963 
wealth of Puerto Rico, American Samoa, and the 
Commonwealth of the Northern Mariana Islands, 
the date established by the Commonwealth of Puerto 
Rico, American Samoa, or the Commonwealth of the 
Northern Mariana Islands, respectively, in the appli-
cable plan of operation submitted to the Secretary 
under subsection (f)(1)(A).’’. 
SEC. 5603. REPEAL OF DENIAL OF SUPPLEMENTAL NUTRI-
TION ASSISTANCE PROGRAM BENEFITS. 
Section 115 of the Personal Responsibility and Work 
Opportunity Reconciliation Act of 1996 (21 U.S.C. 862a) 
is amended— 
(1) in subsection (a), by striking ‘‘for—’’ and 
all that follows and inserting ‘‘for assistance under 
any State program funded under part A of title IV 
of the Social Security Act (42 U.S.C. 601 et seq.).’’; 
(2) in subsection (b)— 
(A) by striking ‘‘OTHERS.—’’ and all that 
follows through ‘‘FAMILIES.—The’’ and insert 
‘‘OTHERS.—The’’ 
(B) by striking paragraph (2); and 
(3) in subsection (e), by striking ‘‘it—’’ and all 
that follows and inserting ‘‘the term in section 
419(5) of the Social Security Act (42 U.S.C. 
619(5)) when referring to assistance provided under 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00963
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
964 
a State program funded under paragraph A of title 
IV of the Social Security Act (42 U.S.C. 601 et 
seq.).’’. 
Subtitle H—Universal School Meals 
Program 
SEC. 5701. SHORT TITLE. 
This subtitle may be cited as the ‘‘Universal School 
Meals Program Act of 2022’’. 
SEC. 5702. EFFECTIVE DATE. 
Unless otherwise provided, this subtitle, and the 
amendments made by this subtitle, shall take effect 1 year 
after the date of enactment of this section. 
SEC. 5703. FREE SCHOOL BREAKFAST PROGRAM. 
(a) IN GENERAL.—Section 4(a) of the Child Nutri-
tion Act of 1966 (42 U.S.C. 1773(a)) is amended, in the 
first sentence— 
(1) by striking ‘‘is hereby’’ and inserting ‘‘are’’; 
and 
(2) by inserting ‘‘to provide free breakfast to all 
children enrolled at those schools’’ before ‘‘in accord-
ance’’. 
(b) APPORTIONMENT TO STATES.—Section 4(b) of 
the Child Nutrition Act of 1966 (42 U.S.C. 1773(b)) is 
amended— 
(1) in paragraph (1)— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00964
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
965 
(A) in subparagraph (A)(i), by striking 
subclause (II) and inserting the following: 
‘‘(II) the national average pay-
ment for free breakfasts, as specified 
in subparagraph (B).’’; 
(B) by striking subparagraph (B) and in-
serting the following: 
‘‘(B) PAYMENT AMOUNTS.— 
‘‘(i) IN GENERAL.—The national aver-
age payment for each free breakfast shall 
be $2.72, adjusted annually for inflation in 
accordance with clause (ii) and rounded in 
accordance with clause (iii). 
‘‘(ii) INFLATION ADJUSTMENT.— 
‘‘(I) IN
GENERAL.—The annual 
inflation adjustment under clause (i) 
shall reflect changes in the cost of op-
erating the free breakfast program 
under this section, as indicated by the 
change in the Consumer Price Index 
for food away from home for all urban 
consumers. 
‘‘(II) BASIS.—Each inflation an-
nual adjustment under clause (i) shall 
reflect the changes in the Consumer 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00965
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
966 
Price Index for food away from home 
for the most recent 12-month period 
for which that data is available. 
‘‘(iii) ROUNDING.—On July 1, 2021, 
and annually thereafter, the national aver-
age payment rate for free breakfast shall 
be— 
‘‘(I) adjusted to the nearest 
lower-cent increment; and 
‘‘(II) based on the unrounded 
amounts for the preceding 12-month 
period.’’; 
(C) by striking subparagraphs (C) and 
(E); and 
(D) by redesignating subparagraph (D) as 
subparagraph (C); 
(2) by striking paragraphs (2) and (3); 
(3) by redesignating paragraphs (4) and (5) as 
paragraphs (2) and (3), respectively; and 
(4) in paragraph (3) (as so redesignated), by 
striking ‘‘paragraph (3) or (4)’’ and inserting ‘‘para-
graph (2)’’. 
(c) STATE DISBURSEMENT TO SCHOOLS.—Section 4 
of the Child Nutrition Act of 1966 (42 U.S.C. 1773) is 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00966
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
967 
amended by striking subsection (c) and inserting the fol-
lowing: 
‘‘(c) STATE DISBURSEMENT TO SCHOOLS.—Funds 
apportioned and paid to any State for the purpose of this 
section shall be disbursed by the State educational agency 
to schools selected by the State educational agency to as-
sist those schools in operating a breakfast program.’’. 
(d) NO COLLECTION OF DEBT.— 
(1) IN GENERAL.—Notwithstanding any other 
provision of the Child Nutrition Act of 1966 (42 
U.S.C. 1771 et seq.) or any other provision of law, 
effective beginning on the date of enactment of this 
Act, as a condition of participation in the breakfast 
program under section 4 of that Act (42 U.S.C. 
1773), a school— 
(A) shall not collect any debt owed to the 
school for unpaid meal charges; and 
(B) shall continue to accrue debt for un-
paid meal charges— 
(i) for the purpose of receiving reim-
bursement under section 5715; and 
(ii) until the effective date specified in 
section 5702. 
(2) CHILD NUTRITION ACT OF 1966.— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00967
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
968 
(A) IN GENERAL.—Section 4 of the Child 
Nutrition Act of 1966 (42 U.S.C. 1773) is 
amended by striking subsection (d) and insert-
ing the following: 
‘‘(d) NO COLLECTION OF DEBT.—A school partici-
pating in the free breakfast program under this section 
shall not collect any debt owed to the school for unpaid 
meal charges.’’. 
(B) CONFORMING
AMENDMENT.—Section 
23(a) of the Child Nutrition Act of 1966 (42 
U.S.C. 1793(a)) is amended by striking ‘‘school 
in severe need, as described in section 4(d)(1)’’ 
and inserting the following: ‘‘school— 
‘‘(1) that has a free breakfast program under 
section 4 or seeks to initiate a free breakfast pro-
gram under that section; and 
‘‘(2) of which not less than 40 percent of the 
students are identified students (as defined in para-
graph (8) of section 1113(a) of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 
6313(a)))’’. 
(e) NUTRITIONAL AND OTHER PROGRAM REQUIRE-
MENTS.—Section 4(e) of the Child Nutrition Act of 1966 
(42 U.S.C. 1773(e)) is amended— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00968
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
969 
(1) in paragraph (1)(A), in the second sentence, 
by striking ‘‘free or’’ and all that follows through 
the period at the end and inserting ‘‘free to all chil-
dren enrolled at a school participating in the school 
breakfast program.’’; and 
(2) in paragraph (2), in the second sentence, by 
striking ‘‘the full charge to the student for a break-
fast meeting the requirements of this section or’’. 
(f) PROHIBITION ON BREAKFAST SHAMING, MEAL 
DENIAL.— 
(1) IN GENERAL.—Effective beginning on the 
date of enactment of this Act, a school or school 
food authority— 
(A) shall not— 
(i) physically segregate or otherwise 
discriminate against any child participating 
in the breakfast program under section 4 
of the Child Nutrition Act of 1966 (42 
U.S.C. 1773); or 
(ii) overtly identify a child described 
in clause (i) by a special token or ticket, 
an announced or published list of names, 
or any other means; and 
(B) shall provide the program meal to any 
child eligible under the program. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00969
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
970 
(2) CHILD NUTRITION ACT OF 1966.—Section 4 
of the Child Nutrition Act of 1966 (42 U.S.C. 1773) 
is amended by adding at the end the following: 
‘‘(f) PROHIBITION
ON BREAKFAST SHAMING.—A 
school or school food authority shall not— 
‘‘(1) physically segregate or otherwise discrimi-
nate against any child participating in the free 
breakfast program under this section; or 
‘‘(2) overtly identify a child described in para-
graph (1) by a special token or ticket, an announced 
or published list of names, or any other means.’’. 
(g) DEPARTMENT OF DEFENSE OVERSEAS DEPEND-
ENTS’ SCHOOLS.—Section 20(b) of the Child Nutrition 
Act of 1966 (42 U.S.C. 1789(b)) is amended— 
(1) by striking ‘‘and reduced-price’’; and 
(2) by striking ‘‘and shall’’ and all that follows 
through ‘‘section’’. 
(h) CONFORMING AMENDMENTS.—The Child Nutri-
tion Act of 1966 (42 U.S.C. 1771 et seq.) is amended— 
(1) by striking ‘‘or reduced price’’ each place it 
appears; 
(2) by striking ‘‘and reduced price’’ each place 
it appears; and 
(3) by striking ‘‘a reduced price’’ each place it 
appears. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00970
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
971 
SEC. 5704. APPORTIONMENT TO STATES. 
Section 4(b) of the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1753(b)) is amended— 
(1) by striking paragraph (2) and inserting the 
following: 
‘‘(2) PAYMENT AMOUNTS.— 
‘‘(A) IN GENERAL.—The national average 
payment for each free lunch shall be $3.81, ad-
justed annually for inflation in accordance with 
subparagraph (C) and rounded in accordance 
with subparagraph (D). 
‘‘(B) ADDITIONAL
PAYMENT
FOR
LOCAL 
FOOD.— 
‘‘(i) 
DEFINITION
OF
LOCALLY- 
SOURCED
FARM
PRODUCT.—In this sub-
paragraph, the term ‘locally-sourced farm 
product’ means a farm product that— 
‘‘(I) is marketed to consumers— 
‘‘(aa) directly; or 
‘‘(bb) through intermediated 
channels (such as food hubs and 
cooperatives); and 
‘‘(II) with respect to the school 
food authority purchasing the farm 
product, is produced and distrib-
uted— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00971
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
972 
‘‘(aa) in the State in which 
the school food authority is lo-
cated; or 
‘‘(bb) not more than 250 
miles from the location of the 
school food authority. 
‘‘(ii) ADDITIONAL
PAYMENT
ELIGI-
BILITY.—During a school year, a school 
food authority shall receive an additional 
payment described in clause (iii) if the 
State certifies that the school food author-
ity served meals (including breakfasts, 
lunches, suppers, and supplements) during 
the last school year of which not less than 
25 percent were made with locally-sourced 
farm products. 
‘‘(iii) PAYMENT AMOUNT.— 
‘‘(I) IN
GENERAL.—The addi-
tional payment amount under this 
subparagraph shall be— 
‘‘(aa) $0.30 for each free 
lunch and supper; 
‘‘(bb) $0.21 for each free 
breakfast; and 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00972
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
973 
‘‘(cc) $0.08 for each free 
supplement. 
‘‘(II) ADJUSTMENTS.—Each ad-
ditional payment amount under sub-
clause (I) shall be adjusted annually 
in accordance with subparagraph (C) 
and rounded in accordance with sub-
paragraph (D). 
‘‘(iv) 
DISBURSEMENT.—The 
State 
agency shall disburse funds made available 
under this clause to school food authorities 
eligible to receive additional reimburse-
ment. 
‘‘(C) INFLATION ADJUSTMENT.— 
‘‘(i) IN GENERAL.—The annual infla-
tion adjustment under subparagraphs (A) 
and (B)(iii) shall reflect changes in the 
cost of operating the free lunch program 
under this Act, as indicated by the change 
in the Consumer Price Index for food away 
from home for all urban consumers. 
‘‘(ii) BASIS.—Each annual inflation 
adjustment under subparagraphs (A) and 
(B)(iii) shall reflect the changes in the 
Consumer Price Index for food away from 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00973
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
974 
home for the most recent 12-month period 
for which that data is available. 
‘‘(D) ROUNDING.—On July 1, 2021, and 
annually thereafter, the national average pay-
ment rate for free lunch and the additional pay-
ment amount for free breakfast, lunch, supper, 
and supplement under subparagraph (B) shall 
be— 
‘‘(i) adjusted to the nearest lower-cent 
increment; and 
‘‘(ii) based on the unrounded amounts 
for the preceding 12-month period.’’; and 
(2) by striking paragraph (3). 
SEC. 5705. NUTRITIONAL AND OTHER PROGRAM REQUIRE-
MENTS. 
(a) ELIMINATION OF FREE LUNCH ELIGIBILITY RE-
QUIREMENTS.— 
(1) IN GENERAL.—Section 9 of the Richard B. 
Russell National School Lunch Act (42 U.S.C. 
1758) is amended by striking subsection (b) and in-
serting the following: 
‘‘(b) ELIGIBILITY.—All children enrolled in a school 
that participates in the school lunch program under this 
Act shall be eligible to receive free lunch under this Act.’’. 
(2) CONFORMING AMENDMENTS.— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00974
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
976 
(I) by striking clause (i); and 
(II) by redesignating clauses (ii) 
and (iii) as clauses (i) and (ii), respec-
tively; and 
(ii) in subsection (f)(17), by striking 
‘‘Notwithstanding subsection (d)(2)(A)(i), 
not later’’ and inserting ‘‘Not later’’. 
(E) Section 1902(a) of the Social Security 
Act (42 U.S.C. 1396a(a)) is amended by strik-
ing paragraph (7) and inserting the following: 
‘‘(7) provide safeguards which restrict the use 
or disclosure of information concerning applicants 
and recipients to purposes directly connected with 
the administration of the plan;’’. 
(F) Section 1154(a)(2)(A)(i) of title 10, 
United States Code, is amended by striking ‘‘in 
accordance with section 9(b)(1) of the Richard 
B. Russell National School Lunch Act (42 
U.S.C. 1758(b)(1)’’. 
(G) Section 4301 of the Food, Conserva-
tion, and Energy Act of 2008 (42 U.S.C. 
1758a) is repealed. 
(b) NO COLLECTION OF DEBT.— 
(1) IN GENERAL.—Notwithstanding any other 
provision of the Richard B. Russell National School 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00976
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
977 
Lunch Act (42 U.S.C. 1751 et seq.) or any other 
provision of law, effective beginning on the date of 
enactment of this Act, as a condition of participation 
in the school lunch program under that Act, a 
school— 
(A) shall not collect any debt owed to the 
school for unpaid meal charges; and 
(B) shall continue to accrue debt for un-
paid meal charges— 
(i) for the purpose of receiving reim-
bursement under section 5716; and 
(ii) until the effective date specified in 
section 5702. 
(2) NATIONAL SCHOOL LUNCH ACT.— 
(A) IN GENERAL.—Section 9 of the Rich-
ard B. Russell National School Lunch Act (42 
U.S.C. 1758) is amended by striking subsection 
(d) and inserting the following: 
‘‘(d) NO COLLECTION OF DEBT.—A school partici-
pating in the school lunch program under this Act shall 
not collect any debt owed to the school for unpaid meal 
charges.’’. 
(B) CONFORMING AMENDMENTS.—Section 
9(b)(8)(A) of the Richard B. Russell National 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00977
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
978 
School Lunch Act (42 U.S.C. 1758(b)(8)(A)) is 
amended by striking ‘‘or subsection (d)’’. 
SEC. 5706. SPECIAL ASSISTANCE PROGRAM. 
(a) IN GENERAL.—Section 11 of the Richard B. Rus-
sell National School Lunch Act (42 U.S.C. 1759a) is re-
pealed. 
(b) CONFORMING AMENDMENTS.— 
(1) Section 6 of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1755) is amend-
ed— 
(A) in subsection (a)(2), by striking ‘‘sec-
tions 11 and 13’’ and inserting ‘‘section 13’’; 
and 
(B) in subsection (e)(1), in the matter pre-
ceding subparagraph (A), by striking ‘‘section 
4, this section, and section 11’’ and inserting 
‘‘this section and section 4’’. 
(2) Section 7(d) of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1756(d)) is 
amended by striking ‘‘or 11’’. 
(3) Section 8(g) of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1757(g)) is 
amended by striking ‘‘and under section 11 of this 
Act’’. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00978
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
979 
(4) Section 12(f) of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1760(f)) is 
amended by striking ‘‘11,’’. 
(5) Section 7(a) of the Child Nutrition Act of 
1966 (42 U.S.C. 1766(a)) is amended— 
(A) in paragraph (1)(A), by striking ‘‘4, 
11, and 17’’ and inserting ‘‘4 and 17’’; and 
(B) in paragraph (2)(A), by striking ‘‘sec-
tions 4 and 11’’ and inserting ‘‘section 4’’. 
SEC. 5707. PRICE FOR A PAID LUNCH. 
Section 12 of the Richard B. Russell National School 
Lunch Act (42 U.S.C. 1760) is amended— 
(1) by striking subsection (p); and 
(2) by redesignating subsections (q) and (r) as 
subsections (p) and (q), respectively. 
SEC. 5708. SUMMER FOOD SERVICE PROGRAM FOR CHIL-
DREN. 
Section 13 of the Richard B. Russell National School 
Lunch Act (42 U.S.C. 1761) is amended— 
(1) in subsection (a)— 
(A) in paragraph (2), by adding at the end 
the following: 
‘‘(C) WAIVER.—If the Secretary deter-
mines that a program requirement under this 
section limits the access of children to meals 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00979
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
980 
served under this section, the Secretary may 
waive that program requirement. 
‘‘(D) ELIGIBILITY.—All children shall be 
eligible to participate in the program under this 
section.’’; and 
(B) in paragraph (5), by striking ‘‘only 
for’’ and all that follows through the period at 
the end and inserting ‘‘for meals served to all 
children.’’; 
(2) in subsection (b)(2), by striking ‘‘may only 
serve’’ and all that follows through ‘‘migrant chil-
dren’’; 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) PAYMENTS.— 
‘‘(1) IN GENERAL.—Payments shall be made to 
service institutions for meals served— 
‘‘(A) during the months of May through 
September; 
‘‘(B) during school vacation at any time 
during an academic school year; 
‘‘(C) during a teacher in-service day; and 
‘‘(D) on days that school is closed during 
the months of October through April due to a 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00980
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
981 
natural disaster, building repair, court order, or 
similar cause, as determined by the Secretary. 
‘‘(2) LIMITATION ON PAYMENTS.—A service in-
stitution shall receive payments under this section 
for not more than 3 meals and 1 supplement per 
child per day.’’; and 
(4) in subsection (f)(3), by striking ‘‘, except 
that’’ and all that follows through ‘‘section’’. 
SEC. 5709. SUMMER ELECTRONIC BENEFIT TRANSFER FOR 
CHILDREN PROGRAM. 
Section 13(a) of the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1761(a)) is amended by add-
ing at the end the following: 
‘‘(13) SUMMER ELECTRONIC BENEFIT TRANS-
FER FOR CHILDREN PROGRAM.— 
‘‘(A) DEFINITIONS.—In this paragraph: 
‘‘(i) EBT CARD.—The term ‘EBT 
card’ means an electronic benefit transfer 
card. 
‘‘(ii) 
ELIGIBLE
HOUSEHOLD.—The 
term ‘eligible household’ means a house-
hold with— 
‘‘(I) an income that does not ex-
ceed 200 percent of the poverty line 
(as defined in section 673 of the Com-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00981
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
982 
munity Services Block Grant Act (42 
U.S.C. 9902)); and 
‘‘(II) 1 or more children. 
‘‘(iii) PROGRAM.—The term ‘Program’ 
means the Summer Electronic Benefit 
Transfer for Children Program established 
under subparagraph (B). 
‘‘(B) 
ESTABLISHMENT.—The 
Secretary 
shall establish a national program, to be known 
as the ‘Summer Electronic Benefit Transfer for 
Children Program’, under which the Secretary 
shall issue EBT cards to eligible households to 
provide food assistance during the summer 
months. 
‘‘(C) EBT AMOUNT.— 
‘‘(i) IN GENERAL.—The value of an 
EBT card provided under the Program to 
an eligible household shall be $60 per 
month per child (adjusted for inflation). 
‘‘(ii) ANNUAL LIMITATION.—No eligi-
ble household shall receive benefits under 
the Program for more than 3 months in a 
calendar year. 
‘‘(D) ADMINISTRATION.— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00982
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
983 
‘‘(i) IN
GENERAL.—Except as pro-
vided under this paragraph, the Program 
shall be based on the summer electronic 
benefit transfer for children demonstration 
program carried out pursuant to section 
749(g) of the Agriculture, Rural Develop-
ment, Food and Drug Administration, and 
Related Agencies Appropriations Act, 2010 
(Public Law 111–80; 123 Stat. 2132). 
‘‘(ii) SNAP OR WIC.— 
‘‘(I) IN
GENERAL.—Subject to 
subclause (II), a State shall admin-
ister the Program through the supple-
mental nutrition assistance program 
established under the Food and Nutri-
tion Act of 2008 (7 U.S.C. 2011 et 
seq.). 
‘‘(II) WIC OPTION.—If a State 
has participated in the demonstration 
program described in clause (i) before 
the effective date specified in section 
5702 of the Universal School Meals 
Program Act of 2022, the State may 
elect to administer the Program 
through the special supplemental nu-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00983
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
984 
trition program for women, infants, 
and children established by section 17 
of the Child Nutrition Act of 1966 
(42 U.S.C. 1786). 
‘‘(E) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to the Secretary to carry out this para-
graph such sums as are necessary for fiscal 
year 2021 and each fiscal year thereafter.’’. 
SEC. 5710. CHILD AND ADULT CARE FOOD PROGRAM. 
Section 17 of the Richard B. Russell National School 
Lunch Act (42 U.S.C. 1766) is amended— 
(1) in subsection (a)(2), by striking subpara-
graph (B) and inserting the following: 
‘‘(B) any other private organization pro-
viding nonresidential child care or day care out-
side school hours for school children;’’; 
(2) by striking subsection (c) and inserting the 
following: 
‘‘(c) FREE MEALS.—Notwithstanding any other pro-
vision of law— 
‘‘(1) all meals and supplements served under 
the program authorized under this section shall be 
provided for free to participants of the program; and 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00984
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
985 
‘‘(2) an institution that serves those meals and 
supplements shall be reimbursed— 
‘‘(A) in the case of breakfast, at the rate 
established for free breakfast under section 
4(b)(1)(B)(i) of the Child Nutrition Act of 
1966 (42 U.S.C. 1773(b)(1)(B)(i)); 
‘‘(B) in the case of lunch, at the rate es-
tablished 
for 
free 
lunch 
under 
section 
4(b)(2)(A); and 
‘‘(C) in the case of a supplemental meal, 
$0.96, adjusted for inflation in accordance with 
section 4(b)(2)(C).’’; 
(3) in subsection (f)— 
(A) in paragraph (2), by striking subpara-
graph (B) and inserting the following: 
‘‘(B) LIMITATION TO REIMBURSEMENTS.— 
An institution may claim reimbursement under 
this paragraph for not more than 3 meals and 
1 supplement per day per child.’’; and 
(B) by striking paragraph (3); and 
(4) in subsection (r)— 
(A) in the subsection heading, by striking 
‘‘PROGRAM FOR AT-RISK SCHOOL CHILDREN’’ 
and inserting ‘‘AFTERSCHOOL
MEAL
AND 
SNACK PROGRAM’’; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00985
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
986 
(B) by striking ‘‘at-risk school’’ each place 
it appears and inserting ‘‘eligible’’; 
(C) in paragraph (1)— 
(i) in the paragraph heading, by strik-
ing ‘‘AT-RISK SCHOOL’’ and inserting ‘‘ELI-
GIBLE’’; and 
(ii) in subparagraph (B), by striking 
‘‘operated’’ and all that follows through 
the period at the end and inserting a pe-
riod; and 
(D) in paragraph (4)(A), by striking ‘‘only 
for’’ and all that follows through the period at 
the end and inserting the following: ‘‘for— 
‘‘(i) not more than 1 meal and 1 sup-
plement per child per day served on a reg-
ular school day; and 
‘‘(ii) not more than 3 meals and 1 
supplement per child per day served on 
any day other than a regular school day.’’. 
SEC. 5711. MEALS AND SUPPLEMENTS FOR CHILDREN IN 
AFTERSCHOOL CARE. 
Section 17A of the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1766a) is amended— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00986
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
987 
(1) in the section heading, by striking ‘‘MEAL 
SUPPLEMENTS’’ and inserting ‘‘MEALS AND SUP-
PLEMENTS’’; 
(2) in subsection (a)(1), by striking ‘‘meal sup-
plements’’ and inserting ‘‘free meals and supple-
ments’’; 
(3) in subsection (b), by inserting ‘‘meals and’’ 
before ‘‘supplements’’; and 
(4) by striking subsection (c) and inserting the 
following: 
‘‘(c) REIMBURSEMENT.— 
‘‘(1) IN GENERAL.— 
‘‘(A) MEALS.—A free meal provided under 
this section to a child shall be reimbursed at a 
rate of $3.81, adjusted annually for inflation in 
accordance with paragraph (3)(A) and rounded 
in accordance with paragraph (3)(B). 
‘‘(B) SUPPLEMENTS.—A free supplement 
provided under this section to a child shall be 
reimbursed at the rate at which free supple-
ments 
are 
reimbursed 
under 
section 
17(c)(2)(C). 
‘‘(2) LIMITATION
TO
REIMBURSEMENTS.—An 
institution may claim reimbursement under this sec-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00987
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
988 
tion for not more than 1 meal and 1 supplement per 
day per child served on a regular school day. 
‘‘(3) INFLATION; ROUNDING.— 
‘‘(A) INFLATION ADJUSTMENT.— 
‘‘(i) IN GENERAL.—The annual infla-
tion adjustment under paragraph (1)(A) 
shall reflect changes in the cost of oper-
ating the program under this section, as 
indicated by the change in the Consumer 
Price Index for food away from home for 
all urban consumers. 
‘‘(ii) BASIS.—Each inflation annual 
adjustment under paragraph (1)(A) shall 
reflect the changes in the Consumer Price 
Index for food away from home for the 
most recent 12-month period for which 
that data is available. 
‘‘(B) ROUNDING.—On July 1, 2021, and 
annually thereafter, the reimbursement rate for 
a free meal under this section shall be— 
‘‘(i) adjusted to the nearest lower-cent 
increment; and 
‘‘(ii) based on the unrounded amounts 
for the preceding 12-month period.’’. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00988
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
989 
SEC. 5712. ACCESS TO LOCAL FOODS: FARM TO SCHOOL 
PROGRAM. 
Section 18(g)(5) of the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1769(g)(5)) is amended by 
striking subparagraph (B) and inserting the following: 
‘‘(B) serve a high proportion of identified 
students (as defined in paragraph (8) of section 
1113(a) of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 6313(a)));’’. 
SEC. 5713. FRESH FRUIT AND VEGETABLE PROGRAM. 
Section 19(d) of the Richard B. Russell National 
School Lunch Act (42 U.S.C. 1769a(d)) is amended— 
(1) in paragraph (1)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘paragraph (2) of this sub-
section and’’; 
(B) in subparagraph (A), in the matter 
preceding clause (i), by striking ‘‘school—’’ and 
all that follows through ‘‘submits’’ in clause (ii) 
and inserting ‘‘school that submits’’; 
(C) in subparagraph (B), by striking 
‘‘schools’’ and all that follows through ‘‘Act’’ 
and inserting ‘‘high-need schools (as defined in 
section 2211(b) of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 
6631(b)))’’; and 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00989
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
990 
(D) in subparagraph (D)— 
(i) by striking clause (i); and 
(ii) by redesignating clauses (ii) 
through (iv) as clauses (i) through (iii), re-
spectively; and 
(2) by striking paragraphs (2) and (3) and in-
serting the following: 
‘‘(2) OUTREACH
TO
HIGH-NEED
SCHOOLS.— 
Prior to making decisions regarding school participa-
tion in the program, a State agency shall inform 
high-need schools (as defined in section 2211(b) of 
the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 6631(b))), including Tribal schools, 
of the eligibility of the schools for the program.’’. 
SEC. 5714. TRAINING, TECHNICAL ASSISTANCE, AND FOOD 
SERVICE MANAGEMENT INSTITUTE. 
Section 21(a)(1)(B) of the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1769b–1(a)(1)(B)) is 
amended in the matter preceding clause (i) by striking 
‘‘certified to receive free or reduced price meals’’ and in-
serting ‘‘who are identified students (as defined in para-
graph (8) of section 1113(a) of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 6313(a))’’. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00990
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
991 
SEC. 5715. REIMBURSEMENT OF SCHOOL MEAL DELIN-
QUENT DEBT PROGRAM. 
(a) DEFINITIONS.—In this section: 
(1) DELINQUENT DEBT.—The term ‘‘delinquent 
debt’’ means the debt owed by a parent or guardian 
of a child to a school— 
(A) as of the effective date specified in sec-
tion 5702; and 
(B) for meals served by the school under— 
(i) the school breakfast program 
under section 4 of the Child Nutrition Act 
of 1966 (42 U.S.C. 1773); 
(ii) the school lunch program estab-
lished under the Richard B. Russell Na-
tional School Lunch Act (42 U.S.C. 1751 
et seq.); or 
(iii) both of the programs described in 
clauses (i) and (ii). 
(2) PROGRAM.—The term ‘‘program’’ means 
the program established under subsection (b)(1). 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Agriculture. 
(b) REIMBURSEMENT PROGRAM.— 
(1) ESTABLISHMENT.—Not later than 60 days 
after the effective date specified in section 5702, the 
Secretary shall establish a program under which the 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00991
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
992 
Secretary shall reimburse each school participating 
in a program described in clause (i) or (ii) of sub-
section (a)(1)(B) for all delinquent debt. 
(2) FORM FOR REIMBURSEMENT.—To carry out 
the program, the Secretary shall design and dis-
tribute a form to State agencies to collect data on 
all delinquent debt in applicable schools in the State, 
grouped by school food authority. 
(3) COMPLETION DATE.—The Secretary shall 
provide all reimbursements under the program not 
later than 180 days after the effective date specified 
in section 5702. 
(c) REPORT.—Not later than 2 years after the effec-
tive date specified in section 5702, the Comptroller Gen-
eral of the United States shall submit to Congress and 
make publicly available a report that describes the suc-
cesses and challenges of the program. 
SEC. 5716. CONFORMING AMENDMENTS. 
The Richard B. Russell National School Lunch Act 
(42 U.S.C. 1751 et seq.) is amended— 
(1) by striking ‘‘or reduced price’’ each place it 
appears; 
(2) by striking ‘‘or a reduced price’’ each place 
it appears; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00992
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
993 
(3) by striking ‘‘and reduced price’’ each place 
it appears; and 
(4) by striking ‘‘a reduced price’’ each place it 
appears. 
SEC. 5717. MEASURE OF POVERTY. 
Section 1113(a) of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 6313(a)) is amended— 
(1) in paragraph (5)(A), by striking ‘‘the num-
ber of children eligible for a free or reduced price 
lunch under the Richard B. Russell National School 
Lunch Act (42 U.S.C. 1751 et seq.)’’ and inserting 
‘‘the number of identified students’’; and 
(2) by adding at the end the following: 
‘‘(8) IDENTIFIED STUDENTS DEFINED.— 
‘‘(A) IN GENERAL.—In this subsection, the 
term ‘identified students’ means the number of 
students— 
‘‘(i) who are— 
‘‘(I) 
homeless 
children 
and 
youths, as defined under section 
725(2) of the McKinney-Vento Home-
less 
Assistance 
Act 
(42 
U.S.C. 
11434a(2)); 
‘‘(II) 
runaway 
and 
homeless 
youth served by programs established 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00993
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
994 
under the Runaway and Homeless 
Youth Act (34 U.S.C. 11201 et seq.); 
‘‘(III) migratory children, as de-
fined under section 1309; or 
‘‘(IV) foster children; 
‘‘(ii) who are eligible for and receiving 
medical assistance under the program of 
medical assistance established under title 
XIX of the Social Security Act (42 U.S.C. 
1396 et seq.); or 
‘‘(iii) who participate (or who are part 
of a household that participates) in at least 
one of the following: 
‘‘(I) The supplemental nutrition 
assistance program established under 
the Food and Nutrition Act of 2008 
(7 U.S.C. 2011 et seq.). 
‘‘(II) A State program funded 
under the program of block grants to 
States for temporary assistance for 
needy families established under part 
A of title IV of the Social Security 
Act (42 U.S.C. 601 et seq.). 
‘‘(III) The food distribution pro-
gram on Indian reservations estab-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00994
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
995 
lished under section 4(b) of the Food 
and Nutrition Act of 2008 (7 U.S.C. 
2013(b)). 
‘‘(IV) A Head Start program au-
thorized under the Head Start Act 
(42 U.S.C. 9831 et seq.) or a com-
parable State-funded Head Start or 
pre-kindergarten program. 
‘‘(B) MULTIPLIER.—In determining the 
number of identified students under subpara-
graph (A), the local educational agency shall 
multiply the number determined under such 
subparagraph by 1.6.’’. 
SEC. 5718. SUPPLEMENTAL NUTRITION ASSISTANCE PRO-
GRAM. 
(a) AGREEMENT FOR DIRECT CERTIFICATION.— 
(1) IN GENERAL.—Section 11 of the Food and 
Nutrition Act of 2008 (7 U.S.C. 2020) is amend-
ed— 
(A) by striking subsection (u); and 
(B) 
by 
redesignating 
subsections 
(v) 
through (x) as subsections (u) through (w), re-
spectively. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00995
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
996 
(2) CONFORMING AMENDMENTS.—Section 11(e) 
of the Food and Nutrition Act of 2008 (7 U.S.C. 
2020(e)) is amended— 
(A) in paragraph (8)(F), by striking ‘‘or 
subsection (u)’’; and 
(B) in paragraph (26)(B), by striking 
‘‘(x)’’ and inserting ‘‘(w)’’. 
(b) NUTRITION EDUCATION AND OBESITY PREVEN-
TION GRANT PROGRAM.—Section 28(a) of the Food and 
Nutrition Act of 2008 (7 U.S.C. 2036a(a)) is amended 
by striking paragraph (1) and inserting the following: 
‘‘(1) an individual eligible for benefits under 
this Act;’’. 
SEC. 5719. HIGHER EDUCATION ACT OF 1965. 
(a) TEACHER QUALITY ENHANCEMENT.—Subpara-
graph (A) of section 200(11) of the Higher Education Act 
of 1965 (20 U.S.C. 1021(11)) is amended to read as fol-
lows: 
‘‘(A) IN GENERAL.—The term ‘high-need 
school’ means a school that is in the highest 
quartile of schools in a ranking of all schools 
served by a local educational agency, ranked in 
descending order by percentage of students 
from low-income families enrolled in such 
schools, as determined by the local educational 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00996
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
997 
agency based on one of the following measures 
of poverty: 
‘‘(i) The percentage of students aged 
5 through 17 in poverty counted in the 
most recent census data approved by the 
Secretary. 
‘‘(ii) The percentage of students in 
families receiving assistance under the 
State program funded under the program 
of block grants to States for temporary as-
sistance for needy families established 
under part A of title IV of the Social Secu-
rity Act (42 U.S.C. 601 et seq.). 
‘‘(iii) The percentage of students eligi-
ble to receive medical assistance under the 
program of medical assistance established 
under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.). 
‘‘(iv) A composite of two or more of 
the measures described in clauses (i) 
through (iii).’’. 
(b) GEAR UP.—Subparagraph (A) of section 
404B(d)(1) of the Higher Education Act of 1965 (20 
U.S.C. 1070a–22(d)(1)) is amended to read as follows: 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00997
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
998 
‘‘(A) provide services under this chapter to 
at least one grade level of students, beginning 
not later than 7th grade, in a participating 
school— 
‘‘(i) that has a 7th grade; and 
‘‘(ii) in which— 
‘‘(I) at least 50 percent of the 
students enrolled are identified stu-
dents 
(as 
defined 
in 
section 
1113(a)(8) of the Elementary and 
Secondary Education Act of 1965); or 
‘‘(II) if an eligible entity deter-
mines that it would promote the effec-
tiveness of a program, an entire grade 
level of students, beginning not later 
than the 7th grade, reside in public 
housing, as defined in section 3(b)(1) 
of the United States Housing Act of 
1937 (42 U.S.C. 1437a(b)(1)).’’. 
(c) SIMPLIFIED NEEDS TEST.—Section 479(d)(2) of 
the Higher Education Act of 1965 (20 U.S.C. 
1087ss(d)(2)) is amended— 
(1) by striking subparagraph (C); and 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00998
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
999 
(2) 
by 
redesignating 
subparagraphs 
(D) 
through (F) as subparagraphs (C) through (E), re-
spectively. 
(d) EARLY FEDERAL PELL GRANT COMMITMENT 
DEMONSTRATION
PROGRAM.—Section 894(b) of the 
Higher Education Act of 1965 (20 U.S.C. 1161y(b)) is 
amended— 
(1) in paragraph (1)(B), by striking ‘‘qualify 
for a free or reduced price school lunch under the 
Richard B. Russell National School Lunch Act (42 
U.S.C. 1751 et seq.) or the Child Nutrition Act of 
1966 (42 U.S.C. 1771 et seq.)’’ and inserting ‘‘are 
identified students (as defined in section 1113(a)(8) 
of the Elementary and Secondary Education Act of 
1965)’’; and 
(2) in paragraph (5), by striking ‘‘eligible for a 
free or reduced price school lunch under the Richard 
B. Russell National School Lunch Act (42 U.S.C. 
1751 et seq.) or the Child Nutrition Act of 1966 (42 
U.S.C. 1771 et seq.)’’ and inserting ‘‘identified stu-
dents (as defined in section 1113(a)(8) of the Ele-
mentary and Secondary Education Act of 1965)’’. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 00999
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1000 
SEC. 5720. ELEMENTARY AND SECONDARY EDUCATION ACT 
OF 1965. 
(a) LITERACY
EDUCATION
FOR
ALL.—Section 
2221(b)(3)(B) of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 6641(b)(3)(B)) is amend-
ed— 
(1) by striking clause (i); and 
(2) by redesignating clauses (ii) and (iii) as 
clauses (i) and (ii), respectively. 
(b) GRANTS FOR EDUCATION INNOVATION AND RE-
SEARCH.—Section 4611(d)(2) of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7261(d)(2)) is 
amended— 
(1) by striking subparagraph (B); and 
(2) by redesignating subparagraphs (C) and 
(D) as subparagraphs (B) and (C), respectively. 
(c) ELIGIBILITY
FOR HEAVILY IMPACTED LOCAL 
EDUCATIONAL
AGENCIES.—Item 
(bb) 
of 
section 
7003(b)(2)(B)(i)(III) of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7703(b)(2)(B)(i)(III)) 
is amended to read as follows: 
‘‘(bb) has an enrollment of 
children described in subsection 
(a)(1) that constitutes a percent-
age of the total student enroll-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01000
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1001 
ment of the agency that is not 
less than 30 percent; or’’. 
SEC. 5721. AMERICA COMPETES ACT. 
Section 6122(3) of the America COMPETES Act (20 
U.S.C. 9832(3)) is amended by striking ‘‘data on children 
eligible for free or reduced-price lunches under the Rich-
ard B. Russell National School Lunch Act,’’. 
SEC. 5722. WORKFORCE INNOVATION AND OPPORTUNITY 
ACT. 
Section 3(36)(A) of the Workforce Innovation and 
Opportunity Act (29 U.S.C. 3102(36)(A)) is amended— 
(1) by striking clause (iv); and 
(2) by redesignating clauses (v) and (vi) as 
clauses (iv) and (v), respectively. 
SEC. 5723. NATIONAL SCIENCE FOUNDATION AUTHORIZA-
TION ACT OF 2002. 
Section 4(8) of the National Science Foundation Au-
thorization Act of 2002 (42 U.S.C. 1862n note) is amend-
ed— 
(1) by striking subparagraph (A); and 
(2) by redesignating subparagraphs (B) and 
(C) as subparagraphs (A) and (B), respectively. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01001
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1003 
‘‘(3) IDENTIFIED STUDENTS FACTOR.—In this 
subsection, the term ‘identified students factor’ 
means the ratio of the number of children in the 
State who are identified students (as defined in 
paragraph (8) of section 1113(a) of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 
6313(a))) to the number of such children in all the 
States as determined annually by the Secretary of 
Education.’’. 
SEC. 5726. JUVENILE JUSTICE AND DELINQUENCY PREVEN-
TION. 
Section 252(i) of the Juvenile Justice and Delin-
quency Prevention Act of 1974 (34 U.S.C. 11162(i)) is 
amended to read as follows: 
‘‘(i) FREE SCHOOL LUNCHES FOR INCARCERATED 
JUVENILES.— 
‘‘(1) IN GENERAL.—A juvenile who is incarcer-
ated in an eligible juvenile detention center is eligible 
to receive free lunch under the Richard B. Russell 
National School Lunch Act (42 U.S.C. 1751 et 
seq.). 
‘‘(2) GUIDANCE.—Not later than 1 year after 
the date of the enactment of the Universal School 
Meals Program Act of 2022, the Attorney General, 
in consultation with the Secretary of Agriculture, 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01003
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1004 
shall provide guidance to States relating to the op-
tions for school food authorities in the States to 
apply for reimbursement for free lunches under the 
Richard B. Russell National School Lunch Act (42 
U.S.C. 1751 et seq.) for juveniles who are incarcer-
ated. 
‘‘(3) ELIGIBLE JUVENILE DETENTION CENTER 
DEFINED.—In this subsection, the term ‘eligible ju-
venile detention center’ does not include any private, 
for-profit detention center.’’. 
Subtitle I—Elder Care 
SEC. 5801. EXPENSES FOR HOUSEHOLD AND ELDER CARE 
SERVICES NECESSARY FOR GAINFUL EM-
PLOYMENT. 
(a) IN GENERAL.—Subpart A of part IV of sub-
chapter A of chapter 1 of the Internal Revenue Code of 
1986 is amended by adding at the end the following new 
section: 
‘‘SEC. 25E. EXPENSES FOR HOUSEHOLD AND ELDER CARE 
SERVICES NECESSARY FOR GAINFUL EM-
PLOYMENT. 
‘‘(a) ALLOWANCE OF CREDIT.— 
‘‘(1) IN GENERAL.—In the case of an individual 
for which there are one or more qualifying individ-
uals (as defined in subsection (b)(1)) with respect to 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01004
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1005 
such individual, there shall be allowed as a credit 
against the tax imposed by this chapter for the tax-
able year an amount equal to the applicable percent-
age of the employment-related expenses (as defined 
in subsection (b)(2)) paid by such individual during 
the taxable year. 
‘‘(2) APPLICABLE PERCENTAGE DEFINED.—For 
purposes of paragraph (1), the term ‘applicable per-
centage’ means 35 percent reduced (but not below 
20 percent) by 1 percentage point for each $2,000 
(or fraction thereof) by which the taxpayer’s ad-
justed gross income for the taxable year exceeds 
$15,000. 
‘‘(b) DEFINITIONS OF QUALIFYING INDIVIDUAL AND 
EMPLOYMENT-RELATED EXPENSES.—For purposes of 
this section— 
‘‘(1) 
QUALIFYING
INDIVIDUAL.—The 
term 
‘qualifying individual’ means an individual who— 
‘‘(A) has attained age 50, and 
‘‘(B) is one of the following: 
‘‘(i) An individual who bears a rela-
tionship to the taxpayer described in sub-
paragraph (C) or (D) of section 152(d)(2) 
(relating to fathers, mothers, and ances-
tors). 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01005
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1006 
‘‘(ii) An individual would be a depend-
ent of the taxpayer (as defined in section 
152, determined without regard to sub-
sections (b)(1) and (b)(2)) as a qualifying 
relative described in section 152(d)(1) if— 
‘‘(I) in lieu of subparagraphs (B) 
and (C) thereof the following applied 
with respect to the individual: 
‘‘(aa) the taxpayer has pro-
vided over one-half of the individ-
ual’s support for the calendar 
year in which such taxable year 
begins and each of the preceding 
4 taxable years, and 
‘‘(bb) the individual’s modi-
fied adjusted gross income for 
the calendar year in which such 
taxable year begins is less than 
the exemption amount (as de-
fined in section 151(d)), 
‘‘(II) the individual is physically 
or mentally incapable of caring for 
himself or herself, and 
‘‘(III) the individual who has the 
same principal place of abode as the 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01006
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1007 
taxpayer for more than one-half of 
such taxable year. 
‘‘(iii) The spouse of the taxpayer who 
is physically or mentally incapable of car-
ing for himself or herself. 
‘‘(2) MODIFIED
ADJUSTED
GROSS
INCOME.— 
The term ‘modified adjusted gross income’ means 
adjusted gross income determined without regard to 
section 86. 
‘‘(3) EMPLOYMENT-RELATED EXPENSES.— 
‘‘(A) IN
GENERAL.—The term ‘employ-
ment-related expenses’ means amounts paid for 
the following expenses, but only if such ex-
penses are incurred to enable the taxpayer to be 
gainfully employed for any period for which 
there are one or more qualifying individuals 
with respect to the taxpayer: 
‘‘(i) expenses for household services, 
and 
‘‘(ii) expenses for the care of a quali-
fying individual, including expenses for res-
pite care and hospice care. 
‘‘(B) 
EXCEPTION.—Employment-related 
expenses described in subparagraph (A) which 
are incurred for services outside the taxpayer’s 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01007
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1008 
household shall be taken into account only if in-
curred for the care of— 
‘‘(i) a qualifying individual described 
in paragraph (1)(A), or 
‘‘(ii) a qualifying individual (not de-
scribed in paragraph (1)(A)) who regularly 
spends at least 8 hours each day in the 
taxpayer’s household. 
‘‘(C) DEPENDENT
CARE
CENTERS.—Em-
ployment-related expenses described in subpara-
graph (A) which are incurred for services pro-
vided outside the taxpayer’s household by a de-
pendent care center (as defined in subpara-
graph (D)) shall be taken into account only if— 
‘‘(i) such center complies with all ap-
plicable laws and regulations of a State or 
unit of local government, and 
‘‘(ii) the requirements of subpara-
graph (B) are met. 
‘‘(D) DEPENDENT
CARE
CENTER
DE-
FINED.—For purposes of this paragraph, the 
term ‘dependent care center’ means any facility 
which— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01008
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1009 
‘‘(i) provides care for more than six 
individuals (other than individuals who re-
side at the facility), and 
‘‘(ii) receives a fee, payment, or grant 
for providing services for any of the indi-
viduals (regardless of whether such facility 
is operated for profit). 
‘‘(c) DOLLAR LIMIT ON AMOUNT CREDITABLE.—The 
amount of the employment-related expenses incurred dur-
ing any taxable year which may be taken into account 
under subsection (a) shall not exceed— 
‘‘(1) $3,000 if there is 1 qualifying individual 
with respect to the taxpayer for such taxable year, 
or 
‘‘(2) $6,000 if there are two or more qualifying 
individuals with respect to the taxpayer for such tax-
able year. 
The amount determined under paragraph (1) or (2) 
(whichever is applicable) shall be reduced by the aggregate 
amount excludable from gross income under section 129 
for the taxable year. 
‘‘(d) EARNED INCOME LIMITATION.—Except as oth-
erwise provided in this subsection, the amount of the em-
ployment-related expenses incurred during any taxable 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01009
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1010 
year which may be taken into account under subsection 
(a) shall not exceed— 
‘‘(1) in the case of an individual who is not 
married at the close of such year, such individual’s 
earned income for such year, or 
‘‘(2) in the case of an individual who is married 
at the close of such year, the lesser of such individ-
ual’s earned income or the earned income of his 
spouse for such year. 
‘‘(e) SPECIAL RULES.—For purposes of this sec-
tion— 
‘‘(1) PLACE
OF
ABODE.—An individual shall 
not be treated as having the same principal place of 
abode of the taxpayer if at any time during the tax-
able year of the taxpayer the relationship between 
the individual and the taxpayer is in violation of 
local law. 
‘‘(2) MARRIED COUPLES MUST FILE JOINT RE-
TURN.—If the taxpayer is married at the close of 
the taxable year, the credit shall be allowed under 
subsection (a) only if the taxpayer and his spouse 
file a joint return for the taxable year. 
‘‘(3) MARITAL STATUS.—An individual legally 
separated from his spouse under a decree of divorce 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01010
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1011 
or of separate maintenance shall not be considered 
as married. 
‘‘(4) CERTAIN
MARRIED
INDIVIDUALS
LIVING 
APART.—If— 
‘‘(A) an individual who is married and who 
files a separate return— 
‘‘(i) maintains as his home a house-
hold which constitutes for more than one- 
half of the taxable year the principal place 
of abode of a qualifying individual, and 
‘‘(ii) furnishes over half of the cost of 
maintaining such household during the 
taxable year, and 
‘‘(B) during the last 6 months of such tax-
able year such individual’s spouse is not a mem-
ber of such household, such individual shall not 
be considered as married. 
‘‘(5) PAYMENTS TO RELATED INDIVIDUALS.— 
No credit shall be allowed under subsection (a) for 
any amount paid by the taxpayer to an individual— 
‘‘(A) with respect to whom, for the taxable 
year, a deduction under section 151(c) (relating 
to deduction for personal exemptions for de-
pendents) is allowable either to the taxpayer or 
his spouse, or 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01011
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1012 
‘‘(B) who is a child of the taxpayer (within 
the meaning of section 152(f)(1)) who has not 
attained the age of 19 at the close of the tax-
able year. 
For purposes of this paragraph, the term ‘taxable 
year’ means the taxable year of the taxpayer in 
which the service is performed. 
‘‘(6) IDENTIFYING
INFORMATION
REQUIRED 
WITH RESPECT TO SERVICE PROVIDER.—No credit 
shall be allowed under subsection (a) for any amount 
paid to any person unless— 
‘‘(A) the name, address, and taxpayer 
identification number of such person are in-
cluded on the return claiming the credit, or 
‘‘(B) if such person is an organization de-
scribed in section 501(c)(3) and exempt from 
tax under section 501(a), the name and address 
of such person are included on the return 
claiming the credit. 
In the case of a failure to provide the information 
required under the preceding sentence, the preceding 
sentence shall not apply if it is shown that the tax-
payer exercised due diligence in attempting to pro-
vide the information so required. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01012
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1013 
‘‘(7) IDENTIFYING
INFORMATION
REQUIRED 
WITH RESPECT TO QUALIFYING INDIVIDUALS.—No 
credit shall be allowed under this section with re-
spect to any qualifying individual unless the TIN of 
such individual is included on the return claiming 
the credit. 
‘‘(f) REGULATIONS.—The Secretary shall prescribe 
such regulations as may be necessary to carry out the pur-
poses of this section.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
for subpart A of part IV of subchapter A of chapter 1 
of the Internal Revenue Code of 1986 is amended by add-
ing at the end the following new item: 
‘‘Sec. 25E. Expenses for household and elder care services necessary for gainful 
employment.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to taxable years beginning after 
the date of the enactment of this Act. 
Subtitle J—Miscellaneous 
Provisions 
SEC. 5901. CLARIFICATION SUPPORTING PERMISSIBLE USE 
OF FUNDS FOR STILLBIRTH PREVENTION AC-
TIVITIES. 
Section 501(a) of the Social Security Act (42 U.S.C. 
701(a)) is amended— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01013
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1014 
(1) in paragraph (1)(B), by inserting ‘‘to re-
duce the incidence of stillbirth,’’ after ‘‘among chil-
dren,’’; and 
(2) in paragraph (2), by inserting after ‘‘follow- 
up services’’ the following: ‘‘, and for evidence-based 
programs and activities and outcome research to re-
duce the incidence of stillbirth (including tracking 
and awareness of fetal movements, improvement of 
birth timing for pregnancies with risk factors, initia-
tives that encourage safe sleeping positions during 
pregnancy, screening and surveillance for fetal 
growth restriction, efforts to achieve smoking ces-
sation during pregnancy, community-based programs 
that provide home visits or other types of support, 
and any other research or evidence-based program-
ming to prevent stillbirths)’’. 
TITLE VI—MENTAL HEALTH AND 
SUBSTANCE USE DISORDERS 
SEC. 6001. MENTAL HEALTH FINDINGS. 
Congress finds the following: 
(1) Despite the existence of effective treat-
ments, inequities lie in the availability, accessibility, 
and quality of mental health services for racial and 
ethnic minorities and people with disabilities. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01014
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1015 
(2) These inequities have powerful significance 
for minority groups and for society as a whole. 
(3) Racial and ethnic minorities bear a greater 
burden from unmet mental health needs and thus 
suffer a greater loss to their overall health and pro-
ductivity. 
(4) Improving community conditions and one’s 
home environment, paired with high-quality, acces-
sible, and culturally and linguistically tailored men-
tal health services, can reduce the likelihood, fre-
quency, and intensity of challenges to one’s mental 
health. 
(5) The presence of strong social connections 
and trust, opportunities to experience and share cul-
tural identity, safe gathering places, and economic 
opportunity are community factors that benefit men-
tal health. 
(6) The social, physical, economic, and other 
conditions, otherwise known as social determinants 
of health, in communities can have tremendous in-
fluence on daily stressors that shape mental health 
outcomes. 
(7) Significant barriers include the cost of and 
access to quality care, societal stigma, mental health 
workforce shortages, the fragmented organization of 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01015
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1016 
services and needed social supports, and the history 
of racism and discrimination in the mental health 
system. 
(8) People with severe and persistent mental ill-
ness who are racial or ethnic minorities often have 
co-occurring health and mental health conditions 
and experience direct inequities in access to nec-
essary supports, resources, and services which, with-
out proper accommodations and support, further 
stigmatize them and limit their participation in soci-
ety. 
(9) African-American, Latinx, Asian American, 
Pacific Islander, Native, Middle Eastern and North 
African (MENA), and other people of color commu-
nities are more likely to experience systemic dis-
crimination by health care and social service pro-
viders and may be reluctant to seek mental health 
care and other health interventions. 
(10) Mental health conditions and substance 
abuse disorders retain considerable stigma in many 
communities of color and seeking treatment is not 
always encouraged. 
(11) Addressing mental health stigma and in-
creasing access to culturally and linguistically appro-
priate treatments and supports in communities will 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01016
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1017 
help to increase utilization of mental health services 
for people who have functional difficulties because of 
mental health challenges. 
(12) There is a link between a mental health di-
agnosis and the likelihood of an individual commit-
ting suicide. 
(13) A comprehensive public health approach to 
behavioral health is one that fosters and finances 
protective factors in racial and ethnic communities 
that support mental health. 
(14) Approaches to mental health and trauma 
must keep in mind the historical and present day 
and cultural trauma that impacts many communities 
of color, including trauma and loss caused by ad-
verse weather events and structural violence. 
(15) Culturally and linguistically appropriate 
treatments and supports must keep approaches of 
individual communities to mental health in mind, in-
cluding by considering— 
(A) approaches to cultural healing prac-
tices; and 
(B) the diverse mental health professionals 
needed for such practices, such as peer support 
specialists. 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01017
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1018 
(16) Approaches to mental health and address-
ing trauma must keep in mind the concept of 
intersectionality of individuals; that individuals may 
experience many inequities that shape the way they 
process and experience everyday life. 
SEC. 6002. SENSE OF CONGRESS. 
It is the sense of the Congress that it is imperative 
that a comprehensive public health approach to addressing 
trauma and mental health care be focused on care delivery 
that is culturally and linguistically appropriate. 
Subtitle A—Access to Care and 
Funding Streams 
SEC. 6011. COVERAGE OF MARRIAGE AND FAMILY THERA-
PIST 
SERVICES, 
MENTAL 
HEALTH 
COUN-
SELOR SERVICES, SUBSTANCE ABUSE COUN-
SELOR SERVICES, AND PEER SUPPORT SPE-
CIALIST SERVICES UNDER PART B OF THE 
MEDICARE PROGRAM. 
(a) COVERAGE OF SERVICES.— 
(1) IN
GENERAL.—Section 1861(s)(2) of the 
Social Security Act (42 U.S.C. 1395x(s)(2)), as 
amended by the previous provisions, is amended— 
(A) in subparagraph (HH), by striking 
‘‘and’’ at the end; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01018
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1019 
(B) in subparagraph (II), by adding ‘‘and’’ 
after the semicolon at the end; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(JJ) marriage and family therapist services 
(as defined in subsection (nnn)(1)), mental health 
counselor 
services 
(as 
defined 
in 
subsection 
(nnn)(3)), substance abuse counselor services (as de-
fined in subsection (nnn)(5)), and peer support spe-
cialist services (as defined in subsection (nnn)(7));’’. 
(2) DEFINITIONS.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x), as amended by the 
previous provisions, is amended by adding at the end 
the following new subsection: 
‘‘Marriage and Family Therapist Services; Marriage and 
Family Therapist; Mental Health Counselor Serv-
ices; Mental Health Counselor; Substance Abuse 
Counselor Services; Substance Abuse Counselor; 
Peer Support Specialist Services; Peer Support Spe-
cialist. 
‘‘(nnn)(1) The term ‘marriage and family therapist 
services’ means services performed by a marriage and 
family therapist (as defined in paragraph (2)) for the diag-
nosis and treatment of mental illnesses, which the mar-
riage and family therapist is legally authorized to perform 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01019
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1020 
under State law (or the State regulatory mechanism pro-
vided by State law) of the State in which such services 
are performed, as would otherwise be covered if furnished 
by a physician or as an incident to a physician’s profes-
sional service, but only if no facility or other provider 
charges or is paid any amounts with respect to the fur-
nishing of such services. 
‘‘(2) The term ‘marriage and family therapist’ means 
an individual who— 
‘‘(A) possesses a master’s or doctoral degree 
that qualifies for licensure or certification as a mar-
riage and family therapist pursuant to State law, in-
cluding but not limited to, clinical social workers and 
occupational therapists; 
‘‘(B) after obtaining such degree has performed 
at least 2 years of clinical supervised experience in 
marriage and family therapy; and 
‘‘(C) in the case of an individual performing 
services in a State that provides for licensure or cer-
tification of marriage and family therapists, is li-
censed or certified as a marriage and family thera-
pist in such State. 
‘‘(3) The term ‘mental health counselor services’ 
means services performed by a mental health counselor (as 
defined in paragraph (4)) for the diagnosis and treatment 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01020
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1021 
of mental health conditions and disabilities that the men-
tal health counselor is legally authorized to perform under 
State law (or the State regulatory mechanism provided by 
the State law) of the State in which such services are per-
formed, as would otherwise be covered if furnished by a 
physician or as incident to a physician’s professional serv-
ice, but only if no facility or other provider charges or is 
paid any amounts with respect to the furnishing of such 
services. 
‘‘(4) The term ‘mental health counselor’ means an 
individual who— 
‘‘(A) possesses a master’s or doctor’s degree in 
mental health counseling or a related field, including 
clinical social workers and occupational therapists; 
‘‘(B) after obtaining such a degree has per-
formed at least 2 years of supervised mental health 
counselor practice; and 
‘‘(C) in the case of an individual performing 
services in a State that provides for licensure or cer-
tification of mental health counselors or professional 
counselors, is licensed or certified as a mental health 
counselor or professional counselor in such State. 
‘‘(5) The term ‘substance abuse counselor services’ 
means services performed by a substance abuse counselor 
(as defined in paragraph (6)) for the diagnosis and treat-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01021
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1022 
ment of substance abuse and addiction that the substance 
abuse counselor is legally authorized to perform under 
State law (or the State regulatory mechanism provided by 
the State law) of the State in which such services are per-
formed, as would otherwise be covered if furnished by a 
physician or as incident to a physician’s professional serv-
ice, but only if no facility or other provider charges or is 
paid any amounts with respect to the furnishing of such 
services. 
‘‘(6) The term ‘substance abuse counselor’ means an 
individual who— 
‘‘(A) has performed at least 2 years of super-
vised substance abuse counselor practice; 
‘‘(B) in the case of an individual performing 
services in a State that provides for licensure or cer-
tification of substance abuse counselors or profes-
sional counselors, is licensed or certified as a sub-
stance abuse counselor or professional counselor in 
such State; or 
‘‘(C) is a drug and alcohol counselor as defined 
in section 40.281 of title 49, Code of Federal Regu-
lations. 
‘‘(7) The term ‘peer support specialist services’ 
means services performed by a peer support specialist (as 
defined in paragraph (8)) for the well-being of individuals 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01022
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1023 
needing mental health support that the peer support spe-
cialist is legally authorized to perform under State law (or 
the State regulatory mechanism provided by the State 
law) of the State in which such services are performed, 
as would otherwise be covered if furnished by a physician 
or as incident to a physician’s professional service, but 
only if no facility or other provider charges or is paid any 
amounts with respect to the furnishing of such services. 
‘‘(8) The term ‘peer support specialist’ means an in-
dividual who— 
‘‘(A) is an individual living in recovery with 
mental illness, addiction, or systems involvement; 
‘‘(B) has skills learned in formal training; 
‘‘(C) uses assets-based framing in speaking 
about mental health, recovery, and well-being; and 
‘‘(D) delivers services in behavioral health set-
tings to promote mind-body recovery and resil-
iency.’’. 
(3) PROVISION
FOR
PAYMENT
UNDER
PART 
B.—Section 1832(a)(2)(B) of the Social Security 
Act (42 U.S.C. 1395k(a)(2)(B)) is amended— 
(A) by striking ‘‘and’’ at the end of clause 
(iv); and 
(B) by adding at the end the following new 
clause: 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01023
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1024 
‘‘(v) marriage and family therapist 
services, mental health counselor services, 
substance abuse counselor services, and 
peer support specialist services; and’’. 
(4) AMOUNT OF PAYMENT.—Section 1833(a)(1) 
of the Social Security Act (42 U.S.C. 1395l(a)(1)), 
as amended by section 431(c)(3), is amended— 
(A) by striking ‘‘and’’ before ‘‘(DD)’’; and 
(B) by inserting before the semicolon at 
the end the following: ‘‘, and (EE) with respect 
to marriage and family therapist services, men-
tal health counselor services, substance abuse 
counselor services, and peer support specialist 
services under section 1861(s)(2)(JJ), the 
amounts paid shall be 80 percent of the lesser 
of the actual charge for the services or 75 per-
cent of the amount determined for payment of 
a psychologist under subparagraph (L)’’. 
(5) EXCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPIST SERVICES, MENTAL HEALTH COUNSELOR 
SERVICES, AND PEER SUPPORT SPECIALIST SERV-
ICES FROM SKILLED NURSING FACILITY PROSPEC-
TIVE PAYMENT SYSTEM.—Section 1888(e)(2)(A)(ii) 
of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395yy(e)(2)(A)(ii)) is amended by inserting ‘‘mar-
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01024
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1025 
riage and family therapist services (as defined in 
section 1861(nnn)(1)), mental health counselor serv-
ices (as defined in section 1861(nnn)(3)), and peer 
support specialist services (as defined in section 
1861(nnn)(7))’’ after ‘‘qualified psychologist serv-
ices,’’. 
(6) INCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPISTS, MENTAL HEALTH COUNSELORS, AND 
SUBSTANCE ABUSE COUNSELORS AS PRACTITIONERS 
FOR
ASSIGNMENT
OF
CLAIMS.—Section 
1842(b)(18)(C) of the Social Security Act (42 
U.S.C. 1395u(b)(18)(C)) is amended by adding at 
the end the following new clauses: 
‘‘(vii) A marriage and family therapist (as de-
fined in section 1861(nnn)(2)). 
‘‘(viii) A mental health counselor (as defined in 
section 1861(nnn)(4)). 
‘‘(ix) A substance abuse counselor (as defined 
in section 1861(nnn)(6)). 
‘‘(x) A peer support specialist (as defined in 
section 1861(nnn)(8)).’’. 
(b) COVERAGE OF CERTAIN MENTAL HEALTH SERV-
ICES PROVIDED IN CERTAIN SETTINGS.— 
(1) RURAL HEALTH CLINICS AND FEDERALLY 
QUALIFIED
HEALTH
CENTERS.—Section 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01025
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1027 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services furnished 
on or after January 1, 2023. 
SEC. 6012. REAUTHORIZATION OF MINORITY FELLOWSHIP 
PROGRAM. 
Section 597(c) of the Public Health Service Act (42 
U.S.C. 297ll(c)) is amended by striking ‘‘$12,669,000 for 
each of fiscal years 2018 through 2022’’ and inserting 
‘‘$25,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 6013. ADDITIONAL FUNDS FOR NATIONAL INSTITUTES 
OF HEALTH. 
(a) IN GENERAL.—In addition to amounts otherwise 
authorized to be appropriated to the National Institutes 
of Health, there is authorized to be appropriated to such 
Institutes $100,000,000 for each of fiscal years 2023 
through 2027 to build relations with communities and con-
duct or support clinical research, including clinical re-
search on racial or ethnic disparities in physical and men-
tal health. 
(b) DEFINITION.—In this section, the term ‘‘clinical 
research’’ has the meaning given to such term in section 
409 of the Public Health Service Act (42 U.S.C. 284d). 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01027
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1028 
SEC. 6014. ADDITIONAL FUNDS FOR NATIONAL INSTITUTE 
ON MINORITY HEALTH AND HEALTH DISPARI-
TIES. 
In addition to amounts otherwise authorized to be ap-
propriated to the National Institute on Minority Health 
and Health Disparities, there is authorized to be appro-
priated to such Institute $650,000,000 for each of fiscal 
years 2023 through 2027. 
SEC. 6015. GRANTS FOR INCREASING RACIAL AND ETHNIC 
MINORITY ACCESS TO HIGH-QUALITY TRAU-
MA 
SUPPORT 
SERVICES 
AND 
MENTAL 
HEALTH CARE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’), acting through the Assistant Secretary for Men-
tal Health and Substance Use, shall award grants to eligi-
ble entities to establish or expand programs for the pur-
pose of increasing racial and ethnic minority access to 
high-quality trauma support services and mental health 
care. 
(b) ELIGIBLE ENTITIES.—To seek a grant under this 
section, an entity shall be a community-based program or 
organization that— 
(1) provides culturally and linguistically appro-
priate programs and resources that are aligned with 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01028
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1029 
evidence-based practices for trauma-informed care; 
and 
(2) has demonstrated expertise in serving com-
munities of color or can partner with a program that 
has such demonstrated expertise. 
(c) USE OF FUNDS.—As a condition on receipt of a 
grant under this section, a grantee shall agree to use the 
grant to increase racial and ethnic minority access to high- 
quality trauma support services and mental health care, 
such as by— 
(1) establishing and maintaining community- 
based programs providing evidence-based services in 
trauma-informed care and culturally specific services 
and other resources; 
(2) developing innovative, culturally specific 
strategies and projects to enhance access to trauma- 
informed care and resources for racial and ethnic 
minorities who face obstacles to using more tradi-
tional services and resources (such as obstacles in 
geographic access to providers, insurance coverage, 
and access to audio and video technologies); 
(3) working with State and local governments 
and social service agencies to develop and enhance 
effective strategies to provide culturally specific serv-
ices to racial and ethnic minorities; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01029
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1030 
(4) increasing communities’ capacity to provide 
culturally specific resources and support for commu-
nities of color; 
(5) working in cooperation with the community 
to develop education and prevention strategies high-
lighting culturally specific issues and resources re-
garding racial and ethnic minorities; 
(6) providing culturally specific programs for 
racial and ethnic minorities exposed to law enforce-
ment violence; and 
(7) examining the dynamics of culture and its 
impact on victimization and healing. 
(d) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to eligible entities 
proposing to serve communities that have faced high rates 
of community trauma, including from exposure to law en-
forcement violence, intergenerational poverty, civil unrest, 
discrimination, or oppression. 
(e) GRANT PERIOD.—The period of a grant under 
this section shall be 4 years. 
(f) EVALUATION.—Not later than 6 months after the 
end of the period of all grants under this section, the Sec-
retary shall— 
(1) conduct an evaluation of the programs 
funded by a grant under this section; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01030
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1031 
(2) include in such evaluation an assessment of 
the outcomes of each such program; and 
(3) submit a report on the results of such eval-
uation to the Congress. 
(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$20,000,000 for each of fiscal years 2023 through 2027. 
SEC. 6016. GRANTS FOR UNARMED 9–1–1 RESPONSE PRO-
GRAMS. 
Part D of title V of the Public Health Service Act, 
as amended by sections 6022, 6023, and 6052, is further 
amended adding at the end the following new section: 
‘‘SEC. 556. GRANTS FOR UNARMED 9–1–1 RESPONSE PRO-
GRAMS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use, may award grants to States, territories, political sub-
divisions of States and territories, Tribal governments, 
and consortia of Tribal governments to establish an un-
armed 9–1–1 response program under which nonviolent 9– 
1–1 calls are referred to unarmed professional service pro-
viders for response, instead of to a law enforcement agen-
cy. 
‘‘(b) PROGRAM REQUIREMENTS.—An unarmed 9–1– 
1 response program funded under this section shall— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01031
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1032 
‘‘(1) dispatch unarmed professional service pro-
viders in groups of two or more in a timely manner; 
‘‘(2) be capable of providing screening, assess-
ment, de-escalation, trauma-informed culturally and 
linguistically appropriate services, referrals to treat-
ment providers, and transportation to immediately 
necessary treatment; 
‘‘(3) when necessary, coordinate with health or 
social services; 
‘‘(4) not be subject to oversight of State or local 
law enforcement agencies; and 
‘‘(5) clearly outline the scope of calls that must 
or may be referred to the unarmed 9–1–1 response 
program. 
‘‘(c) USES OF FUNDS.—A grant under this section 
may be used for— 
‘‘(1) hiring unarmed professional service pro-
viders and 9–1–1 dispatchers; 
‘‘(2) training unarmed professional service pro-
viders to respond to 9–1–1 calls by identifying, un-
derstanding, and responding to signs of mental ill-
nesses, developmental or intellectual disabilities, and 
substance use disorders, including by means of— 
‘‘(A) de-escalation; 
‘‘(B) crisis intervention; and 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01032
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1033 
‘‘(C) connecting individuals to local social 
service providers, health care providers, commu-
nity-based organizations, and the full range of 
other available providers and resources, with a 
focus on culturally and linguistically appro-
priate service providers; 
‘‘(3) updating 9–1–1 response systems to en-
able triage between nonviolent 9–1–1 calls and those 
that require a response from law enforcement; 
‘‘(4) training 9–1–1 dispatchers on call diver-
sion; 
‘‘(5) building the capacity— 
‘‘(A) to coordinate with local social service 
providers, health care providers, suicide hotline 
operators, and community-based organizations; 
and 
‘‘(B) to provide multilingual and culturally 
and linguistically appropriate services; and 
‘‘(6) collecting data for reports to the Sec-
retary. 
‘‘(d) APPLICATION.—An applicant seeking a grant 
under this section shall submit to the Secretary an appli-
cation at such time, in such manner, and containing such 
information as the Secretary may reasonably require, in-
cluding the applicant’s plan to train 9–1–1 dispatchers to 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01033
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1034 
determine when a call should be diverted to the unarmed 
9–1–1 response program. 
‘‘(e) REPORTS
TO SECRETARY.—A recipient of a 
grant under this section shall submit to the Secretary, on 
a biannual basis, a report on the following: 
‘‘(1) The number of calls placed to 9–1–1 that 
were diverted to the grantee’s unarmed 9–1–1 re-
sponse program. 
‘‘(2) Demographic information on the individ-
uals served by the grantee’s unarmed 9–1–1 re-
sponse program, disaggregated by race, ethnicity, 
age, sex, sexual orientation, gender identity, and lo-
cation. 
‘‘(3) The effects of the grantee’s unarmed 9–1– 
1 response program on emergency room visits, hos-
pitalizations, use of ambulances, and involvement of 
law enforcement in mental health or substance use 
disorder crises. 
‘‘(4) An assessment of the types of events and 
crises to which the grantee’s unarmed 9–1–1 re-
sponse program responded and the services provided, 
including— 
‘‘(A) the number of individuals to whom 
services were provided who were involuntarily 
committed for treatment; 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01034
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1035 
‘‘(B) the number of individuals successfully 
transferred to an alternative destination; 
‘‘(C) the time between notification by a 9– 
1–1 dispatcher and arrival at the scene by a 
provider; and 
‘‘(D) the time spent by providers at scene. 
‘‘(5) A cost analysis of the grantee’s unarmed 
9–1–1 response program. 
‘‘(6) An assessment of data sharing limitations 
or problems associated with adherence to— 
‘‘(A) Federal regulations (concerning the 
privacy of individually identifiable health infor-
mation) promulgated under section 264(c) of 
the Health Insurance Portability and Account-
ability Act of 1996; and 
‘‘(B) part II of title 42, Code of Federal 
Regulations. 
‘‘(f) REPORTS TO CONGRESS.—The Secretary shall 
submit to the Congress, on a biannual basis, a report on 
the program under this section, including a summary of 
the reports submitted by grantees pursuant to subsection 
(e). 
‘‘(g) GRANT AMOUNT.—The Secretary may make 
grants to applicants that do not meet all of the criteria 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01035
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1036 
under subsection (b)(1), but applicants that do not meet 
all such criteria may not receive the full grant amount. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) The term ‘alternative destination’— 
‘‘(A) means any service- or care-providing 
site other than a hospital emergency depart-
ment or jail; and 
‘‘(B) includes a clinic, primary care office, 
crisis center, and community care center. 
‘‘(2) The term ‘nonviolent 9–1–1 call’ means a 
9–1–1 call that— 
‘‘(A) relates to mental health, homeless-
ness, addiction problems, social services, tru-
ancy, intellectual and developmental disabilities, 
or public intoxication; and 
‘‘(B) does not involve obvious violent be-
havior. 
‘‘(3) The term ‘unarmed professional service 
provider’ means a professional (which may include a 
nurse, social worker, emergency medical technician, 
counselor, community health worker, trauma-in-
formed personnel, social service provider, or peer 
support specialist) who— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01036
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1037 
‘‘(A) is trained to deal with mental health 
or substance abuse crises or intellectual and de-
velopmental disabilities; and 
‘‘(B) does not carry a firearm.’’. 
Subtitle B—Interprofessional Care 
SEC. 6021. HEALTH PROFESSIONS COMPETENCIES TO AD-
DRESS RACIAL AND ETHNIC MENTAL HEALTH 
INEQUITIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Secretary 
for Mental Health and Substance Use, shall award grants 
to qualified national organizations for the purposes of— 
(1) developing, and disseminating to health pro-
fessional educational programs culturally and lin-
guistically appropriate curricula or core com-
petencies addressing mental health inequities among 
racial and ethnic minority groups for use in the 
training of students in the professions of social 
work, psychology, psychiatry, marriage and family 
therapy, mental health counseling, peer support, and 
substance abuse counseling; and 
(2) certifying community health workers and 
peer wellness specialists with respect to such cur-
ricula and core competencies and integrating and ex-
panding the use of such workers and specialists into 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01037
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB
1174 
panied by such information as the Secretary may re-
quire, including— 
‘‘(A) the number of mental health and sub-
stance use disorder care providers working at 
the schools or health centers served by the eligi-
ble entity, and the number of such providers 
supported through the award; 
‘‘(B) the types of services provided by the 
mental health and substance use disorder care 
providers and the efficacy of such services; 
‘‘(C) the practices used by the schools or 
health centers served by the eligible entity to 
recruit and retain mental health and substance 
use disorder care providers; and 
‘‘(D) the rates of retention of mental 
health and substance use disorder care pro-
viders at the school or health center. 
‘‘(2) SECRETARY.—Not later than 18 months 
after the date of enactment of this section, and an-
nually thereafter, the Secretary shall submit to Con-
gress a report on the effectiveness of the awards 
under this section. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means— 
VerDate Sep 11 2014 
20:42 Jun 23, 2022
Jkt 029200
PO 00000
Frm 01174
Fmt 6652
Sfmt 6201
E:\BILLS\H7585.IH
H7585
pbinns on DSKJLVW7X2PROD with $$_JOB