H. R. 2617—1236 
‘‘(iv) for such other purposes as the Secretary deter-
mines to be applicable and appropriate. 
‘‘(c) APPLICATIONS.— 
‘‘(1) IN GENERAL.—An eligible entity that is seeking a grant 
or cooperative agreement under this section shall submit an 
application to the Secretary at such time, in such manner, 
and accompanied by such information as the Secretary may 
require, including the contents described in paragraph (2). 
‘‘(2) CONTENTS FOR AWARDS.—Any such application of an 
eligible entity seeking a grant or cooperative agreement under 
this section shall include, as applicable— 
‘‘(A) a description of a plan to achieve fully collaborative 
agreements to provide bidirectional integrated care to spe-
cial populations; 
‘‘(B) a summary of the policies, if any, that are barriers 
to the provision of integrated care, and the specific steps, 
if applicable, that will be taken to address such barriers; 
‘‘(C) a description of partnerships or other arrange-
ments with local health care providers to provide services 
to special populations and, as applicable, in areas with 
demonstrated need, such as Tribal, rural, or other medically 
underserved communities, such as those with a workforce 
shortage of mental health and substance use disorder, pedi-
atric mental health, or other related professionals; 
‘‘(D) an agreement and plan to report to the Secretary 
performance measures necessary to evaluate patient out-
comes and facilitate evaluations across participating 
projects; and 
‘‘(E) a description of the plan or progress in imple-
menting the psychiatric collaborative care model, as 
applicable and appropriate; 
‘‘(F) a description of the plan or progress of evidence- 
based or evidence-informed integrated care models other 
than the psychiatric collaborative care model implemented 
by primary care practices, as applicable and appropriate; 
and 
‘‘(G) a plan for sustainability beyond the grant or 
cooperative agreement period under subsection (e). 
‘‘(d) GRANT AND COOPERATIVE AGREEMENT AMOUNTS.— 
‘‘(1) TARGET AMOUNT.—The target amount that an eligible 
entity may receive for a year through a grant or cooperative 
agreement under this section shall be no more than $2,000,000. 
‘‘(2) ADJUSTMENT PERMITTED.—The Secretary, taking into 
consideration the quality of an eligible 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 adjust 
the target amount that an eligible entity may receive for a 
year through a grant or cooperative agreement under this sec-
tion. 
‘‘(3) LIMITATION.—An eligible entity that is receiving 
funding under subsection (b)— 
‘‘(A) may not allocate more than 10 percent of the 
funds awarded to such eligible entity under this section 
to administrative functions; and 
‘‘(B) shall allocate the remainder of such funding to 
health facilities that provide integrated care.
H. R. 2617—1237 
‘‘(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 shall 
submit an annual report to the Secretary. Such annual report 
shall include— 
‘‘(1) the progress made to reduce barriers to integrated 
care as described in the entity’s application under subsection 
(c); 
‘‘(2) a description of outcomes with respect to each special 
population listed in subsection (a)(4), including outcomes 
related to education, employment, and housing, or, as applicable 
and appropriate, outcomes for such populations receiving behav-
ioral health care through the psychiatric collaborative care 
model in primary care practices; and 
‘‘(3) progress in meeting performance metrics and other 
relevant benchmarks; and 
‘‘(4) such other information that the Secretary may require. 
‘‘(g) TECHNICAL ASSISTANCE FOR PRIMARY-BEHAVIORAL HEALTH 
CARE INTEGRATION.— 
‘‘(1) CERTAIN
RECIPIENTS.—The Secretary may provide 
appropriate information, training, and technical assistance to 
eligible entities that receive a grant or cooperative agreement 
under subsection (b)(2), in order to help such entities meet 
the requirements of this section, including assistance with— 
‘‘(A) development and selection of integrated care 
models; 
‘‘(B) dissemination of evidence-based interventions in 
integrated care; 
‘‘(C) establishment of organizational practices to sup-
port operational and administrative success; and 
‘‘(D) as appropriate, appropriate information, training, 
and technical assistance in implementing the psychiatric 
collaborative care model when an eligible entity is collabo-
rating with 1 or more primary care practices for the pur-
poses of implementing the psychiatric collaborative care 
model. 
‘‘(2) ADDITIONAL DISSEMINATION OF TECHNICAL INFORMA-
TION.—In addition to providing the assistance described in para-
graph (1) to recipients of a grant or cooperative agreement 
under this section, the Secretary may also provide such assist-
ance to other States and political subdivisions of States, Indian 
Tribes and Tribal organizations, as those terms are defined 
in section 4 of the Indian Self-Determination and Education 
Assistance Act, outpatient mental health and addiction treat-
ment centers, community mental health centers that meet the 
criteria under section 1913(c), certified community behavioral 
health clinics described in section 223 of the Protecting Access 
to Medicare Act of 2014, primary care organizations 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, the community-based organizations, and 
other entities engaging in integrated care activities, as the 
Secretary determines appropriate. 
‘‘(h) REPORT TO CONGRESS.—Not later than 18 months after 
the date of enactment of the Restoring Hope for Mental Health 
and Well-Being Act of 2022, and annually thereafter, the Secretary
H. R. 2617—1238 
shall submit a report to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives summarizing the 
information submitted in reports to the Secretary under subsection 
(f), including progress made in meeting performance metrics and 
the uptake of integrated care models, any adjustments made to 
target amounts pursuant to subsection (d)(2), and any other relevant 
information. 
‘‘(i) FUNDING.— 
‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—To carry out this 
section, there is authorized to be appropriated $60,000,000 
for each of fiscal years 2023 through 2027. 
‘‘(2) INCREASING
UPTAKE
OF
THE
PSYCHIATRIC
COLLABO-
RATIVE CARE MODEL BY PRIMARY CARE PRACTICES.—Not less 
than 10 percent of funds appropriated to carry out this section 
shall be for the purposes of implementing the psychiatric 
collaborative care model implemented by primary care practices 
under subsection (b). 
‘‘(3) FUNDING CONTINGENCY.—Paragraph (2) shall not apply 
to a fiscal year unless the amount made available to carry 
out this section for such fiscal year exceeds the amount appro-
priated to carry out this section (as in effect before the date 
of enactment of the Restoring Hope for Mental Health and 
Well-Being Act of 2022) for fiscal year 2022.’’. 
CHAPTER 2—HELPING ENABLE ACCESS TO LIFESAVING 
SERVICES 
SEC. 1311. REAUTHORIZATION AND PROVISION OF CERTAIN PRO-
GRAMS 
TO 
STRENGTHEN 
THE 
HEALTH 
CARE 
WORKFORCE. 
(a) 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)— 
(A) in paragraph (1), by inserting ‘‘(which may include 
master’s and doctoral level programs)’’ after ‘‘occupational 
therapy’’; and 
(B) in paragraph (4), by inserting before the period 
the following: ‘‘, including training to increase skills and 
capacity to meet the needs of children and adolescents 
who have experienced trauma’’; 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’’. 
(b) TRAINING DEMONSTRATION PROGRAM.—Section 760 of the 
Public Health Service Act (42 U.S.C. 294k) is amended— 
(1) by striking ‘‘mental and substance use disorders’’ each 
place it appears and inserting ‘‘mental health and substance 
use disorder’’; 
(2) in subsection (a)(2)— 
(A) by inserting ‘‘(including for individuals completing 
clinical 
training 
requirements 
for 
licensure)’’ 
after 
‘‘training’’; 
(B) by inserting ‘‘counselors, nurses,’’ after ‘‘psycholo-
gists,’’; and
H. R. 2617—1239 
(C) by striking the semicolon and inserting ‘‘, including 
such settings that serve pediatric populations;’’; 
(3) in subsection (a)(3)(A)— 
(A) by striking ‘‘disorder’’ (as inserted by paragraph 
(1)) and inserting ‘‘disorders’’; and 
(B) by inserting ‘‘or pediatric populations’’ after ‘‘addic-
tion’’; 
(4) in subsection (b)(2)(A), by inserting ‘‘(including such 
settings that serve pediatric populations)’’ after ‘‘settings’’; 
(5) in subsection (c)(2)(F)— 
(A) by inserting ‘‘counselors, nurses,’’ after ‘‘psycholo-
gists’’; and 
(B) by striking the period and inserting ‘‘, including 
such entities that serve pediatric populations.’’; 
(6) in subsection (d)(1)(A)— 
(A) by inserting ‘‘health service psychologists, nurses’’ 
after ‘‘fellows,’’; and 
(B) by inserting ‘‘counselors,’’ after ‘‘physician assist-
ants’’; 
(7) in subsection (d)(1)(B)— 
(A) by inserting ‘‘, which may include such settings 
that serve pediatric populations’’ after ‘‘settings’’; 
(B) by inserting ‘‘health’’ after ‘‘mental’’; 
(8) in subsection (d)(2)(C), inserting ‘‘(which may include 
trauma-informed care, as appropriate)’’ after ‘‘care’’; 
(9) in subsection (g), by striking ‘‘$10,000,000 for each 
of fiscal years 2018 through 2022’’ and inserting ‘‘, and 
$31,700,000 for each of fiscal years 2023 through 2027’’; and 
(10) in subsection (f)(2)(B), by striking ‘‘disorder’’ (as 
inserted by paragraph (1)) and inserting ‘‘disorders’’. 
SEC. 1312. 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’’. 
CHAPTER 3—ELIMINATING THE OPT-OUT FOR 
NONFEDERAL GOVERNMENTAL HEALTH PLANS 
SEC. 1321. ELIMINATING THE OPT-OUT FOR NONFEDERAL GOVERN-
MENTAL 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 paragraph— 
‘‘(I) no election described in subparagraph (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.
H. R. 2617—1240 
‘‘(ii) EXCEPTION FOR CERTAIN COLLECTIVELY BAR-
GAINED PLANS.—Notwithstanding clause (i)(II), a plan 
described in subparagraph (B)(ii) that is subject to 
multiple agreements described in such subparagraph 
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 enactment may extend 
such election until the date on which the term of 
the last such agreement expires.’’. 
CHAPTER 4—MENTAL HEALTH AND SUBSTANCE USE 
DISORDER PARITY IMPLEMENTATION 
SEC. 1331. GRANTS TO SUPPORT MENTAL HEALTH AND SUBSTANCE 
USE DISORDER PARITY IMPLEMENTATION. 
(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 enactment of this para-
graph, the Secretary shall, out of funds made available 
pursuant to subparagraph (C), award grants to eligible 
States to enforce and ensure compliance with the mental 
health and substance use disorder parity provisions of sec-
tion 2726. 
‘‘(B) ELIGIBLE STATE.—A State shall be eligible for a 
grant awarded under this paragraph only if such State— 
‘‘(i) submits to the Secretary an application for 
such grant at such time, in such manner, and con-
taining such information as specified by the Secretary; 
and 
‘‘(ii) agrees to request and review from health 
insurance issuers offering group or individual health 
insurance coverage the comparative analyses and other 
information required of such health insurance issuers 
under subsection (a)(8)(A) of section 2726 relating to 
the design and application of nonquantitative treat-
ment limitations imposed on mental health or sub-
stance use disorder benefits. 
‘‘(C) AUTHORIZATION
OF
APPROPRIATIONS.—There are 
authorized to be appropriated $10,000,000 for each of the 
first five fiscal years beginning after the date of the enact-
ment 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 Affordable Care Act (Public Law 111– 
148) is redesignated as section 2795.
H. R. 2617—1241 
Subtitle D—Children and Youth 
CHAPTER 1—SUPPORTING CHILDREN’S MENTAL 
HEALTH CARE ACCESS 
SEC. 1401. TECHNICAL ASSISTANCE FOR SCHOOL-BASED HEALTH CEN-
TERS. 
Section 399Z–1 of the Public Health Service Act (42 U.S.C. 
280h–5) is amended— 
(1) by redesignating subsection (l) as subsection (m); and 
(2) by inserting after subsection (k) the following: 
‘‘(l) TECHNICAL ASSISTANCE.—The Secretary shall provide tech-
nical assistance by grants or contracts awarded to private, nonprofit 
entities with demonstrated expertise related to school-based health 
centers. Such technical assistance, taking into account local and 
regional differences among school based health centers, shall sup-
port such entities in providing services described in subsection 
(a)(1) pursuant to this section, including mental health and sub-
stance use disorder services, and may include technical assistance 
relating to program operations and support for the implementation 
of evidence-based or evidence-informed best practices related to 
the provision of high quality health care services to children and 
adolescents.’’. 
SEC. 1402. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PRO-
MOTION, INTERVENTION, AND TREATMENT. 
Section 399Z–2 of the Public Health Service Act (42 U.S.C. 
280h–6) is amended— 
(1) by redesignating subsection (f) as subsection (g); 
(2) by inserting after subsection (e) the following: 
‘‘(f) TECHNICAL ASSISTANCE.—The Secretary may, directly or 
by awarding grants or contracts to public and private nonprofit 
entities, provide training and technical assistance to eligible entities 
to carry out activities described in subsection (d).’’; and 
(3) in subsection (g) (as redesignated by paragraph (1)), 
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. 1403. CO-OCCURRING CHRONIC CONDITIONS AND MENTAL 
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 behaviors 
among children and adolescents with chronic illnesses, 
including substance use disorders, autoimmune disorders, and 
heritable blood disorders; and 
(2) submit a report to the Congress on the results of such 
study, including recommendations for early intervention serv-
ices for such children and adolescents 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 described 
in paragraph (1) to reduce any demographic disparities in such 
rates.
H. R. 2617—1242 
SEC. 1404. BEST PRACTICES FOR BEHAVIORAL AND MENTAL HEALTH 
INTERVENTION TEAMS. 
The Public Health Service Act is amended by inserting after 
section 520H of such Act, as added by section 1151 of this Act, 
the following new section: 
‘‘SEC. 520H–1. BEST PRACTICES FOR BEHAVIORAL AND MENTAL 
HEALTH INTERVENTION TEAMS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Assistant 
Secretary for Mental Health and Substance Use, and in consultation 
with the Secretary of Education, shall submit to the Health Edu-
cation, Labor, and Pensions Committee of the Senate and the 
Energy and Commerce Committee of the House of Representatives 
a report that identifies best practices related to using behavioral 
and mental health intervention teams, which may be used to assist 
elementary schools, secondary schools, and institutions of higher 
education interested in voluntarily establishing and using such 
teams to support students exhibiting behaviors interfering with 
learning at school or who are at risk of harm to self or others. 
‘‘(b) ELEMENTS.—The report under subsection (a) shall assess 
evidence supporting such best practices and, as appropriate, include 
consideration of the following: 
‘‘(1) How behavioral and mental health intervention teams 
might operate effectively from an evidence-based, objective 
perspective while protecting the constitutional and civil rights 
and privacy of individuals. 
‘‘(2) The use of behavioral and mental health intervention 
teams— 
‘‘(A) to identify and support students exhibiting behav-
iors interfering with learning or posing a risk of harm 
to self or others; and 
‘‘(B) to implement evidence-based interventions to meet 
the behavioral and mental health needs of such students. 
‘‘(3) How behavioral and mental health intervention teams 
can— 
‘‘(A) access evidence-based professional development to 
support students described in paragraph (2)(A); and 
‘‘(B) ensure that such teams— 
‘‘(i) are composed of trained, diverse stakeholders 
with expertise in child and youth development, behav-
ioral and mental health, and disability; and 
‘‘(ii) use cross validation by a wide-range of indi-
vidual perspectives on the team. 
‘‘(4) How behavioral and mental health intervention teams 
can help mitigate inappropriate referral to mental health serv-
ices or law enforcement by implementing evidence-based inter-
ventions that meet student needs. 
‘‘(c) CONSULTATION.—In carrying out subsection (a), the Sec-
retary shall consult with— 
‘‘(1) the Secretary of Education; 
‘‘(2) the Director of the National Threat Assessment Center 
of the United States Secret Service; 
‘‘(3) the Attorney General; 
‘‘(4) teachers (which shall include special education 
teachers), principals and other school leaders, school board 
members, behavioral and mental health professionals (including
H. R. 2617—1243 
school-based mental health professionals), and parents of stu-
dents; 
‘‘(5) local law enforcement agencies and campus law 
enforcement administrators; 
‘‘(6) privacy, disability, and civil rights experts; and 
‘‘(7) other education and mental health professionals as 
the Secretary deems appropriate. 
‘‘(d) PUBLICATION.—The Secretary shall publish the report 
under subsection (a) in an accessible format on the internet website 
of the Department of Health and Human Services. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘behavioral and mental health intervention 
team’ means a multidisciplinary team of trained individuals 
who— 
‘‘(A) are trained to identify and assess the behavioral 
health needs of children and youth and who are responsible 
for identifying, supporting, and connecting students exhib-
iting behaviors interfering with learning at school, or who 
are at risk of harm to self or others, with appropriate 
behavioral health services; and 
‘‘(B) develop and facilitate implementation of evidence- 
based interventions to— 
‘‘(i) mitigate the threat of harm to self or others 
posed by a student described in subparagraph (A); 
‘‘(ii) meet the mental and behavioral health needs 
of such students; and 
‘‘(iii) support positive, safe, and supportive learning 
environments. 
‘‘(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. 
‘‘(3) The term ‘institution of higher education’ has the 
meaning given to such term in section 102 of the Higher Edu-
cation Act of 1965.’’. 
CHAPTER 2—CONTINUING SYSTEMS OF CARE FOR 
CHILDREN 
SEC. 1411. COMPREHENSIVE COMMUNITY MENTAL HEALTH SERVICES 
FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURB-
ANCES. 
(a) DEFINITION.—Section 565(d)(2)(B) of the Public Health 
Service Act (42 U.S.C. 290ff–4(d)(2)(B)) is amended by striking 
‘‘may be)’’ and inserting ‘‘may be), kinship caregivers of the child,’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Paragraph (1) of sec-
tion 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. 1412. SUBSTANCE USE DISORDER TREATMENT AND EARLY INTER-
VENTION SERVICES FOR CHILDREN AND ADOLESCENTS. 
Section 514 of the Public Health Service Act (42 U.S.C. 290bb– 
7) is amended—
H. R. 2617—1244 
(1) in subsection (a), by striking ‘‘Indian tribes or tribal 
organizations’’ and inserting ‘‘Indian Tribes or Tribal organiza-
tions’’; and 
(2) in subsection (f), by striking ‘‘2018 through 2022’’ and 
inserting ‘‘2023 through 2027’’. 
CHAPTER 3—GARRETT LEE SMITH MEMORIAL 
REAUTHORIZATION 
SEC. 1421. 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) COLLABORATION.—Section 520C(a) of the Public Health 
Service Act (42 U.S.C. 290bb–34(a)) is amended— 
(1) by striking ‘‘The Secretary’’ and inserting the following: 
‘‘(1) IN GENERAL.—The Secretary’’; and 
(2) by adding at the end the following: 
‘‘(2) COLLABORATION.—In carrying out this subsection, as 
applicable with respect to assistance to entities serving mem-
bers of the Armed Forces and veterans, the Secretary shall, 
as appropriate, collaborate with the Secretary of Defense and 
the Secretary of Veterans Affairs.’’. 
(c) 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’’. 
(d) 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 enactment of this subsection, 
the Secretary shall submit to Congress’’ and inserting ‘‘Not later 
than 2 years after the date of the enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 2022, the Secretary 
shall submit to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and Com-
merce of the House of Representatives’’. 
SEC. 1422. YOUTH SUICIDE EARLY INTERVENTION AND PREVENTION 
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 pro-
grams,’’ after ‘‘foster care systems,’’; 
(4) by amending subsection (b)(1)(B) to read as follows: 
‘‘(B) a public organization or private nonprofit organiza-
tion designated by a State or Indian Tribe (as defined 
in section 4 of the Indian Self-Determination and Education 
Assistance Act) to develop or direct the State-sponsored 
statewide or Tribal youth suicide early intervention and 
prevention strategy; or’’; 
(5) in subsection (c)—
H. R. 2617—1245 
(A) in paragraph (1), by inserting ‘‘pediatric health 
programs,’’ after ‘‘foster care systems,’’; 
(B) in paragraph (7), by inserting ‘‘pediatric health 
programs,’’ after ‘‘foster care systems,’’; 
(C) in paragraph (9), by inserting ‘‘pediatric health 
programs,’’ after ‘‘educational institutions,’’; 
(D) in paragraph (13), by striking ‘‘and’’ at the end; 
(E) in paragraph (14), by striking the period at the 
end and inserting ‘‘; and’’; and 
(F) by adding at the end the following: 
‘‘(15) provide to parents, legal guardians, and family mem-
bers of youth, supplies to securely store means commonly used 
in suicide, if applicable, within the household.’’; 
(6) in subsection (d)— 
(A) in the heading, by striking ‘‘DIRECT SERVICES’’ and 
inserting ‘‘SUICIDE PREVENTION ACTIVITIES’’; and 
(B) by striking ‘‘direct services, of which not less than 
5 percent shall be used for activities authorized under 
subsection (a)(3)’’ and inserting ‘‘suicide prevention activi-
ties’’; 
(7) in subsection (e)(3)(A), by inserting ‘‘and the Department 
of Education, as appropriate’’ after ‘‘agencies and suicide 
working groups’’; 
(8) in subsection (g)— 
(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 ‘‘December 31, 
2025’’; 
(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. 1423. MENTAL HEALTH AND SUBSTANCE USE DISORDER SERV-
ICES 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 EDUCATION’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘mental and substance 
use disorders’’ and inserting ‘‘mental health and substance 
use disorders and promote resiliency’’; 
(B) in paragraph (4), by striking ‘‘mental and substance 
use disorder services.’’ and inserting ‘‘mental health and 
substance use disorder resources and services.’’; 
(C) in paragraph (5), by striking ‘‘mental and substance 
use’’ and inserting ‘‘mental health and substance use’’; 
(D) in paragraph (6), by striking ‘‘staff to respond effec-
tively to students with mental and substance use dis-
orders.’’ and inserting ‘‘staff to recognize and respond effec-
tively and appropriately to students experiencing mental 
health and substance use disorders.’’;
H. R. 2617—1247 
(2) the effects of such use on— 
(A) emotional, behavioral, and physical health and 
development; and 
(B) any disparities in the mental health outcomes of 
rural, minority, and other underserved 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. 1432. RESEARCH ON THE HEALTH AND DEVELOPMENT EFFECTS 
OF MEDIA AND RELATED TECHNOLOGY ON INFANTS, 
CHILDREN, AND ADOLESCENTS. 
(a) IN GENERAL.—The Secretary of Health and Human Services 
(in this section referred to as the ‘‘Secretary’’) shall, as appropriate, 
conduct or support research related to the health and developmental 
effects, including long-term effects, of media and related technology 
use on infants, children, and adolescents, which may include the 
effects of exposure to, and use of, media and related technology, 
such as social media, applications, websites, television, motion pic-
tures, artificial intelligence, mobile devices, computers, video games, 
virtual and augmented reality, and other content, networks, or 
platforms disseminated through the internet, broadcasted, or other 
media technologies, as applicable. 
(b) ACTIVITIES.—In carrying out subsection (a), the Secretary, 
acting through the Director of the National Institutes of Health, 
shall, as appropriate, develop a research agenda to assess the 
effects of media and related technologies on infants, children, and 
adolescents, which may include consideration of the following, as 
appropriate: 
(1) The cognitive development of infants, children, and 
adolescents, which may include effects related to language 
development, learning abilities, and other areas of cognitive 
development. 
(2) The physical health of infants, children, and adolescents, 
which may include effects related to diet, exercise, sleeping 
and eating routines, and other areas of physical development. 
(3) The mental health of infants, children, and adolescents, 
which may include effects related to self-awareness, social 
awareness, relationship skills, decision-making, violence, bul-
lying, privacy, mental disorders, and other areas related to 
mental health. 
(c) CONSULTATION.—In developing the research agenda under 
subsection (b), the Secretary may consult with appropriate national 
research institutes, academies, and centers, relevant consortia, and 
non-Federal experts, as appropriate. The Secretary may utilize sci-
entific workshops, symposia, and other activities to assess current 
knowledge and identify relevant research opportunities and gaps 
in this area. 
(d) REPORT TO CONGRESS.—Not later than 2 years after the 
date of enactment of this Act, the Director of the National Institutes 
of Health shall submit to the Committee on Energy and Commerce 
of the House of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate a report— 
(1) on the progress made in improving data and expanding 
research on the health and developmental effects of media
H. R. 2617—1248 
and related technology on infants, children, and adolescents 
in accordance with this section; and 
(2) that summarizes the grants and research funded under 
this section for each of the years covered by the report. 
Subtitle E—Miscellaneous Provisions 
SEC. 1501. LIMITATIONS ON AUTHORITY. 
In carrying out any program of the Substance Abuse and Mental 
Health Services Administration whose statutory authorization is 
enacted or amended by this title, the Secretary of Health and 
Human Services shall not allocate funding, or require award recipi-
ents to prioritize, dedicate, or allocate funding, without consider-
ation of the incidence, prevalence, or determinants of mental health 
or substance use issues, unless such allocation or requirement is 
consistent with statute, regulation, or other Federal law. 
TITLE II—PREPARING FOR AND RE-
SPONDING 
TO 
EXISTING 
VIRUSES, 
EMERGING 
NEW 
THREATS, 
AND 
PANDEMICS 
SEC. 2001. SHORT TITLE. 
This title may be cited as the ‘‘Prepare for and Respond to 
Existing Viruses, Emerging New Threats, and Pandemics Act’’ or 
the ‘‘PREVENT Pandemics Act’’. 
Subtitle A—Strengthening Federal and 
State Preparedness 
CHAPTER 1—FEDERAL LEADERSHIP AND 
ACCOUNTABILITY 
SEC. 2101. APPOINTMENT AND AUTHORITY OF THE DIRECTOR OF THE 
CENTERS FOR DISEASE CONTROL AND PREVENTION. 
(a) IN GENERAL.—Part A of title III of the Public Health Service 
Act (42 U.S.C. 241 et seq.) is amended by inserting after section 
304 the following: 
‘‘SEC. 305. APPOINTMENT AND AUTHORITY OF THE DIRECTOR OF THE 
CENTERS FOR DISEASE CONTROL AND PREVENTION. 
‘‘(a) IN GENERAL.—The Centers for Disease Control and Preven-
tion (referred to in this section as the ‘CDC’) shall be headed 
by the Director of the Centers for Disease Control and Prevention 
(referred to in this section as the ‘Director’), who shall be appointed 
by the President, by and with the advice and consent of the Senate. 
Such individual shall also serve as the Administrator of the Agency 
for Toxic Substances and Disease Registry consistent with section 
104(i) of the Comprehensive Environmental Response, Compensa-
tion, and Liability Act. The Director shall perform functions pro-
vided for in subsection (b) and such other functions as the Secretary 
may prescribe.
H. R. 2617—1249 
‘‘(b) FUNCTIONS.—The Secretary, acting through the Director, 
shall— 
‘‘(1) implement and exercise applicable authorities and 
responsibilities provided for in this Act or other applicable 
law related to the investigation, detection, identification, 
prevention, or control of diseases or conditions to preserve 
and improve public health domestically and globally and 
address injuries and occupational and environmental hazards, 
as appropriate; 
‘‘(2) be responsible for the overall direction of the CDC 
and for the establishment and implementation of policies 
related to the management and operation of programs and 
activities within the CDC; 
‘‘(3) coordinate and oversee the operation of centers, 
institutes, and offices within the CDC; 
‘‘(4) support, in consultation with the heads of such centers, 
institutes, and offices, program coordination across such cen-
ters, institutes, and offices, including through priority setting 
reviews and the development of strategic plans, to reduce 
unnecessary duplication and encourage collaboration between 
programs; 
‘‘(5) 
oversee 
the 
development, 
implementation, 
and 
updating of the strategic plan established pursuant to sub-
section (c); 
‘‘(6) ensure that appropriate strategic planning, including 
the use of performance metrics, is conducted by such centers, 
institutes, and offices to facilitate and improve CDC programs 
and activities; 
‘‘(7) communicate, including through convening annual 
meetings, with public and private entities regarding relevant 
public health programs and activities, and, as applicable, the 
strategic plan established pursuant to subsection (c). 
‘‘(c) STRATEGIC PLAN.— 
‘‘(1) IN GENERAL.—Not later than 1 year after the date 
of enactment of the PREVENT Pandemics Act, and at least 
every 4 years thereafter, the Director shall develop and submit 
to the Committee on Health, Education, Labor, and Pensions 
and the Committee on Appropriations of the Senate and the 
Committee on Energy and Commerce and the Committee on 
Appropriations of the House of Representatives, and post on 
the website of the CDC, a coordinated strategy to provide 
strategic direction and facilitate collaboration across the cen-
ters, institutes, and offices within the CDC. Such strategy 
shall be known as the ‘CDC Strategic Plan’. 
‘‘(2) REQUIREMENTS.—The CDC Strategic Plan shall— 
‘‘(A) identify strategic priorities and objectives related 
to— 
‘‘(i) preventing, reducing, and eliminating the 
spread of communicable and noncommunicable dis-
eases or conditions, and addressing injuries, and 
occupational and environmental hazards; 
‘‘(ii) supporting the efforts of State, local, and 
Tribal health departments to prevent and reduce the 
prevalence of the diseases or conditions under clause 
(i); 
‘‘(iii) containing, mitigating, and ending disease 
outbreaks;
H. R. 2617—1250 
‘‘(iv) enhancing global and domestic public health 
capacity, capabilities, and preparedness, including 
public health data, surveillance, workforce, and labora-
tory capacity and safety; and 
‘‘(v) other priorities, as established by the Director; 
‘‘(B) describe the capacity and capabilities necessary 
to achieve the priorities and objectives under subparagraph 
(A), and progress towards achieving such capacity and 
capabilities, as appropriate; and 
‘‘(C) include a description of how the CDC Strategic 
Plan incorporates— 
‘‘(i) strategic communications; 
‘‘(ii) partnerships with private sector entities, and 
State, local, and Tribal health departments, and other 
public sector entities, as appropriate; and 
‘‘(iii) coordination with other agencies and offices 
of the Department of Health and Human Services and 
other Federal departments and agencies, as appro-
priate. 
‘‘(3) USE OF PLANS.—Strategic plans developed and updated 
by the centers, institutes, and offices of the CDC shall be 
prepared regularly and in such a manner that such plans 
will be informed by the CDC Strategic Plan developed and 
updated under this subsection. 
‘‘(d) APPEARANCES BEFORE CONGRESS.— 
‘‘(1) IN
GENERAL.—Each fiscal year, the Director shall 
appear before the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives at hearings 
on topics such as— 
‘‘(A) support for State, local, and Tribal public health 
preparedness and responses to any recent or ongoing public 
health emergency, including— 
‘‘(i) any objectives, activities, or initiatives that 
have been carried out, or are planned, by the Director 
to prepare for, or respond to, the public health emer-
gency, including relevant strategic communications or 
partnerships and any gaps or challenges identified in 
such objectives, activities, or initiatives; 
‘‘(ii) any objectives and planned activities for the 
upcoming fiscal year to address gaps in, or otherwise 
improve, State, local, and Tribal public health 
preparedness; and 
‘‘(iii) other potential all-hazard threats that the 
Director is preparing to address; 
‘‘(B) activities related to public health and functions 
of the Director described in subsection (b); and 
‘‘(C) updates on other relevant activities supported or 
conducted by the CDC, or in collaboration or coordination 
with the heads of other Federal departments, agencies, 
or stakeholders, as appropriate. 
‘‘(2) CLARIFICATIONS.— 
‘‘(A) WAIVER AUTHORITY.—The Chair of the Committee 
on Health, Education, Labor, and Pensions of the Senate 
or the Chair of the Committee on Energy and Commerce