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(D) the patient does not consent, but such 
communication and sharing of information is 
necessary to prevent impending and serious de-
terioration of the patient’s mental or physical 
health; 
(6) involving a patient’s family members, care-
givers, or others involved in the patient’s care or 
care plan, including facilitating treatment and medi-
cation adherence, in dealing with patient failures to 
adhere to medication or other therapy; 
(7) listening to or receiving information with re-
spect to the patient from the family or caregiver of 
such patient receiving mental illness treatment; 
(8) communicating with family members of the 
patient, caregivers of the patient, law enforcement, 
or others when the patient presents a serious and 
imminent threat of harm to self or others; and 
(9) communicating to law enforcement and 
family members of the patient or caregivers of the 
patient about the admission of the patient to receive 
care at a facility or the release of a patient who was 
admitted to a facility for an emergency psychiatric 
hold or involuntary treatment. 
(b) COORDINATION.—The Secretary of Health and 
Human Services shall carry out this section in coordina-
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tion with the Director of the Office for Civil Rights within 
the Department of Health and Human Services. 
(c) CONSISTENCY WITH GUIDANCE.—The Secretary 
of Health and Human Services shall ensure that the regu-
lations under this section are consistent with the guidance 
entitled ‘‘HIPAA Privacy Rule and Sharing Information 
Related to Mental Health’’, issued by the Department of 
Health and Human Services on February 20, 2014. 
SEC. 404. DEVELOPMENT AND DISSEMINATION OF MODEL 
TRAINING PROGRAMS. 
(a) INITIAL PROGRAMS AND MATERIALS.—Not later 
than 1 year after the date of the enactment of this Act, 
the Secretary of Health and Human Services (in this sec-
tion referred to as the ‘‘Secretary’’) shall develop and dis-
seminate— 
(1) a model program and materials for training 
health care providers (including physicians, emer-
gency medical personnel, psychologists, counselors, 
therapists, behavioral health facilities and clinics, 
care managers, and hospitals) regarding the cir-
cumstances under which, consistent with the stand-
ards governing the privacy and security of individ-
ually identifiable health information promulgated by 
the Secretary under subpart C of title XI of the So-
cial Security Act (42 U.S.C. 1320d et seq.) and reg-
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ulations promulgated pursuant to section 264(c) of 
the Health Insurance Portability and Accountability 
Act of 1996 (42 U.S.C. 1320d–2 note), the pro-
tected health information of patients with a mental 
illness may be disclosed with and without patient 
consent; 
(2) a model program and materials for training 
lawyers and others in the legal profession on such 
circumstances; and 
(3) a model program and materials for training 
patients and their families regarding their rights to 
protect and obtain information under the standards 
specified in paragraph (1). 
(b) PERIODIC UPDATES.—The Secretary shall— 
(1) periodically review and update the model 
programs and materials developed under subsection 
(a); and 
(2) disseminate the updated model programs 
and materials. 
(c) CONTENTS.—The programs and materials devel-
oped under subsection (a) shall address the guidance enti-
tled ‘‘HIPAA Privacy Rule and Sharing Information Re-
lated to Mental Health’’, issued by the Department of 
Health and Human Services on February 20, 2014. 
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(d) COORDINATION.—The Secretary shall carry out 
this section in coordination with the Director of the Office 
for Civil Rights within the Department of Health and 
Human Services, the Assistant Secretary for Mental 
Health and Substance Use, the Administrator of the 
Health Resources and Services Administration, and the 
heads of other relevant agencies within the Department 
of Health and Human Services. 
(e) INPUT OF CERTAIN ENTITIES.—In developing the 
model programs and materials required by subsections (a) 
and (b), the Secretary shall solicit the input of relevant 
national, State, and local associations, medical societies, 
and licensing boards. 
(f) FUNDING.—There are authorized to be appro-
priated to carry out this section $4,000,000 for fiscal year 
2018, $2,000,000 for each of fiscal years 2019 and 2020, 
and $1,000,000 for each of fiscal years 2021 and 2022. 
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TITLE V—INCREASING ACCESS 
TO TREATMENT FOR SERIOUS 
MENTAL ILLNESS 
SEC. 501. ASSERTIVE COMMUNITY TREATMENT GRANT 
PROGRAM FOR INDIVIDUALS WITH SERIOUS 
MENTAL ILLNESS. 
Part B of title V of the Public Health Service Act 
(42 U.S.C. 290bb et seq.) is amended by inserting after 
section 520L the following: 
‘‘SEC. 520M. ASSERTIVE COMMUNITY TREATMENT GRANT 
PROGRAM FOR INDIVIDUALS WITH SERIOUS 
MENTAL ILLNESS. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
award grants to eligible entities— 
‘‘(1) to establish assertive community treatment 
programs for individuals with serious mental illness; 
or 
‘‘(2) to maintain or expand such programs. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a State, coun-
ty, city, tribe, tribal organization, mental health system, 
health care facility, or any other entity the Assistant Sec-
retary deems appropriate. 
‘‘(c) SPECIAL CONSIDERATION.—In selecting among 
applicants for a grant under this section, the Assistant 
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Secretary may give special consideration to the potential 
of the applicant’s program to reduce hospitalization, 
homelessness, and involvement with the criminal justice 
system while improving the health and social outcomes of 
the patient. 
‘‘(d) ADDITIONAL ACTIVITIES.—The Assistant Sec-
retary shall— 
‘‘(1) not later than the end of fiscal year 2021, 
submit a report to the appropriate congressional 
committees on the grant program under this section, 
including an evaluation of— 
‘‘(A) cost savings and public health out-
comes such as mortality, suicide, substance 
abuse, hospitalization, and use of services; 
‘‘(B) rates of involvement with the criminal 
justice system of patients; 
‘‘(C) rates of homelessness among patients; 
and 
‘‘(D) patient and family satisfaction with 
program participation; and 
‘‘(2) provide appropriate information, training, 
and technical assistance to grant recipients under 
this section to help such recipients to establish, 
maintain, or expand their assertive community treat-
ment programs. 
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‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $5,000,000 
for the period of fiscal years 2018 through 2022. 
‘‘(2) USE OF CERTAIN FUNDS.—Of the funds 
appropriated to carry out this section in any fiscal 
year, no more than 5 percent shall be available to 
the Assistant Secretary for carrying out subsection 
(d).’’. 
SEC. 502. STRENGTHENING COMMUNITY CRISIS RESPONSE 
SYSTEMS. 
Section 520F of the Public Health Service Act (42 
U.S.C. 290bb–37) is amended to read as follows: 
‘‘SEC. 520F. STRENGTHENING COMMUNITY CRISIS RE-
SPONSE SYSTEMS. 
‘‘(a) IN GENERAL.—The Secretary shall award com-
petitive grants— 
‘‘(1) to State and local governments and Indian 
tribes and tribal organizations to enhance commu-
nity-based crisis response systems; or 
‘‘(2) to States to develop, maintain, or enhance 
a database of beds at inpatient psychiatric facilities, 
crisis stabilization units, and residential community 
mental health and residential substance use disorder 
treatment facilities, for individuals with serious men-
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tal illness, serious emotional disturbance, or sub-
stance use disorders. 
‘‘(b) APPLICATION.— 
‘‘(1) IN GENERAL.—To receive a grant or coop-
erative agreement under subsection (a), an entity 
shall submit to the Secretary an application, at such 
time, in such manner, and containing such informa-
tion as the Secretary may require. 
‘‘(2) 
COMMUNITY-BASED
CRISIS
RESPONSE 
PLAN.—An application for a grant under subsection 
(a)(1) shall include a plan for— 
‘‘(A) promoting integration and coordina-
tion between local public and private entities 
engaged in crisis response, including first re-
sponders, emergency health care providers, pri-
mary care providers, law enforcement, court 
systems, health care payers, social service pro-
viders, and behavioral health providers; 
‘‘(B) developing a plan for entering into 
memoranda of understanding with public and 
private entities to implement crisis response 
services; 
‘‘(C) expanding the continuum of commu-
nity-based services to address crisis intervention 
and prevention; and 
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‘‘(D) developing models for minimizing 
hospital readmissions, including through appro-
priate discharge planning. 
‘‘(3) BEDS
DATABASE
PLAN.—An application 
for a grant under subsection (a)(2) shall include a 
plan for developing, maintaining, or enhancing a 
real-time Internet-based bed database to collect, ag-
gregate, and display information about beds in inpa-
tient psychiatric facilities and crisis stabilization 
units, and residential community mental health and 
residential substance use disorder treatment facili-
ties, to facilitate the identification and designation of 
facilities for the temporary treatment of individuals 
in mental or substance use disorder crisis. 
‘‘(c) DATABASE REQUIREMENTS.—A bed database 
described in this section is a database that— 
‘‘(1) includes information on inpatient psy-
chiatric facilities, crisis stabilization units, and resi-
dential community mental health and residential 
substance use disorder facilities in the State in-
volved, including contact information for the facility 
or unit; 
‘‘(2) provides 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 
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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 mental or substance use 
disorder crisis; and 
‘‘(3) enables searches of the database to iden-
tify available beds that are appropriate for the treat-
ment of individuals in mental or substance use dis-
order crisis. 
‘‘(d) EVALUATION.—An entity receiving a grant 
under subsection (a)(1) shall submit to the Secretary, at 
such time, in such manner, and containing such informa-
tion as the Secretary may reasonably require, a report, 
including an evaluation of the effect of such grant on— 
‘‘(1) local crisis response services and measures 
of individuals receiving crisis planning and early 
intervention supports; 
‘‘(2) individuals reporting improved functional 
outcomes; and 
‘‘(3) individuals receiving regular followup care 
following a crisis. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$5,000,000 for the period of fiscal years 2018 through 
2022.’’. 
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SEC. 503. INCREASED AND EXTENDED FUNDING FOR AS-
SISTED OUTPATIENT GRANT PROGRAM FOR 
INDIVIDUALS WITH SERIOUS MENTAL ILL-
NESS. 
Section 224(g) of the Protecting Access to Medicare 
Act of 2014 (42 U.S.C. 290aa note) is amended— 
(1) in paragraph (1), by striking ‘‘2018’’ and 
inserting ‘‘2022’’; and 
(2) in paragraph (2), by striking ‘‘is authorized 
to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2015 through 
2018’’ and inserting ‘‘are authorized to be appro-
priated to carry out this section $15,000,000 for 
each 
of 
fiscal 
years 
2015 
through 
2017, 
$20,000,000 for fiscal year 2018, $19,000,000 for 
each 
of 
fiscal 
years 
2019 
and 
2020, 
and 
$18,000,000 for each of fiscal years 2021 and 
2022’’. 
SEC. 504. LIABILITY PROTECTIONS FOR HEALTH PROFES-
SIONAL 
VOLUNTEERS 
AT 
COMMUNITY 
HEALTH CENTERS. 
Section 224 of the Public Health Service Act (42 
U.S.C. 233) is amended by adding at the end the fol-
lowing: 
‘‘(q)(1) For purposes of this section, a health profes-
sional volunteer at an entity described in subsection (g)(4) 
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shall, in providing a health professional service eligible for 
funding under section 330 to an individual, be deemed to 
be an employee of the Public Health Service for a calendar 
year that begins during a fiscal year for which a transfer 
was made under paragraph (4)(C). The preceding sen-
tence is subject to the provisions of this subsection. 
‘‘(2) In providing a health service to an individual, 
a health care practitioner shall for purposes of this sub-
section be considered to be a health professional volunteer 
at an entity described in subsection (g)(4) if the following 
conditions are met: 
‘‘(A) The service is provided to the individual at 
the facilities of an entity described in subsection 
(g)(4), or through offsite programs or events carried 
out by the entity. 
‘‘(B) The entity is sponsoring the health care 
practitioner pursuant to paragraph (3)(B). 
‘‘(C) The health care practitioner does not re-
ceive any compensation for the service from the indi-
vidual or from any third-party payer (including re-
imbursement under any insurance policy or health 
plan, or under any Federal or State health benefits 
program), except that the health care practitioner 
may receive repayment from the entity described in 
subsection (g)(4) for reasonable expenses incurred 
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by the health care practitioner in the provision of 
the service to the individual. 
‘‘(D) Before the service is provided, the health 
care practitioner or the entity described in sub-
section (g)(4) posts a clear and conspicuous notice 
at the site where the service is provided of the extent 
to which the legal liability of the health care practi-
tioner is limited pursuant to this subsection. 
‘‘(E) At the time the service is provided, the 
health care practitioner is licensed or certified in ac-
cordance with applicable law regarding the provision 
of the service. 
‘‘(3) Subsection (g) (other than paragraphs (3) and 
(5)) and subsections (h), (i), and (l) apply to a health care 
practitioner for purposes of this subsection to the same 
extent and in the same manner as such subsections apply 
to an officer, governing board member, employee, or con-
tractor of an entity described in subsection (g)(4), subject 
to paragraph (4) and subject to the following: 
‘‘(A) The first sentence of paragraph (1) ap-
plies in lieu of the first sentence of subsection 
(g)(1)(A). 
‘‘(B) With respect to an entity described in sub-
section (g)(4), a health care practitioner is not a 
health professional volunteer at such entity unless 
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the entity sponsors the health care practitioner. For 
purposes of this subsection, the entity shall be con-
sidered to be sponsoring the health care practitioner 
if— 
‘‘(i) with respect to the health care practi-
tioner, the entity submits to the Secretary an 
application meeting the requirements of sub-
section (g)(1)(D); and 
‘‘(ii) the Secretary, pursuant to subsection 
(g)(1)(E), determines that the health care prac-
titioner is deemed to be an employee of the 
Public Health Service. 
‘‘(C) In the case of a health care practitioner 
who is determined by the Secretary pursuant to sub-
section (g)(1)(E) to be a health professional volun-
teer at such entity, this subsection applies to the 
health care practitioner (with respect to services per-
formed on behalf of the entity sponsoring the health 
care practitioner pursuant to subparagraph (B)) for 
any cause of action arising from an act or omission 
of the health care practitioner occurring on or after 
the date on which the Secretary makes such deter-
mination. 
‘‘(D) Subsection (g)(1)(F) applies to a health 
care practitioner for purposes of this subsection only 
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to the extent that, in providing health services to an 
individual, each of the conditions specified in para-
graph (2) is met. 
‘‘(4)(A) Amounts in the fund established under sub-
section (k)(2) shall be available for transfer under sub-
paragraph (C) for purposes of carrying out this sub-
section. 
‘‘(B) Not later May 1 of each fiscal year, the Attor-
ney General, in consultation with the Secretary, shall sub-
mit to the Congress a report providing an estimate of the 
amount of claims (together with related fees and expenses 
of witnesses) that, by reason of the acts or omissions of 
health professional volunteers, will be paid pursuant to 
this section during the calendar year that begins in the 
following fiscal year. Subsection (k)(1)(B) applies to the 
estimate under the preceding sentence regarding health 
professional volunteers to the same extent and in the same 
manner as such subsection applies to the estimate under 
such subsection regarding officers, governing board mem-
bers, employees, and contractors of entities described in 
subsection (g)(4). 
‘‘(C) Not later than December 31 of each fiscal year, 
the Secretary shall transfer from the fund under sub-
section (k)(2) to the appropriate accounts in the Treasury 
an amount equal to the estimate made under subpara-
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graph (B) for the calendar year beginning in such fiscal 
year, subject to the extent of amounts in the fund. 
‘‘(5)(A) This subsection takes effect on October 1, 
2017, except as provided in subparagraph (B). 
‘‘(B) Effective on the date of the enactment of this 
subsection— 
‘‘(i) the Secretary may issue regulations for car-
rying out this subsection, and the Secretary may ac-
cept and consider applications submitted pursuant to 
paragraph (3)(B); and 
‘‘(ii) reports under paragraph (4)(B) may be 
submitted to the Congress.’’. 
TITLE VI—SUPPORTING INNOVA-
TIVE AND EVIDENCE-BASED 
PROGRAMS 
Subtitle A—Encouraging the Ad-
vancement, Incorporation, and 
Development of Evidence-Based 
Practices 
SEC. 601. ENCOURAGING INNOVATION AND EVIDENCE- 
BASED PROGRAMS. 
Section 501B of the Public Health Service Act, as 
inserted by section 103, is further amended, by inserting 
after subsection (c) the following new subsection: 
‘‘(d) PROMOTING INNOVATION.— 
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‘‘(1) IN GENERAL.—The Assistant Secretary, in 
coordination with the Laboratory, may award grants 
to States, local governments, Indian tribes or tribal 
organizations (as such terms are defined in section 
4 of the Indian Self-Determination and Education 
Assistance Act), educational institutions, and non-
profit organizations to develop evidence-based inter-
ventions, including culturally and linguistically ap-
propriate services, as appropriate, for— 
‘‘(A) evaluating a model that has been sci-
entifically demonstrated to show promise, but 
would benefit from further applied development, 
for— 
‘‘(i) enhancing the prevention, diag-
nosis, intervention, treatment, and recovery 
of mental illness, serious emotional dis-
turbance, substance use disorders, and co- 
occurring illness or disorders; or 
‘‘(ii) integrating or coordinating phys-
ical health services and mental illness and 
substance use disorder services; and 
‘‘(B) expanding, replicating, or scaling evi-
dence-based programs across a wider area to 
enhance effective screening, early diagnosis, 
intervention, and treatment with respect to 
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mental illness, serious mental illness, and seri-
ous emotional disturbance, primarily by— 
‘‘(i) applying delivery of care, includ-
ing training staff in effective evidence- 
based treatment; or 
‘‘(ii) integrating models of care across 
specialties and jurisdictions. 
‘‘(2) 
CONSULTATION.—In 
awarding 
grants 
under this paragraph, the Assistant Secretary shall, 
as appropriate, consult with the advisory councils de-
scribed in section 502, the National Institute of 
Mental Health, the National Institute on Drug 
Abuse, and the National Institute on Alcohol Abuse 
and Alcoholism, as appropriate. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated— 
‘‘(A) to carry out paragraph (1)(A), 
$7,000,000 for the period of fiscal years 2018 
through 2020; and 
‘‘(B) to carry out paragraph (1)(B), 
$7,000,000 for the period of fiscal years 2018 
through 2020.’’. 
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SEC. 602. PROMOTING ACCESS TO INFORMATION ON EVI-
DENCE-BASED PROGRAMS AND PRACTICES. 
Part D of title V of the Public Health Service Act 
is amended by inserting after section 543 of such Act (42 
U.S.C. 290dd–2 ) the following: 
‘‘SEC. 544. PROMOTING ACCESS TO INFORMATION ON EVI-
DENCE-BASED PROGRAMS AND PRACTICES. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall 
improve access to reliable and valid information on evi-
dence-based programs and practices, including informa-
tion on the strength of evidence associated with such pro-
grams and practices, related to mental illness and sub-
stance use disorders for States, local communities, non-
profit entities, and other stakeholders by posting on the 
website of the National Registry of Evidence-Based Pro-
grams and Practices evidence-based programs and prac-
tices that have been reviewed by the Assistant Secretary 
pursuant to the requirements of this section. 
‘‘(b) NOTICE.— 
‘‘(1) PERIODS.—In carrying out subsection (a), 
the Assistant Secretary may establish an initial pe-
riod for the submission of applications for evidence- 
based programs and practices to be posted publicly 
in accordance with subsection (a) (and may establish 
subsequent such periods). The Assistant Secretary 
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shall publish notice of such application periods in 
the Federal Register. 
‘‘(2) ADDRESSING GAPS.—Such notice may so-
licit applications for evidence-based practices and 
programs to address gaps in information identified 
by the Assistant Secretary, the Assistant Secretary 
for Planning and Evaluation, the Assistant Sec-
retary for Financial Resources, or the National Men-
tal Health and Substance Use Policy Laboratory, in-
cluding pursuant to priorities identified in the stra-
tegic plan established under section 501(l). 
‘‘(c) REQUIREMENTS.—The Assistant Secretary shall 
establish minimum requirements for applications referred 
to in this section, including applications related to the sub-
mission of research and evaluation. 
‘‘(d) REVIEW AND RATING.—The Assistant Secretary 
shall review applications prior to public posting, and may 
prioritize the review of applications for evidence-based 
practices and programs that are related to topics included 
in the notice established under subsection (b). The Assist-
ant Secretary shall utilize a rating and review system, 
which shall include information on the strength of evidence 
associated with such programs and practices and a rating 
of the methodological rigor of the research supporting the 
application. The Assistant Secretary shall make the 
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metrics used to evaluate applications and the resulting rat-
ings publicly available.’’. 
SEC. 603. SENSE OF CONGRESS. 
It is the sense of the Congress that the National In-
stitute of Mental Health should conduct or support re-
search on the determinants of self-directed and other vio-
lence connected to mental illness. 
Subtitle B—Supporting the State 
Response to Mental Health Needs 
SEC. 611. COMMUNITY MENTAL HEALTH SERVICES BLOCK 
GRANT. 
(a) FORMULA GRANTS.—Section 1911(b) of the Pub-
lic Health Service Act (42 U.S.C. 300x(b)) is amended— 
(1) by redesignating paragraphs (1) through 
(3) as paragraphs (2) through (4), respectively; and 
(2) by inserting before paragraph (2) (as so re-
designated), the following: 
‘‘(1) providing community mental health serv-
ices for adults with a serious mental illness and chil-
dren with a serious emotional disturbance as defined 
in accordance with section 1912(c);’’. 
(b) STATE PLAN.—Subsection (b) of section 1912 of 
the Public Health Service Act (42 U.S.C. 300x–1) is 
amended to read as follows: 
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‘‘(b) CRITERIA FOR PLAN.—The criteria specified in 
this subsection are as follows: 
‘‘(1) SYSTEM OF CARE.—The plan provides a 
description of the system of care of the State, in-
cluding as follows: 
‘‘(A) COMPREHENSIVE COMMUNITY-BASED 
HEALTH SYSTEMS.—The plan shall— 
‘‘(i) identify the single State agency to 
be responsible for the administration of the 
program under the grant and any third 
party with whom the agency will contract 
(subject to such third party complying with 
the requirements of this part) for admin-
istering mental health services through 
such program; 
‘‘(ii) provide for an organized commu-
nity-based system of care for individuals 
with mental illness, and describe available 
services and resources in a comprehensive 
system of care, including services for indi-
viduals with mental health and behavioral 
health co-occurring illness or disorders; 
‘‘(iii) include a description of the 
manner in which the State and local enti-
ties will coordinate services to maximize 
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the efficiency, effectiveness, quality, and 
cost effectiveness of services and programs 
to produce the best possible outcomes (in-
cluding health services, rehabilitation serv-
ices, employment services, housing services, 
educational services, substance use dis-
order services, legal services, law enforce-
ment services, social services, child welfare 
services, medical and dental care services, 
and other support services to be provided 
with Federal, State, and local public and 
private resources) with other agencies to 
enable individuals receiving services to 
function outside of inpatient or residential 
institutions, to the maximum extent of 
their capabilities, including services to be 
provided by local school systems under the 
Individuals with Disabilities Education 
Act; 
‘‘(iv) include a description of how the 
State— 
‘‘(I) 
promotes 
evidence-based 
practices, including those evidence- 
based programs that address the 
needs of individuals with early serious 
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mental illness regardless of the age of 
the individual at onset; 
‘‘(II) provides comprehensive in-
dividualized treatment; or 
‘‘(III) 
integrates 
mental 
and 
physical health services; 
‘‘(v) include a description of case 
management services in the State; 
‘‘(vi) include a description of activities 
that seek to engage individuals with seri-
ous mental illness or serious emotional dis-
turbance and their caregivers where appro-
priate in making health care decisions, in-
cluding activities that enhance communica-
tion between individuals, families, care-
givers, and treatment providers; and 
‘‘(vii) as appropriate to and reflective 
of the uses the State proposes for the block 
grant monies— 
‘‘(I) a description of the activities 
intended to reduce hospitalizations 
and hospital stays using the block 
grant monies; 
‘‘(II) a description of the activi-
ties intended to reduce incidents of 
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suicide using the block grant monies; 
and 
‘‘(III) a description of how the 
State integrates mental health and 
primary care using the block grant 
monies. 
‘‘(B) MENTAL HEALTH SYSTEM DATA AND 
EPIDEMIOLOGY.—The plan shall contain an es-
timate of the incidence and prevalence in the 
State of serious mental illness among adults 
and serious emotional disturbance among chil-
dren and presents quantitative targets and out-
come measures for programs and services pro-
vided under this subpart. 
‘‘(C) CHILDREN’S SERVICES.—In the case 
of children with serious emotional disturbance 
(as defined in accordance with subsection (c)), 
the plan shall provide for a system of integrated 
social services, educational services, child wel-
fare services, juvenile justice services, law en-
forcement services, and substance use disorder 
services that, together with health and mental 
health services, will be provided in order for 
such children to receive care appropriate for 
their multiple needs (such system to include 
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services provided under the Individuals with 
Disabilities Education Act). 
‘‘(D) TARGETED SERVICES TO RURAL AND 
HOMELESS POPULATIONS.—The plan shall de-
scribe the State’s outreach to and services for 
individuals who are homeless and how commu-
nity-based services will be provided to individ-
uals residing in rural areas. 
‘‘(E) MANAGEMENT SERVICES.—The plan 
shall— 
‘‘(i) describe the financial resources 
available, the existing mental health work-
force, and the workforce trained in treating 
individuals with co-occurring mental illness 
and substance use disorders; 
‘‘(ii) provide for the training of pro-
viders of emergency health services regard-
ing mental health; 
‘‘(iii) describe the manner in which 
the State intends to expend the grant 
under section 1911 for the fiscal year in-
volved; and 
‘‘(iv) describe the manner in which 
the State intends to comply with each of 
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the funding agreements in this subpart 
and subpart III. 
‘‘(2) GOALS AND OBJECTIVES.—The plan estab-
lishes goals and objectives for the period of the plan, 
including targets and milestones that are intended to 
be met, and the activities that will be undertaken to 
achieve those goals and objectives.’’. 
(c) BEST PRACTICES IN CLINICAL CARE MODELS.— 
Section 1920 of the Public Health Service Act (42 U.S.C. 
300x–9) is amended by adding at the end the following: 
‘‘(c) BEST PRACTICES
IN CLINICAL CARE MOD-
ELS.—A State shall expend not less than 10 percent of 
the amount the State receives for carrying out this sub-
part in each fiscal year to support evidence-based pro-
grams that address the needs of individuals with early se-
rious mental illness, including psychotic disorders, regard-
less of the age of the individual at the onset of such ill-
ness.’’. 
(d) ADDITIONAL PROVISIONS.—Section 1915(b) of 
the Public Health Service Act (42 U.S.C. 300x–4(b)) is 
amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1911 is that the State involved 
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will maintain State expenditures for community 
mental health services at a level that is not less than 
the average of the amounts prescribed by this para-
graph (prior to any waiver under paragraph (3)) for 
such expenditures by such State for each of the 2 
fiscal years immediately preceding the fiscal year for 
which the State is applying for the grant.’’; 
(2) in paragraph (2)— 
(A) by striking ‘‘under subsection (a)’’ and 
inserting ‘‘specified in paragraph (1)’’; and 
(B) by striking ‘‘principle’’ and inserting 
‘‘principal’’; 
(3) by amending paragraph (3) to read as fol-
lows: 
‘‘(3) WAIVER.— 
‘‘(A) IN
GENERAL.—The Secretary may, 
upon the request of a State, waive the require-
ment established in paragraph (1) in whole or 
in part, if the Secretary determines that ex-
traordinary economic conditions in the State in 
the fiscal year involved or in the previous fiscal 
year justify the waiver. 
‘‘(B) DATE
CERTAIN
FOR
ACTION
UPON 
REQUEST.—The Secretary shall approve or 
deny a request for a waiver under this para-
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graph not later than 120 days after the date on 
which the request is made. 
‘‘(C) APPLICABILITY OF WAIVER.—A waiv-
er provided by the Secretary under this para-
graph shall be applicable only to the fiscal year 
involved.’’; and 
(4) in paragraph (4)— 
(A) by amending subparagraph (A) to read 
as follows: 
‘‘(A) IN GENERAL.— 
‘‘(i) DETERMINATION
AND
REDUC-
TION.—The Secretary shall determine, in 
the case of each State, and for each fiscal 
year, whether the State maintained mate-
rial compliance with the agreement made 
under paragraph (1). If the Secretary de-
termines that a State has failed to main-
tain such compliance for a fiscal year, the 
Secretary shall reduce the amount of the 
allotment under section 1911 for the State, 
for the first fiscal year beginning after 
such determination is final, by an amount 
equal to the amount constituting such fail-
ure for the previous fiscal year about 
which the determination was made. 
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‘‘(ii) ALTERNATIVE
SANCTION.—The 
Secretary may by regulation provide for an 
alternative method of imposing a sanction 
for a failure by a State to maintain mate-
rial compliance with the agreement under 
paragraph (1) if the Secretary determines 
that such alternative method would be 
more equitable and would be a more effec-
tive incentive for States to maintain such 
material compliance.’’; and 
(B) in subparagraph (B)— 
(i) by inserting after the subpara-
graph designation the following: ‘‘SUBMIS-
SION
OF
INFORMATION
TO
THE
SEC-
RETARY.—’’; and 
(ii) by striking ‘‘subparagraph (A)’’ 
and inserting ‘‘subparagraph (A)(i)’’. 
(e) APPLICATION FOR GRANT.—Section 1917(a) of 
the Public Health Service Act (42 U.S.C. 300x–6(a)) is 
amended— 
(1) in paragraph (1), by striking ‘‘1941’’ and 
inserting ‘‘1942(a)’’; and 
(2) 
in 
paragraph 
(5), 
by 
striking 
‘‘1915(b)(3)(B)’’ and inserting ‘‘1915(b)’’. 
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Subtitle C—Strengthening Mental 
Health Care for Children and 
Adolescents 
SEC. 621. TELE-MENTAL HEALTH CARE ACCESS GRANTS. 
Title III of the Public Health Service Act is amended 
by inserting after section 330L of such Act (42 U.S.C. 
254c–18) the following new section: 
‘‘SEC. 330M. TELE-MENTAL HEALTH CARE ACCESS GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration and in coordination with other relevant 
Federal agencies, shall award grants to States, political 
subdivisions of States, Indian tribes, and tribal organiza-
tions (for purposes of this section, as such terms are de-
fined in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 450b)) to promote 
behavioral health integration in pediatric primary care 
by— 
‘‘(1) supporting the development of statewide 
child mental health care access programs; and 
‘‘(2) supporting the improvement of existing 
statewide child mental health care access programs. 
‘‘(b) PROGRAM REQUIREMENTS.— 
‘‘(1) IN GENERAL.—A child mental health care 
access program referred to in subsection (a), with 
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respect to which a grant under such subsection may 
be used, shall— 
‘‘(A) be a statewide network of pediatric 
mental health teams that provide support to pe-
diatric primary care sites as an integrated 
team; 
‘‘(B) support and further develop orga-
nized State networks of child and adolescent 
psychiatrists and psychologists to provide con-
sultative support to pediatric primary care sites; 
‘‘(C) conduct an assessment of critical be-
havioral consultation needs among pediatric 
providers and such providers’ preferred mecha-
nisms for receiving consultation and training 
and technical assistance; 
‘‘(D) develop an online database and com-
munication mechanisms, including telehealth, to 
facilitate consultation support to pediatric prac-
tices; 
‘‘(E) provide rapid statewide clinical tele-
phone or telehealth consultations when re-
quested between the pediatric mental health 
teams and pediatric primary care providers; 
‘‘(F) conduct training and provide tech-
nical assistance to pediatric primary care pro-
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viders to support the early identification, diag-
nosis, treatment, and referral of children with 
behavioral health conditions or co-occurring in-
tellectual and other developmental disabilities; 
‘‘(G) provide information to pediatric pro-
viders about, and assist pediatric providers in 
accessing, child psychiatry and psychology con-
sultations and in scheduling and conducting 
technical assistance; 
‘‘(H) assist with referrals to specialty care 
and community or behavioral health resources; 
and 
‘‘(I) establish mechanisms for measuring 
and monitoring increased access to child and 
adolescent psychiatric and psychology services 
by pediatric primary care providers and ex-
panded capacity of pediatric primary care pro-
viders to identify, treat, and refer children with 
mental health problems. 
‘‘(2) PEDIATRIC MENTAL HEALTH TEAMS.—In 
this subsection, the term ‘pediatric mental health 
team’ means a team of case coordinators, child and 
adolescent psychiatrists, and licensed clinical mental 
health professionals, such as a psychologist, social 
worker, or mental health counselor. 
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‘‘(c) APPLICATION.—A State, political subdivision of 
a State, Indian tribe, or tribal organization seeking a 
grant under this section shall submit an application to the 
Secretary at such time, in such manner, and containing 
such information as the Secretary may require, including 
a plan for the rigorous evaluation of activities that are 
carried out with funds received under such grant. 
‘‘(d) EVALUATION.—A State, political subdivision of 
a State, Indian tribe, or tribal organization that receives 
a grant under this section shall prepare and submit an 
evaluation of activities carried out with funds received 
under such grant to the Secretary at such time, in such 
manner, and containing such information as the Secretary 
may reasonably require, including a process and outcome 
evaluation. 
‘‘(e) MATCHING REQUIREMENT.—The Secretary may 
not award a grant under this section unless the State, po-
litical subdivision of a State, Indian tribe, or tribal organi-
zation involved agrees, with respect to the costs to be in-
curred by the State, political subdivision of a State, Indian 
tribe, or tribal organization in carrying out the purpose 
described in this section, to make available non-Federal 
contributions (in cash or in kind) toward such costs in 
an amount that is not less than 20 percent of Federal 
funds provided in the grant. 
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‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry this section, there are authorized to be appropriated 
$9,000,000 for the period of fiscal years 2018 through 
2020.’’. 
SEC. 
622. 
INFANT 
AND 
EARLY 
CHILDHOOD 
MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 290h et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399Z–2. INFANT AND EARLY CHILDHOOD MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
‘‘(a) GRANTS.—The Secretary shall— 
‘‘(1) award grants to eligible entities, including 
human services agencies, to develop, maintain, or en-
hance infant and early childhood mental health pro-
motion, intervention, and treatment programs, in-
cluding— 
‘‘(A) programs for infants and children at 
significant risk of developing, showing early 
signs of, or having been diagnosed with mental 
illness including serious emotional disturbance; 
and 
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‘‘(B) multigenerational therapy and other 
services that support the caregiving relation-
ship; and 
‘‘(2) ensure that programs funded through 
grants under this section are evidence-informed or 
evidence-based models, practices, and methods that 
are, as appropriate, culturally and linguistically ap-
propriate, and can be replicated in other appropriate 
settings. 
‘‘(b) ELIGIBLE CHILDREN AND ENTITIES.—In this 
section: 
‘‘(1) ELIGIBLE
CHILD.—The term ‘eligible 
child’ means a child from birth to not more than 5 
years of age who— 
‘‘(A) is at risk for, shows early signs of, or 
has been diagnosed with a mental illness, in-
cluding serious emotional disturbance; and 
‘‘(B) may benefit from infant and early 
childhood intervention or treatment programs 
or specialized preschool or elementary school 
programs that are evidence-based or that have 
been scientifically demonstrated to show prom-
ise but would benefit from further applied de-
velopment. 
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‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means a nonprofit institution that— 
‘‘(A) is accredited or approved by a State 
mental health or education agency, as applica-
ble, to provide for children from infancy to 5 
years of age mental health promotion, interven-
tion, or treatment services that are evidence- 
based or that have been scientifically dem-
onstrated to show promise but would benefit 
from further applied development; and 
‘‘(B) provides programs described in sub-
section (a) that are evidence-based or that have 
been scientifically demonstrated to show prom-
ise but would benefit from further applied de-
velopment. 
‘‘(c) APPLICATION.—An eligible entity seeking a 
grant under subsection (a) shall submit to the Secretary 
an application at such time, in such manner, and con-
taining such information as the Secretary may require. 
‘‘(d) USE OF FUNDS FOR EARLY INTERVENTION AND 
TREATMENT PROGRAMS.—An eligible entity may use 
amounts awarded under a grant under subsection (a)(1) 
to carry out the following: 
‘‘(1) Provide age-appropriate mental health pro-
motion and early intervention services or mental ill-
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ness treatment services, which may include special-
ized programs, for eligible children at significant 
risk of developing, showing early signs of, or having 
been diagnosed with a mental illness, including seri-
ous emotional disturbance. Such services may in-
clude social and behavioral services as well as 
multigenerational therapy and other services ?that 
support the caregiving relationship. 
‘‘(2) Provide training for health care profes-
sionals with expertise in infant and early childhood 
mental health care with respect to appropriate and 
relevant integration with other disciplines such as 
primary care clinicians, early intervention specialists, 
child welfare staff, home visitors, early care and edu-
cation providers, and others who work with young 
children and families. 
‘‘(3) Provide mental health consultation to per-
sonnel of early care and education programs (includ-
ing licensed or regulated center-based and home- 
based child care, home visiting, preschool special 
education, and early intervention programs) who 
work with children and families. 
‘‘(4) Provide training for mental health clini-
cians in infant and early childhood in promising and 
evidence-based practices and models for infant and 
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early childhood mental health treatment and early 
intervention, including with regard to practices for 
identifying and treating mental illness and behav-
ioral disorders of infants and children resulting from 
exposure or repeated exposure to adverse childhood 
experiences or childhood trauma. 
‘‘(5) Provide age-appropriate assessment, diag-
nostic, and intervention services for eligible children, 
including early mental health promotion, interven-
tion, and treatment services. 
‘‘(e) MATCHING FUNDS.—The Secretary may not 
award a grant under this section to an eligible entity un-
less the eligible entity agrees, with respect to the costs to 
be incurred by the eligible entity in carrying out the activi-
ties described in subsection (d), to make available non- 
Federal contributions (in cash or in kind) toward such 
costs in an amount that is not less than 10 percent of 
the total amount of Federal funds provided in the grant. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry this section, there are authorized to be appropriated 
$20,000,000 for the period of fiscal years 2018 through 
2022.’’. 
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SEC. 623. NATIONAL CHILD TRAUMATIC STRESS INITIA-
TIVE. 
Section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1; relating to grants to address the prob-
lems of persons who experience violence related stress) is 
amended— 
(1) in subsection (a), by striking ‘‘developing 
programs’’ and all that follows and inserting the fol-
lowing: ‘‘developing and maintaining programs that 
provide for— 
‘‘(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, behavioral, 
and biological aspects of psychological trauma re-
sponse; and 
‘‘(2) the development of knowledge with regard 
to evidence-based practices for identifying and treat-
ing mental illness, behavioral disorders, and physical 
health conditions of children and youth resulting 
from witnessing or experiencing 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 
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‘‘treating mental illness and behavioral and bio-
logical disorders 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’’; 
(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, report, and make pub-
licly available NCTSI-wide child treatment process and 
outcome data regarding the early identification and deliv-
ery 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. 
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‘‘(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 
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 ‘‘$46,887,000 for each of fis-
cal years 2017 through 2021’’. 
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TITLE 
VII—GRANT 
PROGRAMS 
AND PROGRAM REAUTHOR-
IZATION 
Subtitle A—Garrett Lee Smith 
Memorial Act Reauthorization 
SEC. 701. YOUTH INTERAGENCY RESEARCH, TRAINING, AND 
TECHNICAL ASSISTANCE CENTERS. 
Section 520C of the Public Health Service Act (42 
U.S.C. 290bb–34) is amended— 
(1) by striking the section heading and insert-
ing ‘‘SUICIDE PREVENTION TECHNICAL ASSIST-
ANCE 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-
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); 
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(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 
for suicide’’ before the semicolon at the 
end; 
(E) in paragraph (2), by inserting ‘‘for all 
ages, particularly among groups that are at 
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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 $5,988,000 for each of fiscal years 
2017 through 2021. 
‘‘(d) REPORT.—Not later than 2 years after the date 
of enactment of the Helping Families in Mental Health 
Crisis Act of 2016, the Secretary shall submit to Congress 
a report on the activities carried out by the center estab-
lished under subsection (a) during the year involved, in-
cluding the potential effects of such activities, and the 
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States, organizations, and institutions that have worked 
with the center.’’. 
SEC. 702. YOUTH SUICIDE EARLY INTERVENTION AND PRE-
VENTION STRATEGIES. 
Section 520E of the Public Health Service Act (42 
U.S.C. 290bb–36) is amended— 
(1) 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 one grant or cooperative 
agreement under this section at any one 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 $35,427,000 for each of fiscal 
years 2017 through 2021.’’. 
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SEC. 703. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES ON CAMPUS. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended— 
(1) in the section heading, by striking ‘‘AND 
BEHAVIORAL HEALTH’’ and inserting ‘‘HEALTH 
AND SUBSTANCE USE DISORDER’’; 
(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. 
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‘‘(4) Providing outreach services to notify stu-
dents about available mental health and substance 
use disorder services. 
‘‘(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 
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(ii) by inserting ‘‘, including veterans 
whenever possible and appropriate,’’ after 
‘‘students’’; and 
(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 ‘‘$6,488,000 for 
each of fiscal years 2017 through 2021.’’. 
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Subtitle B—Other Provisions 
SEC. 711. NATIONAL SUICIDE PREVENTION LIFELINE PRO-
GRAM. 
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 
inserting after section 520E–2 (42 U.S.C. 290bb–36b) the 
following: 
‘‘SEC. 520E–3. NATIONAL SUICIDE PREVENTION LIFELINE 
PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary, shall maintain the National Sui-
cide Prevention Lifeline Program (referred to in this sec-
tion as the ‘Program’), authorized under section 520A and 
in effect prior to the date of enactment of the Helping 
Families in Mental Health Crisis Act of 2016. 
‘‘(b) ACTIVITIES.—In maintaining the Program, the 
activities of the Secretary shall include— 
‘‘(1) coordinating a network of crisis centers 
across the United States for providing suicide pre-
vention and crisis intervention services to individuals 
seeking help at any time, day or night; 
‘‘(2) maintaining a suicide prevention hotline to 
link callers to local emergency, mental health, and 
social services resources; and 
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‘‘(3) consulting with the Secretary of Veterans 
Affairs to ensure that veterans calling the suicide 
prevention hotline have access to a specialized vet-
erans’ suicide prevention hotline. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $7,198,000 for each of fiscal years 2017 through 
2021.’’. 
SEC. 712. WORKFORCE DEVELOPMENT STUDIES AND RE-
PORTS. 
(a) IN GENERAL.—Not later than 2 years after the 
date of enactment of this Act, the Assistant Secretary for 
Mental Health and Substance Use, in consultation with 
the Administrator of the Health Resources and Services 
Administration, shall conduct a study, and publicly post 
on the appropriate Internet website of the Department of 
Health and Human Services a report, on the mental 
health and substance use disorder workforce in order to 
inform Federal, State, and local efforts related to work-
force enhancement. 
(b) CONTENTS.—The report under this section shall 
contain— 
(1) national and State-level projections of the 
supply and demand of mental health and substance 
use disorder health workers, including the number of 
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individuals practicing in fields deemed relevant by 
the Secretary; 
(2) an assessment of the mental health and 
substance use disorder workforce capacity, strengths, 
and weaknesses as of the date of the report, includ-
ing the capacity of primary care to prevent, screen, 
treat, or refer for mental health and substance use 
disorders; 
(3) information on trends within the mental 
health and substance use disorder provider work-
force, including the number of individuals entering 
the mental health workforce over the next 5 years; 
(4) information on the gaps in workforce devel-
opment for mental health providers and profes-
sionals, including those who serve pediatric, adult, 
and geriatric patients; and 
(5) any additional information determined by 
the Assistant Secretary for Mental Health and Sub-
stance Use, in consultation with the Administrator 
of the Health Resources and Services Administra-
tion, to be relevant to the mental health and sub-
stance use disorder provider workforce. 
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SEC. 713. MINORITY FELLOWSHIP PROGRAM. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART K—MINORITY FELLOWSHIP PROGRAM 
‘‘SEC. 597. FELLOWSHIPS. 
‘‘(a) IN GENERAL.—The Secretary shall maintain a 
program, to be known as the Minority Fellowship Pro-
gram, under which the Secretary awards fellowships, 
which may include stipends, for the purposes of— 
‘‘(1) increasing behavioral health practitioners’ 
knowledge of issues related to prevention, treatment, 
and recovery support for mental illness and sub-
stance use disorders among racial and ethnic minor-
ity populations; 
‘‘(2) improving the quality of mental illness and 
substance use disorder prevention and treatment de-
livered to racial and ethnic minorities; and 
‘‘(3) increasing the number of culturally com-
petent behavioral health professionals and school 
personnel who teach, administer, conduct services re-
search, and provide direct mental health or sub-
stance use services to racial and ethnic minority 
populations. 
‘‘(b) TRAINING COVERED.—The fellowships under 
subsection (a) shall be for postbaccalaureate training (in-
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cluding for master’s and doctoral degrees) for mental 
health professionals, including in the fields of psychiatry, 
nursing, social work, psychology, marriage and family 
therapy, mental health counseling, and substance use and 
addiction counseling. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $12,669,000 for each of fiscal years 2017, 2018, 
and 2019 and $13,669,000 for each of fiscal years 2020 
and 2021.’’. 
SEC. 714. CENTER AND PROGRAM REPEALS. 
Part B of title V of the Public Health Service Act 
(42 U.S.C. 290bb et seq.) is amended by striking the sec-
ond section 514 (42 U.S.C. 290bb–9), relating to meth-
amphetamine and amphetamine treatment initiatives, and 
sections 514A, 517, 519A, 519C, 519E, 520D, and 520H 
(42 U.S.C. 290bb–8, 290bb–23, 290bb–25a, 290bb–25c, 
290bb–25e, 290bb–35, and 290bb–39). 
SEC. 715. NATIONAL VIOLENT DEATH REPORTING SYSTEM. 
The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control 
and Prevention, is encouraged to improve, particularly 
through the inclusion 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.). 
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Participation in the system by the States shall be vol-
untary. 
SEC. 716. SENSE OF CONGRESS ON PRIORITIZING NATIVE 
AMERICAN YOUTH AND SUICIDE PREVEN-
TION PROGRAMS. 
(a) FINDINGS.—The Congress finds as follows: 
(1) Suicide is the eighth leading cause of death 
among American Indians and Alaska Natives across 
all ages. 
(2) Among American Indians and Alaska Na-
tives who are 10 to 34 years of age, suicide is the 
second leading cause of death. 
(3) The suicide rate among American Indian 
and Alaska Native adolescents and young adults 
ages 15 to 34 (19.5 per 100,000) is 1.5 times higher 
than the national average for that age group (12.9 
per 100,000). 
(b) SENSE OF CONGRESS.—It is the sense of Con-
gress that the Secretary of Health and Human Services, 
in carrying out programs for Native American youth and 
suicide prevention programs for youth suicide interven-
tion, should prioritize programs and activities for individ-
uals who have a high risk or disproportional burden of 
suicide, such as Native Americans. 
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SEC. 717. PEER PROFESSIONAL WORKFORCE DEVELOP-
MENT GRANT PROGRAM. 
(a) IN GENERAL.—For the purposes described in 
subsection (b), the Secretary of Health and Human Serv-
ices shall award grants to develop and sustain behavioral 
health paraprofessional training and education programs, 
including through tuition support. 
(b) PURPOSES.—The purposes of grants under this 
section are— 
(1) to increase the number of behavioral health 
paraprofessionals, including trained peers, recovery 
coaches, mental health and addiction specialists, pre-
vention specialists, and pre-masters-level addiction 
counselors; and 
(2) to help communities develop the infrastruc-
ture to train and certify peers as behavioral health 
paraprofessionals. 
(c) ELIGIBLE ENTITIES.—To be eligible to receive a 
grant under this section, an entity shall be a community 
college or other entity the Secretary deems appropriate. 
(d) 
GEOGRAPHIC
DISTRIBUTION.—In 
awarding 
grants under this section, the Secretary shall seek to 
achieve an appropriate national balance in the geographic 
distribution of such awards. 
(e) SPECIAL CONSIDERATION.—In awarding grants 
under this section, the Secretary may give special consid-
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eration to proposed and existing programs targeting peer 
professionals serving youth ages 16 to 25. 
(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$10,000,000 for the period of fiscal years 2018 through 
2022. 
SEC. 718. NATIONAL HEALTH SERVICE CORPS. 
(a) DEFINITIONS.— 
(1) 
PRIMARY
HEALTH
SERVICES.—Section 
331(a)(3)(D) of the Public Health Service Act (42 
U.S.C. 254d(a)(3)) is amended by inserting ‘‘(in-
cluding pediatric mental health subspecialty serv-
ices)’’ after ‘‘pediatrics’’. 
(2) BEHAVIORAL AND MENTAL HEALTH PRO-
FESSIONALS.—Clause (i) of section 331(a)(3)(E) of 
the 
Public 
Health 
Service 
Act 
(42 
U.S.C. 
254d(a)(3)(E)) is amended by inserting ‘‘(and pedi-
atric subspecialists thereof)’’ before the period at the 
end. 
(b) ELIGIBILITY TO PARTICIPATE IN LOAN REPAY-
MENT PROGRAM.—Section 338B(b)(1)(B) of the Public 
Health Service Act (42 U.S.C. 254l–1(b)(1)(B)) is amend-
ed by inserting ‘‘, including any physician child and ado-
lescent psychiatry residency or fellowship training pro-
gram’’ after ‘‘be enrolled in an approved graduate training 
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program in medicine, osteopathic medicine, dentistry, be-
havioral and mental health, or other health profession’’. 
SEC. 719. ADULT SUICIDE PREVENTION. 
(a) GRANTS.— 
(1) AUTHORITY.—The Assistant Secretary for 
Mental Health and Substance Use (referred to in 
this section as the ‘‘Assistant Secretary’’) may 
award grants to eligible entities in order to imple-
ment suicide prevention efforts amongst adults 25 
and older. 
(2) PURPOSE.—The grant program under this 
section shall be designed to raise suicide awareness, 
establish referral processes, and improve clinical care 
practice standards for treating suicide ideation, 
plans, and attempts among adults. 
(3) RECIPIENTS.—To be eligible to receive a 
grant under this section, an entity shall be a com-
munity-based primary care or behavioral health care 
setting, an emergency department, a State mental 
health agency, an Indian tribe, a tribal organization, 
or any other entity the Assistant Secretary deems 
appropriate. 
(4) NATURE
OF
ACTIVITIES.—The grants 
awarded under paragraph (1) shall be used to imple-
ment programs that— 
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(A) screen for suicide risk in adults and 
provide intervention and referral to treatment; 
(B) implement evidence-based practices to 
treat individuals who are at suicide risk, includ-
ing appropriate followup services; and 
(C) raise awareness, reduce stigma, and 
foster open dialogue about suicide prevention. 
(b) ADDITIONAL ACTIVITIES.—The Assistant Sec-
retary shall— 
(1) evaluate the activities supported by grants 
awarded under subsection (a) in order to further the 
Nation’s understanding of effective interventions to 
prevent suicide in adults; 
(2) disseminate the findings from the evaluation 
as the Assistant Secretary considers appropriate; 
and 
(3) provide appropriate information, training, 
and technical assistance to eligible entities that re-
ceive a grant under this section, in order to help 
such entities to meet the requirements of this sec-
tion, including assistance with— 
(A) selection and implementation of evi-
dence-based interventions and frameworks to 
prevent suicide, such as the Zero Suicide frame-
work; and 
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