. 
‘‘PART C—PROJECTS FOR ASSISTANCE IN 
TRANSITION FROM HOMELESSNESS 
‘‘SEC. 541. FORMULA GRANTS TO STATES. 
‘‘For the purpose of carrying out section 542, the 
Secretary, acting through the Director of the Center for 
Mental Health Services, shall for each fiscal year make 
an allotment for each State in an amount determined in 
accordance with section 544. The Secretary shall make 
payments, as grants, each such fiscal year to each State 
from the allotment for the State if the Secretary approves 
for the fiscal year involved an application submitted by 
the State pursuant to section 549. 
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‘‘SEC. 542. PURPOSE OF GRANTS. 
‘‘(a) IN GENERAL.—The Secretary may not make 
payments under section 541 unless the State involved 
agrees that the payments will be expended solely for mak-
ing grants to political subdivisions of the State, and to 
nonprofit private entities (including community-based vet-
erans organizations and other community organizations), 
for the purpose of providing the services specified in sub-
section (b) to individuals who— 
‘‘(1)(A) are suffering from serious mental ill-
ness; or 
‘‘(B) are suffering from serious mental illness 
and from substance use disorders; and 
‘‘(2) are homeless or at imminent risk of be-
coming homeless. 
‘‘(b) SPECIFICATION OF SERVICES.—The services re-
ferred to in subsection (a) are— 
‘‘(1) outreach services; 
‘‘(2) screening and diagnostic treatment serv-
ices; 
‘‘(3) habilitation and rehabilitation services; 
‘‘(4) community mental health services; 
‘‘(5) alcohol or drug treatment services; 
‘‘(6) staff training, including the training of in-
dividuals who work in shelters, mental health clinics, 
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substance use disorder programs, and other sites 
where homeless individuals require services; 
‘‘(7) case management services, including— 
‘‘(A) preparing a plan for the provision of 
community mental health services to the eligible 
homeless individual involved, and reviewing 
such plan not less than once every 3 months; 
‘‘(B) providing assistance in obtaining and 
coordinating social and maintenance services for 
the eligible homeless individuals, including serv-
ices relating to daily living activities, personal 
financial planning, transportation services, and 
habilitation 
and 
rehabilitation 
services, 
prevocational and vocational services, and hous-
ing services; 
‘‘(C) providing assistance to the eligible 
homeless individual in obtaining income support 
services, including housing assistance, food 
stamps, and supplemental security income bene-
fits; 
‘‘(D) referring the eligible homeless indi-
vidual for such other services as may be appro-
priate; and 
‘‘(E) providing representative payee serv-
ices in accordance with section 1631(a)(2) of 
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the Social Security Act if the eligible homeless 
individual is receiving aid under title XVI of 
such act and if the applicant is designated by 
the Secretary to provide such services; 
‘‘(8) supportive and supervisory services in resi-
dential settings; 
‘‘(9) referrals for primary health services, job 
training, educational services, and relevant housing 
services; 
‘‘(10) subject to subsection (h)(1)— 
‘‘(A) minor renovation, expansion, and re-
pair of housing; 
‘‘(B) planning of housing; 
‘‘(C) technical assistance in applying for 
housing assistance; 
‘‘(D) improving the coordination of hous-
ing services; 
‘‘(E) security deposits; 
‘‘(F) the costs associated with matching el-
igible homeless individuals with appropriate 
housing situations; and 
‘‘(G) 1-time rental payments to prevent 
eviction; and 
‘‘(11) other appropriate services, as determined 
by the Secretary. 
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‘‘(c) COORDINATION.—The Secretary may not make 
payments under section 541 unless the State involved 
agrees to make grants pursuant to subsection (a) only to 
entities that have the capacity to provide, directly or 
through arrangements, the services specified in section 
542(b), including coordinating the provision of services in 
order to meet the needs of eligible homeless individuals 
who are both mentally ill and suffering from substance 
use disorder. 
‘‘(d) SPECIAL CONSIDERATION REGARDING VET-
ERANS.—The Secretary may not make payments under 
section 541 unless the State involved agrees that, in mak-
ing grants to entities pursuant to subsection (a), the State 
will give special consideration to entities with a dem-
onstrated effectiveness in serving homeless veterans. 
‘‘(e) SPECIAL RULES.—The Secretary may not make 
payments under section 541 unless the State involved 
agrees that grants pursuant to subsection (a) will not be 
made to any entity that— 
‘‘(1) has a policy of excluding individuals from 
mental health services due to the existence or sus-
picion of substance use disorders; or 
‘‘(2) has a policy of excluding individuals from 
substance use disorder services due to the existence 
or suspicion of mental illness. 
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‘‘(f) ADMINISTRATIVE EXPENSES.—The Secretary 
may not make payments under section 541 unless the 
State involved agrees that not more than 4 percent of the 
payments will be expended for administrative expenses re-
garding the payments. 
‘‘(g) MAINTENANCE
OF EFFORT.—The Secretary 
may not make payments under section 541 unless the 
State involved agrees that the State will maintain State 
expenditures for services specified in subsection (b) at a 
level that is not less than the average level of such expend-
itures maintained by the State for the 2-year period pre-
ceding the fiscal year for which the State is applying to 
receive such payments. 
‘‘(h) RESTRICTIONS ON USE OF FUNDS.—The Sec-
retary may not make payments under section 541 unless 
the State involved agrees that— 
‘‘(1) not more than 20 percent of the payments 
will be expended for housing services under sub-
section (b)(10); and 
‘‘(2) the payments will not be expended— 
‘‘(A) to support emergency shelters or con-
struction of housing facilities; 
‘‘(B) for inpatient psychiatric treatment 
costs or inpatient substance use disorder treat-
ment costs; or 
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‘‘(C) to make cash payments to intended 
recipients of mental health or substance use 
disorder services. 
‘‘(i) WAIVER FOR TERRITORIES.—With respect to the 
United States Virgin Islands, Guam, American Samoa, 
Palau, the Marshall Islands, and the Commonwealth of 
the Northern Mariana Islands, the Secretary may waive 
the provisions of this part that the Secretary determines 
to be appropriate. 
‘‘SEC. 543. REQUIREMENT OF MATCHING FUNDS. 
‘‘(a) IN GENERAL.—The Secretary may not make 
payments under section 541 unless, with respect to the 
costs of providing services pursuant to section 542, the 
State involved agrees to make available, directly or 
through donations from public or private entities, non- 
Federal contributions toward such costs in an amount that 
is not less than $1 for each $3 of Federal funds provided 
in such payments. 
‘‘(b) DETERMINATION
OF AMOUNT.—Non-Federal 
contributions required in subsection (a) may be in cash 
or in kind, fairly evaluated, including plant, equipment, 
or services. Amounts provided by the Federal Government, 
or services assisted or subsidized to any significant extent 
by the Federal Government, shall not be included in deter-
mining the amount of such non-Federal contributions. 
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‘‘(c) LIMITATION REGARDING GRANTS BY STATES.— 
The Secretary may not make payments under section 541 
unless the State involved agrees that the State will not 
require the entities to which grants are provided pursuant 
to section 542(a) to provide non-Federal contributions in 
excess of the non-Federal contributions described in sub-
section (a). 
‘‘SEC. 544. DETERMINATION OF AMOUNT OF ALLOTMENT. 
‘‘(a) DETERMINATION UNDER FORMULA.—Subject 
to subsection (b), the allotment required in section 541 
for a State for a fiscal year is the product of— 
‘‘(1) an amount equal to the amount appro-
priated for allotments under section 555 for the fis-
cal year; and 
‘‘(2) a percentage equal to the quotient of— 
‘‘(A) an amount equal to the population 
living in urbanized areas of the State involved, 
as indicated by the most recent data collected 
by the Bureau of the Census; and 
‘‘(B) an amount equal to the population 
living in urbanized areas of the United States, 
as indicated by the sum of the respective 
amounts determined for the States under sub-
paragraph (A). 
‘‘(b) MINIMUM ALLOTMENT.— 
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‘‘(1) IN GENERAL.—Subject to paragraph (2), 
the allotment for a State under section 541 for a fis-
cal year shall, at a minimum, be the greater of— 
‘‘(A) the amount the State received under 
section 541 in fiscal year 2007; and 
‘‘(B) $600,000 for each of the several 
States, the District of Columbia, and the Com-
monwealth of Puerto Rico, and $100,000 for 
each of Guam, the Virgin Islands, American 
Samoa, and the Commonwealth of the Northern 
Mariana Islands. 
‘‘(2) CONDITION.—If the funds appropriated in 
any fiscal year under section 555 are insufficient to 
ensure that States receive a minimum allotment in 
accordance with paragraph (1), then— 
‘‘(A) no State shall receive less than the 
amount they received in fiscal year 2007; and 
‘‘(B) any funds remaining after amounts 
are provided under subparagraph (A) shall be 
used to meet the requirement of paragraph 
(1)(B), to the maximum extent possible. 
‘‘(c) STUDY CONCERNING FORMULA.—Not later than 
1 year after the date of enactment of the SAMHSA Mod-
ernization Act of 2010, the Administrator shall conduct 
a study concerning the formula used for allotments under 
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subsection (a). Such study shall include an evaluation of 
quality indicators of need for purposes of revising such 
formula for determinations of the amount of subsequent 
allotments. The Administrator shall submit to the appro-
priate committees of Congress, a report concerning the re-
sults of such study. 
‘‘SEC. 545. CONVERSION TO CATEGORICAL PROGRAM IN 
EVENT OF FAILURE OF STATE REGARDING 
EXPENDITURE OF GRANTS. 
‘‘(a) IN GENERAL.—Subject to subsection (c), the 
Secretary shall, from the amounts specified in subsection 
(b), make grants to public and nonprofit private entities 
for the purpose of providing to eligible homeless individ-
uals the services specified in section 542(b). 
‘‘(b) SPECIFICATION OF FUNDS.—The amounts re-
ferred to in subsection (a) are any amounts made available 
in appropriations Acts for allotments under section 541 
that are not paid to a State as a result of— 
‘‘(1) the failure of the State to submit an appli-
cation under section 549; 
‘‘(2) the failure of the State, in the determina-
tion of the Secretary, to prepare the application in 
accordance with such section or to submit the appli-
cation within a reasonable period of time; or 
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‘‘(3) the State informing the Secretary that the 
State does not intend to expend the full amount of 
the allotment made to the State. 
‘‘(c) REQUIREMENT OF PROVISION OF SERVICES IN 
STATE INVOLVED.—With respect to grants under sub-
section (a), amounts made available under subsection (b) 
as a result of the State involved shall be available only 
for grants to provide services in such State. 
‘‘SEC. 546. PROVISION OF CERTAIN INFORMATION FROM 
STATE. 
‘‘The Secretary may not make payments under sec-
tion 541 to a State unless, as part of the application re-
quired in section 549, the State submits to the Secretary 
a statement— 
‘‘(1) identifying existing programs providing 
services and housing to eligible homeless individuals 
and identify gaps in the delivery systems of such 
programs; 
‘‘(2) containing a plan for providing services 
and housing to eligible homeless individuals, which 
plan— 
‘‘(A) describes the coordinated and com-
prehensive means of providing services and 
housing to homeless individuals; and 
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‘‘(B) includes documentation that suitable 
housing for eligible homeless individuals will ac-
company the provision of services to such indi-
viduals; 
‘‘(3) describes the source of the non-Federal 
contributions described in section 543; 
‘‘(4) contains assurances that the non-Federal 
contributions described in section 543 will be avail-
able at the beginning of the grant period; 
‘‘(5) describe any voucher system that may be 
used to carry out this part; and 
‘‘(6) contain such other information or assur-
ances as the Secretary may reasonably require. 
‘‘SEC. 547. DESCRIPTION OF INTENDED EXPENDITURES OF 
GRANT. 
‘‘(a) IN GENERAL.—The Secretary may not make 
payments under section 541 unless— 
‘‘(1) as part of the application required in sec-
tion 549, the State involved submits to the Secretary 
a description of the intended use for the fiscal year 
of the amounts for which the State is applying pur-
suant to such section; 
‘‘(2) such description identifies the geographic 
areas within the State in which the greatest num-
bers of homeless individuals with a need for mental 
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health, substance use disorder, and housing services 
are located; 
‘‘(3) such description provides information re-
lating to the programs and activities to be supported 
and services to be provided, including information 
relating to coordinating such programs and activities 
with any similar programs and activities of public 
and private entities; and 
‘‘(4) the State agrees that such description will 
be revised throughout the year as may be necessary 
to reflect substantial changes in the programs and 
activities assisted by the State pursuant to section 
542. 
‘‘(b) OPPORTUNITY
FOR PUBLIC COMMENT.—The 
Secretary may not make payments under section 541 un-
less the State involved agrees that, in developing and car-
rying out the description required in subsection (a), the 
State will provide public notice with respect to the descrip-
tion (including any revisions) and such opportunities as 
may be necessary to provide interested persons, such as 
family members, consumers, and mental health, substance 
use disorder, and housing agencies, an opportunity to 
present comments and recommendations with respect to 
the description. 
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‘‘(c) RELATIONSHIP
TO
STATE
COMPREHENSIVE 
MENTAL HEALTH SERVICES PLAN.— 
‘‘(1) IN
GENERAL.—The Secretary may not 
make payments under section 541 unless the serv-
ices to be provided pursuant to the description re-
quired in subsection (a) are consistent with the 
State comprehensive mental health services plan re-
quired in subpart I of part B of title XIX. 
‘‘(2) SPECIAL RULE.—The Secretary may not 
make payments under section 541 unless the serv-
ices to be provided pursuant to the description re-
quired in subsection (a) have been considered in the 
preparation of, have been included in, and are con-
sistent with, the State comprehensive mental health 
services plan referred to in paragraph (1). 
‘‘SEC. 548. REQUIREMENT OF REPORTS BY STATES. 
‘‘(a) IN GENERAL.—The Secretary may not make 
payments under section 541 unless the State involved 
agrees that, by not later than January 31 of each fiscal 
year, the State will prepare and submit to the Secretary 
a report in such form and containing such information as 
the Secretary determines (after consultation with the Ad-
ministrator of the Substance Abuse and Mental Health 
Services Administration) to be necessary for— 
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‘‘(1) securing a record and a description of the 
purposes for which amounts received under section 
541 were expended during the preceding fiscal year 
and of the recipients of such amounts; and 
‘‘(2) determining whether such amounts were 
expended in accordance with the provisions of this 
part. 
‘‘(b) AVAILABILITY TO PUBLIC OF REPORTS.—The 
Secretary may not make payments under section 541 un-
less the State involved agrees to make copies of the reports 
described in subsection (a) available for public inspection. 
‘‘(c) EVALUATIONS BY COMPTROLLER GENERAL.— 
The Administrator of the Substance Abuse and Mental 
Health Services Administration shall evaluate at least 
once every 3 years the expenditures of grants under this 
part by eligible entities in order to ensure that expendi-
tures are consistent with the provisions of this part, and 
shall include in such evaluation recommendations regard-
ing changes needed in program design or operations. 
‘‘SEC. 549. REQUIREMENT OF APPLICATION. 
‘‘The Secretary may not make payments under sec-
tion 541 unless the State involved— 
‘‘(1) submits to the Secretary an application for 
the payments containing agreements and informa-
tion in accordance with this part; 
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‘‘(2) the agreements are made through certifi-
cation from the chief executive officer of the State; 
and 
‘‘(3) the application otherwise is in such form, 
is made in such manner, and contains such agree-
ments, assurances, and information as the Secretary 
determines to be necessary to carry out this part. 
‘‘SEC. 550. TECHNICAL ASSISTANCE. 
‘‘The Secretary, through the Administrator, shall 
provide technical assistance to eligible entities in devel-
oping planning and operating programs in accordance 
with the provisions of this part. 
‘‘SEC. 551. FAILURE TO COMPLY WITH AGREEMENTS. 
‘‘(a) REPAYMENT OF PAYMENTS.— 
‘‘(1) The Secretary may, subject to subsection 
(c), require a State to repay any payments received 
by the State under section 541 that the Secretary 
determines were not expended by the State in ac-
cordance with the agreements required to be con-
tained in the application submitted by the State pur-
suant to section 549. 
‘‘(2) If a State fails to make a repayment re-
quired in paragraph (1), the Secretary may offset 
the amount of the repayment against the amount of 
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any payment due to be paid to the State under sec-
tion 541. 
‘‘(b) WITHHOLDING OF PAYMENTS.— 
‘‘(1) The Secretary may, subject to subsection 
(c), withhold payments due under section 541 if the 
Secretary determines that the State involved is not 
expending amounts received under such section in 
accordance with the agreements required to be con-
tained in the application submitted by the State pur-
suant to section 549. 
‘‘(2) The Secretary shall cease withholding pay-
ments from a State under paragraph (1) if the Sec-
retary determines that there are reasonable assur-
ances that the State will expend amounts received 
under section 541 in accordance with the agree-
ments referred to in such paragraph. 
‘‘(3) The Secretary may not withhold funds 
under paragraph (1) from a State for a minor fail-
ure to comply with the agreements referred to in 
such paragraph. 
‘‘(c) OPPORTUNITY FOR HEARING.—Before requiring 
repayment of payments under subsection (a)(1), or with-
holding payments under subsection (b)(1), the Secretary 
shall provide to the State an opportunity for a hearing. 
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‘‘(d) RULE
OF CONSTRUCTION.—Notwithstanding 
any other provision of this part, a State receiving pay-
ments under section 541 may not, with respect to any 
agreements required to be contained in the application 
submitted under section 549, be considered to be in viola-
tion of any such agreements by reason of the fact that 
the State, in the regular course of providing services under 
section 542(b) to eligible homeless individuals, incidentally 
provides services to homeless individuals who are not eligi-
ble homeless individuals. 
‘‘SEC. 552. PROHIBITION AGAINST CERTAIN FALSE STATE-
MENTS. 
‘‘(a) IN GENERAL.— 
‘‘(1) A person may not knowingly make or 
cause to be made any false statement or representa-
tion of a material fact in connection with the fur-
nishing of items or services for which amounts may 
be paid by a State from payments received by the 
State under section 541. 
‘‘(2) A person with knowledge of the occurrence 
of any event affecting the right of the person to re-
ceive any amounts from payments made to the State 
under section 541 may not conceal or fail to disclose 
any such event with the intent of securing such an 
amount that the person is not authorized to receive 
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