I 
113TH CONGRESS 
2D SESSION 
H. R. 4574 
To maximize the access of individuals with mental illness to community- 
based services, to strengthen the impact of such services, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 6, 2014 
Mr. BARBER (for himself, Ms. DEGETTE, Mr. TONKO, Ms. MATSUI, and Mrs. 
NAPOLITANO) introduced the following bill; which was referred to the 
Committee on Energy and Commerce, and in addition to the Committees 
on Ways and Means, the Judiciary, Armed Services, Veterans’ Affairs, 
Education and the Workforce, and Natural Resources, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
of such provisions as fall within the jurisdiction of the committee con-
cerned 
A BILL 
To maximize the access of individuals with mental illness 
to community-based services, to strengthen the impact 
of such services, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Strengthening Mental Health in Our Communities Act 
of 2014’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Purpose. 
TITLE I—WHITE HOUSE OFFICE OF MENTAL HEALTH POLICY 
Sec. 101. White House Office of Mental Health Policy. 
Sec. 102. Appointment and duties of the Director. 
Sec. 103. National strategy for mental health. 
Sec. 104. Coordination with Federal departments and agencies. 
Sec. 105. National mental health advisory board. 
TITLE II—STRENGTHENING AND INVESTING IN SAMHSA 
PROGRAMS 
Sec. 201. Community mental health services block grant reauthorization. 
Sec. 202. Reporting requirements for block grants regarding mental health and 
substance use disorders. 
Sec. 203. Garrett Lee Smith Memorial Act reauthorization. 
Sec. 204. Priority mental health needs of regional and national significance re-
authorization. 
Sec. 205. Grants for jail diversion programs reauthorization. 
Sec. 206. Projects for assistance in transition from homelessness. 
Sec. 207. Comprehensive community mental health services for children with 
serious emotional disturbances. 
Sec. 208. Children’s recovery from trauma. 
Sec. 209. Protection and advocacy for individuals with mental illness reauthor-
ization. 
Sec. 210. Mental health awareness training grants. 
Sec. 211. National media campaign to reduce the stigma associated with men-
tal illness. 
Sec. 212. SAMHSA and HRSA integration of behavioral health services into 
primary care settings. 
Sec. 213. Geriatric mental health disorders. 
Sec. 214. Assessing barriers to behavioral health integration. 
Sec. 215. Acute care bed registry grant for States. 
Sec. 216. Awards for co-locating primary and specialty care in community- 
based mental health settings. 
Sec. 217. Grants for the benefit of homeless individuals. 
TITLE III—IMPROVING MEDICAID AND MEDICARE MENTAL 
HEALTH SERVICES 
Sec. 301. Access to mental health prescription drugs under Medicare. 
Sec. 302. Medicaid coverage of mental health services and primary care services 
furnished on the same day. 
Sec. 303. Elimination of 190-day lifetime limit on inpatient psychiatric hospital 
services. 
Sec. 304. Expanding the Medicaid home and community-based services waiver 
to include youth in need of services provided in a psychiatric 
residential treatment facility. 
Sec. 305. Application of Rosa’s Law for individuals with intellectual disabilities. 
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Sec. 306. Complete application of mental health and substance use parity rules 
under Medicaid and CHIP. 
Sec. 307. Coverage of marriage and family therapist services and mental health 
counselor services under part B of the Medicare program. 
TITLE IV—DEVELOPING THE BEHAVIORAL HEALTH WORKFORCE 
Sec. 401. National health service corps scholarship and loan repayment funding 
for behavioral and mental health professionals. 
Sec. 402. Reauthorization of HRSA’s mental and behavioral health education 
and training program. 
Sec. 403. SAMHSA grant program for development and implementation of cur-
ricula for continuing education on serious mental illness. 
Sec. 404. Demonstration grant program to recruit, train, deploy, and profes-
sionally support psychiatric physicians in Indian health pro-
grams. 
Sec. 405. Including occupational therapists as behavioral and mental health 
professionals for purposes of the National Health Service 
Corps. 
Sec. 406. Extension of certain health care workforce loan repayment programs 
through fiscal year 2019. 
TITLE V—IMPROVING MENTAL HEALTH RESEARCH AND 
COORDINATION 
Sec. 501. National Institute of Mental Health research program on serious 
mental illness and suicide prevention. 
Sec. 502. Youth mental health research network. 
Sec. 503. National violent death reporting system. 
TITLE VI—EDUCATION AND YOUTH 
Sec. 601. School-based mental health programs. 
Sec. 602. Examining mental health care for children. 
TITLE VII—JUSTICE AND MENTAL HEALTH COLLABORATION 
Sec. 701. Assisting veterans. 
Sec. 702. Correctional facilities. 
Sec. 703. High utilizers. 
Sec. 704. Academy training. 
Sec. 705. Evidence-based practices. 
Sec. 706. Safe communities. 
Sec. 707. Reauthorization of appropriations. 
TITLE VIII—BEHAVIORAL HEALTH INFORMATION TECHNOLOGY 
Sec. 801. Extension of health information technology assistance for behavioral 
and mental health and substance abuse. 
Sec. 802. Extension of eligibility for Medicare and Medicaid health information 
technology implementation assistance. 
TITLE IX—SERVICEMEMBERS AND VETERANS MENTAL HEALTH 
Sec. 901. Preliminary mental health assessments. 
Sec. 902. Unlimited eligibility for health care for mental illnesses for veterans 
of combat service during certain periods of hostilities and war. 
Sec. 903. Timeline for implementing integrated electronic health records. 
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(B) fully participate in the most integrated 
settings within their chosen communities; 
(4) to develop an integrated behavioral health 
workforce through improved training and education, 
recruitment, and retention to meet the needs of all 
communities and populations; 
(5) to increase mental health awareness and re-
duce stigma and discrimination through mental 
health training, education, and literacy; and 
(6) to ensure the full implementation and en-
forcement of mental health parity for all Americans. 
TITLE I—WHITE HOUSE OFFICE 
OF MENTAL HEALTH POLICY 
SEC. 101. WHITE HOUSE OFFICE OF MENTAL HEALTH POL-
ICY. 
(a) ESTABLISHMENT OF OFFICE.—There is estab-
lished in the Executive Office of the President the White 
House Office of Mental Health Policy (hereafter referred 
to as the ‘‘Office’’), which shall— 
(1) monitor Federal activities with respect to 
mental health, serious mental illness, and serious 
emotional disturbances; 
(2) make recommendations to the Secretary of 
Health and Human Services regarding any appro-
priate changes to such activities, including rec-
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ommendations with respect to the national strategy 
developed under paragraph (3); 
(3) develop and annually update a National 
Strategy for Mental Health to maximize the access 
of individuals with mental illness to community- 
based services, strengthen the impact of such serv-
ices, and meet the comprehensive needs of individ-
uals with mental illness; 
(4) make recommendations to the Secretary of 
Health and Human Services regarding public par-
ticipation in decisions relating to mental health, seri-
ous mental illness, and serious emotional disturb-
ances; 
(5) review and make recommendations with re-
spect to the budgets for Federal mental health serv-
ices to ensure the adequacy of those budgets; 
(6) submit to the Congress the national strat-
egy and any updates to such strategy; 
(7) coordinate the mental health services pro-
vided by Federal departments and agencies and co-
ordinate Federal interagency mental health services; 
(8) consult, coordinate with, facilitate joint ef-
forts among, and support State, local, and tribal 
governments, nongovernmental entities, and individ-
uals with a mental illness, particularly individuals 
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with a serious mental illness and children and ado-
lescents with a serious emotional disturbance, with 
respect to improving community-based and other 
mental health services; and 
(9) develop and annually update a summary of 
advances in serious mental illness and serious emo-
tional disturbances research related to causes, pre-
vention, treatment, early screening, diagnosis or rule 
out, intervention, and access to services and sup-
ports for individuals with serious mental illness and 
children and adolescents with a serious emotional 
disturbance. 
(b) DIRECTOR.—There shall be a Director who shall 
head the Office (hereafter referred to as the ‘‘Director’’) 
and who shall hold the same rank and status as the head 
of an executive department listed in section 101 of title 
5, United States Code. 
(c) ACCESS BY CONGRESS.—The location of the Of-
fice in the Executive Office of the President shall not be 
construed as affecting access by Congress, or any com-
mittee of the House of Representatives or the Senate, to 
any— 
(1) information, document, or study in the pos-
session of, or conducted by or at the direction of, the 
Director; or 
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(2) personnel of the Office. 
SEC. 102. APPOINTMENT AND DUTIES OF THE DIRECTOR. 
(a) APPOINTMENT.— 
(1) IN GENERAL.—The President shall appoint 
the Director, by and with the advice and consent of 
the Senate. The Director shall serve at the pleasure 
of the President. 
(2) PROHIBITION.—No person shall serve as 
Director while serving in any other position in the 
Federal Government or while employed in a full-time 
position outside of the Federal Government. 
(b) RESPONSIBILITIES.—The Director shall— 
(1) assist the President— 
(A) to establish policies, goals, objectives, 
and priorities with respect to mental health, 
particularly serious mental illness and serious 
emotional disturbances; 
(B) to maximize the access of individuals 
with mental illness to community-based serv-
ices; 
(C) to strengthen the impact of such serv-
ices; and 
(D) to meet the comprehensive needs of in-
dividuals with mental illness; 
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(2) work with Federal departments and agen-
cies providing mental health services to strengthen 
the coordination of mental health services in order to 
maximize the access of individuals with a mental ill-
ness, particularly individuals with a serious mental 
illness and children and adolescents with a serious 
emotional disturbance, to community-based services, 
strengthen the impact of services, and meet the com-
prehensive needs of individuals with a mental illness; 
(3) coordinate and oversee the development, co-
ordination, implementation, and evaluation of the 
National Strategy for Mental Health; 
(4) promulgate the National Strategy for Men-
tal Health, ensuring its wide availability to govern-
ment officials and the public; 
(5) make such recommendations to the Presi-
dent as the Director determines are appropriate with 
respect to the organization, management, and budg-
ets of Federal departments and agencies providing 
mental health services, including changes in the allo-
cation of personnel to and within those departments 
and agencies to implement the policies, goals, objec-
tives, and priorities established under paragraph (1) 
and the National Strategy for Mental Health; 
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(6) consult, coordinate with, facilitate joint ef-
forts among, and support State, local, and tribal 
governments, nongovernmental entities, and individ-
uals with a mental illness, particularly individuals 
with a serious mental illness and children and ado-
lescents with a serious emotional disturbance, with 
respect to improving mental health services; 
(7) appear before duly constituted committees 
and subcommittees of the House of Representatives 
and of the Senate to represent the policies of the 
President related to mental health and serve as the 
spokesperson of the President, if the President de-
termines it appropriate, on issues related to mental 
health, and the National Strategy for Mental 
Health; 
(8) submit an annual report to Congress detail-
ing how the Director has consulted and coordinated 
with the National Mental Health Council described 
in section 104(d), the National Mental Health Advi-
sory Board described in section 105, State, local, 
and tribal governments, nongovernmental entities, 
and individuals with a mental illness, particularly in-
dividuals with a serious mental illness and children 
and adolescents with a serious emotional disturb-
ance; and 
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(9) ensure the Office meets each of its respon-
sibilities under this title. 
(c) BUDGET REVIEW AND RECOMMENDATIONS.— 
(1) REVIEW OF BUDGET REQUESTS.—Each de-
partment or agency of the Federal Government pro-
viding mental health services and benefits shall 
transmit each year to the Director a copy of the pro-
posed budget request of that department or agency 
with respect to mental health services and benefits 
at a time not later than that department or agency’s 
submitting of such budget request to the Office of 
Management and Budget for preparation of the 
budget of the President submitted to Congress 
under section 1105(a) of title 31, United States 
Code. The proposed budget request shall be trans-
mitted to the Director in such form as the Director, 
in consultation with the Office of Management and 
Budget, determines appropriate. 
(2) RECOMMENDATIONS
WITH
RESPECT
TO 
BUDGET REQUESTS.—After the receipt of proposed 
budget requests pursuant to paragraph (1), the Di-
rector shall provide budget recommendations with 
respect to Federal mental health services and bene-
fits to the Director of the Office of Management and 
Budget and to the President at a time that allows 
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such recommendations to be incorporated, as appro-
priate, into the budget of the President submitted to 
Congress under section 1105(a) of title 31, United 
States Code. The recommendations shall address 
funding priorities developed in the National Strategy 
for Mental Health and shall address future fiscal 
projections as determined by the Director. 
(d) POWERS OF THE DIRECTOR.—In carrying out 
this title, the Director may— 
(1) select, appoint, employ, and fix the com-
pensation of such officers and employees of the Of-
fice as may be necessary to carry out the functions 
of the Office under this title; 
(2) request the head of a department or agency 
of the Federal Government to place department or 
agency personnel who are engaged in activities with 
respect to mental health, on temporary detail to an-
other department or agency in order to implement 
the National Strategy for Mental Health, and the 
head of such department or agency shall comply 
with such request; 
(3) use for administrative purposes, on a reim-
bursable basis, the available services, equipment, 
personnel, and facilities of Federal, State, local, and 
tribal departments and agencies; 
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(4) procure the services of experts and consult-
ants in accordance with section 3109 of title 5, 
United States Code, relating to appointments in the 
Federal Service, at rates of compensation for indi-
viduals not to exceed the daily equivalent of the rate 
of pay payable under level IV of the Executive 
Schedule under section 5311 of title 5, United 
States Code; 
(5) use the mails in the same manner as any 
other department or agency of the executive branch; 
and 
(6) monitor implementation of the National 
Strategy for Mental Health, including— 
(A) conducting program and performance 
audits and evaluations; and 
(B) requesting assistance from the Inspec-
tor General of the relevant department or agen-
cy in such audits and evaluations. 
SEC. 103. NATIONAL STRATEGY FOR MENTAL HEALTH. 
(a) IN GENERAL.—Not later than February 1 of each 
year, the Director shall submit to the President and Con-
gress and make available to the public a National Strategy 
for Mental Health (in this title referred to as the ‘‘Na-
tional Strategy for Mental Health’’ or the ‘‘Strategy’’) set-
ting forth a comprehensive plan to maximize the access 
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of individuals with mental illness to community-based 
services, to strengthen the impact of such services, and 
to meet the comprehensive needs of individuals with men-
tal illness. 
(b) PROCESS.—In preparing the Strategy, the Direc-
tor shall actively consult and work in coordination with 
the following: 
(1) The heads of all Federal departments and 
agencies that provide mental health services. 
(2) The National Mental Health Council. 
(3) The National Mental Health Advisory 
Board. 
(4) Existing Federal interagency efforts related 
to mental health services, such as the Military and 
Veterans Mental Health Interagency Task Force. 
(5) State, local, and tribal governments. 
(6) Nongovernmental entities. 
(7) Individuals with mental illness, particularly 
individuals with a serious mental illness and children 
and adolescents with a serious emotional disturb-
ance. 
(c) CONTENTS.—The Director shall ensure the Strat-
egy meets the following requirements: 
(1) GOALS
AND
PERFORMANCE
MEASURES.— 
The Strategy shall contain comprehensive, research- 
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based goals and quantifiable performance measures 
that shall serve as targets for the year with respect 
to which the Strategy applies for— 
(A) improving the outcomes of and accessi-
bility to evidence-based mental programs and 
services; 
(B) promoting community integration of 
individuals with mental illness; 
(C) increasing access to prevention and 
early intervention services related to mental 
health; 
(D) promoting mental health awareness 
and reducing stigma; and 
(E) advancing mental health research. 
(2) ACCOUNTABILITY FOR PAST PERFORMANCE 
MEASURES.—The Strategy shall contain a report on 
Federal effectiveness with respect to meeting those 
performance measures set by the Strategy for the 
preceding year, including an evaluation of whether 
or not such performance measures were met and the 
reasons therefore, including— 
(A) the extent of coordination between 
Federal departments and agencies providing 
mental health services; 
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(B) the extent to which the objectives and 
budgets of Federal departments and agencies 
providing mental health services were consistent 
with the recommendations of the Strategy for 
the preceding year; and 
(C) the efficiency and adequacy of Federal 
programs and policies with respect to mental 
health services. 
(3) REPORTING ON AND IDENTIFYING GAPS IN 
MENTAL
HEALTH
SERVICES.—The Strategy shall 
contain a report on— 
(A) 
the 
mental 
health 
diagnoses, 
disaggregated by age, race, gender, geographic 
distribution, population density, socioeconomic 
status, and other target populations determined 
necessary for inclusion by the Director; 
(B) the quality and quantity of mental 
health 
services, 
including 
community-based 
services, for individuals with mental illness, 
disaggregated by age, race, gender, geographic 
distribution, population density, socioeconomic 
status, and other target populations determined 
necessary for inclusion by the Director; and 
(C) the size and allocation of Federal re-
sources devoted to supporting individuals with 
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mental illness, particularly serious mental ill-
ness, and children and adolescents with a seri-
ous emotional disturbance, disaggregated by 
age, race, gender, geographic distribution, pop-
ulation density, socioeconomic status, and other 
target populations determined necessary for in-
clusion by the Director. 
(4) COORDINATION
EFFORTS.—The Strategy 
shall contain a report on Federal efforts to consult, 
coordinate with, facilitate joint efforts among, and 
support State, local, and tribal governments, non-
governmental entities, and individuals with mental 
illness, particularly serious mental illness, and chil-
dren and adolescents with a serious emotional dis-
turbance, including an evaluation of the effectiveness 
of those efforts. 
(5) GUIDANCE.—The Strategy shall contain re-
search-based guidance for assessing and improving 
the quality of mental health services that is respon-
sive to gaps identified in community-based and other 
mental health services, particularly for individuals 
with a serious mental illness and children and ado-
lescents with a serious emotional disturbance. 
(6) MENTAL
HEALTH
ADVOCATES
AND
PER-
SPECTIVES.—The Strategy shall contain the views 
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and perspectives of individuals with mental illness, 
particularly individuals with serious mental illness 
and children and adolescents with a serious emo-
tional disturbance, with respect to mental health 
services as prepared by the National Mental Health 
Advisory Board. 
(7) STRATEGIC PLAN.—The Strategy shall con-
tain a plan to achieve the goals and performance 
measures set for the year with respect to which the 
Strategy applies, including the following: 
(A) Program and budget priorities nec-
essary to achieve the performance measures. 
(B) Recommendations for improved Fed-
eral interagency coordination, such as shared 
grant application processes, grantee reporting 
requirements, training and technical assistance 
efforts, definitions, recipient eligibility require-
ments, research, evaluation efforts, and data 
collection, and recommendations for legislative 
changes necessary to achieve such interagency 
coordination and to facilitate the delivery of a 
comprehensive array of mental health services. 
(C) Recommendations for improved coordi-
nation between the Federal Government and 
State, local, and tribal governments, nongovern-
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mental entities, and individuals with mental ill-
ness, particularly individuals with serious men-
tal illness and children and adolescents with a 
serious emotional disturbance. 
(D) A strategic research, innovation, and 
demonstration agenda to guide the use of Fed-
eral research spending with respect to mental 
illness, particularly serious mental illness. 
(E) Recommendations to promote commu-
nity integration of individuals with mental ill-
ness, consistent with the Americans with Dis-
abilities Act of 1990, section 504 of the Reha-
bilitation Act of 1973, and the Supreme Court’s 
decision in Olmstead v. L.C. 
(F) Recommendations to enhance preven-
tion and early intervention services for children 
and adolescents with mental illness. 
(G) Recommendations concerning ways to 
ensure appropriate access to intensive commu-
nity-based services for Medicaid beneficiaries. 
(8) ADDITIONAL REPORTS.—The Strategy shall 
contain additional reports the Director determines 
necessary, such as reports on the unmet needs of in-
dividuals with mental illness, international compari-
sons of mental health services and outcomes, or the 
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status of implementation and enforcement of mental 
health parity. 
SEC. 104. COORDINATION WITH FEDERAL DEPARTMENTS 
AND AGENCIES. 
(a) FEDERAL DEPARTMENT AND AGENCY COOPERA-
TION.—Each department or agency of the Federal Gov-
ernment providing mental health services shall— 
(1) cooperate with the efforts of the Director 
under this title; 
(2) provide such assistance, statistics, studies, 
reports, information, and advice as the Director may 
request, to the extent permitted by law; 
(3) adjust department or agency staff job de-
scriptions and performance measures to support col-
laboration and implementation of the Strategy; and 
(4) assign department or agency liaisons to the 
Office to oversee and implement interagency coordi-
nation. 
(b) INTERAGENCY ALIGNMENT.—The Director, in 
collaboration with the heads of Federal departments and 
agencies providing mental health services, shall strengthen 
the coordination of Federal mental health services in order 
to maximize the access of individuals with mental illness, 
particularly individuals with serious mental illness, to com-
munity-based mental health services, strengthen the im-
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pact of mental health services, and meet the comprehen-
sive needs of individuals with mental illness, particularly 
individuals with serious mental illness and children and 
adolescents with a serious emotional disturbance, by, 
where appropriate— 
(1) facilitating the development of shared grant 
application processes; 
(2) offering joint training and technical assist-
ance efforts; 
(3) improving opportunities for individuals with 
mental illness to maintain services as they transition 
from systems of care; 
(4) aligning— 
(A) grantee reporting requirements; 
(B) definitions; 
(C) eligibility requirements; 
(D) research; 
(E) evaluation efforts; and 
(F) data collection; 
(5) making recommendations with respect to 
the legislative changes necessary to achieve the 
interagency alignment and coordination necessary to 
facilitate the delivery of a comprehensive array of 
mental health services; and 
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(6) taking other steps necessary to improve col-
laboration between Federal departments and agen-
cies providing mental health services. 
(c) JOINT FUNDING AND COORDINATION.— 
(1) IN GENERAL.—The Director, in consulta-
tion with the heads of Federal departments and 
agencies, may oversee the development and adminis-
tration of initiatives involving multiple Federal de-
partments and agencies, including initiatives that in-
volve the integration of funding from different Fed-
eral departments and agencies to the extent per-
mitted by law. 
(2) ADMINISTRATION OF FUNDS.—With respect 
to an initiative that involves the integration of fund-
ing from different Federal departments and agen-
cies, the Federal department or agency principally 
involved in such an initiative, as determined by the 
Director, may be designated by the Director to act 
for all involved departments or agencies in admin-
istering funds for the initiative to the extent per-
mitted by law. 
(3) NONGOVERNMENTAL ENTITIES.—Initiatives 
developed under this subsection may involve non-
governmental entities to the extent permitted by law. 
(d) NATIONAL MENTAL HEALTH COUNCIL.— 
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(1) ESTABLISHMENT.—There is established 
within the Office the National Mental Health Coun-
cil (hereinafter referred to in this title as the ‘‘Coun-
cil’’). 
(2) MEMBERS AND TERMS.—The members of 
the Council shall include— 
(A) the President; 
(B) the Director; 
(C) the Secretary of Health and Human 
Services; 
(D) the Director of the National Institute 
of Mental Health; 
(E) the Attorney General of the United 
States; 
(F) the Secretary of Veterans Affairs; 
(G) the Assistant Secretary–Indian Affairs 
of the Department of the Interior; 
(H) the Director of the Centers for Dis-
ease Control and Prevention; 
(I) the Director of the National Institutes 
of Health; 
(J) the directors of such national research 
institutes of the National Institutes of Health 
as the Director determines appropriate; 
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(K) representatives, appointed by the Di-
rector, of Federal agencies that are outside of 
the Department of Health and Human Services 
and serve individuals with mental illness, such 
as the Department of Education; 
(L) the Administrator of Substance Abuse 
and Mental Health Services Administration; 
(M) the Secretary of Defense; and 
(N) other Federal officials as directed by 
the President. 
(3) CHAIRPERSON.—The Chairperson of the 
Council shall be the President. 
(4) DESIGNEES.—Members of the Council may 
select a designee to perform duties under this sub-
section, but it is the sense of Congress that such 
members should refrain from doing so whenever pos-
sible. 
(5) MEETINGS.— 
(A) IN GENERAL.—The full membership of 
the Council shall meet at the call of the Chair-
person, but at least once each year. The Chair-
person may call additional meetings composed 
of less than the full membership of the Council 
as needed. 
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(B) FIRST MEETING.—The first meeting of 
the Council shall be not more than four months 
after the date of the enactment of this title. 
(C) INCLUSION OF THE NATIONAL MENTAL 
HEALTH ADVISORY BOARD.—At least two meet-
ings of the Council each year shall be opened to 
the participation of members of the National 
Mental Health Advisory Board. 
(6) RESPONSIBILITIES.—The Council shall— 
(A) assist the Director to coordinate the 
mental health services provided by Federal de-
partments and agencies and to coordinate Fed-
eral interagency mental health services; 
(B) assist the Director in the development, 
coordination, implementation, evaluation, and 
promulgation of the Strategy; 
(C) assist the Director in soliciting and 
documenting ongoing input and recommenda-
tions with respect to mental health services and 
mental health outcomes from State, local, and 
tribal governments, nongovernmental entities, 
and individuals with mental illness, particularly 
individuals with serious mental illness and chil-
dren and adolescents with a serious emotional 
disturbance; and 
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(D) ensure that members of the Council 
oversee the implementation of those sections of 
the Strategy for which each such member’s de-
partment or agency is responsible, as deter-
mined by the Director, and to report to the Di-
rector on such implementation and the results 
thereof. 
SEC. 105. NATIONAL MENTAL HEALTH ADVISORY BOARD. 
(a) ESTABLISHMENT.—There is established within 
the Office the National Mental Health Advisory Board 
(hereinafter referred to in this title as the ‘‘Board’’). 
(b) MEMBERS AND TERMS.— 
(1) IN GENERAL.—Except as provided in para-
graph (3), each member shall serve a two-year term. 
No member shall serve more than three terms. The 
Board shall be composed of non-Federal public 
members to be appointed by the Director, of 
which— 
(A) at least eight such members, or 1⁄3 of 
total membership, whichever is greater, shall be 
individuals with a diagnosis of serious mental 
illness; 
(B) at least six such members, or 1⁄4 of 
total membership, whichever is greater, shall be 
a parent or legal guardian of an individual with 
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a serious mental illness or a child or adolescent 
with a serious emotional disturbance; 
(C) at least one such member shall be a 
representative of a leading research organiza-
tion for individuals with serious mental illness; 
(D) at least one such member shall be a 
representative of a leading advocacy organiza-
tion for individuals with serious mental illness; 
(E) at least one such member shall be a 
representative of a leading community service 
organization for individuals with serious mental 
illness; 
(F) at least one member shall have served 
in a senior position in a State mental health 
system; 
(G) at least one member shall have served 
in a senior position in a local mental health sys-
tem; 
(H) at least one member shall be a psy-
chiatrist; 
(I) at least one member shall be a clinical 
psychologist; 
(J) at least one member shall be a law en-
forcement officer; 
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(K) at least one such member shall be a 
representative of a leading veterans service or-
ganization; and 
(L) at least one such member shall be a 
child or adolescent psychiatrist. 
(2) SELECTION
PROCESS
FOR
THE
INITIAL 
MEMBERSHIP OF THE BOARD.—The Director shall 
design an application and selection process to fill the 
initial membership of the Board. Political affiliation 
or views may not be taken into account in such ap-
plication and selection process and relatives of elect-
ed officials shall not be eligible for membership. 
(3) SELECTION PROCESS FOR MEMBERSHIP OF 
THE
BOARD
FOLLOWING
THE
INITIAL
MEMBER-
SHIP.—The initial membership of the Board shall 
design an application and selection process to fill the 
membership of the Board for those terms following 
the term of the initial membership. Such application 
and selection process shall ensure that Board mem-
bers select the membership that will follow that 
Board membership’s term and, notwithstanding the 
two-year term requirement in paragraph (1), such 
application process shall ensure that not more than 
half of the terms of Board members expire in a 
given year. 
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(4) CHAIRPERSON.—The initial membership of 
the Board shall elect two members as co-chairs of 
the Board. Co-chairs shall serve a term of one year 
and the Board shall elect new co-chairs as vacancies 
arise. 
(c) MEETINGS.—The Board shall meet in person not 
fewer than four times each year. The Director shall re-
quest senior Federal Government officials to attend each 
of the four meetings, including requesting that the Council 
attend one of the four meetings. The co-chairs of the 
Board may call additional meetings online and by tele-
phone as determined necessary by the co-chairs. 
(d) DUTIES.—The Board shall— 
(1) advise the President, the heads of Federal 
departments and agencies providing mental health 
services, and other senior Federal Government offi-
cials on proposed and pending legislation, budget ex-
penditures, and other policy matters with respect to 
mental illness, particularly serious mental illness and 
children and adolescents with a serious emotional 
disturbance; 
(2) work in partnership with local organizations 
to solicit the views and perspectives of individuals 
with mental illness, particularly individuals with se-
rious mental illness, and parents or legal guardians 
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of individuals with mental illness, with respect to 
mental health services; 
(3) prepare a section of the Strategy outlining 
the views and perspectives of individuals with mental 
illness, particularly individuals with serious mental 
illness and children and adolescents with a serious 
emotional disturbance, with respect to mental health 
services; and 
(4) provide the Director evaluations of the staff 
support and training and technical assistance the 
Board has received. 
(e) PROCEDURES.—The membership of the Board 
shall, in consultation with the Director, determine the pro-
cedures of the Board. 
TITLE II—STRENGTHENING AND 
INVESTING IN SAMHSA PRO-
GRAMS 
SEC. 201. COMMUNITY MENTAL HEALTH SERVICES BLOCK 
GRANT REAUTHORIZATION. 
Section 1920(a) of the Public Health Service Act (42 
U.S.C. 300x–9(a)) is amended by striking ‘‘$450,000,000 
for fiscal year 2001, and such sums as may be necessary 
for each of the fiscal years 2002 and 2003’’ and inserting 
‘‘$483,744,000 for fiscal year 2015 and such sums as may 
be necessary for each of fiscal years 2016 through 2019’’. 
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SEC. 202. REPORTING REQUIREMENTS FOR BLOCK GRANTS 
REGARDING 
MENTAL 
HEALTH 
AND 
SUB-
STANCE USE DISORDERS. 
Section 1942 of the Public Health Service Act (42 
U.S.C. 300x–52) is amended to read as follows: 
‘‘SEC. 1942. REQUIREMENT OF REPORTS AND AUDITS BY 
STATES. 
‘‘(a) ANNUAL REPORT.—A funding agreement for a 
grant under section 1911 is that— 
‘‘(1) the State involved will prepare and submit 
to the Secretary an annual report on the activities 
funded through the grant; and 
‘‘(2) each such report shall be prepared by, or 
in consultation with, the State agency responsible 
for community mental health programs and activi-
ties. 
‘‘(b) STANDARDIZED FORM; CONTENTS.—In order to 
properly evaluate and to compare the performance of dif-
ferent States assisted under section 1911, reports under 
this section shall be in such standardized form and contain 
such information as the Secretary determines (after con-
sultation with the States) to be necessary— 
‘‘(1) to secure an accurate description of the ac-
tivities funded through the grant under section 
1911; 
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‘‘(2) to determine the extent to which funds 
were expended consistent with the State’s applica-
tion transmitted under section 1917(a); and 
‘‘(3) to describe the extent to which the State 
has met the goals and objectives it set forth in its 
State plan under section 1912(b). 
‘‘(c) MINIMUM CONTENTS.—Each report under this 
section shall, at a minimum, include the following informa-
tion: 
‘‘(1)(A) The number of individuals served by 
the State under subpart I (by class of individuals). 
‘‘(B) The proportion of each class of such indi-
viduals which has health coverage. 
‘‘(C) The types of services (as defined by the 
Secretary) provided under subpart I to individuals 
within each such class. 
‘‘(D) The amounts spent under subpart I on 
each type of service (by class of individuals served). 
‘‘(2) Information on the status of mental health 
in the State, including information (by county and 
by racial and ethnic group) on each of the following: 
‘‘(A) The proportion of adolescents with 
serious emotional disturbances. 
‘‘(B) The proportion of adults with serious 
mental illness (including major depression). 
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‘‘(C) The proportion of individuals with co- 
occurring mental health and substance use dis-
orders. 
‘‘(D) The proportion of children and ado-
lescents with mental health disorders who seek 
and receive treatment. 
‘‘(E) The proportion of adults with mental 
health disorders who seek and receive treat-
ment. 
‘‘(F) The proportion of individuals with co- 
occurring mental health and substance use dis-
orders who seek and receive treatment. 
‘‘(G) The proportion of homeless adults 
with mental health disorders who receive treat-
ment. 
‘‘(H) The number of primary care facilities 
that provide mental health screening and treat-
ment services onsite or by paid referral. 
‘‘(I) The number of primary care physician 
office visits that include mental health screen-
ing services. 
‘‘(J) The number of juvenile residential fa-
cilities that screen admissions for mental health 
disorders. 
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‘‘(K) The number of deaths attributable to 
suicide. 
‘‘(3) Information on the number and type of 
health care practitioners licensed in the State and 
providing mental health-related services. 
‘‘(d) AVAILABILITY
OF REPORTS.—The Secretary 
shall, upon request, provide a copy of any report under 
this section to any interested public agency.’’. 
SEC. 203. GARRETT LEE SMITH MEMORIAL ACT REAUTHOR-
IZATION. 
(a) SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER.—Section 520C of the Public Health Service Act 
(42 U.S.C. 290bb–34) is amended— 
(1) in the section heading, by striking the sec-
tion heading and inserting ‘‘SUICIDE PREVENTION 
TECHNICAL ASSISTANCE CENTER.’’; 
(2) in subsection (a), by striking ‘‘and in con-
sultation with’’ and all that follows through the pe-
riod at the end of paragraph (2) and inserting ‘‘shall 
establish a research, training, and technical assist-
ance resource center to provide appropriate informa-
tion, training, and technical assistance to States, po-
litical subdivisions of States, federally recognized In-
dian tribes, tribal organizations, institutions of high-
er education, public organizations, or private non-
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profit organizations regarding the prevention of sui-
cide among all ages, particularly among groups that 
are at high risk for suicide.’’; 
(3) by striking subsections (b) and (c); 
(4) by redesignating subsection (d) as sub-
section (b); 
(5) in subsection (b), as so redesignated— 
(A) by striking the subsection heading and 
inserting ‘‘RESPONSIBILITIES
OF
THE
CEN-
TER.’’; 
(B) in the matter preceding paragraph (1), 
by striking ‘‘The additional research’’ and all 
that follows through ‘‘nonprofit organizations 
for’’ and inserting ‘‘The center established 
under subsection (a) shall conduct activities for 
the purpose of’’; 
(C) by striking ‘‘youth suicide’’ each place 
such term appears and inserting ‘‘suicide’’; 
(D) in paragraph (1)— 
(i) by striking ‘‘the development or 
continuation of’’ and inserting ‘‘developing 
and continuing’’; and 
(ii) by inserting ‘‘for all ages, particu-
larly among groups that are at high risk 
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for suicide’’ before the semicolon at the 
end; 
(E) in paragraph (2), by inserting ‘‘for all 
ages, particularly among groups that are at 
high risk for suicide’’ before the semicolon at 
the end; 
(F) in paragraph (3), by inserting ‘‘and 
tribal’’ after ‘‘statewide’’; 
(G) in paragraph (5), by inserting ‘‘and 
prevention’’ after ‘‘intervention’’; 
(H) in paragraph (8), by striking ‘‘in 
youth’’; 
(I) in paragraph (9), by striking ‘‘and be-
havioral health’’ and inserting ‘‘health and sub-
stance use disorder’’; and 
(J) in paragraph (10), by inserting ‘‘con-
ducting’’ before ‘‘other’’; and 
(6) by striking subsection (e) and inserting the 
following: 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $4,948,000 for each of fiscal years 
2015 through 2019.’’. 
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(b) YOUTH SUICIDE EARLY INTERVENTION
AND 
PREVENTION STRATEGIES.—Section 520E of the Public 
Health Service Act (42 U.S.C. 290bb–36) is amended— 
(1) in paragraph (1) of subsection (a) and in 
subsection (c), by striking ‘‘substance abuse’’ each 
place such term appears and inserting ‘‘substance 
use disorder’’; 
(2) in subsection (b)(2)— 
(A) by striking ‘‘each State is awarded 
only 1 grant or cooperative agreement under 
this section’’ and inserting ‘‘a State does not 
receive more than 1 grant or cooperative agree-
ment under this section at any 1 time’’; and 
(B) by striking ‘‘been awarded’’ and insert-
ing ‘‘received’’; and 
(3) by striking subsection (m) and inserting the 
following: 
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For 
the purpose of carrying out this section, there are author-
ized to be appropriated $29,682,000 for each of fiscal 
years 2015 through 2019.’’. 
(c) MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES.—Section 520E–2 of the Public Health 
Service Act (42 U.S.C. 290bb–36b) is amended— 
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(1) in the section heading, by striking ‘‘AND 
BEHAVIORAL HEALTH’’ and inserting ‘‘HEALTH 
AND SUBSTANCE USE DISORDER SERVICES’’; 
(2) in subsection (a)— 
(A) by striking ‘‘Services,’’ and inserting 
‘‘Services and’’; 
(B) by striking ‘‘and behavioral health 
problems’’ and inserting ‘‘health or substance 
use disorders’’; and 
(C) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorders’’; 
(3) in subsection (b)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘for—’’ and inserting ‘‘for one or 
more of the following:’’; and 
(B) by striking paragraphs (1) through (6) 
and inserting the following: 
‘‘(1) Educating students, families, faculty, and 
staff to increase awareness of mental health and 
substance use disorders. 
‘‘(2) The operation of hotlines. 
‘‘(3) Preparing informational material. 
‘‘(4) Providing outreach services to notify stu-
dents about available mental health and substance 
use disorder services. 
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‘‘(5) Administering voluntary mental health and 
substance use disorder screenings and assessments. 
‘‘(6) Supporting the training of students, fac-
ulty, and staff to respond effectively to students with 
mental health and substance use disorders. 
‘‘(7) Creating a network infrastructure to link 
colleges and universities with health care providers 
who treat mental health and substance use dis-
orders.’’; 
(4) in subsection (c)(5), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorder’’; 
(5) in subsection (d)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘An institution of higher education 
desiring a grant under this section’’ and insert-
ing ‘‘To be eligible to receive a grant under this 
section, an institution of higher education’’; 
(B) in paragraph (1)— 
(i) 
by 
striking 
‘‘and 
behavioral 
health’’ and inserting ‘‘health and sub-
stance use disorder’’; and 
(ii) by inserting ‘‘, including veterans 
whenever possible and appropriate,’’ after 
‘‘students’’; and 
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(C) in paragraph (2), by inserting ‘‘, which 
may include, as appropriate and in accordance 
with subsection (b)(7), a plan to seek input 
from relevant stakeholders in the community, 
including appropriate public and private enti-
ties, in order to carry out the program under 
the grant’’ before the period at the end; 
(6) in subsection (e)(1), by striking ‘‘and behav-
ioral health problems’’ and inserting ‘‘health and 
substance use disorders’’; 
(7) in subsection (f)(2)— 
(A) by striking ‘‘and behavioral health’’ 
and inserting ‘‘health and substance use dis-
order’’; and 
(B) by striking ‘‘suicide and substance 
abuse’’ and inserting ‘‘suicide and substance 
use disorders’’; and 
(8) in subsection (h), by striking ‘‘$5,000,000 
for fiscal year 2005’’ and all that follows through 
the period at the end and inserting ‘‘$4,858,000 for 
each of fiscal years 2015 through 2019.’’. 
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SEC. 204. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL 
AND NATIONAL SIGNIFICANCE REAUTHOR-
IZATION. 
Section 520A(f)(1) of the Public Health Service Act 
(42 U.S.C. 290bb–32(f)(1)) is amended by striking 
‘‘$300,000,000 for fiscal year 2001, and such sums as 
may be necessary for each of the fiscal years 2002 and 
2003’’ and inserting ‘‘$216,632,000 for fiscal year 2015 
and such sums as may be necessary for each of fiscal years 
2016 through 2019’’. 
SEC. 205. GRANTS FOR JAIL DIVERSION PROGRAMS REAU-
THORIZATION. 
Section 520G(i) of the Public Health Service Act (42 
U.S.C. 290bb–38(i)) is amended by striking ‘‘$10,000,000 
for fiscal year 2001, and such sums as may be necessary 
for fiscal years 2002 through 2003’’ and inserting 
‘‘$4,280,000 for fiscal year 2015 and such sums as may 
be necessary for each of fiscal years 2016 through 2019’’. 
SEC. 206. PROJECTS FOR ASSISTANCE IN TRANSITION 
FROM HOMELESSNESS. 
Section 535(a) of the Public Health Service Act (42 
U.S.C. 29cc–35(a)) is amended by striking ‘‘$75,000,000 
for each of the fiscal years 2001 through 2003’’ and in-
serting ‘‘$64,800,000 for fiscal year 2015 and such sums 
as may be necessary for each of fiscal years 2016 through 
2019’’. 
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SEC. 207. COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS 
EMOTIONAL DISTURBANCES. 
Section 565 of the Public Health Service Act (42 
U.S.C. 290ff–4) is amended— 
(1) in subsection (b)(1), by striking ‘‘receiving 
a grant under section 561(a)’’ and inserting ‘‘(irre-
spective of whether the public entity is in receipt of 
a grant under section 561(a))’’; 
(2) in subsection (b)(1)(B), by striking ‘‘plan-
ning, development, and operation of systems of care 
pursuant to section 562’’ and inserting ‘‘planning, 
development, and operation of systems of care de-
scribed in section 562’’; and 
(3) 
in 
subsection 
(f)(1), 
by 
striking 
‘‘$100,000,000 for fiscal year 2001, and such sums 
as may be necessary for each of the fiscal years 
2002 and 2003’’ and inserting ‘‘$117,315,000 for 
fiscal year 2015 and such sums as may be necessary 
for each of fiscal years 2016 through 2019’’. 
SEC. 208. CHILDREN’S RECOVERY FROM TRAUMA. 
Section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1) is amended— 
(1) in subsection (a), by striking ‘‘developing 
programs’’ and all that follows and inserting ‘‘devel-
oping and maintaining programs that provide for— 
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‘‘(1) the continued operation of the National 
Child Traumatic Stress Initiative (referred to in this 
section as the ‘NCTSI’), which includes a coordi-
nating center, that focuses on the mental, behav-
ioral, and biological aspects of psychological trauma 
response; and 
‘‘(2) the development of knowledge with regard 
to evidence-based practices for identifying and treat-
ing mental, behavioral, and biological disorders of 
children and youth resulting from witnessing or ex-
periencing a traumatic event.’’; 
(2) in subsection (b)— 
(A) by striking ‘‘subsection (a) related’’ 
and inserting ‘‘subsection (a)(2) (related’’; 
(B) by striking ‘‘treating disorders associ-
ated with psychological trauma’’ and inserting 
‘‘treating mental, behavioral, and biological dis-
orders associated with psychological trauma)’’; 
and 
(C) by striking ‘‘mental health agencies 
and programs that have established clinical and 
basic research’’ and inserting ‘‘universities, hos-
pitals, mental health agencies, and other pro-
grams that have established clinical expertise 
and research’’; 
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(3) by redesignating subsections (c) through (g) 
as subsections (g) through (k), respectively; 
(4) by inserting after subsection (b), the fol-
lowing: 
‘‘(c) CHILD OUTCOME DATA.—The NCTSI coordi-
nating center shall collect, analyze, and report NCTSI- 
wide child treatment process and outcome data regarding 
the early identification and delivery of evidence-based 
treatment and services for children and families served by 
the NCTSI grantees. 
‘‘(d) TRAINING.—The NCTSI coordinating center 
shall facilitate the coordination of training initiatives in 
evidence-based and trauma-informed treatments, interven-
tions, and practices offered to NCTSI grantees, providers, 
and partners. 
‘‘(e) DISSEMINATION.—The NCTSI coordinating 
center shall, as appropriate, collaborate with the Secretary 
in the dissemination of evidence-based and trauma-in-
formed interventions, treatments, products and other re-
sources to appropriate stakeholders. 
‘‘(f) REVIEW.—The Secretary shall, consistent with 
the peer review process, ensure that NCTSI applications 
are reviewed by appropriate experts in the field as part 
of a consensus review process. The Secretary shall include 
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review criteria related to expertise and experience in child 
trauma and evidence-based practices.’’; 
(5) in subsection (g) (as so redesignated), by 
striking ‘‘with respect to centers of excellence are 
distributed equitably among the regions of the coun-
try’’ and inserting ‘‘are distributed equitably among 
the regions of the United States’’; 
(6) in subsection (i) (as so redesignated), by 
striking ‘‘recipient may not exceed 5 years’’ and in-
serting ‘‘recipient shall not be less than 4 years, but 
shall not exceed 5 years’’; and 
(7) in subsection (j) (as so redesignated), by 
striking ‘‘$50,000,000’’ and all that follows through 
‘‘2006’’ and inserting ‘‘$45,714,000 for each of fis-
cal years 2015 through 2019’’. 
SEC. 209. PROTECTION AND ADVOCACY FOR INDIVIDUALS 
WITH MENTAL ILLNESS REAUTHORIZATION. 
Section 117 of the Protection and Advocacy for Indi-
viduals with Mental Illness Act (42 U.S.C. 10827) is 
amended by striking ‘‘$19,500,000 for fiscal year 1992, 
and such sums as may be necessary for each of the fiscal 
years 1993 through 2003’’ and inserting ‘‘$36,238,000 for 
fiscal year 2015 and such sums as may be necessary for 
each of fiscal years 2016 through 2019’’. 
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SEC. 210. MENTAL HEALTH AWARENESS TRAINING GRANTS. 
Section 520J of the Public Health Service Act (42 
U.S.C. 290bb–41) is amended— 
(1) in the section heading, by inserting ‘‘MEN-
TAL HEALTH AWARENESS’’ before ‘‘TRAINING’’; 
and 
(2) in subsection (b)— 
(A) in the subsection heading, by striking 
‘‘ILLNESS’’ and inserting ‘‘HEALTH’’; 
(B) in paragraph (1), by inserting ‘‘, and 
other categories of individuals listed in para-
graph (2),’’ after ‘‘emergency services per-
sonnel’’; and 
(C) by striking paragraph (2) and insert-
ing the following: 
‘‘(2) CATEGORIES
OF
INDIVIDUALS
TO
BE 
TRAINED.—The categories of individuals listed in 
this paragraph are the following: 
‘‘(A) Emergency services personnel and 
other first responders. 
‘‘(B) Police officers and other law enforce-
ment personnel. 
‘‘(C) Teachers and school administrators. 
‘‘(D) Human resources professionals. 
‘‘(E) Faith community leaders. 
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‘‘(F) Nurses and other primary care per-
sonnel. 
‘‘(G) Students enrolled in an elementary 
school, a secondary school, or an institution of 
higher education. 
‘‘(H) The parents of students described in 
subparagraph (G). 
‘‘(I) Veterans. 
‘‘(J) Other individuals, audiences, or train-
ing populations as determined appropriate by 
the Secretary.’’; 
(D) in paragraph (5)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘to’’ and inserting 
‘‘for evidence-based programs for the pur-
pose of’’; and 
(ii) by striking subparagraphs (A) 
through (C) and inserting the following: 
‘‘(A) recognizing the signs and symptoms 
of mental illness; and 
‘‘(B)(i) providing education to personnel 
regarding resources available in the community 
for individuals with a mental illness and other 
relevant resources; or 
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‘‘(ii) the safe de-escalation of crisis situa-
tions involving individuals with a mental ill-
ness.’’; and 
(E) in paragraph (7), by striking ‘‘, 
$25,000,000’’ and all that follows through the 
period at the end and inserting ‘‘$20,000,000 
for each of fiscal years 2014 through 2018’’. 
SEC. 211. NATIONAL MEDIA CAMPAIGN TO REDUCE THE 
STIGMA ASSOCIATED WITH MENTAL ILLNESS. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 
adding at the end the following new section: 
‘‘SEC. 520L. NATIONAL MEDIA CAMPAIGN TO REDUCE THE 
STIGMA ASSOCIATED WITH MENTAL ILLNESS. 
‘‘(a) SCOPE OF THE CAMPAIGN.—The Secretary, act-
ing through the Administrator of the Substance Abuse 
and Mental Health Services Administration, shall provide 
for the production, broadcasting, and evaluation of a na-
tional media public service campaign to reduce the stigma 
associated with mental illness. Such campaign shall seek 
to reach as wide and diverse an audience as possible and 
shall particularly target the population between the ages 
of 16 and 24 years of age. 
‘‘(b) REPORT.—The Secretary shall provide a report 
to the Congress annually detailing— 
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‘‘(1) the production, broadcasting, and evalua-
tion of the campaign under subsection (a); and 
‘‘(2) the effectiveness of the campaign in reduc-
ing the stigma associated with mental illness, as 
measured using such methods as public attitude sur-
veys and mental health services utilization statistics. 
‘‘(c) CONSULTATION REQUIREMENT.—In carrying 
out this section, the Secretary shall ensure that mental 
health professionals and patient advocates are consulted 
in carrying out the media campaign under this section. 
The progress of this consultative process is to be covered 
in the report under subsection (b). 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$10,000,000 for each of the fiscal years 2015 through 
2019.’’. 
SEC. 212. SAMHSA AND HRSA INTEGRATION OF BEHAV-
IORAL HEALTH SERVICES INTO PRIMARY 
CARE SETTINGS. 
Title V of the Public Health Service Act is amended 
by inserting after section 520K (42 U.S.C. 290bb–42) the 
following: 
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‘‘SEC. 520K–1. AWARDS FOR CO-LOCATING BEHAVIORAL 
HEALTH SERVICES IN PRIMARY CARE SET-
TINGS. 
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting 
through the Administrators of the Substance Abuse and 
Mental Health Services Administration and the Health 
Resources and Services Administration, shall award 
grants, contracts, and cooperative agreements to eligible 
entities for the provision of coordinated and integrated be-
havioral health services and primary health care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 
grant, contract, or cooperative agreement this section, an 
entity shall be a public or nonprofit entity. 
‘‘(c) USE OF FUNDS.—An eligible entity receiving an 
award under this section shall use the award for the provi-
sion of coordinated and integrated behavioral health serv-
ices and primary health care through— 
‘‘(1) the co-location of behavioral health services 
in primary care settings; 
‘‘(2) the use of care management services to fa-
cilitate coordination between behavioral health and 
primary care providers; 
‘‘(3) the use of information technology (such as 
telemedicine)— 
‘‘(A) to facilitate coordination between be-
havioral health and primary care providers; or 
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‘‘(B) to expand the availability of behav-
ioral health services; or 
‘‘(4) the provision of training and technical as-
sistance to improve the delivery, effectiveness, and 
integration of behavioral health services into primary 
care settings. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section— 
‘‘(1) there are authorized to be appropriated 
such sums as may be necessary for fiscal years 2015 
through 2019; and 
‘‘(2) such sums as necessary are authorized to 
be transferred from the Substance Abuse and Men-
tal Health Services Administration to the Health Re-
sources and Services Administration.’’. 
SEC. 213. GERIATRIC MENTAL HEALTH DISORDERS. 
Section 520A(e) of the Public Health Service Act (42 
U.S.C. 290bb–32(e)) is amended by adding at the end the 
following: 
‘‘(3) 
GERIATRIC
MENTAL
HEALTH
DIS-
ORDERS.—The Secretary shall, as appropriate, pro-
vide technical assistance to grantees regarding evi-
dence-based practices for the prevention and treat-
ment of geriatric mental health disorders, as well as 
disseminate information about such evidence-based 
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practices to States and nongrantees throughout the 
United States.’’. 
SEC. 214. ASSESSING BARRIERS TO BEHAVIORAL HEALTH 
INTEGRATION. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit a report to the Com-
mittee on Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Commerce of 
the House of Representatives concerning Federal require-
ments that impact access to treatment of mental health 
and substance use disorders related to integration with 
primary care, administrative and regulatory issues, quality 
measurement and accountability, and data sharing. 
(b) CONTENTS.—The report submitted under sub-
section (a) shall include the following: 
(1) An evaluation of the administrative or regu-
latory burden on behavioral health care providers. 
(2) The identification of outcome and quality 
measures relevant to integrated health care, evalua-
tion of the data collection burden on behavioral 
health care providers, and any alternative methods 
for evaluation. 
(3) An analysis of the degree to which elec-
tronic data standards, including interoperability and 
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meaningful use includes behavioral health measures, 
and an analysis of strategies to address barriers to 
health information exchange posed by part 2 of title 
42, Code of Federal Regulations. 
(4) An analysis of the degree to which Federal 
rules and regulations for behavioral and physical 
health care are aligned, including recommendations 
to address any identified barriers. 
SEC. 215. ACUTE CARE BED REGISTRY GRANT FOR STATES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through Administrator of the 
Substance Abuse and Mental Health Services Administra-
tion, shall award grants to State mental health agencies 
to develop and administer a Web-based acute psychiatric 
bed registry to collect, aggregate, and display information 
about available acute beds in public and private inpatient 
psychiatric facilities and public and private residential cri-
sis stabilization units to facilitate the identification and 
designation of facilities for the temporary treatment of in-
dividuals in psychiatric crisis. 
(b) REGISTRY
REQUIREMENTS.—An acute psy-
chiatric bed registry funded under this section shall— 
(1) include descriptive information for every 
public and private inpatient psychiatric facility and 
every public and private residential crisis stabiliza-
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tion unit in the State involved, including contact in-
formation for the facility or unit; 
(2) provide real-time information about the 
number of beds available at each facility or unit and, 
for each available bed, the type of patient that may 
be admitted, the level of security provided, and any 
other information that may be necessary to allow for 
the proper identification of appropriate facilities for 
treatment of individuals in psychiatric crisis; and 
(3) allow employees and designees of commu-
nity mental health service providers, employees of in-
patient psychiatric facilities or public and private 
residential crisis stabilization units, and health care 
providers working in an emergency room of a hos-
pital or clinic or other facility rendering emergency 
medical care to perform searches of the registry to 
identify available beds that are appropriate for the 
treatment of individuals in psychiatric crisis. 
(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for fiscal years 2015 
through 2019. 
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SEC. 216. AWARDS FOR CO-LOCATING PRIMARY AND SPE-
CIALTY CARE IN COMMUNITY-BASED MENTAL 
HEALTH SETTINGS. 
Section 520K(f) of the Public Health Service Act (42 
U.S.C. 290bb–42(f)) is amended by striking ‘‘$50,000,000 
for fiscal year 2010 and such sums as may be necessary 
for each of fiscal years 2011 through 2014’’ and inserting 
‘‘$50,000,000 for fiscal year 2015 and such sums as may 
be necessary for each of fiscal years 2016 through 2019’’. 
SEC. 217. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS. 
Section 506(e) of the Public Health Service Act (42 
U.S.C. 290aa–5(e)) is amended by striking ‘‘$50,000,000 
for fiscal year 2001, and such sums as may be necessary 
for each of the fiscal years 2002 and 2003’’ and inserting 
‘‘$llllfor fiscal year 2015 and such sums as may 
be necessary for each of fiscal years 2016 through 2019’’. 
TITLE 
III—IMPROVING 
MED-
ICAID AND MEDICARE MEN-
TAL HEALTH SERVICES 
SEC. 301. ACCESS TO MENTAL HEALTH PRESCRIPTION 
DRUGS UNDER MEDICARE. 
Section 1860D–4(b)(3)(G)(ii)(I) of the Social Secu-
rity Act (42 U.S.C. 1395w–104(b)(3)(G)(ii)(I)) is amend-
ed by adding at the end the following: ‘‘Notwithstanding 
the previous sentence, categories and classes of drugs 
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specified in subclauses (II) and (IV) of clause (iv) shall 
be identified under this subclause.’’. 
SEC. 302. MEDICAID COVERAGE OF MENTAL HEALTH SERV-
ICES AND PRIMARY CARE SERVICES FUR-
NISHED ON THE SAME DAY. 
(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this Act, the Secretary of Health 
and Human Services shall issue guidance to clarify that 
payment under a State plan is not prohibited for a mental 
health service or primary care service furnished to an indi-
vidual at a community mental health center that meets 
the criteria specified in section 1913(c) of the Public 
Health Service Act (42 U.S.C. 300x–2(c)) or a federally 
qualified health center (as defined in section 1861(aa)(3) 
of the Social Security Act (42 U.S.C. 1395x(aa)(3))) for 
which payment would otherwise be payable under the plan, 
with respect to such individual, if such service were not 
a same-day qualifying service. 
(b) SAME-DAY QUALIFYING SERVICE DEFINED.—In 
this section, the term ‘‘same-day qualifying service’’ 
means— 
(1) a primary care service furnished to an indi-
vidual by a provider at a facility on the same day 
a mental health service is furnished to such indi-
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vidual by such provider (or another provider) at the 
facility; and 
(2) a mental health service furnished to an indi-
vidual by a provider at a facility on the same day 
a primary care service is furnished to such individual 
by such provider (or another provider) at the facil-
ity. 
SEC. 303. ELIMINATION OF 190-DAY LIFETIME LIMIT ON IN-
PATIENT PSYCHIATRIC HOSPITAL SERVICES. 
(a) IN GENERAL.—Section 1812 of the Social Secu-
rity Act (42 U.S.C. 1395d) is amended— 
(1) in subsection (b)— 
(A) in paragraph (1), by adding ‘‘or’’ at 
the end; 
(B) in paragraph (2), by striking ‘‘; or’’ at 
the end and inserting a period; and 
(C) by striking paragraph (3); and 
(2) in subsection (c), by striking ‘‘or in deter-
mining the 190-day limit under subsection (b)(3)’’. 
(b) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to items and services furnished 
on or after January 1, 2016. 
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SEC. 304. EXPANDING THE MEDICAID HOME AND COMMU-
NITY-BASED SERVICES WAIVER TO INCLUDE 
YOUTH IN NEED OF SERVICES PROVIDED IN 
A PSYCHIATRIC RESIDENTIAL TREATMENT 
FACILITY. 
(a) IN GENERAL.—Section 1915(c) of the Social Se-
curity Act (42 U.S.C. 1396n(c)) is amended— 
(1) in paragraph (1)— 
(A) by striking ‘‘a hospital or a nursing fa-
cility or intermediate care facility for the men-
tally retarded’’ and inserting ‘‘a hospital, a 
nursing facility, an intermediate care facility for 
the intellectually disabled, or a psychiatric resi-
dential treatment facility,’’; and 
(B) by striking ‘‘a hospital, nursing facil-
ity, or intermediate care facility for the men-
tally retarded’’ and inserting ‘‘a hospital, nurs-
ing facility, intermediate care facility for the in-
tellectually disabled, or psychiatric residential 
treatment facility’’; 
(2) in paragraph (2)(B), by striking ‘‘or serv-
ices in an intermediate care facility for the mentally 
retarded’’ each place it appears and inserting ‘‘serv-
ices in an intermediate care facility for the intellec-
tually disabled, or services in a psychiatric residen-
tial treatment facility’’; 
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(3) in paragraph (2)(C)— 
(A) by striking ‘‘or intermediate care facil-
ity for the mentally retarded’’ and inserting 
‘‘intermediate care facility for the intellectually 
disabled, or psychiatric residential treatment fa-
cility’’; and 
(B) by striking ‘‘or services in an inter-
mediate care facility for the mentally retarded’’ 
and inserting ‘‘services in an intermediate care 
facility for the intellectually disabled, or services 
in a psychiatric residential treatment facility’’; 
(4) in paragraph (7)(A), by striking ‘‘or inter-
mediate care facilities for the mentally retarded,’’ 
and inserting ‘‘intermediate care facilities for the in-
tellectually disabled, or psychiatric residential treat-
ment facilities,’’; and 
(5) by adding at the end the following new 
paragraph: 
‘‘(11) For purposes of this subsection, the term ‘psy-
chiatric residential treatment facility’ means a facility 
other than a hospital that is certified as meeting the re-
quirements specified in regulations promulgated for such 
facilities under section 1905(h)(1) and that provides psy-
chiatric services in an inpatient setting to individuals 
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under age 21 for which medical assistance is available 
under a State plan under this title.’’. 
(b) WAIVER LIMITATION.—Section 1915(c) of such 
Act, as amended by subsection (a), is further amended— 
(1) in paragraph (2)— 
(A) in subparagraph (D), by striking ‘‘; 
and’’ and inserting a semicolon; 
(B) in subparagraph (E), by striking the 
period at the end and inserting a semicolon; 
and 
(C) by adding at the end the following new 
subparagraphs: 
‘‘(F) under the waiver, the total number of 
Medicaid inpatient bed days at psychiatric residen-
tial treatment facilities during each fiscal year with-
in the waiver period will not exceed the total number 
of Medicaid inpatient bed days at such facilities for 
the previous fiscal year as increased by the esti-
mated percentage increase (if any) in the population 
of individuals under age 21 residing in the State 
over the preceding 12-month period; and 
‘‘(G) the State will provide to the Secretary an-
nually, subject to such requirements as the Sec-
retary determines appropriate, relevant information 
and evidence as to the manner in which the State 
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will satisfy the requirements described in subpara-
graph (F).’’; and 
(2) by adding at the end the following new 
paragraph: 
‘‘(12) For purposes of paragraph (2)(F), an indi-
vidual who is under age 21 and is an inpatient in a bed 
in a psychiatric residential treatment facility for a single 
day shall be counted as one inpatient bed day.’’. 
SEC. 305. APPLICATION OF ROSA’S LAW FOR INDIVIDUALS 
WITH INTELLECTUAL DISABILITIES. 
(a) REFERENCES IN THE SOCIAL SECURITY ACT.— 
(1) IN GENERAL.—With the exception of sec-
tion 1930(b) of the Social Security Act (42 U.S.C. 
1396u(b)), as amended by section 305, such Act is 
further amended— 
(A) by striking, wherever it appears, 
‘‘State mental retardation or developmental dis-
ability authority’’ and inserting ‘‘State intellec-
tual disability or developmental disability au-
thority’’; 
(B) by striking, wherever it appears, 
‘‘mental retardation’’ and inserting ‘‘intellectual 
disabilities’’; and 
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(C) by striking, wherever it appears, ‘‘men-
tally retarded’’ and inserting ‘‘intellectually dis-
abled’’. 
(2) CONFORMING AMENDMENT.— 
(A) IN GENERAL.—Section 1902(e)(14)(F) 
of such Act is amended by striking ‘‘mentally 
retarded’’ and inserting ‘‘intellectually dis-
abled’’. 
(B) EFFECTIVE
DATE.—The amendment 
made under subparagraph (A) shall take effect 
on January 2, 2015. 
(b) REFERENCES.— 
(1) IN GENERAL.—For purposes of each provi-
sion amended by this section, issuing or amending 
regulations to carry out a provision amended by this 
section, or issuing any publication or other official 
communication in regards to any provision of the 
Social Security Act— 
(A) a reference to an intellectual disability 
shall mean a condition previously referred to as 
mental retardation, or a variation of such term, 
and shall have the same meaning with respect 
to programs, or qualifications for such pro-
grams, for individuals with such a condition; 
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(B) a reference to an individual who is in-
tellectually disabled shall mean an individual 
who was previously referred to as an individual 
who is mentally retarded, an individual with 
mental retardation, or variations of such terms; 
(C) a reference to an intermediate care fa-
cility for the intellectually disabled shall mean 
a facility that was previously referred to as an 
intermediate care facility for the mentally re-
tarded; and 
(D) a reference to a State intellectual dis-
ability or developmental disability authority 
shall mean an entity that was previously re-
ferred to as a State mental retardation or de-
velopmental disability authority. 
(2) REGULATIONS.—For purposes of amending 
regulations to carry out this section, a Federal agen-
cy shall ensure that the regulations clearly state— 
(A) that an intellectual disability was for-
merly termed mental retardation; 
(B) that individuals with intellectual dis-
abilities were formerly termed individuals who 
are mentally retarded; 
(C) that an intermediate care facility for 
the intellectually disabled was formerly termed 
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an intermediate care facility for the mentally 
retarded; and 
(D) that a State intellectual disability or 
developmental disability authority was formerly 
termed a State mental retardation or develop-
mental disability authority. 
(c) RULE OF CONSTRUCTION.—This section shall be 
construed to make amendments to provisions of Federal 
law to substitute the term ‘‘intellectual disability’’ for 
‘‘mental retardation’’ or any variation of such term with-
out any intent to— 
(1) change the coverage, eligibility, rights, re-
sponsibilities, or definitions referred to in the 
amended provisions; or 
(2) compel States to change terminology in 
State laws for individuals covered by a provision 
amended by this section. 
SEC. 306. COMPLETE APPLICATION OF MENTAL HEALTH 
AND SUBSTANCE USE PARITY RULES UNDER 
MEDICAID AND CHIP. 
Not later than January 1, 2015, the Secretary of 
Health and Human Services shall issue a final rule to 
carry out the following provisions of law: 
(1) Section 1932(b)(8) of the Social Security 
Act (42 U.S.C. 1396u–2(b)(8)) (requiring Medicaid 
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managed care organizations to comply with the men-
tal health and substance use requirements under 
certain provisions of part A of title XXVII of the 
Public Health Service Act (42 U.S.C. 300gg et 
seq.)). 
(2) Section 1937(b)(6) of such Act (42 U.S.C. 
1396u–7(b)(6)) (requiring benchmark benefit pack-
ages or benchmark equivalent coverage to comply 
with the mental health and substance use parity re-
quirements under section 2705(a) of the Public 
Health Service Act (42 U.S.C. 300gg–4)). 
(3) Section 2103(c)(6) of such Act (42 U.S.C. 
1937cc(c)(6)) (requiring State child health plans to 
comply with mental health and substance use parity 
requirements under section 2705(a) of the Public 
Health Service Act (42 U.S.C. 300gg–4)). 
SEC. 307. COVERAGE OF MARRIAGE AND FAMILY THERA-
PIST SERVICES AND MENTAL HEALTH COUN-
SELOR SERVICES UNDER PART B OF THE 
MEDICARE PROGRAM. 
(a) COVERAGE OF SERVICES.— 
(1) IN
GENERAL.—Section 1861(s)(2) of the 
Social Security Act (42 U.S.C. 1395x(s)(2)) is 
amended— 
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(A) in subparagraph (EE), by striking 
‘‘and’’ after the semicolon at the end; 
(B) in subparagraph (FF), by inserting 
‘‘and’’ after the semicolon at the end; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(GG) marriage and family therapist services 
(as defined in subsection (iii)(1)) and mental health 
counselor 
services 
(as 
defined 
in 
subsection 
(iii)(3));’’. 
(2) DEFINITIONS.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x) is amended by add-
ing at the end the following new subsection: 
‘‘Marriage and Family Therapist Services; Marriage and 
Family Therapist; Mental Health Counselor Serv-
ices; Mental Health Counselor 
‘‘(iii)(1) The term ‘marriage and family therapist 
services’ means services performed by a marriage and 
family therapist (as defined in paragraph (2)) for the diag-
nosis and treatment of mental illnesses, which the mar-
riage and family therapist is legally authorized to perform 
under State law (or the State regulatory mechanism pro-
vided by State law) of the State in which such services 
are performed, as would otherwise be covered if furnished 
by a physician or as an incident to a physician’s profes-
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sional service, but only if no facility or other provider 
charges or is paid any amounts with respect to the fur-
nishing of such services. 
‘‘(2) The term ‘marriage and family therapist’ means 
an individual who— 
‘‘(A) possesses a master’s or doctoral degree 
which qualifies for licensure or certification as a 
marriage and family therapist pursuant to State 
law; 
‘‘(B) after obtaining such degree has performed 
at least 2 years of clinical supervised experience in 
marriage and family therapy; and 
‘‘(C) is licensed or certified as a marriage and 
family therapist in the State in which marriage and 
family therapist services are performed. 
‘‘(3) The term ‘mental health counselor services’ 
means services performed by a mental health counselor (as 
defined in paragraph (4)) for the diagnosis and treatment 
of mental illnesses which the mental health counselor is 
legally authorized to perform under State law (or the 
State regulatory mechanism provided by the State law) of 
the State in which such services are performed, as would 
otherwise be covered if furnished by a physician or as inci-
dent to a physician’s professional service, but only if no 
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facility or other provider charges or is paid any amounts 
with respect to the furnishing of such services. 
‘‘(4) The term ‘mental health counselor’ means an 
individual who— 
‘‘(A) possesses a master’s or doctoral degree in 
mental health counseling or a related field; 
‘‘(B) after obtaining such a degree has per-
formed at least 2 years of supervised mental health 
counselor practice; and 
‘‘(C) in the case of an individual performing 
services in a State that provides for licensure or cer-
tification of mental health counselors or professional 
counselors, is licensed or certified as a mental health 
counselor or professional counselor in such State.’’. 
(3) PROVISION
FOR
PAYMENT
UNDER
PART 
B.—Section 1832(a)(2)(B) of the Social Security 
Act (42 U.S.C. 1395k(a)(2)(B)) is amended by add-
ing at the end the following new clause: 
‘‘(v) marriage and family therapist 
services (as defined in section 1861(iii)(1)) 
and mental health counselor services (as 
defined in section 1861(iii)(3));’’. 
(4) AMOUNT OF PAYMENT.— 
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(A) IN GENERAL.—Section 1833(a)(1) of 
the Social Security Act (42 U.S.C. 1395l(a)(1)) 
is amended— 
(i) by striking ‘‘and (Z)’’ and insert-
ing ‘‘(Z)’’; and 
(ii) by inserting before the semicolon 
at the end the following: ‘‘, and (AA) with 
respect to marriage and family therapist 
services and mental health counselor serv-
ices under section 1861(s)(2)(GG), the 
amounts paid shall be 80 percent of the 
lesser of the actual charge for the services 
or 75 percent of the amount determined 
for payment of a psychologist under sub-
paragraph (L)’’. 
(B) DEVELOPMENT OF CRITERIA WITH RE-
SPECT
TO
CONSULTATION
WITH
A
HEALTH 
CARE PROFESSIONAL.—The Secretary of Health 
and Human Services shall, taking into consider-
ation concerns for patient confidentiality, de-
velop criteria with respect to payment for mar-
riage and family therapist services for which 
payment may be made directly to the marriage 
and family therapist under part B of title 
XVIII of the Social Security Act (42 U.S.C. 
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1395j et seq.) under which such a therapist 
must agree to consult with a patient’s attending 
or primary care physician or nurse practitioner 
in accordance with such criteria. 
(5) EXCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPIST SERVICES AND MENTAL HEALTH COUN-
SELOR SERVICES FROM SKILLED NURSING FACILITY 
PROSPECTIVE
PAYMENT
SYSTEM.—Section 
1888(e)(2)(A)(ii) of the Social Security Act (42 
U.S.C. 1395yy(e)(2)(A)(ii)) is amended by inserting 
‘‘marriage and family therapist services (as defined 
in section 1861(iii)(1)), mental health counselor 
services (as defined in section 1861(iii)(3)),’’ after 
‘‘qualified psychologist services,’’. 
(6) INCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPISTS AND MENTAL HEALTH COUNSELORS AS 
PRACTITIONERS FOR ASSIGNMENT OF CLAIMS.—Sec-
tion 1842(b)(18)(C) of the Social Security Act (42 
U.S.C. 1395u(b)(18)(C)) is amended by adding at 
the end the following new clauses: 
‘‘(vii) A marriage and family therapist (as de-
fined in section 1861(iii)(2)). 
‘‘(viii) A mental health counselor (as defined in 
section 1861(iii)(4)).’’. 
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(b) COVERAGE OF CERTAIN MENTAL HEALTH SERV-
ICES PROVIDED IN CERTAIN SETTINGS.— 
(1) RURAL HEALTH CLINICS AND FEDERALLY 
QUALIFIED
HEALTH
CENTERS.—Section 
1861(aa)(1)(B) of the Social Security Act (42 
U.S.C. 1395x(aa)(1)(B)) is amended by striking ‘‘or 
by a clinical social worker (as defined in subsection 
(hh)(1))’’ and inserting ‘‘, by a clinical social worker 
(as defined in subsection (hh)(1)), by a marriage 
and family therapist (as defined in subsection 
(iii)(2)), or by a mental health counselor (as defined 
in subsection (iii)(4))’’. 
(2) 
HOSPICE
PROGRAMS.—Section 
1861(dd)(2)(B)(i)(III) of the Social Security Act (42 
U.S.C. 1395x(dd)(2)(B)(i)(III)) is amended by in-
serting ‘‘(and may, in addition, include a marriage 
and family therapist and mental health counselor)’’ 
after ‘‘social worker’’. 
(c) AUTHORIZATION
OF MARRIAGE
AND FAMILY 
THERAPISTS
AND MENTAL HEALTH COUNSELORS TO 
DEVELOP DISCHARGE PLANS FOR POST-HOSPITAL SERV-
ICES.—Section 1861(ee)(2)(G) of the Social Security Act 
(42 U.S.C. 1395x(ee)(2)(G)) is amended by inserting ‘‘, 
including a marriage and family therapist and a mental 
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health counselor who meets qualification standards estab-
lished by the Secretary’’ before the period at the end. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services furnished 
on or after the date that is one year after the date of 
the enactment of this Act. 
TITLE IV—DEVELOPING THE BE-
HAVIORAL 
HEALTH 
WORK-
FORCE 
SEC. 401. NATIONAL HEALTH SERVICE CORPS SCHOLAR-
SHIP AND LOAN REPAYMENT FUNDING FOR 
BEHAVIORAL AND MENTAL HEALTH PROFES-
SIONALS. 
Section 338H of the Public Health Service Act (42 
U.S.C. 254q) is amended— 
(1) by redesignating subsections (b) and (c) as 
subsections (c) and (d), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) ADDITIONAL FUNDING FOR BEHAVIORAL AND 
MENTAL HEALTH PROFESSIONALS.—In addition to the 
amounts authorized to be appropriated under subsection 
(a), and in addition to the amounts appropriated under 
section 10503 of Public Law 111–148, there are author-
ized to be appropriated such sums as may be necessary 
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for fiscal years 2015 through 2019 for scholarships and 
loan repayments under this subpart for ensuring, as de-
scribed in sections 338A(a) and 338B(a), an adequate 
supply of behavioral and mental health professionals.’’. 
SEC. 402. REAUTHORIZATION OF HRSA’S MENTAL AND BE-
HAVIORAL HEALTH EDUCATION AND TRAIN-
ING PROGRAM. 
Subsection (e) of section 756 of the Public Health 
Service Act (42 U.S.C. 294e–1) is amended to read as 
follows: 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2015 through 2019.’’. 
SEC. 403. SAMHSA GRANT PROGRAM FOR DEVELOPMENT 
AND IMPLEMENTATION OF CURRICULA FOR 
CONTINUING EDUCATION ON SERIOUS MEN-
TAL ILLNESS. 
Title V of the Public Health Service Act is amended 
by inserting after section 520I (42 U.S.C. 290bb–40) the 
following: 
‘‘SEC. 520I–1. CURRICULA FOR CONTINUING EDUCATION ON 
SERIOUS MENTAL ILLNESS. 
‘‘(a) GRANTS.—The Secretary may award grants to 
eligible entities for the development and implementation 
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of curricula for providing continuing education and train-
ing to health care professionals on identifying, referring, 
and treating individuals with serious mental illness. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to seek a 
grant under this section, an entity shall be a public or 
nonprofit entity that— 
‘‘(1) provides continuing education or training 
to health care professionals; or 
‘‘(2) applies for the grant in partnership with 
another entity that provides such education and 
training. 
‘‘(c) PREFERENCE.—In awarding grants under this 
section, the Secretary shall give preference to eligible enti-
ties proposing to develop and implement curricula for pro-
viding continuing education and training to— 
‘‘(1) health care professionals in primary care 
specialities; or 
‘‘(2) health care professionals who are required, 
as a condition of State licensure, to participate in 
continuing education or training specific to mental 
health. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated such sums as may be necessary for fiscal years 
2015 through 2019.’’. 
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SEC. 404. DEMONSTRATION GRANT PROGRAM TO RECRUIT, 
TRAIN, DEPLOY, AND PROFESSIONALLY SUP-
PORT PSYCHIATRIC PHYSICIANS IN INDIAN 
HEALTH PROGRAMS. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Native American Psychiatric and Mental Health Care 
Improvement Act’’. 
(b) DEMONSTRATION GRANT PROGRAM TO RECRUIT, 
TRAIN, DEPLOY, AND PROFESSIONALLY SUPPORT PSY-
CHIATRIC PHYSICIANS IN INDIAN HEALTH PROGRAMS.— 
(1) ESTABLISHMENT.—The Secretary of Health 
and Human Services (in this subsection referred to 
as the ‘‘Secretary’’), in consultation with the Direc-
tor of the Indian Health Service and demonstration 
programs established under section 123 of the In-
dian Health Care Improvement Act (25 U.S.C. 
1616p), shall award one 5-year grant to one eligible 
entity to carry out a demonstration program (in this 
Act referred to as the ‘‘Program’’) under which the 
eligible entity shall carry out the activities described 
in paragraph (2). 
(2) ACTIVITIES TO BE CARRIED OUT BY RECIPI-
ENT OF GRANT UNDER PROGRAM.—Under the Pro-
gram, the grant recipient shall— 
(A) create a nationally replicable workforce 
model that identifies and incorporates best 
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practices for recruiting, training, deploying, and 
professionally supporting Native American and 
non-Native American psychiatric physicians to 
be fully integrated into medical, mental, and be-
havioral health systems in Indian health pro-
grams; 
(B) recruit to participate in the Program 
Native American and non-Native American psy-
chiatric physicians who demonstrate interest in 
providing specialty health care services (as de-
fined in section 313(a)(3) of the Indian Health 
Care 
Improvement 
Act 
(25 
U.S.C. 
1638g(a)(3))) and primary care services to 
American Indians and Alaska Natives; 
(C) provide such psychiatric physicians 
participating in the Program with not more 
than 1 year of supplemental clinical and cul-
tural competency training to enable such physi-
cians to provide such specialty health care serv-
ices and primary care services in Indian health 
programs; 
(D) with respect to such psychiatric physi-
cians who are participating in the Program and 
trained under subparagraph (C), deploy such 
physicians to practice specialty care or primary 
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care in Indian health programs for a period of 
not less than 2 years and professionally support 
such physicians for such period with respect to 
practicing such care in such programs; and 
(E) not later than 1 year after the last day 
of the 5-year period for which the grant is 
awarded under paragraph (1), submit to the 
Secretary and to the appropriate committees of 
Congress a report that shall include— 
(i) the workforce model created under 
subparagraph (A); 
(ii) strategies for disseminating the 
workforce model to other entities with the 
capability of adopting it; and 
(iii) recommendations for the Sec-
retary and Congress with respect to sup-
porting an effective and stable psychiatric 
and mental health workforce that serves 
American Indians and Alaska Natives. 
(3) ELIGIBLE ENTITIES.— 
(A) REQUIREMENTS.—To be eligible to re-
ceive the grant under this section, an entity 
shall— 
(i) submit to the Secretary an applica-
tion at such time, in such manner, and 
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containing such information as the Sec-
retary may require; 
(ii) be a department of psychiatry 
within a medical school in the United 
States that is accredited by the Liaison 
Committee on Medical Education or a pub-
lic or private nonprofit entity affiliated 
with a medical school in the United States 
that is accredited by the Liaison Com-
mittee on Medical Education; and 
(iii) have in existence, as of the time 
of submission of the application under sub-
paragraph (A), a relationship with Indian 
health programs in at least two States with 
a demonstrated need for psychiatric physi-
cians and provide assurances that the 
grant will be used to serve rural and non- 
rural American Indian and Alaska Native 
populations in at least two States. 
(B) PRIORITY IN SELECTING GRANT RE-
CIPIENT.—In awarding the grant under this 
section, the Secretary shall give priority to an 
eligible entity that satisfies each of the fol-
lowing: 
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(i) Demonstrates sufficient infrastruc-
ture in size, scope, and capacity to under-
take the supplemental clinical and cultural 
competency training of a minimum of 5 
psychiatric physicians, and to provide on-
going professional support to psychiatric 
physicians during the deployment period to 
an Indian health program. 
(ii) Demonstrates a record in success-
fully recruiting, training, and deploying 
physicians who are American Indians and 
Alaska Natives. 
(iii) Demonstrates the ability to estab-
lish a program advisory board, which may 
be primarily composed of representatives of 
federally recognized tribes, Alaska Natives, 
and Indian health programs to be served 
by the Program. 
(4) ELIGIBILITY OF PSYCHIATRIC PHYSICIANS 
TO PARTICIPATE IN THE PROGRAM.— 
(A) IN GENERAL.—To be eligible to par-
ticipate in the Program, as described in para-
graph (2), a psychiatric physician shall— 
(i) be licensed or eligible for licensure 
to practice in the State to which the physi-
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cian is to be deployed under paragraph 
(2)(D); and 
(ii) demonstrate a commitment be-
yond the one year of training described in 
paragraph (2)(C) and two years of deploy-
ment described in paragraph (2)(D) to a 
career as a specialty care physician or pri-
mary care physician providing mental 
health services in Indian health programs. 
(B) PREFERENCE.—In selecting physicians 
to participate under the Program, as described 
in paragraph (2)(B), the grant recipient shall 
give preference to physicians who are American 
Indians and Alaska Natives. 
(5) LOAN FORGIVENESS.—Under the Program, 
any psychiatric physician accepted to participate in 
the Program shall, notwithstanding the provisions of 
subsection (b) of section 108 of the Indian Health 
Care Improvement Act (25 U.S.C. 1616a) and upon 
acceptance into the Program, be deemed eligible and 
enrolled to participate in the Indian Health Service 
Loan Repayment Program under such section 108. 
Under such Loan Repayment Program, the Sec-
retary shall pay on behalf of the physician for each 
year of deployment under the Program under this 
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section up to $35,000 for loans described in sub-
section (g)(1) of such section 108. 
(6) DEFERRAL
OF
CERTAIN
SERVICE.—The 
starting date of required service of individuals in the 
National Health Service Corps Service Program 
under title II of the Public Health Service Act (42 
U.S.C. 202 et seq.) who are psychiatric physicians 
participating under the Program under this section 
shall be deferred until the date that is 30 days after 
the date of completion of the participation of such 
a physician in the Program under this section. 
(7) DEFINITIONS.—For purposes of this Act: 
(A) AMERICAN INDIANS AND ALASKA NA-
TIVES.—The term ‘‘American Indians and Alas-
ka Natives’’ has the meaning given the term 
‘‘Indian’’ in section 447.50(b)(1) of title 42, 
Code of Federal Regulations, as in existence as 
of the date of the enactment of this Act. 
(B) INDIAN HEALTH PROGRAM.—The term 
‘‘Indian health program’’ has the meaning given 
such term in section 104(12) of the Indian 
Health Care Improvement Act (25 U.S.C. 
1603(12)). 
(C) 
PROFESSIONALLY
SUPPORT.—The 
term ‘‘professionally support’’ means, with re-
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spect to psychiatric physicians participating in 
the Program and deployed to practice specialty 
care or primary care in Indian health programs, 
the provision of compensation to such physi-
cians for the provision of such care during such 
deployment and may include the provision, dis-
semination, or sharing of best practices, field 
training, and other activities deemed appro-
priate by the recipient of the grant under this 
section. 
(D) PSYCHIATRIC PHYSICIAN.—The term 
‘‘psychiatric physician’’ means a medical doctor 
or doctor of osteopathy in good standing who 
has successfully completed four-year psychiatric 
residency training or who is enrolled in four- 
year psychiatric residency training in a resi-
dency program accredited by the Accreditation 
Council for Graduate Medical Education. 
(8) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $1,000,000 for each of the fiscal years 
2015 through 2019. 
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SEC. 405. INCLUDING OCCUPATIONAL THERAPISTS AS BE-
HAVIORAL AND MENTAL HEALTH PROFES-
SIONALS FOR PURPOSES OF THE NATIONAL 
HEALTH SERVICE CORPS. 
(a) INCLUSION
OF OCCUPATIONAL THERAPIST.— 
Section 331(a)(3)(E)(i) of the Public Health Service Act 
(42 U.S.C. 254d(a)(3)(E)(i)) is amended by inserting 
‘‘subject to section 405(b)(2) of the Strengthening Mental 
Health in Our Communities Act of 2014, occupational 
therapists,’’ after ‘‘psychiatric nurse specialists;’’. 
(b) EFFECTIVE DATE; CONTINGENT IMPLEMENTA-
TION.— 
(1) EFFECTIVE DATE.—Subject to paragraph 
(2), the amendment made by subsection (a) shall 
apply beginning on October 1, 2014. 
(2) 
CONTINGENT
IMPLEMENTATION.—The 
amendment made by subsection (a) shall apply with 
respect to obligations entered into for a fiscal year 
after fiscal year 2014 only if the total amount made 
available for the purpose of carrying out subparts II 
and III of part D of title III of the Public Health 
Service Act (42 U.S.C. 254d et seq.) for such fiscal 
year is greater than the total amount made available 
for such purpose for fiscal year 2014. 
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SEC. 406. EXTENSION OF CERTAIN HEALTH CARE WORK-
FORCE 
LOAN 
REPAYMENT 
PROGRAMS 
THROUGH FISCAL YEAR 2019. 
Section 775(e) of the Public Health Service Act (42 
U.S.C. 295f(e)) is amended— 
(1) by striking ‘‘2014’’ and inserting ‘‘2019’’; 
and 
(2) by striking ‘‘2013’’ and inserting ‘‘2019’’. 
TITLE V—IMPROVING MENTAL 
HEALTH RESEARCH AND CO-
ORDINATION 
SEC. 501. NATIONAL INSTITUTE OF MENTAL HEALTH RE-
SEARCH PROGRAM ON SERIOUS MENTAL ILL-
NESS AND SUICIDE PREVENTION. 
(a) PURPOSE OF INSTITUTE.—Section 464R(a) of 
the Public Health Service Act (42 U.S.C. 285p(a)) is 
amended by inserting ‘‘serious mental illness research,’’ 
after ‘‘biomedical and behavioral research,’’. 
(b) RESEARCH PROGRAM.—Section 464R(b) of the 
Public Health Service Act (42 U.S.C. 285p(b)) is amend-
ed— 
(1) by striking ‘‘The research program’’ and in-
serting the following: 
‘‘(1) IN GENERAL.—The research program’’; 
(2) by striking ‘‘to further the treatment and 
prevention of mental illness’’ and inserting ‘‘to fur-
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ther the treatment and prevention of mental illness 
(including serious mental illness)’’; and 
(3) by adding at the end the following: 
‘‘(2) RESEARCH
WITH
RESPECT
TO
SERIOUS 
MENTAL ILLNESS.—As part of the research program 
established under this subpart, the Director of the 
Institute shall conduct or support research on seri-
ous mental illness, including with respect to— 
‘‘(A) the causes, prevention, and treatment 
of serious mental illness; and 
‘‘(B) interventions to improve early identi-
fication of individuals with serious mental ill-
ness. 
‘‘(3) RESEARCH WITH RESPECT TO VIOLENCE 
ASSOCIATED
WITH
MENTAL
ILLNESS.—As part of 
the research program established under this subpart, 
the Director of the Institute shall conduct or support 
research on self-directed and other-directed violence 
associated with mental illness, including with respect 
to— 
‘‘(A) the causes of such violence; and 
‘‘(B) interventions to reduce the risk of 
self-harm, suicide, and interpersonal violence, 
including in rural and other underserved com-
munities.’’. 
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(c) BIENNIAL REPORT.—Section 403(a)(5) of the 
Public Health Service Act (42 U.S.C. 283(a)(5)) is 
amended— 
(1) by redesignating subparagraph (L) as sub-
paragraph (M); and 
(2) by inserting after subparagraph (K) the fol-
lowing: 
‘‘(L) Serious mental illness.’’. 
(d) AUTHORIZATION OF APPROPRIATIONS.—Section 
464R of the Public Health Service Act (42 U.S.C. 285p) 
is amended by adding at the end the following: 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—In addi-
tion to amounts otherwise made available to the National 
Institute of Mental Health, including amounts appro-
priated pursuant to section 402A(a), there are authorized 
to be appropriated to such Institute $40,000,000 for each 
of fiscal years 2015 through 2019 to carry out subsection 
(b)(3) (relating to research with respect to violence associ-
ated with mental illness).’’. 
SEC. 502. YOUTH MENTAL HEALTH RESEARCH NETWORK. 
(a) YOUTH
MENTAL
HEALTH
RESEARCH
NET-
WORK.— 
(1) NETWORK.—The Director of the National 
Institutes of Health may provide for the establish-
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ment of a Youth Mental Health Research Network 
for the conduct or support of— 
(A) youth mental health research; and 
(B) youth mental health intervention serv-
ices. 
(2) COLLABORATION BY INSTITUTES AND CEN-
TERS.—The Director of NIH shall carry out this 
Act acting— 
(A) through the Director of the National 
Institute of Mental Health; and 
(B) in collaboration with other appropriate 
national research institutes and national centers 
that carry out activities involving youth mental 
health research. 
(3) MENTAL HEALTH RESEARCH.— 
(A) IN GENERAL.—In carrying out para-
graph (1), the Director of NIH may award co-
operative agreements, grants, and contracts to 
State, local, and tribal governments and private 
nonprofit entities for— 
(i) conducting, or entering into con-
sortia with other entities to conduct— 
(I) basic, clinical, behavioral, or 
translational research to meet unmet 
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needs for youth mental health re-
search; or 
(II) training for researchers in 
youth mental health research tech-
niques; 
(ii) providing, or partnering with non- 
research institutions or community-based 
groups with existing connections to youth 
to provide, youth mental health interven-
tion services; and 
(iii) collaborating with the National 
Institute of Mental Health to make use of, 
and build on, the scientific findings and 
clinical techniques of the Institute’s earlier 
programs, 
studies, 
and 
demonstration 
projects. 
(B) RESEARCH.—The Director of NIH 
shall ensure that— 
(i) each recipient of an award under 
subparagraph (A)(i) conducts or supports 
at least one category of research described 
in subparagraph (A)(i)(I) and collectively 
such recipients conduct or support all such 
categories of research; and 
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(ii) one or more such recipients pro-
vide training described in subparagraph 
(A)(i)(II). 
(C) NUMBER
OF
AWARD
RECIPIENTS.— 
The Director of NIH may make awards under 
this paragraph for not more than 70 entities. 
(D) SUPPLEMENT, NOT SUPPLANT.—Any 
support received by an entity under subpara-
graph (A) shall be used to supplement, and not 
supplant, other public or private support for ac-
tivities authorized to be supported under this 
paragraph. 
(E) DURATION OF SUPPORT.—Support of 
an entity under subparagraph (A) may be for a 
period of not to exceed 5 years. Such period 
may be extended by the Director of NIH for 
additional periods of not more than 5 years. 
(4) COORDINATION.—The Director of NIH 
shall— 
(A) as appropriate, provide for the coordi-
nation of activities (including the exchange of 
information and regular communication) among 
the recipients of awards under this subsection; 
and 
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(B) require the periodic preparation and 
submission to the Director of reports on the ac-
tivities of each such recipient. 
(b) INTERVENTION SERVICES FOR, AND RESEARCH 
ON, SERIOUS EMOTIONAL DISTURBANCE.— 
(1) IN
GENERAL.—In making awards under 
subsection (a)(3), the Director of NIH shall ensure 
that an appropriate number of such awards are 
awarded to entities that agree to— 
(A) focus primarily on the early detection 
of and interventions for serious emotional dis-
turbances in children and adolescents; 
(B) conduct or coordinate one or more 
multisite clinical trials of therapies for, or ap-
proaches to, the prevention, diagnosis, or treat-
ment of early serious emotional disturbance in 
a community setting; 
(C) rapidly and efficiently disseminate sci-
entific findings resulting from such trials; and 
(D) adhere to the guidelines, protocols, 
and practices used in the North American Pro-
drome Longitudinal Study (NAPLS) and the 
Recovery After an Initial Schizophrenia Episode 
(RAISE) initiative. 
(2) DATA COORDINATING CENTER.— 
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(A) ESTABLISHMENT.—In connection with 
awards to entities described in paragraph (1), 
the Director of NIH shall establish a data co-
ordinating center for the following purposes: 
(i) To distribute the scientific findings 
referred to in paragraph (1)(C). 
(ii) To provide assistance in the de-
sign and conduct of collaborative research 
projects and the management, analysis, 
and storage of data associated with such 
projects. 
(iii) To organize and conduct multisite 
monitoring activities. 
(iv) To provide assistance to the Cen-
ters for Disease Control and Prevention in 
the establishment of patient registries. 
(B) REPORTING.—The Director of NIH 
shall— 
(i) require the data coordinating cen-
ter established under subparagraph (A) to 
provide regular reports to the Director of 
NIH on research conducted by entities de-
scribed in paragraph (1), including infor-
mation on enrollment in clinical trials and 
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the allocation of resources with respect to 
such research; and 
(ii) as appropriate, incorporate infor-
mation reported under clause (i) into the 
Director’s biennial reports under section 
403 of the Public Health Service Act (42 
U.S.C. 283). 
(c) DEFINITIONS.—In this Act, the terms ‘‘Director 
of NIH’’, ‘‘national center’’, and ‘‘national research insti-
tute’’ have the meanings given to such terms in section 
401 of the Public Health Service Act (42 U.S.C. 281). 
(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this Act, there is authorized to be appropriated 
$25,000,000 for each of fiscal years 2015 through 2019. 
SEC. 503. NATIONAL VIOLENT DEATH REPORTING SYSTEM. 
The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall improve, particularly through the in-
clusion of additional States, the National Violent Death 
Reporting System, as authorized by title III of the Public 
Health Service Act (42 U.S.C. 241 et seq.). Participation 
in the system by the States shall be voluntary. 
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TITLE VI—EDUCATION AND 
YOUTH 
SEC. 601. SCHOOL-BASED MENTAL HEALTH PROGRAMS. 
(a) PURPOSES.—It is the purpose of this section to— 
(1) revise, increase funding for, and expand the 
scope of the Safe Schools-Healthy Students program 
in order to provide access to more comprehensive 
school-based mental health services and supports; 
(2) increase access to school employed mental 
health professionals; 
(3) provide for comprehensive staff development 
for school and community service personnel working 
in the school; and 
(4) provide for comprehensive training for chil-
dren with mental health disorders, for parents, sib-
lings, and other family members of such children, 
and for concerned members of the community. 
(b) AMENDMENTS TO THE PUBLIC HEALTH SERVICE 
ACT.— 
(1) TECHNICAL
AMENDMENTS.—The second 
part G (relating to services provided through reli-
gious organizations) of title V of the Public Health 
Service Act (42 U.S.C. 290kk et seq.) is amended— 
(A) by redesignating such part as part J; 
and 
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(B) by redesignating sections 581 through 
584 as sections 596 through 596C, respectively. 
(2) SCHOOL-BASED
MENTAL
HEALTH
AND 
CHILDREN AND VIOLENCE.—Section 581 of the Pub-
lic Health Service Act (42 U.S.C. 290hh) is amend-
ed to read as follows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN AND VIOLENCE. 
‘‘(a) IN GENERAL.—The Secretary, in collaboration 
with the Secretary of Education and in consultation with 
the Attorney General, shall, directly or through grants, 
contracts, or cooperative agreements awarded to States, 
assist local communities and schools in applying a public 
health approach to mental health services both in schools 
and in the community. Such an approach should provide 
comprehensive, age-appropriate services and supports, be 
linguistically and culturally appropriate, be trauma-in-
formed, and incorporate age appropriate strategies of posi-
tive behavioral interventions and supports. 
‘‘(b) ACTIVITIES.—Under the program under sub-
section (a), the Secretary may— 
‘‘(1) provide financial support to enable local 
communities to implement a comprehensive cul-
turally and linguistically appropriate, trauma-in-
formed, and age-appropriate, school mental health 
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program that incorporates positive behavioral inter-
ventions, client treatment, and supports to foster the 
health and development of children; 
‘‘(2) provide technical assistance to local com-
munities with respect to the development of pro-
grams described in paragraph (1); 
‘‘(3) provide assistance to local communities in 
the development of policies to address child and ado-
lescent trauma and mental health issues and violence 
when and if it occurs; 
‘‘(4) facilitate community partnerships among 
families, students, law enforcement agencies, edu-
cation systems, school-based health centers, mental 
health and substance use disorder service systems, 
family-based mental health service systems, welfare 
agencies, health care service systems (including phy-
sicians), faith-based programs, trauma networks, 
and other community-based systems; and 
‘‘(5) establish mechanisms for children and ado-
lescents to report incidents of violence or plans by 
other children, adolescents, or adults to commit vio-
lence. 
‘‘(c) REQUIREMENTS.— 
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‘‘(1) IN GENERAL.—To be eligible for a grant, 
contract, or cooperative agreement under subsection 
(a), an entity shall— 
‘‘(A) be a State, in partnership with at 
least three local education agencies; and 
‘‘(B) submit an application, that is en-
dorsed by all members of the partnership, that 
contains the assurances described in paragraph 
(2). 
‘‘(2) REQUIRED ASSURANCES.—An application 
under paragraph (1) shall contain assurances as fol-
lows: 
‘‘(A) That the applicant will ensure that, 
in carrying out activities under this section, the 
local educational agency involved will enter into 
a memorandum of understanding— 
‘‘(i) with, at least one, public or pri-
vate mental health entity, health care enti-
ty, law enforcement or juvenile justice enti-
ty, child welfare agency, family-based men-
tal health entity, family or family organiza-
tion, trauma network, or other community- 
based entity; and 
‘‘(ii) that clearly states— 
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‘‘(I) how school employed mental 
health professionals will be utilized for 
carrying out such responsibilities; 
‘‘(II) the responsibilities of each 
partner with respect to the activities 
to be carried out; 
‘‘(III) how each such partner will 
be accountable for carrying out such 
responsibilities; and 
‘‘(IV) the amount of non-Federal 
funding or in-kind contributions that 
each such partner will contribute in 
order to sustain the program. 
‘‘(B) That the comprehensive school-based 
mental health program carried out under this 
section supports the flexible use of funds to ad-
dress— 
‘‘(i) the promotion of the social, emo-
tional, and behavioral health of all students 
in an environment that is conducive to 
learning; 
‘‘(ii) the reduction in the likelihood of 
at-risk students developing social, emo-
tional, behavioral health problems, or sub-
stance use disorders; 
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‘‘(iii) the early identification of social, 
emotional, behavioral problems, or sub-
stance use disorders and the provision of 
early intervention services; 
‘‘(iv) the treatment or referral for 
treatment of students with existing social, 
emotional, behavioral health problems, or 
substance use disorders; and 
‘‘(v) the development and implementa-
tion of programs to assist children in deal-
ing with trauma and violence. 
‘‘(C) That the comprehensive school-based 
mental health program carried out under this 
section will provide for in-service training of all 
school personnel, including ancillary staff and 
volunteers, in— 
‘‘(i) the techniques and supports need-
ed to identify early children with trauma 
histories and children with, or at risk of, 
mental illness; 
‘‘(ii) the use of referral mechanisms 
that effectively link such children to appro-
priate treatment and intervention services 
in the school and in the community and to 
follow up when services are not available; 
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‘‘(iii) strategies that promote a school- 
wide positive environment; 
‘‘(iv) strategies for promoting the so-
cial, emotional, mental, and behavioral 
health of all students; and 
‘‘(v) strategies to increase the knowl-
edge and skills of school and community 
leaders about the impact of trauma and vi-
olence and on the application of a public 
health approach to comprehensive school- 
based mental health programs. 
‘‘(D) That the comprehensive school-based 
mental health program carried out under this 
section will include comprehensive training for 
parents, siblings, and other family members of 
children with mental health disorders, and for 
concerned members of the community in— 
‘‘(i) the techniques and supports need-
ed to identify early children with trauma 
histories, and children with, or at risk of, 
mental illness; 
‘‘(ii) the use of referral mechanisms 
that effectively link such children to appro-
priate treatment and intervention services 
in the school and in the community and 
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100 
follow up when such services are not avail-
able; and 
‘‘(iii) strategies that promote a school- 
wide positive environment. 
‘‘(E) That the comprehensive school-based 
mental health program carried out under this 
section will demonstrate the measures to be 
taken to sustain the program after funding 
under this section terminates. 
‘‘(F) That the local educational agency 
partnership involved is supported by the State 
educational and mental health system to ensure 
that the sustainability of the program is estab-
lished after funding under this section termi-
nates. 
‘‘(G) That the comprehensive school-based 
mental health program carried out under this 
section will be based on trauma-informed and 
evidence-based practices. 
‘‘(H) That the comprehensive school-based 
mental health program carried out under this 
section will be coordinated with early inter-
vening activities carried out under the Individ-
uals with Disabilities Education Act. 
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101 
‘‘(I) That the comprehensive school-based 
mental health program carried out under this 
section will be trauma-informed and culturally 
and linguistically appropriate. 
‘‘(J) That the comprehensive school-based 
mental health program carried out under this 
section will include a broad needs assessment of 
youth who drop out of school due to policies of 
‘zero tolerance’ with respect to drugs, alcohol, 
or weapons and an inability to obtain appro-
priate services. 
‘‘(K) That the mental health services pro-
vided through the comprehensive school-based 
mental health program carried out under this 
section will be provided by qualified mental and 
behavioral health professionals who are certified 
or licensed by the State involved and practicing 
within their area of expertise. 
‘‘(3) COORDINATOR.—Any entity that is a 
member of a partnership described in paragraph 
(1)(A) may serve as the coordinator of funding and 
activities under the grant if all members of the part-
nership agree. 
‘‘(4) COMPLIANCE
WITH
HIPAA.—A grantee 
under this section shall be deemed to be a covered 
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102 
entity for purposes of compliance with the regula-
tions promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996 with respect to any patient records devel-
oped through activities under the grant. 
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary 
shall ensure that grants, contracts, or cooperative agree-
ments under subsection (a) will be distributed equitably 
among the regions of the country and among urban and 
rural areas. 
‘‘(e) DURATION
OF AWARDS.—With respect to a 
grant, contract, or cooperative agreement under sub-
section (a), the period during which payments under such 
an award will be made to the recipient shall be 6 years. 
An entity may receive only one award under this section, 
except that an entity that is providing services and sup-
ports on a regional basis may receive additional funding 
after the expiration of the preceding grant period. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT
OF
PROCESS.—The Ad-
ministrator shall develop a fiscally appropriate proc-
ess for evaluating activities carried out under this 
section. Such process shall include— 
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103 
‘‘(A) the development of guidelines for the 
submission of program data by grant, contract, 
or cooperative agreement recipients; 
‘‘(B) the development of measures of out-
comes (in accordance with paragraph (2)) to be 
applied by such recipients in evaluating pro-
grams carried out under this section; and 
‘‘(C) the submission of annual reports by 
such recipients concerning the effectiveness of 
programs carried out under this section. 
‘‘(2) MEASURES OF OUTCOMES.— 
‘‘(A) IN
GENERAL.—The Administrator 
shall develop measures of outcomes to be ap-
plied by recipients of assistance under this sec-
tion, and the Administrator, in evaluating the 
effectiveness of programs carried out under this 
section. Such measures shall include student 
and family measures as provided for in sub-
paragraph (B) and local educational measures 
as provided for under subparagraph (C). 
‘‘(B) STUDENT AND FAMILY MEASURES OF 
OUTCOMES.—The measures of outcomes devel-
oped under paragraph (1)(B) relating to stu-
dents and families shall, with respect to activi-
ties carried out under a program under this 
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104 
section, at a minimum include provisions to 
evaluate whether the program is effective in— 
‘‘(i) increasing social and emotional 
competency; 
‘‘(ii) increasing academic competency 
(as defined by Secretary); 
‘‘(iii) reducing disruptive and aggres-
sive behaviors; 
‘‘(iv) improving child functioning; 
‘‘(v) reducing substance use disorders; 
‘‘(vi) reducing suspensions, truancy, 
expulsions and violence; 
‘‘(vii) increasing graduation rates (as 
defined in section 1111(b)(2)(C)(vi) of the 
Elementary and Secondary Education Act 
of 1965); and 
‘‘(viii) improving access to care for 
mental health disorders. 
‘‘(C) LOCAL EDUCATIONAL OUTCOMES.— 
The outcome measures developed under para-
graph (1)(B) relating to local educational sys-
tems shall, with respect to activities carried out 
under a program under this section, at a min-
imum include provisions to evaluate— 
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105 
‘‘(i) the effectiveness of comprehensive 
school mental health programs established 
under this section; 
‘‘(ii) the effectiveness of formal part-
nership linkages among child and family 
serving institutions, community support 
systems, and the educational system; 
‘‘(iii) the progress made in sustaining 
the program once funding under the grant 
has expired; 
‘‘(iv) the effectiveness of training and 
professional development programs for all 
school personnel that incorporate indica-
tors that measure cultural and linguistic 
competencies under the program in a man-
ner that incorporates appropriate cultural 
and linguistic training; 
‘‘(v) the improvement in perception of 
a safe and supportive learning environment 
among school staff, students, and parents; 
‘‘(vi) the improvement in case-finding 
of students in need of more intensive serv-
ices and referral of identified students to 
early intervention and clinical services; 
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106 
‘‘(vii) the improvement in the imme-
diate availability of clinical assessment and 
treatment services within the context of 
the local community to students posing a 
danger to themselves or others; 
‘‘(viii) the increased successful matric-
ulation to postsecondary school; and 
‘‘(ix) reduced referrals to juvenile jus-
tice. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An entity 
that receives a grant, contract, or cooperative agree-
ment under this section shall annually submit to the 
Administrator a report that includes data to evalu-
ate the success of the program carried out by the en-
tity based on whether such program is achieving the 
purposes of the program. Such reports shall utilize 
the measures of outcomes under paragraph (2) in a 
reasonable manner to demonstrate the progress of 
the program in achieving such purposes. 
‘‘(4) EVALUATION BY ADMINISTRATOR.—Based 
on the data submitted under paragraph (3), the Ad-
ministrator shall annually submit to Congress a re-
port concerning the results and effectiveness of the 
programs carried out with assistance received under 
this section. 
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107 
‘‘(5) LIMITATION.—A grantee shall use not to 
exceed 10 percent of amounts received under a grant 
under this section to carry out evaluation activities 
under this subsection. 
‘‘(g) INFORMATION
AND
EDUCATION.—The Sec-
retary shall establish comprehensive information and edu-
cation programs to disseminate the findings of the knowl-
edge development and application under this section to the 
general public and to health care professionals. 
‘‘(h) AMOUNT OF GRANTS AND AUTHORIZATION OF 
APPROPRIATIONS.— 
‘‘(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$1,000,000 for each of grant years 2015 through 
2019. The Secretary shall determine the amount of 
each such grant based on the population of children 
up to age 21 of the area to be served under the 
grant. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section, $200,000,000 for each of fiscal years 
2015 through 2019.’’. 
(3) CONFORMING AMENDMENT.—Part G of title 
V of the Public Health Service Act (42 U.S.C. 
290hh et seq.), as amended by this section, is fur-
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108 
ther amended by striking the part heading and in-
serting the following: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
SEC. 602. EXAMINING MENTAL HEALTH CARE FOR CHIL-
DREN. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Comptroller General 
of the United States shall conduct an independent evalua-
tion, and submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives, 
a report concerning the utilization of mental health serv-
ices for children, including the usage of psychotropic medi-
cations. 
(b) CONTENT.—The report submitted under sub-
section (a) shall review and assess— 
(1) the ways in which children access mental 
health care, including information on whether chil-
dren are screened and treated by primary care or 
specialty physicians or other health care providers, 
what types of referrals for additional care are rec-
ommended, and any barriers to accessing this care; 
(2) the extent to which children prescribed psy-
chotropic medications in the United States face bar-
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riers to more comprehensive or other mental health 
services, interventions, and treatments; 
(3) the extent to which children are prescribed 
psychotropic medications in the United States in-
cluding the frequency of concurrent medication 
usage; and 
(4) the tools, assessments, and medications that 
are available and used to diagnose and treat children 
with mental health disorders. 
TITLE VII—JUSTICE AND MEN-
TAL 
HEALTH 
COLLABORA-
TION 
SEC. 701. ASSISTING VETERANS. 
(a) REDESIGNATION.—Section 2991 of the Omnibus 
Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3797aa) is amended by redesignating subsection (i) as 
subsection (l). 
(b) ASSISTING VETERANS.—Section 2991 of the Om-
nibus Crime Control and Safe Streets Act of 1968 (42 
U.S.C. 3797aa) is amended by inserting after subsection 
(h) the following: 
‘‘(i) ASSISTING VETERANS.— 
‘‘(1) DEFINITIONS.—In this subsection: 
‘‘(A) PEER-TO-PEER
SERVICES
OR
PRO-
GRAMS.—The term ‘peer-to-peer services or pro-
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110 
grams’ means services or programs that connect 
qualified veterans with other veterans for the 
purpose of providing support and mentorship to 
assist qualified veterans in obtaining treatment, 
recovery, stabilization, or rehabilitation. 
‘‘(B) QUALIFIED
VETERAN.—The term 
‘qualified veteran’ means a preliminarily quali-
fied offender who— 
‘‘(i) has served on active duty in any 
branch of the Armed Forces, including the 
National Guard and reserve components; 
and 
‘‘(ii) was discharged or released from 
such service under conditions other than 
dishonorable. 
‘‘(C) VETERANS TREATMENT COURT PRO-
GRAM.—The term ‘veterans treatment court 
program’ means a court program involving col-
laboration among criminal justice, veterans, and 
mental health and substance abuse agencies 
that provides qualified veterans with— 
‘‘(i) intensive judicial supervision and 
case management, which may include ran-
dom and frequent drug testing where ap-
propriate; 
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‘‘(ii) a full continuum of treatment 
services, including mental health services, 
substance abuse services, medical services, 
and services to address trauma; 
‘‘(iii) alternatives to incarceration; 
and 
‘‘(iv) other appropriate services, in-
cluding housing, transportation, mentoring, 
employment, job training, education, and 
assistance in applying for and obtaining 
available benefits. 
‘‘(2) VETERANS ASSISTANCE PROGRAM.— 
‘‘(A) IN GENERAL.—The Attorney General, 
in consultation with the Secretary of Veterans 
Affairs, may award grants under this sub-
section to applicants to establish or expand— 
‘‘(i) veterans treatment court pro-
grams; 
‘‘(ii) peer-to-peer services or programs 
for qualified veterans; 
‘‘(iii) practices that identify and pro-
vide treatment, rehabilitation, legal, transi-
tional, and other appropriate services to 
qualified veterans who have been incarcer-
ated; and 
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‘‘(iv) training programs to teach 
criminal justice, law enforcement, correc-
tions, mental health, and substance abuse 
personnel how to identify and appro-
priately respond to incidents involving 
qualified veterans. 
‘‘(B) 
PRIORITY.—In 
awarding 
grants 
under this subsection, the Attorney General 
shall give priority to applications that— 
‘‘(i) demonstrate collaboration be-
tween and joint investments by criminal 
justice, mental health, substance abuse, 
and veterans service agencies; 
‘‘(ii) promote effective strategies to 
identify and reduce the risk of harm to 
qualified veterans and public safety; and 
‘‘(iii) propose interventions with em-
pirical support to improve outcomes for 
qualified veterans.’’. 
SEC. 702. CORRECTIONAL FACILITIES. 
Section 2991 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3797aa) is amended by 
inserting after subsection (i), as so added by section 701, 
the following: 
‘‘(j) CORRECTIONAL FACILITIES.— 
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‘‘(1) DEFINITIONS.— 
‘‘(A) CORRECTIONAL FACILITY.—The term 
‘correctional facility’ means a jail, prison, or 
other detention facility used to house people 
who have been arrested, detained, held, or con-
victed by a criminal justice agency or a court. 
‘‘(B) ELIGIBLE INMATE.—The term ‘eligi-
ble inmate’ means an individual who— 
‘‘(i) is being held, detained, or incar-
cerated in a correctional facility; and 
‘‘(ii) manifests obvious signs of a 
mental illness or has been diagnosed by a 
qualified mental health professional as hav-
ing a mental illness. 
‘‘(2) CORRECTIONAL
FACILITY
GRANTS.—The 
Attorney General may award grants to applicants to 
enhance the capabilities of a correctional facility— 
‘‘(A) to identify and screen for eligible in-
mates; 
‘‘(B) to plan and provide— 
‘‘(i) initial and periodic assessments of 
the clinical, medical, and social needs of in-
mates; and 
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‘‘(ii) appropriate treatment and serv-
ices that address the mental health and 
substance abuse needs of inmates; 
‘‘(C) to develop, implement, and enhance— 
‘‘(i) post-release transition plans for 
eligible inmates that, in a comprehensive 
manner, coordinate health, housing, med-
ical, employment, and other appropriate 
services and public benefits; 
‘‘(ii) the availability of mental health 
care services and substance abuse treat-
ment services; and 
‘‘(iii) alternatives to solitary confine-
ment and segregated housing and mental 
health screening and treatment for inmates 
placed in solitary confinement or seg-
regated housing; and 
‘‘(D) to train each employee of the correc-
tional facility to identify and appropriately re-
spond to incidents involving inmates with men-
tal health or co-occurring mental health and 
substance abuse disorders.’’. 
SEC. 703. HIGH UTILIZERS. 
Section 2991 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3797aa) is amended by 
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115 
inserting after subsection (j), as added by section 702, the 
following: 
‘‘(k) DEMONSTRATION GRANTS RESPONDING
TO 
HIGH UTILIZERS.— 
‘‘(1) DEFINITION.—In this subsection, the term 
‘high utilizer’ means an individual who— 
‘‘(A) manifests obvious signs of mental ill-
ness or has been diagnosed by a qualified men-
tal health professional as having a mental ill-
ness; and 
‘‘(B) consumes a significantly dispropor-
tionate quantity of public resources, such as 
emergency, housing, judicial, corrections, and 
law enforcement services. 
‘‘(2) DEMONSTRATION GRANTS RESPONDING TO 
HIGH UTILIZERS.— 
‘‘(A) IN GENERAL.—The Attorney General 
may award not more than 6 grants per year 
under this subsection to applicants for the pur-
pose of reducing the use of public services by 
high utilizers. 
‘‘(B) USE OF GRANTS.—A recipient of a 
grant awarded under this subsection may use 
the grant— 
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‘‘(i) to develop or support multidisci-
plinary teams that coordinate, implement, 
and administer community-based crisis re-
sponses and long-term plans for high uti-
lizers; 
‘‘(ii) to provide training on how to re-
spond appropriately to the unique issues 
involving high utilizers for public service 
personnel, including criminal justice, men-
tal health, substance abuse, emergency 
room, health care, law enforcement, correc-
tions, and housing personnel; 
‘‘(iii) to develop or support alter-
natives to hospital and jail admissions for 
high utilizers that provide treatment, sta-
bilization, and other appropriate supports 
in the least restrictive, yet appropriate, en-
vironment; or 
‘‘(iv) to develop protocols and systems 
among law enforcement, mental health, 
substance abuse, housing, corrections, and 
emergency medical service operations to 
provide coordinated assistance to high uti-
lizers. 
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117 
‘‘(C) REPORT.—Not later than the last 
day of the first year following the fiscal year in 
which a grant is awarded under this subsection, 
the recipient of the grant shall submit to the 
Attorney General a report that— 
‘‘(i) measures the performance of the 
grant recipient in reducing the use of pub-
lic services by high utilizers; and 
‘‘(ii) provides a model set of practices, 
systems, or procedures that other jurisdic-
tions can adopt to reduce the use of public 
services by high utilizers.’’. 
SEC. 704. ACADEMY TRAINING. 
Section 2991(h) of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797aa(h)) is amend-
ed— 
(1) in paragraph (1), by adding at the end the 
following: 
‘‘(F) ACADEMY
TRAINING.—To provide 
support for academy curricula, law enforcement 
officer orientation programs, continuing edu-
cation training, and other programs that teach 
law enforcement personnel how to identify and 
respond to incidents involving individuals with 
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118 
mental illness or co-occurring mental illness and 
substance abuse disorders.’’; and 
(2) by adding at the end the following: 
‘‘(4) PRIORITY CONSIDERATION.—The Attorney 
General, in awarding grants under this subsection, 
shall give priority to programs that law enforcement 
personnel and members of the mental health and 
substance abuse professions develop and administer 
cooperatively.’’. 
SEC. 705. EVIDENCE-BASED PRACTICES. 
Section 2991(c) of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3797aa(c)) is amend-
ed— 
(1) in paragraph (3), by striking ‘‘or’’ at the 
end; 
(2) by redesignating paragraph (4) as para-
graph (6); and 
(3) by inserting after paragraph (3), the fol-
lowing: 
‘‘(4) propose interventions that have been 
shown by empirical evidence to reduce recidivism; 
‘‘(5) when appropriate, use validated assess-
ment tools to target preliminarily qualified offenders 
with a moderate or high risk of recidivism and a 
need for treatment and services; or’’. 
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119 
SEC. 706. SAFE COMMUNITIES. 
(a) IN GENERAL.—Section 2991(a) of the Omnibus 
Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3797aa(a)) is amended by striking paragraph (9) and in-
serting the following: 
‘‘(9) PRELIMINARILY QUALIFIED OFFENDER.— 
‘‘(A) IN
GENERAL.—The term ‘prelimi-
narily qualified offender’ means an adult or ju-
venile accused of an offense who— 
‘‘(i)(I) previously or currently has 
been diagnosed by a qualified mental 
health professional as having a mental ill-
ness or co-occurring mental illness and 
substance abuse disorders; 
‘‘(II) manifests obvious signs of men-
tal illness or co-occurring mental illness 
and substance abuse disorders during ar-
rest or confinement or before any court; or 
‘‘(III) in the case of a veterans treat-
ment court provided under subsection (i), 
has been diagnosed with, or manifests ob-
vious signs of, mental illness or a sub-
stance abuse disorder or co-occurring men-
tal illness and substance abuse disorder; 
and 
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‘‘(ii) has been unanimously approved 
for participation in a program funded 
under this section by, when appropriate, 
the relevant— 
‘‘(I) prosecuting attorney; 
‘‘(II) defense attorney; 
‘‘(III) probation or corrections 
official; 
‘‘(IV) judge; and 
‘‘(V) a representative from the 
relevant mental health agency de-
scribed in subsection (b)(5)(B)(i). 
‘‘(B) DETERMINATION.—In determining 
whether to designate an individual as a prelimi-
narily qualified offender, the relevant pros-
ecuting attorney, defense attorney, probation or 
corrections official, judge, and mental health or 
substance abuse agency representative shall 
take into account— 
‘‘(i) whether the participation of the 
individual in the program would pose a 
substantial risk of violence to the commu-
nity; 
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‘‘(ii) the criminal history of the indi-
vidual and the nature and severity of the 
offense for which the individual is charged; 
‘‘(iii) the views of any relevant victims 
to the offense; 
‘‘(iv) the extent to which the indi-
vidual would benefit from participation in 
the program; 
‘‘(v) the extent to which the commu-
nity would realize cost savings because of 
the individual’s participation in the pro-
gram; and 
‘‘(vi) whether the individual satisfies 
the eligibility criteria for program partici-
pation unanimously established by the rel-
evant prosecuting attorney, defense attor-
ney, probation or corrections official, judge 
and mental health or substance abuse 
agency representative.’’. 
(b) TECHNICAL AND CONFORMING AMENDMENT.— 
Section 2927(2) of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3797s–6(2)) is amended 
by striking ‘‘has the meaning given that term in section 
2991(a).’’ and inserting ‘‘means an offense that— 
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‘‘(A) does not have as an element the use, 
attempted use, or threatened use of physical 
force against the person or property of another; 
or 
‘‘(B) is not a felony that by its nature in-
volves a substantial risk that physical force 
against the person or property of another may 
be used in the course of committing the of-
fense.’’. 
SEC. 707. REAUTHORIZATION OF APPROPRIATIONS. 
Subsection (l) of section 2991 of the Omnibus Crime 
Control and Safe Streets Act of 1968 (42 U.S.C. 3797aa), 
as redesignated in section 701(a), is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by striking the 
period and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(D) $40,000,000 for each of fiscal years 
2015 through 2019.’’; and 
(2) by adding at the end the following: 
‘‘(3) LIMITATION.—Not more than 20 percent 
of the funds authorized to be appropriated under 
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123 
this section may be used for purposes described in 
subsection (i) (relating to veterans).’’. 
TITLE 
VIII—BEHAVIORAL 
HEALTH INFORMATION TECH-
NOLOGY 
SEC. 801. EXTENSION OF HEALTH INFORMATION TECH-
NOLOGY ASSISTANCE FOR BEHAVIORAL AND 
MENTAL HEALTH AND SUBSTANCE ABUSE. 
Section 3000(3) of the Public Health Service Act (42 
U.S.C. 300jj(3)) is amended by inserting before ‘‘and any 
other category’’ the following: ‘‘behavioral and mental 
health 
professionals 
(as 
defined 
in 
section 
331(a)(3)(E)(i)), a substance abuse professional, a psy-
chiatric hospital (as defined in section 1861(f) of the So-
cial Security Act), a community mental health center 
meeting the criteria specified in section 1913(c), a residen-
tial or outpatient mental health or substance abuse treat-
ment facility,’’. 
SEC. 802. EXTENSION OF ELIGIBILITY FOR MEDICARE AND 
MEDICAID 
HEALTH 
INFORMATION 
TECH-
NOLOGY IMPLEMENTATION ASSISTANCE. 
(a) PAYMENT INCENTIVES FOR ELIGIBLE PROFES-
SIONALS UNDER MEDICARE.—Section 1848 of the Social 
Security Act (42 U.S.C. 1395w–4) is amended— 
(1) in subsection (a)(7)— 
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(A) in subparagraph (E), by adding at the 
end the following new clause: 
‘‘(iv) ADDITIONAL ELIGIBLE PROFES-
SIONAL.—The term ‘additional eligible pro-
fessional’ means a clinical psychologist pro-
viding qualified psychologist services (as 
defined in section 1861(ii)).’’; and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(F) APPLICATION TO ADDITIONAL ELIGI-
BLE
PROFESSIONALS.—The Secretary shall 
apply the provisions of this paragraph with re-
spect to an additional eligible professional in 
the same manner as such provisions apply to an 
eligible professional, except in applying sub-
paragraph (A)— 
‘‘(i) in clause (i), the reference to 
2015 shall be deemed a reference to 2019; 
‘‘(ii) in clause (ii), the references to 
2015, 2016, and 2017 shall be deemed ref-
erences to 2019, 2020, and 2021, respec-
tively; and 
‘‘(iii) in clause (iii), the reference to 
2018 shall be deemed a reference to 
2022.’’; and 
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(2) in subsection (o)— 
(A) in paragraph (5), by adding at the end 
the following new subparagraph: 
‘‘(D) 
ADDITIONAL
ELIGIBLE
PROFES-
SIONAL.—The term ‘additional eligible profes-
sional’ means a clinical psychologist providing 
qualified psychologist services (as defined in 
section 1861(ii)).’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(6) APPLICATION
TO
ADDITIONAL
ELIGIBLE 
PROFESSIONALS.—The Secretary shall apply the 
provisions of this subsection with respect to an addi-
tional eligible professional in the same manner as 
such provisions apply to an eligible professional, ex-
cept in applying— 
‘‘(A) paragraph (1)(A)(ii), the reference to 
2016 shall be deemed a reference to 2020; 
‘‘(B) paragraph (1)(B)(ii), the references 
to 2011 and 2012 shall be deemed references to 
2015 and 2016, respectively; 
‘‘(C) paragraph (1)(B)(iii), the references 
to 2013 shall be deemed references to 2017; 
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126 
‘‘(D) paragraph (1)(B)(v), the references 
to 2014 shall be deemed references to 2018; 
and 
‘‘(E) paragraph (1)(E), the reference to 
2011 shall be deemed a reference to 2015.’’. 
(b) ELIGIBLE HOSPITALS.—Section 1886 of the So-
cial Security Act (42 U.S.C. 1395ww) is amended— 
(1) in subsection (b)(3)(B)(ix), by adding at the 
end the following new subclause: 
‘‘(V) The Secretary shall apply 
the provisions of this subsection with 
respect to an additional eligible hos-
pital 
(as 
defined 
in 
subsection 
(n)(6)(C)) in the same manner as 
such provisions apply to an eligible 
hospital, except in applying— 
‘‘(aa) subclause (I), the ref-
erences to 2015, 2016, and 2017 
shall be deemed references to 
2019, 2020, and 2021, respec-
tively; and 
‘‘(bb) subclause (III), the 
reference 
to 
2015 
shall 
be 
deemed a reference to 2019.’’; 
and 
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(2) in subsection (n)— 
(A) in paragraph (6), by adding at the end 
the following new subparagraph: 
‘‘(C) ADDITIONAL ELIGIBLE HOSPITAL.— 
The term ‘additional eligible hospital’ means an 
inpatient hospital that is a psychiatric hospital 
(as defined in section 1861(f)).’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(7) APPLICATION
TO
ADDITIONAL
ELIGIBLE 
HOSPITALS.—The Secretary shall apply the provi-
sions of this subsection with respect to an additional 
eligible hospital in the same manner as such provi-
sions apply to an eligible hospital, except in applying 
paragraph (2)— 
‘‘(A) the Secretary shall adjust the base 
amount specified in subparagraph (B) of such 
paragraph, in a manner specified by the Sec-
retary, to reflect the smaller size of such addi-
tional eligible hospitals relative to eligible hos-
pitals; 
‘‘(B) the Secretary shall adjust the dis-
charge related amount specified in subpara-
graph (C) of such paragraph for each 12-month 
period selected by the Secretary under such 
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subparagraph, in a manner specified by the 
Secretary, to reflect the smaller size such addi-
tional hospitals relative to eligible hospitals, in-
cluding by adjusting the ranges of discharges 
specified in such subparagraph and the amount 
specified in such subparagraph for each dis-
charge within such a specified range; 
‘‘(C) 
the 
references 
in 
subparagraph 
(E)(ii) of such paragraph to 2013 and 2015 
shall be deemed references to 2017 and 2019, 
respectively; and 
‘‘(D) the reference in subparagraph (G)(i) 
of such paragraph to 2011 shall be deemed a 
reference to 2015.’’. 
(c) MEDICAID PROVIDERS.—Section 1903(t) of the 
Social Security Act (42 U.S.C. 1396b(t)) is amended— 
(1) in paragraph (2)(B)— 
(A) in clause (i), by striking ‘‘, or’’ and in-
serting a semicolon; 
(B) in clause (ii), by striking the period 
and inserting a semicolon; and 
(C) by adding after clause (ii) the following 
new clauses: 
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‘‘(iii) a public hospital that is prin-
cipally a psychiatric hospital (as defined in 
section 1861(f)); 
‘‘(iv) a private hospital that is prin-
cipally a psychiatric hospital (as defined in 
section 1861(f)) and that has at least 10 
percent of its patient volume (as estimated 
in accordance with a methodology estab-
lished by the Secretary) attributable to in-
dividuals 
receiving 
medical 
assistance 
under this title; 
‘‘(v) a community mental health cen-
ter meeting the criteria specified in section 
1913(c) of the Public Health Service Act; 
or 
‘‘(vi) a residential or outpatient men-
tal health or substance abuse treatment fa-
cility that— 
‘‘(I) is accredited by the Joint 
Commission 
on 
Accreditation 
of 
Healthcare Organizations, the Com-
mission on Accreditation of Rehabili-
tation Facilities, the Council on Ac-
creditation, or any other national ac-
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130 
crediting agency recognized by the 
Secretary; and 
‘‘(II) has at least 10 percent of 
its patient volume (as estimated in ac-
cordance with a methodology estab-
lished by the Secretary) attributable 
to individuals receiving medical assist-
ance under this title.’’; 
(2) in paragraph (3)(B)— 
(A) in clause (iv), by striking ‘‘and’’ after 
the semicolon; 
(B) in clause (v), by striking the period 
and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(vi) clinical psychologist providing 
qualified psychologist services (as defined 
in section 1861(ii)), if such clinical psy-
chologist is practicing in an outpatient 
clinic that— 
‘‘(I) is led by a clinical psycholo-
gist; and 
‘‘(II) is not otherwise receiving 
payment under paragraph (1) as a 
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131 
Medicaid provider described in para-
graph (2)(B).’’; and 
(3) in paragraph (5)(B), by adding at the end 
the following new sentence: ‘‘For purposes of this 
subparagraph in computing the amounts under sec-
tion 1886(n)(2)(C) for payment years after 2015, 
with respect to a Medicaid provider described in 
clause (iii), (iv), (v), or (vi) of paragraph (2)(B), in 
order to reflect the smaller size of Medicaid pro-
viders described in such clauses relative to Medicaid 
providers described in clauses (i) and (ii) of such 
paragraph (2)(B), the Secretary shall, in a manner 
specified by the Secretary, adjust the base amount 
specified in subparagraph (B) of section 1886(n)(2) 
and the discharge related amount calculated under 
subparagraph (C) of such section, including by ad-
justing the ranges of discharges specified in such 
subparagraph (C) and the amount specified in such 
subparagraph (C) for each discharge within such a 
specified range.’’. 
(d) MEDICARE ADVANTAGE ORGANIZATIONS.—Sec-
tion 1853 of the Social Security Act (42 U.S.C. 1395w– 
23) is amended— 
(1) in subsection (l)— 
(A) in paragraph (1)— 
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132 
(i) by inserting ‘‘or additional eligible 
professionals (as described in paragraph 
(9))’’ after ‘‘paragraph (2)’’; and 
(ii) by inserting ‘‘and additional eligi-
ble professionals’’ before ‘‘under such sec-
tions’’; 
(B) in paragraph (3)(B)— 
(i) in clause (i) in the matter pre-
ceding subclause (I), by inserting ‘‘or an 
additional eligible professional described in 
paragraph (9)’’ after ‘‘paragraph (2)’’; and 
(ii) in clause (ii)— 
(I) in the matter preceding sub-
clause (I), by inserting ‘‘or an addi-
tional eligible professional described in 
paragraph 
(9)’’ 
after 
‘‘paragraph 
(2)’’; and 
(II) in subclause (I), by inserting 
‘‘or an additional eligible professional, 
respectively,’’ after ‘‘eligible profes-
sional’’; 
(C) in paragraph (3)(C), by inserting ‘‘and 
additional eligible professionals’’ after ‘‘all eligi-
ble professionals’’; 
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(D) in paragraph (4)(D), by adding at the 
end the following new sentence: ‘‘In the case 
that a qualifying MA organization attests that 
not all additional eligible professionals of the 
organization are meaningful EHR users with 
respect to an applicable year, the Secretary 
shall apply the payment adjustment under this 
paragraph based on the proportion of all such 
additional eligible professionals of the organiza-
tion that are not meaningful EHR users for 
such year.’’; 
(E) in paragraph (6)(A), by inserting 
‘‘and, as applicable, each additional eligible pro-
fessional described in paragraph (9)’’ after 
‘‘paragraph (2)’’; 
(F) in paragraph (6)(B), by inserting 
‘‘and, as applicable, each additional eligible hos-
pital described in paragraph (9)’’ after ‘‘sub-
section (m)(1)’’; 
(G) in paragraph (7)(A), by inserting 
‘‘and, as applicable, additional eligible profes-
sionals’’ after ‘‘eligible professionals’’; 
(H) in paragraph (7)(B), by inserting 
‘‘and, as applicable, additional eligible profes-
sionals’’ after ‘‘eligible professionals’’; 
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134 
(I) in paragraph (8)(B), by inserting ‘‘and 
additional eligible professionals described in 
paragraph (9)’’ after ‘‘paragraph (2)’’; and 
(J) by adding at the end the following new 
paragraph: 
‘‘(9) ADDITIONAL ELIGIBLE PROFESSIONAL DE-
SCRIBED.—With respect to a qualifying MA organi-
zation, an additional eligible professional described 
in this paragraph is an additional eligible profes-
sional (as defined for purposes of section 1848(o)) 
who— 
‘‘(A)(i) is employed by the organization; or 
‘‘(ii)(I) is employed by, or is a partner of, 
an entity that through contract with the organi-
zation furnishes at least 80 percent of the enti-
ty’s Medicare patient care services to enrollees 
of such organization; and 
‘‘(II) furnishes at least 80 percent of the 
professional services of the additional eligible 
professional covered under this title to enrollees 
of the organization; and 
‘‘(B) furnishes, on average, at least 20 
hours per week of patient care services.’’; and 
(2) in subsection (m)— 
(A) in paragraph (1)— 
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135 
(i) by inserting ‘‘or additional eligible 
hospitals (as described in paragraph (7))’’ 
after ‘‘paragraph (2)’’; and 
(ii) by inserting ‘‘and additional eligi-
ble hospitals’’ before ‘‘under such sec-
tions’’; 
(B) in paragraph (3)(A)(i), by inserting 
‘‘or additional eligible hospital’’ after ‘‘eligible 
hospital’’; 
(C) in paragraph (3)(A)(ii), by inserting 
‘‘or an additional eligible hospital’’ after ‘‘eligi-
ble hospital’’ in each place it occurs; 
(D) in paragraph (3)(B)— 
(i) in clause (i), by inserting ‘‘or an 
additional eligible hospital described in 
paragraph (7)’’ after ‘‘paragraph (2)’’; and 
(ii) in clause (ii)— 
(I) in the matter preceding sub-
clause (I), by inserting ‘‘or an addi-
tional eligible hospital described in 
paragraph 
(7)’’ 
after 
‘‘paragraph 
(2)’’; and 
(II) in subclause (I), by inserting 
‘‘or an additional eligible hospital, re-
spectively,’’ after ‘‘eligible hospital’’; 
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136 
(E) in paragraph (4)(A), by inserting ‘‘or 
one or more additional eligible hospitals (as de-
fined in section 1886(n)), as appropriate,’’ after 
‘‘section 1886(n)(6)(A))’’; 
(F) in paragraph (4)(D), by adding at the 
end the following new sentence: ‘‘In the case 
that a qualifying MA organization attests that 
not all additional eligible hospitals of the orga-
nization are meaningful EHR users with re-
spect to an applicable period, the Secretary 
shall apply the payment adjustment under this 
paragraph based on the methodology specified 
by the Secretary, taking into account the pro-
portion of such additional eligible hospitals, or 
discharges from such hospitals, that are not 
meaningful EHR users for such period.’’; 
(G) in paragraph (5)(A), by inserting 
‘‘and, as applicable, each additional eligible hos-
pital described in paragraph (7)’’ after ‘‘para-
graph (2)’’; 
(H) in paragraph (5)(B), by inserting 
‘‘and additional eligible hospitals, as applica-
ble,’’ after ‘‘eligible hospitals’’; 
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137 
(I) in paragraph (6)(B), by inserting ‘‘and 
additional eligible hospitals described in para-
graph (7)’’ after ‘‘paragraph (2)’’; and 
(J) by adding at the end the following new 
paragraph: 
‘‘(7) ADDITIONAL
ELIGIBLE
HOSPITAL
DE-
SCRIBED.—With respect to a qualifying MA organi-
zation, an additional eligible hospital described in 
this paragraph is an additional eligible hospital (as 
defined in section 1886(n)(6)(C)) that is under com-
mon corporate governance with such organization 
and serves individuals enrolled under an MA plan of-
fered by such organization.’’. 
TITLE 
IX—SERVICEMEMBERS 
AND 
VETERANS 
MENTAL 
HEALTH 
SEC. 901. PRELIMINARY MENTAL HEALTH ASSESSMENTS. 
(a) IN GENERAL.—Chapter 31 of title 10, United 
States Code, is amended by adding at the end the fol-
lowing new section: 
‘‘SEC. 520d. PRELIMINARY MENTAL HEALTH ASSESSMENTS. 
‘‘(a) PROVISION
OF
MENTAL
HEALTH
ASSESS-
MENT.—Before any individual enlists in an Armed Force 
or is commissioned as an officer in an Armed Force, the 
Secretary concerned shall provide the individual with a 
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138 
mental health assessment. The Secretary shall use such 
results as a baseline for any subsequent mental health ex-
aminations, including such examinations provided under 
sections 1074f and 1074m of this title. 
‘‘(b) USE OF ASSESSMENT.—The Secretary may not 
consider the results of a mental health assessment con-
ducted under subsection (a) in determining the assign-
ment or promotion of a member of the Armed Forces. 
‘‘(c) APPLICATION OF PRIVACY LAWS.—With respect 
to applicable laws and regulations relating to the privacy 
of information, the Secretary shall treat a mental health 
assessment conducted under subsection (a) in the same 
manner as the medical records of a member of the Armed 
Forces.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of such chapter is amended by adding 
after the item relating to section 520c the following new 
item: 
‘‘520d. Preliminary mental health assessments.’’. 
(c) REPORT.— 
(1) IN
GENERAL.—Not later than 180 days 
after the date of the enactment of this Act, the Sec-
retary of Defense shall submit to Congress a report 
on preliminary mental health assessments of mem-
bers of the Armed Forces. 
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(2) MATTERS
INCLUDED.—The report under 
paragraph (1) shall include the following: 
(A) Recommendations with respect to es-
tablishing a preliminary mental health assess-
ment of members of the Armed Forces to bring 
mental health screenings to parity with physical 
screenings of members. 
(B) Recommendations with respect to the 
composition of the mental health assessment, 
best practices, and how to track assessment 
changes relating to traumatic brain injuries, 
post-traumatic stress disorder, and other condi-
tions. 
(3) COORDINATION.—The Secretary shall carry 
out paragraph (1) in coordination with the Secretary 
of Veterans Affairs, the Uniformed Services Univer-
sity of the Health Sciences, the surgeons general of 
the military departments, and other relevant experts. 
SEC. 902. UNLIMITED ELIGIBILITY FOR HEALTH CARE FOR 
MENTAL ILLNESSES FOR VETERANS OF COM-
BAT SERVICE DURING CERTAIN PERIODS OF 
HOSTILITIES AND WAR. 
(a) ELIGIBILITY.—Section 1710(e)(1) of title 38, 
United States Code, is amended by adding at the end the 
following new subparagraph: 
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‘‘(G) Notwithstanding paragraphs (2) and 
(3), a veteran who served on active duty in a 
theater of combat operations (as determined by 
the Secretary in consultation with the Secretary 
of Defense) during World War II, the Korean 
conflict, the Vietnam Era, the Persian Gulf 
war, Operation Iraqi Freedom, Operation En-
during Freedom, or any other period of war 
after the Persian Gulf war, or in combat 
against a hostile force during a period of hos-
tilities (as defined in section 1712A(a)(2)(B) of 
this title), is eligible for hospital care, medical 
services, and nursing home care under sub-
section (a)(2)(F) for any mental illness, not-
withstanding that there is insufficient medical 
evidence to conclude that such illness is attrib-
utable to such service.’’. 
(b) EFFECTIVE DATE.—Subparagraph (G) of section 
1710(e)(1) of title 38, United States Code, as added by 
subsection (a), shall apply with respect to hospital care, 
medical services, and nursing home care provided on or 
after the date of the enactment of this Act. 
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141 
SEC. 903. TIMELINE FOR IMPLEMENTING INTEGRATED 
ELECTRONIC HEALTH RECORDS. 
(a) ESTABLISHMENT OF TIMELINE.—Section 1635 
of the Wounded Warrior Act (10 U.S.C. 1071 note) is 
amended by adding at the end the following new sub-
section: 
‘‘(k) TIMELINE.—In carrying out this section, the 
Secretary of Defense and the Secretary of Veterans Af-
fairs shall ensure that— 
‘‘(1) the creation of a health data authoritative 
source is achieved by not later than 180 days after 
the date of the enactment of this subsection; 
‘‘(2) the ability of patients of both the Depart-
ment of Defense and the Department of Veterans 
Affairs to download the medical records of the pa-
tient (commonly referred to as the ‘Blue Button Ini-
tiative’) is achieved by not later than 365 days after 
the date of the enactment of this subsection; 
‘‘(3) the seamless integration of personal health 
care information between the Departments is 
achieved by not later than 365 days after the date 
of the enactment of this subsection; 
‘‘(4) the standardization of health care data of 
the Departments is achieved by not later than 365 
days after the date of the enactment of this sub-
section; 
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142 
‘‘(5) the acceleration of the exchange of real- 
time data between the Departments is achieved by 
not later than 365 days after the date of the enact-
ment of this subsection; 
‘‘(6) the upgrade of the graphical user interface 
to display the new standardized health care data of 
the Departments is achieved by not later than 365 
days after the date of the enactment of this sub-
section; 
‘‘(7) each incoming member of the Armed 
Forces and the dependent of such a member may 
elect to receive an electronic copy of the health care 
record of the individual beginning not later than Oc-
tober 1, 2014; and 
‘‘(8) each current member of the Armed Forces 
and the dependent of such a member may elect to 
receive an electronic copy of the health care record 
of the individual beginning not later than October 1, 
2015.’’. 
(b) CLOUD STORAGE.—Section 1635 of such Act is 
further amended by adding at the end the following new 
subsection: 
‘‘(l) CLOUD STORAGE.—The Secretary of Defense 
and the Secretary of Veterans Affairs shall study the fea-
sibility of establishing a secure, remote, network-accessible 
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143 
computer storage system (commonly referred to as ‘cloud 
storage’) to— 
‘‘(1) provide members of the Armed Forces and 
veterans the ability to upload the health care records 
of the member or veteran if the member or veteran 
elects to do so; and 
‘‘(2) allow medical providers of the Department 
of Defense and the Department of Veterans Affairs 
to access such records in the course of providing 
care to the member or veteran.’’. 
(c) CONFORMING AMENDMENTS.—Section 1635 of 
such Act is further amended— 
(1) in subsection (a), by striking ‘‘The Sec-
retary’’ and inserting ‘‘In accordance with the 
timeline described in subsection (k), the Secretary’’; 
and 
(2) in the matter preceding paragraph (1) of 
subsection (e), by inserting ‘‘in accordance with sub-
section (k)’’ after ‘‘under this section’’. 
SEC. 904. PILOT PROGRAM FOR REPAYMENT OF EDU-
CATIONAL LOANS FOR CERTAIN PSYCHIA-
TRISTS OF VETERANS HEALTH ADMINISTRA-
TION. 
(a) PILOT PROGRAM.— 
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144 
(1) ESTABLISHMENT.—The Secretary of Vet-
erans Affairs shall carry out a pilot program to 
repay a loan of an individual described in paragraph 
(2) that— 
(A) was used by the individual to finance 
education regarding psychiatric medicine, in-
cluding education leading to an undergraduate 
degree and education leading to the degree of 
doctor of medicine or of doctor of osteopathy; 
and 
(B) was obtained from a governmental en-
tity, private financial institution, school, or 
other authorized entity, as determined by the 
Secretary. 
(2) ELIGIBLE INDIVIDUALS.—To be eligible to 
obtain a loan repayment under this subsection, an 
individual shall— 
(A) either— 
(i) be licensed or eligible for licensure 
to practice psychiatric medicine in the Vet-
erans Health Administration of the De-
partment of Veterans Affairs; or 
(ii) be enrolled in the final year of a 
residency program leading to a specialty 
qualification in psychiatric medicine that is 
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approved by the Accreditation Council for 
Graduate Medical Education; and 
(B) as determined appropriate by the Sec-
retary, demonstrate a commitment to a long- 
term career as a psychiatrist in the Veterans 
Health Administration, including by requiring a 
set number of years of obligated service. 
(3) SELECTION.—The Secretary shall select not 
less than 10 individuals described in paragraph (2) 
to participate in the pilot program for each year in 
which the Secretary carries out the pilot program. 
(4) LOAN REPAYMENTS.— 
(A) AMOUNTS.—Subject to the limits es-
tablished by subparagraph (B), a loan repay-
ment under this subsection may consist of pay-
ment of the principal, interest, and related ex-
penses of a loan obtained by an individual de-
scribed in paragraph (2) for all educational ex-
penses (including tuition, fees, books, and lab-
oratory expenses) relating to a degree described 
in paragraph (1)(A). 
(B) LIMIT.—For each year of obligated 
service that an individual agrees to serve in an 
agreement described in paragraph (2)(B), the 
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146 
Secretary may pay not more than $60,000 on 
behalf of the individual. 
(5) BREACH.— 
(A) LIABILITY.—An individual who partici-
pates in the pilot program under paragraph (1) 
who fails to satisfy the commitment described 
in paragraph (2)(B) shall be liable to the 
United States, in lieu of any service obligation 
arising from such participation, for the amount 
which has been paid or is payable to or on be-
half of the individual under the program, re-
duced by the proportion that the number of 
days served for completion of the service obliga-
tion bears to the total number of days in the 
period of obligated service of the individual. 
(B) REPAYMENT PERIOD.—Any amount of 
damages which the United States is entitled to 
recover under this paragraph shall be paid to 
the United States within the one-year period 
beginning on the date of the breach of the 
agreement. 
(6) PROHIBITION
ON
SIMULTANEOUS
ELIGI-
BILITY.—An individual who is participating in any 
other program of the Federal Government that re-
pays the educational loans of the individual may not 
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147 
participate in the pilot program under paragraph 
(1). 
(7) REPORT.—Not later than 90 days after the 
date on which the pilot program terminates under 
paragraph (7), the Secretary shall submit to the 
Committees on Veterans’ Affairs of the House of 
Representatives and the Senate a report on the pilot 
program. The report shall include the overall effect 
of the pilot program on the psychiatric workforce 
shortage of the Veterans Health Administration, the 
long-term stability of such workforce, and overall 
workforce strategies of the Veterans Health Admin-
istration that seek to promote the physical and men-
tal resiliency of all veterans. 
(8) REGULATIONS.—The Secretary shall pre-
scribe regulations to carry out this subsection, in-
cluding standards for qualified loans and authorized 
payees and other terms and conditions for the mak-
ing of loan repayments. 
(9) TERMINATION.—The authority to carry out 
the pilot program shall expire on the date that is 
three years after the date on which the Secretary 
commences the pilot program. 
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148 
(b) COMPTROLLER GENERAL STUDY ON PAY DIS-
PARITIES OF PSYCHIATRISTS OF VETERANS HEALTH AD-
MINISTRATION.— 
(1) STUDY.—Not later than one year after the 
date of the enactment of this Act, the Comptroller 
General of the United States shall conduct a study 
of pay disparities among psychiatrists of the Vet-
erans Health Administration of the Department of 
Veterans Affairs. The study shall include— 
(A) an examination of laws, regulations, 
practices, and policies, including salary flexibili-
ties, that contribute to such disparities; and 
(B) recommendations with respect to legis-
lative or regulatory actions to improve equity in 
pay among such psychiatrists. 
(2) REPORT.—Not later than one year after the 
date on which the Comptroller General completes the 
study under paragraph (1), the Comptroller General 
shall submit to the Committees on Veterans’ Affairs 
of the House of Representatives and the Senate a 
report containing the results of the study. 
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149 
TITLE X—MAKING PARITY WORK 
SEC. 1001. GAO STUDY ON MENTAL HEALTH AND SUB-
STANCE USE DISORDER PARITY ENFORCE-
MENT EFFORTS. 
Not later than one year after the date of enactment 
of this Act, the Comptroller General of the United States, 
in consultation with the Secretary of Health and Human 
Services and the Secretary of Labor, shall submit to Con-
gress a report detailing the enforcement efforts of the re-
sponsible departments and agencies in implementing the 
Paul Wellstone and Pete Domenici Mental Health Parity 
and Addiction Equity Act (subtitle B of title V of division 
C of Public Law 110–343), including— 
(1) the number of investigations that have been 
conducted into potential parity violations; and 
(2) details on the investigation or enforcement 
action that was carried out as a result of such inves-
tigations that would not identify the subject of such 
investigation or enforcement. 
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150 
SEC. 1002. REPORT TO CONGRESS ON FEDERAL ASSIST-
ANCE TO STATE INSURANCE REGULATORS 
REGARDING MENTAL HEALTH PARITY EN-
FORCEMENT. 
Not later than one year after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall submit to Congress a report detailing— 
(1) the ways in which State governments and 
State insurance regulators are either empowered or 
required to enforce the Paul Wellstone and Pete 
Domenici Mental Health Parity and Addiction Eq-
uity Act of 2008 (subtitle B of title V of division C 
of Public Law 110–343); 
(2) their capability to carry out these enforce-
ment powers or requirements; and 
(3) any technical assistance to State govern-
ment and State insurance regulators that has been 
communicated by the Department of Health and 
Human Services. 
SEC. 1003. ANNUAL REPORT TO CONGRESS BY SECRE-
TARIES OF LABOR AND HEALTH AND HUMAN 
SERVICES. 
Not later than one year after the date of enactment 
of this Act, and annually thereafter, the Secretary of 
Labor, in coordination with the Secretary of Health and 
Human Services, shall submit to Congress a report— 
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151 
(1) describing the actions taken by the Federal 
Government and the States to ensure compliance 
with the Paul Wellstone and Pete Domenici Mental 
Health Parity and Addiction Equity Act of 2008 
(subtitle B of title V of division C of Public Law 
110–343); 
(2) including a collection and classification of 
inquiries and complaints regarding the implementa-
tion or enforcement of such Act; 
(3) including a transparent de-identified report 
of all Federal and State actions to enforce such Act; 
and 
(4) include a compliance guide that includes— 
(A) detailed answers to relevant questions 
raised during the previous year concerning im-
plementation or enforcement of such Act; and 
(B) specific guidelines providing clear in-
terpretations of such Act and the regulations 
thereunder. 
Æ 
VerDate Mar 15 2010 
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H4574
tjames on DSK6SPTVN1PROD with BILLS