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brief intervention, and referral for appro-
priate treatment of patients with or at risk 
of developing opioid or other substance use 
disorders, completed not less than 8 hours 
of training (through classroom situations, 
seminars at professional society meetings, 
electronic communications, or otherwise) 
that is provided by— 
‘‘(I) the American Society of Ad-
diction Medicine, the American Acad-
emy of Addiction Psychiatry, the 
American Medical Association, the 
American Osteopathic Association, the 
American Dental Association, the 
American Association of Oral and 
Maxillofacial Surgeons, the American 
Psychiatric Association, or any other 
organization accredited by the Accred-
itation Council for Continuing Medical 
Education (commonly known as the 
‘ACCME’) or the Commission on 
Dental Accreditation; 
‘‘(II) any organization accredited 
by a State medical society accreditor 
that is recognized by the ACCME or 
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the Commission on Dental Accredita-
tion; 
‘‘(III) any organization accred-
ited by the American Osteopathic As-
sociation to provide continuing med-
ical education; or 
‘‘(IV) any organization approved 
by the Assistant Secretary for Mental 
Health and Substance Abuse, the 
ACCME, or the Commission on Den-
tal Accreditation. 
‘‘(v) The physician graduated in good 
standing from an accredited school of 
allopathic medicine, osteopathic medicine, 
dental surgery, or dental medicine in the 
United States during the 5-year period im-
mediately preceding the date on which the 
physician first registers or renews under 
this section and has successfully completed 
a comprehensive allopathic or osteopathic 
medicine curriculum or accredited medical 
residency or dental surgery or dental medi-
cine curriculum that included not less than 
8 hours of training on— 
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‘‘(I) treating and managing pa-
tients with opioid and other substance 
use disorders, including the appro-
priate clinical use of all drugs ap-
proved by the Food and Drug Admin-
istration for the treatment of a sub-
stance use disorder; or 
‘‘(II) the safe pharmacological 
management of dental pain and 
screening, brief intervention, and re-
ferral for appropriate treatment of pa-
tients with or at risk of developing 
opioid and other substance use dis-
orders. 
‘‘(B) If the practitioner is not a physician 
(as defined under section 1861(r) of the Social 
Security Act), the practitioner meets one or 
more of the following conditions: 
‘‘(i) The practitioner has completed 
not fewer than 8 hours of training with re-
spect to the treatment and management of 
patients with opioid or other substance use 
disorders (through classroom situations, 
seminars at professional society meetings, 
electronic communications, or otherwise) 
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provided by the American Society of Addic-
tion Medicine, the American Academy of 
Addiction Psychiatry, the American Med-
ical Association, the American Osteopathic 
Association, 
the 
American 
Nurses 
Credentialing Center, the American Psy-
chiatric Association, the American Associa-
tion of Nurse Practitioners, the American 
Academy of Physician Associates, or any 
other organization approved or accredited 
by the Assistant Secretary for Mental 
Health and Substance Abuse or the Ac-
creditation Council for Continuing Medical 
Education. 
‘‘(ii) The practitioner has graduated 
in good standing from an accredited physi-
cian assistant school or accredited school 
of advanced practice nursing in the United 
States during the 5-year period imme-
diately preceding the date on which the 
practitioner first registers or renews under 
this section and has successfully completed 
a comprehensive physician assistant or ad-
vanced practice nursing curriculum that 
included not fewer than 8 hours of training 
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on treating and managing patients with 
opioid and other substance use disorders, 
including the appropriate clinical use of all 
drugs approved by the Food and Drug Ad-
ministration for the treatment of a sub-
stance use disorder. 
‘‘(2) ONE-TIME TRAINING.— 
‘‘(A) IN GENERAL.—The Attorney General 
shall not require any qualified practitioner to 
complete the training described in clause (iv) or 
(v) of paragraph (1)(A) or clause (i) or (ii) of 
paragraph (1)(B) more than once. 
‘‘(B) NOTIFICATION.—Not later than 90 
days after the date of the enactment of the Re-
storing Hope for Mental Health and Well-Being 
Act of 2022, the Attorney General shall provide 
to qualified practitioners a single written, elec-
tronic notification of the training described in 
clauses (iv) and (v) of paragraph (1)(A) or 
clauses (i) and (ii) of paragraph (1)(B). 
‘‘(3) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to preclude the 
use, by a qualified practitioner, of training received 
pursuant to this subsection to satisfy registration re-
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quirements of a State or for some other lawful pur-
pose. 
‘‘(4) DEFINITIONS.—In this section: 
‘‘(A) FIRST APPLICABLE REGISTRATION.— 
The term ‘first applicable registration’ means 
the first registration or renewal of registration 
by a qualified practitioner under this section 
that occurs on or after the date that is 180 
days after the date of enactment of the Restor-
ing Hope for Mental Health and Well-Being 
Act of 2022. 
‘‘(B) QUALIFIED PRACTITIONER.—In this 
subsection, the term ‘qualified practitioner’ 
means a practitioner who— 
‘‘(i) is licensed under State law to pre-
scribe controlled substances; and 
‘‘(ii) is not solely a veterinarian.’’. 
SEC. 264. INCREASE IN NUMBER OF DAYS BEFORE WHICH 
CERTAIN CONTROLLED SUBSTANCES MUST 
BE ADMINISTERED. 
Section 309A(a)(5) of the Controlled Substances Act 
(21 U.S.C. 829a(a)(5)) is amended by striking ‘‘14 days’’ 
and inserting ‘‘60 days’’. 
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SEC. 265. BLOCK, REPORT, AND SUSPEND SUSPICIOUS 
SHIPMENTS. 
(a) CLARIFICATION OF PROCESS FOR REGISTRANTS 
TO EXERCISE DUE DILIGENCE UPON DISCOVERING A 
SUSPICIOUS ORDER.—Paragraph (3) of section 312(a) of 
the Controlled Substances Act (21 U.S.C. 832(a)) is 
amended to read as follows: 
‘‘(3) upon discovering a suspicious order or se-
ries of orders, and in a manner consistent with the 
other requirements of this section— 
‘‘(A) exercise due diligence as appropriate; 
‘‘(B) establish and maintain (for not less 
than a period to be determined by the Adminis-
trator of the Drug Enforcement Administra-
tion) a record of the due diligence that was per-
formed; 
‘‘(C) decline to fill the order or series of 
orders if the due diligence fails to dispel all of 
the indicators that give rise to the suspicion 
that, if the order or series of orders is filled, the 
drugs that are the subject of the order or series 
of orders are likely to be diverted; and 
‘‘(D) notify the Administrator of the Drug 
Enforcement Administration and the Special 
Agent in Charge of the Division Office of the 
Drug Enforcement Administration for the area 
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in which the registrant is located or conducts 
business of— 
‘‘(i) each suspicious order or series of 
orders discovered by the registrant; and 
‘‘(ii) the indicators giving rise to the 
suspicion that, if the order or series of or-
ders is filled, the drugs that are the sub-
ject of the order or series of orders are 
likely to be diverted.’’. 
(b) RESOLUTION OF SUSPICIOUS INDICATORS.—Sec-
tion 312 of the Controlled Substances Act (21 U.S.C. 832) 
is amended— 
(1) by redesignating subsection (b) and (c) as 
subsections (c) and (d), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) RESOLUTION OF SUSPICIOUS INDICATORS.—If 
a registrant resolves all of the indicators giving rise to sus-
picion about an order or series of orders under subsection 
(a)(3)— 
‘‘(1) notwithstanding subsection (a)(3)(C), the 
registrant may choose to fill the order or series of 
orders; and 
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‘‘(2) notwithstanding subsection (a)(3)(D), the 
registrant may choose not to make the notification 
otherwise required by such subsection.’’. 
(c) REGULATIONS.—Not later than 1 year after the 
date of enactment of this Act, for purposes of subsections 
(a)(3) and (b) of section 312 of the Controlled Substances 
Act, as amended or inserted by subsection (a), the Attor-
ney General of the United States shall promulgate a final 
regulation specifying the indicators that give rise to a sus-
picion that, if an order or series of orders is filled, the 
drugs that are the subject of the order or series of orders 
are likely to be diverted. 
(d) APPLICABILITY.—Subsections (a)(3) and (b) of 
section 312 of the Controlled Substances Act, as amended 
or inserted by subsection (a), shall apply beginning on the 
day that is 1 year after the date of enactment of this Act. 
Until such day, section 312(a)(3) of the Controlled Sub-
stances Act shall apply as such section 312(a)(3) was in 
effect on the day before the date of enactment of this Act. 
Subtitle G—Opioid Epidemic 
Response 
SEC. 271. OPIOID PRESCRIPTION VERIFICATION. 
(a) MATERIALS
FOR TRAINING PHARMACISTS
ON 
CERTAIN CIRCUMSTANCES UNDER WHICH A PHARMACIST 
MAY DECLINE TO FILL A PRESCRIPTION.— 
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(1) UPDATES TO MATERIALS.—Section 3212(a) 
of the SUPPORT for Patients and Communities Act 
(21 U.S.C. 829 note) is amended by striking ‘‘Not 
later than 1 year after the date of enactment of this 
Act, the Secretary of Health and Human Services, 
in consultation with the Administrator of the Drug 
Enforcement Administration, Commissioner of Food 
and Drugs, Director of the Centers for Disease Con-
trol and Prevention, and Assistant Secretary for 
Mental Health and Substance Use, shall develop and 
disseminate’’ and inserting ‘‘The Secretary of 
Health and Human Services, in consultation with 
the Administrator of the Drug Enforcement Admin-
istration, Commissioner of Food and Drugs, Direc-
tor of the Centers for Disease Control and Preven-
tion, and Assistant Secretary for Mental Health and 
Substance Use, shall develop and disseminate not 
later than 1 year after the date of enactment of this 
Act, and update periodically thereafter’’. 
(2) MATERIALS INCLUDED.—Section 3212(b) of 
the SUPPORT for Patients and Communities Act 
(21 U.S.C. 829 note) is amended— 
(A) by redesignating paragraphs (1) and 
(2) as paragraphs (2) and (3), respectively; and 
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(B) by inserting before paragraph (2), as 
so redesignated, the following new paragraph: 
‘‘(1) pharmacists on how to verify the identity 
of the patient;’’. 
(3) MATERIALS
FOR
TRAINING
ON
PATIENT 
VERIFICATION .—Section 3212 of the SUPPORT 
for Patients and Communities Act (21 U.S.C. 829 
note) is amended by adding at the end the following 
new subsection: 
‘‘(d) MATERIALS FOR TRAINING ON VERIFICATION 
OF IDENTITY.—Not later than 1 year after the date of 
enactment of this subsection, the Secretary of Health and 
Human Services, after seeking stakeholder input in ac-
cordance with subsection (c), shall— 
‘‘(1) update the materials developed under sub-
section (a) to include information for pharmacists on 
how to verify the identity the patient; and 
‘‘(2) disseminate, as appropriate, the updated 
materials.’’. 
(b) INCENTIVIZING STATES TO FACILITATE RESPON-
SIBLE, INFORMED DISPENSING OF CONTROLLED SUB-
STANCES.— 
(1) IN GENERAL.—Section 392A of the Public 
Health Service Act (42 U.S.C. 280b–1) is amend-
ed— 
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(A) by redesignating subsections (c) and 
(d) as subsections (d) and (e), respectively; and 
(B) by inserting after subsection (b) the 
following new subsection: 
‘‘(c) PREFERENCE.—In determining the amounts of 
grants awarded to States under subsections (a) and (b), 
the Director of the Centers for Disease Control and Pre-
vention may give preference to States in accordance with 
such criteria as the Director may specify and may choose 
to give preference to States that— 
‘‘(1) maintain a prescription drug monitoring 
program; 
‘‘(2) require prescribers of controlled substances 
in schedule II, III, or IV to issue such prescriptions 
electronically, and make such requirement subject to 
exceptions in the cases listed in section 1860D– 
4(e)(7)(B) of the Social Security Act; and 
‘‘(3) require dispensers of such controlled sub-
stances to enter certain information about the pur-
chase of such controlled substances into the respec-
tive State’s prescription drug monitoring program, 
including— 
‘‘(A) the National Drug Code or, in the 
case of compounded medications, compound 
identifier; 
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‘‘(B) the quantity dispensed; 
‘‘(C) the patient identifier; and 
‘‘(D) the date filled.’’. 
(2) DEFINITIONS.— 
(A) IN GENERAL.—Subsection (d) of sec-
tion 392A of the Public Health Service Act (42 
U.S.C. 280b–1), as redesignated by paragraph 
(1)(A), is amended to read as follows: 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) CONTROLLED
SUBSTANCE.—The term 
‘controlled substance’ has the meaning given that 
term in section 102 of the Controlled Substances 
Act. 
‘‘(2) DISPENSER.—The term ‘dispenser’ means 
a physician, pharmacist, or other person that dis-
penses a controlled substance to an ultimate user. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given that term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act.’’. 
(B) CONFORMING CHANGE.—Section 392A 
of the Public Health Service Act (42 U.S.C. 
280b–1) is amended by striking ‘‘Indian tribes’’ 
each place it appears and inserting ‘‘Indian 
Tribes’’. 
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SEC. 272. SYNTHETIC OPIOID DANGER AWARENESS. 
(a) SYNTHETIC OPIOIDS PUBLIC AWARENESS CAM-
PAIGN.—Part B of title III of the Public Health Service 
Act is amended by inserting after section 317U (42 U.S.C. 
247b–23) the following new section: 
‘‘SEC. 317V. SYNTHETIC OPIOIDS PUBLIC AWARENESS CAM-
PAIGN. 
‘‘(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this section, the Secretary shall 
provide for the planning and implementation of a public 
education campaign to raise public awareness of synthetic 
opioids (including fentanyl and its analogues). Such cam-
paign shall include the dissemination of information 
that— 
‘‘(1) promotes awareness about the potency and 
dangers of fentanyl and its analogues and other syn-
thetic opioids; 
‘‘(2) explains services provided by the Sub-
stance Abuse and Mental Health Services Adminis-
tration and the Centers for Disease Control and 
Prevention (and any entity providing such services 
under a contract entered into with such agencies) 
with respect to the misuse of opioids, particularly as 
such services relate to the provision of alternative, 
non-opioid pain management treatments; and 
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‘‘(3) relates generally to opioid use and pain 
management. 
‘‘(b) USE OF MEDIA.—The campaign under sub-
section (a) may be implemented through the use of tele-
vision, radio, internet, in-person public communications, 
and other commercial marketing venues and may be tar-
geted to specific age groups. 
‘‘(c) CONSIDERATION
OF REPORT FINDINGS.—In 
planning and implementing the public education campaign 
under subsection (a), the Secretary shall take into consid-
eration the findings of the report required under section 
7001 of the SUPPORT for Patients and Communities Act 
(Public Law 115–271). 
‘‘(d) CONSULTATION.—In coordinating the campaign 
under subsection (a), the Secretary shall consult with the 
Assistant Secretary for Mental Health and Substance Use 
to provide ongoing advice on the effectiveness of informa-
tion disseminated through the campaign. 
‘‘(e) REQUIREMENT OF CAMPAIGN.—The campaign 
implemented under subsection (a) shall not be duplicative 
of any other Federal efforts relating to eliminating the 
misuse of opioids. 
‘‘(f) EVALUATION.— 
‘‘(1) IN GENERAL.—The Secretary shall ensure 
that the campaign implemented under subsection (a) 
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is subject to an independent evaluation, beginning 2 
years after the date of the enactment of this section, 
and every 2 years thereafter. 
‘‘(2) MEASURES AND BENCHMARKS.—For pur-
poses of an evaluation conducted pursuant to para-
graph (1), the Secretary shall— 
‘‘(A) establish baseline measures and 
benchmarks to quantitatively evaluate the im-
pact of the campaign under this section; and 
‘‘(B) conduct qualitative assessments re-
garding the effectiveness of strategies employed 
under this section. 
‘‘(g) REPORT.—The Secretary shall, beginning 2 
years after the date of the enactment of this section, and 
every 2 years thereafter, submit to Congress a report on 
the effectiveness of the campaign implemented under sub-
section (a) towards meeting the measures and benchmarks 
established under subsection (e)(2). 
‘‘(h) DISSEMINATION
OF INFORMATION THROUGH 
PROVIDERS.—The Secretary shall develop and implement 
a plan for the dissemination of information related to syn-
thetic opioids, to health care providers who participate in 
Federal programs, including programs administered by 
the Department of Health and Human Services, the In-
dian Health Service, the Department of Veterans Affairs, 
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the Department of Defense, and the Health Resources and 
Services Administration, the Medicare program under title 
XVIII of the Social Security Act, and the Medicaid pro-
gram under title XIX of such Act.’’. 
(b) TRAINING GUIDE AND OUTREACH ON SYNTHETIC 
OPIOID EXPOSURE PREVENTION.— 
(1) TRAINING
GUIDE.—Not later than 18 
months after the date of the enactment of this Act, 
the Secretary of Health and Human Services shall 
design, publish, and make publicly available on the 
internet website of the Department of Health and 
Human Services, a training guide and webinar for 
first responders and other individuals who also may 
be at high risk of exposure to synthetic opioids that 
details measures to prevent that exposure. 
(2) OUTREACH.—Not later than 18 months 
after the date of the enactment of this Act, the Sec-
retary of Health and Human Services shall also con-
duct outreach about the availability of the training 
guide and webinar published under paragraph (1) 
to— 
(A) police and fire managements; 
(B) sheriff deputies in city and county 
jails; 
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(C) ambulance transport and hospital 
emergency room personnel; 
(D) clinicians; and 
(E) other high-risk occupations, as identi-
fied by the Assistant Secretary for Mental 
Health and Substance Use. 
SEC. 273. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO OPIOID AND STIMULANT USE AND 
MISUSE. 
Section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3 note) is amended to read as follows: 
‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO OPIOID AND STIMULANT USE AND 
MISUSE. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘Sec-
retary’) shall carry out the grant program described in 
subsection (b) for purposes of addressing opioid and stim-
ulant use and misuse, within States, Indian Tribes, and 
populations served by Tribal organizations and Urban In-
dian organizations. 
‘‘(b) GRANTS PROGRAM.— 
‘‘(1) IN GENERAL.—Subject to the availability 
of appropriations, the Secretary shall award grants 
to States, Indian Tribes, Tribal organizations, and 
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Urban Indian organizations for the purpose of ad-
dressing opioid and stimulant use and misuse, within 
such States, such Indian Tribes, and populations 
served by such Tribal organizations and Urban In-
dian organizations, in accordance with paragraph 
(2). 
‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 
In determining grant amounts for each recipient of 
a grant under paragraph (1), the Secretary shall— 
‘‘(A) ensure that each State receives not 
less than $4,000,000; and 
‘‘(B) give preference to States, Indian 
Tribes, Tribal organizations, and Urban Indian 
organizations whose populations have an inci-
dence or prevalence of opioid use disorders or 
stimulant use or misuse that is substantially 
higher relative to the populations of other 
States, other Indian Tribes, Tribal organiza-
tions, or Urban Indian organizations, as appli-
cable. 
‘‘(3) FORMULA METHODOLOGY.— 
‘‘(A) IN
GENERAL.—Before publishing a 
funding opportunity announcement with respect 
to grants under this section, the Secretary 
shall— 
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‘‘(i) develop a formula methodology to 
be followed in allocating grant funds 
awarded under this section among grant-
ees, which includes performance assess-
ments for continuation awards; and 
‘‘(ii) not later than 30 days after de-
veloping the formula methodology under 
clause (i), submit the formula methodology 
to— 
‘‘(I) the Committee on Energy 
and Commerce and the Committee on 
Appropriations of the House of Rep-
resentatives; and 
‘‘(II) the Committee on Health, 
Education, Labor, and Pensions and 
the Committee on Appropriations of 
the Senate. 
‘‘(B) REPORT.—Not later than two years 
after the date of the enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 
2022, the Comptroller General of the United 
States shall submit to the Committee on 
Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Com-
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merce of the House of Representatives a report 
that— 
‘‘(i) assesses how grant funding is al-
located to States under this section and 
how such allocations have changed over 
time; 
‘‘(ii) assesses how any changes in 
funding under this section have affected 
the efforts of States to address opioid or 
stimulant use or misuse; and 
‘‘(iii) assesses the use of funding pro-
vided through the grant program under 
this section and other similar grant pro-
grams administered by the Substance 
Abuse and Mental Health Services Admin-
istration. 
‘‘(4) USE OF FUNDS.—Grants awarded under 
this subsection shall be used for carrying out activi-
ties that supplement activities pertaining to opioid 
and stimulant use and misuse, undertaken by the 
State agency responsible for administering the sub-
stance abuse prevention and treatment block grant 
under subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), 
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which may include public health-related activities 
such as the following: 
‘‘(A) Implementing prevention activities, 
and evaluating such activities to identify effec-
tive strategies to prevent substance use dis-
orders. 
‘‘(B) Establishing or improving prescrip-
tion drug monitoring programs. 
‘‘(C) Training for health care practitioners, 
such as best practices for prescribing opioids, 
pain management, recognizing potential cases 
of substance use disorders, referral of patients 
to treatment programs, preventing diversion of 
controlled substances, and overdose prevention. 
‘‘(D) Supporting access to health care 
services, including— 
‘‘(i) services provided by federally cer-
tified opioid treatment programs; 
‘‘(ii) outpatient and residential sub-
stance use disorder treatment services that 
utilize medication-assisted treatment, as 
appropriate; or 
‘‘(iii) other appropriate health care 
providers to treat substance use disorders. 
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‘‘(E) Recovery support services, includ-
ing— 
‘‘(i) community-based services that in-
clude peer supports; 
‘‘(ii) mutual aid recovery programs 
that support medication-assisted treat-
ment; or 
‘‘(iii) services to address housing 
needs and family issues. 
‘‘(F) Other public health-related activities, 
as the State, Indian Tribe, Tribal organization, 
or Urban Indian organization determines appro-
priate, related to addressing substance use dis-
orders within the State, Indian Tribe, Tribal or-
ganization, or Urban Indian organization, in-
cluding directing resources in accordance with 
local needs related to substance use disorders. 
‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re-
ceiving a grant under subsection (b) shall include in re-
porting related to substance use disorders submitted to the 
Secretary pursuant to section 1942 of the Public Health 
Service Act (42 U.S.C. 300x–52), a description of— 
‘‘(1) the purposes for which the grant funds re-
ceived by the State under such subsection for the 
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preceding fiscal year were expended and a descrip-
tion of the activities of the State under the grant; 
‘‘(2) the ultimate recipients of amounts pro-
vided to the State; and 
‘‘(3) the number of individuals served through 
the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pur-
suant to subsection (i)— 
‘‘(1) shall not be used for any purpose other 
than the grant program under subsection (b); and 
‘‘(2) shall be subject to the same requirements 
as substance use disorders prevention and treatment 
programs under titles V and XIX of the Public 
Health Service Act (42 U.S.C. 290aa et seq., 300w 
et seq.). 
‘‘(e) INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND 
URBAN INDIAN ORGANIZATIONS.—The Secretary, in con-
sultation with Indian Tribes, Tribal organizations, and 
Urban Indian organizations, shall identify and establish 
appropriate mechanisms for Indian Tribes, Tribal organi-
zations, and Urban Indian organizations to demonstrate 
or report the information as required under subsections 
(b), (c), and (d). 
‘‘(f) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2024, and biennially thereafter, the Secretary 
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shall submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives, 
and the Committees on Appropriations of the House of 
Representatives and the Senate, a report that includes a 
summary of the information provided to the Secretary in 
reports made pursuant to subsections (c) and (e), includ-
ing— 
‘‘(1) the purposes for which grant funds are 
awarded under this section; 
‘‘(2) the activities of the grant recipients; and 
‘‘(3) for each State, Indian Tribe, Tribal orga-
nization, and Urban Indian organization that re-
ceives a grant under this section, the funding level 
provided to such recipient. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in-
cluding through the Tribal Training and Technical Assist-
ance Center of the Substance Abuse and Mental Health 
Services Administration, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organiza-
tions, as applicable, with technical assistance concerning 
grant application and submission procedures under this 
section, award management activities, and enhancing out-
reach and direct support to rural and underserved commu-
nities and providers in addressing substance use disorders. 
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‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given the term ‘Indian tribe’ in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given the term ‘tribal 
organization’ in such section 4. 
‘‘(3) STATE.—The term ‘State’ has the mean-
ing given such term in section 1954(b) of the Public 
Health Service Act (42 U.S.C. 300x–64(b)). 
‘‘(4) URBAN INDIAN ORGANIZATION.—The term 
‘Urban Indian organization’ has the meaning given 
such term in section 4 of the Indian Health Care 
Improvement Act. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying 
out the grant program under subsection (b), there is 
authorized to be appropriated $1,750,000,000 for 
each of fiscal years 2023 through 2027, to remain 
available until expended. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 
Of the amounts made available for each fiscal year 
to award grants under subsection (b), the Secretary 
shall not use more than 20 percent for Federal ad-
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ministrative expenses, training, technical assistance, 
and evaluation. 
‘‘(3) SET ASIDE.—Of the amounts made avail-
able for each fiscal year to award grants under sub-
section (b) for a fiscal year, the Secretary shall— 
‘‘(A) award 5 percent to Indian Tribes, 
Tribal organizations, and Urban Indian organi-
zations; and 
‘‘(B) of the amount remaining after appli-
cation of subparagraph (A), set aside up to 15 
percent for awards to States with the highest 
age-adjusted rate of drug overdose death based 
on the ordinal ranking of States according to 
the Director of the Centers for Disease Control 
and Prevention.’’. 
TITLE III—ACCESS TO MENTAL 
HEALTH CARE AND COVERAGE 
Subtitle A—Collaborate in an 
Orderly and Cohesive Manner 
SEC. 301. INCREASING UPTAKE OF THE COLLABORATIVE 
CARE MODEL. 
Section 520K of the Public Health Service Act (42 
U.S.C. 290bb–42) is amended to read as follows: 
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‘‘SEC. 520K. INTEGRATION INCENTIVE GRANTS AND COOP-
ERATIVE AGREEMENTS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) COLLABORATIVE CARE MODEL.—The term 
‘collaborative care model’ means the evidence-based, 
integrated behavioral health service delivery method 
that includes— 
‘‘(A) care directed by the primary care 
team; 
‘‘(B) structured care management; 
‘‘(C) regular assessments of clinical status 
using developmentally appropriate, validated 
tools; and 
‘‘(D) modification of treatment as appro-
priate. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a State, or an appropriate State agency, 
in collaboration with— 
‘‘(A) 1 or more qualified community pro-
grams as described in section 1913(b)(1); 
‘‘(B) 1 or more health centers (as defined 
in section 330(a)), a rural health clinic (as de-
fined in section 1961(aa) of the Social Security 
Act), or a Federally qualified health center (as 
defined in such section); or 
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‘‘(C) 1 or more primary health care prac-
tices. 
‘‘(3) INTEGRATED CARE; BIDIRECTIONAL INTE-
GRATED CARE.— 
‘‘(A) The term ‘integrated care’ means 
models or practices for coordinating and jointly 
delivering behavioral and physical health serv-
ices, which may include practices that share the 
same space in the same facility. 
‘‘(B) The term ‘bidirectional integrated 
care’ means the integration of behavioral health 
care and specialty physical health care, as well 
as the integration of primary and physical 
health care with specialty behavioral health set-
tings, including within primary health care set-
tings. 
‘‘(4) PRIMARY HEALTH CARE PROVIDER.—The 
term ‘primary health care provider’ means a pro-
vider who— 
‘‘(A) provides health services related to 
family medicine, internal medicine, pediatrics, 
obstetrics, gynecology, or geriatrics; or 
‘‘(B) is a doctor of medicine or osteopathy, 
physician assistant, or nurse practitioner, who 
is licensed to practice medicine by the State in 
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which such physician, assistant, or practitioner 
primarily practices, including within primary 
health care settings. 
‘‘(5) PRIMARY HEALTH CARE PRACTICE.—The 
term ‘primary health care practice’ means a medical 
practice of primary health care providers, including 
a practice within a larger health care system. 
‘‘(6) SPECIAL POPULATION.—The term ‘special 
population’, for an eligible entity that is collabo-
rating with an entity described in subparagraph (A) 
or (B) of paragraph (3), means— 
‘‘(A) adults with a serious mental illness 
who have a co-occurring physical health condi-
tion or chronic disease; 
‘‘(B) children and adolescents with a men-
tal illness who have a co-occurring physical 
health condition or chronic disease; 
‘‘(C) individuals with a substance use dis-
order; or 
‘‘(D) individuals with a mental illness who 
have a co-occurring substance use disorder. 
‘‘(b) GRANTS AND COOPERATIVE AGREEMENTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants and cooperative agreements to eligible entities 
to support the improvement of integrated care for 
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physical and behavioral health care in accordance 
with paragraph (2). 
‘‘(2) USE OF FUNDS.—A grant or cooperative 
agreement awarded under this section shall be 
used— 
‘‘(A) in the case of an eligible entity that 
is collaborating with an entity described in sub-
paragraph (A) or (B) of subsection (a)(2)— 
‘‘(i) to promote full integration and 
collaboration in clinical practices between 
physical and behavioral health care for spe-
cial populations including each population 
listed in subsection (a)(7); 
‘‘(ii) to support the improvement of 
integrated care models for physical and be-
havioral health care to improve the overall 
wellness and physical health status of— 
‘‘(I) adults with a serious mental 
illness or children with a serious emo-
tional disturbance; and 
‘‘(II) individuals with a substance 
use disorder; and 
‘‘(iii) to promote bidirectional inte-
grated care services including screening, 
diagnosis, prevention, treatment, and re-
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covery of mental and substance use dis-
orders, and co-occurring physical health 
conditions and chronic diseases; and 
‘‘(B) in the case of an eligible entity that 
is collaborating with a primary health care 
practice, to support the uptake of the collabo-
rative care model, including by— 
‘‘(i) hiring staff; 
‘‘(ii) identifying and formalizing con-
tractual relationships with other health 
care providers, including providers who will 
function as psychiatric consultants and be-
havioral health care managers in providing 
behavioral 
health 
integration 
services 
through the collaborative care model; 
‘‘(iii) purchasing or upgrading soft-
ware and other resources needed to appro-
priately provide behavioral health integra-
tion services through the collaborative care 
model, including resources needed to estab-
lish a patient registry and implement 
measurement-based care; and 
‘‘(iv) for such other purposes as the 
Secretary determines to be necessary. 
‘‘(c) APPLICATIONS.— 
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‘‘(1) IN GENERAL.—An eligible entity that is 
collaborating with an entity described in subpara-
graph (A) or (B) of subsection (a)(2) seeking a 
grant or cooperative agreement under subsection 
(b)(2)(A) shall submit an application to the Sec-
retary at such time, in such manner, and accom-
panied by such information as the Secretary may re-
quire, including the contents described in paragraph 
(2). 
‘‘(2) CONTENTS.—Any such application of an 
eligible entity described in subparagraph (A) or (B) 
of subsection (a)(2) shall include— 
‘‘(A) a description of a plan to achieve 
fully 
collaborative 
agreements 
to 
provide 
bidirectional integrated care to special popu-
lations; 
‘‘(B) a document that summarizes the poli-
cies, if any, that are barriers to the provision of 
integrated care, and the specific steps, if appli-
cable, that will be taken to address such bar-
riers; 
‘‘(C) a description of partnerships or other 
arrangements with local health care providers 
to provide services to special populations; 
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‘‘(D) an agreement and plan to report to 
the Secretary performance measures necessary 
to evaluate patient outcomes and facilitate eval-
uations across participating projects; 
‘‘(E) a description of how validated rating 
scales will be implemented to support the im-
provement of patient outcomes using measure-
ment-based care, including those related to de-
pression screening, patient follow-up, and symp-
tom remission; and 
‘‘(F) a plan for sustainability beyond the 
grant or cooperative agreement period under 
subsection (e). 
‘‘(3) COLLABORATIVE CARE MODEL GRANTS.— 
An eligible entity that is collaborating with a pri-
mary health care practice seeking a grant pursuant 
to subsection (b)(2)(B) shall submit an application 
to the Secretary at such time, in such manner, and 
accompanied by such information as the Secretary 
may require. 
‘‘(d) 
GRANT
AND
COOPERATIVE
AGREEMENT 
AMOUNTS.— 
‘‘(1) TARGET
AMOUNT.—The target amount 
that an eligible entity may receive for a year through 
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a grant or cooperative agreement under this section 
shall be— 
‘‘(A) $2,000,000 for an eligible entity de-
scribed in subparagraph (A) or (B) of sub-
section (a)(2); or 
‘‘(B) $100,000 or less for an eligible entity 
described in subparagraph (C) of subsection 
(a)(2). 
‘‘(2) 
ADJUSTMENT
PERMITTED.—The 
Sec-
retary, taking into consideration the quality of an el-
igible entity’s application and the number of eligible 
entities that received grants under this section prior 
to the date of enactment of the Restoring Hope for 
Mental Health and Well-Being Act of 2022, may ad-
just the target amount that an eligible entity may 
receive for a year through a grant or cooperative 
agreement under this section. 
‘‘(3) LIMITATION.—An eligible entity that is 
collaborating with an entity described in subpara-
graph (A) or (B) of subsection (a)(2) receiving fund-
ing under this section— 
‘‘(A) may not allocate more than 20 per-
cent of the funds awarded to such eligible entity 
under this section to administrative functions; 
and 
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‘‘(B) shall allocate the remainder of such 
funding to health facilities that provide inte-
grated care. 
‘‘(e) DURATION.—A grant or cooperative agreement 
under this section shall be for a period not to exceed 5 
years. 
‘‘(f) REPORT ON PROGRAM OUTCOMES.—An eligible 
entity receiving a grant or cooperative agreement under 
this section— 
‘‘(1) that is collaborating with an entity de-
scribed in subparagraph (A) or (B) of subsection 
(a)(2) shall submit an annual report to the Sec-
retary that includes— 
‘‘(A) the progress made to reduce barriers 
to integrated care as described in the entity’s 
application under subsection (c); and 
‘‘(B) a description of outcomes with re-
spect to each special population listed in sub-
section (a)(7), including outcomes related to 
education, employment, and housing; or 
‘‘(2) that is collaborating with a primary health 
care practice shall submit an annual report to the 
Secretary that includes— 
‘‘(A) the progress made to improve access; 
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‘‘(B) the progress made to improve patient 
outcomes; and 
‘‘(C) the progress made to reduce referrals 
to specialty care. 
‘‘(g) TECHNICAL ASSISTANCE FOR PRIMARY-BEHAV-
IORAL HEALTH CARE INTEGRATION.— 
‘‘(1) CERTAIN
RECIPIENTS.—The Secretary 
may provide appropriate information, training, and 
technical assistance to eligible entities that are col-
laborating with an entity described in subparagraph 
(A) or (B) of subsection (a)(2) that receive a grant 
or cooperative agreement under this section, in order 
to help such entities meet the requirements of this 
section, including assistance with— 
‘‘(A) development and selection of inte-
grated care models; 
‘‘(B) dissemination of evidence-based inter-
ventions in integrated care; 
‘‘(C) establishment of organizational prac-
tices to support operational and administrative 
success; and 
‘‘(D) other activities, as the Secretary de-
termines appropriate. 
‘‘(2) COLLABORATIVE
CARE
MODEL
RECIPI-
ENTS.—The Secretary shall provide appropriate in-
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formation, training, and technical assistance to eligi-
ble entities that are collaborating with primary 
health care practices that receive funds under this 
section to help such entities implement the collabo-
rative care model, including— 
‘‘(A) developing financial models and budg-
ets for implementing and maintaining a collabo-
rative care model, based on practice size; 
‘‘(B) developing staffing models for essen-
tial staff roles; 
‘‘(C) providing strategic advice to assist 
practices seeking to utilize other clinicians for 
additional psychotherapeutic interventions; 
‘‘(D) providing information technology ex-
pertise to assist with building the collaborative 
care model into electronic health records, in-
cluding assistance with care manager tools, pa-
tient registry, ongoing patient monitoring, and 
patient records; 
‘‘(E) training support for all key staff and 
operational consultation to develop practice 
workflows; 
‘‘(F) establishing methods to ensure the 
sharing of best practices and operational knowl-
edge among primary health care physicians and 
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primary health care practices that provide be-
havioral health integration services through the 
collaborative care model; and 
‘‘(G) providing guidance and instruction to 
primary health care physicians and primary 
health care practices on developing and main-
taining relationships with community-based 
mental health and substance use disorder facili-
ties for referral and treatment of patients 
whose clinical presentation or diagnosis is best 
suited for treatment at such facilities. 
‘‘(3) ADDITIONAL
DISSEMINATION
OF
TECH-
NICAL INFORMATION.—In addition to providing the 
assistance described in paragraphs (1) and (2) to re-
cipients of a grant or cooperative agreement under 
this section, the Secretary may also provide such as-
sistance to other States and political subdivisions of 
States, Indian Tribes and Tribal organizations (as 
defined under the Federally Recognized Indian Tribe 
List Act of 1994), outpatient mental health and ad-
diction treatment centers, community mental health 
centers that meet the criteria under section 1913(c), 
certified community behavioral health clinics de-
scribed in section 223 of the Protecting Access to 
Medicare Act of 2014, primary care organizations 
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such as Federally qualified health centers or rural 
health clinics as defined in section 1861(aa) of the 
Social Security Act, primary health care practices, 
other community-based organizations, and other en-
tities engaging in integrated care activities, as the 
Secretary determines appropriate. 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $60,000,000 for each of fiscal years 2023 through 
2027.’’. 
Subtitle B—Helping Enable Access 
to Lifesaving Services 
SEC. 311. REAUTHORIZATION AND PROVISION OF CERTAIN 
PROGRAMS TO STRENGTHEN THE HEALTH 
CARE WORKFORCE. 
(a) LIABILITY PROTECTIONS FOR HEALTH PROFES-
SIONAL VOLUNTEERS.—Section 224(q)(6) of the Public 
Health Service Act (42 U.S.C. 233(q)(6)) is amended by 
striking ‘‘October 1, 2022’’ and inserting ‘‘October 1, 
2027’’. 
(b) MINORITY FELLOWSHIPS IN CRISIS CARE MAN-
AGEMENT.—Section 597(b) of the Public Health Service 
Act (42 U.S.C. 290ll(b)) is amended by striking ‘‘in the 
fields of psychiatry,’’ and inserting ‘‘in the fields of crisis 
care management, psychiatry,’’. 
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(c) MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS.—Section 756 of the Public 
Health Service Act (42 U.S.C. 294e–1) is amended— 
(1) in subsection (a)(1), by inserting ‘‘(which 
may include master’s and doctoral level programs)’’ 
after ‘‘occupational therapy’’; and 
(2) in subsection (f), by striking ‘‘For each of 
fiscal years 2019 through 2023’’ and inserting ‘‘For 
each of fiscal years 2023 through 2027’’. 
(d) TRAINING DEMONSTRATION PROGRAM.—Section 
760(g) of the Public Health Service Act (42 U.S.C. 
294k(g)) is amended by inserting ‘‘and $31,700,000 for 
each of fiscal years 2023 through 2027’’ before the period 
at the end. 
SEC. 312. REAUTHORIZATION OF MINORITY FELLOWSHIP 
PROGRAM. 
Section 597(c) of the Public Health Service Act (42 
U.S.C. 290ll(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’’. 
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Subtitle C—Eliminating the Opt- 
Out 
for 
Nonfederal 
Govern-
mental Health Plans 
SEC. 321. ELIMINATING THE OPT-OUT FOR NONFEDERAL 
GOVERNMENTAL HEALTH PLANS. 
Section 2722(a)(2) of the Public Health Service Act 
(42 U.S.C. 300gg–21(a)(2)) is amended by adding at the 
end the following new subparagraph: 
‘‘(F) SUNSET OF ELECTION OPTION.— 
‘‘(i) IN
GENERAL.—Notwithstanding 
the preceding provisions of this para-
graph— 
‘‘(I) no election described in sub-
paragraph (A) with respect to section 
2726 may be made on or after the 
date of the enactment of this subpara-
graph; and 
‘‘(II) except as provided in clause 
(ii), no such election with respect to 
section 2726 expiring on or after the 
date that is 180 days after the date of 
such enactment may be renewed. 
‘‘(ii) EXCEPTION FOR CERTAIN COL-
LECTIVELY BARGAINED PLANS.—Notwith-
standing clause (i)(II), a plan described in 
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subparagraph (B)(ii) that is subject to 
multiple agreements described in such sub-
paragraph of varying lengths and that has 
an election described in subparagraph (A) 
with respect to section 2726 in effect as of 
the date of the enactment of this subpara-
graph that expires on or after the date 
that is 180 days after the date of such en-
actment may extend such election until the 
date on which the term of the last such 
agreement expires.’’. 
Subtitle 
D—Mental 
Health 
and 
Substance Use Disorder Parity 
Implementation 
SEC. 331. GRANTS TO SUPPORT MENTAL HEALTH AND SUB-
STANCE USE DISORDER PARITY IMPLEMEN-
TATION. 
(a) IN GENERAL.—Section 2794(c) of the Public 
Health Service Act (42 U.S.C. 300gg–94(c)) (as added by 
section 1003 of the Patient Protection and Affordable 
Care Act (Public Law 111–148)) is amended by adding 
at the end the following: 
‘‘(3) PARITY IMPLEMENTATION.— 
‘‘(A) IN GENERAL.—Beginning during the 
first fiscal year that begins after the date of en-
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actment of this paragraph, the Secretary shall, 
out of funds made available pursuant to sub-
paragraph (C), award grants to eligible States 
to enforce and ensure compliance with the men-
tal health and substance use disorder parity 
provisions of section 2726. 
‘‘(B) ELIGIBLE STATE.—A State shall be 
eligible for a grant awarded under this para-
graph only if such State— 
‘‘(i) submits to the Secretary an appli-
cation for such grant at such time, in such 
manner, and containing such information 
as specified by the Secretary; and 
‘‘(ii) agrees to request and review 
from health insurance issuers offering 
group or individual health insurance cov-
erage the comparative analyses and other 
information required of such health insur-
ance issuers under subsection (a)(8)(A) of 
section 2726 relating to the design and ap-
plication of nonquantitative treatment limi-
tations imposed on mental health or sub-
stance use disorder benefits. 
‘‘(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
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priated $10,000,000 for each of the first five 
fiscal years beginning after the date of the en-
actment of this paragraph, to remain available 
until expended, for purposes of awarding grants 
under subparagraph (A).’’. 
(b) TECHNICAL AMENDMENT.—Section 2794 of the 
Public Health Service Act (42 U.S.C. 300gg–95), as 
added by section 6603 of the Patient Protection and Af-
fordable Care Act (Public Law 111–148) is redesignated 
as section 2795. 
Subtitle E—Improving Emergency 
Department Mental Health Ac-
cess, Services, and Responders 
SEC. 341. HELPING EMERGENCY RESPONDERS OVERCOME. 
(a) DATA SYSTEM TO CAPTURE NATIONAL PUBLIC 
SAFETY
OFFICER
SUICIDE
INCIDENCE.—The Public 
Health Service Act is amended by inserting before section 
318 of such Act (42 U.S.C. 247c) the following: 
‘‘SEC. 317V. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC 
SAFETY OFFICER SUICIDE INCIDENCE. 
‘‘(a) IN GENERAL.—The Secretary, in coordination 
with the Director of the Centers for Disease Control and 
Prevention and other agencies as the Secretary determines 
appropriate, may— 
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‘‘(1) develop and maintain a data system, to be 
known as the Public Safety Officer Suicide Report-
ing System, for the purposes of— 
‘‘(A) collecting data on the suicide inci-
dence among public safety officers; and 
‘‘(B) facilitating the study of successful 
interventions to reduce suicide among public 
safety officers; and 
‘‘(2) integrate such system into the National 
Violent Death Reporting System, so long as the Sec-
retary determines such integration to be consistent 
with the purposes described in paragraph (1). 
‘‘(b) DATA COLLECTION.—In collecting data for the 
Public Safety Officer Suicide Reporting System, the Sec-
retary shall, at a minimum, collect the following informa-
tion: 
‘‘(1) The total number of suicides in the United 
States among all public safety officers in a given cal-
endar year. 
‘‘(2) Suicide rates for public safety officers in 
a given calendar year, disaggregated by— 
‘‘(A) age and gender of the public safety 
officer; 
‘‘(B) State; 
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‘‘(C) occupation; including both the indi-
vidual’s role in their public safety agency and 
their primary occupation in the case of volun-
teer public safety officers; 
‘‘(D) where available, the status of the 
public safety officer as volunteer, paid-on-call, 
or career; and 
‘‘(E) status of the public safety officer as 
active or retired. 
‘‘(c) CONSULTATION DURING DEVELOPMENT.—In 
developing the Public Safety Officer Suicide Reporting 
System, the Secretary shall consult with non-Federal ex-
perts to determine the best means to collect data regard-
ing suicide incidence in a safe, sensitive, anonymous, and 
effective manner. Such non-Federal experts shall include, 
as appropriate, the following: 
‘‘(1) Public health experts with experience in 
developing and maintaining suicide registries. 
‘‘(2) Organizations that track suicide among 
public safety officers. 
‘‘(3) Mental health experts with experience in 
studying suicide and other profession-related trau-
matic stress. 
‘‘(4) Clinicians with experience in diagnosing 
and treating mental health issues. 
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‘‘(5) Active and retired volunteer, paid-on-call, 
and career public safety officers. 
‘‘(6) Relevant national police, and fire and 
emergency medical services, organizations. 
‘‘(d) DATA PRIVACY AND SECURITY.—In developing 
and maintaining the Public Safety Officer Suicide Report-
ing System, the Secretary shall ensure that all applicable 
Federal privacy and security protections are followed to 
ensure that— 
‘‘(1) the confidentiality and anonymity of sui-
cide victims and their families are protected, includ-
ing so as to ensure that data cannot be used to deny 
benefits; and 
‘‘(2) data is sufficiently secure to prevent unau-
thorized access. 
‘‘(e) REPORTING.— 
‘‘(1) ANNUAL REPORT.—Not later than 2 years 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, and 
biannually thereafter, the Secretary shall submit a 
report to the Congress on the suicide incidence 
among public safety officers. Each such report 
shall— 
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‘‘(A) include the number and rate of such 
suicide incidence, disaggregated by age, gender, 
and State of employment; 
‘‘(B) identify characteristics and contrib-
uting circumstances for suicide among public 
safety officers; 
‘‘(C) disaggregate rates of suicide by— 
‘‘(i) occupation; 
‘‘(ii) status as volunteer, paid-on-call, 
or career; and 
‘‘(iii) status as active or retired; 
‘‘(D) include recommendations for further 
study regarding the suicide incidence among 
public safety officers; 
‘‘(E) specify in detail, if found, any obsta-
cles in collecting suicide rates for volunteers 
and include recommended improvements to 
overcome such obstacles; 
‘‘(F) identify options for interventions to 
reduce suicide among public safety officers; and 
‘‘(G) describe procedures to ensure the 
confidentiality and anonymity of suicide victims 
and their families, as described in subsection 
(d)(1). 
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‘‘(2) PUBLIC AVAILABILITY.—Upon the submis-
sion of each report to the Congress under paragraph 
(1), the Secretary shall make the full report publicly 
available on the website of the Centers for Disease 
Control and Prevention. 
‘‘(f) DEFINITION.—In this section, the term ‘public 
safety officer’ means— 
‘‘(1) a public safety officer as defined in section 
1204 of the Omnibus Crime Control and Safe 
Streets Act of 1968; or 
‘‘(2) a public safety telecommunicator as de-
scribed in detailed occupation 43–5031 in the Stand-
ard Occupational Classification Manual of the Office 
of Management and Budget (2018). 
‘‘(g) PROHIBITED USE OF INFORMATION.—Notwith-
standing any other provision of law, if an individual is 
identified as deceased based on information contained in 
the Public Safety Officer Suicide Reporting System, such 
information may not be used to deny or rescind life insur-
ance payments or other benefits to a survivor of the de-
ceased individual.’’. 
(b) PEER-SUPPORT
BEHAVIORAL
HEALTH
AND 
WELLNESS PROGRAMS WITHIN FIRE DEPARTMENTS AND 
EMERGENCY MEDICAL SERVICE AGENCIES.— 
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(1) IN GENERAL.—Part B of title III of the 
Public Health Service Act (42 U.S.C. 243 et seq.) 
is amended by adding at the end the following: 
‘‘SEC. 320C. PEER-SUPPORT BEHAVIORAL HEALTH AND 
WELLNESS PROGRAMS WITHIN FIRE DEPART-
MENTS AND EMERGENCY MEDICAL SERVICE 
AGENCIES. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to eligible entities for the purpose of establishing or en-
hancing peer-support behavioral health and wellness pro-
grams within fire departments and emergency medical 
services agencies. 
‘‘(b) PROGRAM DESCRIPTION.—A peer-support be-
havioral health and wellness program funded under this 
section shall— 
‘‘(1) use career and volunteer members of fire 
departments or emergency medical services agencies 
to serve as peer counselors; 
‘‘(2) provide training to members of career, vol-
unteer, and combination fire departments or emer-
gency medical service agencies to serve as such peer 
counselors; 
‘‘(3) purchase materials to be used exclusively 
to provide such training; and 
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‘‘(4) disseminate such information and mate-
rials as are necessary to conduct the program. 
‘‘(c) DEFINITION.—In this section: 
‘‘(1) The term ‘eligible entity’ means a non-
profit organization with expertise and experience 
with respect to the health and life safety of members 
of fire and emergency medical services agencies. 
‘‘(2) The term ‘member’— 
‘‘(A) with respect to an emergency medical 
services agency, means an employee, regardless 
of rank or whether the employee receives com-
pensation (as defined in section 1204(7) of the 
Omnibus Crime Control and Safe Streets Act of 
1968); and 
‘‘(B) with respect to a fire department, 
means any employee, regardless of rank or 
whether the employee receives compensation, of 
a Federal, State, Tribal, or local fire depart-
ment who is responsible for responding to calls 
for emergency service.’’. 
(2) TECHNICAL CORRECTION.—Effective as if 
included in the enactment of the Children’s Health 
Act of 2000 (Public Law 106–310), the amendment 
instruction in section 1603 of such Act is amended 
by striking ‘‘Part B of the Public Health Service 
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Act’’ and inserting ‘‘Part B of title III of the Public 
Health Service Act’’. 
(c) HEALTH CARE PROVIDER BEHAVIORAL HEALTH 
AND WELLNESS PROGRAMS.—Part B of title III of the 
Public Health Service Act (42 U.S.C. 243 et seq.), as 
amended by subsection (b)(1), is further amended by add-
ing at the end the following: 
‘‘SEC. 
320D. 
HEALTH 
CARE 
PROVIDER 
BEHAVIORAL 
HEALTH AND WELLNESS PROGRAMS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to eligible entities for the purpose of establishing or en-
hancing behavioral health and wellness programs for 
health care providers. 
‘‘(b) PROGRAM DESCRIPTION.—A behavioral health 
and wellness program funded under this section shall— 
‘‘(1) provide confidential support services for 
health care providers to help handle stressful or 
traumatic patient-related events, including coun-
seling services and wellness seminars; 
‘‘(2) provide training to health care providers to 
serve as peer counselors to other health care pro-
viders; 
‘‘(3) purchase materials to be used exclusively 
to provide such training; and 
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‘‘(4) disseminate such information and mate-
rials as are necessary to conduct such training and 
provide such peer counseling. 
‘‘(c) DEFINITIONS.—In this section, the term ‘eligible 
entity’ means a hospital, including a critical access hos-
pital (as defined in section 1861(mm)(1) of the Social Se-
curity Act) or a disproportionate share hospital (as defined 
under section 1923(a)(1)(A) of such Act), a Federally- 
qualified 
health 
center 
(as 
defined 
in 
section 
1905(1)(2)(B) of such Act), or any other health care facil-
ity.’’. 
(d) DEVELOPMENT OF RESOURCES FOR EDUCATING 
MENTAL HEALTH PROFESSIONALS ABOUT TREATING 
FIRE FIGHTERS AND EMERGENCY MEDICAL SERVICES 
PERSONNEL.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall develop and make publicly 
available resources that may be used by the Federal 
Government and other entities to educate mental 
health professionals about— 
(A) the culture of Federal, State, Tribal, 
and local career, volunteer, and combination 
fire departments and emergency medical serv-
ices agencies; 
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(B) the different stressors experienced by 
firefighters and emergency medical services per-
sonnel, supervisory firefighters and emergency 
medical services personnel, and chief officers of 
fire departments and emergency medical serv-
ices agencies; 
(C) challenges encountered by retired fire-
fighters and emergency medical services per-
sonnel; and 
(D) evidence-based therapies for mental 
health issues common to firefighters and emer-
gency medical services personnel within such 
departments and agencies. 
(2) CONSULTATION.—In developing resources 
under paragraph (1), the Secretary of Health and 
Human Services shall consult with national fire and 
emergency medical services organizations. 
(3) DEFINITIONS.—In this subsection: 
(A) The term ‘‘firefighter’’ means any em-
ployee, regardless of rank or whether the em-
ployee receives compensation, of a Federal, 
State, Tribal, or local fire department who is 
responsible for responding to calls for emer-
gency service. 
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(B) The term ‘‘emergency medical services 
personnel’’ means any employee, regardless of 
rank or whether the employee receives com-
pensation, as defined in section 1204(7) of the 
Omnibus Crime Control and Safe Streets Act of 
1968 (34 U.S.C. 10284(7)). 
(C) The term ‘‘chief officer’’ means any in-
dividual who is responsible for the overall oper-
ation of a fire department or an emergency 
medical services agency, irrespective of whether 
such individual also serves as a firefighter or 
emergency medical services personnel. 
(e) BEST PRACTICES AND OTHER RESOURCES FOR 
ADDRESSING
POSTTRAUMATIC
STRESS
DISORDER
IN 
PUBLIC SAFETY OFFICERS.— 
(1) DEVELOPMENT; UPDATES.—The Secretary 
of Health and Human Services shall— 
(A) develop and assemble evidence-based 
best practices and other resources to identify, 
prevent, and treat posttraumatic stress disorder 
and co-occurring disorders in public safety offi-
cers; and 
(B) reassess and update, as the Secretary 
determines necessary, such best practices and 
resources, including based upon the options for 
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interventions to reduce suicide among public 
safety officers identified in the annual reports 
required by section 317V(e)(1)(F) of the Public 
Health Service Act, as added by subsection (a). 
(2) CONSULTATION.—In developing, assem-
bling, and updating the best practices and resources 
under paragraph (1), the Secretary of Health and 
Human Services shall consult with, at a minimum, 
the following: 
(A) Public health experts. 
(B) Mental health experts with experience 
in studying suicide and other profession-related 
traumatic stress. 
(C) Clinicians with experience in diag-
nosing and treating mental health issues. 
(D) Relevant national police, fire, and 
emergency medical services organizations. 
(3) AVAILABILITY.—The Secretary of Health 
and Human Services shall make the best practices 
and resources under paragraph (1) available to Fed-
eral, State, and local fire, law enforcement, and 
emergency medical services agencies. 
(4) FEDERAL
TRAINING
AND
DEVELOPMENT 
PROGRAMS.—The Secretary of Health and Human 
Services shall work with Federal departments and 
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agencies, including the United States Fire Adminis-
tration, to incorporate education and training on the 
best practices and resources under paragraph (1) 
into Federal training and development programs for 
public safety officers. 
(5) DEFINITION.—In this subsection, the term 
‘‘public safety officer’’ means— 
(A) a public safety officer as defined in 
section 1204 of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10284); or 
(B) a public safety telecommunicator as 
described in detailed occupation 43–5031 in the 
Standard Occupational Classification Manual of 
the Office of Management and Budget (2018). 
Subtitle F—Other Provisions 
SEC. 
351. 
REPORT 
ON 
LAW 
ENFORCEMENT 
MENTAL 
HEALTH AND WELLNESS. 
(a) IN GENERAL.—Not later than 270 days after the 
date of enactment of this Act, the Attorney General, in 
consultation with the Director of the Federal Bureau of 
Investigation, the Director of the National Institute for 
Justice, and the Assistant Secretary for Mental Health 
and Substance Abuse, shall submit to the Committee on 
Health, Education, Labor, and Pensions and the Com-
mittee on the Judiciary of the Senate and the Committee 
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on Energy and Commerce and the Committee on the Judi-
ciary of the House of Representatives a report on— 
(1) the types, frequency, and severity of mental 
health and stress-related responses of law enforce-
ment officers to aggressive actions or other trauma- 
inducing incidents against law enforcement officers; 
(2) mental health and stress-related resources 
or programs that are available to law enforcement 
officers at the Federal, State, and local level, includ-
ing peer-to-peer programs; 
(3) the extent to which law enforcement officers 
use the resources or programs described in para-
graph (2); 
(4) the availability of, or need for, mental 
health screening within Federal, State, and local law 
enforcement agencies; and 
(5) recommendations for Federal, State, and 
local law enforcement agencies to improve the men-
tal health and wellness of their officers. 
(b) DEVELOPMENT.—In developing the report re-
quired under subsection (a), the Attorney General, the Di-
rector of the Federal Bureau of Investigation, the Director 
of the National Institute of Justice, and the Assistant Sec-
retary for Mental Health and Substance Abuse shall con-
sult relevant stakeholders, including— 
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(1) Federal, State, Tribal and local law enforce-
ment agencies; and 
(2) 
nongovernmental 
organizations, 
inter-
national organizations, academies, or other entities. 
TITLE IV—CHILDREN AND 
YOUTH 
Subtitle A—Supporting Children’s 
Mental Health Care Access 
SEC. 401. PEDIATRIC MENTAL HEALTH CARE ACCESS 
GRANTS. 
Section 330M of the Public Health Service Act (42 
U.S.C. 254c–19) is amended— 
(1) in the section enumerator, by striking 
‘‘330M’’ and inserting ‘‘330M.’’; 
(2) in subsection (a)— 
(A) by striking ‘‘Indian tribes and tribal 
organizations’’ and inserting ‘‘Indian Tribes 
and Tribal organizations’’; and 
(B) by inserting ‘‘or, in the case of a State 
that does not submit an application, a nonprofit 
entity that has the support of the State’’ after 
‘‘450b))’’; 
(3) in subsection (b)— 
(A) in paragraph (1)— 
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(i) in subparagraph (G), by inserting 
‘‘developmental-behavioral 
pediatricians,’’ 
after ‘‘adolescent psychiatrists,’’; 
(ii) in subparagraph (H), by striking 
‘‘; and’’ at the end and inserting a semi-
colon; 
(iii) by redesignating subparagraph 
(I) as subparagraph (J); and 
(iv) by inserting after subparagraph 
(H) the following: 
‘‘(I) maintain an up-to-date list of commu-
nity-based supports for children with mental 
health problems; and’’; 
(B) by redesignating paragraph (2) as 
paragraph (4); 
(C) by inserting after paragraph (1) the 
following: 
‘‘(2) SUPPORT TO SCHOOLS AND EMERGENCY 
DEPARTMENTS.—In addition to the activities re-
quired by paragraph (1), a pediatric mental health 
care telehealth access program referred to in sub-
section (a), with respect to which a grant under such 
subsection may be used, may provide support to 
schools and emergency departments. 
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‘‘(3) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to appli-
cants proposing to— 
‘‘(A) continue existing programs that meet 
the requirements of paragraph (1); 
‘‘(B) establish a pediatric mental health 
care telehealth access program in the jurisdic-
tion of a State, Territory, Indian Tribe, or 
Tribal organization that does not yet have such 
a program; or 
‘‘(C) expand a pediatric mental health care 
telehealth access program to include one or 
more new sites of care, such as a school or 
emergency department.’’; and 
(D) in paragraph (4), as redesignated by 
subparagraph (B), by inserting ‘‘Such a team 
may include a developmental-behavioral pedia-
trician.’’ after ‘‘mental health counselor.’’; 
(4) in subsections (c), (d), and (f), by striking 
‘‘Indian tribe, or tribal organization’’ each place it 
appears and inserting ‘‘Indian Tribe, Tribal organi-
zation, or nonprofit entity’’; and 
(5) by striking subsection (g) and inserting the 
following: 
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‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
award grants or contracts to one or more eligible entities 
(as defined by the Secretary) for the purposes of providing 
technical assistance and evaluation support to grantees 
under subsection (a). 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated— 
‘‘(1) $14,000,000 for each of fiscal years 2023 
through 2025; and 
‘‘(2) $30,000,000 for each of fiscal years 2026 
through 2027.’’. 
SEC. 
402. 
INFANT 
AND 
EARLY 
CHILDHOOD 
MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
Section 399Z–2(f) of the Public Health Service Act 
(42 
U.S.C. 
280h–6(f)) 
is 
amended 
by 
striking 
‘‘$20,000,000 for the period of fiscal years 2018 through 
2022’’ and inserting ‘‘$50,000,000 for the period of fiscal 
years 2023 through 2027’’. 
SEC. 403. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND 
ADOLESCENTS. 
(a) TECHNICAL AMENDMENTS.—The second part G 
(relating to services provided through religious organiza-
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tions) of title V of the Public Health Service Act (42 
U.S.C. 290kk et seq.) is amended— 
(1) by redesignating such part as part J; and 
(2) by redesignating sections 581 through 584 
as sections 596 through 596C, respectively. 
(b) SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN.—Section 581 of the Public Health Service Act (42 
U.S.C. 290hh) (relating to children and violence) is 
amended to read as follows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN 
AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall, through grants, 
contracts, or cooperative agreements awarded to eligible 
entities described in subsection (c), provide comprehensive 
school-based mental health services and supports to assist 
children in local communities and schools (including 
schools funded by the Bureau of Indian Education) deal-
ing with traumatic experiences, grief, bereavement, risk of 
suicide, and violence. Such services and supports shall 
be— 
‘‘(1) developmentally, linguistically, and cul-
turally appropriate; 
‘‘(2) trauma-informed; and 
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‘‘(3) incorporate positive behavioral interven-
tions and supports. 
‘‘(b) ACTIVITIES.—Grants, contracts, or cooperative 
agreements awarded under subsection (a), shall, as appro-
priate, be used for— 
‘‘(1) implementation of school and community- 
based mental health programs that— 
‘‘(A) build awareness of individual trauma 
and the intergenerational, continuum of impacts 
of trauma on populations; 
‘‘(B) train appropriate staff to identify, 
and screen for, signs of trauma exposure, men-
tal health disorders, or risk of suicide; and 
‘‘(C) incorporate positive behavioral inter-
ventions, family engagement, student treatment, 
and multigenerational supports to foster the 
health and development of children, prevent 
mental health disorders, and ameliorate the im-
pact of trauma; 
‘‘(2) technical assistance to local communities 
with respect to the development of programs de-
scribed in paragraph (1); 
‘‘(3) facilitating community partnerships among 
families, students, law enforcement agencies, edu-
cation agencies, mental health and substance use 
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disorder service systems, family-based mental health 
service systems, child welfare agencies, health care 
providers (including primary care physicians, mental 
health professionals, and other professionals who 
specialize in children’s mental health such as child 
and adolescent psychiatrists), institutions of higher 
education, faith-based programs, trauma networks, 
and other community-based systems to address child 
and adolescent trauma, mental health issues, and vi-
olence; and 
‘‘(4) establishing mechanisms for children and 
adolescents to report incidents of violence or plans 
by other children, adolescents, or adults to commit 
violence. 
‘‘(c) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—To be eligible for a grant, 
contract, or cooperative agreement under subsection 
(a), an entity shall be a partnership that includes— 
‘‘(A) a State educational agency, as de-
fined in section 8101 of the Elementary and 
Secondary Education Act of 1965, in coordina-
tion with one or more local educational agen-
cies, as defined in section 8101 of the Elemen-
tary and Secondary Education Act of 1965, or 
a consortium of any entities described in sub-
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paragraph (B), (C), (D), or (E) of section 
8101(30) of such Act; and 
‘‘(B) at least 1 community-based mental 
health provider, including a public or private 
mental health entity, health care entity, family- 
based mental health entity, trauma network, or 
other community-based entity, as determined by 
the Secretary (and which may include addi-
tional entities such as a human services agency, 
law enforcement or juvenile justice entity, child 
welfare agency, agency, an institution of higher 
education, or another entity, as determined by 
the Secretary). 
‘‘(2) COMPLIANCE WITH HIPAA.—Any patient 
records developed by covered entities through activi-
ties under the grant shall meet the regulations pro-
mulgated under section 264(c) of the Health Insur-
ance Portability and Accountability Act of 1996. 
‘‘(3) COMPLIANCE WITH FERPA.—Section 444 
of the General Education Provisions Act (commonly 
known as the ‘Family Educational Rights and Pri-
vacy Act of 1974’) shall apply to any entity that is 
a member of the partnership in the same manner 
that such section applies to an educational agency or 
institution (as that term is defined in such section). 
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‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary 
shall ensure that grants, contracts, or cooperative agree-
ments under subsection (a) will be distributed equitably 
among the regions of the country and among urban and 
rural areas. 
‘‘(e) DURATION
OF AWARDS.—With respect to a 
grant, contract, or cooperative agreement under sub-
section (a), the period during which payments under such 
an award will be made to the recipient shall be 5 years, 
with options for renewal. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT OF PROCESS.—The Assist-
ant Secretary shall develop a fiscally appropriate 
process for evaluating activities carried out under 
this section. Such process shall include— 
‘‘(A) the development of guidelines for the 
submission of program data by grant, contract, 
or cooperative agreement recipients; 
‘‘(B) the development of measures of out-
comes (in accordance with paragraph (2)) to be 
applied by such recipients in evaluating pro-
grams carried out under this section; and 
‘‘(C) the submission of annual reports by 
such recipients concerning the effectiveness of 
programs carried out under this section. 
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‘‘(2) MEASURES OF OUTCOMES.—The Assistant 
Secretary shall develop measures of outcomes to be 
applied by recipients of assistance under this section 
to evaluate the effectiveness of programs carried out 
under this section, including outcomes related to the 
student, family, and local educational systems sup-
ported by this Act. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An eligi-
ble entity described in subsection (c) that receives a 
grant, contract, or cooperative agreement under this 
section shall annually submit to the Assistant Sec-
retary a report that includes data to evaluate the 
success of the program carried out by the entity 
based on whether such program is achieving the pur-
poses of the program. Such reports shall utilize the 
measures of outcomes under paragraph (2) in a rea-
sonable manner to demonstrate the progress of the 
program in achieving such purposes. 
‘‘(4) EVALUATION BY ASSISTANT SECRETARY.— 
Based on the data submitted under paragraph (3), 
the Assistant Secretary shall annually submit to 
Congress a report concerning the results and effec-
tiveness of the programs carried out with assistance 
received under this section. 
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‘‘(5) LIMITATION.—An eligible entity shall use 
not more than 20 percent of amounts received under 
a grant under this section to carry out evaluation 
activities under this subsection. 
‘‘(g) INFORMATION
AND
EDUCATION.—The Sec-
retary shall disseminate best practices based on the find-
ings of the knowledge development and application under 
this section. 
‘‘(h) AMOUNT OF GRANTS AND AUTHORIZATION OF 
APPROPRIATIONS.— 
‘‘(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$2,000,000 for each of the first 5 fiscal years fol-
lowing the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022. The 
Secretary shall determine the amount of each such 
grant based on the population of children up to age 
21 of the area to be served under the grant. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section, $130,000,000 for each of fiscal years 
2023 through 2027.’’. 
(c) CONFORMING AMENDMENT.—Part G of title V of 
the Public Health Service Act (42 U.S.C. 290hh et seq.), 
as amended by subsection (b), is further amended by strik-
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ing the part designation and heading and inserting the 
following: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
SEC. 404. CO-OCCURRING CHRONIC CONDITIONS AND MEN-
TAL HEALTH IN YOUTH STUDY. 
Not later than 12 months after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall— 
(1) complete a study on the rates of suicidal be-
haviors among children and adolescents with chronic 
illnesses, including substance use disorders, auto-
immune disorders, and heritable blood disorders; and 
(2) submit a report to the Congress on the re-
sults of such study, including recommendations for 
early intervention services for such children and ado-
lescents at risk of suicide, the dissemination of best 
practices to support the emotional and mental health 
needs of youth, and strategies to lower the rates of 
suicidal behaviors in children and adolescents de-
scribed in paragraph (1) to reduce any demographic 
disparities in such rates. 
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SEC. 405. BEST PRACTICES FOR BEHAVIORAL INTERVEN-
TION TEAMS. 
The Public Health Service Act is amended by insert-
ing after section 520H of such Act, as added by section 
151, the following new section: 
‘‘SEC. 520I. BEST PRACTICES FOR BEHAVIORAL INTERVEN-
TION TEAMS. 
‘‘(a) IN GENERAL.—The Secretary shall identify and 
facilitate the development of best practices to assist ele-
mentary schools, secondary schools, and institutions of 
higher education in establishing and using behavioral 
intervention teams. 
‘‘(b) ELEMENTS.—The best practices under sub-
section (a)(1) shall include guidance on the following: 
‘‘(1) How behavioral intervention teams can op-
erate effectively from an evidence-based, objective 
perspective while protecting the constitutional and 
civil rights of individuals. 
‘‘(2) The use of behavioral intervention teams 
to identify concerning behaviors, implement interven-
tions, and manage risk through the framework of 
the school’s or institution’s rules or code of conduct, 
as applicable. 
‘‘(3) How behavioral intervention teams can, 
when assessing an individual— 
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‘‘(A) access training on evidence-based, 
threat-assessment rubrics; 
‘‘(B) ensure that such teams— 
‘‘(i) have trained, diverse stakeholders 
with varied expertise; and 
‘‘(ii) use cross validation by a wide- 
range of individual perspectives on the 
team; and 
‘‘(C) use violence risk assessment. 
‘‘(4) How behavioral intervention teams can 
help mitigate— 
‘‘(A) inappropriate use of a mental health 
assessment; 
‘‘(B) inappropriate limitations or restric-
tions on law enforcement’s jurisdiction over 
criminal matters; 
‘‘(C) attempts to substitute the behavioral 
intervention process in place of a criminal proc-
ess, or impede a criminal process, when an indi-
vidual’s behavior has potential criminal implica-
tions; 
‘‘(D) endangerment of an individual’s pri-
vacy by failing to ensure that all applicable 
Federal and State privacy laws are fully com-
plied with; or 
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‘‘(E) inappropriate referrals to, or involve-
ment of, law enforcement when an individual’s 
behavior does not warrant a criminal response. 
‘‘(c) CONSULTATION.—In carrying out subsection 
(a)(1), the Secretary shall consult with— 
‘‘(1) the Secretary of Education; 
‘‘(2) the Director of the National Threat As-
sessment Center of the United States Secretary 
Service; 
‘‘(3) the Attorney General and the Director of 
the Bureau of Justice Assistance; 
‘‘(4) teachers and other educators, principals, 
school administrators, school board members, school 
psychologists, mental health professionals, and par-
ents of students; 
‘‘(5) local law enforcement agencies and campus 
law enforcement administrators; 
‘‘(6) privacy experts; and 
‘‘(7) other education and mental health profes-
sionals as the Secretary deems appropriate. 
‘‘(d) PUBLICATION.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall pub-
lish the best practices under subsection (a)(1) on the inter-
net website of the Department of Health and Human 
Services. 
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‘‘(e) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to institutions of higher edu-
cation, elementary schools, and secondary schools to assist 
such institutions and schools in implementing the best 
practices under subsection (a). 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘behavioral intervention team’ 
means a team of qualified individuals who— 
‘‘(A) are responsible for identifying and as-
sessing individuals exhibiting concerning behav-
iors, experiencing distress, or who are at risk of 
harm to self or others; 
‘‘(B) develop and facilitate implementation 
of evidence-based interventions to mitigate the 
threat of harm to self or others posed by an in-
dividual and address the mental and behavioral 
health needs of individuals to reduce risk; and 
‘‘(C) provide information to students, par-
ents, and school employees on recognizing be-
havior described in this subsection. 
‘‘(2) The terms ‘elementary school’, ‘parent’, 
and ‘secondary school’ have the meanings given to 
such terms in section 8101 of the Elementary and 
Secondary Education Act of 1965. 
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‘‘(3) The term ‘institution of higher education’ 
has the meaning given to such term in section 102 
of the Higher Education Act of 1965. 
‘‘(4) The term ‘mental health assessment’ 
means an evaluation, primarily focused on diagnosis, 
determining the need for involuntary commitment, 
medication management, and on-going treatment 
recommendations. 
‘‘(5) The term ‘violence risk assessment’ means 
a broad determination of the potential risk of vio-
lence based on evidence-based literature.’’. 
Subtitle B—Continuing Systems of 
Care for Children 
SEC. 411. COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS 
EMOTIONAL DISTURBANCES. 
(a) DEFINITION OF FAMILY.—Section 565(d)(2)(B) 
of the Public Health Service Act (42 U.S.C. 290ff– 
4(d)(2)(B)) is amended by striking ‘‘as appropriate re-
garding mental health services for the child, the parents 
of the child (biological or adoptive, as the case may be) 
and any foster parents of the child’’ and inserting ‘‘as ap-
propriate regarding mental health services for the child 
and the parents or kinship caregivers of the child’’. 
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(b) AUTHORIZATION
OF APPROPRIATIONS.—Para-
graph (1) of section 565(f) of the Public Health Service 
Act (42 U.S.C. 290ff–4(f)) is amended— 
(1) by moving the margin of such paragraph 2 
ems to the right; and 
(2) by striking ‘‘$119,026,000 for each of fiscal 
years 
2018 
through 
2022’’ 
and 
inserting 
‘‘$125,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 412. SUBSTANCE USE DISORDER TREATMENT AND 
EARLY INTERVENTION SERVICES FOR CHIL-
DREN AND ADOLESCENTS. 
Section 514 of the Public Health Service Act (42 
U.S.C. 290bb–7) is amended— 
(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
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Subtitle C—Garrett Lee Smith 
Memorial Reauthorization 
SEC. 421. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
(a) TECHNICAL AMENDMENT.—Section 520C of the 
Public Health Service Act (42 U.S.C. 290bb–34) is 
amended— 
(1) by striking ‘‘tribes’’ and inserting ‘‘Tribes’’; 
and 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
520C(c) of the Public Health Service Act (42 U.S.C. 
290bb–34(c)) is amended by striking ‘‘$5,988,000 for 
each of fiscal years 2018 through 2022’’ and inserting 
‘‘$9,000,000 for each of fiscal years 2023 through 2027’’. 
(c) ANNUAL REPORT.—Section 520C(d) of the Public 
Health Service Act (42 U.S.C. 290bb–34(d)) is amended 
by striking ‘‘Not later than 2 years after the date of enact-
ment of this subsection’’ and inserting ‘‘Not later than 
2 years after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022’’. 
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SEC. 422. YOUTH SUICIDE EARLY INTERVENTION AND PRE-
VENTION STRATEGIES. 
Section 520E of the Public Health Service Act (42 
U.S.C. 290bb–36) is amended— 
(1) by striking ‘‘tribe’’ and inserting ‘‘Tribe’’; 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’; 
(3) in subsection (a)(1), by inserting ‘‘pediatric 
health programs,’’ after ‘‘foster care systems,’’; 
(4) by amending subsection (b)(1)(B) to read 
as follows: 
‘‘(B) a public organization or private non-
profit organization designated by a State or In-
dian Tribe (as defined under the Federally Rec-
ognized Indian Tribe List Act of 1994) to de-
velop or direct the State-sponsored statewide or 
Tribal youth suicide early intervention and pre-
vention strategy; or’’; 
(5) in subsection (c)— 
(A) in paragraph (1), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’; 
(B) in paragraph (7), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’; 
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(C) in paragraph (9), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘educational insti-
tutions,’’; 
(D) in paragraph (13), by striking ‘‘and’’ 
at the end; 
(E) in paragraph (14), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(F) by adding at the end the following: 
‘‘(15) provide to parents, legal guardians, and 
family members of youth, supplies to securely store 
means commonly used in suicide, if applicable, with-
in the household.’’; 
(6) in subsection (d)— 
(A) in the heading, by striking ‘‘DIRECT 
SERVICES’’ and inserting ‘‘SUICIDE PREVEN-
TION ACTIVITIES’’; and 
(B) by striking ‘‘direct services, of which 
not less than 5 percent shall be used for activi-
ties authorized under subsection (a)(3)’’ and in-
serting ‘‘suicide prevention activities’’; 
(7) in subsection (e)(3)(A), by inserting ‘‘and 
Department of Education’’ after ‘‘Department of 
Health and Human Services’’; 
(8) in subsection (g)— 
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(A) in paragraph (1), by striking ‘‘18’’ and 
inserting ‘‘24’’; and 
(B) in paragraph (2), by striking ‘‘2 years 
after the date of enactment of Helping Families 
in Mental Health Crisis Reform Act of 2016’’ 
and inserting ‘‘3 years after December 31, 
2022’’; 
(9) in subsection (l)(4), by striking ‘‘between 10 
and 24 years of age’’ and inserting ‘‘up to 24 years 
of age’’; and 
(10) 
in 
subsection 
(m), 
by 
striking 
‘‘$30,000,000 for each of fiscal years 2018 through 
2022’’ and inserting ‘‘$40,000,000 for each of fiscal 
years 2023 through 2027’’. 
SEC. 423. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES FOR STUDENTS IN HIGHER 
EDUCATION. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended— 
(1) in the heading, by striking ‘‘ON CAMPUS’’ 
and inserting ‘‘FOR STUDENTS IN HIGHER EDU-
CATION’’; and 
(2) in subsection (i), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
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SEC. 424. MENTAL AND BEHAVIORAL HEALTH OUTREACH 
AND EDUCATION AT INSTITUTIONS OF HIGH-
ER EDUCATION. 
Section 549 of the Public Health Service Act (42 
U.S.C. 290ee–4) is amended— 
(1) in the heading, by striking ‘‘ON COLLEGE 
CAMPUSES’’ and inserting ‘‘AT INSTITUTIONS OF 
HIGHER EDUCATION’’; 
(2) in subsection (c)(2), by inserting ‘‘, includ-
ing minority-serving institutions as described in sec-
tion 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q) and community colleges’’ after 
‘‘higher education’’; and 
(3) in subsection (f), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
Subtitle D—Media and Mental 
Health 
SEC. 431. STUDY ON THE EFFECTS OF SMARTPHONE AND 
SOCIAL MEDIA USE ON ADOLESCENTS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall conduct or support research on— 
(1) smartphone and social media use by adoles-
cents; and 
(2) the effects of such use on— 
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(A) emotional, behavioral, and physical 
health and development; and 
(B) any disparities in the mental health 
outcomes of rural, minority, and other under-
served populations. 
(b) REPORT.—Not later than 5 years after the date 
of enactment of this Act, the Secretary of Health and 
Human Services shall submit to the Congress, and make 
publicly available, a report on the findings of research 
under this section. 
SEC. 432. RESEARCH ON THE HEALTH AND DEVELOPMENT 
EFFECTS OF MEDIA ON INFANTS, CHILDREN, 
AND ADOLESCENTS. 
Subpart 7 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285g et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 452H. RESEARCH ON THE HEALTH AND DEVELOP-
MENT EFFECTS OF MEDIA ON INFANTS, CHIL-
DREN, AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Director of the National In-
stitutes of Health, in coordination with or acting through 
the Director of the Institute, shall conduct and support 
research and related activities concerning the health and 
developmental effects of media on infants, children, and 
adolescents, which may include the positive and negative 
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effects of exposure to and use of media, such as social 
media, applications, websites, television, motion pictures, 
artificial intelligence, mobile devices, computers, video 
games, virtual and augmented reality, and other media 
formats as they become available. Such research shall at-
tempt to better understand the relationships between 
media and technology use and individual differences and 
characteristics of children and shall include longitudinally 
designed studies to assess the impact of media on youth 
over time. Such research shall include consideration of 
core areas of child and adolescent health and development 
including the following: 
‘‘(1) COGNITIVE.—The role and impact of 
media use and exposure in the development of chil-
dren and adolescents within such cognitive areas as 
language development, executive functioning, atten-
tion, creative problem solving skills, visual and spa-
tial skills, literacy, critical thinking, and other learn-
ing abilities, and the impact of early technology use 
on developmental trajectories. 
‘‘(2) PHYSICAL.—The role and impact of media 
use and exposure on children’s and adolescent’s 
physical development and health behaviors, including 
diet, exercise, sleeping and eating routines, and 
other areas of physical development. 
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‘‘(3) SOCIO-EMOTIONAL.—The role and impact 
of media use and exposure on children’s and adoles-
cents’ social-emotional competencies, including self- 
awareness, self-regulation, social awareness, relation-
ship skills, empathy, distress tolerance, perception of 
social cues, awareness of one’s relationship with the 
media, and decision-making, as well as outcomes 
such as violations of privacy, perpetration of or ex-
posure to violence, bullying or other forms of aggres-
sion, depression, anxiety, substance use, misuse or 
disorder, and suicidal ideation/behavior and self- 
harm. 
‘‘(b) DEVELOPING RESEARCH AGENDA.—The Direc-
tor of the National Institutes of Health, in consultation 
with the Director of the Institute, other appropriate na-
tional research institutes, academies, and centers, the 
Trans-NIH Pediatric Research Consortium, and non-Fed-
eral experts as needed, shall develop a research agenda 
on the health and developmental effects of media on in-
fants, children, and adolescents to inform research activi-
ties under subsection (a). In developing such research 
agenda, the Director may use whatever means necessary 
(such as scientific workshops and literature reviews) to as-
sess current knowledge and research gaps in this area. 
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‘‘(c) RESEARCH PROGRAM.—In coordination with the 
Institute and other national research institutes and cen-
ters, and utilizing the National Institutes of Health’s proc-
ess of scientific peer review, the Director of the National 
Institutes of Health shall fund an expanded research pro-
gram on the health and developmental effects of media 
on infants, children, and adolescents. 
‘‘(d) REPORT TO CONGRESS.—Not later than 1 year 
after the date of enactment of this Act, the Director of 
the National Institutes of Health shall submit a report to 
Congress on the progress made in gathering data and ex-
panding research on the health and developmental effects 
of media on infants, children, and adolescents in accord-
ance with this section. Such report shall summarize the 
grants and research funded, by year, under this section.’’. 
TITLE V—MEDICAID AND CHIP 
SEC. 501. MEDICAID AND CHIP REQUIREMENTS FOR 
HEALTH SCREENINGS AND REFERRALS FOR 
ELIGIBLE JUVENILES IN PUBLIC INSTITU-
TIONS. 
(a) MEDICAID STATE PLAN REQUIREMENT.—Section 
1902 of the Social Security Act (42 U.S.C. 1396a) is 
amended— 
(1) in subsection (a)(84)— 
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(A) in subparagraph (A), by inserting ‘‘, 
subject to subparagraph (D),’’ after ‘‘but’’; 
(B) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(C) in subparagraph (C), by adding ‘‘and’’ 
at the end; and 
(D) by adding at the end the following new 
subparagraph: 
‘‘(D) beginning on the first day of the first 
calendar quarter that begins two years after the 
date of enactment of this subparagraph, in the 
case of individuals who are eligible juveniles de-
scribed in subsection (nn)(2), are within 30 
days of the date on which such eligible juvenile 
is scheduled to be released from a public insti-
tution following adjudication, the State shall 
have in place a plan to ensure, and in accord-
ance with such plan, provide— 
‘‘(i) for, in the 30 days prior to the 
release of such an eligible juvenile from 
such public institution (or not later than 
one week after release from the public in-
stitution), and in coordination with such 
institution— 
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‘‘(I) any screening or diagnostic 
service which meets reasonable stand-
ards of medical and dental practice, 
as determined by the State, or as in-
dicated as medically necessary, in ac-
cordance with paragraphs (1)(A) and 
(5) of section 1905(r); and 
‘‘(II) a mental health or other be-
havioral health screening that is a 
screening service described under sec-
tion 1905(r)(1), or a diagnostic serv-
ice described under paragraph (5) of 
such section, if such screening or di-
agnostic service was not otherwise 
conducted pursuant to this clause; 
‘‘(ii) for, not later than one week after 
release from the public institution, refer-
rals for such eligible juvenile to the appro-
priate care and services available under the 
State plan (or waiver of such plan) in the 
geographic region of the home or residence 
of such eligible juvenile, based on such 
screenings; and 
‘‘(iii) for, following the release of such 
eligible juvenile from such institution, not 
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less than 30 days of targeted case manage-
ment services furnished by a provider in 
the geographic region of the home or resi-
dence of such eligible juvenile.’’; and 
(2) in subsection (nn)(3), by striking ‘‘(30)’’ 
and inserting ‘‘(31)’’. 
(b) AUTHORIZATION OF FEDERAL FINANCIAL PAR-
TICIPATION.—The subdivision (A) of section 1905(a) of 
the Social Security Act (42 U.S.C. 1396d(a)) following 
paragraph (31) of such section is amended by inserting 
‘‘, or in the case of an eligible juvenile described in section 
1902(a)(84)(D) with respect to the screenings, diagnostic 
services, referrals, and case management required under 
such subparagraph (D)’’ after ‘‘(except as a patient in a 
medical institution’’. 
(c) CHIP CONFORMING AMENDMENTS.— 
(1) Section 2103(c) of the Social Security Act 
(42 U.S.C. 1397cc(c)) is amended by adding at the 
end the following new paragraph: 
‘‘(12) REQUIRED COVERAGE OF SCREENINGS, 
DIAGNOSTIC SERVICES, REFERRALS, AND CASE MAN-
AGEMENT FOR CERTAIN INMATES PRE-RELEASE.— 
With respect to individuals described in section 
2110(b)(7), the State shall provide screenings, diag-
nostic services, referrals, and case management oth-
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erwise covered under the State child health plan (or 
waiver of such plan) during the period described in 
such section with respect to such screenings, serv-
ices, referrals, and case management.’’. 
(2) Section 2110(b) of the Social Security Act 
(42 U.S.C. 1397jj(b)) is amended— 
(A) in paragraph (2)(A), by inserting ‘‘ex-
cept as provided in paragraph (7),’’ before ‘‘a 
child who is an inmate of a public institution’’; 
and 
(B) by adding at the end the following new 
paragraph: 
‘‘(7) EXCEPTION TO EXCLUSION OF CHILDREN 
WHO ARE INMATES OF A PUBLIC INSTITUTION.—A 
child shall not be considered to be described in para-
graph (2)(A) if such child is an eligible juvenile (as 
described in section 1902(a)(84)(D)) with respect to 
the screenings, diagnostic services, referrals, and 
case management otherwise covered under the State 
child health plan (or waiver of such plan) during the 
period with respect to which such screenings, serv-
ices, referrals, and case management is respectively 
required under such section.’’. 
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SEC. 502. GUIDANCE ON REDUCING ADMINISTRATIVE BAR-
RIERS TO PROVIDING HEALTH CARE SERV-
ICES IN SCHOOLS. 
(a) IN GENERAL.—Not later than 12 months after 
the date of enactment of this Act, the Secretary of Health 
and Human Services shall issue guidance to State Med-
icaid agencies, elementary and secondary schools, and 
school-based health centers on reducing administrative 
barriers to such schools and centers furnishing medical as-
sistance and obtaining payment for such assistance under 
titles XIX and XXI of the Social Security Act (42 U.S.C. 
1396 et seq., 1397aa et seq.). 
(b) CONTENTS OF GUIDANCE.—The guidance issued 
pursuant to subsection (a) shall— 
(1) include revisions to the May 2003 Medicaid 
School-Based Administrative Claiming Guide, the 
1997 Medicaid and Schools Technical Assistance 
Guide, and other relevant guidance in effect on the 
date of enactment of this Act; 
(2) provide information on payment under titles 
XIX and XXI of the Social Security Act (42 U.S.C. 
1396 et seq., 1397aa et seq.) for the provision of 
medical assistance, including such assistance pro-
vided in accordance with an individualized education 
program or under the policy described in the State 
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Medicaid Director letter on payment for services 
issued on December 15, 2014 (#14-006); 
(3) take into account reasons why small and 
rural local education agencies may not provide med-
ical assistance and provide information on best prac-
tices to encourage such agencies to provide such as-
sistance; and 
(4) include best practices and examples of 
methods that State Medicaid agencies and local edu-
cation agencies have used to pay for, and increase 
the availability of, medical assistance. 
(c) DEFINITIONS.—In this Act: 
(1) INDIVIDUALIZED
EDUCATION
PROGRAM.— 
The term ‘‘individualized education program’’ has 
the meaning given such term in section 602(14) of 
the Individuals with Disabilities Education Act (20 
U.S.C. 1401(14)). 
(2) SCHOOL-BASED
HEALTH
CENTER.—The 
term ‘‘school-based health center’’ has the meaning 
given such term in section 2110(c)(9) of the Social 
Security Act (42 U.S.C. 1397jj(c)(9)), and includes 
an entity that provides Medicaid-covered services in 
school-based settings for which Federal financial 
participation is permitted. 
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SEC. 503. GUIDANCE TO STATES ON SUPPORTING PEDI-
ATRIC 
BEHAVIORAL 
HEALTH 
SERVICES 
UNDER MEDICAID AND CHIP. 
Not later than 18 months after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall issue guidance to States on how to expand the provi-
sion of, and access to, behavioral health services, including 
mental health services, for children covered under State 
plans (or waivers of such plans) under title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.), or State 
child health plans (or waivers of such plans) under title 
XXI of such Act (42 U.S.C. 1397aa et seq.), including 
a description of best practices for— 
(1) expanding access to such services; 
(2) expanding access to such services in under-
served communities; 
(3) flexibilities that States may offer for pedi-
atric hospitals and other pediatric behavioral health 
providers to expand access to services; and 
(4) recruitment and retention of providers of 
such services. 
SEC. 504. ENSURING CHILDREN RECEIVE TIMELY ACCESS 
TO CARE. 
(a) GUIDANCE TO STATES ON FLEXIBILITIES TO EN-
SURE PROVIDER CAPACITY TO PROVIDE PEDIATRIC BE-
HAVIORAL HEALTH, INCLUDING MENTAL HEALTH, CRI-
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SIS CARE.—Not later than 18 months after the date of 
enactment of this Act, the Secretary of Health and 
Human Services shall provide guidance to States on exist-
ing flexibilities under State plans (or waivers of such 
plans) under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.), or State child health plans under 
title XXI of such Act (42 U.S.C. 1397aa et seq.), to sup-
port children experiencing a behavioral health crisis or in 
need of intensive behavioral health, including mental 
health, services. 
(b) ENSURING CONSISTENT REVIEW AND STATE IM-
PLEMENTATION OF EARLY AND PERIODIC SCREENING, 
DIAGNOSTIC, 
AND
TREATMENT
SERVICES.—Section 
1905(r) of the Social Security Act (42 U.S.C. 1396d(r)) 
is amended by adding at the end the following: ‘‘Not later 
than January 1, 2025, and every 5 years thereafter, the 
Secretary shall review implementation of the requirements 
of this subsection by States, including such requirements 
relating to services provided by managed care organiza-
tions, prepaid inpatient health plans, prepaid ambulatory 
health plans, and primary care case managers, to identify 
and disseminate best practices for ensuring comprehensive 
coverage of services, to identify gaps and deficiencies in 
meeting Federal requirements, and to provide guidance to 
States on addressing identified gaps and disparities and 
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meeting Federal coverage requirements in order to ensure 
children have access to health services.’’. 
SEC. 505. STRATEGIES TO INCREASE ACCESS TO TELE-
HEALTH UNDER MEDICAID AND CHIP. 
Not later than 1 year after the date of the enactment 
of this Act, and in the event updates are available, once 
every five years thereafter, the Secretary of Health and 
Human Services shall update guidance issued by the Cen-
ters for Medicare & Medicaid Services to States, the State 
Medicaid & CHIP Telehealth Toolkit, or any successor 
guidance, to describe strategies States may use to over-
come existing barriers and increase access to telehealth 
services under the Medicaid program under title XIX of 
the Social Security Act (42 U.S.C. 1396 et seq.) and the 
Children’s Health Insurance Program under title XXI of 
such Act (42 U.S.C. 1397aa et seq.). Such updated guid-
ance shall include examples of and promising practices re-
garding— 
(1) telehealth delivery of covered services; 
(2) recommended voluntary billing codes, modi-
fiers, and place-of-service designations for telehealth 
and other virtual health care services; 
(3) strategies States can use for the simplifica-
tion or alignment of provider credentialing and en-
rollment protocols with respect to telehealth across 
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States, State Medicaid plans under title XIX, State 
child health plans under title XXI, Medicaid man-
aged care organizations, prepaid inpatient health 
plans, prepaid ambulatory health plans, and primary 
care case managers, including during national public 
health emergencies; and 
(4) strategies States can use to integrate tele-
health and other virtual health care services into 
value-based health care models. 
SEC. 506. REMOVAL OF LIMITATIONS ON FEDERAL FINAN-
CIAL PARTICIPATION FOR INMATES WHO ARE 
ELIGIBLE JUVENILES PENDING DISPOSITION 
OF CHARGES. 
(a) MEDICAID.— 
(1) IN GENERAL.—The subdivision (A) of sec-
tion 1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) following paragraph (31) of such section, 
as amended by section 501(b), is further amended 
by inserting ‘‘, or, at the option of the State, for an 
individual who is an eligible juvenile (as defined in 
section 1902(nn)(2)), while such individual is an in-
mate of a public institution (as defined in section 
1902(nn)(3)) pending disposition of charges’’ after 
‘‘or in the case of an eligible juvenile described in 
section 
1902(a)(84)(D) 
with 
respect 
to 
the 
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screenings, diagnostic services, referrals, and case 
management required under such subparagraph 
(D)’’. 
(2) CONFORMING.—Section 1902(a)(84)(A) of 
the Social Security Act (42 U.S.C. 1396a(a)(84)(A)) 
is amended by inserting ‘‘(or in the case of a State 
electing the option described in the subdivision (A) 
following paragraph (31) of section 1905(a), during 
such period beginning after the disposition of 
charges with respect to such individual)’’ after ‘‘is 
such an inmate’’. 
(b) CHIP.—Section 2110(b)(7) of the Social Security 
Act (42 U.S.C. 13977jj(b)(7)), as added by section 
501(c)(2)(B), is further amended by inserting ‘‘or, at the 
option of the State, for an individual who is a juvenile, 
while such individual is an inmate of a public institution 
pending disposition of charges’’ after ‘‘if such child is an 
eligible juvenile (as described in section 1902(a)(84)(D)) 
with respect to screenings, diagnostic services, referrals, 
and case management otherwise covered under the State 
child health plan (or waiver of such plan)’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the first day of the first 
calendar quarter that begins after the date that is 18 
months after the date of enactment of this Act and shall 
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apply to items and services furnished for periods beginning 
on or after such date. 
TITLE VI—MISCELLANEOUS 
PROVISIONS 
SEC. 601. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
SEC. 602. OVERSIGHT OF PHARMACY BENEFIT MANAGER 
SERVICES. 
(a) PHSA.—Title XXVII of the Public Health Serv-
ice Act (42 U.S.C. 300gg et seq.) is amended— 
(1) in part D (42 U.S.C. 300gg–111 et seq.), 
by adding at the end the following new section: 
‘‘SEC. 2799A–11. OVERSIGHT OF PHARMACY BENEFIT MAN-
AGER SERVICES. 
‘‘(a) IN GENERAL.—For plan years beginning on or 
after January 1, 2024, a group health plan or health in-
surance issuer offering group health insurance coverage 
or an entity or subsidiary providing pharmacy benefits 
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management services on behalf of such a plan or issuer 
shall not enter into a contract with a drug manufacturer, 
distributor, wholesaler, subcontractor, rebate aggregator, 
or any associated third party that limits the disclosure of 
information to plan sponsors in such a manner that pre-
vents the plan or issuer, or an entity or subsidiary pro-
viding pharmacy benefits management services on behalf 
of a plan or issuer, from making the reports described in 
subsection (b). 
‘‘(b) REPORTS.— 
‘‘(1) IN GENERAL.—For plan years beginning 
on or after January 1, 2024, not less frequently 
than once every 6 months, a health insurance issuer 
offering group health insurance coverage or an enti-
ty providing pharmacy benefits management services 
on behalf of a group health plan or an issuer pro-
viding group health insurance coverage shall submit 
to the plan sponsor (as defined in section 3(16)(B) 
of the Employee Retirement Income Security Act of 
1974) of such group health plan or health insurance 
coverage a report in accordance with this subsection 
and make such report available to the plan sponsor 
in a machine-readable format. Each such report 
shall include, with respect to the applicable group 
health plan or health insurance coverage— 
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‘‘(A) as applicable, information collected 
from drug manufacturers by such issuer or en-
tity on the total amount of copayment assist-
ance dollars paid, or copayment cards applied, 
that were funded by the drug manufacturer 
with respect to the participants and bene-
ficiaries in such plan or coverage; 
‘‘(B) a list of each drug covered by such 
plan, issuer, or entity providing pharmacy ben-
efit management services that was dispensed 
during the reporting period, including, with re-
spect to each such drug during the reporting 
period— 
‘‘(i) the brand name, chemical entity, 
and National Drug Code; 
‘‘(ii) the number of participants and 
beneficiaries for whom the drug was filled 
during the plan year, the total number of 
prescription fills for the drug (including 
original prescriptions and refills), and the 
total number of dosage units of the drug 
dispensed across the plan year, including 
whether the dispensing channel was by re-
tail, mail order, or specialty pharmacy; 
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‘‘(iii) the wholesale acquisition cost, 
listed as cost per days supply and cost per 
pill, or in the case of a drug in another 
form, per dose; 
‘‘(iv) the total out-of-pocket spending 
by participants and beneficiaries on such 
drug, including participant and beneficiary 
spending through copayments, coinsurance, 
and deductibles; and 
‘‘(v) for any drug for which gross 
spending of the group health plan or 
health 
insurance 
coverage 
exceeded 
$10,000 during the reporting period— 
‘‘(I) a list of all other drugs in 
the same therapeutic category or 
class, including brand name drugs 
and biological products and generic 
drugs or biosimilar biological products 
that are in the same therapeutic cat-
egory or class as such drug; and 
‘‘(II) the rationale for preferred 
formulary placement of such drug in 
that therapeutic category or class, if 
applicable; 
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‘‘(C) a list of each therapeutic category or 
class of drugs that were dispensed under the 
health plan or health insurance coverage during 
the reporting period, and, with respect to each 
such therapeutic category or class of drugs, 
during the reporting period— 
‘‘(i) total gross spending by the plan, 
before manufacturer rebates, fees, or other 
manufacturer remuneration; 
‘‘(ii) the number of participants and 
beneficiaries who filled a prescription for a 
drug in that category or class; 
‘‘(iii) if applicable to that category or 
class, a description of the formulary tiers 
and utilization mechanisms (such as prior 
authorization or step therapy) employed 
for drugs in that category or class; 
‘‘(iv) the total out-of-pocket spending 
by participants and beneficiaries, including 
participant 
and 
beneficiary 
spending 
through copayments, coinsurance, and 
deductibles; and 
‘‘(v) for each therapeutic category or 
class under which 3 or more drugs are in-
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cluded on the formulary of such plan or 
coverage— 
‘‘(I) the amount received, or ex-
pected to be received, from drug man-
ufacturers in rebates, fees, alternative 
discounts, or other remuneration— 
‘‘(aa) that has been paid, or 
is to be paid, by drug manufac-
turers for claims incurred during 
the reporting period; or 
‘‘(bb) that is related to utili-
zation of drugs, in such thera-
peutic category or class; 
‘‘(II) the total net spending, after 
deducting rebates, price concessions, 
alternative discounts or other remu-
neration from drug manufacturers, by 
the health plan or health insurance 
coverage on that category or class of 
drugs; and 
‘‘(III) the net price per course of 
treatment or single fill, such as a 30- 
day supply or 90-day supply, incurred 
by the health plan or health insurance 
coverage and its participants and 
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beneficiaries, after manufacturer re-
bates, fees, and other remuneration 
for drugs dispensed within such thera-
peutic category or class during the re-
porting period; 
‘‘(D) total gross spending on prescription 
drugs by the plan or coverage during the re-
porting period, before rebates and other manu-
facturer fees or remuneration; 
‘‘(E) total amount received, or expected to 
be received, by the health plan or health insur-
ance coverage in drug manufacturer rebates, 
fees, alternative discounts, and all other remu-
neration received from the manufacturer or any 
third party, other than the plan sponsor, re-
lated to utilization of drug or drug spending 
under that health plan or health insurance cov-
erage during the reporting period; 
‘‘(F) the total net spending on prescription 
drugs by the health plan or health insurance 
coverage during the reporting period; and 
‘‘(G) amounts paid directly or indirectly in 
rebates, fees, or any other type of remuneration 
to brokers, consultants, advisors, or any other 
individual or firm who referred the group health 
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plan’s or health insurance issuer’s business to 
the pharmacy benefit manager. 
‘‘(2) PRIVACY REQUIREMENTS.—Health insur-
ance issuers offering group health insurance cov-
erage and entities providing pharmacy benefits man-
agement services on behalf of a group health plan 
shall provide information under paragraph (1) in a 
manner consistent with the privacy, security, and 
breach notification regulations promulgated under 
section 264(c) of the Health Insurance Portability 
and Accountability Act of 1996, and shall restrict 
the use and disclosure of such information according 
to such privacy regulations. 
‘‘(3) DISCLOSURE AND REDISCLOSURE.— 
‘‘(A) LIMITATION
TO
BUSINESS
ASSOCI-
ATES.—A group health plan receiving a report 
under paragraph (1) may disclose such informa-
tion only to business associates of such plan as 
defined in section 160.103 of title 45, Code of 
Federal Regulations (or successor regulations). 
‘‘(B) CLARIFICATION REGARDING PUBLIC 
DISCLOSURE
OF
INFORMATION.—Nothing in 
this section prevents a health insurance issuer 
offering group health insurance coverage or an 
entity providing pharmacy benefits management 
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services on behalf of a group health plan from 
placing reasonable restrictions on the public dis-
closure of the information contained in a report 
described in paragraph (1), except that such 
issuer or entity may not restrict disclosure of 
such report to the Department of Health and 
Human Services, the Department of Labor, the 
Department of the Treasury, or applicable 
State agencies. 
‘‘(C) LIMITED
FORM
OF
REPORT.—The 
Secretary shall define through rulemaking a 
limited form of the report under paragraph (1) 
required of plan sponsors who are drug manu-
facturers, drug wholesalers, or other direct par-
ticipants in the drug supply chain, in order to 
prevent anti-competitive behavior. 
‘‘(4) REPORT
TO
GAO.—A health insurance 
issuer offering group health insurance coverage or 
an entity providing pharmacy benefits management 
services on behalf of a group health plan shall sub-
mit to the Comptroller General of the United States 
each of the first 4 reports submitted to a plan spon-
sor under paragraph (1) with respect to such cov-
erage or plan, and other such reports as requested, 
in accordance with the privacy requirements under 
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HR 7666 RFS
paragraph (2), the disclosure and redisclosure stand-
ards under paragraph (3), the standards specified 
pursuant to paragraph (5), and such other informa-
tion that the Comptroller General determines nec-
essary to carry out the study under section 602(d) 
of the Restoring Hope for Mental Health and Well- 
Being Act of 2022. 
‘‘(5) STANDARD FORMAT.—Not later than June 
1, 2023, the Secretary shall specify through rule-
making standards for health insurance issuers and 
entities required to submit reports under paragraph 
(4) to submit such reports in a standard format. 
‘‘(c) ENFORCEMENT.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Secretary of Labor and the Secretary 
of the Treasury, shall enforce this section. 
‘‘(2) FAILURE TO PROVIDE TIMELY INFORMA-
TION.—A health insurance issuer or an entity pro-
viding pharmacy benefit management services that 
violates subsection (a) or fails to provide information 
required under subsection (b), or a drug manufac-
turer that fails to provide information under sub-
section (b)(1)(A) in a timely manner, shall be sub-
ject to a civil monetary penalty in the amount of 
$10,000 for each day during which such violation 
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continues or such information is not disclosed or re-
ported. 
‘‘(3) FALSE INFORMATION.—A health insurance 
issuer, entity providing pharmacy benefit manage-
ment services, or drug manufacturer that knowingly 
provides false information under this section shall be 
subject to a civil money penalty in an amount not 
to exceed $100,000 for each item of false informa-
tion. Such civil money penalty shall be in addition to 
other penalties as may be prescribed by law. 
‘‘(4) PROCEDURE.—The provisions of section 
1128A of the Social Security Act, other than sub-
section (a) and (b) and the first sentence of sub-
section (c)(1) of such section shall apply to civil 
monetary penalties under this subsection in the 
same manner as such provisions apply to a penalty 
or proceeding under section 1128A of the Social Se-
curity Act. 
‘‘(5) WAIVERS.—The Secretary may waive pen-
alties under paragraph (2), or extend the period of 
time for compliance with a requirement of this sec-
tion, for an entity in violation of this section that 
has made a good-faith effort to comply with this sec-
tion. 
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‘‘(d) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed to permit a health insurance issuer, 
group health plan, or other entity to restrict disclosure to, 
or otherwise limit the access of, the Department of Health 
and Human Services to a report described in subsection 
(b)(1) or information related to compliance with sub-
section (a) by such issuer, plan, or entity. 
‘‘(e) DEFINITION.—In this section, the term ‘whole-
sale acquisition cost’ has the meaning given such term in 
section 1847A(c)(6)(B) of the Social Security Act.’’; and 
(2) in section 2723 (42 U.S.C. 300gg–22)— 
(A) in subsection (a)— 
(i) in paragraph (1), by inserting 
‘‘(other than subsections (a) and (b) of 
section 2799A–11)’’ after ‘‘part D’’; and 
(ii) in paragraph (2), by inserting 
‘‘(other than subsections (a) and (b) of 
section 2799A–11)’’ after ‘‘part D’’; and 
(B) in subsection (b)— 
(i) in paragraph (1), by inserting 
‘‘(other than subsections (a) and (b) of 
section 2799A–11)’’ after ‘‘part D’’; 
(ii) in paragraph (2)(A), by inserting 
‘‘(other than subsections (a) and (b) of 
section 2799A–11)’’ after ‘‘part D’’; and 
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(iii) in paragraph (2)(C)(ii), by insert-
ing ‘‘(other than subsections (a) and (b) of 
section 2799A–11)’’ after ‘‘part D’’. 
(b) ERISA.— 
(1) IN GENERAL.—Subtitle B of title I of the 
Employee Retirement Income Security Act of 1974 
(29 U.S.C. 1021 et seq.) is amended— 
(A) in subpart B of part 7 (29 U.S.C. 
1185 et seq.), by adding at the end the fol-
lowing: 
‘‘SEC. 726. OVERSIGHT OF PHARMACY BENEFIT MANAGER 
SERVICES. 
‘‘(a) IN GENERAL.—For plan years beginning on or 
after January 1, 2024, a group health plan (or health in-
surance issuer offering group health insurance coverage 
in connection with such a plan) or an entity or subsidiary 
providing pharmacy benefits management services on be-
half of such a plan or issuer shall not enter into a contract 
with a drug manufacturer, distributor, wholesaler, subcon-
tractor, rebate aggregator, or any associated third party 
that limits the disclosure of information to plan sponsors 
in such a manner that prevents the plan or issuer, or an 
entity or subsidiary providing pharmacy benefits manage-
ment services on behalf of a plan or issuer, from making 
the reports described in subsection (b). 
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‘‘(b) REPORTS.— 
‘‘(1) IN GENERAL.—For plan years beginning 
on or after January 1, 2024, not less frequently 
than once every 6 months, a health insurance issuer 
offering group health insurance coverage or an enti-
ty providing pharmacy benefits management services 
on behalf of a group health plan or an issuer pro-
viding group health insurance coverage shall submit 
to the plan sponsor (as defined in section 3(16)(B)) 
of such group health plan or group health insurance 
coverage a report in accordance with this subsection 
and make such report available to the plan sponsor 
in a machine-readable format. Each such report 
shall include, with respect to the applicable group 
health plan or health insurance coverage— 
‘‘(A) as applicable, information collected 
from drug manufacturers by such issuer or en-
tity on the total amount of copayment assist-
ance dollars paid, or copayment cards applied, 
that were funded by the drug manufacturer 
with respect to the participants and bene-
ficiaries in such plan or coverage; 
‘‘(B) a list of each drug covered by such 
plan, issuer, or entity providing pharmacy ben-
efit management services that was dispensed 
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HR 7666 RFS
during the reporting period, including, with re-
spect to each such drug during the reporting 
period— 
‘‘(i) the brand name, chemical entity, 
and National Drug Code; 
‘‘(ii) the number of participants and 
beneficiaries for whom the drug was filled 
during the plan year, the total number of 
prescription fills for the drug (including 
original prescriptions and refills), and the 
total number of dosage units of the drug 
dispensed across the plan year, including 
whether the dispensing channel was by re-
tail, mail order, or specialty pharmacy; 
‘‘(iii) the wholesale acquisition cost, 
listed as cost per days supply and cost per 
pill, or in the case of a drug in another 
form, per dose; 
‘‘(iv) the total out-of-pocket spending 
by participants and beneficiaries on such 
drug, including participant and beneficiary 
spending through copayments, coinsurance, 
and deductibles; and 
‘‘(v) for any drug for which gross 
spending of the group health plan or 
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HR 7666 RFS
health 
insurance 
coverage 
exceeded 
$10,000 during the reporting period— 
‘‘(I) a list of all other drugs in 
the same therapeutic category or 
class, including brand name drugs 
and biological products and generic 
drugs or biosimilar biological products 
that are in the same therapeutic cat-
egory or class as such drug; and 
‘‘(II) the rationale for preferred 
formulary placement of such drug in 
that therapeutic category or class, if 
applicable; 
‘‘(C) a list of each therapeutic category or 
class of drugs that were dispensed under the 
health plan or health insurance coverage during 
the reporting period, and, with respect to each 
such therapeutic category or class of drugs, 
during the reporting period— 
‘‘(i) total gross spending by the plan, 
before manufacturer rebates, fees, or other 
manufacturer remuneration; 
‘‘(ii) the number of participants and 
beneficiaries who filled a prescription for a 
drug in that category or class; 
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‘‘(iii) if applicable to that category or 
class, a description of the formulary tiers 
and utilization mechanisms (such as prior 
authorization or step therapy) employed 
for drugs in that category or class; 
‘‘(iv) the total out-of-pocket spending 
by participants and beneficiaries, including 
participant 
and 
beneficiary 
spending 
through copayments, coinsurance, and 
deductibles; and 
‘‘(v) for each therapeutic category or 
class under which 3 or more drugs are in-
cluded on the formulary of such plan or 
coverage— 
‘‘(I) the amount received, or ex-
pected to be received, from drug man-
ufacturers in rebates, fees, alternative 
discounts, or other remuneration— 
‘‘(aa) that has been paid, or 
is to be paid, by drug manufac-
turers for claims incurred during 
the reporting period; or 
‘‘(bb) that is related to utili-
zation of drugs, in such thera-
peutic category or class; 
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‘‘(II) the total net spending, after 
deducting rebates, price concessions, 
alternative discounts or other remu-
neration from drug manufacturers, by 
the health plan or health insurance 
coverage on that category or class of 
drugs; and 
‘‘(III) the net price per course of 
treatment or single fill, such as a 30- 
day supply or 90-day supply, incurred 
by the health plan or health insurance 
coverage and its participants and 
beneficiaries, after manufacturer re-
bates, fees, and other remuneration 
for drugs dispensed within such thera-
peutic category or class during the re-
porting period; 
‘‘(D) total gross spending on prescription 
drugs by the plan or coverage during the re-
porting period, before rebates and other manu-
facturer fees or remuneration; 
‘‘(E) total amount received, or expected to 
be received, by the health plan or health insur-
ance coverage in drug manufacturer rebates, 
fees, alternative discounts, and all other remu-
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HR 7666 RFS
tive services under group health plan or group 
or individual health insurance coverage; 
(B) as it relates to pharmacy networks 
that include pharmacies under common owner-
ship described in subparagraph (A)— 
(i) whether such networks are de-
signed to encourage enrollees of a plan or 
coverage to use such pharmacies over other 
network pharmacies for specific services or 
drugs, and if so, the reasons the networks 
give for encouraging use of such phar-
macies; and 
(ii) whether such pharmacies are used 
by enrollees disproportionately more in the 
aggregate or for specific services or drugs 
compared to other network pharmacies; 
(C) whether group health plans and health 
insurance issuers offering group or individual 
health insurance coverage have options to elect 
different network pricing arrangements in the 
marketplace with entities that provide phar-
macy benefit management services, the preva-
lence of electing such different network pricing 
arrangements; 
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