I 
113TH CONGRESS 
1ST SESSION H. R. 2910 
To protect American children and their families from the epidemic of gun 
violence by banning access to certain weapons, strengthening the Nation’s 
mental health infrastructure, and improving the understanding of gun 
violence. 
IN THE HOUSE OF REPRESENTATIVES 
AUGUST 1, 2013 
Mr. WAXMAN (for himself, Mr. PALLONE, Mrs. CAPPS, Ms. SCHAKOWSKY, Ms. 
MATSUI, Mrs. NAPOLITANO, and Mr. DANNY K. DAVIS of Illinois) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce, and in addition to the Committees on Ways and Means 
and Education and the Workforce, for a period to be subsequently deter-
mined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To protect American children and their families from the 
epidemic of gun violence by banning access to certain 
weapons, strengthening the Nation’s mental health infra-
structure, and improving the understanding of gun vio-
lence. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Gun Violence Prevention and Reduction Act of 2013’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—BANNING ACCESS TO DO-IT-YOURSELF ASSAULT 
WEAPONS 
Sec. 101. Do-it-yourself assault weapon ban. 
Sec. 102. Prohibition of advertising do-it-yourself assault weapons. 
Sec. 103. Definitions. 
Sec. 104. Construction. 
TITLE II—STRENGTHENING THE NATION’S MENTAL HEALTH 
INFRASTRUCTURE 
Subtitle A—Advancing Research on Serious Mental Illness 
Sec. 201. National Institute of Mental Health research program on serious 
mental illness. 
Subtitle B—Improving the Mental Health Workforce 
Sec. 211. National Health Service Corps scholarship and loan repayment fund-
ing for behavioral and mental health professionals. 
Sec. 212. Reauthorization of HRSA’s Mental and Behavioral Health Education 
and Training Program. 
Sec. 213. Mental health awareness training for school and emergency services 
personnel. 
Sec. 214. SAMHSA grant program for development and implementation of cur-
ricula for continuing education on serious mental illness. 
Sec. 215. Clarification of HIPAA training requirements regarding disclosure of 
protected health information concerning individuals with men-
tal health disorders. 
Subtitle C—Expanding Access to Mental Health Services 
Sec. 221. Advancing Wellness and Resilience in Education (AWARE) Initiative. 
Sec. 222. SAMHSA and HRSA integration of mental health services into pri-
mary care settings. 
Sec. 223. Children’s recovery from trauma. 
Sec. 224. Information on geriatric mental health disorders. 
Sec. 225. GAO study on availability of inpatient beds. 
Sec. 226. Reporting requirements for block grants regarding mental health and 
substance use disorders. 
Sec. 227. Mental health parity. 
Subtitle D—Promoting Public Awareness of Mental Health Disorders and 
Reducing Stigma of Such Disorders 
Sec. 231. Promoting public awareness of mental health disorders and reducing 
stigma of such disorders. 
TITLE III—UNDERSTANDING THE EPIDEMIC OF GUN VIOLENCE 
Sec. 301. Reaffirming CDC research authority. 
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Sec. 302. National violent death reporting system. 
Sec. 303. Protecting confidential doctor-patient relationship. 
TITLE I—BANNING ACCESS TO 
DO-IT-YOURSELF 
ASSAULT 
WEAPONS 
SEC. 101. DO-IT-YOURSELF ASSAULT WEAPON BAN. 
(a) BANNED
HAZARDOUS
PRODUCTS.—Notwith-
standing section 3(a)(5)(E) of the Consumer Product 
Safety Act (15 U.S.C. 2052(A)(5)(E)), a firearm receiver 
casting or firearm receiver blank that— 
(1) at the point of sale does not meet the defi-
nition of a firearm in section 921(a) of title 18, 
United States Code, and 
(2) after purchase by a consumer, can be com-
pleted by the consumer to the point at which such 
casting or blank functions as a firearm frame or re-
ceiver for a semiautomatic assault weapon or ma-
chine gun, 
shall be considered a banned hazardous product under sec-
tion 8 of such Act (15 U.S.C. 2057). 
(b) PROHIBITED ACTS.—It shall be unlawful for any 
person to sell, offer for sale, manufacture for sale, or im-
port into the United States for sale, to a consumer— 
(1) an assault weapon parts kit; or 
(2) a machinegun parts kit. 
(c) ENFORCEMENT.— 
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(1) Subsection (a) shall be treated as a ban 
under section 19 of the Consumer Product Safety 
Act (15 U.S.C. 2068). 
(2) Notwithstanding section 3(a)(5)(E) of the 
Consumer 
Product 
Safety 
Act 
(15 
U.S.C. 
2052(A)(5)(E)), a violation of subsection (b) shall be 
treated as a violation of section 19 of such Act and 
any person who violates such subsection shall be 
subject to the penalties set forth in section 20 of 
such Act. 
(d) CONSULTATION.—In enforcing this section, the 
Consumer Product Safety Commission shall periodically 
consult with the Bureau of Alcohol, Tobacco, Firearms 
and Explosives regarding effective strategies for and 
methods of enforcement. 
SEC. 102. PROHIBITION OF ADVERTISING DO-IT-YOURSELF 
ASSAULT WEAPONS. 
(a) IN GENERAL.—It shall be unlawful to market or 
advertise, on any medium of electronic communications, 
including over the Internet, for the sale of any of the fol-
lowing: 
(1) A firearm receiver casting or firearm re-
ceiver blank that— 
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(5) the term ‘‘semiautomatic pistol’’ means any 
repeating pistol that utilizes a portion of the energy 
of a firing cartridge to extract the fixed cartridge 
case and chamber the next round and requires a 
separate pull of the trigger to fire each cartridge; 
(6) the term ‘‘semiautomatic rifle’’ has the 
meaning given such term in section 921(a)(28) of 
title 18, United States Code; and 
(7) the term ‘‘semiautomatic shotgun’’ means 
any repeating shotgun that utilizes a portion of the 
energy of a firing cartridge to extract the fixed car-
tridge case and chamber the next round and requires 
a separate pull of a trigger to fire each cartridge. 
(b) SPECIAL FEATURES OF A SEMIAUTOMATIC PIS-
TOL.—The special features described in paragraph 
(3)(B)(ii) are— 
(1) an ammunition magazine that attaches to 
the pistol outside of the pistol grip; 
(2) a threaded barrel capable of accepting a 
barrel extender, flash suppressor, forward handgrip, 
or silencer; 
(3) a shroud that is attached to, or partially or 
completely encircles, the barrel and that permits the 
shooter to hold the firearm with the nontrigger hand 
without being burned; 
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(4) a manufactured weight of 50 ounces or 
more when the pistol is unloaded; and 
(5) a semiautomatic version of an automatic 
firearm. 
SEC. 104. CONSTRUCTION. 
Nothing in this title shall be construed as limiting 
the ability of a State to enact more restrictive gun-related 
laws, or bans on firearm receiver casts, firearm receiver 
blanks, assault weapon parts kits, or machinegun parts 
kits. 
TITLE II—STRENGTHENING THE 
NATION’S 
MENTAL 
HEALTH 
INFRASTRUCTURE 
Subtitle A—Advancing Research on 
Serious Mental Illness 
SEC. 201. NATIONAL INSTITUTE OF MENTAL HEALTH RE-
SEARCH PROGRAM ON SERIOUS MENTAL ILL-
NESS. 
(a) PURPOSE OF INSTITUTE.—Section 464R(a) of 
the Public Health Service Act (42 U.S.C. 285p(a)) is 
amended by inserting ‘‘serious mental illness research,’’ 
after ‘‘biomedical and behavioral research,’’. 
(b) RESEARCH PROGRAM.—Section 464R(b) of the 
Public Health Service Act (42 U.S.C. 285p(b)) is amend-
ed— 
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(1) by striking ‘‘The research program’’ and in-
serting the following: 
‘‘(1) IN GENERAL.—The research program’’; 
(2) by striking ‘‘to further the treatment and 
prevention of mental illness’’ and inserting ‘‘to fur-
ther the treatment and prevention of mental illness 
(including serious mental illness)’’; and 
(3) by adding at the end the following: 
‘‘(2) RESEARCH
WITH
RESPECT
TO
SERIOUS 
MENTAL ILLNESS.—As part of the research program 
established under this subpart, the Director of the 
Institute shall conduct or support research on seri-
ous mental illness, including with respect to— 
‘‘(A) the causes, prevention, and treatment 
of serious mental illness; and 
‘‘(B) interventions to improve early identi-
fication of individuals with serious mental ill-
ness and referral of such individuals to mental 
health professionals for treatment.’’. 
(c) BIENNIAL REPORT.—Section 403(a)(5) of the 
Public Health Service Act (42 U.S.C. 283(a)(5)) is 
amended— 
(1) by redesignating subparagraph (L) as sub-
paragraph (M); and 
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(2) by inserting after subparagraph (K) the fol-
lowing: 
‘‘(L) Serious mental illness.’’. 
Subtitle B—Improving the Mental 
Health Workforce 
SEC. 211. NATIONAL HEALTH SERVICE CORPS SCHOLAR-
SHIP AND LOAN REPAYMENT FUNDING FOR 
BEHAVIORAL AND MENTAL HEALTH PROFES-
SIONALS. 
Section 338H of the Public Health Service Act (42 
U.S.C. 254q) is amended— 
(1) by redesignating subsections (b) and (c) as 
subsections (c) and (d), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) ADDITIONAL FUNDING FOR BEHAVIORAL AND 
MENTAL HEALTH PROFESSIONALS.—In addition to the 
amounts authorized to be appropriated under subsection 
(a), and in addition to the amounts appropriated under 
section 10503 of Public Law 111–148, there are author-
ized to be appropriated such sums as may be necessary 
for fiscal years 2014 through 2018 for scholarships and 
loan repayments under this subpart for ensuring, as de-
scribed in sections 338A(a) and 338B(a), an adequate 
supply of behavioral and mental health professionals.’’. 
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SEC. 212. REAUTHORIZATION OF HRSA’S MENTAL AND BE-
HAVIORAL HEALTH EDUCATION AND TRAIN-
ING PROGRAM. 
Subsection (e) of section 756 of the Public Health 
Service Act (42 U.S.C. 294e–1) is amended to read as 
follows: 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
SEC. 213. MENTAL HEALTH AWARENESS TRAINING FOR 
SCHOOL AND EMERGENCY SERVICES PER-
SONNEL. 
Section 520J of the Public Health Service Act (42 
U.S.C. 290bb–41) is amended— 
(1) in the section heading, by inserting ‘‘MEN-
TAL HEALTH AWARENESS’’ before ‘‘TRAINING’’; 
and 
(2) in subsection (b)— 
(A) in the subsection heading, by striking 
‘‘ILLNESS’’ and inserting ‘‘HEALTH’’; 
(B) in paragraph (1)— 
(i) by inserting ‘‘and other categories 
of individuals, as determined by the Sec-
retary,’’ after ‘‘emergency services per-
sonnel’’; and 
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(ii) by striking ‘‘mental illness’’ each 
place it appears and inserting ‘‘mental 
health disorder’’; 
(C) in paragraph (5)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘to’’ and inserting 
‘‘for evidence-based programs for the pur-
pose of’’; and 
(ii) by striking subparagraphs (A) 
through (C) and inserting the following: 
‘‘(A) recognizing the signs and symptoms 
of mental health disorders; and 
‘‘(B)(i) providing education to personnel 
regarding resources available in the community 
for individuals with a mental health disorder 
and other relevant resources; or 
‘‘(ii) the safe de-escalation of crisis situa-
tions involving individuals with a mental health 
disorder.’’; and 
(D) by amending paragraph (7) to read as 
follows: 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this subsection such sums as may be necessary for 
fiscal years 2014 through 2018.’’. 
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SEC. 214. SAMHSA GRANT PROGRAM FOR DEVELOPMENT 
AND IMPLEMENTATION OF CURRICULA FOR 
CONTINUING EDUCATION ON SERIOUS MEN-
TAL ILLNESS. 
Title V of the Public Health Service Act is amended 
by inserting after section 520I (42 U.S.C. 290bb–40) the 
following: 
‘‘SEC. 520I–1. CURRICULA FOR CONTINUING EDUCATION ON 
SERIOUS MENTAL ILLNESS. 
‘‘(a) GRANTS.—The Secretary may award grants to 
eligible entities for the development and implementation 
of curricula for providing continuing education and train-
ing to health care professionals on identifying, referring, 
and treating individuals with serious mental illness. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 
grant under this section, an entity shall be a public or 
nonprofit entity that— 
‘‘(1) provides continuing education or training 
to health care professionals; or 
‘‘(2) applies for the grant in partnership with 
another entity that provides such education and 
training. 
‘‘(c) PREFERENCE.—In awarding grants under this 
section, the Secretary shall give preference to eligible enti-
ties proposing to develop and implement curricula for pro-
viding continuing education and training to— 
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‘‘(1) health care professionals in primary care 
specialities; or 
‘‘(2) health care professionals who are required, 
as a condition of State licensure, to participate in 
continuing education or training specific to mental 
health. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
SEC. 215. CLARIFICATION OF HIPAA TRAINING REQUIRE-
MENTS REGARDING DISCLOSURE OF PRO-
TECTED 
HEALTH 
INFORMATION 
CON-
CERNING 
INDIVIDUALS 
WITH 
MENTAL 
HEALTH DISORDERS. 
Not later than 6 months after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall issue guidance regarding the requirements of section 
164.530(b) of title 45, Code of Federal Regulations, so 
as to ensure that training under such section includes a 
clear explanation of the circumstances under which health 
care professionals and other covered entities (as such term 
is defined for purposes of regulations promulgated under 
section 264(c) of the Health Insurance Portability and Ac-
countability Act of 1996) are permitted or required to dis-
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close protected health information concerning individuals 
with a mental health disorder. 
Subtitle C—Expanding Access to 
Mental Health Services 
SEC. 221. ADVANCING WELLNESS AND RESILIENCE IN EDU-
CATION (AWARE) INITIATIVE. 
(a) CHILDREN AND ADOLESCENTS, VIOLENCE, AND 
SCHOOL- AND COMMUNITY-BASED MENTAL HEALTH.— 
(1) IN GENERAL.—The first section 581 (in the 
first part G relating to projects for children and vio-
lence) of the Public Health Service Act (42 U.S.C. 
290hh) is amended to read as follows: 
‘‘SEC. 581. CHILDREN AND ADOLESCENTS, VIOLENCE, AND 
SCHOOL- AND COMMUNITY-BASED MENTAL 
HEALTH. 
‘‘(a) IN GENERAL.—The Secretary shall, directly or 
through grants, contracts, or cooperative agreements 
awarded to local educational agencies and other public en-
tities, assist schools and local communities in imple-
menting a comprehensive mental health program that— 
‘‘(1) assists children and adolescents in dealing 
with trauma and violence; 
‘‘(2) provides comprehensive, age-appropriate 
mental health services and supports; 
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‘‘(3) is linguistically and culturally appropriate; 
and 
‘‘(4) incorporates age-appropriate strategies of 
positive behavioral interventions and supports. 
‘‘(b) COLLABORATION; CONSULTATION.—The Sec-
retary shall carry out this section— 
‘‘(1) in collaboration with the Secretary of Edu-
cation; and 
‘‘(2) in consultation with the Attorney General 
of the United States. 
‘‘(c) ACTIVITIES.—In carrying out subsection (a), the 
Secretary may— 
‘‘(1) provide financial and technical support to 
enable schools and local communities to implement 
a comprehensive mental health program described in 
such subsection; 
‘‘(2) facilitate community partnerships among 
families, students, law enforcement agencies, edu-
cation systems, mental health and substance use dis-
order service systems, family-based mental health 
service systems, welfare agencies, health care sys-
tems (including physicians), faith-based programs, 
trauma networks, and other community-based sys-
tems; and 
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‘‘(3) establish mechanisms for children and ado-
lescents to report incidents of violence or plans by 
other children, adolescents, or adults to commit vio-
lence. 
‘‘(d) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—To be eligible for an award 
under this section, an entity shall— 
‘‘(A) be a partnership between a local edu-
cational agency and at least one community 
program or agency that is involved in mental 
health activities; and 
‘‘(B) submit an application that— 
‘‘(i) is endorsed by all members of the 
partnership; 
‘‘(ii) designates an entity to serve as 
coordinator of the activities to be funded 
through the award; and 
‘‘(iii) contains the assurances de-
scribed in paragraph (2). 
‘‘(2) REQUIRED ASSURANCES.—An application 
under paragraph (1) for a comprehensive mental 
health program shall contain assurances as follows: 
‘‘(A) The local educational agency involved 
will enter into a memorandum of under-
standing— 
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‘‘(i) with— 
‘‘(I) at least one of each of the 
following: a public or private mental 
health entity, a health care entity, a 
law enforcement or juvenile justice en-
tity, a child welfare agency, a family- 
based mental health entity, a family 
or family organization, and a trauma 
network; and 
‘‘(II) any other community-based 
entities deemed appropriate by the 
local educational agency; and 
‘‘(ii) that specifies— 
‘‘(I) the responsibilities of each 
partner with respect to the activities 
to be carried out; 
‘‘(II) how each partner will be ac-
countable for carrying out such re-
sponsibilities; and 
‘‘(III) the amount of non-Federal 
funding or in-kind contributions that 
each such partner will contribute in 
order to sustain the program. 
‘‘(B) The program will address— 
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children and adolescents with, or at risk of, 
mental health disorders; 
‘‘(ii) the use of referral mechanisms 
that effectively link such children and ado-
lescents to appropriate treatment and 
intervention services in the school and in 
the community and to followup when serv-
ices are not available; 
‘‘(iii) strategies that promote a school- 
wide positive environment; 
‘‘(iv) strategies for promoting the so-
cial, emotional, mental, and behavioral 
health of all students; and 
‘‘(v) strategies to increase the knowl-
edge and skills of school and community 
leaders about the impact of trauma and vi-
olence and on the application of a public 
health approach to comprehensive mental 
health programs. 
‘‘(D) For parents, siblings, and other fam-
ily members of children and adolescents with 
mental health disorders, and for members of 
the community, the program will provide train-
ing on— 
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‘‘(i) the techniques and supports de-
scribed in subparagraph (C)(i); 
‘‘(ii) the referral mechanisms and fol-
lowup described in subparagraph (C)(ii); 
and 
‘‘(iii) the strategies described in 
clauses (iii), (iv), and (v) of subparagraph 
(C). 
‘‘(E) A plan will be developed and imple-
mented to sustain the program after funding 
under this section terminates. 
‘‘(F) The local educational agency partner-
ship involved will be supported by the appro-
priate State educational and mental health au-
thority to ensure that the sustainability of the 
program is established after funding under this 
section terminates. 
‘‘(G) The program will— 
‘‘(i) be based on evidence-based prac-
tices, including those related to trauma; 
‘‘(ii) be implemented in a culturally 
and linguistically appropriate manner; 
‘‘(iii) be coordinated with early inter-
vening activities carried out under the In-
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dividuals with Disabilities Education Act; 
and 
‘‘(iv) include a broad needs assess-
ment of youth who drop out of school due 
to policies of ‘zero tolerance’ with respect 
to drugs, alcohol, or weapons and an in-
ability to obtain appropriate services. 
‘‘(H) The program will provide mental 
health services through qualified mental and be-
havioral health professionals who are— 
‘‘(i) certified or licensed by the State 
involved; and 
‘‘(ii) practicing within their area of 
expertise. 
‘‘(3) COMPLIANCE WITH HIPAA.—An award re-
cipient under this section shall be deemed to be a 
covered entity for purposes of compliance with the 
regulations promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996 with respect to any patient records devel-
oped through activities funded through the award. 
‘‘(e) GEOGRAPHICAL DISTRIBUTION.—The Secretary 
shall ensure that awards under this section are distributed 
equitably among the regions of the country and among 
urban and rural areas. 
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‘‘(f) DURATION
OF AWARDS.—The period of an 
award under this section shall be 6 years. An entity may 
receive only one award under this section, except that an 
entity that is providing services and supports on a regional 
basis may receive additional funding after the expiration 
of the preceding award period. 
‘‘(g) PROGRAM EVALUATION AND OUTCOME MEAS-
URES.— 
‘‘(1) DEVELOPMENT
OF
PROCESS.—The Sec-
retary shall develop a process for evaluating com-
prehensive mental health programs under this sec-
tion that includes— 
‘‘(A) the development of guidelines for the 
submission of program data by an award recipi-
ent; 
‘‘(B) the development of outcome measures 
(in accordance with paragraph (2)) to be ap-
plied by such recipient, and used by the Sec-
retary, to measure and evaluate the program’s 
effectiveness and success; and 
‘‘(C) the submission by such recipient of 
annual reports— 
‘‘(i) concerning the effectiveness and 
success of the program; and 
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‘‘(ii) including data and other infor-
mation relating to each outcome measure 
developed under subparagraph (B). 
‘‘(2) OUTCOME MEASURES.— 
‘‘(A) STUDENT AND FAMILY MEASURES.— 
The outcome measures developed under para-
graph (1)(B) shall include outcome measures 
relating to students and families, which, at a 
minimum, should be designed to measure a pro-
gram’s effectiveness in— 
‘‘(i) increasing social and emotional 
competency; 
‘‘(ii) increasing academic competency 
(as defined by Secretary); 
‘‘(iii) reducing disruptive and aggres-
sive behaviors; 
‘‘(iv) improving child and adolescent 
functioning; 
‘‘(v) reducing substance use disorders; 
‘‘(vi) reducing suspensions, truancy, 
expulsions, and violence; 
‘‘(vii) increasing graduation rates (as 
defined under section 1111(b)(2)(C)(vi) of 
the Elementary and Secondary Education 
Act of 1965); and 
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‘‘(viii) improving access to care for 
mental health disorders. 
‘‘(B) LOCAL EDUCATIONAL SYSTEM MEAS-
URES.—The outcome measures developed under 
paragraph (1)(B) shall include outcome meas-
ures relating to local educational systems, 
which, at a minimum, should be designed to 
measure— 
‘‘(i) the effectiveness of— 
‘‘(I) formal partnership linkages 
among child and family-serving insti-
tutions, community support systems, 
and the educational system in ad-
dressing mental health disorders; and 
‘‘(II) training and professional 
development programs, including cul-
turally and linguistically appropriate 
training for appropriate school per-
sonnel; and 
‘‘(ii) the progress in— 
‘‘(I) improving the perception of 
a safe and supportive learning envi-
ronment among school staff, students, 
and parents; 
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‘‘(II) improving the identification 
of students in need of more intensive 
mental health services and referral of 
such students to early intervention 
and clinical mental health services; 
‘‘(III) improving access to clinical 
assessment and treatment services 
within the context of the local commu-
nity to students posing a danger to 
themselves or others; and 
‘‘(IV) improving rates of matricu-
lation to postsecondary school and re-
ducing referrals to the juvenile justice 
system. 
‘‘(3) EVALUATION AND DISSEMINATION BY SEC-
RETARY.— 
‘‘(A) EVALUATION.—The Secretary shall 
annually submit to Congress a report on the ef-
fectiveness and success of the programs under 
this section, based on the data submitted under 
paragraph (1)(C). 
‘‘(B) 
DISSEMINATION.—The 
Secretary 
shall establish comprehensive information and 
education programs to disseminate to the gen-
eral public and to health care professionals 
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findings and conclusions based on the data sub-
mitted under paragraph (1)(C). 
‘‘(4) LIMITATION
ON
EVALUATION
ACTIVI-
TIES.—An award recipient shall not use more than 
10 percent of amounts received under this section to 
carry out evaluation activities. 
‘‘(h) DEFINITION.—In this section, the terms ‘chil-
dren and adolescents’ and ‘child and adolescent’ refer to 
individuals under 22 years of age. 
‘‘(i) FUNDING.— 
‘‘(1) AMOUNT OF AWARDS.—An award to an 
entity under this section shall not exceed $1,000,000 
for each of fiscal years 2014 through 2018. The Sec-
retary shall determine the amount of each award 
based on the population of children and adolescents 
in the area to be served through the award. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this section such sums as may be necessary for fiscal 
years 2014 through 2018.’’. 
(2) TECHNICAL
AMENDMENTS.—The second 
part G (relating to services provided through reli-
gious organizations) of title V of the Public Health 
Service Act (42 U.S.C. 290kk et seq.) is amended— 
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(A) by redesignating such part as part J; 
and 
(B) by redesignating sections 581 through 
584 as sections 596 through 596C, respectively. 
(3) CONFORMING AMENDMENT.—Part G of title 
V of the Public Health Service Act (42 U.S.C. 
290hh et seq.), as amended by this subsection, is 
further amended by striking the part heading and 
inserting the following: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
(b) GARRETT LEE SMITH MEMORIAL ACT REAU-
THORIZATION.— 
(1) SUICIDE PREVENTION TECHNICAL ASSIST-
ANCE CENTER.—Section 520C of the Public Health 
Service Act (42 U.S.C. 290bb–34) is amended— 
(A) in the section heading, by striking the 
section heading and inserting ‘‘SUICIDE PRE-
VENTION
TECHNICAL
ASSISTANCE
CEN-
TER.’’; 
(B) in subsection (a), by striking ‘‘and in 
consultation with’’ and all that follows through 
the period at the end of paragraph (2) and in-
serting ‘‘shall establish a research, training, and 
technical assistance resource center to provide 
appropriate information, training, and technical 
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assistance to States, political subdivisions of 
States, federally recognized Indian tribes, tribal 
organizations, institutions of higher education, 
public organizations, or private nonprofit orga-
nizations regarding the prevention of suicide 
among all ages, particularly among groups that 
are at high risk for suicide.’’; 
(C) by striking subsections (b) and (c); 
(D) by redesignating subsection (d) as sub-
section (b); 
(E) in subsection (b), as so redesignated— 
(i) by striking the subsection heading 
and inserting ‘‘RESPONSIBILITIES OF THE 
CENTER.’’; 
(ii) in the matter preceding paragraph 
(1), by striking ‘‘The additional research’’ 
and all that follows through ‘‘nonprofit or-
ganizations for’’ and inserting ‘‘The center 
established under subsection (a) shall con-
duct activities for the purpose of’’; 
(iii) by striking ‘‘youth suicide’’ each 
place such term appears and inserting 
‘‘suicide’’; 
(iv) in paragraph (1)— 
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(I) by striking ‘‘the development 
or continuation of’’ and inserting ‘‘de-
veloping and continuing’’; and 
(II) by inserting ‘‘for all ages, 
particularly among groups that are at 
high risk for suicide’’ before the semi-
colon at the end; 
(v) in paragraph (2), by inserting ‘‘for 
all ages, particularly among groups that 
are at high risk for suicide’’ before the 
semicolon at the end; 
(vi) in paragraph (3), by inserting 
‘‘and tribal’’ after ‘‘statewide’’; 
(vii) in paragraph (5), by inserting 
‘‘and prevention’’ after ‘‘intervention’’; 
(viii) in paragraph (8), by striking ‘‘in 
youth’’; 
(ix) in paragraph (9), by striking 
‘‘and behavioral health’’ and inserting 
‘‘health and substance use disorder’’; and 
(x) in paragraph (10), by inserting 
‘‘conducting’’ before ‘‘other’’; and 
(F) by striking subsection (e) and inserting 
the following: 
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‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
(2) YOUTH SUICIDE EARLY INTERVENTION AND 
PREVENTION
STRATEGIES.—Section 520E of the 
Public Health Service Act (42 U.S.C. 290bb–36) is 
amended— 
(A) in paragraph (1) of subsection (a) and 
in subsection (c), by striking ‘‘substance abuse’’ 
each place such term appears and inserting 
‘‘substance use disorder’’; 
(B) in subsection (b)(2)— 
(i) by striking ‘‘each State is awarded 
only 1 grant or cooperative agreement 
under this section’’ and inserting ‘‘a State 
does not receive more than 1 grant or co-
operative agreement under this section at 
any 1 time’’; and 
(ii) by striking ‘‘been awarded’’ and 
inserting ‘‘received’’; and 
(C) by striking subsection (m) and insert-
ing the following: 
‘‘(m) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
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priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
(3) MENTAL
HEALTH
AND
SUBSTANCE
USE 
DISORDER SERVICES.—Section 520E–2 of the Public 
Health Service Act (42 U.S.C. 290bb–36b) is 
amended— 
(A) in the section heading, by striking 
‘‘AND BEHAVIORAL HEALTH’’ and inserting 
‘‘HEALTH AND SUBSTANCE USE DISORDER 
SERVICES’’; 
(B) in subsection (a)— 
(i) by striking ‘‘Services,’’ and insert-
ing ‘‘Services and’’; 
(ii) by striking ‘‘and behavioral health 
problems’’ and inserting ‘‘health or sub-
stance use disorders’’; and 
(iii) by striking ‘‘substance abuse’’ 
and inserting ‘‘substance use disorders’’; 
(C) in subsection (b)— 
(i) in the matter preceding paragraph 
(1), by striking ‘‘for—’’ and inserting ‘‘for 
one or more of the following:’’; and 
(ii) 
by 
striking 
paragraphs 
(1) 
through (6) and inserting the following: 
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‘‘(1) Educating students, families, faculty, and 
staff to increase awareness of mental health and 
substance use disorders. 
‘‘(2) Operating hotlines. 
‘‘(3) Preparing informational material. 
‘‘(4) Providing outreach services to notify stu-
dents about available mental health and substance 
use disorder services. 
‘‘(5) Administering voluntary mental health and 
substance use disorder screenings and assessments. 
‘‘(6) Supporting the training of students, fac-
ulty, and staff to respond effectively to students with 
mental health and substance use disorders. 
‘‘(7) Creating a network infrastructure to link 
colleges and universities with health care providers 
who treat mental health and substance use dis-
orders.’’; 
(D) in subsection (c)(5), by striking ‘‘sub-
stance abuse’’ and inserting ‘‘substance use dis-
order’’; 
(E) in subsection (d)— 
(i) in the matter preceding paragraph 
(1), by striking ‘‘An institution of higher 
education desiring a grant under this sec-
tion’’ and inserting ‘‘To be eligible to re-
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ceive a grant under this section, an institu-
tion of higher education’’; 
(ii) in paragraph (1)— 
(I) by striking ‘‘and behavioral 
health’’ and inserting ‘‘health and 
substance use disorder’’; and 
(II) by inserting ‘‘, including vet-
erans as appropriate,’’ after ‘‘stu-
dents’’; and 
(iii) in paragraph (2), by inserting ‘‘, 
which may include, as appropriate and in 
accordance with subsection (b)(7), a plan 
to seek input from relevant stakeholders in 
the community, including appropriate pub-
lic and private entities, in order to carry 
out the program under the grant’’ before 
the period at the end; 
(F) in subsection (e)(1), by striking ‘‘and 
behavioral health problems’’ and inserting 
‘‘health and substance use disorders’’; 
(G) in subsection (f)(2)— 
(i) 
by 
striking 
‘‘and 
behavioral 
health’’ and inserting ‘‘health and sub-
stance use disorder’’; and 
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(ii) by striking ‘‘suicide and substance 
abuse’’ and inserting ‘‘suicide and sub-
stance use disorders’’; and 
(H) by amending subsection (h) to read as 
follows: 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
(c) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.—For provisions of the Advancing Wellness and 
Resilience in Education (AWARE) Initiative relating to 
mental health awareness training for school and emer-
gency services personnel, see section 213 of this Act. 
(d) EVALUATION.—Not later than the end of fiscal 
year 2017, the Secretary of Health and Human Services 
shall submit to the Congress a report on the implementa-
tion and effectiveness of the activities carried out under 
sections 581, 520C, 520E, and 520E–2 of the Public 
Health Service Act, as amended by this section, and sec-
tion 520J of the Public Health Service Act, as amended 
by section 213. 
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SEC. 222. SAMHSA AND HRSA INTEGRATION OF MENTAL 
HEALTH SERVICES INTO PRIMARY CARE SET-
TINGS. 
Title V of the Public Health Service Act is amended 
by inserting after section 520K (42 U.S.C. 290bb–42) the 
following: 
‘‘SEC. 520K–1. AWARDS FOR CO-LOCATING MENTAL HEALTH 
SERVICES IN PRIMARY CARE SETTINGS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrators of the Substance Abuse and 
Mental Health Services Administration and the Health 
Resources and Services Administration, shall award 
grants, contracts, and cooperative agreements to eligible 
entities for the provision of coordinated and integrated 
mental health services and primary health care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 
grant, contract, or cooperative agreement this section, an 
entity shall be a public or nonprofit entity. 
‘‘(c) USE OF FUNDS.—An eligible entity receiving an 
award under this section shall use the award for the provi-
sion of coordinated and integrated mental health services 
and primary health care through— 
‘‘(1) the co-location of mental health services in 
primary care settings; 
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‘‘(2) the use of care management services to fa-
cilitate coordination between mental health and pri-
mary care providers; 
‘‘(3) the use of information technology (such as 
telemedicine)— 
‘‘(A) to facilitate coordination between 
mental health and primary care providers; or 
‘‘(B) to expand the availability of mental 
health services; or 
‘‘(4) the provision of training and technical as-
sistance to improve the delivery, effectiveness, and 
integration of mental health services into primary 
care settings. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
SEC. 223. CHILDREN’S RECOVERY FROM TRAUMA. 
Section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1) is amended— 
(1) in subsection (a), by striking ‘‘developing 
programs’’ and all that follows and inserting ‘‘devel-
oping and maintaining programs that provide for— 
‘‘(1) the continued operation of the National 
Child Traumatic Stress Initiative (referred to in this 
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section as the ‘NCTSI’), including a coordinating 
center, that focuses on the mental, behavioral, and 
biological aspects of psychological trauma response; 
and 
‘‘(2) the development of knowledge with regard 
to evidence-based practices for identifying and treat-
ing mental, behavioral, and biological disorders of 
children and youth resulting from witnessing or ex-
periencing a traumatic event.’’; 
(2) in subsection (b) by striking ‘‘subsection (a) 
related’’ and all that follows through the end of the 
subsection and inserting ‘‘subsection (a)(2) (related 
to the development of knowledge on evidence-based 
practices for treating mental, behavioral, and bio-
logical disorders associated with psychological trau-
ma), the Secretary shall give priority to universities, 
hospitals, mental health agencies, and other pro-
grams that have established clinical expertise and re-
search experience in the field of trauma-related men-
tal disorders.’’; 
(3) by redesignating subsections (c) through (g) 
as subsections (e) through (i), respectively; 
(4) by inserting after subsection (b), the fol-
lowing: 
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‘‘(c) NATIONAL CHILD TRAUMATIC STRESS INITIA-
TIVE.—The NCTSI coordinating center shall— 
‘‘(1) collect, analyze, and report NCTSI-wide 
child treatment process and outcome data regarding 
the early identification and delivery of evidence- 
based treatment and services for children and fami-
lies served by the NCTSI grantees; 
‘‘(2) facilitate the coordination of training ini-
tiatives in evidence-based and trauma-informed 
treatments, interventions, and practices offered to 
NCTSI grantees, providers, and partners; and 
‘‘(3) collaborate, as appropriate, with the Sec-
retary in the dissemination of evidence-based and 
trauma-informed interventions, treatments, prod-
ucts, and other resources to appropriate stake-
holders. 
‘‘(d) REVIEW.—The Secretary shall, consistent with 
the peer review process, ensure that NCTSI applications 
are reviewed by appropriate experts in the field, including 
experts in child trauma.’’; 
(5) in subsection (e) (as so redesignated), by 
striking ‘‘with respect to centers of excellence are 
distributed equitably among the regions of the coun-
try’’ and inserting ‘‘are distributed equitably among 
the regions of the United States’’; 
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(6) in subsection (g) (as so redesignated), by 
striking ‘‘recipient may not exceed 5 years’’ and in-
serting ‘‘recipient shall not be less than 4 years, but 
shall not exceed 5 years’’; and 
(7) by amending subsection (h) (as so redesig-
nated) to read as follows: 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2014 through 2018.’’. 
SEC. 224. INFORMATION ON GERIATRIC MENTAL HEALTH 
DISORDERS. 
Section 520A(e) of the Public Health Service Act (42 
U.S.C. 290bb–32(e)) is amended by adding at the end the 
following: 
‘‘(3) 
GERIATRIC
MENTAL
HEALTH
DIS-
ORDERS.—The Secretary shall, as appropriate, pro-
vide information to grantees regarding evidence- 
based practices for the prevention and treatment of 
geriatric mental health disorders and co-occurring 
mental health and substance use disorders among 
geriatric populations, as well as disseminate infor-
mation about such evidence-based practices to States 
and nongrantees throughout the United States.’’. 
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SEC. 225. GAO STUDY ON AVAILABILITY OF INPATIENT 
BEDS. 
Not later than 2 years after the date of enactment 
of this Act, the Comptroller General of the United States 
shall conduct a study and submit a report to the Congress 
on— 
(1) the availability of inpatient beds for treat-
ment of mental health disorders; 
(2) the impact of such availability on access to, 
and the quality of, mental health services; and 
(3) the impact on individuals with serious men-
tal illness and on States of the exclusion from med-
ical assistance under section 1905(a) of the Social 
Security Act (42 U.S.C. 1396d(a)) of payment with 
respect to care or services for certain patients in an 
institution for mental diseases. 
SEC. 226. REPORTING REQUIREMENTS FOR BLOCK GRANTS 
REGARDING 
MENTAL 
HEALTH 
AND 
SUB-
STANCE USE DISORDERS. 
Section 1942 of the Public Health Service Act (42 
U.S.C. 300x–52) is amended to read as follows: 
‘‘SEC. 1942. REQUIREMENT OF REPORTS AND AUDITS BY 
STATES. 
‘‘(a) BLOCK GRANTS
FOR COMMUNITY MENTAL 
HEALTH SERVICES.— 
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‘‘(1) ANNUAL REPORT.—A funding agreement 
for a grant under section 1911 is that— 
‘‘(A) the State involved will prepare and 
submit to the Secretary an annual report on the 
activities funded through the grant; and 
‘‘(B) each such report shall be prepared 
by, or in consultation with, the State agency re-
sponsible for community mental health pro-
grams and activities. 
‘‘(2) STANDARDIZED
FORM; 
CONTENTS.—In 
order to properly evaluate and to compare the per-
formance of different States assisted under section 
1911, reports under this section shall be in such 
standardized form and contain such information as 
the Secretary determines (after consultation with the 
States) to be necessary— 
‘‘(A) to secure an accurate description of 
the activities funded through the grant under 
section 1911; 
‘‘(B) to determine the extent to which 
funds were expended consistent with the State’s 
application transmitted under section 1917(a); 
and 
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‘‘(C) to describe the extent to which the 
State has met the goals and objectives it set 
forth in its State plan under section 1912(b). 
‘‘(3) MINIMUM CONTENTS.—Each report under 
this section shall, at a minimum, include the fol-
lowing information: 
‘‘(A)(i) The number of individuals served 
by the State under subpart I (by class of indi-
viduals). 
‘‘(ii) The proportion of each class of such 
individuals which has health coverage. 
‘‘(iii) The types of services (as defined by 
the Secretary) provided under subpart I to indi-
viduals within each such class. 
‘‘(iv) The amounts spent under subpart I 
on each type of service (by class of individuals 
served). 
‘‘(B) Information on the status of mental 
health in the State, including information (by 
county and by racial and ethnic group) on each 
of the following: 
‘‘(i) The proportion of adolescents 
with serious mental illness (including 
major depression). 
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‘‘(ii) The proportion of adults with se-
rious mental illness (including major de-
pression). 
‘‘(iii) The proportion of individuals 
with co-occurring mental health and sub-
stance use disorders. 
‘‘(iv) The proportion of children and 
adolescents with mental health disorders 
who seek and receive treatment. 
‘‘(v) The proportion of adults with 
mental health disorders who seek and re-
ceive treatment. 
‘‘(vi) The proportion of individuals 
with co-occurring mental health and sub-
stance use disorders who seek and receive 
treatment. 
‘‘(vii) The proportion of homeless 
adults with mental health disorders who 
receive treatment. 
‘‘(viii) The number of primary care 
facilities that provide mental health screen-
ing and treatment services onsite or by 
paid referral. 
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‘‘(ix) The number of primary care 
physician office visits that include mental 
health screening services. 
‘‘(x) The number of juvenile residen-
tial facilities that screen admissions for 
mental health disorders. 
‘‘(xi) The number of deaths attrib-
utable to suicide. 
‘‘(C) Information on the number and type 
of health care practitioners licensed in the State 
and providing mental health-related services. 
‘‘(4) AVAILABILITY
OF
REPORTS.—The Sec-
retary shall, upon request, provide a copy of any re-
port under this section to any interested public 
agency. 
‘‘(b) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE USE DISORDERS.— 
‘‘(1) ANNUAL REPORT.—A funding agreement 
for a grant under section 1921 is that— 
‘‘(A) the State involved will prepare and 
submit to the Secretary an annual report on the 
activities funded through the grant; and 
‘‘(B) each such report shall be prepared 
by, or in consultation with, the State agency re-
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sponsible for substance use disorder programs 
and activities. 
‘‘(2) STANDARDIZED
FORM; 
CONTENTS.—In 
order to properly evaluate and to compare the per-
formance of different States assisted under section 
1921, reports under this section shall be in such 
standardized form and contain such information as 
the Secretary determines (after consultation with the 
States) to be necessary— 
‘‘(A) to secure an accurate description of 
the activities funded through the grant under 
section 1921; 
‘‘(B) to determine the extent to which 
funds were expended consistent with the State’s 
application transmitted under section 1932(a); 
and 
‘‘(C) to describe the extent to which the 
State has met the goals and objectives it set 
forth in its State plan under section 1932(b). 
‘‘(3) MINIMUM CONTENTS.—Each report under 
this section shall, at a minimum, include the fol-
lowing information: 
‘‘(A)(i) The number of individuals served 
by the State under subpart II (by class of indi-
viduals). 
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‘‘(ii) The proportion of each class of such 
individuals which has health coverage. 
‘‘(iii) The types of services (as defined by 
the Secretary) provided under subpart II to in-
dividuals within each such class. 
‘‘(iv) The amounts spent under subpart II 
on each type of service (by class of individuals 
served). 
‘‘(B) Information on the status of sub-
stance use disorders in the State, including in-
formation (by county and by racial and ethnic 
group) on each of the following: 
‘‘(i) The proportion of adolescents 
using alcohol or other addictive drugs (in-
cluding nicotine). 
‘‘(ii) The proportion of adults (includ-
ing pregnant women) using alcohol or 
other addictive drugs (including nicotine). 
‘‘(iii) The proportion of adolescents 
using prescription drugs for nonmedical 
purposes. 
‘‘(iv) The proportion of adults using 
prescription drugs for nonmedical pur-
poses. 
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‘‘(v) The number of individuals (in-
cluding pregnant women) admitted to sub-
stance use disorder treatment programs 
(including group home arrangements). 
‘‘(vi) The number of deaths attrib-
utable to alcohol. 
‘‘(vii) The number of deaths attrib-
utable to illicit drugs. 
‘‘(viii) The number of deaths attrib-
utable to prescription drugs. 
‘‘(C) Information on the number and type 
of health care practitioners licensed in the State 
and providing substance use disorder-related 
services. 
‘‘(4) AVAILABILITY
OF
REPORTS.—The Sec-
retary shall, upon request, provide a copy of any re-
port under this section to any interested public 
agency.’’. 
SEC. 227. MENTAL HEALTH PARITY. 
In the case of a group health plan or health insurance 
coverage that provides both medical and surgical benefits 
and mental health and substance use disorder benefits, the 
Paul Wellstone and Pete Domenici Mental Health Parity 
and Addiction Equity Act of 2008 (subtitle B of title V 
of division C of Public Law 110–343) and the amend-
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