175 
zations, Indian behavioral health experts, and Indian alco-
hol and substance abuse prevention experts, shall develop 
and provide community-based training models. Such mod-
els shall address— 
‘‘(1) the elevated risk of alcohol abuse and 
other behavioral health problems faced by children of 
alcoholics; 
‘‘(2) 
the 
cultural, 
spiritual, 
and 
multigenerational aspects of behavioral health prob-
lem prevention and recovery; and 
‘‘(3) community-based and multidisciplinary 
strategies for preventing and treating behavioral 
health problems. 
‘‘SEC. 711. BEHAVIORAL HEALTH PROGRAM. 
‘‘(a) INNOVATIVE PROGRAMS.—The Secretary, acting 
through the Service, consistent with section 702, may 
plan, develop, implement, and carry out programs to de-
liver innovative community-based behavioral health serv-
ices to Indians. 
‘‘(b) AWARDS; CRITERIA.—The Secretary may award 
a grant for a project under subsection (a) to an Indian 
tribe or tribal organization and may consider the following 
criteria: 
‘‘(1) The project will address significant unmet 
behavioral health needs among Indians. 
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‘‘(2) The project will serve a significant number 
of Indians. 
‘‘(3) The project has the potential to deliver 
services in an efficient and effective manner. 
‘‘(4) The Indian tribe or tribal organization has 
the administrative and financial capability to admin-
ister the project. 
‘‘(5) The project may deliver services in a man-
ner consistent with traditional health care practices. 
‘‘(6) The project is coordinated with, and avoids 
duplication of, existing services. 
‘‘(c) EQUITABLE TREATMENT.—For purposes of this 
subsection, the Secretary shall, in evaluating project appli-
cations or proposals, use the same criteria that the Sec-
retary uses in evaluating any other application or proposal 
for such funding. 
‘‘SEC. 712. FETAL ALCOHOL SPECTRUM DISORDERS PRO-
GRAMS. 
‘‘(a) PROGRAMS.— 
‘‘(1) ESTABLISHMENT.—The Secretary, con-
sistent with section 702, acting through the Service, 
Indian Tribes, and Tribal Organizations, is author-
ized to establish and operate fetal alcohol spectrum 
disorders programs as provided in this section for 
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the purposes of meeting the health status objectives 
specified in section 3. 
‘‘(2) USE OF FUNDS.— 
‘‘(A) IN
GENERAL.—Funding provided 
pursuant to this section shall be used for the 
following: 
‘‘(i) To develop and provide for Indi-
ans community and in-school training, edu-
cation, and prevention programs relating 
to fetal alcohol spectrum disorders. 
‘‘(ii) To identify and provide behav-
ioral health treatment to high-risk Indian 
women and high-risk women pregnant with 
an Indian’s child. 
‘‘(iii) To identify and provide appro-
priate psychological services, educational 
and vocational support, counseling, advo-
cacy, and information to fetal alcohol spec-
trum disorders-affected Indians and their 
families or caretakers. 
‘‘(iv) To develop and implement coun-
seling and support programs in schools for 
fetal alcohol spectrum disorders-affected 
Indian children. 
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178 
‘‘(v) To develop prevention and inter-
vention models which incorporate practi-
tioners of traditional health care practices, 
cultural values, and community involve-
ment. 
‘‘(vi) To develop, print, and dissemi-
nate education and prevention materials on 
fetal alcohol spectrum disorders. 
‘‘(vii) To develop and implement, in 
consultation with Indian Tribes and Tribal 
Organizations, and in conference with 
urban Indian Organizations, culturally sen-
sitive assessment and diagnostic tools in-
cluding dysmorphology clinics and multi-
disciplinary fetal alcohol spectrum dis-
orders clinics for use in Indian commu-
nities and urban Centers. 
‘‘(viii) To develop and provide training 
on fetal alcohol spectrum disorders to pro-
fessionals providing services to Indians, in-
cluding medical and allied health practi-
tioners, social service providers, educators, 
and law enforcement, court officials and 
corrections personnel in the juvenile and 
criminal justice systems. 
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‘‘(B) ADDITIONAL USES.—In addition to 
any purpose under subparagraph (A), funding 
provided pursuant to this section may be used 
for 1 or more of the following: 
‘‘(i) 
Early 
childhood 
intervention 
projects from birth on to mitigate the ef-
fects of fetal alcohol spectrum disorders 
among Indians. 
‘‘(ii) Community-based support serv-
ices for Indians and women pregnant with 
Indian children. 
‘‘(iii) Community-based housing for 
adult Indians with fetal alcohol spectrum 
disorders. 
‘‘(3) CRITERIA FOR APPLICATIONS.—The Sec-
retary shall establish criteria for the review and ap-
proval of applications for funding under this section. 
‘‘(b) SERVICES.—The Secretary, acting through the 
Service, Indian Tribes, and Tribal Organizations, shall— 
‘‘(1) develop and provide services for the pre-
vention, intervention, treatment, and aftercare for 
those affected by fetal alcohol spectrum disorders in 
Indian communities; and 
‘‘(2) provide supportive services, including serv-
ices to meet the special educational, vocational, 
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school-to-work transition, and independent living 
needs of adolescent and adult Indians with fetal al-
cohol spectrum disorders. 
‘‘(c) APPLIED
RESEARCH
PROJECTS.—The Sec-
retary, acting through the Substance Abuse and Mental 
Health Services Administration, shall make grants to In-
dian Tribes, Tribal Organizations, and urban Indian Or-
ganizations for applied research projects which propose to 
elevate the understanding of methods to prevent, inter-
vene, treat, or provide rehabilitation and behavioral health 
aftercare for Indians and urban Indians affected by fetal 
alcohol spectrum disorders. 
‘‘(d) FUNDING
FOR
URBAN
INDIAN
ORGANIZA-
TIONS.—Ten percent of the funds appropriated pursuant 
to this section shall be used to make grants to urban In-
dian Organizations funded under title V. 
‘‘SEC. 713. CHILD SEXUAL ABUSE PREVENTION AND TREAT-
MENT PROGRAMS. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Service, shall establish, consistent with section 
702, in every Service area, programs involving treatment 
for— 
‘‘(1) victims of sexual abuse who are Indian 
children or children in an Indian household; and 
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‘‘(2) other members of the household or family 
of the victims described in paragraph (1). 
‘‘(b) USE OF FUNDS.—Funding provided pursuant to 
this section shall be used for the following: 
‘‘(1) To develop and provide community edu-
cation and prevention programs related to sexual 
abuse of Indian children or children in an Indian 
household. 
‘‘(2) To identify and provide behavioral health 
treatment to victims of sexual abuse who are Indian 
children or children in an Indian household, and to 
their family members who are affected by sexual 
abuse. 
‘‘(3) To develop prevention and intervention 
models which incorporate traditional health care 
practices, cultural values, and community involve-
ment. 
‘‘(4) To develop and implement culturally sen-
sitive assessment and diagnostic tools for use in In-
dian communities and urban centers. 
‘‘(c) COORDINATION.—The programs established 
under subsection (a) shall be carried out in coordination 
with programs and services authorized under the Indian 
Child Protection and Family Violence Prevention Act (25 
U.S.C. 3201 et seq.). 
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‘‘SEC. 714. DOMESTIC AND SEXUAL VIOLENCE PREVENTION 
AND TREATMENT. 
‘‘(a) IN GENERAL.—The Secretary, in accordance 
with section 702, is authorized to establish in each Service 
area programs involving the prevention and treatment 
of— 
‘‘(1) Indian victims of domestic violence or sex-
ual abuse; and 
‘‘(2) other members of the household or family 
of the victims described in paragraph (1). 
‘‘(b) USE OF FUNDS.—Funds made available to carry 
out this section shall be used— 
‘‘(1) to develop and implement prevention pro-
grams and community education programs relating 
to domestic violence and sexual abuse; 
‘‘(2) to provide behavioral health services, in-
cluding victim support services, and medical treat-
ment (including examinations performed by sexual 
assault nurse examiners) to Indian victims of domes-
tic violence or sexual abuse; 
‘‘(3) to purchase rape kits; and 
‘‘(4) to develop prevention and intervention 
models, which may incorporate traditional health 
care practices. 
‘‘(c) TRAINING AND CERTIFICATION.— 
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‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of enactment of the Indian Healthcare Im-
provement Act of 2017, the Secretary shall establish 
appropriate protocols, policies, procedures, standards 
of practice, and, if not available elsewhere, training 
curricula and training and certification requirements 
for services for victims of domestic violence and sex-
ual abuse. 
‘‘(2) REPORT.—Not later than 18 months after 
the date of enactment of the Indian Healthcare Im-
provement Act of 2017, the Secretary shall submit 
to the Committee on Indian Affairs of the Senate 
and the Committee on Natural Resources of the 
House of Representatives a report that describes the 
means and extent to which the Secretary has carried 
out paragraph (1). 
‘‘(d) COORDINATION.— 
‘‘(1) IN GENERAL.—The Secretary, in coordina-
tion with the Attorney General, Federal and tribal 
law enforcement agencies, Indian health programs, 
and domestic violence or sexual assault victim orga-
nizations, shall develop appropriate victim services 
and victim advocate training programs— 
‘‘(A) to improve domestic violence or sex-
ual abuse responses; 
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‘‘(B) to improve forensic examinations and 
collection; 
‘‘(C) to identify problems or obstacles in 
the prosecution of domestic violence or sexual 
abuse; and 
‘‘(D) to meet other needs or carry out 
other activities required to prevent, treat, and 
improve prosecutions of domestic violence and 
sexual abuse. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of the Indian Healthcare Im-
provement Act of 2017, the Secretary shall submit 
to the Committee on Indian Affairs of the Senate 
and the Committee on Natural Resources of the 
House of Representatives a report that describes, 
with respect to the matters described in paragraph 
(1), the improvements made and needed, problems 
or obstacles identified, and costs necessary to ad-
dress the problems or obstacles, and any other rec-
ommendations that the Secretary determines to be 
appropriate. 
‘‘SEC. 715. BEHAVIORAL HEALTH RESEARCH. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with appropriate Federal agencies, shall make grants to, 
or enter into contracts with, Indian tribes, tribal organiza-
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‘‘Subtitle B—Indian Youth Suicide 
Prevention 
‘‘SEC. 721. FINDINGS AND PURPOSE. 
‘‘(a) FINDINGS.—Congress finds that— 
‘‘(1)(A) the rate of suicide of American Indians 
and Alaska Natives is 1.9 times higher than the na-
tional average rate; and 
‘‘(B) the rate of suicide of Indian and Alaska 
Native youth aged 15 through 24 is— 
‘‘(i) 3.5 times the national average rate; 
and 
‘‘(ii) the highest rate of any population 
group in the United States; 
‘‘(2) many risk behaviors and contributing fac-
tors for suicide are more prevalent in Indian country 
than in other areas, including— 
‘‘(A) history of previous suicide attempts; 
‘‘(B) family history of suicide; 
‘‘(C) history of depression or other mental 
illness; 
‘‘(D) alcohol or drug abuse; 
‘‘(E) health disparities; 
‘‘(F) stressful life events and losses; 
‘‘(G) easy access to lethal methods; 
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