1067 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section, $130,000,000 for each of fiscal years 
2023 through 2026.’’. 
(d) 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 further amended, in 
the part heading by striking ‘‘PROJECTS FOR CHIL-
DREN
AND
VIOLENCE’’ and inserting the following: 
‘‘SCHOOL-BASED MENTAL HEALTH’’. 
(e) SCHOOL-BASED MENTAL HEALTH SERVICES.— 
(1) IN GENERAL.—The Secretary of Education 
shall award grants to State educational agencies to 
support services provided by school-based mental 
health services providers at schools receiving funds 
under part A of title I of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 6311 et 
seq.). 
(2) USE OF FUNDS.—Grants under this sub-
section shall be used to help meet the recommended 
ratios of— 
(A) 250 students per school counselor; 
(B) 500 students per school psychologist; 
and 
(C) 250 students per school social worker. 
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(3) CONDITION.—The Secretary shall ensure 
that funds made available under this subsection are 
used to provide services that are developmentally, 
linguistically, and culturally appropriate, trauma-in-
formed, and incorporate positive behavioral interven-
tions and supports. 
(4) DEFINITIONS.—For purposes of this sub-
section: 
(A) The term ‘‘school-based mental health 
service provider’’ has the meaning given such 
term in section 4102 of the Elementary and 
Secondary Education Act of 1965 (20 U.S.C. 
7112). 
(B) The term ‘‘State educational agency’’ 
has the meaning given such term in section 
8101 of the Elementary and Secondary Edu-
cation Act of 1965 (20 U.S.C. 7801). 
SEC. 6043. ADDITIONAL SUPPORT FOR YOUTH AND YOUNG 
ADULT MENTAL HEALTH SERVICE PROVI-
SION. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended by adding at the end the following new 
subsection: 
‘‘(cc) YOUTH
AND YOUNG ADULT INTERVENTION 
SERVICES.— 
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1069 
‘‘(1) IN
GENERAL.—Notwithstanding section 
1902(a)(1) (relating to Statewideness), section 
1902(a)(10)(B) (relating to comparability), section 
1902(a)(23)(A) (relating to freedom of choice of 
providers), or section 1902(a)(27) (relating to pro-
vider agreements), a State may, during the 5-year 
period beginning on the first day of the fiscal year 
quarter that begins on or after January 1, 2024, 
provide medical assistance for qualifying youth and 
young adult mental health and substance use inter-
vention services (as defined in paragraph (2)(C)) 
under a State plan amendment or waiver approved 
under section 1115 or 1915(c). 
‘‘(2) DEFINITIONS.—For the purposes of this 
subsection: 
‘‘(A) PRIORITY SERVICE.—The term ‘pri-
ority service’ means any of the following if vol-
untarily received and provided in a manner that 
maintains the privacy and confidentiality of pa-
tient information consistent with Federal and 
State requirements: 
‘‘(i) Community based mobile crisis 
intervention services, as defined in section 
1947. 
‘‘(ii) Telehealth. 
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‘‘(iii) Youth peer support. 
‘‘(iv) Screening for adverse childhood 
experiences. 
‘‘(v) Trauma responsive care. 
‘‘(vi) Other priority services for youth, 
as defined by the Secretary. 
‘‘(B) QUALIFIED
MENTAL
HEALTH
PRO-
VIDERS.—The term ‘qualified mental health 
providers’ means a behavioral health care pro-
fessional who is capable of conducting an as-
sessment of the individual, in accordance with 
the professional’s permitted scope of practice 
under State law, and other professionals or 
paraprofessionals with appropriate expertise in 
youth and young adult behavioral health or 
mental health, including social workers, peer 
support specialists, recovery coaches, commu-
nity health workers, mental health clinicians, 
and others, as designated by the State and ap-
proved by the Secretary. 
‘‘(C) QUALIFYING
YOUTH
AND
YOUNG 
ADULT MENTAL HEALTH AND SUBSTANCE USE 
INTERVENTION SERVICES DEFINED.—The term 
‘qualifying youth and young adult mental health 
and substance use intervention services’ means, 
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with respect to a State, items and services for 
which medical assistance is available under the 
State plan under this title or a waiver of such 
plan, that are— 
‘‘(i) furnished to an individual 16 to 
25 years of age who is— 
‘‘(I) experiencing a mental health 
or substance use disorder crisis; 
‘‘(II) subject to the juvenile or 
adult justice system as defined in sec-
tion 3102 of title 29, United States 
Code; 
‘‘(III)(aa) experiencing homeless-
ness (as defined in section 41403(6) 
of the Violence Against Women Act of 
1994 (42 U.S.C. 14043e–2(6))); 
‘‘(bb) a homeless child or youth 
(as defined in section 725(2) of the 
McKinney-Vento Homeless Assistance 
Act (42 U.S.C. 11434a(2))); 
‘‘(cc) a runaway, in foster care, 
or has aged out of the foster care sys-
tem; 
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1072 
‘‘(dd) a child eligible for assist-
ance under section 477 of the Social 
Security Act (42 U.S.C. 677); or 
‘‘(ee) in an out-of-home place-
ment; 
‘‘(IV) pregnant or parenting as 
defined in section 3102 of title 29, 
United States Code; 
‘‘(V) a youth who is an individual 
with a disability as defined in section 
3102 of title 29, United States Code; 
‘‘(VI) a low income youth requir-
ing additional assistance to enter or 
complete an educational program or 
to secure or hold employment as de-
fined in section 3102 of title 29, 
United States Code; or 
‘‘(VII) living in a community that 
has faced acute or long-term exposure 
to substantial discrimination, histor-
ical oppression, intergenerational pov-
erty, civil unrest, or a high rate of vio-
lence or drug overdose deaths; 
‘‘(ii) furnished by qualified mental 
health providers; and 
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1073 
‘‘(iii) a priority service. 
‘‘(D) TELEHEALTH.—The term ‘telehealth’ 
means use of electronic information and tele-
communications technologies, including voice 
only audio, text, remote patient monitoring, and 
mHealth via applications, to support clinical 
mental health care, patient and professional 
health-related education, public health, and 
health administration. 
‘‘(3) 
PAYMENTS.—Notwithstanding 
section 
1905(b), beginning January 1, 2024, during each of 
the first 20 fiscal quarters that a State meets the 
requirements described in paragraph (4), the Fed-
eral medical assistance percentage applicable to 
amounts expended by the State for medical assist-
ance for qualifying youth and young adult mental 
health and substance use intervention services fur-
nished during such quarter shall be equal to 100 
percent. 
‘‘(4) REQUIREMENTS.—The requirements de-
scribed in this paragraph are the following: 
‘‘(A) The State demonstrates, to the satis-
faction of the Secretary— 
‘‘(i) that it will be able to support the 
provision of qualifying youth and young 
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1074 
adult mental health and substance use 
intervention services that meet the condi-
tions specified in paragraphs (1) and (2)); 
and 
‘‘(ii) how it will support coordination 
between qualified mental health providers 
and substance use teams and community 
partners, including health care providers, 
to enable the provision of services, needed 
referrals, and other activities identified by 
the Secretary. 
‘‘(B) The State provides assurances satis-
factory to the Secretary that— 
‘‘(i) any additional Federal funds re-
ceived by the State for qualifying youth 
and young adult mental health and sub-
stance use intervention services provided 
under this subsection that are attributable 
to the increased Federal medical assistance 
percentage under paragraph (3)(A) will be 
used to supplement, and not supplant, the 
level of State funds expended for such 
services for fiscal year 2024; 
‘‘(ii) if the State made qualifying 
youth and young adult mental health and 
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1075 
substance use intervention services avail-
able in a region of the State in fiscal year 
2023 the State will continue to make such 
services available in such region under this 
subsection at the same level that the State 
made such services available in such fiscal 
year; and 
‘‘(iii) the State will conduct the eval-
uation and assessment, and submit the re-
port required under paragraph (5). 
‘‘(5) STATE EVALUATION AND REPORT.— 
‘‘(A) STATE EVALUATION.—Not later than 
4 fiscal quarters after a State begins providing 
qualifying youth and young adult mental health 
and substance use intervention services in ac-
cordance with this subsection, the State shall 
enter into a contract with an independent entity 
or organization to conduct an evaluation for the 
purposes of— 
‘‘(i) determining the effect of the pro-
vision of such services on— 
‘‘(I) emergency room visits; 
‘‘(II) use of ambulatory services; 
‘‘(III) hospitalizations; 
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1076 
‘‘(IV) the involvement of law en-
forcement in mental health or sub-
stance use disorder crisis events; and 
‘‘(V) the diversion of individuals 
from jails or similar settings; and 
‘‘(ii) assessing— 
‘‘(I) the types of services pro-
vided to individuals; 
‘‘(II) the types of events re-
sponded to; 
‘‘(III) cost savings or cost-effec-
tiveness attributable to such services; 
‘‘(IV) the experiences of individ-
uals who receive qualifying youth and 
young adult mental health and sub-
stance use intervention services; 
‘‘(V) the successful connection of 
individuals with follow-up services; 
and 
‘‘(VI) other relevant outcomes 
identified by the Secretary. 
‘‘(B) COMPARISON TO HISTORICAL MEAS-
URES.—The contract described in subparagraph 
(A) shall specify that the evaluation is based on 
a comparison of the historical measures of 
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1077 
State performance with respect to the outcomes 
specified under such subparagraph to the 
State’s performance with respect to such out-
comes during the period beginning with the 
first quarter in which the State begins pro-
viding qualifying youth and young adult mental 
health and substance use intervention services 
in accordance with this subsection. 
‘‘(C) REPORT.—Not later than 2 years 
after a State begins to provide qualifying youth 
and young adult mental health and substance 
use intervention services in accordance with this 
subsection, the State shall submit a report to 
the Secretary on the following: 
‘‘(i) The results of the evaluation car-
ried out under subparagraph (A). 
‘‘(ii) The number of individuals who 
received qualifying youth and young adult 
mental health and substance use interven-
tion services. 
‘‘(iii) Demographic information re-
garding such individuals when available, 
including the race and ethnicity, age, sex, 
sexual orientation, gender identity, and ge-
ographic location of such individuals. 
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1078 
‘‘(iv) The processes and models devel-
oped by the State to provide qualifying 
youth and young adult mental health and 
substance use intervention services under 
such the State plan or waiver, including 
the processes developed to provide referrals 
for, or coordination with, follow-up care 
and services. 
‘‘(v) Lessons learned regarding the 
provision of such services. 
‘‘(D) PUBLIC
AVAILABILITY.—The State 
shall make the report required under subpara-
graph (C) publicly available, including on the 
website of the appropriate State agency, upon 
submission of such report to the Secretary. 
‘‘(6) BEST PRACTICES REPORT.— 
‘‘(A) IN GENERAL.—Not later than 3 years 
after the first State begins to provide qualifying 
youth and young adult mental health and sub-
stance use intervention services in accordance 
with this subsection, the Secretary shall submit 
a report to Congress that— 
‘‘(i) identifies the States that elected 
to provide services in accordance with this 
subsection; 
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1079 
‘‘(ii) summarizes the information re-
ported by such States under paragraph 
(5)(C); and 
‘‘(iii) identifies best practices for the 
effective delivery of youth and young adult 
mental health and substance use interven-
tion services. 
‘‘(B) PUBLIC
AVAILABILITY.—The report 
required under subparagraph (A) shall be made 
publicly available, including on the website of 
the Department of Health and Human Services, 
upon submission to Congress. 
‘‘(7) NONDISCRIMINATION.— 
‘‘(A) FEDERALLY FUNDED ACTIVITIES.— 
(i) For the purpose of applying the prohibitions 
against discrimination on the basis of age under 
the Age Discrimination Act of 1975 (42 U.S.C. 
6101 et seq.), on the basis of handicap under 
section 504 of the Rehabilitation Act of 1973 
(29 U.S.C. 794), on the basis of sex under title 
IX of the Education Amendments of 1972 (20 
U.S.C. 1681 et seq.), or on the basis of race, 
color, or national origin under title VI of the 
Civil Rights Act of 1964 (42 U.S.C. 2000d et 
seq.), programs and activities funded in whole 
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1080 
or in part with funds made available under this 
subchapter are considered to be programs and 
activities receiving Federal financial assistance. 
‘‘(ii) No person shall on the ground of sex 
or religion be excluded from participation in, be 
denied the benefits of, or be subjected to dis-
crimination under, any program or activity 
funded in whole or in part with funds made 
available under this title. 
‘‘(B) COMPLIANCE.—Whenever the Sec-
retary finds that a State, or an entity that has 
received a payment from an allotment to a 
State under section 702(c) of this title, has 
failed to comply with a provision of law referred 
to in subsection (a)(1), with subsection (a)(2), 
or with an applicable regulation (including one 
prescribed to carry out subsection (a)(2)), he 
shall notify the chief executive officer of the 
State and shall request him to secure compli-
ance. If within a reasonable period of time, not 
to exceed 60 days, the chief executive officer 
fails or refuses to secure compliance, the Sec-
retary may— 
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1081 
‘‘(i) refer the matter to the Attorney 
General with a recommendation that an 
appropriate civil action be instituted; 
‘‘(ii) exercise the powers and functions 
provided by title VI of the Civil Rights Act 
of 1964 (42 U.S.C. 2000d et seq.), the 
Age Discrimination Act of 1975 (42 
U.S.C. 6101 et seq.), or section 504 of the 
Rehabilitation Act of 1973 (29 U.S.C. 
794), as may be applicable; or 
‘‘(iii) take such other action as may 
be provided by law. 
‘‘(C) AUTHORITY OF ATTORNEY GENERAL; 
CIVIL ACTIONS.—When a matter is referred to 
the Attorney General pursuant to subsection 
(b)(1), or whenever he has reason to believe 
that the entity is engaged in a pattern or prac-
tice in violation of a provision of law referred 
to in subsection (a)(1) or in violation of sub-
section (a)(2), the Attorney General may bring 
a civil action in any appropriate district court 
of the United States for such relief as may be 
appropriate, including injunctive relief.’’. 
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1082 
SEC. 6044. EARLY INTERVENTION AND PREVENTION PRO-
GRAMS FOR TRANSITION-AGE YOUTH. 
(a) IN GENERAL.—Section 1912(b)(1) of the Public 
Health Service Act (42 U.S.C. 300x–1(b)(1)) is amend-
ed— 
(1) by redesignating subparagraph (E) as (F); 
and 
(2) by inserting after subparagraph (D) the fol-
lowing: 
‘‘(E) EARLY INTERVENTION AND PREVEN-
TION
PROGRAMS
FOR
TRANSITION-AGE 
YOUTH.—The plan shall describe the State’s 
plans to carry out demonstration grants or con-
tracts for early intervention and prevention pro-
grams for transition-age youth of 16 to 25 
years of age who meet one or more of the cri-
teria specified in section 129(1)(B) of the 
Workforce Innovation and Opportunity Act to 
be considered out-of-school youth.’’. 
(b) SET-ASIDE.—Section 1920 of the Public Health 
Service Act (42 U.S.C. 300x–9) is amended by adding at 
the end the following: 
‘‘(d) EARLY INTERVENTION AND PREVENTION PRO-
GRAMS FOR TRANSITION-AGE YOUTH.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (2), a State shall expend at least 15 percent 
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1083 
of the amount of the allotment of the State pursuant 
to a funding agreement under section 1911 for each 
fiscal year to support programs described in section 
1912(b)(1)(E). 
‘‘(2) STATE FLEXIBILITY.—In lieu of expending 
15 percent of the amount the allotment for a fiscal 
year as required by paragraph (1), a State may elect 
to expend not less than 30 percent of such amount 
to support such programs by the end of two consecu-
tive fiscal years.’’. 
SEC. 6045. STRATEGIES TO INCREASE ACCESS TO TELE-
HEALTH UNDER MEDICAID AND CHILDREN’S 
HEALTH INSURANCE PROGRAM. 
(a) GUIDANCE.—Not later than 1 year after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall issue and disseminate guidance to 
States to clarify strategies to overcome existing barriers 
and increase access to telehealth under the Medicaid pro-
gram under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) and the Children’s Health Insurance 
Program under title XXI of such Act (42 U.S.C. 1397aa 
et seq.). Such guidance shall include technical assistance 
and best practices regarding— 
(1) telehealth delivery of covered services; 
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1084 
(2) recommended voluntary billing codes, modi-
fiers, and place-of-service designations for telehealth 
and other virtual health care services; 
(3) the simplification or alignment (including 
through 
reciprocity) 
of 
provider 
licensing, 
credentialing, and enrollment protocols with respect 
to telehealth across States, State Medicaid plans 
under such title XIX, and Medicaid managed care 
organizations, including during national public 
health emergencies; 
(4) existing strategies States can use to inte-
grate telehealth and other virtual health care serv-
ices into value-based health care models; and 
(5) examples of States that have used waivers 
under the Medicaid program to test expanded access 
to telehealth, including during the emergency period 
described in section 1135(g)(1)(B) of the Social Se-
curity Act (42 U.S.C. 1320b–5(g)(1)(B)). 
(b) STUDIES.— 
(1) TELEHEALTH
IMPACT
ON
HEALTH
CARE 
ACCESS.—Not later than 1 year after the date of the 
enactment of this Act, the Medicaid and CHIP Pay-
ment and Access Commission shall conduct a study, 
with respect to a minimum of 10 States across geo-
graphic regions of the United States, and submit to 
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1085 
Congress a report, on the impact of telehealth on 
health care access, utilization, cost, and outcomes, 
broken down by race, ethnicity, sex, age, disability 
status, and zip code. Such report shall— 
(A) evaluate cost, access, utilization, out-
comes, and patient experience data from across 
the health care field, including States, Medicaid 
managed care organizations, provider organiza-
tions, and other organizations that provide or 
pay for telehealth under the Medicaid program 
and Children’s Health Insurance Program; 
(B) identify barriers and potential solu-
tions to provider entry and participation in tele-
health that States are experiencing, as well as 
barriers to providing telehealth across State 
lines, including during times of public health 
crisis or public health emergency; 
(C) determine the frequency at which out- 
of-State telehealth is provided to patients en-
rolled in the Medicaid program and the poten-
tial impact on access to telehealth if State Med-
icaid policies were more aligned; and 
(D) identify and evaluate opportunities for 
more alignment among such policies to promote 
access to telehealth across all States, State 
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1086 
Medicaid plans under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.), State 
child health plans under title XXI of such Act 
(42 U.S.C. 1397aa et seq.), and Medicaid man-
aged care organizations, including the potential 
for regional compacts or reciprocity agreements. 
(2) FEDERAL AGENCY TELEHEALTH COLLABO-
RATION.—Not later than 1 year after the date of the 
enactment of this Act, the Comptroller General of 
the United States shall conduct a study and submit 
to Congress a report evaluating collaboration be-
tween Federal agencies with respect to telehealth 
services furnished under the Medicaid or CHIP pro-
gram to individuals under the age of 18, including 
such services furnished to such individuals in early 
care and education settings. Such report shall in-
clude recommendations on— 
(A) opportunities for Federal agencies to 
improve collaboration with respect to such tele-
health services; and 
(B) opportunities for collaboration between 
Federal agencies to expand telehealth access to 
such individuals enrolled under the Medicaid or 
CHIP program, including in early care and 
education settings. 
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1087 
SEC. 6046. YOUTH AND YOUNG ADULT MENTAL HEALTH 
PROMOTION, PREVENTION, INTERVENTION, 
AND TREATMENT. 
Title III of the Public Health Service Act is amended 
by inserting after section 399Z–2 (42 U.S.C. 280h–5) the 
following: 
‘‘SEC. 399Z–3. YOUTH AND YOUNG ADULT MENTAL HEALTH 
PROMOTION, PREVENTION, INTERVENTION, 
AND TREATMENT. 
‘‘(a) GRANTS.—The Secretary shall— 
‘‘(1) award grants to eligible entities to develop, 
maintain, or enhance youth and young adult mental 
health promotion, prevention, intervention, and 
treatment programs, including— 
‘‘(A) programs for youth and young adults 
who may be likely to develop, are showing early 
signs of, or have been diagnosed with a mental 
health condition, including a serious emotional 
disturbance; and 
‘‘(B) 
infrastructure 
and 
organization 
change at a State, tribal, or territorial level to 
improve cross-system collaboration, service ca-
pacity and expertise related to youth and young 
adults; and 
‘‘(2) ensure that programs funded through 
grants under this section use community-driven, evi-
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1088 
dence-informed, or evidence-based models, practices, 
and methods that are, as appropriate, culturally and 
linguistically appropriate, and can be replicated in 
other appropriate settings. 
‘‘(b) ELIGIBLE TRANSITION AGE YOUTH AND ENTI-
TIES.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-
tity’ means— 
‘‘(A) a local educational agency; 
‘‘(B) a State educational agency; 
‘‘(C) an institution of higher education (or 
consortia of such institutions), which may in-
clude a recovery program at an institution of 
higher education; 
‘‘(D) a local board, or a one-stop operator 
as defined in section 3 of the Workforce Inno-
vation and Opportunity Act; 
‘‘(E) a nonprofit organization with appro-
priate expertise in providing services or pro-
grams for children, adolescents, or young 
adults, excluding a school; 
‘‘(F) a State, political subdivision of a 
State, Indian tribe, or tribal organization; or 
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‘‘(G) a high school or dormitory serving 
high school students that receives funding from 
the Bureau of Indian Education. 
‘‘(2) ELIGIBLE TRANSITION AGE YOUTH.—The 
term ‘eligible transition age youth’ means a youth or 
young adult from age 16 to not more than 25 years 
of age who is— 
‘‘(A) an out-of-school youth as defined in 
section 129(a)(1)(B) of the Workforce Innova-
tion and Opportunity Act; 
‘‘(B) a homeless individual (as defined in 
section 41403(6) of the Violence Against 
Women Act of 1994), a homeless child or youth 
(as defined in section 725(2) of the McKinney- 
Vento Homeless Assistance Act) a runaway, in 
foster care or has aged out of the foster care 
system, a child eligible for assistance under sec-
tion 477 of the Social Security Act, or in an 
out-of-home placement; 
‘‘(C) an individual who is pregnant or par-
enting, as referred to in section 129(a)(1)(B) of 
the Workforce Innovation and Opportunity Act; 
‘‘(D) a youth who is an individual with a 
disability, as referred to in section 129(a)(1)(B) 
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1090 
of the Workforce Innovation and Opportunity 
Act; 
‘‘(E) a low-income individual who requires 
additional assistance to enter or complete an 
educational program or to secure or hold em-
ployment, as referred to in section 129(a)(1)(B) 
of the Workforce Innovation and Opportunity 
Act; or 
‘‘(F) living in a community that has faced 
acute or long-term exposure to substantial dis-
crimination, historical oppression, intergenera-
tional poverty, civil unrest, a high rate of vio-
lence, or drug overdose deaths. 
‘‘(c) APPLICATION.—An eligible entity seeking a 
grant under subsection (a) shall submit to the Secretary 
an application at such time, in such manner, and con-
taining such information as the Secretary may require. 
‘‘(d) USE OF FUNDS FOR MENTAL HEALTH PRO-
MOTION, PREVENTION, INTERVENTION AND TREATMENT 
PROGRAMS.—An eligible entity may use amounts awarded 
under a grant under subsection (a)(1) to carry out the 
following: 
‘‘(1) Creation, implementation, and expansion 
of services and supports that are culturally and lin-
guistically appropriate and youth-guided, involve and 
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include family and community members (including 
business leaders and faith-based organizations), and 
provide for continuity of care between child- and 
adult-serving systems to ensure seamless transition. 
‘‘(2) Infrastructure and organization change at 
a State, Tribal, or territorial level to improve cross- 
system collaboration, service capacity, and expertise 
related to youth and young adults with, or at-risk of, 
mental health conditions and substance use dis-
orders as they transition into adult roles and respon-
sibilities. 
‘‘(3) Public awareness and cross-system pro-
vider training for individuals employed at institu-
tions of higher education and community colleges, 
behavioral health providers, individuals working in 
the criminal justice system, primary care providers, 
vocational service providers, and child welfare work-
ers. 
‘‘(e) MATCHING FUNDS.—The Secretary may not 
award a grant under this section to an eligible entity un-
less the eligible entity agrees, with respect to the costs to 
be incurred by the eligible entity in carrying out the activi-
ties described in subsection (d), to make available non- 
Federal contributions (in cash or in kind) toward such 
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1092 
costs in an amount that is not less than 10 percent of 
the total amount of Federal funds provided in the grant. 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $25,000,000 for each of fiscal years 2024 through 
2033.’’. 
SEC. 6047. STUDY ON THE EFFECTS OF SMARTPHONE AND 
SOCIAL MEDIA USE ON ADOLESCENTS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall conduct or support research on— 
(1) smartphone and social media use by adoles-
cents; and 
(2) the effects of such use on— 
(A) emotional, behavioral, and physical 
health and development; and 
(B) disparities in minority and under-
served populations. 
(b) REPORT.—Not later than 5 years after the date 
of the enactment of this Act, the Secretary shall submit 
to the Congress, and make publicly available, a report on 
the findings of research described in this section. 
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1093 
Subtitle E—Community-Based Care 
SEC. 6051. MENTAL HEALTH AT THE BORDER. 
(a) SHORT TITLE.—This section may be cited as the 
‘‘Immigrants’ Mental Health Act of 2022’’. 
(b) TRAINING FOR CERTAIN CBP PERSONNEL IN 
MENTAL HEALTH ISSUES.— 
(1) TRAINING TO IDENTIFY RISK FACTORS AND 
WARNING SIGNS IN IMMIGRANTS AND REFUGEES.— 
(A) IN GENERAL.—The Commissioner of 
U.S. Customs and Border Protection, in con-
sultation with the Assistant Secretary for Men-
tal Health and Substance Use, the Adminis-
trator of the Health Resources and Services Ad-
ministration, and nongovernmental experts in 
the delivery of health care in humanitarian cri-
ses and in the delivery of health care to chil-
dren, shall develop and implement a training 
curriculum for U.S. Customs and Border Pro-
tection agents and officers assigned to U.S. 
Customs and Border Protection facilities to en-
able such agents and officers to identify the 
risk factors and warning signs in immigrants 
and refugees of mental health issues relating to 
trauma. 
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(B) REQUIREMENTS.—The training cur-
riculum described in subparagraph (A) shall— 
(i) apply to all U.S. Customs and 
Border Protection agents and officers 
working at U.S. Customs and Border Pro-
tection facilities; 
(ii) provide for crisis intervention 
using a trauma-informed approach; and 
(iii) 
provide 
for 
mental 
health 
screenings for immigrants and refugees ar-
riving at the border in their preferred lan-
guage or with appropriate language assist-
ance. 
(2) TRAINING TO ADDRESS MENTAL HEALTH 
AND WELLNESS OF CBP AGENTS AND OFFICERS.— 
(A) IN GENERAL.—The Commissioner of 
U.S. Customs and Border Protection, in con-
sultation with the Assistant Secretary for Men-
tal Health and Substance Use, the Adminis-
trator of the Health Resources and Services Ad-
ministration, and nongovernmental experts in 
the delivery of mental health care, shall develop 
and implement a training curriculum for U.S. 
Customs and Border Protection agents and offi-
cers assigned to U.S. Customs and Border Pro-
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1095 
tection facilities to address the mental health 
and wellness of individuals working at such fa-
cilities. 
(B) REQUIREMENT.—The training cur-
riculum described in subparagraph (A) shall be 
designed to help U.S. Customs and Border Pro-
tection agents and officers working at U.S. 
Customs and Border Protection facilities to— 
(i) better manage their own stress and 
the stress of their coworkers; and 
(ii) be more aware of the psychological 
pressures experienced during their jobs. 
(3) ANNUAL REVIEW OF TRAINING.—Beginning 
with respect to fiscal year 2023, the Assistant Sec-
retary for Mental Health and Substance Use shall— 
(A) conduct an annual review of the train-
ing implemented pursuant to paragraphs (1) 
and (2); and 
(B) submit the results of each such review, 
including any recommendations for improve-
ment of such training, to— 
(i) the Commissioner of U.S. Customs 
and Border Protection; and 
(ii) the Committees on Appropria-
tions, Energy and Commerce, Homeland 
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1096 
Security, and the Judiciary of the House 
of Representatives and the Committees on 
Appropriations, Health, Education, Labor, 
and Pensions, and Homeland Security and 
Governmental Affairs of the Senate. 
(4) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated— 
(A) for fiscal year 2023, $50,000 to de-
velop the training under paragraphs (1) and 
(2); and 
(B) for each of fiscal years 2024 through 
2028— 
(i) $20,000 to implement such train-
ing pursuant to paragraphs (1) and (2); 
and 
(ii) such sums as may be necessary to 
review and make recommendations for 
such training pursuant to paragraph (3). 
(c) STAFFING BORDER FACILITIES AND DETENTION 
CENTERS.— 
(1) IN GENERAL.—To adequately evaluate the 
mental health needs of immigrants, refugees, border 
patrol agents, and staff, the Commissioner of U.S. 
Customs and Border Protection shall assign at least 
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1097 
one qualified mental or behavioral health expert to 
each U.S. Customs and Border Protection facility. 
(2) QUALIFICATIONS.—To be qualified for pur-
poses of paragraph (1), a mental or behavioral 
health expert shall be— 
(A) bilingual; 
(B) well-versed in culturally and linguis-
tically appropriate and trauma-informed inter-
ventions; and 
(C) have particular expertise in child or 
adolescent mental health or family mental 
health. 
(3) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated $3,000,000 for each of fiscal years 
2023 through 2027. 
(d) NO SHARING OF DEPARTMENT OF HEALTH AND 
HUMAN SERVICES MENTAL HEALTH INFORMATION FOR 
ASYLUM DETERMINATIONS, IMMIGRATION HEARINGS, OR 
DEPORTATION PROCEEDINGS.—The officers, employees, 
and agents of the Department of Health and Human Serv-
ices, including the Office of Refugee Resettlement, may 
not share with the Department of Homeland Security, and 
the officers, employees, and agents of the Department of 
Homeland Security may not request or receive from the 
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1098 
Department of Health and Human Services, for the pur-
poses of an asylum determination, immigration hearing, 
or deportation proceeding, any information or record 
that— 
(1) concerns the mental health of an alien; and 
(2) was obtained or produced by a mental or 
behavioral health professional while the alien was in 
a shelter or otherwise in the custody of the Federal 
Government. 
(e) DEFINITIONS.—In this section: 
(1) The term ‘‘forward operating base’’ means 
a permanent facility established by U.S. Customs 
and Border Protection in forward or remote loca-
tions, and designated as such by U.S. Customs and 
Border Protection. 
(2) The term ‘‘U.S. Customs and Border Pro-
tection facility’’ means any of the following facilities 
that typically detain migrants on behalf of U.S. Cus-
toms and Border Protection: 
(A) U.S. Border Patrol stations. 
(B) Ports of entry. 
(C) Checkpoints. 
(D) Forward operating bases. 
(E) Secondary inspection areas. 
(F) Short-term custody facilities. 
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1099 
SEC. 6052. ASIAN AMERICAN, AFRICAN AMERICAN, NATIVE 
HAWAIIAN, PACIFIC ISLANDER, INDIGENOUS, 
MIDDLE EASTERN AND NORTH AFRICAN, AND 
HISPANIC AND LATINO BEHAVIORAL AND 
MENTAL 
HEALTH 
OUTREACH 
AND 
EDU-
CATION STRATEGY. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by section 6022, 
is further amended by adding at the end the following new 
section: 
‘‘SEC. 554. BEHAVIORAL AND MENTAL HEALTH OUTREACH 
AND EDUCATION STRATEGY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use, shall, in coordination with advocacy and behavioral 
and mental health organizations serving populations of 
Asian American, African American, Native Hawaiian, Pa-
cific Islander, Indigenous, Middle Eastern and North Afri-
can (in this section referred to as ‘MENA’), and Hispanic 
and Latino/a/x individuals or communities, develop and 
implement an outreach and education strategy to promote 
behavioral and mental health, emphasize that behavioral 
and mental health conditions are treatable and that rea-
sonable accommodations under section 504 of the Reha-
bilitation Act of 1973 and titles II and III of the Ameri-
cans with Disabilities Act of 1990 are necessary and may 
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1100 
help, as well as reduce stigma associated with mental 
health conditions and substance abuse among the Asian 
American, African American, Native Hawaiian, Pacific Is-
lander, Indigenous, MENA, and Hispanic and Latino/a/ 
x populations. Such strategy shall— 
‘‘(1) be designed to— 
‘‘(A) meet the diverse cultural and lan-
guage needs of the various Asian American, Af-
rican American, Indigenous, MENA, Native 
Hawaiian, Pacific Islander, and Hispanic and 
Latino/a/x populations; and 
‘‘(B) ensure that approaches recommended 
in the strategy are developmentally (with re-
spect to the beneficiary’s relative age and expe-
rience) and age appropriate, as well as cog-
nitively accessible to persons with cognitive dis-
abilities; 
‘‘(2) increase awareness of symptoms of mental 
illnesses common among such populations, taking 
into account differences within subgroups (such as 
gender, gender identity, age, sexual orientation, dis-
ability, and ethnicity) of such populations; 
‘‘(3) provide information on evidence-based, cul-
turally and linguistically appropriate and adapted 
interventions and treatments; 
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1101 
‘‘(4) ensure full participation of, and engage, 
both consumers and community members rep-
resenting the communities of focus in the develop-
ment and implementation of materials; and 
‘‘(5) seek to broaden the perspective among 
both individuals in such communities and stake-
holders serving such communities to use a com-
prehensive public health approach to promoting be-
havioral and mental health that addresses a holistic 
view of health by focusing on the intersection be-
tween behavioral and physical health. 
‘‘(b) REPORTS.—Beginning not later than 1 year 
after the date of the enactment of this section and annu-
ally thereafter, the Secretary, acting through the Assistant 
Secretary, shall submit to the Congress, and make publicly 
available, a report on the extent to which the strategy de-
veloped and implemented under subsection (a) increased 
behavioral and mental health outcomes associated with 
mental health conditions and substance abuse among 
Asian American, African American, Native Hawaiian, Pa-
cific Islander, Indigenous, MENA, and Hispanic and 
Latino/a/x populations. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2024 through 2028.’’. 
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1102 
Subtitle F—Reports 
SEC. 6061. ADDRESSING RACIAL AND ETHNIC MENTAL 
HEALTH INEQUITIES RESEARCH GAPS. 
(a) IN GENERAL.—Not later than 6 months after the 
date of the enactment of this Act— 
(1) the Director of the National Institute on 
Minority Health and Health Disparities shall enter 
into an arrangement with the National Academy of 
Sciences to carry out the activities under subsection 
(b); or 
(2) if the National Academy of Sciences de-
clines to enter into such an arrangement, the Direc-
tor of the National Institute on Minority Health and 
Health Disparities, in cooperation with the Agency 
for Healthcare Research and Quality, shall carry out 
the activities under subsection (b). 
(b) ACTIVITIES.—The applicable entity under sub-
section (a) shall— 
(1) conduct a study with respect to mental 
health inequities in racial and ethnic minority 
groups (as defined in section 1707(g) of the Public 
Health Service Act (42 U.S.C. 300u–6(g)), as 
amended by title I of this Act); and 
(2) submit to the Congress a report on the re-
sults of such study, including— 
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1103 
(A) a compilation of information on the dy-
namics of mental health outcomes in such racial 
and ethnic minority groups; 
(B) the degree and impacts of the co-oc-
currence of mental conditions with other dis-
abilities in such racial and ethnic groups, in-
cluding physical disabilities, mental disabilities, 
substance use disorders, severe and persistent 
mental illness, and mental disorders or mental 
health conditions which co-occur with one an-
other; 
(C) a compilation of information on the 
impact of community violence, community trau-
ma, adverse childhood experiences, weather ex-
tremes worsened by climate change (such as 
heat waves, flooding, hurricanes, and wildfires), 
substance use, and other psychological traumas, 
on mental disorders in such racial and ethnic 
minority groups, stratified by household income 
level; 
(D) a compilation of information on the 
impact of the intersectionality of transgender 
individuals, gender nonbinary individuals, sex-
ual orientation, and age in racial and ethnic mi-
nority groups; and 
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1104 
(E) a description of how protective factors 
contrast and compare among different commu-
nities of color, identifying cultural strengths. 
SEC. 6062. RESEARCH ON ADVERSE HEALTH EFFECTS AS-
SOCIATED WITH INTERACTIONS WITH LAW 
ENFORCEMENT. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’), acting through the Director of the Office of Mi-
nority Health of the Centers for Disease Control and Pre-
vention (established pursuant to section 1707A of the 
Public Health Service Act (42 U.S.C. 300u–6a)), shall 
conduct research on the adverse health effects associated 
with interactions with law enforcement. 
(b) EFFECTS AMONG RACIAL AND ETHNIC MINORI-
TIES.—The research under subsection (a) shall include re-
search on— 
(1) the health consequences, both individual 
and community-wide, of trauma related to violence 
committed by law enforcement among racial and 
ethnic minorities; and 
(2) the disproportionate burden of morbidity 
and mortality associated with such trauma. 
(c) REPORT.—Not later than 1 year after the date 
of enactment of this Act, the Secretary shall— 
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1105 
(1) complete the research under this section; 
and 
(2) submit to the Congress a report on the find-
ings, conclusions, and recommendations resulting 
from such research. 
SEC. 6063. GEOACCESS STUDY. 
The Assistant Secretary for Mental Health and Sub-
stance Use shall— 
(1) conduct a study to— 
(A) determine which geographic areas of 
the United States have shortages of racially and 
ethnically diverse mental health providers, as 
well as mental health providers trained to work 
with racially and ethnically diverse clients and 
clients with multiple mental health, cognitive, 
and developmental disabilities; and 
(B) assess the preparedness of mental 
health providers to deliver culturally and lin-
guistically appropriate, affordable, and acces-
sible services; and 
(2) submit a report to Congress on the results 
of such study. 
SEC. 6064. COOCCURRING CONDITIONS. 
(a) GAO REPORT.—Not later than two years after 
the date of enactment of this Act, the Comptroller General 
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1106 
of the United States shall submit to Congress a report 
on barriers to care for persons with cooccurring conditions 
and access to care in the United States. Such report shall 
include the information and recommendations described in 
subsection (b). 
(b) CONTENT OF REPORT.—The report under sub-
section (a) shall include— 
(1) an assessment of current barriers to behav-
ioral health and substance use disorder treatment 
for low-income, uninsured, and Medicaid-enrolled 
adults, and recommendations for addressing such 
barriers, particularly for women and diverse racial 
and ethnic groups; 
(2) an assessment of— 
(A) how many adults have a behavioral 
health condition and options for adults to re-
ceive behavioral health and substance use dis-
order treatment in nonexpansion States; 
(B) Medicaid expansion States who provide 
behavioral health coverage for newly eligible en-
rollees; 
(C) how enrollment in coverage affects 
treatment availability; and 
(D) the impacts of COVID–19 to receiving 
and accessing treatment for behavioral health, 
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1107 
substance use disorders, diverse racial and eth-
nic groups, and recommendations for address-
ing such barriers; 
(3) an assessment of current barriers, inclusive 
of social determinants of health and cultural bar-
riers, that prevent adults from receiving behavioral 
health and substance use disorder treatment, rec-
ommendations for addressing such barriers, particu-
larly for low-income women and adults from racial 
and ethnic groups; 
(4) an assessment of disparities in access to ad-
diction counselors, mental or behavioral health care 
providers acting in accordance with State law, strati-
fied by race, ethnicity, gender identity, geographic 
location, and insurance type and recommendations 
to promote greater access equity; and 
(5) recommendations to promote greater equity 
in access to care for behavioral services and sub-
stance use disorders, particularly for low-income 
women and adults from diverse racial and ethnic 
groups. 
SEC. 6065. TECHNICAL CORRECTION. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
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(1) by redesignating the second section 550 (42 
U.S.C. 290ee–10) (relating to Sobriety Treatment 
And Recovery Teams) as section 552A; and 
(2) by moving such section, as so redesignated, 
so as to appear after section 552 (42 U.S.C. 290ee– 
7). 
Subtitle G—Miscellaneous 
Provisions 
SEC. 6071. CHILDREN’S MENTAL HEALTH INFRASTRUC-
TURE ACT. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by inserting after 
subpart V the following new subpart: 
‘‘Subpart VI—Increasing Investment in Pediatric 
Behavioral Health Services 
‘‘SEC. 340A–1. GRANTS TO CHILDREN’S HOSPITALS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall make grants to eligible entities for 
the purpose of improving their ability to provide pediatric 
behavioral health services, including by— 
‘‘(1) constructing or modernizing sites of care 
for pediatric behavioral health services; 
‘‘(2) expanding capacity to provide pediatric be-
havioral health services, including enhancements to 
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1109 
digital infrastructure, telehealth capabilities, or other 
improvements to patient care infrastructure; and 
‘‘(3) supporting the reallocation of existing re-
sources to accommodate pediatric behavioral health 
patients, including by— 
‘‘(A) converting or adding a sufficient 
number of beds to establish or increase the hos-
pital’s inventory of licensed and operational, 
short-term psychiatric and substance use inpa-
tient beds; and 
‘‘(B) ensuring compliance with safety 
standards. 
‘‘(b) ELIGIBILITY.—To be eligible to seek a grant 
under this section, an entity shall be a hospital that pre-
dominantly treats individuals under the age of 21, includ-
ing any hospital that receives funds under section 340E. 
‘‘(c) FUNDING.—To carry out this section, there is 
hereby appropriated, out of amounts in the Treasury not 
otherwise obligated, $2,000,000,000 for each of fiscal 
years 2022 through 2026.’’. 
SEC. 6072. MENTAL HEALTH FOR LATINOS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following new section: 
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‘‘SEC. 553. BEHAVIORAL AND MENTAL HEALTH OUTREACH 
AND EDUCATION STRATEGY. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary, shall, in coordination with advo-
cacy and behavioral and mental health organizations serv-
ing populations of Hispanic and Latino individuals or 
communities, develop and implement an outreach and edu-
cation strategy to promote behavioral and mental health 
and reduce stigma associated with mental health condi-
tions and substance abuse among the Hispanic and Latino 
populations. Such strategy shall— 
‘‘(1) be designed to— 
‘‘(A) meet the diverse cultural and lan-
guage needs of the various Hispanic and Latino 
populations; and 
‘‘(B) be developmentally and age-appro-
priate; 
‘‘(2) increase awareness of symptoms of mental 
illnesses common among such populations, taking 
into account differences within subgroups, such as 
gender, gender identity, age, sexual orientation, or 
ethnicity, of such populations; 
‘‘(3) provide information on evidence-based, cul-
turally and linguistically appropriate and adapted 
interventions and treatments; 
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1111 
‘‘(4) ensure full participation of, and engage, 
both consumers and community members in the de-
velopment and implementation of materials; 
‘‘(5) seek to broaden the perspective among 
both individuals in these communities and stake-
holders serving these communities to use a com-
prehensive public health approach to promoting be-
havioral health that addresses a holistic view of 
health by focusing on the intersection between be-
havioral and physical health; and 
‘‘(6) address the impact of the SARS–CoV–2 
pandemic on the mental and behavioral health of the 
Hispanic and Latino populations. 
‘‘(b) REPORTS.—Beginning not later than 1 year 
after the date of the enactment of this section and annu-
ally thereafter, the Secretary, acting through the Assistant 
Secretary, shall submit to Congress, and make publicly 
available, a report on the extent to which the strategy de-
veloped and implemented under subsection (a) improved 
behavioral and mental health outcomes associated with 
mental health conditions and substance abuse among His-
panic and Latino populations. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$1,000,000 for each of fiscal years 2023 through 2025.’’. 
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1112 
SEC. 6073. STRENGTHENING MENTAL HEALTH SUPPORTS 
FOR BIPOC COMMUNITIES. 
(a) IN GENERAL.—Section 1942(a) of the Public 
Health Service Act (42 U.S.C. 300x–52(a)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (2) as para-
graph (5); and 
(3) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) services provided by the State to adults 
with a serious mental illness and children with a se-
rious emotional disturbance who are members of his-
torically racial and ethnic minority groups, includ-
ing— 
‘‘(A) the extent to which such services are 
provided to such adults and children; and 
‘‘(B) the outcomes experienced by such 
adults and children as a result of the provision 
of such services, including with respect to— 
‘‘(i) diversions from hospitalization 
and criminal justice system involvement; 
‘‘(ii) treatment for first episode psy-
chosis or undefined psychosis; 
‘‘(iii) reductions in suicide and in-
creased utilization of appropriate treat-
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1113 
ments and interventions for suicidal idea-
tion; 
‘‘(iv) response through crisis services, 
including mobile crisis services; 
‘‘(v) treatment of individuals who are 
experiencing homelessness or housing inse-
curity and individuals residing in rural 
communities; and 
‘‘(vi) increased patient family and 
caregiver engagement and education on se-
rious mental illness to reduce social stigma 
and promote healthy social support for pa-
tients; 
‘‘(3) any outreach by the State to, and the hir-
ing of, providers of mental health services from mul-
tiple disciplines (such as a psychologist, psychiatrist, 
peer support provider, or social worker) who are 
members of historically racial and ethnic minority 
groups; 
‘‘(4) any outreach by the State to providers 
from multiple disciplines of mental health services— 
‘‘(A) to provide training on culturally ef-
fective, culturally affirming, and linguistically 
competent services; and 
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1114 
‘‘(B) to increase awareness of community- 
defined practices by practitioners of historically 
racial and ethnic minority groups; and’’. 
(b) APPLICABILITY.—The amendments made by sub-
section (a) shall apply with respect to funding agreements 
entered into under section 1911 or 1921 of the Public 
Health Service Act (42 U.S.C. 300x; 42 U.S.C. 300x–21) 
on or after the date of the enactment of this Act. 
SEC. 6074. STRONG SUPPORT FOR CHILDREN. 
(a) DATA ANALYSIS AND STRATEGY IMPLEMENTA-
TION TO PREVENT AND MITIGATE CHILDHOOD TRAU-
MA.—Title XXXI of the Public Health Service Act (42 
U.S.C. 300kk) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 3102. DATA ANALYSIS AND STRATEGY IMPLEMENTA-
TION TO PREVENT AND MITIGATE CHILD-
HOOD TRAUMA. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
program— 
‘‘(1) to support the development and implemen-
tation of programs that use data analysis methods 
to identify and facilitate strategies for early inter-
vention and prevention, in order to prevent and miti-
gate childhood trauma and support communities and 
families, including— 
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1121 
‘‘(i) utilization of community-based 
participatory research methods for involv-
ing community in the process of under-
standing and changing systems and evalu-
ating outcomes of grants; 
‘‘(ii) consideration of a multitude of 
environmental risk factors and ascertain-
ment of the significance of contributing 
community risk factors for purposes of 
identifying strategies to reduce adverse 
child outcomes, including— 
‘‘(I) maltreatment cases; 
‘‘(II) involvement with the juve-
nile criminal legal system or foster 
system; 
‘‘(III) exclusionary school dis-
cipline; or 
‘‘(IV) exposure to violence; and 
‘‘(iii) identification of cross-sector re-
sponses involving reparative, trauma-in-
formed, culturally specific, gender-respon-
sive, and community-based organizations 
to reduce adverse child outcomes. 
‘‘(5) SUBGRANT.— 
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1128 
‘‘(iii) the effect of activities supported 
by the grant under this section on the local 
area serviced by the program, including 
such effects on— 
‘‘(I) children and adolescents’ 
health and well-being; 
‘‘(II) the number of children who 
enter into or depart from foster serv-
ices; and 
‘‘(III) homelessness and housing 
insecurity. 
‘‘(B) STUDY.— 
‘‘(i) IN GENERAL.—Not later than 7 
years after the date of enactment of this 
section, the Assistant Secretary for Plan-
ning and Evaluation of the Department of 
Health and Human Services shall— 
‘‘(I) complete a study on the re-
sults of the grant program under this 
section using the community-based 
participatory action research method, 
which focuses on social, structural, 
and physical environmental inequities 
through active involvement of commu-
nity members, clients, organizational 
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1153 
chologist under clause (L)’’ and inserting ‘‘85 percent of 
the fee schedule amount provided under section 1848’’. 
(b) ACCESS TO CLINICAL SOCIAL WORKER SERVICES 
PROVIDED TO RESIDENTS OF SKILLED NURSING FACILI-
TIES.— 
(1) IN GENERAL.—Section 1888(e)(2)(A)(ii) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395yy(e)(2)(A)(ii)) is amended by inserting ‘‘clin-
ical social worker services,’’ after ‘‘qualified psychol-
ogist services,’’. 
(2) 
CONFORMING
AMENDMENT.—Section 
1861(hh)(2) of the Social Security Act (42 U.S.C. 
1395x(hh)(2)) is amended by striking ‘‘and other 
than services furnished to an inpatient of a skilled 
nursing facility which the facility is required to pro-
vide as a requirement for participation’’. 
(c) ACCESS TO THE COMPLETE SET OF CLINICAL SO-
CIAL WORKER SERVICES.—Section 1861(hh)(2) of the So-
cial Security Act (42 U.S.C. 1395x(hh)(2)) is further 
amended by striking ‘‘for the diagnosis and treatment of 
mental illnesses (other than services’’ and inserting ‘‘(in-
cluding services for the diagnosis and treatment of mental 
illnesses or services for health and behavior assessment 
and intervention (identified as of January 1, 2021, by 
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1215 
(IX) A designee of the Commis-
sioner of Food Drugs. 
(X) A designee of the Director of 
the Agency for Healthcare Research 
and Quality. 
(XI) A designee of the Director 
of the Telemedicine and Advanced 
Technology Research Center of the 
Department of Defense. 
(ii) NON-FEDERAL MEMBERS.—In ad-
dition to the members described in clause 
(i), the advisory council shall include 8 ex-
pert members from outside the Federal 
Government to be appointed by the Sec-
retary, which shall include— 
(I) 2 prostate cancer patient ad-
vocates; 
(II) 2 health care providers with 
a range of expertise and experience in 
prostate cancer; and 
(III) 4 leading researchers with 
prostate cancer-related expertise in a 
range of clinical disciplines. 
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matter to the Attorney General to consider filing a 
civil action to enforce such agreement. 
(5) WRITTEN
CONSENT
FOR
DISCLOSURE
OF 
INFORMATION.—Nothing said or done in the course 
of conciliation under this subsection may be made 
public, or used as evidence in a subsequent pro-
ceeding under this subsection, without the written 
consent of the parties to the conciliation. 
(6) PROMPT JUDICIAL ACTION.— 
(A) IN GENERAL.—If the Director deter-
mines at any time following the filing of a com-
plaint under this subsection that prompt judi-
cial action is necessary to carry out the pur-
poses of this subsection, the Director may rec-
ommend that the Attorney General promptly 
commence a civil action under subsection (d). 
(B) IMMEDIATE SUIT.—If the Director de-
termines at any time following the filing of a 
complaint under this subsection that the public 
interest would be served by allowing the com-
plainant to bring a civil action under subsection 
(c) in a State or Federal court immediately, the 
Director shall certify that the administrative 
process has concluded and that the complainant 
may file such a suit immediately. 
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