‘‘(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 ap-
propriate, consult with the advisory councils described 
in section 502, the National Institute of Mental 
Health, the National Institute on Drug Abuse, and 
the National Institute on Alcohol Abuse and Alco-
holism, 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.’’. 
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: 
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‘‘SEC. 544. PROMOTING ACCESS TO INFORMATION ON EVI-
DENCE-BASED PROGRAMS AND PRACTICES. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall im-
prove access to reliable and valid information on evidence- 
based programs and practices, including information on the 
strength of evidence associated with such programs and 
practices, related to mental and substance use disorders for 
States, local communities, nonprofit entities, and other 
stakeholders by posting on the website of the National Reg-
istry of Evidence-Based Programs and Practices evidence- 
based programs and practices 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 
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 
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Planning and Evaluation, the Assistant Secretary for 
Financial Resources, or the National Mental Health 
and Substance Use Policy Laboratory, including pur-
suant to priorities identified in the strategic plan es-
tablished 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 Assistant 
Secretary shall utilize a rating and review system, which 
shall include information on the strength of evidence associ-
ated with such programs and practices and a rating of the 
methodological rigor of the research supporting the applica-
tion. The Assistant Secretary shall make the metrics used 
to evaluate applications and the resulting ratings publicly 
available.’’. 
SEC. 603. SENSE OF CONGRESS. 
It is the sense of the Congress that the National Insti-
tute of Mental Health should conduct or support research 
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on the determinants of self-directed and other violence con-
nected 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 Public 
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 services 
for adults with a serious mental illness and children 
with a serious emotional disturbance as defined in ac-
cordance 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 amend-
ed to read as follows: 
‘‘(b) CRITERIA FOR PLAN.—In accordance with sub-
section (a), a State shall submit to the Secretary a plan 
that, at a minimum, satisfies the following criteria: 
‘‘(1) SYSTEM OF CARE.—The plan provides a de-
scription of the system of care of the State, including 
as follows: 
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‘‘(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, including any 
third party who administers mental health 
services and is responsible for complying 
with the requirements of this part with re-
spect to the grant; 
‘‘(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 disorders; 
‘‘(iii) include a description of the man-
ner in which the State and local entities 
will coordinate services to maximize the ef-
ficiency, effectiveness, quality, and cost ef-
fectiveness of services and programs to 
produce the best possible outcomes (includ-
ing health services, rehabilitation services, 
employment services, housing services, edu-
cational services, substance use disorder 
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services, legal services, law enforcement serv-
ices, social services, child welfare services, 
medical and dental care services, and other 
support services to be provided with Fed-
eral, State, and local public and private re-
sources) with other agencies to enable indi-
viduals 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 prac-
tices, including those evidence-based 
programs that address the needs of in-
dividuals with early serious mental ill-
ness regardless of the age of the indi-
vidual at onset; 
‘‘(II) provides comprehensive in-
dividualized treatment; or 
‘‘(III) 
integrates 
mental 
and 
physical health services; 
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‘‘(B) MENTAL HEALTH SYSTEM DATA AND 
EPIDEMIOLOGY.—The plan shall contain an esti-
mate of the incidence and prevalence in the State 
of serious mental illness among adults and seri-
ous emotional disturbance among children and 
presents quantitative targets and outcome meas-
ures for programs and services provided 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 so-
cial services, educational services, child welfare 
services, juvenile justice services, law enforcement 
services, and substance use disorder services that, 
together with health and mental health services, 
will be provided in order for such children to re-
ceive care appropriate for their multiple needs 
(such system to include 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 in-
dividuals who are homeless and how community- 
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based services will be provided to individuals re-
siding 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 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 sec-
tion 1911 for the fiscal year involved; and 
‘‘(iv) describe the manner in which the 
State intends to comply with each of 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 targets.’’. 
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(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 MODELS.— 
A State shall expend not less than 10 percent of the amount 
the State receives for carrying out this subpart in each fis-
cal year to support evidence-based programs that address 
the needs of individuals with early serious mental illness, 
including psychotic disorders, regardless of the age of the 
individual at onset.’’. 
(d) ADDITIONAL PROVISIONS.—Section 1915(b) of the 
Public Health Service Act (42 U.S.C. 300x–4(b)) is amend-
ed— 
(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 
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 two 
fiscal years immediately preceding the fiscal year for 
which the State is applying for the grant.’’; 
(2) in paragraph (2)— 
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(A) by striking ‘‘subsection (a)’’ and insert-
ing ‘‘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 extraor-
dinary 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 RE-
QUEST.—The Secretary shall approve or deny a 
request for a waiver under this paragraph not 
later than 120 days after the date on which the 
request is made. 
‘‘(C) APPLICABILITY OF WAIVER.—A waiver 
provided by the Secretary under this paragraph 
shall be applicable only to the fiscal year in-
volved.’’; and 
(4) in paragraph (4)— 
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(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 deter-
mines that a State has failed to maintain 
such compliance for a fiscal year, the Sec-
retary shall reduce the amount of the allot-
ment under section 1911 for the State, for 
the first fiscal year beginning after such de-
termination is final, by an amount equal to 
the amount constituting such failure for the 
previous fiscal year about which the deter-
mination was made. 
‘‘(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 
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equitable and would be a more effective in-
centive for States to maintain such material 
compliance.’’; and 
(B) in subparagraph (B)— 
(i) by inserting after the subparagraph 
designation the following: ‘‘SUBMISSION OF 
INFORMATION TO THE SECRETARY.—’’; 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 amend-
ed— 
(1) in paragraph (1), by striking ‘‘1941’’ and in-
serting ‘‘1942(a)’’; and 
(2) 
in 
paragraph 
(5), 
by 
striking 
‘‘1915(b)(3)(B)’’ and inserting ‘‘1915(b)’’. 
Subtitle C—Strengthening Mental 
Health Care for Children and 
Adolescents 
SEC. 
621. 
TELEHEALTH 
CHILD 
PSYCHIATRY 
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: 
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‘‘SEC. 330M. TELEHEALTH CHILD PSYCHIATRY ACCESS 
GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services Admin-
istration and in coordination with other relevant Federal 
agencies, shall award grants to States, political subdivi-
sions of States, Indian tribes, and tribal organizations (for 
purposes of this section, as such terms are defined in section 
4 of the Indian Self-Determination and Education Assist-
ance Act (25 U.S.C. 450b)) to promote behavioral health 
integration in pediatric primary care by— 
‘‘(1) supporting the development of statewide 
child psychiatry access programs; and 
‘‘(2) supporting the improvement of existing 
statewide child psychiatry access programs. 
‘‘(b) PROGRAM REQUIREMENTS.— 
‘‘(1) IN
GENERAL.—A child psychiatry access 
program referred to in subsection (a), with 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 organized 
State networks of child and adolescent psychia-
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trists to provide consultative support to pediatric 
primary care sites; 
‘‘(C) conduct an assessment of critical be-
havioral consultation needs among pediatric pro-
viders and such providers’ preferred mechanisms 
for receiving consultation and training and tech-
nical 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 requested 
between the pediatric mental health teams and 
pediatric primary care providers; 
‘‘(F) conduct training and provide technical 
assistance to pediatric primary care providers to 
support the early identification, diagnosis, treat-
ment, and referral of children with behavioral 
health conditions or co-occurring intellectual and 
other developmental disabilities; 
‘‘(G) inform and assist pediatric providers 
in accessing child psychiatry consultations and 
in scheduling and conducting technical assist-
ance; 
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100 
‘‘(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 ad-
olescent psychiatric services by pediatric pri-
mary care providers and expanded capacity of 
pediatric primary care providers 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. 
‘‘(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 Sec-
retary 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 
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101 
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, polit-
ical subdivision of a State, Indian tribe, or tribal organiza-
tion involved agrees, with respect to the costs to be incurred 
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. 
‘‘(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.’’. 
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102 
SEC. 622. INFANT AND EARLY CHILDHOOD MENTAL HEALTH 
PROMOTION, INTERVENTION, AND TREAT-
MENT. 
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 
disorders including serious emotional disturb-
ance; and 
‘‘(B) multigenerational therapy and other 
services that support the caregiving relationship; 
and 
‘‘(2) ensure that programs funded through grants 
under this section are evidence-informed or evidence- 
based models, practices, and methods that are, as ap-
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103 
propriate, culturally and linguistically appropriate, 
and can be replicated in other appropriate settings. 
‘‘(b) ELIGIBLE CHILDREN AND ENTITIES.—In this sec-
tion: 
‘‘(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 disorder, in-
cluding serious emotional disturbance; and 
‘‘(B) may benefit from infant and early 
childhood intervention or treatment programs or 
specialized preschool or elementary school pro-
grams that are evidence-based or that have been 
scientifically demonstrated to show promise but 
would benefit from further applied development. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible enti-
ty’ means a nonprofit institution that— 
‘‘(A) is accredited or approved by a State 
mental health or education agency, as applicable, 
to provide for children from infancy to 5 years 
of age mental health promotion, intervention, or 
treatment services that are evidence-based or that 
have been scientifically demonstrated to show 
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104 
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 promise 
but would benefit from further applied develop-
ment. 
‘‘(c) APPLICATION.—An eligible entity seeking a grant 
under subsection (a) shall submit to the Secretary an appli-
cation at such time, in such manner, and containing 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 dis-
order 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 disorder, including serious 
emotional disturbance. Such services may include so-
cial 
and 
behavioral 
services 
as 
well 
as 
multigenerational therapy and other services ?that 
support the caregiving relationship. 
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105 
‘‘(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 special-
ists, child welfare staff, home visitors, early care and 
education 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 chil-
dren and families. 
‘‘(4) Provide training for mental health clini-
cians in infant and early childhood promising and 
evidence-based practices and models for mental health 
treatment and early intervention, including with re-
gard to practices for identifying and treating mental 
and behavioral disorders of infants and children re-
sulting 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, 
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106 
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 unless 
the eligible entity agrees, with respect to the costs to be in-
curred by the eligible entity in carrying out the activities 
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.’’. 
SEC. 623. NATIONAL CHILD TRAUMATIC STRESS INITIATIVE. 
Section 582 of the Public Health Service Act (42 
U.S.C. 290hh–1; relating to grants to address the problems 
of persons who experience violence related stress) is amend-
ed— 
(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 
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107 
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 treating 
mental disorders, 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 
‘‘treating mental, behavioral, and biological dis-
orders associated with psychological trauma)’’; 
and 
(C) by striking ‘‘mental health agencies and 
programs that have established clinical and basic 
research’’ and inserting ‘‘universities, hospitals, 
mental health agencies, and other programs that 
have established clinical expertise and research’’; 
(3) by redesignating subsections (c) through (g) 
as subsections (g) through (k), respectively; 
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(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 evi-
dence-based and trauma-informed treatments, interven-
tions, and practices offered to NCTSI grantees, providers, 
and partners. 
‘‘(e) DISSEMINATION.—The NCTSI coordinating cen-
ter shall, as appropriate, collaborate with the Secretary in 
the dissemination of evidence-based and trauma-informed 
interventions, treatments, products, and other resources to 
appropriate stakeholders. 
‘‘(f) REVIEW.—The Secretary shall, consistent with the 
peer-review process, ensure that NCTSI applications are re-
viewed by appropriate experts in the field as part of a con-
sensus review process. The Secretary shall include review 
criteria related to expertise and experience in child trauma 
and evidence-based practices.’’; 
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(5) in subsection (g) (as so redesignated), by 
striking ‘‘with respect to centers of excellence are dis-
tributed equitably among the regions of the country’’ 
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 fiscal 
years 2017 through 2021’’. 
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 inserting 
‘‘SUICIDE
PREVENTION
TECHNICAL
ASSIST-
ANCE CENTER.’’; 
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(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); 
(4) by redesignating subsection (d) as subsection 
(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’’; 
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(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 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: 
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‘‘(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 Cri-
sis Act of 2016, the Secretary shall submit to Congress a 
report on the activities carried out by the center established 
under subsection (a) during the year involved, including 
the potential effects of such activities, and the States, orga-
nizations, and institutions that have worked with the cen-
ter.’’. 
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 sec-
tion’’ and inserting ‘‘a State does not receive 
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more than 1 grant or cooperative agreement 
under this section at any 1 time’’; and 
(B) by striking ‘‘been awarded’’ and insert-
ing ‘‘received’’; and 
(3) by striking subsection (m) and inserting the 
following: 
‘‘(m) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $35,427,000 for each of fiscal years 2017 
through 2021.’’. 
SEC. 703. MENTAL HEALTH AND SUBSTANCE USE DISORDER 
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 BE-
HAVIORAL 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’’; 
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(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 sub-
stance use disorders. 
‘‘(2) The operation of hotlines. 
‘‘(3) Preparing informational material. 
‘‘(4) Providing outreach services to notify stu-
dents about available mental health and substance use 
disorder services. 
‘‘(5) Administering voluntary mental health and 
substance use disorder screenings and assessments. 
‘‘(6) Supporting the training of students, faculty, 
and staff to respond effectively to students with men-
tal 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’’; 
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(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 substance use 
disorder’’; and 
(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, includ-
ing appropriate public and private entities, 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 sub-
stance use disorders’’; 
(7) in subsection (f)(2)— 
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(A) by striking ‘‘and behavioral health’’ and 
inserting ‘‘health and substance use disorder’’; 
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 pe-
riod at the end and inserting ‘‘$6,488,000 for each of 
fiscal years 2017 through 2021.’’. 
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 in-
serting after section 520E–2 (42 U.S.C. 290bb–36b) the fol-
lowing: 
‘‘SEC. 520E–3. NATIONAL SUICIDE PREVENTION LIFELINE 
PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Assistant Secretary, shall maintain the National Suicide 
Prevention Lifeline Program (referred to in this section 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. 
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‘‘(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 preven-
tion 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 so-
cial services resources; and 
‘‘(3) consulting with the Secretary of Veterans 
Affairs to ensure that veterans calling the suicide pre-
vention hotline have access to a specialized veterans’ 
suicide prevention hotline. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$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 Admin-
istration, 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 
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substance use disorder workforce in order to inform Federal, 
State, and local efforts related to workforce 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 
individuals practicing in fields deemed relevant by 
the Secretary; 
(2) an assessment of the mental health and sub-
stance use disorder workforce capacity, strengths, and 
weaknesses as of the date of the report, including 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 workforce, 
including the number of individuals entering the 
mental health workforce over the next five years; 
(4) information on the gaps in workforce devel-
opment for mental health providers and professionals, 
including those who serve pediatric, adult, and geri-
atric patients; and 
(5) any additional information determined by 
the Assistant Secretary for Mental Health and Sub-
stance Use, in consultation with the Administrator of 
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the Health Resources and Services Administration, to 
be relevant to the mental health and substance use 
disorder provider workforce. 
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 Program, 
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 and substance use 
disorders among racial and ethnic minority popu-
lations; 
‘‘(2) improving the quality of mental and sub-
stance use disorder prevention and treatment deliv-
ered to racial and ethnic minorities; and 
‘‘(3) increasing the number of culturally com-
petent behavioral health professionals and school per-
sonnel who teach, administer, conduct services re-
search, and provide direct mental health or substance 
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use services to racial and ethnic minority popu-
lations. 
‘‘(b) TRAINING COVERED.—The fellowships under sub-
section (a) shall be for postbaccalaureate training (includ-
ing for master’s and doctoral degrees) for mental health pro-
fessionals, including in the fields of psychiatry, nursing, so-
cial work, psychology, marriage and family therapy, men-
tal health counseling, and substance use and addiction 
counseling. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$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 second sec-
tion 514 (42 U.S.C. 290bb–9), relating to methamphet-
amine 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 
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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.). Partici-
pation in the system by the States shall be voluntary. 
SEC. 716. SENSE OF CONGRESS ON PRIORITIZING NATIVE 
AMERICAN YOUTH AND SUICIDE PREVENTION 
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 sec-
ond 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 Congress 
that the Secretary of Health and Human Services, in car-
rying out programs for Native American youth and suicide 
prevention programs for youth suicide intervention, should 
prioritize programs and activities for individuals who have 
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a high risk or disproportional burden of suicide, such as 
Native Americans. 
SEC. 717. PEER PROFESSIONAL WORKFORCE DEVELOP-
MENT GRANT PROGRAM. 
(a) IN GENERAL.—For the purposes described in sub-
section (b), the Secretary of Health and Human Services 
shall award grants to develop and sustain behavioral health 
paraprofessional training and education programs, includ-
ing through tuition support. 
(b) PURPOSES.—The purposes of grants under this sec-
tion 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 
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appropriate national balance in the geographic distribution 
of such awards. 
(e) SPECIAL CONSIDERATION.—In awarding grants 
under this section, the Secretary may give special consider-
ation to proposed and existing programs targeting peer pro-
fessionals 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 ‘‘(includ-
ing pediatric mental health subspecialty services)’’ 
after ‘‘pediatrics’’. 
(2) BEHAVIORAL AND MENTAL HEALTH PROFES-
SIONALS.—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 pediatric subspecial-
ists 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 amended 
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by inserting ‘‘, including any physician child and adoles-
cent psychiatry residency or fellowship training program’’ 
after ‘‘be enrolled in an approved graduate training pro-
gram in medicine, osteopathic medicine, dentistry, behav-
ioral 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 implement sui-
cide 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 commu-
nity-based primary care or behavioral health care set-
ting, an emergency department, a State mental health 
agency, an Indian tribe, a tribal organization, or any 
other entity the Assistant Secretary deems appro-
priate. 
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(4) NATURE OF ACTIVITIES.—The grants award-
ed under paragraph (1) shall be used to implement 
programs that— 
(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 fos-
ter open dialogue about suicide prevention. 
(b) ADDITIONAL ACTIVITIES.—The Assistant Secretary 
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 section, in-
cluding assistance with— 
(A) selection and implementation of evi-
dence-based interventions and frameworks to pre-
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vent suicide, such as the Zero Suicide frame-
work; and 
(B) other activities as the Assistant Sec-
retary determines appropriate. 
(c) DURATION.—A grant under this section shall be for 
a period of not more than 5 years. 
(d) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—There is authorized to be ap-
propriated to carry out this section $30,000,000 for 
the period of fiscal years 2018 through 2022. 
(2) USE OF CERTAIN FUNDS.—Of the funds ap-
propriated to carry out this section in any fiscal 
year, the lesser of 5 percent of such funds or $500,000 
shall be available to the Assistant Secretary for pur-
poses of carrying out subsection (b). 
SEC. 720. CRISIS INTERVENTION GRANTS FOR POLICE OFFI-
CERS AND FIRST RESPONDERS. 
(a) IN GENERAL.—The Assistant Secretary for Mental 
Health and Substance Use may award grants to entities 
such as law enforcement agencies and first responders— 
(1) to provide specialized training to law en-
forcement officers, corrections officers, paramedics, 
emergency medical services workers, and other first 
responders (including village public safety officers (as 
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defined in section 247 of the Indian Arts and Crafts 
Amendments Act of 2010 (42 U.S.C. 3796dd note)))— 
(A) to recognize individuals who have men-
tal illness and how to properly intervene with 
individuals with mental illness; and 
(B) to establish programs that enhance the 
ability of law enforcement agencies to address the 
mental health, behavioral, and substance use 
problems of individuals encountered in the line 
of duty; and 
(2) to establish collaborative law enforcement 
and mental health programs, including behavioral 
health response teams and mental health crisis inter-
vention teams comprised of mental health profes-
sionals, law enforcement officers, and other first re-
sponders, as appropriate, to provide on-site, face-to- 
face, mental and behavioral health care services dur-
ing a mental health crisis, and to connect the indi-
vidual in crisis to appropriate community-based 
treatment services in lieu of unnecessary hospitaliza-
tion or further involvement with the criminal justice 
system. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section 
$9,000,000 for the period of fiscal years 2018 through 2020. 
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SEC. 721. DEMONSTRATION GRANT PROGRAM TO TRAIN 
HEALTH SERVICE PSYCHOLOGISTS IN COM-
MUNITY-BASED MENTAL HEALTH. 
(a) ESTABLISHMENT.—The Secretary of Health and 
Human Services shall establish a grant program under 
which the Assistant Secretary of Mental Health and Sub-
stance Use Disorders may award grants to eligible institu-
tions to support the recruitment, education, and clinical 
training experiences of health services psychology students, 
interns, and postdoctoral residents for education and clin-
ical experience in community mental health settings. 
(b) ELIGIBLE INSTITUTIONS.—For purposes of this 
section, the term ‘‘eligible institutions’’ includes American 
Psychological Association-accredited doctoral, internship, 
and postdoctoral residency schools or programs in health 
service psychology that— 
(1) are focused on the development and imple-
mentation of interdisciplinary training of psychology 
graduate students and postdoctoral fellows in pro-
viding mental and behavioral health services to ad-
dress substance use disorders, serious emotional dis-
turbance, and serious illness, as well as developing 
faculty and implementing curriculum to prepare psy-
chologists to work with underserved populations; and 
(2) demonstrate an ability to train health service 
psychologists in psychiatric hospitals, forensic hos-
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pitals, community mental health centers, community 
health centers, federally qualified health centers, or 
adult and juvenile correctional facilities. 
(c) PRIORITIES.—In selecting grant recipients under 
this section, the Secretary shall give priority to eligible in-
stitutions in which training focuses on the needs of individ-
uals with serious mental illness, serious emotional disturb-
ance, justice-involved youth, and individuals with or at 
high risk for substance use disorders. 
(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$12,000,000 for the period of fiscal years 2018 through 
2022. 
SEC. 
722. 
INVESTMENT 
IN 
TOMORROW’S 
PEDIATRIC 
HEALTH CARE WORKFORCE. 
Section 775(e) of the Public Health Service Act (42 
U.S.C 295f(e)) is amended to read as follows: 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$12,000,000 for the period of fiscal years 2018 through 
2022.’’. 
SEC. 723. CUTGO COMPLIANCE. 
Section 319D(f) of the Public Health Service Act (42 
U.S.C. 247d–4(f)) is amended by striking ‘‘$138,300,000 for 
each of fiscal years 2014 through 2018’’ and inserting 
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‘‘$138,300,000 for each of fiscal years 2014 through 2016 
and $58,000,000 for each of fiscal years 2017 and 2018’’. 
TITLE VIII—MENTAL HEALTH 
PARITY 
SEC. 801. ENHANCED COMPLIANCE WITH MENTAL HEALTH 
AND SUBSTANCE USE DISORDER COVERAGE 
REQUIREMENTS. 
(a) COMPLIANCE PROGRAM GUIDANCE DOCUMENT.— 
Section 2726(a) of the Public Health Service Act (42 U.S.C. 
300gg–26(a)) is amended by adding at the end the fol-
lowing: 
‘‘(6) COMPLIANCE
PROGRAM
GUIDANCE
DOCU-
MENT.— 
‘‘(A) IN
GENERAL.—Not later than 6 
months after the date of enactment of the Help-
ing Families in Mental Health Crisis Act of 
2016, the Inspector General of the Department of 
Health and Human Services, in coordination 
with the Secretary, the Secretary of Labor, or the 
Secretary of the Treasury, shall issue a compli-
ance program guidance document to help im-
prove compliance with this section. 
‘‘(B) EXAMPLES ILLUSTRATING COMPLIANCE 
AND NONCOMPLIANCE.— 
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‘‘(i) IN
GENERAL.—The compliance 
program guidance document required under 
this paragraph shall provide illustrative, 
de-identified examples (that do not disclose 
any protected health information or indi-
vidually identifiable information) of pre-
vious findings of compliance and non-
compliance with this section, section 712 of 
the Employee Retirement Income Security 
Act of 1974, or section 9812 of the Internal 
Revenue Code of 1986 based on investiga-
tions of violations of such sections, includ-
ing— 
‘‘(I) examples illustrating require-
ments for information disclosures and 
nonquantitative treatment limitations; 
and 
‘‘(II) descriptions of the violations 
uncovered during the course of such in-
vestigations. 
‘‘(ii) NONQUANTITATIVE
TREATMENT 
LIMITATIONS.—To the extent that any ex-
ample described in clause (i) involves a 
finding of compliance or noncompliance 
with regard to any requirement for non-
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quantitative treatment limitations, the ex-
ample shall provide sufficient detail to fully 
explain such finding, including a full de-
scription of the criteria involved for medical 
and surgical benefits and the criteria in-
volved for mental health and substance use 
disorder benefits. 
‘‘(iii) ACCESS TO ADDITIONAL INFOR-
MATION
REGARDING
COMPLIANCE.—In de-
veloping and issuing the compliance pro-
gram guidance document required under 
this paragraph, the Inspector General of the 
Department of Health and Human Services 
may— 
‘‘(I) enter into interagency agree-
ments with the Inspector General of the 
Department of Labor and the Inspector 
General of the Department of the 
Treasury to share findings of compli-
ance and noncompliance with this sec-
tion, section 712 of the Employee Re-
tirement Income Security Act of 1974, 
or section 9812 of the Internal Revenue 
Code of 1986; and 
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‘‘(II) enter into an agreement 
with a State to share information on 
findings of compliance and noncompli-
ance with this section, section 712 of 
the Employee Retirement Income Secu-
rity Act of 1974, or section 9812 of the 
Internal Revenue Code of 1986. 
‘‘(C) RECOMMENDATIONS.—The compliance 
program guidance document shall include rec-
ommendations to avoid violations of this section 
and encourage the development and use of inter-
nal controls to monitor adherence to applicable 
statutes, regulations, and program requirements. 
Such internal controls may include a compliance 
checklist with illustrative examples of non-
quantitative treatment limitations on mental 
health and substance use disorder benefits, which 
may fail to comply with this section in relation 
to nonquantitative treatment limitations on 
medical and surgical benefits. 
‘‘(D) UPDATING THE COMPLIANCE PROGRAM 
GUIDANCE
DOCUMENT.—The compliance pro-
gram guidance document shall be updated every 
2 years to include illustrative, de-identified ex-
amples (that do not disclose any protected health 
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information or individually identifiable infor-
mation) of previous findings of compliance and 
noncompliance with this section, section 712 of 
the Employee Retirement Income Security Act of 
1974, or section 9812 of the Internal Revenue 
Code of 1986.’’. 
(b) ADDITIONAL GUIDANCE.—Section 2726(a) of the 
Public Health Service Act (42 U.S.C. 300gg–26(a)) is 
amended by adding at the end the following: 
‘‘(7) ADDITIONAL GUIDANCE.— 
‘‘(A) IN
GENERAL.—Not later than 6 
months after the date of enactment of the Help-
ing Families in Mental Health Crisis Act of 
2016, the Secretary, in coordination with the 
Secretary of Labor and the Secretary of the 
Treasury, shall issue guidance to group health 
plans and health insurance issuers offering 
group or individual health insurance coverage to 
assist such plans and issuers in satisfying the re-
quirements of this section. 
‘‘(B) DISCLOSURE.— 
‘‘(i) 
GUIDANCE
FOR
PLANS
AND 
ISSUERS.—The guidance issued under this 
paragraph shall include clarifying informa-
tion and illustrative examples of methods 
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that group health plans and health insur-
ance issuers offering group or individual 
health insurance coverage may use for dis-
closing information to ensure compliance 
with the requirements under this section 
(and any regulations promulgated pursuant 
to this section). 
‘‘(ii) DOCUMENTS FOR PARTICIPANTS, 
BENEFICIARIES, CONTRACTING
PROVIDERS, 
OR
AUTHORIZED
REPRESENTATIVES.—The 
guidance issued under this paragraph may 
include clarifying information and illus-
trative examples of methods that group 
health plans and health insurance issuers 
offering group or individual health insur-
ance coverage may use to provide any par-
ticipant, beneficiary, contracting provider, 
or authorized representative, as applicable, 
with documents containing information 
that the health plans or issuers are required 
to disclose to participants, beneficiaries, 
contracting providers, or authorized rep-
resentatives to ensure compliance with this 
section, any regulation issued pursuant to 
this section, or any other applicable law or 
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regulation, including information that is 
comparative in nature with respect to— 
‘‘(I) 
nonquantitative 
treatment 
limitations for both medical and sur-
gical benefits and mental health and 
substance use disorder benefits; 
‘‘(II) the processes, strategies, evi-
dentiary standards, and other factors 
used to apply the limitations described 
in subclause (I); and 
‘‘(III) the application of the limi-
tations described in subclause (I) to en-
sure that such limitations are applied 
in parity with respect to both medical 
and surgical benefits and mental 
health and substance use disorder bene-
fits. 
‘‘(C) NONQUANTITATIVE TREATMENT LIMI-
TATIONS.—The guidance issued under this para-
graph shall include clarifying information and 
illustrative examples of methods, processes, strat-
egies, evidentiary standards, and other factors 
that group health plans and health insurance 
issuers offering group or individual health insur-
ance coverage may use regarding the develop-
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ment and application of nonquantitative treat-
ment limitations to ensure compliance with this 
section (and any regulations promulgated pursu-
ant to this section), including— 
‘‘(i) examples of methods of deter-
mining appropriate types of nonquantita-
tive treatment limitations with respect to 
both medical and surgical benefits and men-
tal health and substance use disorder bene-
fits, including nonquantitative treatment 
limitations pertaining to— 
‘‘(I) medical management stand-
ards based on medical necessity or ap-
propriateness, or whether a treatment 
is experimental or investigative; 
‘‘(II) limitations with respect to 
prescription drug formulary design; 
and 
‘‘(III) use of fail-first or step ther-
apy protocols; 
‘‘(ii) examples of methods of deter-
mining— 
‘‘(I) network admission standards 
(such as credentialing); and 
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‘‘(II) factors used in provider re-
imbursement methodologies (such as 
service type, geographic market, de-
mand for services, and provider sup-
ply, practice size, training, experience, 
and licensure) as such factors apply to 
network adequacy; 
‘‘(iii) examples of sources of informa-
tion that may serve as evidentiary stand-
ards for the purposes of making determina-
tions regarding the development and appli-
cation of nonquantitative treatment limita-
tions; 
‘‘(iv) examples of specific factors, and 
the evidentiary standards used to evaluate 
such factors, used by such plans or issuers 
in performing a nonquantitative treatment 
limitation analysis; 
‘‘(v) examples of how specific evi-
dentiary standards may be used to deter-
mine whether treatments are considered ex-
perimental or investigative; 
‘‘(vi) examples of how specific evi-
dentiary standards may be applied to each 
service category or classification of benefits; 
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‘‘(vii) examples of methods of reaching 
appropriate coverage determinations for 
new mental health or substance use disorder 
treatments, such as evidence-based early 
intervention programs for individuals with 
a serious mental illness and types of med-
ical management techniques; 
‘‘(viii) examples of methods of reaching 
appropriate coverage determinations for 
which there is an indirect relationship be-
tween the covered mental health or sub-
stance use disorder benefit and a traditional 
covered medical and surgical benefit, such 
as residential treatment or hospitalizations 
involving voluntary or involuntary commit-
ment; and 
‘‘(ix) additional illustrative examples 
of methods, processes, strategies, evidentiary 
standards, and other factors for which the 
Secretary determines that additional guid-
ance is necessary to improve compliance 
with this section. 
‘‘(D) PUBLIC COMMENT.—Prior to issuing 
any final guidance under this paragraph, the 
Secretary shall provide a public comment period 
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of not less than 60 days during which any mem-
ber of the public may provide comments on a 
draft of the guidance.’’. 
(c) IMPROVING COMPLIANCE.— 
(1) IN GENERAL.—In the case that the Secretary 
of Health and Human Services, the Secretary of 
Labor, or the Secretary of the Treasury determines 
that a group health plan or health insurance issuer 
offering group or individual health insurance cov-
erage has violated, at least 5 times, section 2726 of 
the Public Health Service Act (42 U.S.C. 300gg–26), 
section 712 of the Employee Retirement Income Secu-
rity Act of 1974 (29 U.S.C. 1185a), or section 9812 
of the Internal Revenue Code, the appropriate Sec-
retary shall audit plan documents for such health 
plan or issuer in the plan year following the Sec-
retary’s determination in order to help improve com-
pliance with such section. 
(2) RULE OF CONSTRUCTION.—Nothing in this 
subsection shall be construed to limit the authority, as 
in effect on the day before the date of enactment of 
this Act, of the Secretary of Health and Human Serv-
ices, the Secretary of Labor, or the Secretary of the 
Treasury to audit documents of health plans or health 
insurance issuers. 
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SEC. 802. ACTION PLAN FOR ENHANCED ENFORCEMENT OF 
MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER COVERAGE. 
(a) PUBLIC MEETING.— 
(1) IN GENERAL.—Not later than 6 months after 
the date of enactment of this Act, the Secretary of 
Health and Human Services shall convene a public 
meeting of stakeholders described in paragraph (2) to 
produce an action plan for improved Federal and 
State coordination related to the enforcement of men-
tal health parity and addiction equity requirements. 
(2) STAKEHOLDERS.—The stakeholders described 
in this paragraph shall include each of the following: 
(A) The Federal Government, including rep-
resentatives from— 
(i) the Department of Health and 
Human Services; 
(ii) the Department of the Treasury; 
(iii) the Department of Labor; and 
(iv) the Department of Justice. 
(B) State governments, including— 
(i) State health insurance commis-
sioners; 
(ii) appropriate State agencies, includ-
ing agencies on public health or mental 
health; and 
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(iii) State attorneys general or other 
representatives of State entities involved in 
the enforcement of mental health parity 
laws. 
(C) Representatives from key stakeholder 
groups, including— 
(i) the National Association of Insur-
ance Commissioners; 
(ii) health insurance providers; 
(iii) providers of mental health and 
substance use disorder treatment; 
(iv) employers; and 
(v) patients or their advocates. 
(b) ACTION PLAN.—Not later than 6 months after the 
public meeting under subsection (a), the Secretary of Health 
and Human Services shall finalize the action plan described 
in such subsection and make it plainly available on the 
Internet website of the Department of Health and Human 
Services. 
(c) CONTENT.—The action plan under this section 
shall— 
(1) reflect the input of the stakeholders invited to 
the public meeting under subsection (a); 
(2) identify specific strategic objectives regarding 
how the various Federal and State agencies charged 
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with enforcement of mental health parity and addic-
tion equity requirements will collaborate to improve 
enforcement of such requirements; 
(3) provide a timeline for implementing the ac-
tion plan; and 
(4) provide specific examples of how such objec-
tives may be met, which may include— 
(A) providing common educational infor-
mation and documents to patients about their 
rights under Federal or State mental health par-
ity and addiction equity requirements; 
(B) facilitating the centralized collection of, 
monitoring of, and response to patient com-
plaints or inquiries relating to Federal or State 
mental health parity and addiction equity re-
quirements, which may be through the develop-
ment and administration of a single, toll-free 
telephone number and an Internet website portal; 
(C) Federal and State law enforcement 
agencies entering into memoranda of under-
standing to better coordinate enforcement respon-
sibilities and information sharing, including 
whether such agencies should make the results of 
enforcement actions related to mental health par-
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ity and addiction equity requirements publicly 
available; and 
(D) recommendations to the Secretary and 
Congress regarding the need for additional legal 
authority to improve enforcement of mental 
health parity and addiction equity requirements, 
including the need for additional legal authority 
to ensure that nonquantitative treatment limita-
tions are applied, and the extent and frequency 
of the applications of such limitations, both to 
medical and surgical benefits and to mental 
health and substance use disorder benefits in a 
comparable manner. 
SEC. 803. REPORT ON INVESTIGATIONS REGARDING PARITY 
IN MENTAL HEALTH AND SUBSTANCE USE 
DISORDER BENEFITS. 
(a) IN GENERAL.—Not later than 1 year after the date 
of enactment of this Act, and annually thereafter for the 
subsequent 5 years, the Administrator of the Centers for 
Medicare & Medicaid Services, in collaboration with the As-
sistant Secretary of Labor of the Employee Benefits Secu-
rity Administration and the Secretary of the Treasury, 
shall submit to the Committee on Energy and Commerce 
of the House of Representatives and the Committee on 
Health, Education, Labor, and Pensions of the Senate a 
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report summarizing the results of all closed Federal inves-
tigations completed during the preceding 12-month period 
with findings of any serious violation regarding compliance 
with mental health and substance use disorder coverage re-
quirements under section 2726 of the Public Health Service 
Act (42 U.S.C. 300gg–26), section 712 of the Employee Re-
tirement Income Security Act of 1974 (29 U.S.C. 1185a), 
and section 9812 of the Internal Revenue Code of 1986. 
(b) CONTENTS.—Subject to subsection (c), a report 
under subsection (a) shall, with respect to investigations de-
scribed in such subsection, include each of the following: 
(1) The number of open or closed Federal inves-
tigations conducted during the covered reporting pe-
riod. 
(2) Each benefit classification examined by any 
such investigation conducted during the covered re-
porting period. 
(3) Each subject matter, including compliance 
with requirements for quantitative and nonquantita-
tive treatment limitations, of any such investigation 
conducted during the covered reporting period. 
(4) A summary of the basis of the final decision 
rendered for each closed investigation conducted dur-
ing the covered reporting period that resulted in a 
finding of a serious violation. 
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(c) LIMITATION.—Any individually identifiable infor-
mation shall be excluded from reports under subsection (a) 
consistent with protections under the health privacy and 
security rules promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act of 
1996 (42 U.S.C. 1320d–2 note). 
SEC. 804. GAO STUDY ON PARITY IN MENTAL HEALTH AND 
SUBSTANCE USE DISORDER BENEFITS. 
Not later than 3 years after the date of enactment of 
this Act, the Comptroller General of the United States, in 
consultation with the Secretary of Health and Human 
Services, the Secretary of Labor, and the Secretary of the 
Treasury, shall submit to the Committee on Energy and 
Commerce of the House of Representatives and the Com-
mittee on Health, Education, Labor, and Pensions of the 
Senate a report detailing the extent to which group health 
plans or health insurance issuers offering group or indi-
vidual health insurance coverage that provides both medical 
and surgical benefits and mental health or substance use 
disorder benefits, medicaid managed care organizations 
with a contract under section 1903(m) of the Social Secu-
rity Act (42 U.S.C. 1396b(m)), and health plans provided 
under the State Children’s Health Insurance Program 
under title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.) comply with section 2726 of the Public 
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Health Service Act (42 U.S.C. 300gg–26), section 712 of 
the Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1185a), and section 9812 of the Internal Revenue 
Code of 1986, including— 
(1) how nonquantitative treatment limitations, 
including medical necessity criteria, of such plans or 
issuers comply with such sections; 
(2) how the responsible Federal departments and 
agencies ensure that such plans or issuers comply 
with such sections, including an assessment of how 
the Secretary of Health and Human Services has used 
its authority to conduct audits of such plans to ensure 
compliance; 
(3) a review of how the various Federal and 
State agencies responsible for enforcing mental health 
parity requirements have improved enforcement of 
such requirements in accordance with the objectives 
and timeline described in the action plan under sec-
tion 802; and 
(4) recommendations for how additional enforce-
ment, education, and coordination activities by re-
sponsible Federal and State departments and agencies 
could better ensure compliance with such sections, in-
cluding recommendations regarding the need for addi-
tional legal authority. 
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SEC. 805. INFORMATION AND AWARENESS ON EATING DIS-
ORDERS. 
(a) INFORMATION.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) may— 
(1) update information, related fact sheets, and 
resource lists related to eating disorders that are 
available on the public Internet website of the Na-
tional Women’s Health Information Center sponsored 
by the Office on Women’s Health, to include— 
(A) updated findings and current research 
related to eating disorders, as appropriate; and 
(B) information about eating disorders, in-
cluding information related to males and fe-
males; 
(2) incorporate, as appropriate, and in coordi-
nation with the Secretary of Education, information 
from publicly available resources into appropriate 
obesity prevention programs developed by the Office 
on Women’s Health; and 
(3) make publicly available (through a public 
Internet website or other method) information, related 
fact sheets and resource lists, as updated under para-
graph (1), and the information incorporated into ap-
propriate obesity prevention programs, as updated 
under paragraph (2). 
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