1005 
‘‘(V) a youth who is an individual 
with a disability as defined in section 
3102 of title 29, United States Code; 
‘‘(VI) a low-income youth requir-
ing additional assistance to enter or 
complete an educational program or 
to secure or hold employment as de-
fined in section 3102 of title 29, 
United States Code; or 
‘‘(VII) living in a community that 
has faced acute or long-term exposure 
to substantial discrimination, histor-
ical oppression, intergenerational pov-
erty, civil unrest, or a high rate of vio-
lence or drug overdose deaths; 
‘‘(ii) furnished by qualified mental 
health providers; and 
‘‘(iii) a priority service. 
‘‘(D) TELEHEALTH.—The term ‘telehealth’ 
means use of electronic information and tele-
communications technologies, including voice 
only audio, text, remote patient monitoring, and 
mHealth via applications, to support clinical 
mental health care, patient and professional 
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health-related education, public health, and 
health administration. 
‘‘(3) 
PAYMENTS.—Notwithstanding 
section 
1905(b), beginning January 1, 2024, during each of 
the first 20 fiscal quarters that a State meets the 
requirements described in paragraph (4), the Fed-
eral medical assistance percentage applicable to 
amounts expended by the State for medical assist-
ance for qualifying youth and young adult mental 
health and substance use intervention services fur-
nished during such quarter shall be equal to 100 
percent. 
‘‘(4) REQUIREMENTS.—The requirements de-
scribed in this paragraph are the following: 
‘‘(A) The State demonstrates, to the satis-
faction of the Secretary— 
‘‘(i) that it will be able to support the 
provision of qualifying youth and young 
adult mental health and substance use 
intervention services that meet the condi-
tions specified in paragraphs (1) and (2); 
and 
‘‘(ii) how it will support coordination 
between qualified mental health providers 
and substance use teams and community 
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1007 
partners, including health care providers, 
to enable the provision of services, needed 
referrals, and other activities identified by 
the Secretary. 
‘‘(B) The State provides assurances satis-
factory to the Secretary that— 
‘‘(i) any additional Federal funds re-
ceived by the State for qualifying youth 
and young adult mental health and sub-
stance use intervention services provided 
under this subsection that are attributable 
to the increased Federal medical assistance 
percentage under paragraph (3)(A) will be 
used to supplement, and not supplant, the 
level of State funds expended for such 
services for fiscal year 2024; 
‘‘(ii) if the State made qualifying 
youth and young adult mental health and 
substance use intervention services avail-
able in a region of the State in fiscal year 
2023 the State will continue to make such 
services available in such region under this 
subsection at the same level that the State 
made such services available in such fiscal 
year; and 
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‘‘(iii) the State will conduct the eval-
uation and assessment, and submit the re-
port required under paragraph (5). 
‘‘(5) STATE EVALUATION AND REPORT.— 
‘‘(A) STATE EVALUATION.—Not later than 
4 fiscal quarters after a State begins providing 
qualifying youth and young adult mental health 
and substance use intervention services in ac-
cordance with this subsection, the State shall 
enter into a contract with an independent entity 
or organization to conduct an evaluation for the 
purposes of— 
‘‘(i) determining the effect of the pro-
vision of such services on— 
‘‘(I) emergency room visits; 
‘‘(II) use of ambulatory services; 
‘‘(III) hospitalizations; 
‘‘(IV) the involvement of law en-
forcement in mental health or sub-
stance use disorder crisis events; and 
‘‘(V) the diversion of individuals 
from jails or similar settings; and 
‘‘(ii) assessing— 
‘‘(I) the types of services pro-
vided to individuals; 
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‘‘(II) the types of events re-
sponded to; 
‘‘(III) cost savings or cost-effec-
tiveness attributable to such services; 
‘‘(IV) the experiences of individ-
uals who receive qualifying youth and 
young adult mental health and sub-
stance use intervention services; 
‘‘(V) the successful connection of 
individuals with follow-up services; 
and 
‘‘(VI) other relevant outcomes 
identified by the Secretary. 
‘‘(B) COMPARISON TO HISTORICAL MEAS-
URES.—The contract described in subparagraph 
(A) shall specify that the evaluation is based on 
a comparison of the historical measures of 
State performance with respect to the outcomes 
specified under such subparagraph to the 
State’s performance with respect to such out-
comes during the period beginning with the 
first quarter in which the State begins pro-
viding qualifying youth and young adult mental 
health and substance use intervention services 
in accordance with this subsection. 
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‘‘(C) REPORT.—Not later than 2 years 
after a State begins to provide qualifying youth 
and young adult mental health and substance 
use intervention services in accordance with this 
subsection, the State shall submit a report to 
the Secretary on the following: 
‘‘(i) The results of the evaluation car-
ried out under subparagraph (A). 
‘‘(ii) The number of individuals who 
received qualifying youth and young adult 
mental health and substance use interven-
tion services. 
‘‘(iii) Demographic information re-
garding such individuals when available, 
including the race and ethnicity, age, sex, 
sexual orientation, gender identity, and ge-
ographic location of such individuals. 
‘‘(iv) The processes and models devel-
oped by the State to provide qualifying 
youth and young adult mental health and 
substance use intervention services under 
such the State plan or waiver, including 
the processes developed to provide referrals 
for, or coordination with, follow-up care 
and services. 
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1011 
‘‘(v) Lessons learned regarding the 
provision of such services. 
‘‘(D) PUBLIC
AVAILABILITY.—The State 
shall make the report required under subpara-
graph (C) publicly available, including on the 
website of the appropriate State agency, upon 
submission of such report to the Secretary. 
‘‘(6) BEST PRACTICES REPORT.— 
‘‘(A) IN GENERAL.—Not later than 3 years 
after the first State begins to provide qualifying 
youth and young adult mental health and sub-
stance use intervention services in accordance 
with this subsection, the Secretary shall submit 
a report to Congress that— 
‘‘(i) identifies the States that elected 
to provide services in accordance with this 
subsection; 
‘‘(ii) summarizes the information re-
ported by such States under paragraph 
(5)(C); and 
‘‘(iii) identifies best practices for the 
effective delivery of youth and young adult 
mental health and substance use interven-
tion services. 
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1012 
‘‘(B) PUBLIC
AVAILABILITY.—The report 
required under subparagraph (A) shall be made 
publicly available, including on the website of 
the Department of Health and Human Services, 
upon submission to Congress. 
‘‘(7) NONDISCRIMINATION.— 
‘‘(A) FEDERALLY FUNDED ACTIVITIES.— 
(i) For the purpose of applying the prohibitions 
against discrimination on the basis of age under 
the Age Discrimination Act of 1975 (42 U.S.C. 
6101 et seq.), on the basis of handicap under 
section 504 of the Rehabilitation Act of 1973 
(29 U.S.C. 794), on the basis of sex under title 
IX of the Education Amendments of 1972 (20 
U.S.C. 1681 et seq.), or on the basis of race, 
color, or national origin under title VI of the 
Civil Rights Act of 1964 (42 U.S.C. 2000d et 
seq.), programs and activities funded in whole 
or in part with funds made available under this 
subchapter are considered to be programs and 
activities receiving Federal financial assistance. 
‘‘(ii) No person shall on the ground of sex 
or religion be excluded from participation in, be 
denied the benefits of, or be subjected to dis-
crimination under, any program or activity 
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funded in whole or in part with funds made 
available under this title. 
‘‘(B) COMPLIANCE.—Whenever the Sec-
retary finds that a State, or an entity that has 
received a payment from an allotment to a 
State under section 702(c) of this title, has 
failed to comply with a provision of law referred 
to in subsection (a)(1), with subsection (a)(2), 
or with an applicable regulation (including one 
prescribed to carry out subsection (a)(2)), he 
shall notify the chief executive officer of the 
State and shall request him to secure compli-
ance. If within a reasonable period of time, not 
to exceed 60 days, the chief executive officer 
fails or refuses to secure compliance, the Sec-
retary may— 
‘‘(i) refer the matter to the Attorney 
General with a recommendation that an 
appropriate civil action be instituted; 
‘‘(ii) exercise the powers and functions 
provided by title VI of the Civil Rights Act 
of 1964 (42 U.S.C. 2000d et seq.), the 
Age Discrimination Act of 1975 (42 
U.S.C. 6101 et seq.), or section 504 of the 
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1014 
Rehabilitation Act of 1973 (29 U.S.C. 
794), as may be applicable; or 
‘‘(iii) take such other action as may 
be provided by law. 
‘‘(C) AUTHORITY OF ATTORNEY GENERAL; 
CIVIL ACTIONS.—When a matter is referred to 
the Attorney General pursuant to subsection 
(b)(1), or whenever he has reason to believe 
that the entity is engaged in a pattern or prac-
tice in violation of a provision of law referred 
to in subsection (a)(1) or in violation of sub-
section (a)(2), the Attorney General may bring 
a civil action in any appropriate district court 
of the United States for such relief as may be 
appropriate, including injunctive relief.’’. 
SEC. 6405. EARLY INTERVENTION AND PREVENTION PRO-
GRAMS FOR TRANSITION-AGE YOUTH. 
(a) IN GENERAL.—Section 1912(b)(1) of the Public 
Health Service Act (42 U.S.C. 300x–1(b)(1)) is amend-
ed— 
(1) by redesignating subparagraph (E) as sub-
paragraph (F); and 
(2) by inserting after subparagraph (D) the fol-
lowing: 
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1015 
‘‘(E) EARLY INTERVENTION AND PREVEN-
TION
PROGRAMS
FOR
TRANSITION-AGE 
YOUTH.—The plan shall describe the State’s 
plans to carry out demonstration grants or con-
tracts for early intervention and prevention pro-
grams for transition-age youth of 16 to 25 
years of age who meet one or more of the cri-
teria specified in section 129(a)(1)(B) of the 
Workforce Innovation and Opportunity Act to 
be considered out-of-school youth.’’. 
(b) SET-ASIDE.—Section 1920 of the Public Health 
Service Act (42 U.S.C. 300x–9) is amended by adding at 
the end the following: 
‘‘(e) EARLY INTERVENTION AND PREVENTION PRO-
GRAMS FOR TRANSITION-AGE YOUTH.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), a State shall expend at least 15 percent 
of the amount of the allotment of the State pursuant 
to a funding agreement under section 1911 for each 
fiscal year to support programs described in section 
1912(b)(1)(E). 
‘‘(2) STATE FLEXIBILITY.—In lieu of expending 
15 percent of the amount of the allotment for a fis-
cal year as required by paragraph (1), a State may 
elect to expend not less than 30 percent of such 
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1016 
amount to support such programs by the end of two 
consecutive fiscal years.’’. 
SEC. 6406. STRATEGIES TO INCREASE ACCESS TO TELE-
HEALTH UNDER MEDICAID AND CHILDREN’S 
HEALTH INSURANCE PROGRAM. 
(a) GUIDANCE.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall issue and disseminate guidance to 
States to clarify strategies to overcome existing barriers 
and increase access to telehealth under the Medicaid pro-
gram 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 guidance shall include technical assistance 
and best practices regarding— 
(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) the simplification or alignment (including 
through 
reciprocity) 
of 
provider 
licensing, 
credentialing, and enrollment protocols with respect 
to telehealth across States, State Medicaid plans 
under such title XIX, and Medicaid managed care 
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1017 
organizations, including during national public 
health emergencies; 
(4) existing strategies States can use to inte-
grate telehealth and other virtual health care serv-
ices into value-based health care models; and 
(5) examples of States that have used waivers 
under the Medicaid program to test expanded access 
to telehealth, including during the emergency period 
described in section 1135(g)(1)(B) of the Social Se-
curity Act (42 U.S.C. 1320b–5(g)(1)(B)). 
(b) STUDIES.— 
(1) TELEHEALTH
IMPACT
ON
HEALTH
CARE 
ACCESS.—Not later than 1 year after the date of the 
enactment of this Act, the Medicaid and CHIP Pay-
ment and Access Commission shall conduct a study, 
with respect to a minimum of 10 States across geo-
graphic regions of the United States, and submit to 
Congress a report, on the impact of telehealth on 
health care access, utilization, cost, and outcomes, 
broken down by race, ethnicity, sex, age, disability 
status, and ZIP Code. Such report shall— 
(A) evaluate cost, access, utilization, out-
comes, and patient experience data from across 
the health care field, including States, Medicaid 
managed care organizations, provider organiza-
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1018 
tions, and other organizations that provide or 
pay for telehealth under the Medicaid program 
and Children’s Health Insurance Program; 
(B) identify barriers and potential solu-
tions to provider entry and participation in tele-
health that States are experiencing, as well as 
barriers to providing telehealth across State 
lines, including during times of public health 
crisis or public health emergency; 
(C) determine the frequency at which out- 
of-State telehealth is provided to patients en-
rolled in the Medicaid program and the poten-
tial impact on access to telehealth if State Med-
icaid policies were more aligned; and 
(D) identify and evaluate opportunities for 
more alignment among such policies to promote 
access to telehealth across all States, State 
Medicaid plans under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.), State 
child health plans under title XXI of such Act 
(42 U.S.C. 1397aa et seq.), and Medicaid man-
aged care organizations, including the potential 
for regional compacts or reciprocity agreements. 
(2) FEDERAL AGENCY TELEHEALTH COLLABO-
RATION.—Not later than 1 year after the date of the 
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1019 
enactment of this Act, the Comptroller General of 
the United States shall conduct a study and submit 
to Congress a report evaluating collaboration be-
tween Federal agencies with respect to telehealth 
services furnished under the Medicaid or CHIP pro-
gram to individuals under the age of 18, including 
such services furnished to such individuals in early 
care and education settings. Such report shall in-
clude recommendations on— 
(A) opportunities for Federal agencies to 
improve collaboration with respect to such tele-
health services; and 
(B) opportunities for collaboration between 
Federal agencies to expand telehealth access to 
such individuals enrolled under the Medicaid or 
CHIP program, including in early care and 
education settings. 
SEC. 6407. YOUTH AND YOUNG ADULT MENTAL HEALTH 
PROMOTION, PREVENTION, INTERVENTION, 
AND TREATMENT. 
Part Q of title III of the Public Health Service Act 
(as amended by section 5001) is amended by adding at 
the end the following: 
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1020 
‘‘SEC. 399Z–4. YOUTH AND YOUNG ADULT MENTAL HEALTH 
PROMOTION, PREVENTION, INTERVENTION, 
AND TREATMENT. 
‘‘(a) GRANTS.—The Secretary shall— 
‘‘(1) award grants to eligible entities to develop, 
maintain, or enhance youth and young adult mental 
health promotion, prevention, intervention, and 
treatment programs, including— 
‘‘(A) programs for youth and young adults 
who may be likely to develop, are showing early 
signs of, or have been diagnosed with a mental 
health condition, including a serious emotional 
disturbance; and 
‘‘(B) 
infrastructure 
and 
organization 
change at a State, tribal, or territorial level to 
improve cross-system collaboration, service ca-
pacity, and expertise related to youth and 
young adults; and 
‘‘(2) ensure that programs funded through 
grants under this section use community-driven, evi-
dence-informed, or evidence-based models, practices, 
and methods that are, as appropriate, culturally and 
linguistically appropriate, and can be replicated in 
other appropriate settings. 
‘‘(b) ELIGIBLE TRANSITION AGE YOUTH AND ENTI-
TIES.—In this section: 
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1021 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means— 
‘‘(A) a local educational agency; 
‘‘(B) a State educational agency; 
‘‘(C) an institution of higher education (or 
consortium of such institutions), which may in-
clude a recovery program at an institution of 
higher education; 
‘‘(D) a local board, or a one-stop operator, 
as defined in section 3 of the Workforce Inno-
vation and Opportunity Act; 
‘‘(E) a nonprofit organization with appro-
priate expertise in providing services or pro-
grams for children, adolescents, or young 
adults, excluding a school; 
‘‘(F) a State, political subdivision of a 
State, Indian tribe, or tribal organization; or 
‘‘(G) a high school or dormitory serving 
high school students that receives funding from 
the Bureau of Indian Education. 
‘‘(2) ELIGIBLE TRANSITION AGE YOUTH.—The 
term ‘eligible transition age youth’ means a youth or 
young adult from age 16 to not more than 25 years 
of age who is— 
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1022 
‘‘(A) an out-of-school youth as defined in 
section 129(a)(1)(B) of the Workforce Innova-
tion and Opportunity Act; 
‘‘(B) a homeless individual (as defined in 
section 41403(6) of the Violence Against 
Women Act of 1994), a homeless child or youth 
(as defined in section 725(2) of the McKinney- 
Vento Homeless Assistance Act) a runaway, in 
foster care or has aged out of the foster care 
system, a child eligible for assistance under sec-
tion 477 of the Social Security Act, or in an 
out-of-home placement; 
‘‘(C) an individual who is pregnant or par-
enting, as referred to in section 129(a)(1)(B) of 
the Workforce Innovation and Opportunity Act; 
‘‘(D) a youth who is an individual with a 
disability, as referred to in section 129(a)(1)(B) 
of the Workforce Innovation and Opportunity 
Act; 
‘‘(E) a low-income individual who requires 
additional assistance to enter or complete an 
educational program or to secure or hold em-
ployment, as referred to in section 129(a)(1)(B) 
of the Workforce Innovation and Opportunity 
Act; or 
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1023 
‘‘(F) living in a community that has faced 
acute or long-term exposure to substantial dis-
crimination, historical oppression, intergenera-
tional poverty, civil unrest, a high rate of vio-
lence, or drug overdose deaths. 
‘‘(c) APPLICATION.—An eligible entity seeking a 
grant under subsection (a) shall submit to the Secretary 
an application at such time, in such manner, and con-
taining such information as the Secretary may require. 
‘‘(d) USE OF FUNDS FOR MENTAL HEALTH PRO-
MOTION, PREVENTION, INTERVENTION AND TREATMENT 
PROGRAMS.—An eligible entity may use amounts awarded 
under a grant under subsection (a)(1) to carry out the 
following: 
‘‘(1) Creation, implementation, and expansion 
of services and supports that are culturally and lin-
guistically appropriate and youth guided, involve and 
include family and community members (including 
business leaders and faith-based organizations), and 
provide for continuity of care between child- and 
adult-serving systems to ensure seamless transition. 
‘‘(2) Infrastructure and organization change at 
a State, Tribal, or territorial level to improve cross- 
system collaboration, service capacity, and expertise 
related to youth and young adults with, or at risk 
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1024 
of, mental health conditions and substance use dis-
orders as they transition into adult roles and respon-
sibilities. 
‘‘(3) Public awareness and cross-system pro-
vider training for individuals employed at institu-
tions of higher education and community colleges, 
behavioral health providers, individuals working in 
the criminal justice system, primary care providers, 
vocational service providers, and child welfare work-
ers. 
‘‘(e) MATCHING FUNDS.—The Secretary may not 
award a grant under this section to an eligible entity un-
less the eligible entity agrees, with respect to the costs to 
be incurred by the eligible entity in carrying out the activi-
ties described in subsection (d), to make available non- 
Federal contributions (in cash or in kind) toward such 
costs in an amount that is not less than 10 percent of 
the total amount of Federal funds provided in the grant. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $25,000,000 for each of fiscal years 2025 through 
2034.’’. 
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1025 
Subtitle E—Community-Based Care 
SEC. 6501. MENTAL HEALTH AT THE BORDER. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Immigrants’ Mental Health Act of 2024’’. 
(b) DEFINITIONS.—In this section: 
(1) FORWARD
OPERATING
BASE.—The term 
‘‘forward operating base’’ means a permanent facil-
ity established by U.S. Customs and Border Protec-
tion in forward or remote locations, and designated 
as such by U.S. Customs and Border Protection. 
(2) U.S. CUSTOMS AND BORDER PROTECTION 
FACILITY.—The term ‘‘U.S. Customs and Border 
Protection facility’’ means any of the following facili-
ties that typically detain migrants on behalf of U.S. 
Customs and Border Protection: 
(A) U.S. Border Patrol stations. 
(B) Ports of entry. 
(C) Checkpoints. 
(D) Forward operating bases. 
(E) Secondary inspection areas. 
(F) Short-term custody facilities. 
(c) TRAINING FOR CERTAIN CBP PERSONNEL IN 
MENTAL HEALTH ISSUES.— 
(1) TRAINING TO IDENTIFY RISK FACTORS AND 
WARNING SIGNS IN IMMIGRANTS AND REFUGEES.— 
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1026 
(A) IN GENERAL.—The Commissioner for 
U.S. Customs and Border Protection, in con-
sultation with the Assistant Secretary for Men-
tal Health and Substance Use of the Depart-
ment of Health and Human Services, the Ad-
ministrator of the Health Resources and Serv-
ices Administration, and nongovernmental ex-
perts in the delivery of health care in humani-
tarian crises and in the delivery of health care 
to children, shall develop and implement a 
training curriculum for U.S. Customs and Bor-
der Protection agents and officers assigned to 
U.S. Customs and Border Protection facilities 
to enable such agents and officers to identify 
the risk factors and warning signs in immi-
grants and refugees of mental health issues re-
lating to trauma. 
(B) REQUIREMENTS.—The training cur-
riculum described in subparagraph (A) shall— 
(i) apply to all U.S. Customs and 
Border Protection agents and officers 
working at U.S. Customs and Border Pro-
tection facilities; 
(ii) provide for crisis intervention 
using a trauma-informed approach; and 
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(iii) 
provide 
for 
mental 
health 
screenings for immigrants and refugees ar-
riving at the border in their preferred lan-
guage or with appropriate language assist-
ance. 
(2) TRAINING TO ADDRESS MENTAL HEALTH 
AND WELLNESS OF CBP AGENTS AND OFFICERS.— 
(A) IN GENERAL.—The Commissioner of 
U.S. Customs and Border Protection, in con-
sultation with the Assistant Secretary for Men-
tal Health and Substance Use of the Depart-
ment of Health and Human Services, the Ad-
ministrator of the Health Resources and Serv-
ices Administration, and nongovernmental ex-
perts in the delivery of mental health care, shall 
develop and implement a training curriculum 
for U.S. Customs and Border Protection agents 
and officers assigned to U.S. Customs and Bor-
der Protection facilities to address the mental 
health and wellness of individuals working at 
such facilities. 
(B) REQUIREMENT.—The training cur-
riculum described in subparagraph (A) shall be 
designed to help U.S. Customs and Border Pro-
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tection agents and officers working at U.S. 
Customs and Border Protection facilities— 
(i) to better manage their own stress 
and the stress of their coworkers; and 
(ii) to be more aware of the psycho-
logical pressures experienced during their 
jobs. 
(3) ANNUAL REVIEW OF TRAINING.—Beginning 
in fiscal year 2025, the Assistant Secretary for Men-
tal Health and Substance Use shall— 
(A) conduct an annual review of the train-
ing implemented pursuant to subsections (a) 
and (b); and 
(B) submit the results of each such review, 
including any recommendations for improve-
ment of such training, to— 
(i) the Commissioner of U.S. Customs 
and Border Protection; 
(ii) the Committee on Appropriations 
of the Senate; 
(iii) the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate; 
(iv) the Committee on Homeland Se-
curity and Governmental Affairs of the 
Senate; 
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(v) the Committee on Appropriations 
of the House of Representatives; 
(vi) the Committee on Energy and 
Commerce of the House of Representa-
tives; 
(vii) the Committee on Homeland Se-
curity of the House of Representatives; 
and 
(viii) the Committee on the Judiciary 
of the House of Representatives. 
(4) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this section, there is authorized to be ap-
propriated— 
(A) for fiscal year 2025, $50,000 to de-
velop the training described in paragraphs (1) 
and (2); and 
(B) for each of the fiscal years 2026 
through 2030— 
(i) $20,000 to implement such train-
ing; and 
(ii) such additional sums as may be 
necessary 
to 
review 
and 
make 
rec-
ommendations for such training pursuant 
to paragraph (3). 
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(d) STAFFING BORDER FACILITIES AND DETENTION 
CENTERS.— 
(1) IN GENERAL.—To adequately evaluate the 
mental health needs of immigrants, refugees, border 
patrol agents, and staff, the Commissioner of U.S. 
Customs and Border Protection shall assign not 
fewer than 1 qualified mental or behavioral health 
expert to each U.S. Customs and Border Protection 
facility. 
(2) QUALIFICATIONS.—Each mental or behav-
ioral health expert assigned pursuant to paragraph 
(1) shall be— 
(A) bilingual; 
(B) well-versed in culturally appropriate 
and trauma-informed interventions; and 
(C) have particular expertise in child or 
adolescent mental health or family mental 
health. 
(3) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $3,000,000 for each of the fiscal years 
2025 through 2029. 
(e) NO SHARING OF DEPARTMENT OF HEALTH AND 
HUMAN SERVICES MENTAL HEALTH INFORMATION FOR 
ASYLUM DETERMINATIONS, IMMIGRATION HEARINGS, OR 
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DEPORTATION PROCEEDINGS.—The officers, employees, 
and agents of the Department of Health and Human Serv-
ices, including the Office of Refugee Resettlement, may 
not share with the Department of Homeland Security, and 
the officers, employees, and agents of the Department of 
Homeland Security may not request or receive from the 
Department of Health and Human Services, for the pur-
poses of an asylum determination, immigration hearing, 
or deportation proceeding, any information or record 
that— 
(1) concerns the mental health of an alien; and 
(2) was obtained or produced by a mental or 
behavioral health professional while the alien was in 
a shelter or otherwise in the custody of the Federal 
Government. 
SEC. 6502. ASIAN AMERICAN, AFRICAN AMERICAN, NATIVE 
HAWAIIAN, PACIFIC ISLANDER, INDIGENOUS, 
MIDDLE EASTERN AND NORTH AFRICAN, AND 
HISPANIC AND LATINO BEHAVIORAL HEALTH 
OUTREACH AND EDUCATION STRATEGY. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by section 6203, 
is amended by adding at the end the following: 
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‘‘SEC. 
555. 
BEHAVIORAL 
OUTREACH 
AND 
EDUCATION 
STRATEGY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use, shall, in coordination with advocacy and behavioral 
organizations serving populations of Asian American, Afri-
can American, Native Hawaiian, Pacific Islander, Indige-
nous, Middle Eastern and North African (in this section 
referred to as ‘MENA’), and Hispanic and Latino/a/x indi-
viduals or communities, develop and implement an out-
reach and education strategy to promote behavioral 
health, emphasize that behavioral health conditions are 
treatable and that reasonable accommodations under sec-
tion 504 of the Rehabilitation Act of 1973 and titles II 
and III of the Americans with Disabilities Act of 1990 
are necessary and may help, as well as reduce stigma asso-
ciated with mental health conditions and substance use 
disorder among the Asian American, African American, 
Native Hawaiian, Pacific Islander, Indigenous, MENA, 
and Hispanic and Latino/a/x populations. Such strategy 
shall— 
‘‘(1) be designed to— 
‘‘(A) meet the diverse cultural and lan-
guage needs of the various Asian American, Af-
rican American, Indigenous, MENA, Native 
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Hawaiian, Pacific Islander, and Hispanic and 
Latino/a/x populations; and 
‘‘(B) ensure that approaches recommended 
in the strategy are developmentally (with re-
spect to the beneficiary’s relative age and expe-
rience) and age appropriate, as well as cog-
nitively accessible to persons with cognitive dis-
abilities; 
‘‘(2) increase awareness of symptoms of mental 
illnesses common among such populations, taking 
into account differences within subgroups (such as 
gender, gender identity, age, sexual orientation, dis-
ability, and ethnicity) of such populations; 
‘‘(3) provide information on evidence-based, cul-
turally and linguistically appropriate and adapted 
interventions and treatments; 
‘‘(4) ensure full participation of, and engage, 
both consumers and community members rep-
resenting the communities of focus in the develop-
ment and implementation of materials; and 
‘‘(5) seek to broaden the perspective among 
both individuals in such communities and stake-
holders serving such communities to use a com-
prehensive public health approach to promoting be-
havioral health that addresses a holistic view of 
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health by focusing on the intersection between be-
havioral and physical health. 
‘‘(b) REPORTS.—Beginning not later than 1 year 
after the date of the enactment of this section and annu-
ally thereafter, the Secretary, acting through the Assistant 
Secretary, shall submit to the Congress, and make publicly 
available, a report on the extent to which the strategy de-
veloped and implemented under subsection (a) increased 
behavioral health outcomes associated with mental health 
conditions and substance use disorder among Asian Amer-
ican, African American, Native Hawaiian, Pacific Is-
lander, Indigenous, MENA, and Hispanic and Latino/a/ 
x populations. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2025 through 2030.’’. 
Subtitle F—Reports 
SEC. 6601. ADDRESSING RACIAL AND ETHNIC MINORITY 
MENTAL HEALTH DISPARITIES RESEARCH 
GAPS. 
Not later than 9 months after the date of the enact-
ment of this Act, the Director of the National Institutes 
of Health, in consultation with the Director of the Na-
tional Institute of Mental Health and the Assistant Sec-
retary of Substance Use and Mental Health, shall enter 
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into an arrangement with the National Academies of 
Sciences, Engineering, and Medicine (or, if the National 
Academies of Sciences, Engineering, and Medicine decline 
to enter into such an arrangement, the Patient-Centered 
Outcomes Research Institute, the Agency for Healthcare 
Research and Quality, or another appropriate entity)— 
(1) to conduct a study with respect to mental 
health disparities research gaps in racial and ethnic 
minority groups (as defined in section 1707(g) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g))); and 
(2) to submit to the Congress a report on the 
results of such study, including— 
(A) a compilation of information on the 
prevalence of mental health outcomes in such 
racial and ethnic minority groups; and 
(B) an assessment of information on the 
impact of exposure to community violence, ad-
verse childhood experiences, structural bias, and 
other psychological traumas on mental health 
outcomes in such racial and minority groups. 
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SEC. 6602. RESEARCH ON ADVERSE HEALTH EFFECTS AS-
SOCIATED WITH INTERACTIONS WITH LAW 
ENFORCEMENT. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Office 
of Minority Health of the Centers for Disease Control and 
Prevention (established pursuant to section 1707A of the 
Public Health Service Act (42 U.S.C. 300u–6a)) (in this 
section referred to as the ‘‘Secretary’’), shall conduct re-
search on the adverse health effects associated with inter-
actions with law enforcement. 
(b) EFFECTS AMONG RACIAL AND ETHNIC MINORI-
TIES.—The research under subsection (a) shall include re-
search on— 
(1) the health consequences, both individual 
and community-wide, of trauma related to violence 
committed by law enforcement among racial and 
ethnic minorities; and 
(2) the disproportionate burden of morbidity 
and mortality associated with such trauma. 
(c) REPORT.—Not later than 1 year after the date 
of enactment of this Act, the Secretary shall— 
(1) complete the research under this section; 
and 
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(2) submit to the Congress a report on the find-
ings, conclusions, and recommendations resulting 
from such research. 
SEC. 6603. GEOACCESS STUDY. 
Not later than 180 days after the date of enactment 
of this Act, the Assistant Secretary for Mental Health and 
Substance Use shall— 
(1) conduct a study to— 
(A) determine which geographic areas of 
the United States have shortages of racially and 
ethnically diverse mental health providers, as 
well as mental health providers trained to work 
with racially and ethnically diverse clients and 
clients with multiple mental health, cognitive, 
and developmental disabilities; and 
(B) assess the preparedness of mental 
health providers to deliver culturally and lin-
guistically appropriate, affordable, and acces-
sible services; and 
(2) submit a report to Congress on the results 
of such study. 
SEC. 6604. CO-OCCURRING CONDITIONS. 
(a) GAO REPORT.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit to Congress a report 
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on barriers to care for persons with co-occurring condi-
tions and access to care in the United States. Such report 
shall include the information and recommendations de-
scribed in subsection (b). 
(b) CONTENT OF REPORT.—The report under sub-
section (a) shall include— 
(1) an assessment of current barriers to behav-
ioral health and substance use disorder treatment 
for low-income, uninsured, and Medicaid-enrolled 
adults, and recommendations for addressing such 
barriers, particularly for women and diverse racial 
and ethnic groups; 
(2) an assessment of— 
(A) how many adults have a behavioral 
health condition and options for adults to re-
ceive behavioral health and substance use dis-
order treatment in nonexpansion States; 
(B) Medicaid expansion States who provide 
behavioral health coverage for newly eligible en-
rollees; 
(C) how enrollment in coverage affects 
treatment availability; and 
(D) the impacts of COVID–19 to receiving 
and accessing treatment for behavioral health, 
substance use disorders, and diverse racial and 
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ethnic groups, and recommendations for ad-
dressing such barriers; 
(3) an assessment of current barriers, inclusive 
of social determinants of health and cultural bar-
riers, that prevent adults from receiving behavioral 
health and substance use disorder treatment, and 
recommendations for addressing such barriers, par-
ticularly for low-income women and adults from ra-
cial and ethnic groups; 
(4) an assessment of disparities in access to ad-
diction counselors and mental or behavioral health 
care providers acting in accordance with State law, 
stratified by race, ethnicity, gender identity, geo-
graphic location, and insurance type, and rec-
ommendations to promote greater access equity; and 
(5) recommendations to promote greater equity 
in access to care for behavioral services and sub-
stance use disorders, particularly for low-income 
women and adults from diverse racial and ethnic 
groups. 
SEC. 6605. STUDY AND REPORT ON THE AANHPI YOUTH 
MENTAL HEALTH CRISIS. 
(a) STUDY.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
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and Substance Use (referred to in this section as the 
‘‘Secretary’’), in coordination with the Director of 
the National Institutes of Health, the Director of 
the Centers for Disease Control and Prevention, and 
the Director of the Office of Minority Health, shall 
conduct a study on behavioral health among 
AANHPI youth. 
(2) ELEMENTS.—Such study required under 
paragraph (1) shall include an assessment of— 
(A) the prevalence, risk factors, and root 
causes of mental health challenges, substance 
misuse, and mental health and substance use 
disorders among AANHPI youth; 
(B) the prevalence among AANHPI youth 
of attempted suicide, nonfatal substance use 
overdose, and death by suicide or substance use 
overdose; and 
(C) AANHPI youth that received treat-
ment for mental health and substance use dis-
orders. 
(b) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary shall submit 
to the Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives, and make 
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publicly available, a report on the findings of the study 
conducted under subsection (a), including— 
(1) identification of the barriers to accessing 
behavioral health services for AANHPI youth; 
(2) identification of root causes of mental 
health challenges and substance misuse among 
AANHPI youth; 
(3) recommendations for actions to be taken by 
the Secretary to improve behavioral health among 
AANHPI youth; 
(4) recommendations for legislative or adminis-
trative action to improve the behavioral health of 
AANHPI youth experiencing depression, suicide, 
and overdose, and to reduce the prevalence of de-
pression, suicide, and overdose among AANHPI 
youth; and 
(5) such other recommendations as the Sec-
retary determines appropriate. 
(c) DATA.—Any data included in the study or report 
under this section shall be disaggregated by race, eth-
nicity, age, sex, gender identity, sexual orientation, geo-
graphic region, disability status, and other relevant fac-
tors, in a manner that protects personal privacy and that 
is consistent with applicable Federal and State privacy 
law. 
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(d) AUTHORIZATION OF APPROPRIATIONS.—For pur-
poses of carrying out this section, there is authorized to 
be appropriated $1,500,000 for fiscal year 2025. 
SEC. 6606. STUDY AND REPORT ON STRATEGIES ON THE 
AANHPI BEHAVIORAL HEALTH WORKFORCE 
SHORTAGE. 
(a) STUDY.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health 
and Substance Use (referred to in this section as the 
‘‘Secretary’’), in coordination with the Administrator 
of the Health Resources and Services Administra-
tion, the Secretary of Labor, and the Director of the 
Office of Minority Health, shall conduct a study on 
strategies for increasing the behavioral health pro-
fessional workforce that identify as AANHPI. 
(2) ELEMENTS.—Such study required under 
paragraph (1) shall consider— 
(A) the total number of licensed behavioral 
health providers in the United States who iden-
tify as AANHPI; 
(B) with respect to each such provider, in-
formation regarding the current type of license, 
geographic area of practice, and type of em-
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ployer (such as hospital, Federally-qualified 
health center, school, or private practice); 
(C) information regarding the cultural and 
linguistic capabilities of such providers, includ-
ing languages spoken proficiently; and 
(D) the relevant barriers to enrollment in 
behavioral health professional education pro-
grams and entering the behavioral workforce 
for AANHPI individuals. 
(b) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary shall submit 
to the Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives, and make 
publicly available, a report on the findings of the study 
conducted under subsection (a), including— 
(1) identification of AANHPI licensed behav-
ioral health providers’ knowledge and awareness of 
the barriers to quality behavioral health care services 
faced by AANHPI individuals, including stigma, lim-
ited English proficiency, and lack of health insur-
ance coverage; 
(2) recommendations for actions to be taken by 
the Secretary to increase the number of AANHPI li-
censed behavioral health professionals; 
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(3) recommendations for legislative or adminis-
trative action to improve the enrollment of AANHPI 
individuals in behavioral health professional edu-
cation programs; and 
(4) such other recommendations as the Sec-
retary determines appropriate. 
(c) DATA.—Any data included in the study or report 
under this section shall be disaggregated by race, eth-
nicity, age, sex, gender identity, sexual orientation, geo-
graphic region, disability status, and other relevant fac-
tors, in a manner that protects personal privacy and that 
is consistent with applicable Federal and State privacy 
law. 
(d) DEFINITION.—In this section the term ‘‘licensed 
behavioral health provider’’ means any individual licensed 
to provide mental health or substance use disorder serv-
ices, including in the professions of social work, psy-
chology, psychiatry, marriage and family therapy, mental 
health counseling, and substance use disorder counseling. 
(e) AUTHORIZATION OF APPROPRIATIONS.—For pur-
poses of carrying out this section, there is authorized to 
be appropriated $1,500,000 for fiscal year 2025. 
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Subtitle G—Miscellaneous 
Provisions 
SEC. 6701. STRENGTHENING MENTAL HEALTH SUPPORTS 
FOR BIPOC COMMUNITIES. 
(a) IN GENERAL.—Section 1942(a) of the Public 
Health Service Act (42 U.S.C. 300x–52(a)) is amended— 
(1) by redesignating paragraphs (2) and (3) as 
paragraphs (5) and (6), respectively; and 
(2) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) services provided by the State to adults 
with a serious mental illness and children with a se-
rious emotional disturbance who are members of ra-
cial and ethnic minority groups, including— 
‘‘(A) the extent to which such services are 
provided to such adults and children; and 
‘‘(B) the outcomes experienced by such 
adults and children as a result of the provision 
of such services, including with respect to— 
‘‘(i) diversions from hospitalization 
and criminal justice system involvement; 
‘‘(ii) treatment for first episode psy-
chosis or undefined psychosis; 
‘‘(iii) reductions in suicide and in-
creased utilization of appropriate treat-
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ments and interventions for suicidal idea-
tion; 
‘‘(iv) response through crisis services, 
including mobile crisis services; 
‘‘(v) treatment of individuals who are 
experiencing homelessness or housing inse-
curity and individuals residing in rural 
communities; and 
‘‘(vi) increased patient family and 
caregiver engagement and education on se-
rious mental illness to reduce social stigma 
and promote healthy social support for pa-
tients; 
‘‘(3) any outreach by the State to, and the hir-
ing of, providers of mental health services from mul-
tiple disciplines (such as a psychologist, psychiatrist, 
peer support provider, or social worker) who are 
members of racial and ethnic minority groups; 
‘‘(4) any outreach by the State to providers 
from multiple disciplines of mental health services— 
‘‘(A) to provide training on culturally ef-
fective, culturally affirming, and linguistically 
competent services; and 
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‘‘(B) to increase awareness of community- 
defined practices by practitioners of racial and 
ethnic minority groups;’’. 
(b) APPLICABILITY.—The amendments made by sub-
section (a) shall apply with respect to funding agreements 
entered into under section 1911 or 1921 of the Public 
Health Service Act (42 U.S.C. 300x; 42 U.S.C. 300x–21) 
on or after the date of the enactment of this Act. 
SEC. 6702. STRONG SUPPORT FOR CHILDREN. 
(a) DATA ANALYSIS AND STRATEGY IMPLEMENTA-
TION TO PREVENT AND MITIGATE CHILDHOOD TRAU-
MA.—Title XXXI of the Public Health Service Act (42 
U.S.C. 300kk) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 3102. DATA ANALYSIS AND STRATEGY IMPLEMENTA-
TION TO PREVENT AND MITIGATE CHILD-
HOOD TRAUMA. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
program— 
‘‘(1) to support the development and implemen-
tation of programs that use data analysis methods 
to identify and facilitate strategies for early inter-
vention and prevention, in order to prevent and miti-
gate childhood trauma and support communities and 
families, including— 
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‘‘(A) improving connections through care 
coordination; 
‘‘(B) aligning community initiatives in tar-
geted areas of need; and 
‘‘(C) 
expanding 
community 
capacity 
through cross-sector collaboration; and 
‘‘(2) to evaluate the effectiveness of these pro-
grams in improving outcomes for children. 
‘‘(b) GRANTS.—The Secretary shall award grants to 
up to 5 eligible entities to carry out the activities described 
in subsection (a). 
‘‘(c) USE OF FUNDS.—A grant for activities under 
this section shall be used to support the development and 
implementation of programs that use data analysis meth-
ods to identify and facilitate strategies for early interven-
tion and prevention, in order to prevent and mitigate 
childhood trauma and support communities and families, 
including as follows: 
‘‘(1) Utilize data analysis methods to— 
‘‘(A) identify specific geographic areas, 
such as census tracts, with a high prevalence of 
adverse childhood experiences and significant 
risk factors for poor outcomes for children 
(such as increased risk of experiencing adverse 
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childhood experiences), including areas with 
high rates of— 
‘‘(i) poor public health outcomes in-
cluding illness, disease, suicide, and mor-
tality; 
‘‘(ii) exclusionary discipline practices, 
including suspensions, expulsions, and re-
ferrals to law enforcement, as well as low 
graduation rates; 
‘‘(iii) substance use disorders; 
‘‘(iv) poverty; 
‘‘(v) foster system involvement or re-
ferrals; 
‘‘(vi) housing instability and homeless-
ness; 
‘‘(vii) food insecurity; 
‘‘(viii) inequity, including disparities 
in income, wealth, employment, educational 
attainment, health care access, and public 
health outcomes, along lines of race, sex, 
sexuality and gender identity, ethnicity, or 
nationality; 
‘‘(ix) incarceration rates; or 
‘‘(x) other indicators of adversity as 
defined by the Secretary; and 
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‘‘(B) identify strategies to improve out-
comes for children aged 0 through 17 that build 
on strengths in communities that could be fur-
ther supported, including— 
‘‘(i) existing support networks for 
families; and 
‘‘(ii) enhanced connections to commu-
nity-based organizations. 
‘‘(2) Implement strategies identified pursuant 
to paragraph (1)(B) to facilitate outreach and in-
volvement of children and their caregivers in Fed-
eral, State, or local programs that provide repar-
ative, gender-responsive, culturally specific, and 
trauma-informed prevention services, and for which 
children and their caregivers are eligible, including— 
‘‘(A) home visiting programs; 
‘‘(B) training and education on parenting 
skills; 
‘‘(C) substance use disorder prevention and 
treatment that is voluntary and noncoercive; 
‘‘(D) mental health supports and care that 
is voluntary and noncoercive; 
‘‘(E) family and intimate partner violence 
prevention services; 
‘‘(F) child advocacy center programming; 
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‘‘(G) economic and nutrition support serv-
ices; 
‘‘(H) housing support services, including 
emergency and temporary shelter for those ex-
periencing homelessness and housing insecurity, 
as well as stable, long-term housing; 
‘‘(I) voluntary, noncoercive, gender-respon-
sive, and culturally specific mental health sup-
ports in school and early childhood education 
center-based settings; 
‘‘(J) 
wraparound 
programs 
for 
transitioning youth and youth currently in the 
foster system; 
‘‘(K) programming to support the health 
and 
well-being 
of 
lesbian, 
gay, 
bisexual, 
transgender, and intersex children and their 
families; and 
‘‘(L) family resource center services. 
‘‘(d) SPECIAL RULES.— 
‘‘(1) PRIMARY PAYER RESTRICTION.—The Sec-
retary may not award a grant under this section to 
an eligible entity for a service if the service to be 
provided is available pursuant to the State plan ap-
proved under title XIX of the Social Security Act for 
the State in which the program funded by the grant 
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is being conducted unless the State and all eligible 
subdivisions involved— 
‘‘(A) will enter into agreements with public 
or nonprofit private entities under which the 
entities will provide the service; and 
‘‘(B) demonstrate that the State and all el-
igible subdivisions will ensure that the entities 
providing the service— 
‘‘(i) will seek payment for each such 
service rendered in accordance with the 
usual payment schedule under the State 
plan; and 
‘‘(ii) the entities have entered into a 
participation agreement and are qualified 
to receive payments under such plan. 
‘‘(2) IMPLEMENTATION.—An eligible entity that 
receives a grant under this section may use— 
‘‘(A) not more than 25 percent of the 
amounts made available through the grant for 
the first 24 months of the grant period to uti-
lize data analysis methods to— 
‘‘(i) identify specific geographic areas 
where care coordination, prevention and 
early intervention, and facilitation services 
will be provided; and 
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‘‘(ii) identify support and intervention 
services to improve outcomes for children 
located in a geographic area identified 
under subsection (c)(1)(A); and 
‘‘(B) not more than 10 percent of the 
grant in each subsequent year to continue data 
analysis activities. 
‘‘(3) ADMINISTRATION.—An eligible entity that 
receives a grant under this section may not use more 
than 5 percent of amounts received through the 
grant for administration, reporting, and program 
oversight functions, including the development of 
systems to improve data collection and data sharing 
for the purposes of improving services and the provi-
sion of care. 
‘‘(4) PRIORITY.— 
‘‘(A) IN
GENERAL.—In awarding grants 
under this section, the Secretary shall give pri-
ority, to the extent practical, to eligible entities 
that use community-based system dynamic 
modeling as the primary data analysis method. 
‘‘(B) SYSTEM
DYNAMIC
MODELING
DE-
FINED.—The term ‘system dynamic modeling’ 
means a method of data analysis and predictive 
modeling that includes— 
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‘‘(i) utilization of community-based 
participatory research methods for involv-
ing community in the process of under-
standing and changing systems and evalu-
ating outcomes of grants; 
‘‘(ii) consideration of a multitude of 
environmental risk factors and ascertain-
ment of the significance of contributing 
community risk factors for purposes of 
identifying strategies to reduce adverse 
child outcomes, including— 
‘‘(I) maltreatment cases; 
‘‘(II) involvement with the juve-
nile criminal legal system or foster 
system; 
‘‘(III) exclusionary school dis-
cipline; or 
‘‘(IV) exposure to violence; and 
‘‘(iii) identification of cross-sector re-
sponses involving reparative, trauma-in-
formed, culturally specific, gender-respon-
sive, and community-based organizations 
to reduce adverse child outcomes. 
‘‘(5) SUBGRANT.— 
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‘‘(A) IN GENERAL.—An eligible entity that 
receives a grant under this section shall use at 
least 25 percent of the total amount of the 
grant to make subgrants to organizations that 
aid in implementing the strategy identified 
under subsection (c)(1)(B) for preventing and 
mitigating childhood trauma and supporting 
communities and families. 
‘‘(B) ELIGIBILITY.—To be eligible to re-
ceive a subgrant under this paragraph, an orga-
nization shall prepare and submit to the eligible 
entity an application in such form, and con-
taining such information, as the eligible entity 
may require, including evidence that the— 
‘‘(i) needs of the population to be 
served are urgent and are not met by the 
services currently available in the geo-
graphic area; and 
‘‘(ii) organization has the capacity to 
provide the services listed in subsection 
(c)(2). 
‘‘(C) SUPPLEMENT, 
NOT
SUPPLANT.— 
Subgrant funds received pursuant to this para-
graph by an organization shall be used to sup-
plement and not supplant State or local funds 
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provided to the partnership organization for 
services listed in subsection (c)(2). 
‘‘(e) APPLICATION.—To be eligible to receive a grant 
under this section, an eligible entity shall submit to the 
Secretary an application in such form, and containing 
such information, as the Secretary may require, to include 
the following: 
‘‘(1) A demonstration that— 
‘‘(A) the applicant utilizes trauma-in-
formed, culturally specific, and gender-respon-
sive practices, including a demonstration of the 
extent to which the applicant has trained staff 
in these practices; 
‘‘(B) the applicant has the capacity to ad-
minister the grant, including conducting all re-
quired data analysis activities; and 
‘‘(C) services will be provided to children 
and families in an accessible, culturally rel-
evant, and linguistically specific manner con-
sistent with local needs. 
‘‘(2) A preliminary analysis of how the appli-
cant will use the grant to— 
‘‘(A) identify the geographic area or areas 
to be served using data analysis methods; 
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‘‘(B) utilize data analysis methods to iden-
tify strategies to improve outcomes for children 
in the geographic area; 
‘‘(C) facilitate strategies identified through 
care coordination efforts; and 
‘‘(D) track data for evaluation of out-
comes. 
‘‘(3) A detailed project plan for the use of the 
grant that includes anticipated technical assistance 
needs. 
‘‘(4) Additional funding sources, including State 
and local funds, supporting the prevention and miti-
gation of adverse childhood experiences. 
‘‘(f) GRANT AMOUNT.—The amount of a grant under 
this section shall not exceed $9,500,000. 
‘‘(g) PERIOD OF A GRANT.—The period of a grant 
under this section shall not exceed 7 years. 
‘‘(h) SERVICE PROVISION WITHOUT REGARD
TO 
ABILITY TO PAY.—As a condition on receipt of a grant 
under this section, an eligible entity shall agree that any 
assistance provided to an individual through the grant will 
be provided without regard to— 
‘‘(1) the ability of the individual to pay for such 
services; 
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‘‘(2) the current or past health condition of the 
individual to be served; 
‘‘(3) the immigration status of the individual to 
be served; 
‘‘(4) the sexual orientation and gender identity 
of the individual to be served; and 
‘‘(5) any prior involvement of the individual in 
the criminal legal system. 
‘‘(i) PROHIBITIONS.—In addition to any other prohi-
bitions determined by the Secretary, an eligible entity may 
not use a grant under this section to— 
‘‘(1) use data analysis methods to inform indi-
vidual case decisions, including child removal or 
placement decisions, or to target services at certain 
individuals or families; 
‘‘(2) require any individual or family to partici-
pate in any service or program as a condition of re-
ceipt of a benefit to which the individual or family 
is otherwise eligible; 
‘‘(3) increase the presence or funding of law en-
forcement surveillance, involvement, or activity in 
implementing the strategies identified under sub-
section (c)(1)(B); or 
‘‘(4) enable the practice of conversion therapy. 
‘‘(j) EVALUATION.— 
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‘‘(1) DATA
MODEL
EVALUATION.—Not later 
than 36 months after the date of enactment of this 
section, the Assistant Secretary for Planning and 
Evaluation of the Department of Health and Human 
Services, in coordination with the grantees receiving 
a grant under this section, shall complete an evalua-
tion of the effectiveness of the data model accuracy 
of the grant program under this section to address 
each of the following: 
‘‘(A) Determining the effectiveness of the 
grantees’ use of data analysis methods to iden-
tify geographic areas pursuant to subsection 
(c)(1). 
‘‘(B) Examining the grantees’ development 
and utilization of data analysis methods. 
‘‘(C) Examining the grantees’ ability to ef-
fectively utilize data analysis methods in future 
prevention work. 
‘‘(D) Establishing a method for rigorously 
evaluating the activities of grantees and com-
paring the reduction of child and family expo-
sure to adverse experiences in other commu-
nities with similar demographics. 
‘‘(E) Examining the grantees’ utilization of 
community-based system dynamics modeling 
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methods and other community engagement 
methods. 
‘‘(2) PROGRAM EVALUATION.—Not later than 6 
years after the date of enactment of this section, the 
Assistant Secretary for Planning and Evaluation of 
the Department of Health and Human Services, in 
coordination with eligible entities receiving grants 
under this section, shall complete an evaluation of 
the effectiveness of the grant program under this 
section. 
‘‘(3) DATA COLLECTION.— 
‘‘(A) IN
GENERAL.—The Assistant Sec-
retary for Planning and Evaluation of the De-
partment of Health and Human Services and 
each eligible entity receiving a grant under this 
section shall collect any relevant data necessary 
to complete the evaluations required by para-
graphs (1) and (2) to include— 
‘‘(i) the activities funded by the grant 
under this section, including development 
and implementation data analysis methods; 
‘‘(ii) the number of children and of 
families receiving coordination and facilita-
tion of care and services; and 
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‘‘(iii) the effect of activities supported 
by the grant under this section on the local 
area serviced by the program, including 
such effects on— 
‘‘(I) children and adolescents’ 
health and well-being; 
‘‘(II) the number of children who 
enter into or depart from foster serv-
ices; and 
‘‘(III) homelessness and housing 
insecurity. 
‘‘(B) STUDY.— 
‘‘(i) IN GENERAL.—Not later than 7 
years after the date of enactment of this 
section, the Assistant Secretary for Plan-
ning and Evaluation of the Department of 
Health and Human Services shall— 
‘‘(I) complete a study on the re-
sults of the grant program under this 
section using the community-based 
participatory action research method, 
which focuses on social, structural, 
and physical environmental inequities 
through active involvement of commu-
nity members, clients, organizational 
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representatives, and researchers in all 
aspects of the research process; and 
‘‘(II) submit a report on the re-
sults of the study to the Congress. 
‘‘(ii) PARTNERS.—In conducting the 
study under clause (i), the Assistant Sec-
retary for Planning and Evaluation of the 
Department of Health and Human Serv-
ices shall ensure that partners and persons 
that have participated in the grant pro-
gram under this section on every level, es-
pecially those such partners or persons re-
ceiving services and support through the 
program, have an opportunity to contribute 
their expertise to evaluating the strategy 
and outcomes. 
‘‘(k) REPORT.—Not later than three months after the 
completion of the evaluation required by subsection (j)(2), 
the Assistant Secretary for Planning and Evaluation of 
the Department of Health and Human Services shall sub-
mit to Congress and make available to the public on the 
internet website of the Department of Health and Human 
Services a report based upon the evaluation under sub-
section (j)(2), to include— 
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‘‘(1) the impact of the program under this sec-
tion on homelessness and housing insecurity, sub-
stance use disorder and drug deaths, incarceration, 
foster system involvement, and other child and fam-
ily outcomes as identified by the Assistant Secretary 
for Planning and Evaluation of the Department of 
Health and Human Services; 
‘‘(2) an analysis of which elements of the pro-
gram should be replicated and scaled by govern-
mental or non-governmental entities; and 
‘‘(3) such recommendations for legislation and 
administrative action as the Secretary determines 
appropriate. 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) The term ‘adverse childhood experience’ 
means a potentially traumatic experience that occurs 
in childhood and can have a tremendous impact on 
the child’s lifelong health and opportunity outcomes, 
such as any of the following: 
‘‘(A) Abuse, such as any of the following: 
‘‘(i) 
Emotional 
and 
psychological 
abuse. 
‘‘(ii) Physical abuse. 
‘‘(iii) Sexual abuse. 
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‘‘(B) Household challenges such as any of 
the following: 
‘‘(i) A household member is treated 
violently. 
‘‘(ii) A household member has a sub-
stance use disorder. 
‘‘(iii) A household member has a men-
tal health condition. 
‘‘(iv) Parental separation or divorce. 
‘‘(v) A household member is incarcer-
ated, is placed in immigrant detention, or 
has been deported. 
‘‘(vi) A household member has a life- 
threatening illness such as COVID–19. 
‘‘(C) Neglect. 
‘‘(D) Living in— 
‘‘(i) impoverished communities that 
lack access to human services; 
‘‘(ii) areas of high unemployment 
neighborhoods; or 
‘‘(iii) communities experiencing de 
facto segregation. 
‘‘(E) Experiencing food insecurity and 
poor nutrition. 
‘‘(F) Witnessing violence. 
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‘‘(G) Involvement with the foster system. 
‘‘(H) Experiencing discrimination. 
‘‘(I) Dealing with historical and ongoing 
traumas due to systemic and interpersonal rac-
ism. 
‘‘(J) Dealing with historical and ongoing 
traumas regarding systemic and interpersonal 
sexism, homophobia, biphobia, and transphobia. 
‘‘(K) Dealing with the threat of deporta-
tion or detention as a result of immigration sta-
tus. 
‘‘(L) The impacts of multigenerational pov-
erty resulting from limited educational and eco-
nomic opportunities. 
‘‘(M) Living through natural disasters 
such as earthquakes, forest fires, floods, or hur-
ricanes. 
‘‘(2) The term ‘eligible entity’ means a State or 
local health department. 
‘‘(3) The term ‘practice of conversion ther-
apy’— 
‘‘(A) means any practice or treatment by 
any person that seeks to change another indi-
vidual’s sexual orientation or gender identity, 
including efforts to change behaviors or gender 
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expressions, or to eliminate or reduce sexual or 
romantic attractions or feelings toward individ-
uals of the same gender, if such person receives 
monetary compensation in exchange for any 
such practice or treatment; and 
‘‘(B) does not include any practice or 
treatment that does not seek to change sexual 
orientation or gender identity and— 
‘‘(i) provides assistance to an indi-
vidual undergoing a gender transition; or 
‘‘(ii) provides acceptance, support, 
and understanding of a client or facilita-
tion of a client’s coping, social support, 
and identity exploration and development. 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
for the period of fiscal years 2025 through 2031— 
‘‘(1) to carry out subsection (a)(1) through the 
award of grants under subsection (b)— 
‘‘(A) $47,500,000 for grants; and 
‘‘(B) such sums as may be necessary for 
the administrative costs of carrying out such 
subsection; and 
‘‘(2) $7,500,000 to carry out the evaluation 
under subsection (a)(2).’’. 
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(b) CARE COORDINATION GRANTS.—Part E of title 
XII of the Public Health Service Act (42 U.S.C. 300d– 
51 et seq.) is amended by adding at the end the following 
new section: 
‘‘SEC. 1255. CARE COORDINATION GRANTS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to eligible entities to establish or expand trauma- 
informed care coordination services to support— 
‘‘(1) children aged 0 through 5 at risk of ad-
verse childhood experiences; and 
‘‘(2) their caregivers, including prenatal people 
of any age. 
‘‘(b) NUMBER OF GRANTS.—Subject to the avail-
ability of appropriations, the Secretary shall award not 
fewer than 9 and not more than 40 grants under this sec-
tion. 
‘‘(c) AMOUNT OF GRANTS.—Subject to the avail-
ability of appropriations, the amount of a grant under this 
section for a fiscal year shall be— 
‘‘(1) not less than $250,000; and 
‘‘(2) not more than $1,000,000. 
‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a local gov-
ernment or Indian Tribe, acting through the public health 
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department thereof if such government or Tribe has a 
public health department. 
‘‘(e) PRIORITY.— 
‘‘(1) IN GENERAL.—In awarding grants under 
this section, the Secretary shall give priority to eligi-
ble entities proposing to serve communities with a 
high need for trauma-informed care coordination 
services, as demonstrated by indicators such as— 
‘‘(A) pregnant people who face barriers to 
prenatal care; 
‘‘(B) mortality or morbidity of people giv-
ing birth or infants; 
‘‘(C) caretakers and parents who are living 
with a mental health condition or substance use 
disorder; 
‘‘(D) a high prevalence of community vio-
lence, including domestic violence, as dem-
onstrated by instances of homicide and public 
health statistics, including treatment of injury 
or trauma; 
‘‘(E) high proportions of low-income chil-
dren; 
‘‘(F) a high prevalence of child fatalities or 
near fatalities related to child abuse and ne-
glect; 
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‘‘(G) significant disparities in health out-
comes for people giving birth and infants; 
‘‘(H) a high rate of exclusionary discipline 
and referrals to law enforcement; and 
‘‘(I) a high rate of homelessness and hous-
ing instability. 
‘‘(2) DATA
FROM
TRIBAL
AREAS.—The Sec-
retary, acting through the Director of the Indian 
Health Service, shall consult with Indian Tribes to 
establish criteria to measure indicators of need, for 
purposes of paragraph (1), with respect to Tribal 
areas. 
‘‘(f) USE OF FUNDS.— 
‘‘(1) REQUIRED USES.— 
‘‘(A) IN
GENERAL.—A grant received 
under this section shall be used to establish or 
expand gender-responsive, culturally specific, 
trauma-informed care coordination services, in-
cluding by instituting and conducting risk and 
needs assessments including— 
‘‘(i) using strengths-based approaches 
focused on protective factors for children 
and their caregivers, including prenatal 
people of any age; and 
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‘‘(ii) inputting screening results into a 
centralized intake system to promote a sin-
gle point of access system across providers 
and services. 
‘‘(B) TRAINING.—A grant received under 
this section shall be used to ensure that individ-
uals employed through the grant funds, in 
whole or in part, have received sufficient and 
up-to-date training on trauma-informed care 
and strategies that are reparative, culturally 
sensitive, gender responsive, and healing cen-
tered. 
‘‘(2) PERMISSIBLE
USES.—A grant received 
under this section may be used for any of the fol-
lowing: 
‘‘(A) Employing care coordinators, case 
managers, community health workers, certified 
infant mental health specialists, and outreach 
and engagement specialists to work with chil-
dren and their caregivers, including prenatal in-
dividuals, to prevent and respond to adverse 
childhood experiences by connecting clients with 
culturally specific, trauma-informed care treat-
ment services, including economic, social, food, 
and housing supports. 
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‘‘(B) Providing training described in para-
graph (1)(B) to community health providers 
and community partners. 
‘‘(C) Expanding, enhancing, modifying, 
and connecting the existing network of commu-
nity programs and services to achieve a more 
comprehensive and coordinated system of care 
approach, including— 
‘‘(i) developing local infrastructure to 
bolster and shape community support sys-
tems and map and build access to services 
in a coordinated and comprehensive way; 
and 
‘‘(ii) creating infrastructure to con-
duct outreach to children and families, in-
cluding those experiencing homelessness 
and housing instability, so they acquire ac-
cess to the services and supports they need 
and the benefits to which they are entitled. 
‘‘(D) Compiling information on resources 
(including 
any 
referral 
services) 
available 
through community-based organizations and 
local, State, and Federal agencies, such as— 
‘‘(i) programs addressing social deter-
minants of health, including— 
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‘‘(I) emergency, temporary, and 
long-term housing; 
‘‘(II) programs that offer free or 
affordable and nutritious food; 
‘‘(III) vocational and workforce 
development; and 
‘‘(IV) transportation supports; 
‘‘(ii) home visiting programs for new 
parents and their infants; 
‘‘(iii) workforce development programs 
to support caregivers in skill building; 
‘‘(iv) 
trauma-responsive, 
parenting 
skills-building programs; 
‘‘(v) the continuum of substance use 
prevention, intervention, and treatment 
programs and mental health support pro-
grams, including programs with trauma-in-
formed, gender-responsive, and culturally 
specific counseling; and 
‘‘(vi) childcare support and early 
childhood education, including Head Start 
and Early Head Start programs. 
‘‘(E) Subject to subsection (g)(1), estab-
lishing or updating a database that compiles 
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data used to track the effectiveness of the care 
coordination services funded through the grant. 
‘‘(F) Developing and implementing referral 
partnership agreements with community-based 
organizations, parent organizations, substance 
use disorder treatment providers and facilities, 
housing and shelter providers, health care pro-
viders, mental health care providers, and Fed-
eral and State offices and programs that imple-
ment practices to support children ages 0 
through 5 who are at risk of adverse childhood 
experiences and their caregivers, including pre-
natal people. Such practices shall include— 
‘‘(i) a bilateral ‘warm handoff’ system 
whereby a grantee understands the needs 
of the children and their families, and fam-
ilies are involved in addressing these needs; 
and 
‘‘(ii) an active service connection 
whereby the children and families are each 
actively connected with a resource in a 
well-coordinated way that ensures avail-
ability and direct contact. 
‘‘(G) Supporting cross-system planning 
and collaboration among employees who may 
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work in emergency medical services, health care 
services, public health, early childhood edu-
cation, and substance use disorder treatment 
and recovery support. 
‘‘(H) Providing or subsidizing services to 
address barriers that children, prenatal individ-
uals, and caregivers face to utilizing community 
resources and services, such as by providing or 
subsidizing transportation or childcare costs as 
applicable and within reasonable amounts. 
‘‘(I) Creating or expanding infrastructure 
and investing in technology, including the provi-
sion of communications technology and internet 
service to children and their caregivers, to en-
able increased telemedicine capabilities to reach 
participants. 
‘‘(3) INDIAN TRIBES.—In the case of an eligible 
entity that is an Indian Tribe, the Secretary may 
waive such provisions of this subsection as the Sec-
retary determines appropriate. 
‘‘(4) PROHIBITIONS.—In addition to any other 
prohibitions determined by the Secretary, an eligible 
entity may not use a grant under this section to— 
‘‘(A) use data analysis methods to inform 
individual case decisions, including child re-
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moval or placement decisions, or to target serv-
ices at certain individuals or families; 
‘‘(B) require any individual or family to 
participate in any service or program as a con-
dition of receipt of a benefit to which the indi-
vidual or family is otherwise eligible; or 
‘‘(C) increase the presence or funding of 
law enforcement surveillance, involvement, or 
activity in connection with trauma-informed 
care coordination services supported pursuant 
to this section. 
‘‘(g) REQUIREMENTS.—As a condition on receipt of 
a grant under this section, an eligible entity shall agree 
to each of the following funding conditions: 
‘‘(1) RESTRICTION OF FUNDING ALLOCATION.— 
The eligible entity will not use more than 30 percent 
of the funds made available to the entity through the 
grant (for the total grant period) to establish or up-
date a database pursuant to subsection (f)(2)(E). 
‘‘(2) ACCESSIBLE SETTING.— 
‘‘(A) IN GENERAL.—The eligible entity will 
ensure that all care coordination services pro-
vided through the grant are provided in a set-
ting that is accessible, including through mobile 
settings, to— 
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‘‘(i) low-income or no-income individ-
uals, including individuals experiencing 
homelessness or housing instability; and 
‘‘(ii) individuals in rural areas. 
‘‘(B) COMMUNITY
OUTREACH.—In com-
plying with subparagraph (A), the eligible entity 
will ensure that at least 50 percent of the care 
coordination services provided through the 
grant occur in community settings that are con-
venient to the children and caregivers who are 
being served, such as homes, schools, and shel-
ters, whether for initial outreach or as part of 
long-term care. 
‘‘(3) 
SUPPLEMENT, 
NOT
SUPPLANT.—The 
grant will be used to supplement, not supplant other 
Federal, State, or local funds available for care co-
ordination services. 
‘‘(4) CONFIDENTIALITY.—The eligible entity 
will maintain the confidentiality of individuals receiv-
ing services through the grant in a manner con-
sistent with applicable law. 
‘‘(5) PARTNERING; RISK STRATIFICATION.—In 
providing care coordination services through the 
grant, the eligible entity will— 
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‘‘(A) partner with community-based orga-
nizations with experience serving child popu-
lations prenatally through age 5; 
‘‘(B) coordinate with the local agency re-
sponsible for administering the State plan ap-
proved under title XIX of the Social Security 
Act; and 
‘‘(C) employ risk stratification to develop 
different effective models of care for different 
populations based on their needs. 
‘‘(h) APPLICATION.— 
‘‘(1) IN GENERAL.—To seek a grant under this 
section, an eligible entity shall submit an application 
to the Secretary at such time, in such manner, and 
containing such information, as the Secretary may 
require. 
‘‘(2) CONTENTS.—An application under para-
graph (1) shall, at a minimum, contain each of the 
following: 
‘‘(A) Goals to be achieved through the 
grant, including the activities that will be un-
dertaken to achieve those goals. 
‘‘(B) The number of individuals likely to 
be served through the grant, including demo-
graphic data on the populations to be served. 
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‘‘(C) Existing programs and services that 
can be used to significantly increase the propor-
tion of children and families who receive needed 
supports and services. 
‘‘(D) A plan for expanding, coordinating, 
or modifying the existing network of programs 
and services to meet the needs of children and 
families for preventing and mitigating the trau-
matic impact of adverse childhood experiences. 
‘‘(E) A demonstration of the ability of the 
eligible entity to reach the individuals to be 
served, including by partnering with local stake-
holders. 
‘‘(F) An indication of how the personnel 
involved are reflective of the communities to be 
served. 
‘‘(G) A list of stakeholders with whom the 
entity plans to partner or consult. 
‘‘(i) REPORTING BY GRANTEES.—Not later than 4 
years after the date of enactment of this section, an eligi-
ble entity receiving a grant under this section shall submit 
to the Secretary a report on the activities funded through 
the grant. Such report shall include, at a minimum, a de-
scription of— 
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‘‘(1) the number of individuals served through 
activities funded through the grant, including demo-
graphics as applicable; 
‘‘(2) the number of referrals made through the 
grant and the rate of such referrals successfully 
linked or closed; 
‘‘(3) a qualitative analysis or number of collabo-
rative partnerships with other organizations in car-
rying out the activities funded through the grant; 
‘‘(4) the number of services provided to individ-
uals through the grant; 
‘‘(5) aggregated and de-identified outcomes ex-
perienced by individuals served through the grant 
such as— 
‘‘(A) the rate of successful service connec-
tions; 
‘‘(B) any increases in development of pro-
tective factors for children; 
‘‘(C) any increase in development of pro-
tective factors for the caregivers; 
‘‘(D) any mitigation of the negative out-
comes associated with adverse childhood experi-
ences or decreased likelihood of children experi-
encing an adverse childhood experience as evi-
denced by— 
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‘‘(i) decreased presence of law en-
forcement or other punitive State surveil-
lance in the community; 
‘‘(ii) a parent completing substance 
use treatment; 
‘‘(iii) a parent receiving voluntary 
treatment for mental health-related condi-
tions; 
‘‘(iv) a family entering into or main-
taining a stable housing situation; 
‘‘(v) a family achieving or maintaining 
economic security; 
‘‘(vi) a parent achieving or maintain-
ing job stability; or 
‘‘(vii) a child meeting developmental 
markers for school readiness; and 
‘‘(E) reports of satisfaction with the co-
ordination of care by people served; and 
‘‘(6) any other information required by the Sec-
retary. 
‘‘(j) CONVENING PARTICIPANTS FOR SHARING LES-
SONS LEARNED.—After the period of all grants awarded 
under this section has concluded, the Assistant Secretary 
for Planning and Evaluation of the Department of Health 
and Human Services shall provide an in-person or online 
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opportunity for persons participating in the programs 
funded through this section to share with each other— 
‘‘(1) lessons learned; 
‘‘(2) challenges experienced; and 
‘‘(3) ideas for next steps and solutions. 
‘‘(k) COMPILING FINDINGS
AND CONCLUSIONS.— 
After providing the opportunity required by subsection (j), 
the Secretary shall— 
‘‘(1) compile the findings and conclusions of 
grantees under this section on the provision of care 
coordination services described in subsection (a); 
‘‘(2) submit a report on such findings and con-
clusions to the appropriate congressional commit-
tees; and 
‘‘(3) make such report publicly available. 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) ADVERSE CHILDHOOD EXPERIENCE.—The 
term ‘adverse childhood experience’ means a poten-
tially traumatic experience that occurs in childhood 
and can have a tremendous impact on the child’s 
lifelong health and opportunity outcomes, such as 
any of the following: 
‘‘(A) Abuse, such as any of the following: 
‘‘(i) 
Emotional 
and 
psychological 
abuse. 
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‘‘(ii) Physical abuse. 
‘‘(iii) Sexual abuse. 
‘‘(B) Household challenges such as any of 
the following: 
‘‘(i) A household member is treated 
violently. 
‘‘(ii) A household member has a sub-
stance use disorder. 
‘‘(iii) A household member has a men-
tal health condition. 
‘‘(iv) Parental separation or divorce. 
‘‘(v) A household member is incarcer-
ated, is placed in immigrant detention, or 
has been deported. 
‘‘(vi) A household member has a life- 
threatening illness such as COVID–19. 
‘‘(C) Neglect. 
‘‘(D) Living in— 
‘‘(i) impoverished communities that 
lack access to human services; 
‘‘(ii) areas of high unemployment 
neighborhoods; or 
‘‘(iii) communities experiencing de 
facto segregation. 
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‘‘(E) Experiencing food insecurity and 
poor nutrition. 
‘‘(F) Witnessing violence. 
‘‘(G) Involvement with the foster system. 
‘‘(H) Experiencing discrimination. 
‘‘(I) Dealing with historical and ongoing 
traumas due to systemic and interpersonal rac-
ism. 
‘‘(J) Dealing with historical and ongoing 
traumas regarding systemic and interpersonal 
sexism, homophobia, biphobia, and transphobia. 
‘‘(K) Dealing with the threat of deporta-
tion or detention as a result of immigration sta-
tus. 
‘‘(L) The impacts of multigenerational pov-
erty resulting from limited educational and eco-
nomic opportunities. 
‘‘(M) Living through natural disasters 
such as earthquakes, forest fires, floods, or hur-
ricanes. 
‘‘(2) CARE COORDINATION.—The term ‘care co-
ordination’ means an active, ongoing process that— 
‘‘(A) assists children ages 0 through 5 at 
risk of, or who have experienced, an adverse 
childhood experience, and their caregivers, in-
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cluding prenatal people of any age, to identify, 
access, and use community resources and serv-
ices; 
‘‘(B) is client centered and comprehensive 
of the services a child or caregiver may need; 
‘‘(C) ensures a closed loop referral by ob-
taining feedback from the families served; and 
‘‘(D) works across systems and services to 
promote collaboration to effectively meet the 
needs of community members. 
‘‘(3) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given such term in section 4 of the 
Indian Self-Determination and Education Assistance 
Act. 
‘‘(4) PROTECTIVE FACTORS.—The term ‘protec-
tive factors’ refers to any supportive element in a 
child or caretaker’s life that helps the child or care-
taker to withstand trauma such as a stable school 
environment or supportive peer relationships. 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $15,000,000 
for each of the 5 fiscal years following the fiscal year 
in which this section is enacted. 
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‘‘(2) GRANTS
TO
INDIAN
TRIBES.—Of the 
amount made available to carry out this section for 
a fiscal year, the Secretary shall use not less than 
10 percent of such amount for grants to eligible en-
tities that are Indian Tribes. 
‘‘(3) 
ADMINISTRATIVE
EXPENSES.—Of 
the 
amount made available to carry out this section for 
a fiscal year, the Secretary may use not more than 
15 percent of such amount for administrative ex-
penses, including the expenses of the Assistant Sec-
retary for Planning and Evaluation of the Depart-
ment of Health and Human Services for compiling 
and reporting information. 
‘‘(4) TECHNICAL ASSISTANCE.—Of the amount 
made available to carry out this section for a fiscal 
year, the Secretary may reserve up to 5 percent of 
such amount to provide technical assistance to eligi-
ble entities in preparing and submitting applications 
under this section.’’. 
SEC. 6703. IMPROVING ACCESS TO MENTAL HEALTH. 
(a) ACCESS TO CLINICAL SOCIAL WORKERS.—Sec-
tion 1833(a)(1) of the Social Security Act (42 U.S.C. 
1395l(a)(1)) is amended— 
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(1) in subparagraph (D), by striking ‘‘such ne-
gotiated rate,,’’ and inserting ‘‘such negotiated 
rate,’’; and 
(2) in subparagraph (F)(ii) by striking ‘‘75 per-
cent of the amount determined for payment of a 
psychologist under clause (L)’’ and inserting ‘‘85 
percent of the fee schedule amount provided under 
section 1848’’. 
(b) ACCESS TO CLINICAL SOCIAL WORKER SERVICES 
PROVIDED TO RESIDENTS OF SKILLED NURSING FACILI-
TIES.— 
(1) IN GENERAL.—Section 1888(e)(2)(A)(ii) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395yy(e)(2)(A)(ii)), 
as 
amended 
by 
section 
6101(a)(5), is amended by inserting ‘‘clinical social 
worker services,’’ after ‘‘peer support specialist serv-
ices (as defined in section 1861(qqq)(3)),’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1861(hh)(2) of the Social Security Act (42 U.S.C. 
1395x(hh)(2)) is amended by striking ‘‘and other 
than services furnished to an inpatient of a skilled 
nursing facility which the facility is required to pro-
vide as a requirement for participation’’. 
(c) ACCESS TO THE COMPLETE SET OF CLINICAL SO-
CIAL WORKER SERVICES.—Section 1861(hh)(2) of the So-
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cial Security Act (42 U.S.C. 1395x(hh)(2)) is further 
amended by striking ‘‘for the diagnosis and treatment of 
mental illnesses (other than services’’ and inserting ‘‘(in-
cluding services for the diagnosis and treatment of mental 
illnesses or services for health and behavior assessment 
and intervention (identified as of January 1, 2022, by 
HCPCS codes 96150 through 96161 (and any succeeding 
codes)), but not including services’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply to items and services furnished on 
or after January 1, 2025. 
SEC. 6704. PROGRAM TO ESTABLISH PUBLIC-PRIVATE CON-
TRIBUTIONS TO INCREASE THE AVAILABLE 
WORKFORCE 
OF 
SCHOOL-BASED 
MENTAL 
HEALTH SERVICE PROVIDERS. 
(a) PROGRAM AUTHORIZED.—The Secretary shall 
carry out a program under which eligible graduate institu-
tions may enter into an agreement with the Secretary to 
cover a portion of the cost of attendance of a participating 
student, which contributions shall be matched by equiva-
lent contributions towards such cost of attendance by the 
Secretary. 
(b) DESIGNATION
OF
PROGRAM.—The program 
under this section shall be known as the ‘‘Mental Health 
Excellence in Schools Program’’. 
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(c) AGREEMENTS.—The Secretary shall enter into an 
agreement with each eligible graduate institution seeking 
to participate in the program under this section. Each 
agreement shall specify the following: 
(1) The manner (whether by direct grant, schol-
arship, or otherwise) in which the eligible graduate 
institution will contribute to the cost of attendance 
of a participating student. 
(2) The maximum amount of the contribution 
to be made by the eligible graduate institution with 
respect to any particular participating student in 
any given academic year. 
(3) The maximum number of individuals for 
whom the eligible graduate institution will make con-
tributions in any given academic year. 
(4) That the eligible graduate institution, in se-
lecting participating students to receive assistance 
under the program, shall prioritize the participating 
students described in subsection (d)(2). 
(5) Such other matters as the Secretary and 
the eligible graduate institution determine appro-
priate. 
(d) OUTREACH.—The Secretary shall— 
(1) make publicly available and periodically up-
date on the internet website of the Department of 
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Education a list of the eligible graduate institutions 
participating in the program under this section that 
shall specify, for each such graduate institution, ap-
propriate information on the agreement between the 
Secretary and such eligible graduate institution 
under subsection (c); and 
(2) conduct outreach about the program under 
this section to participating students who, as under-
graduates— 
(A) received a Federal Pell Grant under 
section 401 of the Higher Education Act of 
1965 (20 U.S.C. 1070a); or 
(B) attended an institution listed in section 
371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q(a)). 
(e) MATCHING CONTRIBUTIONS.—The Secretary may 
provide a contribution of not more than 50 percent of the 
cost of attendance of a participating student if the eligible 
graduate institution at which such student is enrolled en-
ters into an agreement under subsection (c) with the Sec-
retary to match such contribution. 
(f) MONITORING AND EVALUATION.—As a condition 
of participation in the program under this section, each 
eligible graduate institution shall agree to submit an an-
nual report to the Secretary describing— 
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(1) the number of students served by the pro-
gram; 
(2) the percentage of tuition cost covered by the 
program; 
(3) the number of participating students who 
were also recipients of a Federal Pell Grant; and 
(4) as applicable, the graduation rates and 
post-graduate employment of participating students. 
(g) INTERIM REPORT.—Not later than 2 years after 
the first contributions are provided under this section, the 
Secretary shall submit an interim report to Congress 
based on the annual reports required by subsection (f). 
(h) INDEPENDENT NATIONAL EVALUATION.— 
(1) IN GENERAL.—Not later than 4 years after 
the date of enactment of this Act, the Secretary 
shall provide for the commencement of an inde-
pendent national evaluation of the outcomes and ef-
fectiveness of the program under this section. 
(2) REPORT TO CONGRESS.—Not later than 90 
days after receiving the results of such independent 
national evaluation, the Secretary shall submit a re-
port to Congress containing the findings of the eval-
uation and the Secretary’s recommendations for im-
provements to the program. 
(i) DEFINITIONS.—In this section: 
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(1) COST OF ATTENDANCE.—The term ‘‘cost of 
attendance’’ has the meaning given the term in sec-
tion 472 of the Higher Education Act of 1965 (20 
U.S.C. 1087ll). 
(2) ELIGIBLE
GRADUATE
INSTITUTION.—The 
term ‘‘eligible graduate institution’’ means an insti-
tution of higher education that offers a program of 
study that leads to a graduate degree— 
(A) in school psychology that is accredited 
or approved by the National Association of 
School Psychologists’ Program Accreditation 
Board or the Commission on Accreditation of 
the American Psychological Association and 
that prepares students in such program for the 
State licensing or certification examination in 
school psychology at the specialist level; 
(B) in an accredited school counseling pro-
gram that prepares students in such program 
for the State licensing or certification examina-
tion in school counseling; 
(C) in school social work that is accredited 
by the Council on Social Work Education and 
that prepares students in such program for the 
State licensing or certification examination in 
school social work; 
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(D) in another school-based mental health 
field that prepares students in such program 
for the State licensing or certification examina-
tion in such field, if applicable; or 
(E) in any combination of study described 
in subparagraphs (A) through (D). 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(4) PARTICIPATING STUDENT.—The term ‘‘par-
ticipating student’’ means an individual who is en-
rolled in a graduate degree program in a school- 
based mental health field at a participating eligible 
graduate institution. 
(5) SCHOOL-BASED MENTAL HEALTH FIELD.— 
The term ‘‘school-based mental health field’’ means 
any of the following fields: 
(A) School counseling. 
(B) School social work. 
(C) School psychology. 
(D) Any other field of study that leads to 
employment as a school-based mental health 
services provider, as determined by the Sec-
retary. 
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(6) SCHOOL-BASED MENTAL HEALTH SERVICES 
PROVIDER.—The term ‘‘school-based mental health 
services provider’’ has the meaning given the term in 
section 4102 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7112). 
(7) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
(j) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this sec-
tion— 
(1) $20,000,000 for fiscal year 2025; 
(2) $30,000,000 for fiscal year 2026; and 
(3) $50,000,000 for each of fiscal years 2027 
through 2029. 
SEC. 6705. SCHOOL SOCIAL WORKERS IMPROVING STU-
DENT SUCCESS. 
(a) SCHOOL SOCIAL WORKER GRANTS.— 
(1) PURPOSES.—The purpose of this section is 
to assist States and local educational agencies in hir-
ing additional school social workers in order to in-
crease access to mental health and other student 
support services to students in elementary schools 
and secondary schools in the United States to the 
minimum ratios recommended by the National Asso-
ciation of Social Workers, the School Social Work 
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Association of America, and the American Council 
for School Social Work of 1 school social worker for 
every 250 students, and 1 school social worker for 
every 50 students when a social worker is providing 
services to students with intensive needs. 
(2) ESEA AMENDMENTS.— 
(A) IN GENERAL.—Subpart 4 of part F of 
title IV of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7291 et seq.) is 
amended by adding at the end the following: 
‘‘SEC. 4645. GRANTS FOR SCHOOL SOCIAL WORKERS. 
‘‘(a) GRANTS AUTHORIZED.— 
‘‘(1) IN GENERAL.—From the amounts appro-
priated under subsection (g), the Secretary shall 
award grants to high-need local educational agencies 
to enable such agencies to retain school social work-
ers employed by such agencies or to hire additional 
school social workers. 
‘‘(2) DURATION.—A grant awarded under this 
section shall be awarded for a period not to exceed 
4 years. 
‘‘(3) SUPPLEMENT, NOT
SUPPLANT.—Funds 
made available under this section shall be used to 
supplement, and not to supplant, other Federal, 
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State, or local funds used for hiring and retaining 
school social workers. 
‘‘(b) APPLICATION.— 
‘‘(1) IN GENERAL.—To be eligible to receive a 
grant under this section, a high-need local edu-
cational agency shall submit to the Secretary an ap-
plication at such time, in such manner, and con-
taining such information as the Secretary may re-
quire. 
‘‘(2) CONTENTS.—An application submitted 
under paragraph (1) shall include an assurance that 
each school social worker who receives assistance 
under the grant will provide the services described in 
subsection (d), and a description of the specific serv-
ices to be provided by such social worker. 
‘‘(c) USE OF FUNDS.—A high-need local educational 
agency receiving a grant under this section— 
‘‘(1) shall use the grant— 
‘‘(A) to achieve a ratio of not less than 1 
school social worker for every 250 students 
served by the agency, by— 
‘‘(i) retaining school social workers 
employed by such agency; or 
‘‘(ii)(I) employing additional school 
social workers; or 
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‘‘(II) hiring contractors to serve as 
school social workers only in a case in 
which— 
‘‘(aa) the local educational agen-
cy demonstrates to the Secretary that 
the agency— 
‘‘(AA) has not been able to 
employ a sufficient number of 
school social workers under sub-
clause (I) to achieve such ratio 
despite strong and continuing ef-
forts to recruit and employ school 
social workers; and 
‘‘(BB) hiring contractors is 
the only viable option to ensure 
students have adequate access to 
school social work services; and 
‘‘(bb) each such contractor meets 
the requirements of subparagraphs 
(A) and (B) of subsection (h)(2); and 
‘‘(B) to ensure that each school social 
worker who receives assistance under such 
grant provides the services described in sub-
section (d); and 
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‘‘(2) may use the grant to reimburse school so-
cial workers who receive assistance under such grant 
for— 
‘‘(A) in the case of a school served by the 
agency in which the majority of students are 
higher risk students, to hire or retain additional 
school social workers in accordance with clauses 
(i) and (ii) of paragraph (1)(A) to achieve a 
ratio of not less than 1 school social worker for 
every 50 students; 
‘‘(B) travel expenses incurred during home 
visits and other school-related trips; 
‘‘(C) any additional expenses incurred by 
such social workers in rendering any service de-
scribed in subsection (d); and 
‘‘(D) the cost of clinical social work super-
vision for such social workers. 
‘‘(d) RESPONSIBILITIES OF A SCHOOL SOCIAL WORK-
ER.—A school social worker who receives assistance under 
a grant under this section shall provide the following serv-
ices: 
‘‘(1) Identifying high-need students in each 
school that the social worker serves, and targeting 
services provided at the school to such students. 
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‘‘(2) Providing students in each school that the 
school social worker serves, social work services to 
promote school engagement and improve academic 
outcomes, including— 
‘‘(A) counseling and crisis intervention; 
‘‘(B) trauma-informed services; 
‘‘(C) evidence-based educational, behav-
ioral, and mental health services (such as imple-
menting multi-tiered programs and practices, 
monitoring progress, and evaluating service ef-
fectiveness); 
‘‘(D) addressing the social and emotional 
learning needs of students; 
‘‘(E) promoting a school climate and cul-
ture conducive to student learning and teaching 
excellence (such as promoting effective school 
policies and administrative procedures, enhanc-
ing the professional capacity of school per-
sonnel, and facilitating engagement between 
student, family, school, and community); 
‘‘(F) providing access to school-based and 
community based resources (such as promoting 
a continuum of services, mobilizing resources 
and promoting assets, and providing leadership, 
interdisciplinary collaboration, systems coordi-
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nation, professional consultation, and con-
necting students and families to resource sys-
tems); 
‘‘(G) working with students, families, 
schools, and communities to address barriers to 
educational attainment (such as homelessness 
and housing insecurity, lack of transportation, 
food insecurity, equity, social justice issues, ac-
cess to quality education, and school, family, 
and community risk factors); 
‘‘(H) providing assistance to schools and 
teachers to design social-emotional, educational, 
behavioral, and mental health interventions; 
‘‘(I) case management activities to coordi-
nate the delivery of and access to the appro-
priate social work services to the highest-need 
students; 
‘‘(J) home visits to meet the family of stu-
dents in need of social work services in the 
home environment; 
‘‘(K) supervising or coordinating district 
level school social work services; and 
‘‘(L) other services the Secretary deter-
mines, in partnership with students, educators, 
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and community member voices are necessary to 
be carried out by such a social worker. 
‘‘(e) GRANT RENEWAL.— 
‘‘(1) IN
GENERAL.—A grant awarded under 
this section may be renewed for additional periods 
with the same duration as the original grant period. 
‘‘(2) CONTINUING ELIGIBILITY APPLICATION.— 
To be eligible for a renewal under this section a 
high-need local educational agency shall submit to 
the Secretary, for each renewal, a report on the 
progress of such agency in retaining and hiring 
school social workers to achieve the ratio of not less 
than 1 school social worker for every 250 students 
served by the agency, and shall include— 
‘‘(A) a description of the staffing expan-
sion of school social workers funded through the 
original grant received under this section; and 
‘‘(B) a description of the work conducted 
by such social workers for higher risk students. 
‘‘(f) TECHNICAL ASSISTANCE.— 
‘‘(1) IN GENERAL.—The Secretary shall provide 
technical assistance to high-need local educational 
agencies, including such agencies that do not have 
adequate staff, in applying for grants under this sec-
tion. 
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‘‘(2) EXTENSION
OF
APPLICATION
PERIOD.— 
The Secretary shall extend any application period 
for a grant under this section for any high-need local 
educational agency that— 
‘‘(A) submits to the Secretary a written 
notification of the intent to apply for a grant 
under this section before requesting technical 
assistance under paragraph (1); and 
‘‘(B) after submitting the notification 
under paragraph (1), requests such technical 
assistance. 
‘‘(g) AUTHORIZATION FOR APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$100,000,000 for each of fiscal years 2025 through 2029. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) HIGH-NEED LOCAL EDUCATIONAL AGEN-
CY.—The term ‘high-need local educational agency’ 
has the meaning given the term in section 200 of the 
Higher Education Act of 1965 (20 U.S.C. 1021). 
‘‘(2) SCHOOL
SOCIAL
WORKER.—The term 
‘school social worker’ means an individual who— 
‘‘(A) has a graduate degree in social work 
from a social work program that is accredited 
by the Council on Social Work Education; and 
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‘‘(B) meets all other State and local 
credentialing requirements for practicing as a 
social worker in an elementary school or sec-
ondary school.’’. 
(B) TABLE OF CONTENTS.—The table of 
contents in section 2 of the Elementary and 
Secondary Education Act of 1965 is amended 
by inserting after the item relating to section 
4644 the following: 
‘‘Sec. 4645. Grants for school social workers.’’. 
(b) NATIONAL TECHNICAL ASSISTANCE CENTER FOR 
SCHOOL SOCIAL WORK.— 
(1) IN GENERAL.—The Secretary of Education, 
acting through the Assistant Secretary, shall estab-
lish an evaluation, documentation, dissemination, 
and technical assistance resource center to provide 
appropriate information, training, and technical as-
sistance to States, political subdivisions of States, 
federally recognized Indian tribes, Tribal organiza-
tions, institutions of higher education, State and 
local educational agencies, and individual students 
and educators with respect to hiring and retaining 
school social workers at elementary schools and sec-
ondary schools served by local educational agencies. 
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1103 
(2) RESPONSIBILITIES OF THE CENTER.—The 
center established under paragraph (1) shall conduct 
activities for the purpose of— 
(A) developing and continuing statewide or 
Tribal strategies for improving the effectiveness 
of the school social work workforce; 
(B) studying the costs and effectiveness of 
school social work programs at institutions of 
higher education to identify areas of improve-
ment and provide information on relevant issues 
of importance to State, Tribal, and national 
policymakers; 
(C) working with Federal agencies and 
other State, Tribal, and national stakeholders 
to collect, evaluate, and disseminate data re-
garding school social work ratios, outcomes and 
best practices of school-based mental health 
services, and the impact of expanding the num-
ber of school social workers within elementary 
schools and secondary schools; 
(D) establishing partnerships among na-
tional, State, Tribal, and local governments, 
and local educational agencies, institutions of 
higher education, non-profit organizations, and 
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State and national trade associations for the 
purposes of— 
(i) data collection and dissemination; 
(ii) establishing a school social work 
workforce development program; 
(iii) documenting the success of school 
social work methods on a national level; 
and 
(iv) conducting other activities deter-
mined appropriate by the Secretary. 
(3) DEFINITIONS.—In this subsection: 
(A) ESEA TERMS.—Except as otherwise 
provided, any term used in this subsection that 
is defined in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 
U.S.C. 7801) shall have the meaning given that 
term in such section. 
(B) SCHOOL SOCIAL WORKER.—The term 
‘‘school social worker’’ has the meaning given 
the term in section 4645(h) of the Elementary 
and Secondary Education Act of 1965. 
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SEC. 6706. OPIOID GRANTS TO SUPPORT CAREGIVERS, KIN-
SHIP CARE FAMILIES, AND KINSHIP CARE-
GIVERS. 
(a) OPIOID GRANTS.—Section 1003(b)(4) of the 21st 
Century Cures Act (42 U.S.C. 290ee–3a(b)(4)) is amend-
ed— 
(1) by redesignating subparagraph (F) as sub-
paragraph (G); and 
(2) by inserting after subparagraph (E) the fol-
lowing: 
‘‘(F) Supporting opioid abuse prevention 
and treatment services within a State provided 
by State and local agencies for children and 
caregivers, kinship care families, and kinship 
caregivers through— 
‘‘(i) workforce recruitment and train-
ing; 
‘‘(ii) health care services (including 
such services described in subparagraph 
(D)); and 
‘‘(iii) foster and adoptive parent re-
cruitment and training.’’. 
(b) DEFINITIONS.—Section 1003(h) of the 21st Cen-
tury Cures Act (42 U.S.C. 290ee–3a(h)) is amended— 
(1) by redesignating paragraphs (2) through 
(4) as paragraphs (4) through (6), respectively; and 
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(2) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) KINSHIP CARE FAMILY.—The term ‘kin-
ship care family’ means a family with a kinship care-
giver. 
‘‘(3) KINSHIP CAREGIVER.—The term ‘kinship 
caregiver’ means a relative of a child by blood, mar-
riage, or adoption, who— 
‘‘(A) lives with the child; 
‘‘(B) is the primary caregiver of the child 
because the biological or adoptive parent of the 
child is unable or unwilling to serve as the pri-
mary caregiver of the child; and 
‘‘(C) has a legal relationship to the child or 
is raising the child informally.’’. 
(c) AUTHORIZATION OF APPROPRIATIONS.—Section 
1003(i)(1) of the 21st Century Cures Act (42 U.S.C. 
290ee–3a(i)(1)) is amended by striking ‘‘2023 through 
2027’’ and inserting ‘‘2025 through 2029’’. 
(d) SET ASIDE.—Section 1003(i)(3) of the 21st Cen-
tury Cures Act (42 U.S.C. 290ee–3a(i)(3)) is amended by 
inserting before the period at the end ‘‘, and set aside 1 
percent to carry out subsection (b)(4)(F)’’. 
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SEC. 6707. SUBSTANCE USE AND MENTAL HEALTH SERV-
ICES ADMINISTRATION AND SUBAGENCIES. 
(a) SUBSTANCE USE AND MENTAL HEALTH SERV-
ICES ADMINISTRATION.—The Public Health Service Act 
(42 U.S.C. 201 et seq.) is amended— 
(1) in section 464H(c) (42 U.S.C. 285n(c)), 
section 464R(c) (42 U.S.C. 285p(c)), and sub-
sections (b) and (c)(1) of section 2303 (42 U.S.C. 
300cc–2), by striking ‘‘Administrator of the Sub-
stance Abuse and Mental Health Services Adminis-
tration’’ each place it appears and inserting ‘‘Assist-
ant Secretary for Mental Health and Substance 
Use’’; 
(2) in title V (42 U.S.C. 290aa et seq.)— 
(A) in the title heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE’’; 
(B) in section 501 (42 U.S.C. 290aa)— 
(i) in the section heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE’’; and 
(ii) in subsection (f)(4), by striking 
‘‘Substance Abuse and Mental Health Ad-
ministration’’ and inserting ‘‘Substance 
Use and Mental Health Services Adminis-
tration’’; and 
(3) by striking ‘‘Substance Abuse and Mental 
Health Services Administration’’ each place it ap-
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pears and inserting ‘‘Substance Use and Mental 
Health Services Administration’’. 
(b) CENTER FOR SUBSTANCE USE SERVICES; CEN-
TER FOR SUBSTANCE USE PREVENTION SERVICES.— 
(1) IN GENERAL.—The Public Health Service 
Act (42 U.S.C. 201 et seq.) is amended— 
(A) in part B of title V (42 U.S.C. 290bb 
et seq.)— 
(i) in subpart 1, in the subpart head-
ing, by striking ‘‘Abuse Treatment’’ 
and inserting ‘‘Use Services’’; 
(ii) in subpart 2, in the subpart head-
ing, by striking ‘‘Abuse Prevention’’ 
and inserting ‘‘Use Prevention Serv-
ices’’; 
(iii) in section 507 (42 U.S.C. 290bb), 
in the section heading, by striking ‘‘ABUSE 
TREATMENT’’ and inserting ‘‘USE SERV-
ICES’’; 
(iv) in section 513(a) (42 U.S.C. 
290bb–6(a)), in the subsection heading, by 
striking ‘‘ABUSE TREATMENT’’ and insert-
ing ‘‘USE SERVICES’’; and 
(v) in section 515 (42 U.S.C. 290bb– 
21), in the section heading, by striking 
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‘‘ABUSE
PREVENTION’’ and inserting 
‘‘USE PREVENTION SERVICES’’; 
(B) in section 1932(b)(3) (42 U.S.C. 
300x–32(b)(3)), in the paragraph heading, by 
striking ‘‘ABUSE
PREVENTION’’ and inserting 
‘‘USE PREVENTION SERVICES’’; 
(C) in section 1935(b)(2) of the Public 
Health Service Act (42 U.S.C. 300x–35(b)(2)), 
in the paragraph heading, by striking ‘‘ABUSE 
PREVENTION’’ and inserting ‘‘USE PREVENTION 
SERVICES’’; 
(D) by striking ‘‘Center for Substance 
Abuse Treatment’’ each place it appears and in-
serting ‘‘Center for Substance Use Services’’; 
and 
(E) by striking ‘‘Center for Substance 
Abuse Prevention’’ each place it appears and 
inserting ‘‘Center for Substance Use Prevention 
Services’’. 
(c) AUTHORITIES.—The Secretary of Health and 
Human Services shall delegate to the Substance Use and 
Mental Health Services Administration, the Center for 
Substance Use Services, and the Center for Substance Use 
Prevention Services all duties and authorities that, as of 
the date of enactment of this Act, were vested in the Sub-
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stance Abuse and Mental Health Services Administration, 
the Center for Substance Abuse Treatment, and the Cen-
ter for Substance Abuse Prevention, respectively. 
(d) REFERENCES.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), any reference in any law, regulation, map, 
document, paper, or other record of the United 
States— 
(A) to the Substance Abuse and Mental 
Health Services Administration shall be deemed 
to be a reference to the Substance Use and 
Mental Health Services Administration; 
(B) to the Center for Substance Abuse 
Treatment of such Administration shall be 
deemed to be a reference to the Center for Sub-
stance Use Services of such Administration; 
and 
(C) to the Center for Substance Abuse 
Prevention of such Administration shall be 
deemed to be a reference to the Center for Sub-
stance Use Prevention Services of such Admin-
istration. 
(2) EFFECT.—Paragraph (1) shall not be con-
strued to alter or affect section 6001(d) of the 21st 
Century Cures Act (42 U.S.C. 290aa note), pro-
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viding that a reference to the Administrator of the 
Substance Abuse and Mental Health Services Ad-
ministration shall be construed to be a reference to 
the Assistant Secretary for Mental Health and Sub-
stance Use. 
(3) 
REFERENCES
TO
SAMHSA.—Notwith-
standing this section or the amendments made by 
this section, the Secretary of Health and Human 
Services 
may 
continue 
to 
use 
the 
acronym 
‘‘SAMHSA’’ to refer to the Substance Use and Men-
tal Health Services Administration in regulations, 
maps, documents, papers, and other records of the 
United States. 
TITLE VII—ADDRESSING HIGH- 
IMPACT MINORITY DISEASES 
Subtitle A—Cancer 
SEC. 7001. LUNG CANCER MORTALITY REDUCTION. 
(a) SENSE OF CONGRESS CONCERNING INVESTMENT 
IN LUNG CANCER RESEARCH.—It is the sense of the Con-
gress that— 
(1) lung cancer mortality reduction should be 
made a national public health priority; and 
(2) a comprehensive mortality reduction pro-
gram coordinated by the Secretary of Health and 
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Human Services is justified and necessary to ade-
quately address and reduce lung cancer mortality. 
(b) LUNG CANCER MORTALITY REDUCTION PRO-
GRAM.— 
(1) IN GENERAL.—Subpart 1 of part C of title 
IV of the Public Health Service Act (42 U.S.C. 285 
et seq.) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 417H. LUNG CANCER MORTALITY REDUCTION PRO-
GRAM. 
‘‘(a) IN GENERAL.—Not later than 6 months after 
the date of the enactment of the Health Equity and Ac-
countability Act of 2024, the Secretary, in consultation 
with the Secretary of Defense, the Secretary of Veterans 
Affairs, the Director of the National Institutes of Health, 
the Director of the Centers for Disease Control and Pre-
vention, the Commissioner of Food and Drugs, the Admin-
istrator of the Centers for Medicare & Medicaid Services, 
the Director of the National Institute on Minority Health 
and Health Disparities, the Administrator of the Environ-
mental Protection Agency, and other members of the 
Lung Cancer Advisory Board established under section 
7001(d) of the Health Equity and Accountability Act of 
2024, shall implement a comprehensive program, to be 
known as the Lung Cancer Mortality Reduction Program, 
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to achieve a reduction of at least 25 percent in the mor-
tality rate of lung cancer by 2028. 
‘‘(b) REQUIREMENTS.—The Program shall include at 
least the following: 
‘‘(1) With respect to the National Institutes of 
Health— 
‘‘(A) a strategic review and prioritization 
by the National Cancer Institute of research 
grants to achieve the goal specified in sub-
section (a); 
‘‘(B) the provision of funds to enable the 
Airway Biology and Disease Branch of the Na-
tional Heart, Lung, and Blood Institute to ex-
pand its research programs to include pre-
dispositions to lung cancer, the interrelationship 
between lung cancer and other pulmonary and 
cardiac disease, and the diagnosis and treat-
ment of such diseases; 
‘‘(C) the provision of funds to enable the 
National Institute of Biomedical Imaging and 
Bioengineering to expedite the development of 
computer-assisted diagnostic, surgical, treat-
ment, and drug-testing innovations to reduce 
lung cancer mortality, such as through expan-
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sion of the Institute’s Quantum Grant Program 
and Image-Guided Interventions program; and 
‘‘(D) the provision of funds to enable the 
National Institute of Environmental Health 
Sciences to implement research programs rel-
ative to the lung cancer incidence. 
‘‘(2) With respect to the Food and Drug Ad-
ministration— 
‘‘(A) activities under section 529B of the 
Federal Food, Drug, and Cosmetic Act; and 
‘‘(B) activities under section 561 of the 
Federal Food, Drug, and Cosmetic Act to ex-
pand access to investigational drugs and devices 
for the diagnosis, monitoring, or treatment of 
lung cancer. 
‘‘(3) With respect to the Centers for Disease 
Control and Prevention, the establishment of an 
early disease research and management program 
under section 1511. 
‘‘(4) With respect to the Agency for Healthcare 
Research and Quality, the conduct of a biannual re-
view of lung cancer screening, diagnostic, and treat-
ment protocols, and the issuance of updated guide-
lines. 
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‘‘(5) The promotion (including education) of 
lung cancer screening within minority and rural pop-
ulations and the study of the effectiveness of efforts 
to increase such screening. 
‘‘(6) The cooperation and coordination of all 
minority and health disparity programs within the 
Department of Health and Human Services to en-
sure that all aspects of the Lung Cancer Mortality 
Reduction Program under this section adequately 
address the burden of lung cancer on minority and 
rural populations. 
‘‘(7) The cooperation and coordination of all to-
bacco control and cessation programs within agen-
cies of the Department of Health and Human Serv-
ices to achieve the goals of the Lung Cancer Mor-
tality Reduction Program under this section with 
particular emphasis on the coordination of drug and 
other cessation treatments with early detection pro-
tocols.’’. 
(2) FEDERAL
FOOD, DRUG, AND
COSMETIC 
ACT.—Subchapter B of chapter V of the Federal 
Food, Drug, and Cosmetic Act (21 U.S.C. 360aaa et 
seq.) is amended by adding at the end the following: 
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‘‘SEC. 529B. DRUGS RELATING TO LUNG CANCER. 
‘‘(a) IN GENERAL.—The provisions of this sub-
chapter shall apply to a drug described in subsection (b) 
to the same extent and in the same manner as such provi-
sions apply to a drug for a rare disease or condition (as 
defined in section 526). 
‘‘(b) QUALIFIED DRUGS.—A drug described in this 
subsection is— 
‘‘(1) a chemoprevention drug for precancerous 
conditions of the lung; 
‘‘(2) a drug for targeted therapeutic treat-
ments, including any vaccine, for lung cancer; or 
‘‘(3) a drug to curtail or prevent nicotine addic-
tion. 
‘‘(c) BOARD.—The Board established under section 
7001(d) of the Health Equity and Accountability Act of 
2024 shall monitor the program implemented under this 
section.’’. 
(3) ACCESS TO UNAPPROVED THERAPIES.—Sec-
tion 561(e) of the Federal Food, Drug, and Cos-
metic Act (21 U.S.C. 360bbb(e)) is amended by in-
serting before the period the following: ‘‘and shall 
include expanding access to drugs under section 
529B, with substantial consideration being given to 
whether the totality of information available to the 
Secretary regarding the safety and effectiveness of 
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an investigational drug, as compared to the risk of 
morbidity and death from the disease, indicates that 
a patient may obtain more benefit than risk if treat-
ed with the drug’’. 
(4) CDC.—Title XV of the Public Health Serv-
ice Act (42 U.S.C. 300k et seq.) is amended by add-
ing at the end the following: 
‘‘SEC. 1511. EARLY DISEASE RESEARCH AND MANAGEMENT 
PROGRAM. 
‘‘The Secretary shall establish and implement an 
early disease research and management program targeted 
at the high incidence and mortality rates of lung cancer 
among minority and low-income populations.’’. 
(c) DEPARTMENT OF DEFENSE AND DEPARTMENT 
OF VETERANS AFFAIRS.—The Secretary of Defense and 
the Secretary of Veterans Affairs, each in coordination 
with the Secretary of Health and Human Services, shall 
engage— 
(1) in the implementation within the Depart-
ment of Defense and the Department of Veterans 
Affairs, as the case may be, of an early detection 
and disease management research program for mem-
bers of the Armed Forces and veterans whose smok-
ing history and exposure to carcinogens during serv-
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ice on active duty in the Armed Forces has increased 
their risk for lung cancer; and 
(2) in the implementation of coordinated care 
programs for members of the Armed Forces and vet-
erans diagnosed with lung cancer. 
(d) LUNG CANCER ADVISORY BOARD.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall convene a Lung Cancer Advi-
sory Board (referred to in this section as the 
‘‘Board’’)— 
(A) to monitor the programs established 
under this section (and the amendments made 
by this section); and 
(B) to provide annual reports to the Con-
gress concerning benchmarks, expenditures, 
lung cancer statistics, and the public health im-
pact of such programs. 
(2) COMPOSITION.—The Board shall be com-
posed of— 
(A) the Secretary of Health and Human 
Services; 
(B) the Secretary of Defense; 
(C) the Secretary of Veterans Affairs; and 
(D) 2 representatives each from the fields 
of clinical medicine focused on lung cancer, 
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(C) $10,000,000 for fiscal year 2025, and 
such sums as may be necessary for each of fis-
cal years 2026 through 2028, for the activities 
described in section 417H(b)(1)(D) of the Pub-
lic Health Service Act; and 
(D) $15,000,000 for fiscal year 2025, and 
such sums as may be necessary for each of fis-
cal years 2026 through 2028, for the activities 
described in section 417H(b)(3) of the Public 
Health Service Act. 
SEC. 7002. EXPANSION OF PROSTATE CANCER RESEARCH, 
OUTREACH, SCREENING, TESTING, ACCESS, 
AND TREATMENT EFFECTIVENESS. 
(a) PROSTATE CANCER COORDINATION AND EDU-
CATION.— 
(1) INTERAGENCY PROSTATE CANCER COORDI-
NATION AND EDUCATION TASK FORCE.—Not later 
than 180 days after the date of the enactment of 
this Act, the Secretary of Veterans Affairs, in co-
operation with the Secretary of Defense and the Sec-
retary of Health and Human Services, shall estab-
lish an Interagency Prostate Cancer Coordination 
and Education Task Force (in this section referred 
to as the ‘‘Prostate Cancer Task Force’’). 
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(2) DUTIES.—The Prostate Cancer Task Force 
shall— 
(A) develop a summary of advances in 
prostate cancer research supported or con-
ducted by Federal agencies relevant to the diag-
nosis, prevention, and treatment of prostate 
cancer, including psychosocial impairments re-
lated to prostate cancer treatment, and compile 
a list of best practices that warrant broader 
adoption in health care programs; 
(B) consider establishing, and advocating 
for, a guidance to enable physicians to allow 
screening of men who are age 74 or older, on 
a case-by-case basis, taking into account quality 
of life and family history of prostate cancer; 
(C) share and coordinate information on 
research and health care program activities by 
the Federal Government, including activities re-
lated to— 
(i) determining how to improve re-
search and health care programs, including 
psychosocial impairments related to pros-
tate cancer treatment; 
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(ii) identifying any gaps in the overall 
research inventory and in health care pro-
grams; 
(iii) identifying opportunities to pro-
mote translation of research into practice; 
and 
(iv) maximizing the effects of Federal 
Government efforts by identifying opportu-
nities for collaboration and leveraging of 
resources in research and health care pro-
grams that serve individuals who are sus-
ceptible to or diagnosed with prostate can-
cer; 
(D) develop a comprehensive interagency 
strategy and advise relevant Federal agencies in 
the solicitation of proposals for collaborative, 
multidisciplinary research and health care pro-
grams, including proposals to evaluate factors 
that may be related to the etiology of prostate 
cancer, that would— 
(i) result in innovative approaches to 
study emerging scientific opportunities or 
eliminate knowledge gaps in research to 
improve the prostate cancer research port-
folio of the Federal Government; and 
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(ii) outline key research questions, 
methodologies, and knowledge gaps; 
(E) develop a coordinated message related 
to screening and treatment for prostate cancer 
to be reflected in educational and beneficiary 
materials for Federal health programs as such 
materials are updated; and 
(F) not later than two years after the date 
of the establishment of the Prostate Cancer 
Task Force, submit to the expert advisory pan-
els appointed under paragraph (4) to be re-
viewed and returned within 30 days, and then 
within 90 days submitted to Congress, rec-
ommendations— 
(i) regarding any appropriate changes 
to research and health care programs, in-
cluding recommendations to improve the 
research portfolio of the Department of 
Veterans Affairs, the Department of De-
fense, the National Institutes of Health, 
and other Federal agencies to ensure that 
scientifically based strategic planning is 
implemented in support of research and 
health care program priorities; 
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(ii) designed to ensure that the re-
search and health care programs and ac-
tivities of the Department of Veterans Af-
fairs, the Department of Defense, the De-
partment of Health and Human Services, 
and other Federal agencies are free of un-
necessary duplication; 
(iii) regarding public participation in 
decisions relating to prostate cancer re-
search and health care programs to in-
crease the involvement of patient advo-
cates, community organizations, and med-
ical associations representing a broad geo-
graphical area; 
(iv) on how to best disseminate infor-
mation on prostate cancer research and 
progress achieved by health care programs; 
(v) on how to expand partnerships be-
tween public entities, including Federal 
agencies, and private entities to encourage 
collaborative, cross-cutting research and 
health care delivery; 
(vi) assessing any cost savings and ef-
ficiencies realized through the efforts iden-
tified in, and supported through, this sub-
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section and recommending expansion of 
those efforts that have proved most prom-
ising while also ensuring against any con-
flicts in directives in law; 
(vii) identifying key priority action 
items from among the recommendations 
specified in clauses (i) through (vi); and 
(viii) with respect to the level of fund-
ing needed by each agency to implement 
such recommendations. 
(3) MEMBERS OF THE PROSTATE CANCER TASK 
FORCE.—The Prostate Cancer Task Force shall be 
composed of representatives from such Federal agen-
cies as the head of each such applicable agency de-
termines necessary, so as to coordinate a uniform 
message relating to prostate cancer screening and 
treatment where appropriate, including representa-
tives of each of the following: 
(A) The Department of Veterans Affairs, 
including representatives of each relevant pro-
gram area of the Department of Veterans Af-
fairs. 
(B) The Prostate Cancer Research Pro-
gram of the Congressionally Directed Medical 
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Research Program of the Department of De-
fense. 
(C) The Department of Health and 
Human Services, including, at a minimum, rep-
resentatives of each of the following: 
(i) The National Institutes of Health. 
(ii) National research institutes and 
centers, including the National Cancer In-
stitute, the National Institute of Allergy 
and Infectious Diseases, and the Office of 
Minority Health. 
(iii) The Centers for Medicare & Med-
icaid Services. 
(iv) The Food and Drug Administra-
tion. 
(v) The Centers for Disease Control 
and Prevention. 
(vi) The Agency for Healthcare Re-
search and Quality. 
(vii) The Health Resources and Serv-
ices Administration. 
(4) APPOINTING EXPERT ADVISORY PANELS.— 
The Prostate Cancer Task Force shall appoint ex-
pert advisory panels, as the task force determines 
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appropriate, to provide input and concurrence 
from— 
(A) individuals and organizations from the 
medical, prostate cancer patient and advocate, 
research, and delivery communities with exper-
tise in prostate cancer diagnosis, treatment, 
and research, including practicing urologists, 
primary care providers, and others; and 
(B) individuals with expertise in education 
and outreach to underserved populations af-
fected by prostate cancer. 
(5) MEETINGS.—The Prostate Cancer Task 
Force shall convene not less frequently than twice 
each year, or more frequently as the Secretary of 
Veterans Affairs determines to be appropriate. 
(6) FEDERAL ADVISORY COMMITTEE ACT.—The 
Federal Advisory Committee Act (5 U.S.C. App.) 
shall apply to the Prostate Cancer Task Force. 
(7) SUNSET DATE.—The Prostate Cancer Task 
Force shall terminate on September 30, 2026. 
(b) PROSTATE CANCER RESEARCH.— 
(1) RESEARCH COORDINATION PROGRAM.— 
(A) IN GENERAL.—The Secretary of Vet-
erans Affairs, in coordination with the Sec-
retary of Defense and the Secretary of Health 
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and Human Services, shall establish and carry 
out a program to coordinate and intensify pros-
tate cancer research. 
(B) ELEMENTS.—The program established 
under subparagraph (A) shall— 
(i) develop advances in diagnostic and 
prognostic methods and tests, including 
biomarkers and an improved prostate can-
cer screening blood test, including improve-
ments or alternatives to the prostate spe-
cific antigen test and additional tests to 
distinguish indolent from aggressive dis-
ease; 
(ii) develop a better understanding of 
the etiology of the disease (including an 
analysis of lifestyle factors proven to be in-
volved in higher rates of prostate cancer, 
such as obesity and diet, and in different 
ethnic, racial, and socioeconomic groups, 
such as the African-American, Latino or 
Hispanic, and American Indian popu-
lations and men with a family history of 
prostate cancer) to improve prevention ef-
forts; 
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(iii) expand basic research into pros-
tate cancer, including studies of funda-
mental molecular and cellular mechanisms; 
(iv) identify and provide clinical test-
ing of novel agents for the prevention and 
treatment of prostate cancer; 
(v) establish clinical registries for 
prostate cancer; 
(vi) use the National Institute of Bio-
medical Imaging and Bioengineering and 
the National Cancer Institute for assess-
ment of appropriate imaging modalities; 
and 
(vii) address such other matters relat-
ing to prostate cancer research as may be 
identified by the Federal agencies partici-
pating in such program. 
(C) UNDERSERVED MINORITY GRANT PRO-
GRAM.— 
(i) IN GENERAL.—In carrying out the 
program established under subparagraph 
(A), the Secretary shall award grants to el-
igible entities— 
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(I) to carry out components of 
the research outlined in subparagraph 
(B); 
(II) to integrate and build upon 
existing knowledge gained from com-
parative effectiveness research; and 
(III) to recognize and address— 
(aa) the racial and ethnic 
disparities in the incidence and 
mortality rates of prostate cancer 
and men with a family history of 
prostate cancer; 
(bb) any barriers in access 
to care and participation in clin-
ical trials that are specific to ra-
cial, ethnic, and other under-
served minorities and men with a 
family history of prostate cancer; 
(cc) 
outreach 
and 
edu-
cational efforts to raise aware-
ness among the populations de-
scribed in item (bb); and 
(dd) appropriate access and 
utilization of imaging modalities. 
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(ii) ELIGIBLE ENTITY DEFINED.—In 
this subparagraph, the term ‘‘eligible enti-
ty’’ means any public, private, nonprofit, 
or for-profit organization that the Sec-
retary determines would be capable to con-
duct medical research and other require-
ments under this paragraph and is other-
wise eligible for research funding from the 
Federal Government. 
(2) PROSTATE CANCER ADVISORY BOARD.— 
(A) IN GENERAL.—There is established in 
the Office of the Chief Scientist of the Food 
and Drug Administration a Prostate Cancer 
Scientific Advisory Board. 
(B) DUTIES.—The board established under 
subparagraph (A) shall be responsible for accel-
erating real-time sharing of the latest research 
data and accelerating movement of new medi-
cines for the treatment of prostate cancer to 
patients. 
(c) TELEHEALTH
AND
RURAL
ACCESS
PILOT 
PROJECTS.— 
(1) ESTABLISHMENT OF PILOT PROJECTS.— 
(A) IN GENERAL.—The Secretary of Vet-
erans Affairs, in cooperation with the Secretary 
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of Defense and the Secretary of Health and 
Human Services (referred to in this subsection 
collectively as the ‘‘Secretaries’’) shall establish 
four-year telehealth pilot projects for the pur-
pose of analyzing the clinical outcomes and 
cost-effectiveness associated with telehealth 
services in a variety of geographic areas that 
contain high proportions of medically under-
served populations, including African Ameri-
cans, Latinos or Hispanics, American Indians 
or Alaska Natives, and those in rural areas. 
(B) EFFICIENT AND EFFECTIVE CARE.— 
Pilot projects established under subparagraph 
(A) shall promote efficient use of specialist care 
through better coordination of primary care and 
physician extender teams in underserved areas 
and more effectively employ tumor boards to 
better counsel patients. 
(2) ELIGIBLE ENTITIES.— 
(A) IN
GENERAL.—The Secretaries shall 
select eligible entities to participate in the pilot 
projects established under this subsection. 
(B) PRIORITY.—In selecting eligible enti-
ties to participate in the pilot projects under 
this subsection, the Secretaries shall give pri-
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ority to entities located in medically under-
served areas, particularly those that include Af-
rican Americans, Latinos and Hispanics, and 
facilities of the Indian Health Service, including 
facilities operated by the Indian Health Service, 
tribally operated facilities, and facilities admin-
istered by an Urban Indian organization (as de-
fined in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)) pursuant 
to title V of that Act (25 U.S.C. 1651 et seq.), 
and those in rural areas. 
(3) 
EVALUATION.—The 
Secretaries 
shall, 
through the pilot projects established under this sub-
section, evaluate— 
(A) the effective and economic delivery of 
care in diagnosing and treating prostate cancer 
with the use of telehealth services in medically 
underserved and Tribal areas including collabo-
rative uses of health professionals and integra-
tion of the range of telehealth and other tech-
nologies; 
(B) the effectiveness of improving the ca-
pacity of nonmedical providers and nonspecial-
ized medical providers to provide health services 
for prostate cancer in medically underserved 
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1134 
and Tribal areas, including the exploration of 
innovative medical home models with collabora-
tion between urologists, other relevant medical 
specialists, including oncologists, radiologists, 
and primary care teams, and coordination of 
care through the efficient use of primary care 
teams and physician extenders; and 
(C) the effectiveness of using telehealth 
services to provide prostate cancer treatment in 
medically underserved areas, including the use 
of tumor boards to facilitate better patient 
counseling. 
(4) REPORT.—Not later than one year after the 
completion of the pilot projects under this sub-
section, the Secretaries shall submit to Congress a 
report describing the outcomes of such pilot projects, 
including any cost savings and efficiencies realized, 
and providing recommendations, if any, for expand-
ing the use of telehealth services. 
(d) EDUCATION AND AWARENESS.— 
(1) CAMPAIGN.— 
(A) IN GENERAL.—The Secretary of Vet-
erans Affairs shall develop a national education 
campaign for prostate cancer. 
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(B) ELEMENTS.—The campaign developed 
under subparagraph (A) shall involve the use of 
written educational materials and public service 
announcements consistent with the findings of 
the Prostate Cancer Task Force under sub-
section (a) that are intended to encourage men 
to seek prostate cancer screening when appro-
priate. 
(2) RACIAL DISPARITIES AND THE POPULATION 
OF
MEN
WITH
A
FAMILY
HISTORY
OF
PROSTATE 
CANCER.—In developing the campaign under para-
graph (1), the Secretary of Veterans Affairs shall 
ensure that educational materials and public service 
announcements used in the campaign are more read-
ily available in communities experiencing racial dis-
parities in the incidence and mortality rates of pros-
tate cancer and to men of any race classification 
with a family history of prostate cancer. 
(3) GRANTS.—In carrying out the campaign 
under this subsection, the Secretary of Veterans Af-
fairs shall award grants to nonprofit private entities 
to enable such entities to test alternative outreach 
and education strategies. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section for 
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1136 
the period of fiscal years 2025 through 2029 an amount 
equal to the amount of savings for the Federal Govern-
ment projected to be achieved over such period by imple-
mentation of this section. 
SEC. 7003. PROSTATE RESEARCH, IMAGING, AND MEN’S 
EDUCATION. 
(a) RESEARCH AND DEVELOPMENT OF PROSTATE 
CANCER IMAGING TECHNOLOGIES.— 
(1) EXPANSION OF RESEARCH.—The Secretary 
of Health and Human Services (referred to in this 
section as the ‘‘Secretary’’), acting through the Di-
rector of the National Institutes of Health and the 
Administrator of the Health Resources and Services 
Administration, and in consultation with the Sec-
retary of Defense, shall carry out a program to ex-
pand and intensify research to develop innovative 
advanced imaging technologies for prostate cancer 
detection, diagnosis, and treatment comparable to 
state-of-the-art mammography technologies. 
(2) 
EARLY
STAGE
RESEARCH.—In 
imple-
menting the program under paragraph (1), the Sec-
retary, acting through the Administrator of the 
Health Resources and Services Administration, shall 
carry out a grant program to encourage the early 
stages of research in prostate imaging to develop 
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and implement new ideas, proof of concepts, and 
pilot studies for high-risk technologic innovation in 
prostate cancer imaging that would have a high po-
tential impact for improving patient care, including 
individualized care, quality of life, and cost-effective-
ness. 
(3) LARGE SCALE LATER STAGE RESEARCH.— 
In implementing the program under paragraph (1), 
the Secretary, acting through the Director of the 
National Institutes of Health, shall utilize the Na-
tional Institute of Biomedical Imaging and Bio-
engineering and the National Cancer Institute for 
advanced stages of research in prostate imaging, in-
cluding technology development and clinical trials for 
projects determined by the Secretary to have dem-
onstrated promising preliminary results and proof of 
concept. 
(4) INTERDISCIPLINARY PRIVATE-PUBLIC PART-
NERSHIPS.—In developing the program under para-
graph (1), the Secretary, acting through the Admin-
istrator of the Health Resources and Services Ad-
ministration, shall establish interdisciplinary private- 
public partnerships to develop and implement re-
search strategies for expedited innovation in imaging 
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and image-guided treatment and to conduct such re-
search. 
(5) RACIAL
DISPARITIES.—In developing the 
program under paragraph (1), the Secretary shall 
recognize and address— 
(A) the racial disparities in the incidences 
of prostate cancer and mortality rates with re-
spect to such disease; and 
(B) any barriers in access to care and par-
ticipation in clinical trials that are specific to 
racial minorities. 
(6) AUTHORIZATION OF APPROPRIATIONS.— 
(A) IN
GENERAL.—Subject to subpara-
graph (B), there is authorized to be appro-
priated 
to 
carry 
out 
this 
subsection, 
$100,000,000 for each of fiscal years 2025 
through 2029. 
(B) 
SPECIFIC
ALLOCATIONS.—Of 
the 
amount authorized to be appropriated under 
subparagraph (A) for each of the fiscal years 
described in such subparagraph— 
(i) no less than 10 percent may be 
used to carry out the grant program under 
paragraph (2); and 
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(ii) no more than 1 percent may be 
used to carry out paragraph (4). 
(b) PUBLIC AWARENESS
AND EDUCATION CAM-
PAIGN.— 
(1) NATIONAL CAMPAIGN.—The Secretary shall 
carry out a national campaign to increase the aware-
ness and knowledge of individuals in the United 
States with respect to the need for prostate cancer 
screening and for improved detection technologies. 
(2) REQUIREMENTS.—The national campaign 
conducted under this subsection shall include— 
(A) roles for the Health Resources Services 
Administration, the Office of Minority Health 
of the Department of Health and Human Serv-
ices, the Centers for Disease Control and Pre-
vention, and the Office of Minority Health and 
Health Equity of the Centers for Disease Con-
trol and Prevention; and 
(B) the development and distribution of 
written educational materials, and the develop-
ment and placing of public service announce-
ments, that are intended to encourage men to 
seek prostate cancer screening and to create 
awareness of the need for improved imaging 
technologies for prostate cancer screening and 
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diagnosis, including in-vitro blood testing and 
imaging technologies. 
(3) RACIAL
DISPARITIES.—In developing the 
national campaign under paragraph (1), the Sec-
retary shall recognize and address— 
(A) the racial disparities in the incidences 
of prostate cancer and mortality rates with re-
spect to such disease; and 
(B) any barriers in access to care and par-
ticipation in clinical trials that are specific to 
racial minorities. 
(4) GRANTS.—The Secretary shall establish a 
program to award grants to nonprofit private enti-
ties to enable such entities to test alternative out-
reach and education strategies to increase the 
awareness and knowledge of individuals in the 
United States with respect to the need for prostate 
cancer screening and improved imaging technologies. 
(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $10,000,000 for each of fiscal years 
2025 through 2029. 
(c) IMPROVING
PROSTATE
CANCER
SCREENING 
BLOOD TESTS.— 
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(1) IN GENERAL.—The Secretary, in coordina-
tion with the Secretary of Defense, shall support re-
search to develop an improved prostate cancer 
screening blood test using in-vitro detection. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection, $20,000,000 for each of fiscal years 
2025 through 2029. 
(d) REPORTING AND COMPLIANCE.— 
(1) REPORT AND STRATEGY.—Not later than 
12 months after the date of the enactment of this 
Act, the Secretary shall submit to Congress a report 
that details the strategy of the Secretary for imple-
menting the requirements of this section and the 
status of such efforts. 
(2) FULL
COMPLIANCE.—Not later than 36 
months after the date of the enactment of this Act, 
and annually thereafter, the Secretary shall submit 
to Congress a report that— 
(A) describes the research and development 
and public awareness and education campaigns 
funded under this section; 
(B) provides evidence that projects involv-
ing high-risk, high-impact technologic innova-
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tion, proof of concept, and pilot studies are 
prioritized; 
(C) provides evidence that the Secretary 
recognizes and addresses any barriers in access 
to care and participation in clinical trials that 
are specific to racial minorities in the imple-
mentation of this section; 
(D) contains assurances that all the other 
provisions of this section are fully implemented; 
and 
(E) certifies compliance with the provisions 
of this section, or in the case of a Federal agen-
cy that has not complied with any of such pro-
visions, an explanation as to such failure to 
comply. 
SEC. 7004. PROSTATE CANCER DETECTION RESEARCH AND 
EDUCATION. 
(a) PLAN TO DEVELOP AND VALIDATE A TEST OR 
TESTS FOR PROSTATE CANCER.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the 
‘‘Secretary’’), acting through the Director of the Na-
tional Institutes of Health, shall establish an advi-
sory council on prostate cancer (referred to in this 
section as the ‘‘advisory council’’) to draft a plan for 
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the development and validation of an accurate test 
or tests, such as biomarkers or imaging, to detect 
and diagnose prostate cancer. 
(2) ADVISORY COUNCIL.— 
(A) MEMBERSHIP.— 
(i) FEDERAL
MEMBERS.—The advi-
sory council shall be composed of the fol-
lowing experts: 
(I) A designee of the Centers for 
Disease Control and Prevention. 
(II) A designee of the Centers for 
Medicare & Medicaid Services. 
(III) A designee of the Office of 
the Director of the National Cancer 
Institute. 
(IV) A designee of the Director 
of the Department of Defense Con-
gressionally Directed Medical Re-
search Programs. 
(V) A designee of the Director of 
the National Institute of Biomedical 
Imaging and Bioengineering. 
(VI) A designee of the Director 
of the National Institute of General 
Medical Sciences. 
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(VII) A designee of the Director 
of the National Institute on Minority 
Health and Health Disparities. 
(VIII) A designee of the Director 
of the National Institutes of Health. 
(IX) A designee of the Commis-
sioner of Food and Drugs. 
(X) A designee of the Director of 
the Agency for Healthcare Research 
and Quality. 
(XI) A designee of the Director 
of the Telemedicine and Advanced 
Technology Research Center of the 
Department of Defense. 
(ii) NON-FEDERAL MEMBERS.—In ad-
dition to the members described in clause 
(i), the advisory council shall include 8 ex-
pert members from outside the Federal 
Government to be appointed by the Sec-
retary, which shall include— 
(I) 2 prostate cancer patient ad-
vocates; 
(II) 2 health care providers with 
a range of expertise and experience in 
prostate cancer; and 
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(III) 4 leading researchers with 
prostate cancer-related expertise in a 
range of clinical disciplines. 
(B) MEETINGS.—The advisory council 
shall meet quarterly and such meetings shall be 
open to the public. 
(C) ADVICE.—The advisory council shall 
advise the Secretary, or the Secretary’s des-
ignee. 
(D) ANNUAL REPORT.—Not later than 1 
year after the date of enactment of this Act, the 
advisory council shall provide to the Secretary, 
or the Secretary’s designee, and Congress— 
(i) an initial evaluation of all federally 
funded efforts in prostate cancer research 
relating to the development and validation 
of an accurate test or tests to detect and 
diagnose prostate cancer; 
(ii) a plan for the development and 
validation of a reliable test or tests for the 
detection and accurate diagnosis of pros-
tate cancer; and 
(iii) a set of standards for prostate 
cancer screening, developed in coordination 
with the United States Preventive Services 
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Task Force, to ensure that any tools for 
screening, detection, and diagnosis devel-
oped in accordance with the plan under 
clause (ii) will meet the requirements of 
the Task Force for recommendation as a 
proven preventive or diagnostic service. 
(E) TERMINATION.—The advisory council 
shall terminate on December 31, 2028. 
(3) FUNDING.—Notwithstanding any other pro-
vision of law, the Secretary may make available 
$1,000,000, from any unobligated amounts appro-
priated to the National Institutes of Health, for each 
of fiscal years 2025 through 2029 to carry out this 
subsection. 
(b) COORDINATION AND INTENSIFICATION OF PROS-
TATE CANCER RESEARCH.— 
(1) IN GENERAL.—The Director of the National 
Institutes of Health, in consultation with the Sec-
retary of Defense, shall coordinate and intensify re-
search in accordance with the plan provided under 
subsection (a)(2)(D)(ii), with particular attention 
provided to leveraging existing research to develop 
and validate a test or tests, such as biomarkers or 
imaging, to detect and accurately diagnose prostate 
cancer in order to improve quality of life for millions 
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of individuals in the United States, and decrease 
health care system costs. 
(2) FUNDING.—Notwithstanding any other pro-
vision of law, the Secretary may make available 
$30,000,000, from any unobligated amounts appro-
priated to the National Institutes of Health, for each 
of fiscal years 2025 through 2029 to carry out this 
subsection. 
SEC. 7005. NATIONAL PROSTATE CANCER COUNCIL. 
(a) NATIONAL PROSTATE CANCER COUNCIL.— 
(1) ESTABLISHMENT.—There is established in 
the Office of the Secretary of Health and Human 
Services (referred to in this section as the ‘‘Sec-
retary’’) the National Prostate Cancer Council on 
Screening, Early Detection, Assessment, and Moni-
toring of Prostate Cancer (referred to in this section 
as the ‘‘Council’’). 
(2) PURPOSE OF THE COUNCIL.—The Council 
shall— 
(A) develop and implement a national stra-
tegic plan for the accelerated creation, advance-
ment, and testing of diagnostic tools to improve 
screening, early detection, assessment, and 
monitoring of prostate cancer, including— 
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(i) early detection of aggressive pros-
tate cancer to save lives; 
(ii) monitoring of tumor response to 
treatment, including recurrence and pro-
gression; and 
(iii) accurate assessment and surveil-
lance of indolent disease to reduce unnec-
essary biopsies and treatment; 
(B) provide information and coordination 
of prostate cancer research and services across 
all Federal agencies; 
(C) review diagnostic tools and their over-
all effectiveness at screening, detecting, assess-
ing, and monitoring of prostate cancer; 
(D) evaluate all programs in prostate can-
cer that are in existence on the date of enact-
ment of this Act, including Federal budget re-
quests and approvals and public-private part-
nerships; 
(E) submit an annual report to the Sec-
retary and Congress on the creation and imple-
mentation of the national strategic plan under 
subparagraph (A); and 
(F) ensure the inclusion of men at high 
risk for prostate cancer, including men from 
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minority ethnic and racial populations and men 
who are least likely to receive care, in clinical, 
research, and service efforts, with the purpose 
of decreasing health disparities. 
(3) MEMBERSHIP.— 
(A) FEDERAL
MEMBERS.—The Council 
shall be led by the Secretary or the Secretary’s 
designee and composed of the following experts: 
(i) Two representatives of the Na-
tional Institutes of Health, including 1 rep-
resentative of the National Institute of 
Biomedical Imaging and Bioengineering 
and 1 representative of the National Can-
cer Institute. 
(ii) A representative of the Centers 
for Disease Control and Prevention. 
(iii) A representative of the Centers 
for Medicare & Medicaid Services. 
(iv) A designee of the Director of the 
Department of Defense Congressionally 
Directed Medical Research Programs. 
(v) A designee of the Director of the 
Office of Minority Health. 
(vi) A representative of the Food and 
Drug Administration. 
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(vii) A representative of the Agency 
for Healthcare Research and Quality. 
(B) NON-FEDERAL
MEMBERS.—In addi-
tion to the members described in subparagraph 
(A), the Council shall include 14 expert mem-
bers from outside the Federal Government, 
which shall include— 
(i) 6 prostate cancer patient advo-
cates, including— 
(I) 2 patient-survivors; 
(II) 2 caregivers of prostate can-
cer patients; and 
(III) 2 representatives from na-
tional prostate cancer disease organi-
zations that fund research or have 
demonstrated experience in providing 
assistance to patients, families, and 
medical professionals, including infor-
mation on health care options, edu-
cation, and referral; and 
(ii) 8 health care stakeholders with 
specific expertise in prostate cancer re-
search in the critical areas of clinical ex-
pertise, including medical oncology, radi-
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ology, radiation oncology, urology, and pa-
thology. 
(4) MEETINGS.—The Council shall meet quar-
terly and meetings shall be open to the public. 
(5) ADVICE.—The Council shall advise the Sec-
retary, or the Secretary’s designee. 
(6) ANNUAL REPORT.—The Council shall sub-
mit annual reports, beginning not later than 1 year 
after the date of enactment of this Act, to the Sec-
retary or the Secretary’s designee and to Congress. 
The annual report shall include— 
(A) in the first year— 
(i) an evaluation of all federally fund-
ed efforts in prostate cancer research and 
gaps relating to the development and vali-
dation of diagnostic tools for prostate can-
cer; and 
(ii) recommendations for priority ac-
tions to expand, eliminate, coordinate, or 
condense programs based on the perform-
ance, mission, and purpose of the pro-
grams; and 
(B) annually thereafter for 5 years— 
(i) an outline for the development and 
implementation of a national research plan 
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for creation and validation of accurate di-
agnostic tools to improve prostate cancer 
care in accordance with paragraph (1); 
(ii) roles for the National Cancer In-
stitute, National Institute on Minority 
Health and Health Disparities, and the Of-
fice of Minority Health of the Department 
of Health and Human Services; 
(iii) an analysis of the disparities in 
the incidence and mortality rates of pros-
tate cancer in men at high risk of the dis-
ease, including individuals with family his-
tory, increasing age, or African-American 
heritage; and 
(iv) a review of the progress towards 
the realization of the proposed strategic 
plan. 
(7) TERMINATION.—The Council shall termi-
nate on December 31, 2027. 
SEC. 7006. IMPROVED MEDICAID COVERAGE FOR CERTAIN 
BREAST AND CERVICAL CANCER PATIENTS 
IN THE TERRITORIES. 
(a) ELIMINATION OF FUNDING LIMITATIONS.—Sec-
tion 1108(g)(4) of the Social Security Act (42 U.S.C. 
1308(g)(4)) is amended— 
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(1) by striking ‘‘paragraphs (1), (2), (3), and 
(4) of’’; and 
(2) by adding at the end the following: ‘‘With 
respect to fiscal years beginning with fiscal year 
2024, payment for medical assistance for individuals 
who are eligible for such assistance only on the basis 
of section 1902(a)(10)(A)(ii)(XVIII) shall not be 
taken into account in applying subsection (f) (as in-
creased in accordance with this subsection) to Puer-
to Rico, the Virgin Islands, Guam, the Northern 
Mariana Islands, or American Samoa for such fiscal 
year.’’. 
(b) APPLICATION OF ENHANCED FMAP FOR HIGH-
EST STATE.—Section 1905(b) of such Act (42 U.S.C. 
1396d(b)) is amended by adding at the end the following: 
‘‘Notwithstanding the first sentence of this subsection, 
with respect to medical assistance described in clause (4) 
of such sentence that is furnished in Puerto Rico, the Vir-
gin Islands, Guam, the Northern Mariana Islands, or 
American Samoa in a fiscal year, the Federal medical as-
sistance percentage is equal to the highest such percentage 
applied under such clause for such fiscal year for any of 
the 50 States or the District of Columbia that provides 
such medical assistance for any portion of such fiscal 
year.’’. 
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(c) EFFECTIVE DATE.—The amendments made by 
this section shall apply to payment for medical assistance 
for items and services furnished on or after October 1, 
2024. 
SEC. 7007. CANCER PREVENTION AND TREATMENT DEM-
ONSTRATION FOR ETHNIC AND RACIAL MI-
NORITIES. 
(a) DEMONSTRATION.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the 
‘‘Secretary’’) shall, consistent with subsection (b), 
conduct demonstration projects for the purpose of 
developing models and evaluating methods that— 
(A) improve the quality of items and serv-
ices provided to target individuals in order to 
facilitate reduced disparities in early detection 
and treatment of cancer; 
(B) improve clinical outcomes, satisfaction, 
quality of life, appropriate use of items and 
services covered under the Medicare program 
under title XVIII of the Social Security Act (42 
U.S.C. 1395 et seq.), and referral patterns with 
respect to target individuals with cancer; 
(C) eliminate disparities in the rate of pre-
ventive cancer screening measures, such as Pap 
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smears, prostate cancer screenings, colon and 
colorectal cancer screenings, breast cancer 
screenings, and computed tomography scans, 
for lung cancer among target individuals; 
(D) promote collaboration with community- 
based organizations to ensure cultural com-
petency of health care professionals and lin-
guistic access for target individuals with limited 
English proficiency; and 
(E) encourage the incorporation of commu-
nity health workers to increase the efficiency 
and appropriateness of cancer screening pro-
grams. 
(2) COMMUNITY HEALTH WORKER DEFINED.— 
In this section, the term ‘‘community health worker’’ 
includes a community health advocate, a lay health 
worker, a community health representative, a peer 
health promoter, a community health outreach work-
er, and a promotore de salud, who promotes health 
or nutrition within the community in which the indi-
vidual resides. 
(3) TARGET
INDIVIDUAL
DEFINED.—In this 
section, the term ‘‘target individual’’ means an indi-
vidual of a racial and ethnic minority group, as de-
fined in section 1707(g)(1) of the Public Health 
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Service Act (42 U.S.C. 300u–6(g)(1)), who is enti-
tled to benefits under part A, and enrolled under 
part B, of title XVIII of the Social Security Act. 
(b) PROGRAM DESIGN.— 
(1) INITIAL DESIGN.—Not later than 1 year 
after the date of the enactment of this Act, the Sec-
retary shall evaluate best practices in the private 
sector, community programs, and academic research 
of methods that reduce disparities among individuals 
of racial and ethnic minority groups in the preven-
tion and treatment of cancer and shall design the 
demonstration projects based on such evaluation. 
(2) NUMBER AND PROJECT AREAS.—Not later 
than 2 years after the date of the enactment of this 
Act, the Secretary shall implement at least 9 dem-
onstration projects, including the following: 
(A) Two projects, each of which shall tar-
get different ethnic subpopulations, for each ra-
cial and ethnic minority group described in 
clauses (i) through (vi) of section 1707(g)(1)(A) 
of the Public Health Service Act (42 U.S.C. 
300u–6(g)(1)(A)). 
(B) One project within the Pacific Islands 
or United States insular areas. 
(C) At least 1 project in a rural area. 
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(D) At least 1 project in an inner-city 
area. 
(3) EXPANSION
OF
PROJECTS; IMPLEMENTA-
TION OF DEMONSTRATION PROJECT RESULTS.—The 
Secretary shall continue the demonstration projects 
and may expand the number of demonstration 
projects if the initial report under subsection (c) 
contains an evaluation that the demonstration 
projects— 
(A) reduce expenditures under the Medi-
care program under title XVIII of the Social 
Security Act (42 U.S.C. 1395 et seq.); or 
(B) do not increase expenditures under 
such Medicare program and reduce racial and 
ethnic health disparities in the quality of health 
care services provided to target individuals and 
increase satisfaction of Medicare beneficiaries 
and health care providers. 
(c) REPORT TO CONGRESS.— 
(1) IN GENERAL.—Not later than 2 years after 
the date the Secretary implements the initial dem-
onstration projects under this section, and bian-
nually thereafter, the Secretary shall submit to Con-
gress a report regarding the demonstration projects. 
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(2) CONTENT OF REPORT.—Each report under 
paragraph (1) shall include the following: 
(A) A description of the demonstration 
projects. 
(B) An evaluation of— 
(i) the cost-effectiveness of the dem-
onstration projects; 
(ii) the quality of the health care serv-
ices provided to target individuals under 
the demonstration projects; and 
(iii) beneficiary and health care pro-
vider satisfaction under the demonstration 
projects. 
(C) Any other information regarding the 
demonstration projects that the Secretary de-
termines to be appropriate. 
(d) WAIVER AUTHORITY.—The Secretary shall waive 
compliance with the requirements of title XVIII of the So-
cial Security Act (42 U.S.C. 1395 et seq.) to such extent 
and for such period as the Secretary determines is nec-
essary to conduct the demonstration projects under this 
section. 
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SEC. 7008. REDUCING CANCER DISPARITIES WITHIN MEDI-
CARE. 
(a) DEVELOPMENT OF MEASURES OF DISPARITIES 
IN QUALITY OF CANCER CARE.— 
(1) DEVELOPMENT OF MEASURES.—The Sec-
retary of Health and Human Services (in this sec-
tion referred to as the ‘‘Secretary’’) shall enter into 
an agreement with an entity that specializes in de-
veloping quality measures for cancer care under 
which the entity shall develop a uniform set of meas-
ures to evaluate disparities in the quality of cancer 
care and annually update such set of measures. 
(2) MEASURES TO BE INCLUDED.—Such set of 
measures shall include, with respect to the treatment 
of cancer, measures of patient outcomes, the process 
for delivering medical care related to such treat-
ment, patient counseling and engagement in decision 
making, patient experience of care, resource use, and 
practice capabilities, such as care coordination. 
(b) ESTABLISHMENT OF REPORTING PROCESS.— 
(1) IN GENERAL.—The Secretary shall establish 
a reporting process that requires and provides for a 
method for health care providers specified under 
paragraph (2) to submit to the Secretary and make 
public data on the performance of such providers 
during each reporting period through use of the 
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measures developed pursuant to subsection (a). Such 
data shall be submitted in a form and manner and 
at a time specified by the Secretary. 
(2) SPECIFICATION OF PROVIDERS TO REPORT 
ON
MEASURES.—The Secretary shall specify the 
classes of Medicare providers of services and sup-
pliers, including hospitals, cancer centers, physi-
cians, primary care providers, and specialty pro-
viders, that will be required under such process to 
publicly report on the measures specified under sub-
section (a). 
(3) ASSESSMENT
OF
CHANGES.—Under such 
reporting process, the Secretary shall establish a for-
mat that assesses changes in both the absolute and 
relative disparities in cancer care over time. These 
measures shall be presented in an easily comprehen-
sible format, such as those presented in the final 
publications relating to Healthy People 2010 or the 
National Healthcare Disparities Report. 
(4) INITIAL IMPLEMENTATION.—The Secretary 
shall implement the reporting process under this 
subsection for reporting periods beginning not later 
than 6 months after the date that measures are first 
established under subsection (a). 
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Subtitle 
B—Viral 
Hepatitis 
and 
Liver Cancer Control and Pre-
vention 
SEC. 7101. BIENNIAL ASSESSMENT OF HHS HEPATITIS B 
AND HEPATITIS C PREVENTION, EDUCATION, 
RESEARCH, 
AND 
MEDICAL 
MANAGEMENT 
PLAN. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended— 
(1) by striking section 317N (42 U.S.C. 247b– 
15); and 
(2) by adding after part V the following: 
‘‘PART W—BIENNIAL ASSESSMENT OF HHS HEPA-
TITIS B AND HEPATITIS C PREVENTION, EDU-
CATION, RESEARCH, AND MEDICAL MANAGE-
MENT PLAN 
‘‘SEC. 399OO. BIENNIAL UPDATE OF THE PLAN. 
‘‘(a) IN GENERAL.—The Secretary shall conduct a bi-
ennial assessment of the Secretary’s plan for the preven-
tion, control, and medical management of, and education 
and research relating to, hepatitis B and hepatitis C, for 
the purposes of— 
‘‘(1) incorporating into such plan new knowl-
edge or observations relating to hepatitis B and hep-
atitis C (such as knowledge and observations that 
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may be derived from clinical, laboratory, and epide-
miological research and disease detection, preven-
tion, and surveillance outcomes); 
‘‘(2) addressing gaps in the coverage or effec-
tiveness of the plan; and 
‘‘(3) evaluating and, if appropriate, updating 
recommendations, guidelines, or educational mate-
rials of the Centers for Disease Control and Preven-
tion or the National Institutes of Health for health 
care providers or the public on viral hepatitis in 
order to be consistent with the plan. 
‘‘(b) PUBLICATION OF NOTICE OF ASSESSMENTS.— 
Not later than October 1 of the first even-numbered year 
beginning after the date of the enactment of this part, 
and October 1 of each even-numbered year thereafter, the 
Secretary shall publish in the Federal Register a notice 
of the results of the assessments conducted under sub-
section (a). Such notice shall include— 
‘‘(1) a description of any revisions to the plan 
referred to in subsection (a) as a result of the as-
sessment; 
‘‘(2) an explanation of the basis for any such 
revisions, including the ways in which such revisions 
can reasonably be expected to further promote the 
original goals and objectives of the plan; and 
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‘‘(3) in the case of a determination by the Sec-
retary that the plan does not need revision, an expla-
nation of the basis for such determination. 
‘‘SEC. 399OO–1. ELEMENTS OF PROGRAM. 
‘‘(a) EDUCATION AND AWARENESS PROGRAMS.—The 
Secretary, acting through the Director of the Centers for 
Disease Control and Prevention, the Administrator of the 
Health Resources and Services Administration, and the 
Assistant Secretary for Mental Health and Substance Use, 
and in accordance with the plan referred to in section 
399OO(a), shall implement programs to increase aware-
ness and enhance knowledge and understanding of hepa-
titis B and hepatitis C. Such programs shall include— 
‘‘(1) the conduct of culturally and linguistically 
appropriate health education in primary and sec-
ondary schools, college campuses, public awareness 
campaigns, and community outreach activities (espe-
cially to the ethnic communities with high rates of 
chronic hepatitis B and chronic hepatitis C and 
other high-risk groups) to promote public awareness 
and knowledge about— 
‘‘(A) the value of hepatitis A and hepatitis 
B immunization; 
‘‘(B) risk factors, transmission, and pre-
vention of hepatitis B and hepatitis C; 
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‘‘(C) the value of screening for the early 
detection of hepatitis B and hepatitis C; and 
‘‘(D) options available for the treatment of 
chronic hepatitis B and chronic hepatitis C; 
‘‘(2) the promotion of immunization programs 
that increase awareness and access to hepatitis A 
and hepatitis B vaccines for susceptible adults and 
children; 
‘‘(3) the training of health care professionals 
regarding the importance of vaccinating individuals 
infected with hepatitis C and individuals who are at 
risk for hepatitis C infection against hepatitis A and 
hepatitis B; 
‘‘(4) the training of health care professionals 
regarding the importance of vaccinating individuals 
chronically infected with hepatitis B and individuals 
who are at risk for chronic hepatitis B infection 
against the hepatitis A virus; 
‘‘(5) the training of health care professionals 
and health educators to make them aware of the 
high rates of chronic hepatitis B and chronic hepa-
titis C in certain adult ethnic populations, and the 
importance of prevention, detection, and medical 
management of hepatitis B and hepatitis C and of 
liver cancer screening; 
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‘‘(6) the development and distribution of health 
education curricula (including information relating 
to the special needs of individuals infected with or 
at risk of hepatitis B and hepatitis C, such as the 
importance of prevention and early intervention, reg-
ular monitoring, the recognition of psychosocial 
needs, appropriate treatment, and liver cancer 
screening) for individuals providing hepatitis B and 
hepatitis C counseling; and 
‘‘(7) support for the implementation of the cur-
ricula described in paragraph (6) by State and local 
public health agencies. 
‘‘(b) IMMUNIZATION, PREVENTION, AND CONTROL 
PROGRAMS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall support the integra-
tion of activities described in paragraph (3) into ex-
isting clinical and public health programs at State, 
local, territorial, and Tribal levels (including commu-
nity health clinics, programs for the prevention and 
treatment of HIV/AIDS, sexually transmitted infec-
tions, and substance use disorder, and programs for 
individuals in correctional settings). 
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‘‘(2) COORDINATION
OF
DEVELOPMENT
OF 
FEDERAL SCREENING GUIDELINES.— 
‘‘(A) REFERENCES.—For purposes of this 
subsection, the term ‘CDC Director’ means the 
Director of the Centers for Disease Control and 
Prevention, and the term ‘AHRQ Director’ 
means 
the 
Director 
of 
the 
Agency 
for 
Healthcare Research and Quality. 
‘‘(B) AGENCY
FOR
HEALTHCARE
RE-
SEARCH
AND
QUALITY.—Due to the rapidly 
evolving standard of care associated with diag-
nosing and treating viral hepatitis infection, the 
AHRQ Director shall convene the Preventive 
Services Task Force under section 915(a) to re-
view its recommendation for screening for HBV 
and HCV infection every 3 years. 
‘‘(3) ACTIVITIES.— 
‘‘(A) VOLUNTARY TESTING PROGRAMS.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall establish a mechanism by which to 
support and promote the development of 
State, local, territorial, and Tribal vol-
untary hepatitis B and hepatitis C testing 
programs to screen the high-prevalence 
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populations to aid in the early identifica-
tion of chronically infected individuals. 
‘‘(ii) CONFIDENTIALITY OF THE TEST 
RESULTS.—The Secretary shall prohibit 
the use of the results of a hepatitis B or 
hepatitis C test conducted by a testing pro-
gram developed or supported under this 
subparagraph for any of the following: 
‘‘(I) Issues relating to health in-
surance. 
‘‘(II) To screen or determine 
suitability for employment. 
‘‘(III) To discharge a person 
from employment. 
‘‘(B) COUNSELING REGARDING VIRAL HEP-
ATITIS.—The Secretary shall support State, 
local, territorial, and Tribal programs in a wide 
variety of settings, including those providing 
primary and specialty health care services in 
nonprofit private and public sectors, to— 
‘‘(i) provide individuals with ongoing 
risk factors for hepatitis B and hepatitis C 
infection with client-centered education 
and counseling which concentrates on— 
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‘‘(I) promoting testing of individ-
uals that have been exposed to their 
blood, family members, and their sex-
ual partners; and 
‘‘(II) changing behaviors that 
place individuals at risk for infection; 
‘‘(ii) provide individuals chronically in-
fected with hepatitis B or hepatitis C with 
education, health information, and coun-
seling to reduce their risk of— 
‘‘(I) dying from end-stage liver 
disease and liver cancer; and 
‘‘(II) transmitting viral hepatitis 
to others; and 
‘‘(iii) provide people chronically in-
fected with hepatitis B or hepatitis C who 
are pregnant or of childbearing age with 
culturally and linguistically appropriate 
health information, such as how to prevent 
hepatitis B perinatal infection, and to al-
leviate fears associated with pregnancy or 
raising a family. 
‘‘(C) IMMUNIZATION.—The Secretary shall 
support State, local, territorial, and Tribal ef-
forts to expand the current vaccination pro-
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grams to protect every child in the Nation and 
all susceptible adults, particularly those infected 
with hepatitis C and high-prevalence ethnic 
populations and other high-risk groups, from 
the risks of acute and chronic hepatitis B infec-
tion by— 
‘‘(i) ensuring continued funding for 
hepatitis B vaccination for all children 18 
years of age or younger through the Vac-
cines for Children program; 
‘‘(ii) ensuring that the recommenda-
tions of the Advisory Committee on Immu-
nization Practices of the Centers for Dis-
ease Control and Prevention are followed 
regarding hepatitis B vaccination for in-
fants, children, and adults; 
‘‘(iii) requiring proof of hepatitis B 
vaccination for entry into public or private 
daycare, preschool, elementary school, sec-
ondary school, and institutions of higher 
education; 
‘‘(iv) expanding the availability of 
hepatitis B vaccination for all adults to 
protect them from becoming acutely or 
chronically infected, including ethnic and 
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other populations with high prevalence 
rates of chronic hepatitis B infection; 
‘‘(v) expanding the availability of hep-
atitis B vaccination for all adults, particu-
larly those of reproductive age (women and 
men less than 45 years of age), to protect 
them from the risk of hepatitis B infection; 
‘‘(vi) ensuring the vaccination of indi-
viduals infected, or at risk for infection, 
with hepatitis C against hepatitis A, hepa-
titis B, and other infectious diseases, as 
appropriate, for which such individuals 
may be at increased risk; and 
‘‘(vii) ensuring the vaccination of indi-
viduals infected, or at risk for infection, 
with hepatitis B against hepatitis A virus 
and other infectious diseases, as appro-
priate, for which such individuals may be 
at increased risk. 
‘‘(D) MEDICAL REFERRAL.—The Secretary 
shall support State, local, territorial, and Tribal 
programs that support— 
‘‘(i) referral of persons chronically in-
fected with hepatitis B or hepatitis C— 
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‘‘(I) for medical evaluation to de-
termine 
the 
appropriateness 
for 
antiviral treatment to reduce the risk 
of progression to cirrhosis and liver 
cancer; and 
‘‘(II) for ongoing medical man-
agement including regular monitoring 
of liver function and screening for 
liver cancer; and 
‘‘(ii) referral of persons infected with 
acute or chronic hepatitis B infection or 
acute or chronic hepatitis C infection for 
drug and alcohol abuse treatment where 
appropriate. 
‘‘(4) INCREASED SUPPORT FOR ADULT VIRAL 
HEPATITIS PREVENTION COORDINATORS.—The Sec-
retary, acting through the CDC Director, shall pro-
vide increased support to adult viral hepatitis pre-
vention coordinators in State, local, territorial, and 
Tribal health departments in order to enhance the 
additional management, networking, and technical 
expertise needed to ensure successful integration of 
hepatitis B and hepatitis C prevention and control 
activities into existing public health programs. 
‘‘(c) EPIDEMIOLOGICAL SURVEILLANCE.— 
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‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall support the establish-
ment and maintenance of a national chronic and 
acute hepatitis B and hepatitis C surveillance pro-
gram, in order to identify— 
‘‘(A) trends in the incidence of acute and 
chronic hepatitis B and acute and chronic hepa-
titis C; 
‘‘(B) trends in the prevalence of acute and 
chronic hepatitis B and acute and chronic hepa-
titis C infection among groups that may be dis-
proportionately affected; and 
‘‘(C) trends in liver cancer and end-stage 
liver disease incidence and deaths, caused by 
chronic hepatitis B and chronic hepatitis C in 
the high-risk ethnic populations. 
‘‘(2) SEROPREVALENCE
AND
LIVER
CANCER 
STUDIES.—The Secretary, acting through the Direc-
tor of the Centers for Disease Control and Preven-
tion, shall prepare a report outlining the population- 
based seroprevalence studies currently underway, fu-
ture planned studies, the criteria involved in deter-
mining which seroprevalence studies to conduct, 
defer, or suspend, and the scope of those studies, the 
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economic and clinical impact of hepatitis B and hep-
atitis C, and the impact of chronic hepatitis B and 
chronic hepatitis C infections on the quality of life. 
Not later than one year after the date of the enact-
ment of this part, the Secretary shall submit the re-
port to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representa-
tives. 
‘‘(3) CONFIDENTIALITY.—The Secretary shall 
not disclose any individually identifiable information 
identified under paragraph (1) or derived through 
studies under paragraph (2). 
‘‘(d) RESEARCH.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, the Director of the National Cancer Institute, and 
the Director of the National Institutes of Health, shall— 
‘‘(1) conduct epidemiologic and community- 
based research to develop, implement, and evaluate 
best practices for hepatitis B and hepatitis C pre-
vention especially in the ethnic populations with high 
rates of chronic hepatitis B and chronic hepatitis C 
and other high-risk groups; 
‘‘(2) conduct research on hepatitis B and hepa-
titis C natural history, pathophysiology, improved 
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treatments and prevention (such as the hepatitis C 
vaccine), and noninvasive tests that help to predict 
the risk of progression to liver cirrhosis and liver 
cancer; 
‘‘(3) conduct research that will lead to better 
noninvasive or blood tests to screen for liver cancer, 
and more effective treatments of liver cancer caused 
by chronic hepatitis B and chronic hepatitis C; and 
‘‘(4) conduct research comparing the effective-
ness of screening, diagnostic, management, and 
treatment approaches for chronic hepatitis B, chron-
ic hepatitis C, and liver cancer in the affected com-
munities. 
‘‘(e) UNDERSERVED AND DISPROPORTIONATELY AF-
FECTED POPULATIONS.—In carrying out this section, the 
Secretary shall provide expanded support for individuals 
with limited access to health education, testing, and health 
care services and groups that may be disproportionately 
affected by hepatitis B and hepatitis C. 
‘‘(f) EVALUATION
OF PROGRAM.—The Secretary 
shall develop benchmarks for evaluating the effectiveness 
of the programs and activities conducted under this sec-
tion and make determinations as to whether such bench-
marks have been achieved. 
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