319 
‘‘(2) PRIORITY.—In making grants under this 
subsection, the Secretary shall give priority to 
projects focusing on— 
‘‘(A) helping women who have 1 or more 
risk factors for developing gestational diabetes; 
‘‘(B) working with women with a history of 
gestational diabetes during a previous preg-
nancy; 
‘‘(C) providing postpartum care for women 
with gestational diabetes; 
‘‘(D) tracking cases where women with a 
history of gestational diabetes developed type 2 
diabetes; 
‘‘(E) educating mothers with a history of 
gestational diabetes about the increased risk of 
their child developing diabetes; 
‘‘(F) working to prevent gestational diabe-
tes and prevent or delay the development of 
type 2 diabetes in women with a history of ges-
tational diabetes; and 
‘‘(G) achieving outcomes designed to assess 
the efficacy and cost-effectiveness of interven-
tions that can inform decisions on long-term 
sustainability, including third-party reimburse-
ment. 
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‘‘(3) APPLICATION.—An eligible entity desiring 
to receive a grant under this subsection shall submit 
to the Secretary— 
‘‘(A) an application at such time, in such 
manner, and containing such information as the 
Secretary may require; and 
‘‘(B) a plan to— 
‘‘(i) lower the rate of gestational dia-
betes during pregnancy; or 
‘‘(ii) develop methods of tracking 
women with a history of gestational diabe-
tes and develop effective interventions to 
lower the incidence of the recurrence of 
gestational diabetes in subsequent preg-
nancies and the development of type 2 dia-
betes. 
‘‘(4) USES OF FUNDS.—An eligible entity re-
ceiving a grant under this subsection shall use the 
grant funds to carry out demonstration projects de-
scribed in paragraph (1), including— 
‘‘(A) expanding community-based health 
promotion education, activities, and incentives 
focused on the prevention of gestational diabe-
tes and development of type 2 diabetes in 
women with a history of gestational diabetes; 
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‘‘(B) aiding State- and tribal-based diabe-
tes prevention and control programs to collect, 
analyze, disseminate, and report surveillance 
data on women with, and at risk for, gesta-
tional diabetes, the recurrence of gestational di-
abetes in subsequent pregnancies, and, for 
women with a history of gestational diabetes, 
the development of type 2 diabetes; and 
‘‘(C) training and encouraging health care 
providers— 
‘‘(i) to promote risk assessment, high- 
quality care, and self-management for ges-
tational diabetes and the recurrence of ges-
tational diabetes in subsequent preg-
nancies; and 
‘‘(ii) to prevent the development of 
type 2 diabetes in women with a history of 
gestational diabetes, and its complications 
in the practice settings of the health care 
providers. 
‘‘(5) REPORT.—Not later than 4 years after the 
date of the enactment of this section, the Secretary 
shall prepare and submit to the Congress a report 
concerning the results of the demonstration projects 
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conducted through the grants awarded under this 
subsection. 
‘‘(6) DEFINITION
OF
ELIGIBLE
ENTITY.—In 
this subsection, the term ‘eligible entity’ means a 
nonprofit organization (such as a nonprofit academic 
center or community health center) or a State, trib-
al, or local health agency. 
‘‘(7) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2012 through 2016. 
‘‘(d) POSTPARTUM FOLLOW-UP REGARDING GESTA-
TIONAL DIABETES.—The Secretary, acting through the 
Director of the Centers for Disease Control and Preven-
tion, shall work with the State- and tribal-based diabetes 
prevention and control programs assisted by the Centers 
to encourage postpartum follow-up after gestational diabe-
tes, as medically appropriate, for the purpose of reducing 
the incidence of gestational diabetes, the recurrence of 
gestational diabetes in subsequent pregnancies, the devel-
opment of type 2 diabetes in women with a history of ges-
tational diabetes, and related complications.’’. 
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SEC. 510. EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION PROGRAMS. 
(a) EMERGENCY
CONTRACEPTION
PUBLIC
EDU-
CATION PROGRAM.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Director of the Centers for Disease 
Control and Prevention, shall develop and dissemi-
nate to the public information on emergency contra-
ception. 
(2) DISSEMINATION.—The Secretary may dis-
seminate information under paragraph (1) directly 
or through arrangements with nonprofit organiza-
tions, consumer groups, institutions of higher edu-
cation, clinics, the media, and Federal, State, and 
local agencies. 
(3) INFORMATION.—The information dissemi-
nated under paragraph (1) shall include, at a min-
imum, a description of emergency contraception and 
an explanation of the use, safety, efficacy, and avail-
ability of such contraception. 
(b) EMERGENCY
CONTRACEPTION
INFORMATION 
PROGRAM FOR HEALTH CARE PROVIDERS.— 
(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Administrator of the Health Resources 
and Services Administration and in consultation 
with major medical and public health organizations, 
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shall develop and disseminate to health care pro-
viders information on emergency contraception. 
(2) INFORMATION.—The information dissemi-
nated under paragraph (1) shall include, at a min-
imum— 
(A) information describing the use, safety, 
efficacy, and availability of emergency contra-
ception; 
(B) a recommendation regarding the use of 
such contraception in appropriate cases; and 
(C) information explaining how to obtain 
copies of the information developed under sub-
section (a) for distribution to the patients of 
the providers. 
(c) DEFINITIONS.—In this section: 
(1) EMERGENCY
CONTRACEPTION.—The term 
‘‘emergency contraception’’ means a drug or device 
(as the terms are defined in section 201 of the Fed-
eral Food, Drug, and Cosmetic Act (21 U.S.C. 321)) 
or a drug regimen that— 
(A) is used postcoitally; 
(B) prevents pregnancy primarily by pre-
venting or delaying ovulation, and does not ter-
minate an established pregnancy; and 
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(C) is approved by the Food and Drug Ad-
ministration. 
(2) HEALTH
CARE
PROVIDER.—The term 
‘‘health care provider’’ means an individual who is li-
censed or certified under State law to provide health 
care services and who is operating within the scope 
of such license. Such term shall include a phar-
macist. 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the same 
meaning given such term in section 101(a) of the 
Higher Education Act of 1965 (20 U.S.C. 1001(a)). 
(4) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of the fiscal years 
2012 through 2016. 
SEC. 511. SUPPORTING HEALTHY ADOLESCENT DEVELOP-
MENT. 
(a) IN GENERAL.—The Secretary may award a grant 
to each eligible State to conduct programs of sex education 
described in subsection (b), including education on both 
abstinence and contraception for the prevention of teenage 
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pregnancy and sexually transmitted diseases, including 
HIV/AIDS. 
(b) REQUIREMENTS
FOR SEX EDUCATION PRO-
GRAMS.—A program of sex education described in this 
subsection is a program that— 
(1) is age appropriate and medically accurate; 
(2) stresses the value of abstinence while not ig-
noring those young people who have been or are sex-
ually active; 
(3) provides information about the health bene-
fits and side effects of contraceptive and barrier 
methods used— 
(A) as a means to prevent pregnancy; and 
(B) to reduce the risk of contracting sexu-
ally transmitted disease, including HIV/AIDS; 
(4) encourages family communication between 
parent and child about sexuality; 
(5) cultivates a respectful dialogue about sexu-
ality, including sexual orientation and gender iden-
tity, and embraces the principles of nondiscrimina-
tion based on sexual orientation and gender identity; 
(6) counters the perpetuation of narrow gender 
roles, including the sexualization of female children, 
adolescents, and adults; 
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(7) teaches young people the skills to make re-
sponsible decisions about sexuality, including how to 
avoid unwanted verbal, physical, and sexual ad-
vances and how to avoid making verbal, physical, 
and sexual advances that are not wanted by the 
other party; 
(8) develops healthy relationships, including the 
prevention of dating and sexual violence; 
(9) teaches young people how alcohol and drug 
use can affect responsible decisionmaking; and 
(10) does not teach or promote religion. 
(c) ADDITIONAL ACTIVITIES.—In carrying out a pro-
gram of sex education, a State may expend grant funds 
awarded under subsection (a) to carry out educational and 
motivational activities that help young people— 
(1) gain knowledge about the physical, emo-
tional, biological, and hormonal changes of adoles-
cence and subsequent stages of human maturation; 
(2) develop the knowledge and skills necessary 
to ensure and protect their sexual and reproductive 
health from unintended pregnancy and sexually 
transmitted disease, including HIV/AIDS, through-
out their lifespan; 
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(3) gain knowledge about the specific involve-
ment and responsibility of each individual in sexual 
decisionmaking; 
(4) develop healthy attitudes and values about 
adolescent growth and development, body image, 
gender roles, racial and ethnic diversity, sexual ori-
entation and gender identity, and other subjects; 
(5) develop and practice healthy life skills in-
cluding goal-setting, decisionmaking, negotiation, 
communication, and stress management; and 
(6) promote self-esteem and positive inter-
personal skills focusing on relationship dynamics, in-
cluding friendships, dating, romantic involvement, 
marriage, and family interactions. 
(d) MATCHING FUNDS.—The Secretary may not 
make payments to a State under this section in an amount 
exceeding Federal medical assistance percentage for such 
State (as such term is defined in section 1905(b) of the 
Social Security Act (42 U.S.C. 1396d(b))) of the costs of 
the programs conducted by the State under this section. 
(e) EVALUATION OF PROGRAMS.— 
(1) IN GENERAL.—For the purpose of evalu-
ating the effectiveness of programs of sex education 
carried out with a grant under this section, evalua-
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tions shall be carried out in accordance with para-
graphs (2) and (3). 
(2) NATIONAL EVALUATION.— 
(A) METHOD.—The Secretary shall pro-
vide for a national evaluation of a representa-
tive sample of programs of sex education car-
ried out with grants under this section to deter-
mine— 
(i) the effectiveness of such programs 
in helping to delay the initiation of sexual 
intercourse and other high-risk behaviors; 
(ii) the effectiveness of such programs 
in preventing adolescent pregnancy; 
(iii) the effectiveness of such pro-
grams in preventing sexually transmitted 
disease, including HIV/AIDS; 
(iv) the effectiveness of such programs 
in increasing contraceptive knowledge and 
contraceptive behaviors when sexual inter-
course occurs; and 
(v) a list of best practices based upon 
essential programmatic components of 
evaluated programs that have led to suc-
cess described in clauses (i) through (iv). 
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(B) GRANT CONDITION.—A condition for 
the receipt of a grant to a State under this sec-
tion is that the State cooperate with the evalua-
tion under subparagraph (A). 
(C) REPORT.—The Secretary shall submit 
to the Congress— 
(i) not later than the end of each fis-
cal year during the 5-year period beginning 
with fiscal year 2012, an interim report on 
the national evaluation under subpara-
graph (A); and 
(ii) not later than March 31, 2017, a 
final report providing the results of such 
national evaluation. 
(3) INDIVIDUAL STATE EVALUATIONS.—A con-
dition for the receipt of a grant under this section 
is that the State evaluate of the programs of sex 
education funded through such grant in accordance 
with the following requirements: 
(A) The evaluation will be conducted by an 
external, independent entity. 
(B) The purposes of the evaluation will be 
the determination of— 
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grant to conduct any evaluation under subsection 
(e)(3). 
(g) 
NONDISCRIMINATION
REQUIRED.—Programs 
funded under this section shall not discriminate on the 
basis of sex, race, ethnicity, national origin, disability, reli-
gion, marital status, familial status, sexual orientation, or 
gender identity. Nothing in this section shall be construed 
to invalidate or limit rights, remedies, procedures, or legal 
standards available to victims of discrimination under any 
other Federal law or any law of a State or a political sub-
division of a State, including title VI of the Civil Rights 
Act of 1964 (42 U.S.C. 2000d et seq.), title IX of the 
Education Amendments of 1972 (20 U.S.C. 1681 et seq.), 
section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 
794), and the Americans with Disabilities Act of 1990 (42 
U.S.C. 12101 et seq.). 
(h) DEFINITIONS.—For purposes of this section: 
(1) The term ‘‘age appropriate’’ means, with re-
spect to topics, messages, and teaching methods, 
those suitable to particular ages or age groups of 
children, adolescents, and adults, based on devel-
oping cognitive, emotional, and behavioral capacity 
typical for the age or age group. 
(2) The term ‘‘eligible State’’ means a State 
that submits to the Secretary an application for a 
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grant under this section that is in such form, is 
made in such manner, and contains such agree-
ments, assurances, and information as the Secretary 
determines to be necessary to carry out this section. 
(3) The term ‘‘HIV/AIDS’’ means the human 
immunodeficiency virus, and includes acquired im-
mune deficiency syndrome. 
(4) The term ‘‘medically accurate’’, with respect 
to information, means information that is supported 
by research, recognized as accurate and objective by 
leading medical, psychological, psychiatric, and pub-
lic health organizations and agencies, and, published 
in journals that are peer reviewed. 
(5) The term ‘‘State’’ means the 50 States, the 
District of Columbia, the Commonwealth of Puerto 
Rico, the Commonwealth of the Northern Mariana 
Islands, American Samoa, Guam, the United States 
Virgin Islands, and any other territory or possession 
of the United States. 
(i) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated $50,000,000 for each of the fiscal years 
2012 through 2016. 
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TITLE VI—MENTAL HEALTH 
SEC. 601. COVERAGE OF MARRIAGE AND FAMILY THERA-
PIST SERVICES AND MENTAL HEALTH COUN-
SELOR SERVICES UNDER PART B OF THE 
MEDICARE PROGRAM. 
(a) COVERAGE OF SERVICES.— 
(1) IN
GENERAL.—Section 1861(s)(2) of the 
Social Security Act (42 U.S.C. 1395x(s)(2)) is 
amended— 
(A) in subparagraph (EE), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (FF), by inserting 
‘‘and’’ at the end; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(GG) marriage and family therapist services 
(as defined in subsection (kkk)(1)) and mental 
health counselor services (as defined in subsection 
(kkk)(3));’’. 
(2) DEFINITIONS.—Section 1861 of such Act 
(42 U.S.C. 1395x), as amended by sections 
202(b)(1)(A) and 423(a), is amended by adding at 
the end the following new subsection: 
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‘‘Marriage and Family Therapist Services; Marriage and 
Family Therapist; Mental Health Counselor Serv-
ices; Mental Health Counselor 
‘‘(kkk)(1) The term ‘marriage and family therapist 
services’ means services performed by a marriage and 
family therapist (as defined in paragraph (2)) for the diag-
nosis and treatment of mental illnesses, which the mar-
riage and family therapist is legally authorized to perform 
under State law (or the State regulatory mechanism pro-
vided by State law) of the State in which such services 
are performed, as would otherwise be covered if furnished 
by a physician or as an incident to a physician’s profes-
sional service, but only if no facility or other provider 
charges or is paid any amounts with respect to the fur-
nishing of such services. 
‘‘(2) The term ‘marriage and family therapist’ means 
an individual who— 
‘‘(A) possesses a master’s or doctoral degree 
which qualifies for licensure or certification as a 
marriage and family therapist pursuant to State 
law; 
‘‘(B) after obtaining such degree has performed 
at least 2 years of clinical supervised experience in 
marriage and family therapy; and 
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‘‘(C) in the case of an individual performing 
services in a State that provides for licensure or cer-
tification of marriage and family therapists, is li-
censed or certified as a marriage and family thera-
pist in such State. 
‘‘(3) The term ‘mental health counselor services’ 
means services performed by a mental health counselor (as 
defined in paragraph (4)) for the diagnosis and treatment 
of mental illnesses which the mental health counselor is 
legally authorized to perform under State law (or the 
State regulatory mechanism provided by the State law) of 
the State in which such services are performed, as would 
otherwise be covered if furnished by a physician or as inci-
dent to a physician’s professional service, but only if no 
facility or other provider charges or is paid any amounts 
with respect to the furnishing of such services. 
‘‘(4) The term ‘mental health counselor’ means an 
individual who— 
‘‘(A) possesses a master’s or doctor’s degree in 
mental health counseling or a related field; 
‘‘(B) after obtaining such a degree has per-
formed at least 2 years of supervised mental health 
counselor practice; and 
‘‘(C) in the case of an individual performing 
services in a State that provides for licensure or cer-
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tification of mental health counselors or professional 
counselors, is licensed or certified as a mental health 
counselor or professional counselor in such State.’’. 
(3) PROVISION
FOR
PAYMENT
UNDER
PART 
B.—Section 1832(a)(2)(B) of such Act (42 U.S.C. 
1395k(a)(2)(B)) is amended by adding at the end 
the following new clause: 
‘‘(v) marriage and family therapist 
services and mental health counselor serv-
ices;’’. 
(4) AMOUNT OF PAYMENT.—Section 1833(a)(1) 
of such Act (42 U.S.C. 1395l(a)(1)) is amended— 
(A) by striking ‘‘and (Z)’’ and inserting 
‘‘(Z)’’; and 
(B) by inserting before the semicolon at 
the end the following: ‘‘, and (AA) with respect 
to marriage and family therapist services and 
mental health counselor services under section 
1861(s)(2)(GG), the amounts paid shall be 80 
percent of the lesser of the actual charge for 
the services or 75 percent of the amount deter-
mined for payment of a psychologist under sub-
paragraph (L)’’. 
(5) EXCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPIST SERVICES AND MENTAL HEALTH COUN-
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SELOR SERVICES FROM SKILLED NURSING FACILITY 
PROSPECTIVE
PAYMENT
SYSTEM.—Section 
1888(e)(2)(A)(ii) 
of 
such 
Act 
(42 
U.S.C. 
1395yy(e)(2)(A)(ii)) is amended by inserting ‘‘mar-
riage and family therapist services (as defined in 
section 1861(kkk)(1)), mental health counselor serv-
ices (as defined in section 1861(kkk)(3)),’’ after 
‘‘qualified psychologist services,’’. 
(6) INCLUSION
OF
MARRIAGE
AND
FAMILY 
THERAPISTS AND MENTAL HEALTH COUNSELORS AS 
PRACTITIONERS FOR ASSIGNMENT OF CLAIMS.—Sec-
tion 1842(b)(18)(C) of such Act (42 U.S.C. 
1395u(b)(18)(C)) is amended by adding at the end 
the following new clauses: 
‘‘(vii) A marriage and family therapist (as de-
fined in section 1861(kkk)(2)). 
‘‘(viii) A mental health counselor (as defined in 
section 1861(kkk)(4)).’’. 
(b) COVERAGE OF CERTAIN MENTAL HEALTH SERV-
ICES PROVIDED IN CERTAIN SETTINGS.— 
(1) RURAL HEALTH CLINICS AND FEDERALLY 
QUALIFIED
HEALTH
CENTERS.—Section 
1861(aa)(1)(B) of the Social Security Act (42 
U.S.C. 1395x(aa)(1)(B)) is amended by striking ‘‘or 
by a clinical social worker (as defined in subsection 
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(hh)(1)),’’ and inserting ‘‘, by a clinical social worker 
(as defined in subsection (hh)(1)), by a marriage 
and family therapist (as defined in subsection 
(kkk)(2)), or by a mental health counselor (as de-
fined in subsection (kkk)(4)),’’. 
(2) 
HOSPICE
PROGRAMS.—Section 
1861(dd)(2)(B)(i)(III) of such Act (42 U.S.C. 
1395x(dd)(2)(B)(i)(III)) is amended by inserting ‘‘or 
one marriage and family therapist (as defined in 
subsection (kkk)(2))’’ after ‘‘social worker’’. 
(c) AUTHORIZATION
OF MARRIAGE
AND FAMILY 
THERAPISTS TO DEVELOP DISCHARGE PLANS FOR POST- 
HOSPITAL SERVICES.—Section 1861(ee)(2)(G) of the So-
cial Security Act (42 U.S.C. 1395x(ee)(2)(G)) is amended 
by inserting ‘‘marriage and family therapist (as defined 
in subsection (kkk)(2)),’’ after ‘‘social worker,’’. 
(d) EFFECTIVE DATE.—The amendments made by 
this section shall apply with respect to services furnished 
on or after January 1, 2012. 
SEC. 602. COMMUNITY MENTAL HEALTH AND ADDICTION 
SAFETY NET EQUITY ACT. 
(a) FEDERALLY QUALIFIED BEHAVIORAL HEALTH 
CENTERS.—Section 1913 of the Public Health Service Act 
(42 U.S.C. 300x–3) is amended— 
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(1) in subsection (a)(2)(A), by striking ‘‘com-
munity mental health services’’ and inserting ‘‘be-
havioral health services (of the type offered by feder-
ally qualified behavioral health centers consistent 
with subsection (c)(3))’’; 
(2) in subsection (b)— 
(A) by striking paragraph (1) and insert-
ing the following: 
‘‘(1) services under the plan will be provided 
only through appropriate, qualified community pro-
grams (which may include federally qualified behav-
ioral health centers, child mental health programs, 
psychosocial rehabilitation programs, mental health 
peer-support programs, and mental health primary 
consumer-directed programs); and’’; and 
(B) in paragraph (2), by striking ‘‘commu-
nity mental health centers’’ and inserting ‘‘fed-
erally qualified behavioral health centers’’; and 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) CRITERIA FOR FEDERALLY QUALIFIED BEHAV-
IORAL HEALTH CENTERS.— 
‘‘(1) IN
GENERAL.—The Administrator shall 
certify, and recertify at least every 5 years, federally 
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341 
qualified behavioral health centers as meeting the 
criteria specified in this subsection. 
‘‘(2) REGULATIONS.—Not later than 18 months 
after the date of the enactment of this section, the 
Administrator shall issue final regulations for certi-
fying nonprofit or local government centers as cen-
ters under paragraph (1). 
‘‘(3) CRITERIA.—The criteria referred to in 
subsection (b)(2) are that the center performs each 
of the following: 
‘‘(A) Provide services in locations that en-
sure services will be promptly available, be 
physically accessible, provide reasonable policy 
modifications, and be provided in a manner 
which preserves human dignity and assures con-
tinuity of care. 
‘‘(B) Provide services in a mode of service 
delivery appropriate for the target population. 
‘‘(C) Provide individuals with a choice of 
service options where there is more than one ef-
ficacious treatment. 
‘‘(D) Employ a core staff of clinical staff 
that is multidisciplinary and culturally and lin-
guistically competent. 
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‘‘(E) Provide services, within the limits of 
the capacities of the center, to any individual 
residing or employed in the service area of the 
center, regardless of the ability of the individual 
to pay. 
‘‘(F) Provide, directly or through contract, 
to the extent covered for adults in the State 
Medicaid plan under title XIX of the Social Se-
curity Act and for children in accordance with 
section 1905(r) of such Act regarding early and 
periodic screening, diagnosis, and treatment, 
each of the following services: 
‘‘(i) Screening, assessment, and diag-
nosis, including risk assessment. 
‘‘(ii) Person-centered treatment plan-
ning or similar processes, including risk as-
sessment and crisis planning. 
‘‘(iii) Outpatient clinic mental health 
services, including screening, assessment, 
diagnosis, psychotherapy, substance abuse 
counseling, medication management, and 
integrated treatment for mental illness and 
substance abuse which shall be evidence- 
based (including cognitive behavioral ther-
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343 
apy and other such therapies which are 
evidence-based). 
‘‘(iv) Outpatient clinic primary care 
services, including screening and moni-
toring of key health indicators and health 
risk (including screening for diabetes, hy-
pertension, and cardiovascular disease and 
monitoring of weight, height, body mass 
index (BMI), blood pressure, blood glucose 
or HbA1C, and lipid profile). 
‘‘(v) Crisis mental health services, in-
cluding 24-hour mobile crisis teams, emer-
gency crisis intervention services, and cri-
sis stabilization. 
‘‘(vi) 
Targeted 
case 
management 
(services to assist individuals gaining ac-
cess to needed medical, social, educational, 
and other home- and community-based 
services and applying for income security 
and other benefits to which they may be 
entitled). 
‘‘(vii) Psychiatric rehabilitation serv-
ices including skills training, assertive com-
munity treatment, family psychoeducation, 
disability self-management, supported em-
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ployment, 
supported 
housing 
services, 
therapeutic foster care services, and such 
other evidence-based practices as the Sec-
retary may require. 
‘‘(viii) Peer support and counselor 
services and family supports. 
‘‘(G) Maintain linkages, and where possible 
enter into formal contracts with the following: 
‘‘(i) Inpatient psychiatric facilities and 
substance abuse detoxification and residen-
tial programs. 
‘‘(ii) Adult and youth peer support 
and counselor services. 
‘‘(iii) Family support services for fam-
ilies of children with serious mental dis-
orders. 
‘‘(iv) Other home- and community- 
based or regional services, supports, and 
providers, including schools, child welfare 
agencies, juvenile and criminal justice 
agencies and facilities, housing agencies 
and programs, employers, and other social 
services. 
‘‘(v) Onsite or offsite access to pri-
mary care services. 
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‘‘(vi) Enabling services, including out-
reach, transportation, and translation. 
‘‘(vii) Health and wellness services, in-
cluding services for tobacco cessation.’’. 
(b) MEDICAID COVERAGE AND PAYMENT FOR FED-
ERALLY
QUALIFIED
BEHAVIORAL
HEALTH
CENTER 
SERVICES.— 
(1) PAYMENT
FOR
SERVICES
PROVIDED
BY 
FEDERALLY QUALIFIED BEHAVIORAL HEALTH CEN-
TERS.—Section 1902(bb) of the Social Security Act 
(42 U.S.C. 1396a(bb)) is amended— 
(A) in the heading, by striking ‘‘AND 
RURAL HEALTH CLINICS’’ and inserting ‘‘, 
FEDERALLY QUALIFIED BEHAVIORAL HEALTH 
CENTERS, AND RURAL HEALTH CLINICS’’; 
(B) in paragraph (1), by inserting ‘‘(and 
beginning with fiscal year 2012 with respect to 
services furnished on or after January 1, 2012, 
and each succeeding fiscal year, for services de-
scribed in section 1905(a)(2)(D) furnished by a 
federally qualified behavioral health center)’’ 
after ‘‘by a rural health clinic’’; 
(C) in paragraph (2)— 
(i) by striking the heading and insert-
ing ‘‘INITIAL FISCAL YEAR’’; 
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(ii) by inserting ‘‘(or, in the case of 
services described in section 1905(a)(2)(D) 
furnished by a federally qualified behav-
ioral health center, for services furnished 
on and after January 1, 2012, during fis-
cal year 2012)’’ after ‘‘January 1, 2001, 
during fiscal year 2001’’; 
(iii) by inserting ‘‘(or, in the case of 
services described in section 1905(a)(2)(D) 
furnished by a federally qualified behav-
ioral health center, during fiscal years 
2010 and 2011)’’ after ‘‘1999 and 2000’’; 
and 
(iv) by inserting ‘‘(or, in the case of 
services described in section 1905(a)(2)(D) 
furnished by a federally qualified behav-
ioral health center, during fiscal year 
2012)’’ before the period; 
(D) in paragraph (3)— 
(i) in the heading, by striking ‘‘FIS-
CAL YEAR 2002 AND SUCCEEDING’’ and in-
serting ‘‘SUCCEEDING’’; and 
(ii) by inserting ‘‘(or, in the case of 
services described in section 1905(a)(2)(D) 
furnished by a federally qualified behav-
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347 
ioral health center, for services furnished 
during fiscal year 2013 or a succeeding fis-
cal year)’’ after ‘‘2002 or a succeeding fis-
cal year’’; 
(E) in paragraph (4)— 
(i) by inserting ‘‘(or as a federally 
qualified behavioral health center after fis-
cal year 2011’’ after ‘‘or rural health clinic 
after fiscal year 2000’’; 
(ii) by striking ‘‘furnished by the cen-
ter or’’ and inserting ‘‘furnished by the 
federally qualified health center, services 
described in section 1905(a)(2)(D) fur-
nished by the federally qualified behavioral 
health center, or’’; 
(iii) in the second sentence, by strik-
ing ‘‘or rural health clinic’’ and inserting 
‘‘, federally qualified behavioral health cen-
ter, or rural health clinic’’; 
(F) in paragraph (5), in each of subpara-
graphs (A) and (B), by striking ‘‘or rural 
health clinic’’ and inserting ‘‘, federally quali-
fied behavioral health center, or rural health 
clinic’’; and 
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(G) in paragraph (6), by striking ‘‘or to a 
rural health clinic’’ and inserting ‘‘, to a feder-
ally qualified behavioral health center for serv-
ices described in section 1905(a)(2)(D), or to a 
rural health clinic’’. 
(2) INCLUSION OF FEDERALLY QUALIFIED BE-
HAVIORAL HEALTH CENTER SERVICES IN THE TERM 
MEDICAL
ASSISTANCE.—Section 1905(a)(2) of the 
Social Security Act (42 U.S.C. 1396d(a)(2)) is 
amended— 
(A) by striking ‘‘and’’ before ‘‘(C)’’; and 
(B) by inserting before the semicolon at 
the end the following: ‘‘, and (D) federally 
qualified behavioral health center services (as 
defined in subsection (l)(4))’’. 
(3) DEFINITION OF FEDERALLY QUALIFIED BE-
HAVIORAL
HEALTH
CENTER
SERVICES.—Section 
1905(l) of the Social Security Act (42 U.S.C. 
1396d(l)) is amended by adding at the end the fol-
lowing paragraph: 
‘‘(4)(A) The term ‘federally qualified behavioral 
health center services’ means services furnished to 
an individual at a federally qualified behavioral 
health center (as defined by subparagraph (B)). 
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‘‘(B) The term ‘federally qualified behavioral 
health center’ means an entity that is certified under 
section 1913(c) of the Public Health Service Act as 
meeting the criteria described in paragraph (3) of 
such section.’’. 
(c) MENTAL HEALTH AND ADDICTION SAFETY NET 
STUDIES.— 
(1) PAPERWORK REDUCTION STUDY.— 
(A) IN
GENERAL.—Not later than 12 
months after the date of the enactment of this 
Act, the Institute of Medicine shall submit to 
the appropriate committees of Congress a re-
port that evaluates the combined paperwork 
burden of federally qualified behavioral health 
centers certified section 1913(c) of the Public 
Health Service Act, as inserted by subsection 
(a). 
(B) SCOPE.—In preparing the report 
under subparagraph (A), the Institute of Medi-
cine shall examine licensing, certification, serv-
ice definitions, claims payment, billing codes, 
and financial auditing requirements utilized by 
the Office of Management and Budget, the 
Centers for Medicare & Medicaid Services, the 
Health Resources and Services Administration, 
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the Substance Abuse and Mental Health Serv-
ices Administration, the Office of the Inspector 
General, State Medicaid agencies, State depart-
ments of health, State departments of edu-
cation, and State and local juvenile justice and 
social services agencies to— 
(i) establish an estimate of the com-
bined nationwide cost of complying with 
the requirements described in this subpara-
graph, in terms of both administrative 
funding and staff time; 
(ii) establish an estimate of the per 
capita cost to each federally qualified be-
havioral health center certified under sec-
tion 1913(c) of the Public Health Service 
Act to comply with the requirements de-
scribed in this subparagraph, in terms of 
both administrative funding and staff time; 
and 
(iii) make administrative and statu-
tory recommendations to Congress, which 
may include a uniform methodology, to re-
duce the paperwork burden experienced by 
such federally qualified behavioral health 
centers. 
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(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to carry out this subsection $550,000 
for each of the fiscal years 2012 and 2013. 
(2) WAGE STUDY.— 
(A) IN
GENERAL.—Not later than 12 
months after the date of the enactment of this 
Act, the Institute of Medicine shall conduct a 
nationwide analysis, and submit a report to the 
appropriate committees of Congress, concerning 
the compensation structure of professional and 
paraprofessional personnel employed by feder-
ally qualified behavioral health centers certified 
under section 1913(c) of the Public Health 
Service Act, as inserted by subsection (a), as 
compared with the compensation structure of 
comparable health safety net providers and rel-
evant private sector health care employers. 
(B) SCOPE.—In preparing the report 
under subparagraph (A), the Institute of Medi-
cine shall examine compensation disparities, if 
such disparities are determined to exist, by type 
of personnel, type of provider or private sector 
employer, and by geographic region. 
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(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
priated to carry out this paragraph, $550,000 
for each of the fiscal years 2012 and 2013. 
SEC. 603. MINORITY FELLOWSHIP PROGRAM. 
Title V of the Public Health Service Act is amended 
by inserting after section 506B of such Act (42 U.S.C. 
290aa–5b) the following: 
‘‘SEC. 506C. MINORITY FELLOWSHIP PROGRAM. 
‘‘(a) FELLOWSHIPS.—The Administrator shall main-
tain a program, to be known as the Minority Fellowship 
Program, under which the Administrator awards grants 
or contracts to national associations or other appropriate 
entities for the financial support of graduate students, 
postdoctoral fellows, and residents in the professions of 
psychology, psychiatry, social work, psychiatric advance- 
practice nursing, and marriage and family therapy to stu-
dents who demonstrate a commitment to clinical or re-
search careers focused on racial and ethnic minority popu-
lations. 
‘‘(b) TERM OF FINANCIAL SUPPORT.—Financial sup-
port provided to an individual pursuant to subsection (a) 
shall be for a term of not more than 12 months and may 
be renewed thereafter. 
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‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $10,000,000 for each of fiscal years 2012 through 
2016’’. 
SEC. 604. INTEGRATED HEALTH CARE DEMONSTRATION 
PROGRAM. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following: 
‘‘SEC. 544. INTERPROFESSIONAL HEALTH CARE TEAMS FOR 
PROVISION OF BEHAVIORAL HEALTH CARE 
IN PRIMARY CARE SETTINGS. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Director of the Office of Minority Health of the Adminis-
tration, shall award grants to eligible entities for the pur-
pose of providing technical assistance and training regard-
ing the effective development and implementation of inte-
grated interprofessional health care teams that provide be-
havioral health care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a federally 
qualified health center (as defined in section 1861(aa) of 
the Social Security Act) serving a high proportion of indi-
viduals from racial and ethnic minority groups (as defined 
in section 1707(g)). 
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‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $20,000,000 for each of fiscal years 2012 through 
2014.’’. 
SEC. 605. ADDRESSING RACIAL AND ETHNIC MINORITY 
MENTAL HEALTH DISPARITIES RESEARCH 
GAPS. 
Not later than 6 months after the date of the enact-
ment of this Act, the Director of the National Institute 
on Minority Health and Health Disparities shall enter into 
an arrangement with the Institute of Medicine (or, if the 
Institute declines to enter into such an arrangement, an-
other appropriate entity)— 
(1) to conduct a study with respect to mental 
and behavioral health disparities in racial and ethnic 
minority groups (as defined in section 1707(g) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)); and 
(2) to submit to the Congress a report on the 
results of such study, including— 
(A) a compilation of information on the dy-
namics of mental disorders in such racial and 
ethnic minority groups; 
(B) an identification of gaps in knowledge 
and research needs; and 
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