SEC. 313. SAFE AND COMPLETE STREETS. 
Section 133 of title 23, United States Code, is 
amended by adding at the end the following: 
‘‘(g) WITHHOLDING OF FUNDING.— 
‘‘(1) IN GENERAL.—Beginning with the fiscal 
year that begins 2 years after the date of enactment 
of this subsection, the Secretary of Transportation 
shall withhold 2 percent of the amounts allocated in 
such fiscal year to the highway and planning funds 
allotted to a Metropolitan Planning Organization or 
State Transportation Improvement Program under 
the Safe, Accountable, Flexible, Efficient Transpor-
tation Equity Act unless the State or Metropolitan 
Planning Organization provides the Secretary with 
documentation— 
‘‘(A) of the existence of an explicit state-
ment of policy (that meets the requirements of 
subsection (b)) that the safety and convenience 
of all users of the transportation system shall 
be accommodated; and 
‘‘(B) that such policy has been applied to 
the projects contained in the Transportation 
Improvement Plan. 
‘‘(2) PURPOSE.—The purpose of the policy 
statement required under paragraph (1)(A) is to en-
sure that all users of the transportation system, in-
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cluding pedestrians, bicyclists, and transit users as 
well as children, older individuals, and individuals 
with disabilities, are able to travel safely and conven-
iently on streets and highways within the public 
right of way. 
‘‘(h) POLICY STATEMENT REQUIREMENTS.—A policy 
statement under subsection (g)(1)(A) shall include the fol-
lowing: 
‘‘(1) An assurance that all users of the trans-
portation system will include pedestrians (including 
individuals of all ages, and individuals with disabil-
ities (including mobility, sensory, neurological or hid-
den disabilities)), bicyclists, transit vehicles and 
users, and motorists. 
‘‘(2) An assurance that the statement will apply 
to both new road construction and transportation 
improvement projects. 
‘‘(3) A clear procedure that requires approval 
by a senior manager of any specified exceptions from 
implementing the policy statement, including docu-
mentation with supporting data that indicates the 
basis for the exemption. 
‘‘(4) A statement directing the use of the cur-
rent design standards, including those standards ap-
plying to access for individuals with disabilities. 
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‘‘(5) A statement requiring that complete 
streets solutions be developed to fit in with the con-
text of the community and that those solutions be 
flexible. 
‘‘(6) A description of the performance stand-
ards with measurable outcomes that will be devel-
oped. 
‘‘(7) A statement that accommodation shall be 
made for all users in all construction and improve-
ment projects unless one or more of the following 
apply: 
‘‘(A) The project involved a roadway on 
which non-motorized users are prohibited by 
law from using. In such case, a greater effort 
shall be made to accommodate bicyclists and 
pedestrians elsewhere. 
‘‘(B) The cost of establishing complete fa-
cilities would be excessively disproportionate to 
the need or probable use. 
‘‘(C) With respect to a project area with a 
low population, a lack of transit service, or 
other documented factors indicate an absence of 
need now and in the future. 
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‘‘(D) 
The 
policy 
statement 
may 
be 
achieved through a State or local law or ordi-
nance, or through an agency policy directive. 
‘‘(i) CERTIFICATIONS.—The Metropolitan Planning 
Organization and State Transportation Improvement Plan 
shall certify that each road project included in such plan 
has been reviewed for its compliance with any applicable 
policy statement under this section and that each project 
under such plan enhances the safety, convenience, and ac-
cessibility of the transportation system for all users to the 
extent that it is reasonably possible and that the project 
applicant addressed these concerns in the material pre-
pared for public input with respect to such plan. 
‘‘(j) ACCESSIBILITY STANDARDS.—Not later than 12 
months after the date of enactment of this subsection, the 
United States Access Board shall issue final standards for 
accessibility of new construction and alterations of pedes-
trian facilities in the public right-of-way. Until such time 
as the Access Board completes a final Public Right of Way 
Accessibility rule, Department of Transportation Stand-
ards for Accessible Transportation Facilities (49 C.F.R. 
37.9, as amended on 10/30/2006 (71 FR 63263)) shall 
serve as the minimum standard. If the Department Of 
Transportation standards are silent or inapplicable with 
respect to any issue, the 2005 draft Public Right Of Way 
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Accessibility Guidelines provisions shall be consulted. A 
Metropolitan Planning Organization or State department 
of transportation that is adopting complete streets policies 
may consult existing Federal guidance, including the 2000 
USDOT Guidance document, ‘Accommodating Bicycle 
and Pedestrian Travel’. 
‘‘(k) INCLUSION OF ALL USERS.—Metropolitan plan-
ning organizations shall strongly encourage local jurisdic-
tions that are served by such organizations to maximize 
their efforts to include all users in their transportation 
planning. 
‘‘(l) ADDITIONAL PROVISIONS.— 
‘‘(1) RESEARCH.— 
‘‘(A) IN
GENERAL.—The Secretary of 
Transportation shall require the Federal High-
way Administration to conduct complete streets 
research to assist States and Metropolitan 
Planning Organizations in developing, adopting, 
and implementing plans, projects, procedures, 
policies, and training that comply with the ap-
plicable statement of policy under subsection 
(g)(1)(A). 
‘‘(B) 
PARTICIPATION.—Research 
under 
subparagraph (A) shall be conducted with the 
participation of the American Association of 
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State Highway Transportation Officials, the In-
stitute of Transportation Engineers, the Amer-
ican Public Transit Association, the American 
Planning Association, the National Association 
of Regional Councils, the Association of Metro-
politan Planning Organizations, and representa-
tives of the disability, motoring, bicycling, walk-
ing, transit user, aging, and other affected com-
munities. 
‘‘(C) EXISTING
NEEDS.—Research under 
subparagraph (A) shall be based on the existing 
statement of complete streets research needs as 
outlined by the Transportation Research Board 
in TR Circular E110, and shall also develop 
new areas of inquiry. 
‘‘(2) BENCHMARKS
AND
GUIDANCE.—The re-
search project conducted under paragraph (1) shall 
be designed to result in the establishment of bench-
marks and the provision of practical guidance on 
how to effectively implement street procedures and 
designs that will accommodate all types of users 
along the same facility or corridor including, vehi-
cles, pedestrians, bicycles, and transit use. Such 
benchmarks and guidance shall focus on changing 
scoping, design, and construction procedures to more 
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effectively fit the individual modes together into inte-
grated facilities that meet the needs of each in an 
appropriate balance. Such benchmarks and guidance 
shall indicate the expected operational and safety 
performance of alternative approaches to facility de-
sign. 
‘‘(3) BEST PRACTICES REPORT.—Not later than 
2 years after the date of enactment of this sub-
section, the Federal Highway Administration shall 
publish a best practices report showing how trans-
portation agencies have changed their procedures to 
routinely design safe, effective multi-modal facilities. 
In establishing such best practices, consideration 
shall be given to the following areas: 
‘‘(A) Procedures for identifying the needs 
of the mix of users, including primary and sec-
ondary users that need to be served on various 
highway functional classes. 
‘‘(B) The identification of the types and 
designs of facilities needed to serve each of 
those types of users. 
‘‘(C) The identification of barriers to im-
plementation and identification of costs associ-
ated with implementing complete streets poli-
cies. 
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‘‘(4) DATA COLLECTION.—In addition to pre-
paring the report under paragraph (3), the Federal 
Highway Administration shall work with the Bureau 
of Transportation Statistics and the Federal Transit 
Association and appropriate Transportation Re-
search Board committees on data collection, includ-
ing a baseline non-motorized and transit use survey 
that will be integrated into the National Highway 
Traffic Safety Administration and the development 
of a survey tool for use by State transportation de-
partments in identifying the multi-modal capacity of 
State and local road networks.’’. 
SEC. 314. NATIONAL ASSESSMENT OF MENTAL HEALTH 
NEEDS. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended by inserting after section 506B 
(42 U.S.C. 290aa–5b) the following: 
‘‘SEC. 506C. NATIONAL ASSESSMENT OF MENTAL HEALTH 
NEEDS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator, and in consultation with the Centers 
for Disease Control and Prevention and the Director of 
the National Institutes of Health, shall establish and im-
plement public health monitoring measures to address the 
mental and behavioral health needs of the population of 
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the United States and other populations served by the Ad-
ministration, that include— 
‘‘(1) monitoring the mental health status of the 
population, including incidence and prevalence rates 
of mental and behavioral health problems through-
out the lifespan; 
‘‘(2) monitoring mental and behavioral health 
risks; 
‘‘(3) enhancing existing public health moni-
toring systems to include data on mental and behav-
ioral health status and risks; and 
‘‘(4) monitoring the immediate and long-term 
impact of environmental factors to collect data on 
the prevalence of mental and behavioral health prob-
lems throughout the lifespan with the aim of encour-
aging early intervention and treatment. 
‘‘(b) DISTINGUISHING AMONG AGE GROUPS.—In de-
signing and implementing the measures described in sub-
section (a) the Secretary shall ensure that methods of 
monitoring and reporting data distinguish among different 
age groups, including when identifying groups of children, 
and very young children under age 3, together with their 
parents. 
‘‘(c) REPORT.—Not later than 1 year after the date 
of enactment of this section, the Secretary shall submit 
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a report to Congress that describes the progress on the 
implementation of the monitoring measures described in 
subsection (a). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$5,000,000 for fiscal year 2008 and such sums as may 
be necessary for each of the following fiscal years.’’. 
SEC. 315. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
the following: 
‘‘Subpart XI—Preventive Medicine Training 
‘‘SEC. 340H. PREVENTIVE MEDICINE AND PUBLIC HEALTH 
TRAINING GRANT PROGRAM. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, may award grants to, or enter into contracts with, 
eligible entities to provide training to graduate medical 
residents in preventive medicine specialties. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 
or contract under subsection (a), an entity shall— 
‘‘(1) be a school of public health, public health 
department, school of medicine or osteopathic medi-
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