193 
‘‘(B) enter into collaborative partnerships 
with Service or other tribal health programs or 
facilities to provide services under this dem-
onstration project; 
‘‘(C) serve an isolated community or geo-
graphic area that has limited or no access to 
behavioral health services; or 
‘‘(D) operate a detention facility at which 
Indian youth are detained. 
‘‘(5) CONSULTATION WITH ADMINISTRATION.— 
In developing and carrying out the demonstration 
project under this subsection, the Secretary shall 
consult with the Administration as the Federal agen-
cy focused on mental health issues, including suicide. 
‘‘(b) USE OF FUNDS.— 
‘‘(1) IN GENERAL.—An Indian tribe or tribal 
organization shall use a grant received under sub-
section (a) for the following purposes: 
‘‘(A) To provide telemental health services 
to Indian youth, including the provision of— 
‘‘(i) psychotherapy; 
‘‘(ii) psychiatric assessments and di-
agnostic interviews, therapies for mental 
health conditions predisposing to suicide, 
and treatment; and 
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‘‘(iii) alcohol and substance abuse 
treatment. 
‘‘(B) To provide clinician-interactive med-
ical advice, guidance and training, assistance in 
diagnosis and interpretation, crisis counseling 
and intervention, and related assistance to 
Service or tribal clinicians and health services 
providers working with youth being served 
under the demonstration project. 
‘‘(C) To assist, educate, and train commu-
nity leaders, health education professionals and 
paraprofessionals, tribal outreach workers, and 
family members who work with the youth re-
ceiving telemental health services under the 
demonstration project, including with identifica-
tion of suicidal tendencies, crisis intervention 
and suicide prevention, emergency skill develop-
ment, and building and expanding networks 
among those individuals and with State and 
local health services providers. 
‘‘(D) To develop and distribute culturally 
appropriate community educational materials 
regarding— 
‘‘(i) suicide prevention; 
‘‘(ii) suicide education; 
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‘‘(iii) suicide screening; 
‘‘(iv) suicide intervention; and 
‘‘(v) ways to mobilize communities 
with respect to the identification of risk 
factors for suicide. 
‘‘(E) To conduct data collection and re-
porting relating to Indian youth suicide preven-
tion efforts. 
‘‘(2) 
TRADITIONAL
HEALTH
CARE
PRAC-
TICES.—In carrying out the purposes described in 
paragraph (1), an Indian tribe or tribal organization 
may use and promote the traditional health care 
practices of the Indian tribes of the youth to be 
served. 
‘‘(c) APPLICATIONS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
to be eligible to receive a grant under subsection (a), 
an Indian tribe or tribal organization shall prepare 
and submit to the Secretary an application, at such 
time, in such manner, and containing such informa-
tion as the Secretary may require, including— 
‘‘(A) a description of the project that the 
Indian tribe or tribal organization will carry out 
using the funds provided under the grant; 
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‘‘(B) a description of the manner in which 
the project funded under the grant would— 
‘‘(i) meet the telemental health care 
needs of the Indian youth population to be 
served by the project; or 
‘‘(ii) improve the access of the Indian 
youth population to be served to suicide 
prevention and treatment services; 
‘‘(C) evidence of support for the project 
from the local community to be served by the 
project; 
‘‘(D) a description of how the families and 
leadership of the communities or populations to 
be served by the project would be involved in 
the development and ongoing operations of the 
project; 
‘‘(E) a plan to involve the tribal commu-
nity of the youth who are provided services by 
the project in planning and evaluating the be-
havioral health care and suicide prevention ef-
forts provided, in order to ensure the integra-
tion of community, clinical, environmental, and 
cultural components of the treatment; and 
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‘‘(F) a plan for sustaining the project after 
Federal 
assistance 
for 
the 
demonstration 
project has terminated. 
‘‘(2) EFFICIENCY
OF
GRANT
APPLICATION 
PROCESS.—The Secretary shall carry out such meas-
ures as the Secretary determines to be necessary to 
maximize the time and workload efficiency of the 
process by which Indian tribes and tribal organiza-
tions apply for grants under paragraph (1). 
‘‘(d) 
COLLABORATION.—The 
Secretary, 
acting 
through the Service, shall encourage Indian tribes and 
tribal organizations receiving grants under this section to 
collaborate to enable comparisons regarding best practices 
across projects. 
‘‘(e) ANNUAL REPORT.—Each grant recipient shall 
submit to the Secretary an annual report that— 
‘‘(1) describes the number of telemental health 
services provided; and 
‘‘(2) includes any other information that the 
Secretary may require. 
‘‘(f) REPORTS TO CONGRESS.— 
‘‘(1) INITIAL REPORT.— 
‘‘(A) IN GENERAL.—Not later than 2 years 
after the date on which the first grant is award-
ed under this section, the Secretary shall sub-
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mit to the Committee on Indian Affairs of the 
Senate and the Committee on Natural Re-
sources and the Committee on Energy and 
Commerce of the House of Representatives a 
report that— 
‘‘(i) describes each project funded by 
a grant under this section during the pre-
ceding 2-year period, including a descrip-
tion of the level of success achieved by the 
project; and 
‘‘(ii) evaluates whether the demonstra-
tion project should be continued during the 
period beginning on the date of termi-
nation of funding for the demonstration 
project under subsection (g) and ending on 
the date on which the final report is sub-
mitted under paragraph (2). 
‘‘(B) CONTINUATION OF DEMONSTRATION 
PROJECT.—On a determination by the Sec-
retary under clause (ii) of subparagraph (A) 
that the demonstration project should be con-
tinued, the Secretary may carry out the dem-
onstration project during the period described 
in that clause using such sums otherwise made 
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available to the Secretary as the Secretary de-
termines to be appropriate. 
‘‘(2) FINAL REPORT.—Not later than 270 days 
after the date of termination of funding for the dem-
onstration project under subsection (g), the Sec-
retary shall submit to the Committee on Indian Af-
fairs of the Senate and the Committee on Natural 
Resources and the Committee on Energy and Com-
merce of the House of Representatives a final report 
that— 
‘‘(A) describes the results of the projects 
funded by grants awarded under this section, 
including any data available that indicate the 
number of attempted suicides; 
‘‘(B) evaluates the impact of the tele-
mental health services funded by the grants in 
reducing the number of completed suicides 
among Indian youth; 
‘‘(C) evaluates whether the demonstration 
project should be— 
‘‘(i) expanded to provide more than 5 
grants; and 
‘‘(ii) designated as a permanent pro-
gram; and 
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‘‘(D) evaluates the benefits of expanding 
the demonstration project to include urban In-
dian organizations. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$1,500,000 for each of fiscal years 2017 through 2019. 
‘‘SEC. 724. SUBSTANCE ABUSE AND MENTAL HEALTH SERV-
ICES ADMINISTRATION GRANTS. 
‘‘(a) GRANT APPLICATIONS.— 
‘‘(1) EFFICIENCY
OF
GRANT
APPLICATION 
PROCESS.—The Secretary, acting through the Ad-
ministration, shall carry out such measures as the 
Secretary determines to be necessary to maximize 
the time and workload efficiency of the process by 
which Indian tribes and tribal organizations apply 
for grants under any program administered by the 
Administration, including by providing methods 
other than electronic methods of submitting applica-
tions for those grants, if necessary. 
‘‘(2) PRIORITY FOR CERTAIN GRANTS.— 
‘‘(A) IN GENERAL.—To fulfill the trust re-
sponsibility of the United States to Indian 
tribes, in awarding relevant grants pursuant to 
a program described in subparagraph (B), the 
Secretary shall take into consideration the 
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needs of Indian tribes or tribal organizations, 
as applicable, that serve populations with docu-
mented high suicide rates, regardless of whether 
those Indian tribes or tribal organizations pos-
sess adequate personnel or infrastructure to ful-
fill all applicable requirements of the relevant 
program. 
‘‘(B) 
DESCRIPTION
OF
GRANT
PRO-
GRAMS.—A grant program referred to in sub-
paragraph (A) is a grant program— 
‘‘(i) administered by the Administra-
tion to fund activities relating to mental 
health, suicide prevention, or suicide-re-
lated risk factors; and 
‘‘(ii) under which an Indian tribe or 
tribal organization is an eligible recipient. 
‘‘(3) 
CLARIFICATION
REGARDING
INDIAN 
TRIBES
AND
TRIBAL
ORGANIZATIONS.—Notwith-
standing any other provision of law, in applying for 
a grant under any program administered by the Ad-
ministration, no Indian tribe or tribal organization 
shall be required to apply through a State or State 
agency. 
‘‘(4) 
REQUIREMENTS
FOR
AFFECTED 
STATES.— 
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‘‘(A) DEFINITIONS.—In this paragraph: 
‘‘(i) AFFECTED
STATE.—The term 
‘affected State’ means a State— 
‘‘(I) the boundaries of which in-
clude 1 or more Indian tribes; and 
‘‘(II) the application for a grant 
under any program administered by 
the Administration of which includes 
statewide data. 
‘‘(ii) INDIAN POPULATION.—The term 
‘Indian population’ means the total num-
ber of residents of an affected State who 
are Indian. 
‘‘(B) REQUIREMENTS.—As a condition of 
receipt of a grant under any program adminis-
tered by the Administration, each affected State 
shall— 
‘‘(i) describe in the grant applica-
tion— 
‘‘(I) the Indian population of the 
affected State; and 
‘‘(II) the contribution of that In-
dian population to the statewide data 
used by the affected State in the ap-
plication; and 
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‘‘(ii) demonstrate to the satisfaction 
of the Secretary that— 
‘‘(I) of the total amount of the 
grant, the affected State will allocate 
for use for the Indian population of 
the affected State an amount equal to 
the proportion that— 
‘‘(aa) the Indian population 
of the affected State; bears to 
‘‘(bb) the total population of 
the affected State; and 
‘‘(II) the affected State will take 
reasonable efforts to collaborate with 
each Indian tribe located within the 
affected State to carry out youth sui-
cide prevention and treatment meas-
ures for members of the Indian tribe. 
‘‘(C) REPORT.—Not later than 1 year 
after the date of receipt of a grant described in 
subparagraph (B), an affected State shall sub-
mit to the Secretary a report describing the 
measures carried out by the affected State to 
ensure compliance with the requirements of 
subparagraph (B)(ii). 
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‘‘(b) NO NON-FEDERAL SHARE REQUIREMENT.— 
Notwithstanding any other provision of law, no Indian 
tribe or tribal organization shall be required to provide a 
non-Federal share of the cost of any project or activity 
carried out using a grant provided under any program ad-
ministered by the Administration. 
‘‘(c) OUTREACH FOR RURAL AND ISOLATED INDIAN 
TRIBES.—Due to the rural, isolated nature of most Indian 
reservations and communities (especially those reserva-
tions and communities in the Great Plains region), the 
Secretary shall conduct outreach activities, with a par-
ticular emphasis on the provision of telemental health 
services, to achieve the purposes of this subtitle with re-
spect to Indian tribes located in rural, isolated areas. 
‘‘(d) PROVISION OF OTHER ASSISTANCE.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Administration, shall carry out such 
measures (including monitoring and the provision of 
required assistance) as the Secretary determines to 
be necessary to ensure the provision of adequate sui-
cide prevention and mental health services to Indian 
tribes described in paragraph (2), regardless of 
whether those Indian tribes possess adequate per-
sonnel or infrastructure— 
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‘‘(A) to submit an application for a grant 
under any program administered by the Admin-
istration, including due to problems relating to 
access to the Internet or other electronic means 
that may have resulted in previous obstacles to 
submission of a grant application; or 
‘‘(B) to fulfill all applicable requirements 
of the relevant program. 
‘‘(2) DESCRIPTION OF INDIAN TRIBES.—An In-
dian tribe referred to in paragraph (1) is an Indian 
tribe— 
‘‘(A) the members of which experience— 
‘‘(i) a high rate of youth suicide; 
‘‘(ii) low socioeconomic status; and 
‘‘(iii) extreme health disparity; 
‘‘(B) that is located in a remote and iso-
lated area; and 
‘‘(C) that lacks technology and commu-
nication infrastructure. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to the Sec-
retary such sums as the Secretary determines to be 
necessary to carry out this subsection. 
‘‘(e) EARLY INTERVENTION AND ASSESSMENT SERV-
ICES.— 
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‘‘(1) DEFINITION
OF
AFFECTED
ENTITY.—In 
this subsection, the term ‘affected entity’ means any 
entity— 
‘‘(A) that receives a grant for suicide inter-
vention, prevention, or treatment under a pro-
gram administered by the Administration; and 
‘‘(B) the population to be served by which 
includes Indian youth. 
‘‘(2) REQUIREMENT.—The Secretary, acting 
through the Administration, shall ensure that each 
affected entity carrying out a youth suicide early 
intervention and prevention strategy described in 
section 520E(c)(1) of the Public Health Service Act 
(42 U.S.C. 290bb–36(c)(1)), or any other youth sui-
cide-related early intervention and assessment activ-
ity, provides training or education to individuals who 
interact frequently with the Indian youth to be 
served by the affected entity (including parents, 
teachers, coaches, and mentors) on identifying warn-
ing signs of Indian youth who are at risk of commit-
ting suicide. 
‘‘SEC. 725. USE OF PREDOCTORAL PSYCHOLOGY AND PSY-
CHIATRY INTERNS. 
‘‘The Secretary shall carry out such activities as the 
Secretary determines to be necessary to encourage Indian 
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tribes, tribal organizations, and other mental health care 
providers to obtain the services of predoctoral psychology 
and psychiatry interns— 
‘‘(1) to increase the quantity of patients served 
by the Indian tribes, tribal organizations, and other 
mental health care providers; and 
‘‘(2) for purposes of recruitment and retention. 
‘‘SEC. 726. INDIAN YOUTH LIFE SKILLS DEVELOPMENT 
DEMONSTRATION PROGRAM. 
‘‘(a) PURPOSE.—The purpose of this section is to au-
thorize the Secretary, acting through the Administration, 
to carry out a demonstration program to test the effective-
ness of a culturally compatible, school-based, life skills 
curriculum for the prevention of Indian and Alaska Native 
adolescent suicide, including through— 
‘‘(1) the establishment of tribal partnerships to 
develop and implement such a curriculum, in co-
operation with— 
‘‘(A) behavioral health professionals, with 
a priority for tribal partnerships cooperating 
with mental health professionals employed by 
the Service; 
‘‘(B) tribal or local school agencies; and 
‘‘(C) parent and community groups; 
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‘‘(2) the provision by the Administration or the 
Service of— 
‘‘(A) technical expertise; and 
‘‘(B) clinicians, analysts, and educators, as 
appropriate; 
‘‘(3) training for teachers, school administra-
tors, and community members to implement the cur-
riculum; 
‘‘(4) the establishment of advisory councils com-
posed of parents, educators, community members, 
trained peers, and others to provide advice regarding 
the curriculum and other components of the dem-
onstration program; 
‘‘(5) the development of culturally appropriate 
support measures to supplement the effectiveness of 
the curriculum; and 
‘‘(6) projects modeled after evidence-based 
projects, such as programs evaluated and published 
in relevant literature. 
‘‘(b) DEMONSTRATION GRANT PROGRAM.— 
‘‘(1) DEFINITIONS.—In this subsection: 
‘‘(A) 
CURRICULUM.—The 
term 
‘cur-
riculum’ means the culturally compatible, 
school-based, life skills curriculum for the pre-
vention of Indian and Alaska Native adolescent 
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suicide identified by the Secretary under para-
graph (2)(A). 
‘‘(B) ELIGIBLE ENTITY.—The term ‘eligi-
ble entity’ means— 
‘‘(i) an Indian tribe; 
‘‘(ii) a tribal organization; 
‘‘(iii) any other tribally authorized en-
tity; and 
‘‘(iv) any partnership composed of 2 
or more entities described in clause (i), (ii), 
or (iii). 
‘‘(2) ESTABLISHMENT.—The Secretary, acting 
through the Administration, may establish and carry 
out a demonstration program under which the Sec-
retary shall— 
‘‘(A) identify a culturally compatible, 
school-based, life skills curriculum for the pre-
vention of Indian and Alaska Native adolescent 
suicide; 
‘‘(B) identify the Indian tribes that are at 
greatest risk for adolescent suicide; 
‘‘(C) invite those Indian tribes to partici-
pate in the demonstration program by— 
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‘‘(i) responding to a comprehensive 
program requirement request of the Sec-
retary; or 
‘‘(ii) submitting, through an eligible 
entity, an application in accordance with 
paragraph (4); and 
‘‘(D) provide grants to the Indian tribes 
identified under subparagraph (B) and eligible 
entities to implement the curriculum with re-
spect to Indian and Alaska Native youths 
who— 
‘‘(i) are between the ages of 10 and 
19; and 
‘‘(ii) attend school in a region that is 
at risk of high youth suicide rates, as de-
termined by the Administration. 
‘‘(3) REQUIREMENTS.— 
‘‘(A) TERM.—The term of a grant pro-
vided under the demonstration program under 
this section shall be not less than 4 years. 
‘‘(B) MAXIMUM NUMBER.—The Secretary 
may provide not more than 5 grants under the 
demonstration program under this section. 
‘‘(C) 
AMOUNT.—The 
grants 
provided 
under this section shall be of equal amounts. 
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‘‘(D) CERTAIN SCHOOLS.—In selecting eli-
gible entities to receive grants under this sec-
tion, the Secretary shall ensure that not less 
than 1 demonstration program shall be carried 
out at each of— 
‘‘(i) a school operated by the Bureau 
of Indian Education; 
‘‘(ii) a Tribal school; and 
‘‘(iii) a school receiving payments 
under section 8002 or 8003 of the Elemen-
tary and Secondary Education Act of 1965 
(20 U.S.C. 7702, 7703). 
‘‘(4) APPLICATIONS.—To be eligible to receive a 
grant under the demonstration program, an eligible 
entity shall submit to the Secretary an application, 
at such time, in such manner, and containing such 
information as the Secretary may require, includ-
ing— 
‘‘(A) an assurance that, in implementing 
the curriculum, the eligible entity will collabo-
rate with 1 or more local educational agencies, 
including elementary schools, middle schools, 
and high schools; 
‘‘(B) an assurance that the eligible entity 
will collaborate, for the purpose of curriculum 
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development, implementation, and training and 
technical assistance, with 1 or more— 
‘‘(i) nonprofit entities with dem-
onstrated expertise regarding the develop-
ment of culturally sensitive, school-based, 
youth suicide prevention and intervention 
programs; or 
‘‘(ii) institutions of higher education 
with demonstrated interest and knowledge 
regarding culturally sensitive, school-based, 
life skills youth suicide prevention and 
intervention programs; 
‘‘(C) an assurance that the curriculum will 
be carried out in an academic setting in con-
junction with at least 1 classroom teacher not 
less frequently than twice each school week for 
the duration of the academic year; 
‘‘(D) a description of the methods by 
which curriculum participants will be— 
‘‘(i) screened for mental health at-risk 
indicators; and 
‘‘(ii) if needed and on a case-by-case 
basis, referred to a mental health clinician 
for further assessment and treatment and 
with crisis response capability; and 
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‘‘(E) an assurance that supportive services 
will be provided to curriculum participants iden-
tified as high-risk participants, including refer-
ral, counseling, and follow-up services for— 
‘‘(i) drug or alcohol abuse; 
‘‘(ii) sexual or domestic abuse; and 
‘‘(iii) depression and other relevant 
mental health concerns. 
‘‘(5) USE OF FUNDS.—An Indian tribe identi-
fied under paragraph (2)(B) or an eligible entity 
may use a grant provided under this subsection— 
‘‘(A) to develop and implement the cur-
riculum in a school-based setting; 
‘‘(B) to establish an advisory council— 
‘‘(i) to advise the Indian tribe or eligi-
ble entity regarding curriculum develop-
ment; and 
‘‘(ii) to provide support services iden-
tified as necessary by the community being 
served by the Indian tribe or eligible enti-
ty; 
‘‘(C) to appoint and train a school- and 
community-based cultural resource liaison, who 
will act as an intermediary among the Indian 
tribe or eligible entity, the applicable school ad-
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ministrators, and the advisory council estab-
lished by the Indian tribe or eligible entity; 
‘‘(D) to establish an on-site, school-based, 
MA- or Ph.D.-level mental health practitioner 
(employed by the Service, if practicable) to 
work with tribal educators and other personnel; 
‘‘(E) to provide for the training of peer 
counselors to assist in carrying out the cur-
riculum; 
‘‘(F) to procure technical and training sup-
port from nonprofit or State entities or institu-
tions of higher education identified by the com-
munity being served by the Indian tribe or eligi-
ble entity as the best suited to develop and im-
plement the curriculum; 
‘‘(G) to train teachers and school adminis-
trators to effectively carry out the curriculum; 
‘‘(H) to establish an effective referral pro-
cedure and network; 
‘‘(I) to identify and develop culturally com-
patible curriculum support measures; 
‘‘(J) to obtain educational materials and 
other resources from the Administration or 
other appropriate entities to ensure the success 
of the demonstration program; and 
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‘‘(K) to evaluate the effectiveness of the 
curriculum in preventing Indian and Alaska 
Native adolescent suicide. 
‘‘(c) EVALUATIONS.—Using such amounts made 
available pursuant to subsection (e) as the Secretary de-
termines to be appropriate, the Secretary shall conduct, 
directly or through a grant, contract, or cooperative agree-
ment with an entity that has experience regarding the de-
velopment and operation of successful culturally compat-
ible, school-based, life skills suicide prevention and inter-
vention programs or evaluations, an annual evaluation of 
the demonstration program under this section, including 
an evaluation of— 
‘‘(1) the effectiveness of the curriculum in pre-
venting Indian and Alaska Native adolescent suicide; 
‘‘(2) areas for program improvement; and 
‘‘(3) additional development of the goals and 
objectives of the demonstration program. 
‘‘(d) REPORT TO CONGRESS.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
not later than 180 days after the date of termination 
of the demonstration program, the Secretary shall 
submit to the Committee on Indian Affairs and the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Natural 
VerDate Sep 11 2014 
00:15 Mar 11, 2017
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H1369
SSpencer on DSK4SPTVN1PROD with BILLS