I 
114TH CONGRESS 
2D SESSION 
H. R. 4435 
To improve access to mental health and substance use disorder prevention, 
treatment, crisis, and recovery services. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 2, 2016 
Mr. GENE GREEN of Texas (for himself, Ms. DEGETTE, Mr. KENNEDY, Ms. 
MATSUI, Mr. TONKO, and Mr. LOEBSACK) introduced the following bill; 
which was referred to the Committee on Energy and Commerce, and in 
addition to the Committees on the Judiciary, Ways and Means, Edu-
cation and the Workforce, and Natural Resources, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To improve access to mental health and substance use 
disorder prevention, treatment, crisis, and recovery services. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Comprehensive Behavioral Health Reform and Recovery 
Act of 2016’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
TITLE I—STRENGTHENING AND INVESTING IN SAMHSA 
PROGRAMS 
Sec. 101. Assistant Secretary for Mental Health and Substance Use Disorders. 
Sec. 102. Office of Chief Medical Officer. 
Sec. 103. Independent audit of SAMHSA. 
Sec. 104. Center for Behavioral Health Statistics and Quality. 
Sec. 105. Innovation grants. 
Sec. 106. Demonstration grants. 
Sec. 107. Early intervention and treatment in childhood. 
Sec. 108. Block grants. 
Sec. 109. Children’s recovery from trauma. 
Sec. 110. Garrett Lee Smith Memorial Act reauthorization. 
Sec. 111. National Suicide Prevention Lifeline Program. 
Sec. 112. Adult suicide prevention. 
Sec. 113. Peer review and advisory councils. 
Sec. 114. Adult trauma. 
Sec. 115. Reducing the stigma of serious mental illness. 
Sec. 116. Report on mental health and substance abuse treatment in the 
States. 
Sec. 117. Mental health first aid training grants. 
Sec. 118. Acute care bed registry grant for States. 
Sec. 119. Older adult mental health grants. 
TITLE II—INTERAGENCY SERIOUS MENTAL ILLNESS 
COORDINATING COMMITTEE 
Sec. 201. Interagency Serious Mental Illness Coordinating Committee. 
TITLE III—COMMUNICATIONS BETWEEN INDIVIDUALS, FAMILIES, 
AND PROVIDERS 
Sec. 301. Clarification of circumstances under which disclosure of protected 
health information of mental illness patients is permitted. 
Sec. 302. Development and dissemination of model training programs. 
Sec. 303. Modernizing privacy protections. 
Sec. 304. Improving communication with individuals, families, and providers. 
TITLE IV—IMPROVING MEDICAID AND MEDICARE MENTAL 
HEALTH SERVICES 
Subtitle A—Medicaid Provisions 
Sec. 401. Enhanced Medicaid coverage relating to certain mental health serv-
ices. 
Sec. 402. Extension and expansion of demonstration programs to improve com-
munity mental health services. 
Sec. 403. Terms for extension and expansion of Medicaid emergency psychiatric 
demonstration project. 
Sec. 404. Community-based mental health services Medicaid option for children 
in or at risk of psychiatric residential treatment. 
Sec. 405. Expansion of CMMI authority to support major mental illness 
projects in Medicaid. 
Sec. 406. Medicaid data and reporting. 
Sec. 407. At-risk youth Medicaid protection. 
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Subtitle B—Medicare Provisions 
Sec. 411. Elimination of 190-day lifetime limit on coverage of inpatient psy-
chiatric hospital services under Medicare. 
Sec. 412. Modifications to Medicare discharge planning requirements. 
Subtitle C—Provisions Related to Medicaid and Medicare 
Sec. 421. Reports on Medicaid and Medicare part D formulary and appeals 
practices with respect to coverage of mental health drugs. 
TITLE V—STRENGTHENING THE BEHAVIORAL HEALTH 
WORKFORCE AND IMPROVING ACCESS TO CARE 
Sec. 501. Nationwide workforce strategy. 
Sec. 502. Report on best practices for peer-support specialist programs, train-
ing, and certification. 
Sec. 503. Advisory Council on Graduate Medical Education. 
Sec. 504. Telepsychiatry and primary care provider training grant program. 
Sec. 505. Liability protections for health care professional volunteers at com-
munity health centers and federally qualified community behav-
ioral health clinics. 
Sec. 506. Minority Fellowship Program. 
Sec. 507. National Health Service Corps. 
Sec. 508. SAMHSA grant program for development and implementation of cur-
ricula for continuing education on serious mental illness. 
Sec. 509. Peer professional workforce development grant program. 
Sec. 510. Demonstration grant program to recruit, train, and professionally 
support psychiatric physicians in Indian health programs. 
Sec. 511. Education and training on eating disorders for health professionals. 
Sec. 512. Primary and behavioral health care integration grant programs. 
Sec. 513. Health professions competencies to address racial, ethnic, sexual, and 
gender minority behavioral health disparities. 
Sec. 514. Behavioral health crisis systems. 
Sec. 515. Mental health in schools. 
Sec. 516. Examining mental health care for children. 
Sec. 517. Reporting compliance study. 
Sec. 518. Strengthening connections to community care demonstration grant 
program. 
Sec. 519. Assertive community treatment grant program for individuals with 
serious mental illness. 
Sec. 520. Improving mental and behavioral health on college campuses. 
Sec. 521. Inclusion of occupational therapists in National Health Service Corps 
program. 
TITLE VI—IMPROVING MENTAL HEALTH RESEARCH AND 
COORDINATION 
Sec. 601. Increase in funding for certain research. 
TITLE VII—BEHAVIORAL HEALTH INFORMATION TECHNOLOGY 
Sec. 701. Extension of health information technology assistance for behavioral 
and mental health and substance abuse. 
Sec. 702. Extension of eligibility for Medicare and Medicaid health information 
technology implementation assistance. 
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TITLE VIII—MAKING PARITY WORK 
Sec. 801. Strengthening parity in mental health and substance use disorder 
benefits. 
Sec. 802. Report on investigations regarding parity in mental health and sub-
stance use disorder benefits. 
Sec. 803. GAO study on preventing discriminatory coverage limitations for indi-
viduals with serious mental illness and substance use disorders. 
Sec. 804. Report to Congress on Federal assistance to State insurance regu-
lators regarding mental health parity enforcement. 
TITLE IX—SUBSTANCE ABUSE 
Subtitle A—Prevention 
Sec. 901. Practitioner education. 
Sec. 902. Co-prescribing opioid overdose reversal drugs grant program. 
Sec. 903. Opioid overdose reversal co-prescribing guidelines. 
Sec. 904. Surveillance capacity building. 
Subtitle B—Crisis 
Sec. 921. Grants to support syringe exchange programs. 
Sec. 922. Grant program to reduce drug overdose deaths. 
Subtitle C—Treatment 
Sec. 931. Expansion of patient limits under waiver. 
Sec. 932. Definitions. 
Sec. 933. Evaluation by assistant Secretary for planning and evaluation. 
Sec. 934. Reauthorization of residential treatment programs for pregnant and 
postpartum women. 
Sec. 935. Pilot program grants for State substance abuse agencies. 
Sec. 936. Evidence-based opioid and heroin treatment and interventions dem-
onstration. 
Sec. 937. Adolescent treatment and recovery services demonstration grant pro-
gram. 
Sec. 938. Study on treatment infrastructure. 
Sec. 939. Substance use disorder professional loan repayment program. 
Subtitle D—Recovery 
Sec. 951. National youth recovery initiative. 
Sec. 952. Grants to enhance and expand recovery support services. 
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TITLE I—STRENGTHENING AND 
INVESTING IN SAMHSA PRO-
GRAMS 
SEC. 101. ASSISTANT SECRETARY FOR MENTAL HEALTH 
AND SUBSTANCE USE DISORDERS. 
(a) IN GENERAL.—Section 501 of the Public Health 
Service Act (42 U.S.C. 290aa) is amended— 
(1) in subsection (c)(1), by adding at the end 
the following: ‘‘The Administrator shall be selected 
from individuals who have appropriate education and 
experience. The Administrator shall also be the As-
sistant Secretary for Mental Health and Substance 
Abuse.’’; 
(2) in subsection (d)— 
(A) by striking ‘‘The Secretary’’ and all 
that follows through ‘‘(1) supervise the func-
tions’’ and inserting the following: 
‘‘(1) SECRETARY’S
AUTHORITIES.—The Sec-
retary, acting through the Administrator, shall— 
‘‘(A) supervise the functions’’; 
(B) by moving the indentation of each of 
paragraphs (2) through (18) 2 ems to the right 
and redesignating such paragraphs as subpara-
graphs (B) through (R), respectively; and 
(3) by adding at the end the following: 
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‘‘(2) ASSISTANT SECRETARY’S AUTHORITIES.— 
The Assistant Secretary for Mental Health and Sub-
stance Abuse shall— 
‘‘(A) serve as the effective and visible advo-
cate for individuals with, or at risk for, mental 
illness and substance use disorders within the 
Department of Health and Human Services and 
with other departments, agencies, and instru-
mentalities of the Federal Government; 
‘‘(B) assist the Secretary in all matters 
pertaining to issues that impact the prevention, 
treatment, and recovery of individuals with 
mental illness or substance use disorders; 
‘‘(C) coordinate Federal programs and ac-
tivities related to promoting mental health and 
preventing substance abuse; 
‘‘(D) coordinate activities with Federal en-
tities to implement and build awareness of pro-
grams providing benefits affecting individuals 
with mental illness or substance use disorders; 
‘‘(E) promote and coordinate research, 
treatment, and services across departments, 
agencies, organizations, and individuals with re-
spect to prevention, treatment, and recovery 
support research and programs for individuals 
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with, or at risk for, substance use disorders or 
mental illness; 
‘‘(F) coordinate functions within the De-
partment of Health and Human Services— 
‘‘(i) to improve the treatment of, and 
related services to, individuals with sub-
stance use disorders or mental illness; 
‘‘(ii) to improve substance misuse and 
abuse prevention and mental health pro-
motion services; 
‘‘(iii) to ensure access to effective, evi-
dence-based treatment for individuals with 
mental illnesses and individuals with a sub-
stance use disorder; 
‘‘(iv) to ensure that grant programs of 
the Department adhere to scientific stand-
ards for individuals with mental illness or 
substance use disorders; and 
‘‘(v) to support the development and 
implementation of initiatives to encourage 
individuals to pursue careers (especially in 
underserved areas and populations) as psy-
chiatrists, psychologists, psychiatric nurse 
practitioners, clinical social workers, physi-
cian assistants, peer support specialists, 
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‘‘(iv) formulate recommendations for 
expanding, coordinating, eliminating, and 
improving programs and activities identi-
fied pursuant to subparagraph (B) or (C) 
and merging such programs and activities 
into other, successful programs and activi-
ties; and 
‘‘(I) identify evidence-based best practices 
across the Federal Government for treatment 
and services for those with mental health and 
substance use disorders by reviewing practices 
for efficiency, effectiveness, quality, coordina-
tion, and cost effectiveness.’’. 
(b) PRIORITIZATION OF INTEGRATION OF SERVICES, 
EARLY DIAGNOSIS, INTERVENTION, AND WORKFORCE 
DEVELOPMENT.—In carrying out the duties described in 
section 501(d)(2) of the Public Health Service Act, as 
added by subsection (a), the Assistant Secretary shall 
prioritize— 
(1) the integration of mental health, substance 
use, and physical health services for the purpose of 
diagnosing, preventing, treating, or providing reha-
bilitation for mental illness or substance use dis-
orders, including any such services provided through 
the justice system (including departments of correc-
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tion) or other entities other than the Department of 
Health and Human Services; 
(2) crisis intervention for, early diagnosis and 
intervention services for the prevention of, and treat-
ment and rehabilitation for, serious mental illness, 
serious emotional disturbance, or substance use dis-
orders; and 
(3) workforce development for— 
(A) appropriate treatment of serious men-
tal illness, serious emotional disturbance, or 
substance use disorders; and 
(B) research activities that advance sci-
entific and clinical understandings of these dis-
orders, including the development and imple-
mentation of a continuing nationwide strategy 
to increase the psychiatric workforce with psy-
chiatrists, child and adolescent psychiatrists, 
psychologists, psychiatric nurse practitioners, 
clinical social workers, peer support specialists, 
and other licensed or certified mental health or 
substance abuse professionals. 
(c) REQUIREMENTS AND RESTRICTIONS ON AUTHOR-
ITY TO AWARD GRANTS.—In awarding any grant or fi-
nancial assistance, the Administrator of the Substance 
Abuse and Mental Health Services Administration, and 
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any agency or official within such Administration, shall 
comply with the following: 
(1) Any program to be funded shall be dem-
onstrated— 
(A) in the case of an ongoing program, to 
be effective; and 
(B) in the case of a new program, to have 
the prospect of being effective. 
(2) The programs and activities to be funded 
shall, as appropriate, use evidence-based best prac-
tices or emerging evidence-based practices that are 
translational and can be expanded or replicated to 
other States, local communities, agencies, tribes, or 
through the Medicaid program under title XIX of 
the Social Security Act. 
(3) An application for the grant or financial as-
sistance shall include, as applicable, a scientific jus-
tification based on previously demonstrated models, 
the number of individuals to be served, the popu-
lation to be targeted, what objective outcomes meas-
ures will be used, and details on how the program 
or activity to be funded can be replicated and by 
whom. 
(4) Applicants shall be evaluated and selected 
through a blind, peer-review process by individuals 
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with expertise appropriate to the grant or other fi-
nancial assistance, such as health care providers 
with professional experience in mental health or sub-
stance abuse research or treatment. 
(5) The Secretary shall adopt a policy that en-
sures that any member of a peer review group does 
not have a conflict of interest with respect to any 
program or grant to be reviewed. 
(6) Award recipients may be periodically re-
viewed and audited at the discretion of the Inspector 
General of the Department of Health and Human 
Services or the Comptroller General of the United 
States to ensure that— 
(A) the best scientific method for both 
services and data collection is being followed; 
and 
(B) Federal funds are being used as re-
quired by the conditions of the award. 
(7) Award recipients that fail an audit or fail 
to provide information pursuant to an audit shall 
have their awards terminated or shall be placed on 
a corrective action plan to address the issues raised 
in the audit findings. 
(d) DEFINITION.—In this Act, except as inconsistent 
with the provisions of this Act, the term ‘‘Assistant Sec-
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retary’’ means the Assistant Secretary for Mental Health 
and Substance Use Disorders. 
SEC. 102. OFFICE OF CHIEF MEDICAL OFFICER. 
(a) IN GENERAL.—Section 501 of the Public Health 
Service Act (42 U.S.C. 290aa) is amended— 
(1) by redesignating subsections (g) through (o) 
as subsections (h) through (p), respectively; and 
(2) by inserting after subsection (f) the fol-
lowing: 
‘‘(g) CHIEF MEDICAL OFFICE.—The Administrator 
shall establish within the Administration a Chief Medical 
Office, to be headed by a Chief Medical Officer, who shall 
be a psychiatrist. The Chief Medical Office shall be staffed 
by mental health and substance abuse providers.’’. 
(b) CONFORMING CHANGES.—Title V of the Public 
Health Service Act (42 U.S.C. 290aa et seq.) is amend-
ed— 
(1) in subsections (e)(3)(C) and (f)(2)(C)(iii) of 
section 501, by striking ‘‘subsection (k)’’ and insert-
ing ‘‘subsection (l)’’; and 
(2) in section 508(p), by striking ‘‘501(k)’’ and 
inserting ‘‘501(l)’’. 
SEC. 103. INDEPENDENT AUDIT OF SAMHSA. 
(a) IN GENERAL.—The Secretary shall enter into an 
contract or cooperative agreement with an external, inde-
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pendent entity to conduct a full assessment and review of 
the Substance Abuse and Mental Health Services Admin-
istration (in this section referred to as ‘‘SAMHSA’’). 
(b) REPORT.—The contract or cooperative agreement 
under subsection (a) shall require that, not later than 18 
months after the date of enactment of this Act, the exter-
nal, independent entity will 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 report on the findings and con-
clusion of the assessment and review. 
(c) TOPICS.—The assessment and review conducted 
pursuant to subsection (a), and the report submitted pur-
suant to subsection (b), shall address each of the fol-
lowing: 
(1) Whether the mission of SAMHSA is appro-
priate. 
(2) 
Whether 
the 
program 
authority 
of 
SAMHSA is appropriate. 
(3) Whether SAMHSA has adequate staffing, 
including technical expertise, to fulfill its mission. 
(4) Whether SAMHSA is funded appropriately. 
(5) The efficacy of the programs funded by 
SAMHSA. 
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(6) Whether funding is being spent in a way 
that effectively supports and promotes the authori-
ties vested by section 501(d) of the Public Health 
Service Act, as amended by section 101 of this Act. 
(7) Whether SAMHSA’s focus on recovery is 
appropriate. 
(8) Additional steps SAMHSA can take to ful-
fill its charge of leading public health efforts to ad-
vance the behavioral health of the Nation and reduce 
the impact of substance abuse and mental illness on 
the Nation’s communities. 
(9) Whether standards for SAMHSA’s grant 
programs are effective. 
(10) Whether standards for SAMHSA’s ap-
pointment of peer-review panels to evaluate grant 
applications is appropriate. 
(11) How SAMHSA serves individuals with 
mental illness, serious mental illness, serious emo-
tional disturbance, or substance use disorders, and 
individuals with co-occurring conditions. 
SEC. 104. CENTER FOR BEHAVIORAL HEALTH STATISTICS 
AND QUALITY. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
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(1) in section 501(b) (42 U.S.C. 290aa(b)), by 
adding at the end the following: 
‘‘(4) The Center for Behavioral Health Statis-
tics and Quality.’’; 
(2) in section 502(a)(1) (42 U.S.C. 290aa– 
1(a)(1))— 
(A) in subparagraph (C), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (D), by striking the 
period at the end and inserting ‘‘and’’; and 
(C) by inserting after subparagraph (D) 
the following: 
‘‘(E) the Center for Behavioral Health 
Statistics and Quality.’’; and 
(3) in part B (42 U.S.C. 290bb et seq.) by add-
ing at the end the following new subpart: 
‘‘Subpart 4—Center for Behavioral Health Statistics 
and Quality 
‘‘SEC. 520L. CENTER FOR BEHAVIORAL HEALTH STATISTICS 
AND QUALITY. 
‘‘(a) ESTABLISHMENT.—There is established in the 
Administration a Center for Behavioral Health Statistics 
and Quality (in this section referred to as the ‘Center’). 
The Center shall be headed by a Director (in this section 
referred to as the ‘Director’) appointed by the Secretary 
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from among individuals with extensive experience and aca-
demic qualifications in research and analysis in behavioral 
health care or related fields. 
‘‘(b) DUTIES.—The Director of the Center shall— 
‘‘(1) coordinate the Administration’s integrated 
data strategy by coordinating— 
‘‘(A) surveillance and data collection (in-
cluding that authorized by section 505); 
‘‘(B) evaluation; 
‘‘(C) statistical and analytic support; 
‘‘(D) service systems research; and 
‘‘(E) performance and quality information 
systems; 
‘‘(2) maintain operation of the National Reg-
istry of Evidence-Based Programs and Practices to 
provide for the evaluation and dissemination to the 
Administration of the evidence-based practices and 
services delivery models of grantees and other inter-
ested parties; 
‘‘(3) recommend a core set of measurement 
standards for grant programs administered by the 
Administration; and 
‘‘(4) lead evaluation efforts for the grant pro-
grams, contracts, and collaborative agreements of 
the Administration. 
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‘‘(c) BIANNUAL REPORT TO CONGRESS.—Not later 
than 2 years after the date of enactment of this section, 
and every 2 years thereafter, the Director of the Center 
shall submit to Congress a report on the quality of services 
furnished through grant programs of the Administration, 
including applicable measures of outcomes for individuals 
and public outcomes such as— 
‘‘(1) the number of patients screened positive 
for unhealthy alcohol use who receive brief coun-
seling as appropriate; the number of patients 
screened positive for tobacco use and receiving 
smoking cessation interventions; the number of pa-
tients with a new diagnosis of major depressive epi-
sode who are assessed for suicide risk; the number 
of patients screened positive for clinical depression 
with a documented follow-up plan; and the number 
of patients with a documented pain assessment that 
have a follow-up treatment plan when pain is 
present; and satisfaction with care; 
‘‘(2) the incidence and prevalence of substance 
use and mental disorders; the number of suicide at-
tempts and suicide completions; overdoses seen in 
emergency rooms resulting from alcohol and drug 
use; emergency room boarding; overdose deaths; 
emergency psychiatric hospitalizations; new criminal 
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justice involvement while in treatment; stable hous-
ing; and rates of involvement in employment, edu-
cation, and training; and 
‘‘(3) such other measures for outcomes of serv-
ices as the Director may determine. 
‘‘(d) STAFFING COMPOSITION.—The staff of the Cen-
ter may include individuals with advanced degrees and 
field expertise as well as clinical and research experience 
in mental and substance use disorders such as— 
‘‘(1) professionals with clinical and research ex-
pertise in the prevention and treatment of, and re-
covery from, substance use and mental disorders; 
‘‘(2) professionals with training and expertise in 
statistics or research and survey design and meth-
odologies; and 
‘‘(3) other related fields in the social and behav-
ioral sciences, as specified by relevant position de-
scriptions. 
‘‘(e) GRANTS AND CONTRACTS.—In carrying out the 
duties established in subsection (b), the Director may 
make grants to and enter into contracts and cooperative 
agreements with public and nonprofit private entities. 
‘‘(f) DEFINITION.—In this section, the term ‘emer-
gency room boarding’ means the practice of admitting pa-
tients to an emergency department and holding such pa-
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tients in the department until inpatient psychiatric beds 
become available.’’. 
SEC. 105. INNOVATION GRANTS. 
(a) IN GENERAL.—The Assistant Secretary, acting 
through the Substance Abuse and Mental Health Services 
Administration, shall award grants to State and local gov-
ernments, tribes and tribal organizations, educational in-
stitutions, and nonprofit organizations for expanding a 
model that has been scientifically demonstrated to show 
promise, but would benefit from further applied research, 
for— 
(1) enhancing the screening, diagnosis, and 
treatment of mental illness and serious mental ill-
ness; or 
(2) integrating or coordinating physical, mental 
health, and substance use services. 
(b) DURATION.—A grant under this section shall be 
for a period of not less than 3 years and not more than 
5 years. 
(c) LIMITATIONS.—Of the amounts made available 
for carrying out this section for a fiscal year, not less than 
one-third shall be awarded for screening, diagnosis, treat-
ment, or services, as described in subsection (a), for indi-
viduals (or subpopulations of individuals) who are below 
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the age of 18 when activities funded through the grant 
award are initiated. 
(d) GUIDELINES.—As a condition on receipt of an 
award under this section, an applicant shall agree to ad-
here to any requirements or guidelines issued by the Sec-
retary on research designs and data collection. 
(e) TERMINATION.—The Secretary may terminate 
any award under this section upon a determination that— 
(1) the recipient is not providing information 
requested by the Secretary in connection with the 
award; or 
(2) there is a clear failure in the effectiveness 
of the recipient’s programs or activities funded 
through the award. 
(f) REPORTING.—As a condition on receipt of an 
award under this section, an applicant shall agree— 
(1) to report to the Secretary the results of pro-
grams and activities funded through the award; and 
(2) to include in such reporting any relevant 
data requested by the Secretary. 
(g) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of providing grants under this section, there is 
authorized to be appropriated $40,000,000 for each of fis-
cal years 2017 through 2021. 
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SEC. 106. DEMONSTRATION GRANTS. 
(a) GRANTS.—The Secretary of Health and Human 
Services (in this section referred to as the ‘‘Secretary’’), 
acting through the Substance Abuse and Mental Health 
Services Administration, shall award grants to States, 
counties, local governments, tribes and tribal organiza-
tions, educational institutions, and private nonprofit orga-
nizations for the expansion, replication, or scaling of evi-
dence-based programs across a wider area to enhance ef-
fective screening, early diagnosis, intervention, and treat-
ment with respect to mental illness, serious mental illness, 
and serious emotional disturbance, primarily by— 
(1) applied delivery of care, including training 
staff in effective evidence-based treatment; and 
(2) integrating models of care across specialties 
and jurisdictions. 
(b) DURATION.—A grant under this section shall be 
for a period of not less than 3 years and not more than 
5 years. 
(c) LIMITATIONS.—Of the amounts made available 
for carrying out this section for a fiscal year— 
(1) not less than half shall be awarded for 
screening, diagnosis, intervention, and treatment, as 
described in subsection (a), for individuals (or sub-
populations of individuals) who are below the age of 
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26 when activities funded through the grant award 
are initiated; 
(2) no amounts shall be made available for any 
program or project that is not evidence-based; 
(3) no amounts shall be made available for pri-
mary prevention; and 
(4) no amounts shall be made available solely 
for the purpose of expanding facilities or increasing 
staff at an existing program, although funds may be 
so used by an existing program if such an expansion 
or increase is needed to support the implementation 
of a new program under this section. 
(d) TERMINATION.—The Secretary may terminate 
any award under this section upon a determination that— 
(1) the recipient is not providing information 
requested by the Secretary in connection with the 
award; or 
(2) there is a clear failure in the effectiveness 
of the recipient’s programs or activities funded 
through the award. 
(e) REPORTING.—As a condition on receipt of an 
award under this section, an applicant shall agree— 
(1) to report to the Secretary the results of pro-
grams and activities funded through the award; and 
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(2) to include in such reporting any relevant 
data requested by the Secretary. 
(f) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of providing grants under this section, there is 
authorized to be appropriated $80,000,000 for each of fis-
cal years 2017 through 2021. 
SEC. 107. EARLY INTERVENTION AND TREATMENT IN 
CHILDHOOD. 
(a) GRANTS.—The Secretary of Health and Human 
Services (in this Act referred to as the ‘‘Secretary’’), act-
ing through the Substance Abuse and Mental Health Serv-
ices Administration, shall— 
(1) award grants to eligible entities to initiate 
and undertake, for eligible children, early childhood 
intervention and treatment programs, and special-
ized preschool and elementary school programs, with 
the goal of preventing chronic and serious mental ill-
ness and serious emotional disturbance; 
(2) award grants to not more than 3 eligible en-
tities for studying the longitudinal outcomes of pro-
grams funded under paragraph (1) on eligible chil-
dren who were treated 5 or more years prior to the 
enactment of this Act; and 
(3) ensure that programs and activities funded 
through grants under this subsection are based on 
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a sound scientific model that shows evidence and 
promise and can be replicated in other settings. 
(b) ELIGIBLE ENTITIES AND CHILDREN.—In this 
section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means a nonprofit institution that— 
(A) is accredited by State mental health, 
education, or human services agencies, as appli-
cable, for the treatment or education of children 
from 0 to 12 years of age; and 
(B) provides services that include early 
childhood intervention and specialized preschool 
and elementary school programs focused on 
children whose primary need is a social or emo-
tional disability (in addition to any learning dis-
ability). 
(2) ELIGIBLE
CHILD.—The term ‘‘eligible 
child’’ means a child who is at least 0 years old and 
not more than 12 years old— 
(A) whose primary need is a social and 
emotional disability (in addition to any learning 
disability); 
(B) who is at risk of developing serious 
mental illness and/or may show early signs of 
mental illness; and 
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(C) who could benefit from early childhood 
intervention and specialized preschool or ele-
mentary school programs with the goal of pre-
venting or treating chronic and serious mental 
illness. 
(c) APPLICATION.—An eligible entity seeking a grant 
under subsection (a) shall submit to the Secretary an ap-
plication at such time, in such manner, and containing 
such information as the Secretary may require. 
(d) USE OF FUNDS FOR EARLY CHILDHOOD INTER-
VENTION AND TREATMENT PROGRAMS.—An eligible enti-
ty shall use amounts awarded under a grant under sub-
section (a)(1) to carry out the following activities: 
(1) Deliver (or facilitate) for eligible children 
treatment and education, early childhood interven-
tion, and specialized preschool and elementary school 
programs, including the provision of medically based 
child care and early education services. 
(2) Treat and educate eligible children, includ-
ing startup, curricula development, operating and 
capital needs, staff and equipment, assessment and 
intervention services, administration and medication 
requirements, enrollment costs, collaboration with 
primary care providers and psychiatrists, other re-
lated services to meet emergency needs of children, 
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and communication with families and medical pro-
fessionals concerning the children. 
(3) Develop and implement other strategies to 
address identified treatment and educational needs 
of eligible children that have reliable and valid eval-
uation modalities built into assess outcomes based 
on sound scientific metrics. 
(e) USE OF FUNDS FOR LONGITUDINAL STUDY.—In 
conducting a study on longitudinal outcomes through a 
grant under subsection (a)(2), an eligible entity shall in-
clude an analysis of— 
(1) the individuals treated and educated; 
(2) the success of such treatment and education 
in— 
(A) avoiding the onset of serious emotional 
disturbance and serious mental illness; or 
(B) the preparation of such children for 
the care and management of serious emotional 
disturbance and serious mental illness; 
(3) any evidence-based best practices generally 
applicable as a result of such treatment and edu-
cational techniques used with such children; and 
(4) the ability of programs to be replicated as 
a best practice model of intervention. 
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(f) REQUIREMENTS.—In carrying out this section, 
the Secretary shall ensure that each entity receiving a 
grant under subsection (a) maintains a written agreement 
with the Secretary, and provides regular written reports, 
as required by the Secretary, regarding the quality, effi-
ciency, and effectiveness of intervention and treatment for 
eligible children preventing or treating the development 
and onset of serious mental illness or serious emotional 
disturbance. 
(g) AMOUNT OF AWARDS.— 
(1) AMOUNTS FOR EARLY CHILDHOOD INTER-
VENTION
AND
TREATMENT
PROGRAMS.—The 
amount of an award to an eligible entity under sub-
section (a)(1) shall be not more than $600,000 per 
fiscal year. 
(2) AMOUNTS
FOR
LONGITUDINAL
STUDY.— 
The total amount of an award to an eligible entity 
under subsection (a)(2) (for one or more fiscal 
years) shall be not less than $1,000,000 and not 
greater than $2,000,000. 
(h) PROJECT TERMS.—The period of a grant— 
(1) for awards under subsection (a)(1), shall be 
not less than 3 fiscal years and not more than 5 fis-
cal years; and 
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subsequent year, a de-individualized report, con-
taining information that is de-identified, on the 
services provided to those individuals, includ-
ing— 
‘‘(i) outcomes and the overall cost of 
such treatment provided; and 
‘‘(ii) county or county equivalent level 
data on such population, such as overall 
costs and raw number data on rates of in-
voluntary commitment orders, suicides, 
suicide attempts, substance abuse, over-
dose deaths, emergency hospitalizations, 
incarceration, crimes, arrest, victimization, 
homelessness, joblessness, medication non-
adherence, and education and vocational 
programs drop outs.’’. 
(c) INCENTIVES FOR STATE-BASED OUTCOME MEAS-
URES.—Section 1920 of the Public Health Service Act (42 
U.S.C. 300x–9) is amended by adding at the end the fol-
lowing: 
‘‘(c) INCENTIVES
FOR
STATE-BASED
OUTCOME 
MEASURES.— 
‘‘(1) IN GENERAL.—In addition to the amounts 
made available under subsection (a) for each fiscal 
year, the Secretary shall provide to each State that 
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ized to be appropriated $35,427,000 for each of fiscal 
years 2017 through 2021.’’. 
(c) MENTAL AND BEHAVIORAL HEALTH SERVICES 
ON CAMPUS.—Section 520E–2(h) of the Public Health 
Service Act (42 U.S.C. 290bb–36b(h)) is amended by 
striking ‘‘$5,000,000 for fiscal year 2005’’ and all that 
follows through the period and inserting ‘‘$6,488,000 for 
each of fiscal years 2017 through 2021.’’. 
SEC. 111. NATIONAL SUICIDE PREVENTION LIFELINE PRO-
GRAM. 
Subpart 3 of part B of title V of the Public Health 
Service Act is amended by inserting after section 520E– 
2 of such Act (42 U.S.C. 290bb–36b), as amended, the 
following: 
‘‘SEC. 520E–3. NATIONAL SUICIDE PREVENTION LIFELINE 
PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall maintain the 
National Suicide Prevention Lifeline program, including 
by— 
‘‘(1) coordinating a network of crisis centers 
across the United States for providing suicide pre-
vention and crisis intervention services to individuals 
seeking help at any time, day or night; 
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