IB 
Union Calendar No. 453 
116TH CONGRESS 
2D SESSION 
H. R. 1109 
[Report No. 116–553] 
To amend the Public Health Service Act to revise and extend projects relating 
to children and to provide access to school-based comprehensive mental 
health programs. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 8, 2019 
Mrs. NAPOLITANO (for herself, Mr. KATKO, Mr. LOWENTHAL, Ms. DELBENE, 
Mr. TONKO, Mr. CICILLINE, Mr. PAYNE, Mr. LUJA´N, Mr. DOGGETT, Ms. 
MCCOLLUM, Mr. MOULTON, Mr. SCHIFF, Mr. WELCH, Mr. HECK, Mr. 
GRIJALVA, Ms. HILL of California, Ms. JUDY CHU of California, Mr. 
KILMER, Ms. WILSON of Florida, Ms. KELLY of Illinois, Miss RICE of 
New York, Mr. RYAN, Mr. KHANNA, Mr. REED, Mr. LARSEN of Wash-
ington, Ms. JACKSON LEE, Ms. MOORE, Mr. DESAULNIER, Ms. PINGREE, 
Mrs. LAWRENCE, Ms. SPEIER, Mr. PANETTA, Mr. SOTO, Ms. ROYBAL- 
ALLARD, 
Mrs. 
WATSON
COLEMAN, 
Mr. 
RUPPERSBERGER, 
Mr. 
CA´RDENAS, Mr. AGUILAR, Mr. GOMEZ, Mr. DEFAZIO, Mr. MCGOVERN, 
Mr. BLUMENAUER, Ms. OMAR, Mrs. MURPHY of Florida, Mr. SABLAN, 
Mr. GALLEGO, Mr. SUOZZI, Mr. COHEN, Mr. CISNEROS, Ms. MATSUI, 
Ms. SA´NCHEZ, Ms. KUSTER of New Hampshire, Mrs. CAROLYN B. 
MALONEY of New York, Ms. JOHNSON of Texas, Mr. RASKIN, Mr. 
CARBAJAL, Ms. CASTOR of Florida, and Mr. MCNERNEY) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce 
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SEPTEMBER 29, 2020 
Additional sponsors: Mr. POCAN, Mrs. DEMINGS, Mr. SAN NICOLAS, Mr. GON-
ZALEZ of Texas, Mr. SERRANO, Mrs. DINGELL, Mr. DAVID SCOTT of 
Georgia, Mr. RICHMOND, Mr. GARCI´A of Illinois, Mr. RUSH, Ms. LOF-
GREN, Ms. BARRAGA´N, Ms. MUCARSEL-POWELL, Mr. VEASEY, Mr. HAS-
TINGS, Mr. HARDER of California, Ms. CLARKE of New York, Ms. NOR-
TON, Mr. KENNEDY, Mr. CUMMINGS, Mr. CLAY, Mr. YARMUTH, Ms. 
HOULAHAN, Mr. CROW, Mr. GOLDEN, Mr. MAST, Mr. PAPPAS, Mr. 
PRICE of North Carolina, Ms. SCANLON, Mr. ROUDA, Mr. FITZPATRICK, 
Mr. KIM, Ms. BASS, Mr. DELGADO, Mr. SHERMAN, Ms. WATERS, Ms. 
BROWNLEY of California, Mr. TED LIEU of California, Ms. TLAIB, Mr. 
HIMES, Mrs. TORRES of California, Ms. KENDRA S. HORN of Oklahoma, 
Ms. BLUNT ROCHESTER, Ms. KAPTUR, Mr. PHILLIPS, Mrs. LEE of Ne-
vada, Mr. LIPINSKI, Ms. SLOTKIN, Mr. DEUTCH, Ms. GARCIA of Texas, 
Mr. CASTRO of Texas, Mr. CORREA, Mr. VARGAS, Ms. CRAIG, Mr. LEVIN 
of California, Mrs. AXNE, Mr. TRONE, Mr. SIRES, Ms. WILD, Mrs. 
HAYES, Ms. TITUS, Mr. MORELLE, Mr. LEVIN of Michigan, Ms. DEAN, 
Mr. COOPER, Mr. ENGEL, Mr. CASTEN of Illinois, Ms. TORRES SMALL 
of New Mexico, Ms. LEE of California, Ms. PORTER, Mr. VAN DREW, Ms. 
SHERRILL, Ms. SCHAKOWSKY, Mrs. BEATTY, Mr. CONNOLLY, Mr. 
O’HALLERAN, Ms. FINKENAUER, and Mrs. KIRKPATRICK 
SEPTEMBER 29, 2020 
Reported with an amendment; committed to the Committee of the Whole 
House on the State of the Union and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on February 8, 2019] 
A BILL 
To amend the Public Health Service Act to revise and extend 
projects relating to children and to provide access to 
school-based comprehensive mental health programs. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Mental Health Services 
for Students Act of 2020’’. 
SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE 
ACT. 
(a) TECHNICAL AMENDMENTS.—The second part G 
(relating to services provided through religious organiza-
tions) of title V of the Public Health Service Act (42 U.S.C. 
290kk et seq.) is amended— 
(1) by redesignating such part as part J; and 
(2) by redesignating sections 581 through 584 as 
sections 596 through 596C, respectively. 
(b) SCHOOL-BASED MENTAL HEALTH
AND CHIL-
DREN.—Section 581 of the Public Health Service Act (42 
U.S.C. 290hh) (relating to children and violence) is amend-
ed to read as follows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN 
AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall, through grants, con-
tracts, or cooperative agreements awarded to eligible entities 
described in subsection (c), provide comprehensive school- 
based mental health services and supports to assist children 
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in local communities and schools (including schools funded 
by the Bureau of Indian Education) dealing with trau-
matic experiences, grief, bereavement, risk of suicide, and 
violence. Such services and supports shall be— 
‘‘(1) developmentally, linguistically, and cul-
turally appropriate; 
‘‘(2) trauma-informed; and 
‘‘(3) incorporate positive behavioral interven-
tions and supports. 
‘‘(b) ACTIVITIES.—Grants, contracts, or cooperative 
agreements awarded under subsection (a), shall, as appro-
priate, be used for— 
‘‘(1) implementation of school and community- 
based mental health programs that— 
‘‘(A) build awareness of individual trauma 
and the intergenerational, continuum of impacts 
of trauma on populations; 
‘‘(B) train appropriate staff to identify, 
and screen for, signs of trauma exposure, mental 
health disorders, or risk of suicide; and 
‘‘(C) incorporate positive behavioral inter-
ventions, family engagement, student treatment, 
and multigenerational supports to foster the 
health and development of children, prevent men-
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tal health disorders, and ameliorate the impact 
of trauma; 
‘‘(2) technical assistance to local communities 
with respect to the development of programs described 
in paragraph (1); 
‘‘(3) facilitating community partnerships among 
families, students, law enforcement agencies, edu-
cation agencies, mental health and substance use dis-
order service systems, family-based mental health 
service systems, child welfare agencies, health care 
providers (including primary care physicians, mental 
health professionals, and other professionals who spe-
cialize in children’s mental health such as child and 
adolescent psychiatrists), institutions of higher edu-
cation, faith-based programs, trauma networks, and 
other community-based systems to address child and 
adolescent trauma, mental health issues, and violence; 
and 
‘‘(4) establishing mechanisms for children and 
adolescents 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 be a partnership that includes— 
‘‘(A) a State educational agency, as defined 
in section 8101 of the Elementary and Sec-
ondary Education Act of 1965, in coordination 
with one or more local educational agencies, as 
defined in section 8101 of the Elementary and 
Secondary Education Act of 1965, or a consor-
tium of any entities described in subparagraph 
(B), (C), (D), or (E) of section 8101(30) of such 
Act; and 
‘‘(B) at least 1 community-based mental 
health provider, including a public or private 
mental health entity, health care entity, family- 
based mental health entity, trauma network, or 
other community-based entity, as determined by 
the Secretary (and which may include addi-
tional entities such as a human services agency, 
law enforcement or juvenile justice entity, child 
welfare agency, agency, an institution of higher 
education, or another entity, as determined by 
the Secretary). 
‘‘(2) COMPLIANCE
WITH
HIPAA.—Any patient 
records developed by covered entities through activities 
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under the grant shall meet the regulations promul-
gated under section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996. 
‘‘(3) COMPLIANCE WITH FERPA.—Section 444 of 
the General Education Provisions Act (commonly 
known as the ‘Family Educational Rights and Pri-
vacy Act of 1974’) shall apply to any entity that is 
a member of the partnership in the same manner that 
such section applies to an educational agency or in-
stitution (as that term is defined in such section). 
‘‘(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 subsection (a), the 
period during which payments under such an award will 
be made to the recipient shall be 5 years, with options for 
renewal. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT OF PROCESS.—The Assistant 
Secretary shall develop a fiscally appropriate process 
for evaluating activities carried out under this sec-
tion. Such process shall include— 
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‘‘(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.—The Assistant 
Secretary shall develop measures of outcomes to be ap-
plied by recipients of assistance under this section to 
evaluate the effectiveness of programs carried out 
under this section, including outcomes related to the 
student, family, and local educational systems sup-
ported by this Act. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An eligible 
entity described in subsection (c) that receives a 
grant, contract, or cooperative agreement under this 
section shall annually submit to the Assistant Sec-
retary a report that includes data to evaluate the suc-
cess of the program carried out by the entity based on 
whether such program is achieving the purposes of the 
program. Such reports shall utilize the measures of 
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outcomes under paragraph (2) in a reasonable man-
ner to demonstrate the progress of the program in 
achieving such purposes. 
‘‘(4) EVALUATION BY ASSISTANT SECRETARY.— 
Based on the data submitted under paragraph (3), 
the Assistant Secretary shall annually submit to Con-
gress a report concerning the results and effectiveness 
of the programs carried out with assistance received 
under this section. 
‘‘(5) LIMITATION.—An eligible entity shall use 
not more than 20 percent of amounts received under 
a grant under this section to carry out evaluation ac-
tivities under this subsection. 
‘‘(g) INFORMATION AND EDUCATION.—The Secretary 
shall disseminate best practices based on the findings of the 
knowledge development and application under this section. 
‘‘(h) AMOUNT OF GRANTS AND AUTHORIZATION OF AP-
PROPRIATIONS.— 
‘‘(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$2,000,000 for each of the first 5 fiscal years following 
the date of enactment of the Mental Health Services 
for Students Act of 2019. The Secretary shall deter-
mine the amount of each such grant based on the pop-
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ulation 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, $130,000,000 for each of fiscal years 2021 
through 2024.’’. 
(c) CONFORMING AMENDMENT.—Part G of title V of 
the Public Health Service Act (42 U.S.C. 290hh et seq.), 
as amended by subsection (b), is further amended by strik-
ing the part designation and heading and inserting the fol-
lowing: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
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Union Calendar No. 453 
116TH CONGRESS 
2D SESSION 
H. R. 1109 
[Report No. 116–553] 
A BILL 
To amend the Public Health Service Act to revise 
and extend projects relating to children and to 
provide access to school-based comprehensive 
mental health programs. 
SEPTEMBER 29, 2020 
Reported with an amendment; committed to the Com-
mittee of the Whole House on the State of the Union 
and ordered to be printed 
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