H. R. 34—166 
(2) DEPOSIT OF AMOUNTS RECEIVED FROM SALE.—Amounts 
received from a sale under paragraph (1) shall be deposited 
in the general fund of the Treasury during the fiscal year 
in which the sale occurs. 
(b) EMERGENCY PROTECTION.—The Secretary shall not draw 
down and sell crude oil under this section in quantities that would 
limit the authority to sell petroleum products under section 161(h) 
of the Energy Policy and Conservation Act (42 U.S.C. 6241(h)) 
in the full quantity authorized by that subsection. 
(c) STRATEGIC PETROLEUM DRAWDOWN LIMITATIONS.—Subpara-
graphs (C) and (D) of section 161(h)(2) of the Energy Policy and 
Conservation Act (42 U.S.C. 6241(h)(2)(C) and (D)) are both 
amended by striking ‘‘500,000,000’’ and inserting ‘‘450,000,000’’. 
SEC. 5011. RESCISSION OF PORTION OF ACA TERRITORY FUNDING. 
Of the unobligated amounts available under section 1323(c)(1) 
of the Patient Protection and Affordable Care Act (42 U.S.C. 
18043(c)(1)), $464,000,000 is rescinded immediately upon the date 
of the enactment of this Act. 
SEC. 5012. MEDICARE COVERAGE OF HOME INFUSION THERAPY. 
(a) IN GENERAL.—Section 1861 of the Social Security Act (42 
U.S.C. 1395x) is amended— 
(1) in subsection (s)(2)— 
(A) by striking ‘‘and’’ at the end of subparagraph (EE); 
(B) by inserting ‘‘and’’ at the end of subparagraph 
(FF); and 
(C) by inserting at the end the following new subpara-
graph: 
‘‘(GG) home infusion therapy (as defined in subsection 
(iii)(1));’’; and 
(2) by adding at the end the following new subsection: 
‘‘(iii) HOME INFUSION THERAPY.—(1) The term ‘home infusion 
therapy’ means the items and services described in paragraph (2) 
furnished by a qualified home infusion therapy supplier (as defined 
in paragraph (3)(D)) which are furnished in the individual’s home 
(as defined in paragraph (3)(B)) to an individual— 
‘‘(A) who is under the care of an applicable provider (as 
defined in paragraph (3)(A)); and 
‘‘(B) with respect to whom a plan prescribing the type, 
amount, and duration of infusion therapy services that are 
to be furnished such individual has been established by a 
physician (as defined in subsection (r)(1)) and is periodically 
reviewed by a physician (as so defined) in coordination with 
the furnishing of home infusion drugs (as defined in paragraph 
(3)(C)) under part B. 
‘‘(2) The items and services described in this paragraph are 
the following: 
‘‘(A) Professional services, including nursing services, fur-
nished in accordance with the plan. 
‘‘(B) Training and education (not otherwise paid for as 
durable medical equipment (as defined in subsection (n)), 
remote monitoring, and monitoring services for the provision 
of home infusion therapy and home infusion drugs furnished 
by a qualified home infusion therapy supplier. 
‘‘(3) For purposes of this subsection: 
‘‘(A) The term ‘applicable provider’ means— 
‘‘(i) a physician;
H. R. 34—167 
‘‘(ii) a nurse practitioner; and 
‘‘(iii) a physician assistant. 
‘‘(B) The term ‘home’ means a place of residence used 
as the home of an individual (as defined for purposes of sub-
section (n)). 
‘‘(C) The term ‘home infusion drug’ means a parenteral 
drug 
or 
biological 
administered 
intravenously, 
or 
subcutaneously for an administration period of 15 minutes or 
more, in the home of an individual through a pump that is 
an item of durable medical equipment (as defined in subsection 
(n)). Such term does not include the following: 
‘‘(i) Insulin pump systems. 
‘‘(ii) A self-administered drug or biological on a self- 
administered drug exclusion list. 
‘‘(D)(i) The term ‘qualified home infusion therapy supplier’ 
means a pharmacy, physician, or other provider of services 
or supplier licensed by the State in which the pharmacy, physi-
cian, or provider or services or supplier furnishes items or 
services and that— 
‘‘(I) furnishes infusion therapy to individuals with acute 
or chronic conditions requiring administration of home infu-
sion drugs; 
‘‘(II) ensures the safe and effective provision and 
administration of home infusion therapy on a 7-day-a-week, 
24-hour-a-day basis; 
‘‘(III) is accredited by an organization designated by 
the Secretary pursuant to section 1834(u)(5); and 
‘‘(IV) meets such other requirements as the Secretary 
determines appropriate, taking into account the standards 
of care for home infusion therapy established by Medicare 
Advantage plans under part C and in the private sector. 
‘‘(ii) A qualified home infusion therapy supplier may sub-
contract with a pharmacy, physician, provider of services, or 
supplier to meet the requirements of this subparagraph.’’. 
(b) PAYMENT AND RELATED REQUIREMENTS FOR HOME INFUSION 
THERAPY.—Section 1834 of the Social Security Act (42 U.S.C. 
1395m), as amended by section 4011, is further amended by adding 
at the end the following new subsection: 
‘‘(u) PAYMENT AND RELATED REQUIREMENTS FOR HOME INFU-
SION THERAPY.— 
‘‘(1) PAYMENT.— 
‘‘(A) SINGLE PAYMENT.— 
‘‘(i) IN GENERAL.—Subject to clause (iii) and sub-
paragraphs (B) and (C), the Secretary shall implement 
a payment system under which a single payment is 
made under this title to a qualified home infusion 
therapy supplier for items and services described in 
subparagraphs (A) and (B) of section 1861(iii)(2)) fur-
nished by a qualified home infusion therapy supplier 
(as defined in section 1861(iii)(3)(D)) in coordination 
with the furnishing of home infusion drugs (as defined 
in section 1861(iii)(3)(C)) under this part. 
‘‘(ii) UNIT OF SINGLE PAYMENT.—A unit of single 
payment under the payment system implemented 
under this subparagraph is for each infusion drug 
administration calendar day in the individual’s home. 
The Secretary shall, as appropriate, establish single
H. R. 34—168 
payment amounts for types of infusion therapy, 
including to take into account variation in utilization 
of nursing services by therapy type. 
‘‘(iii) LIMITATION.—The single payment amount 
determined under this subparagraph after application 
of subparagraph (B) and paragraph (3) shall not exceed 
the amount determined under the fee schedule under 
section 1848 for infusion therapy services furnished 
in a calendar day if furnished in a physician office 
setting, except such single payment shall not reflect 
more than 5 hours of infusion for a particular therapy 
in a calendar day. 
‘‘(B) REQUIRED
ADJUSTMENTS.—The Secretary shall 
adjust the single payment amount determined under 
subparagraph (A) for home infusion therapy services under 
section 1861(iii)(1) to reflect other factors such as— 
‘‘(i) a geographic wage index and other costs that 
may vary by region; and 
‘‘(ii) patient acuity and complexity of drug adminis-
tration. 
‘‘(C) DISCRETIONARY ADJUSTMENTS.— 
‘‘(i) IN GENERAL.—Subject to clause (ii), the Sec-
retary may adjust the single payment amount deter-
mined under subparagraph (A) (after application of 
subparagraph (B)) to reflect outlier situations and 
other factors as the Secretary determines appropriate. 
‘‘(ii) REQUIREMENT OF BUDGET NEUTRALITY.—Any 
adjustment under this subparagraph shall be made 
in a budget neutral manner. 
‘‘(2) CONSIDERATIONS.—In developing the payment system 
under this subsection, the Secretary may consider the costs 
of furnishing infusion therapy in the home, consult with home 
infusion therapy suppliers, consider payment amounts for 
similar items and services under this part and part A, and 
consider payment amounts established by Medicare Advantage 
plans under part C and in the private insurance market for 
home infusion therapy (including average per treatment day 
payment amounts by type of home infusion therapy). 
‘‘(3) ANNUAL UPDATES.— 
‘‘(A) IN GENERAL.—Subject to subparagraph (B), the 
Secretary shall update the single payment amount under 
this subsection from year to year beginning in 2022 by 
increasing the single payment amount from the prior year 
by the percentage increase in the Consumer Price Index 
for all urban consumers (United States city average) for 
the 12-month period ending with June of the preceding 
year. 
‘‘(B) ADJUSTMENT.—For each year, the Secretary shall 
reduce the percentage increase described in subparagraph 
(A) by the productivity adjustment described in section 
1886(b)(3)(B)(xi)(II). The application of the preceding sen-
tence may result in a percentage being less than 0.0 for 
a year, and may result in payment being less than such 
payment rates for the preceding year. 
‘‘(4) AUTHORITY TO APPLY PRIOR AUTHORIZATION.—The Sec-
retary may, as determined appropriate by the Secretary, apply
H. R. 34—169 
prior authorization for home infusion therapy services under 
section 1861(iii)(1). 
‘‘(5) ACCREDITATION OF QUALIFIED HOME INFUSION THERAPY 
SUPPLIERS.— 
‘‘(A) FACTORS
FOR
DESIGNATION
OF
ACCREDITATION 
ORGANIZATIONS.—The Secretary shall consider the following 
factors in designating accreditation organizations under 
subparagraph (B) and in reviewing and modifying the list 
of accreditation organizations designated pursuant to 
subparagraph (C): 
‘‘(i) The ability of the organization to conduct 
timely reviews of accreditation applications. 
‘‘(ii) The ability of the organization to take into 
account the capacities of suppliers located in a rural 
area (as defined in section 1886(d)(2)(D)). 
‘‘(iii) Whether the organization has established 
reasonable fees to be charged to suppliers applying 
for accreditation. 
‘‘(iv) Such other factors as the Secretary deter-
mines appropriate. 
‘‘(B) DESIGNATION.—Not later than January 1, 2021, 
the Secretary shall designate organizations to accredit sup-
pliers furnishing home infusion therapy. The list of accredi-
tation organizations so designated may be modified pursu-
ant to subparagraph (C). 
‘‘(C) REVIEW AND MODIFICATION OF LIST OF ACCREDITA-
TION ORGANIZATIONS.— 
‘‘(i) IN GENERAL.—The Secretary shall review the 
list of accreditation organizations designated under 
subparagraph (B) taking into account the factors under 
subparagraph (A). Taking into account the results of 
such review, the Secretary may, by regulation, modify 
the list of accreditation organizations designated under 
subparagraph (B). 
‘‘(ii) SPECIAL
RULE
FOR
ACCREDITATIONS
DONE 
PRIOR TO REMOVAL FROM LIST OF DESIGNATED ACCREDI-
TATION ORGANIZATIONS.—In the case where the Sec-
retary removes an organization from the list of accredi-
tation organizations designated under subparagraph 
(B), any supplier that is accredited by the organization 
during the period beginning on the date on which 
the organization is designated as an accreditation 
organization under subparagraph (B) and ending on 
the date on which the organization is removed from 
such list shall be considered to have been accredited 
by an organization designated by the Secretary under 
subparagraph (B) for the remaining period such 
accreditation is in effect. 
‘‘(D) RULE FOR ACCREDITATIONS MADE PRIOR TO DES-
IGNATION.—In the case of a supplier that is accredited 
before January 1, 2021, by an accreditation organization 
designated by the Secretary under subparagraph (B) as 
of January 1, 2019, such supplier shall be considered to 
have been accredited by an organization designated by 
the Secretary under such paragraph as of January 1, 2023, 
for the remaining period such accreditation is in effect.
H. R. 34—170 
‘‘(6) NOTIFICATION OF INFUSION THERAPY OPTIONS AVAIL-
ABLE PRIOR TO FURNISHING HOME INFUSION THERAPY.—Prior 
to the furnishing of home infusion therapy to an individual, 
the physician who establishes the plan described in section 
1861(iii)(1) for the individual shall provide notification (in a 
form, manner, and frequency determined appropriate by the 
Secretary) of the options available (such as home, physician’s 
office, hospital outpatient department) for the furnishing of 
infusion therapy under this part.’’. 
(c) CONFORMING AMENDMENTS.— 
(1) PAYMENT REFERENCE.—Section 1833(a)(1) of the Social 
Security Act (42 U.S.C. 1395l(a)(1)) is amended— 
(A) by striking ‘‘and’’ before ‘‘(AA)’’; and 
(B) by inserting before the semicolon at the end the 
following: ‘‘, and (BB) with respect to home infusion 
therapy, the amount paid shall be an amount equal to 
80 percent of the lesser of the actual charge for the services 
or the amount determined under section 1834(u)’’. 
(2) DIRECT
PAYMENT.—The first sentence of section 
1842(b)(6) of the Social Security Act (42 U.S.C. 1395u(b)(6)) 
is amended— 
(A) by striking ‘‘and’’ before ‘‘(H)’’; and 
(B) by inserting before the period at the end the fol-
lowing: ‘‘, and (I) in the case of home infusion therapy, 
payment shall be made to the qualified home infusion 
therapy supplier’’. 
(3) EXCLUSION
FROM
HOME
HEALTH
SERVICES.—Section 
1861(m) of the Social Security Act (42 U.S.C. 1395x(m)) is 
amended, in the first sentence, by inserting the following before 
the period at the end: ‘‘and home infusion therapy (as defined 
in subsection (iii)(i))’’. 
(d) EFFECTIVE DATE.—The amendments made by this section 
shall apply to items and services furnished on or after January 
1, 2021. 
DIVISION B—HELPING FAMILIES IN 
MENTAL HEALTH CRISIS 
SEC. 6000. SHORT TITLE. 
This division may be cited as the ‘‘Helping Families in Mental 
Health Crisis Reform Act of 2016’’. 
TITLE VI—STRENGTHENING 
LEADERSHIP AND ACCOUNTABILITY 
Subtitle A—Leadership 
SEC. 6001. ASSISTANT SECRETARY FOR MENTAL HEALTH AND SUB-
STANCE USE. 
(a) ASSISTANT SECRETARY.—Section 501(c) of the Public Health 
Service Act (42 U.S.C. 290aa(c)) is amended to read as follows: 
‘‘(c) ASSISTANT
SECRETARY
AND
DEPUTY
ASSISTANT
SEC-
RETARY.—
H. R. 34—171 
‘‘(1) ASSISTANT SECRETARY.—The Administration shall be 
headed by an official to be known as the Assistant Secretary 
for Mental Health and Substance Use (hereinafter in this title 
referred to as the ‘Assistant Secretary’) who shall be appointed 
by the President, by and with the advice and consent of the 
Senate. 
‘‘(2) DEPUTY
ASSISTANT
SECRETARY.—The Assistant Sec-
retary, with the approval of the Secretary, may appoint a 
Deputy Assistant Secretary and may employ and prescribe 
the functions of such officers and employees, including attor-
neys, as are necessary to administer the activities to be carried 
out through the Administration.’’. 
(b) TRANSFER OF AUTHORITIES.—The Secretary of Health and 
Human Services shall delegate to the Assistant Secretary for Mental 
Health and Substance Use all duties and authorities that— 
(1) as of the day before the date of enactment of this 
Act, were vested in the Administrator of the Substance Abuse 
and Mental Health Services Administration; and 
(2) are not terminated by this Act. 
(c) CONFORMING AMENDMENTS.—Title V of the Public Health 
Service Act (42 U.S.C. 290aa et seq.), as amended by the previous 
provisions of this section, is further amended— 
(1) by striking ‘‘Administrator of the Substance Abuse and 
Mental Health Services Administration’’ each place it appears 
and inserting ‘‘Assistant Secretary for Mental Health and Sub-
stance Use’’; and 
(2) by striking ‘‘Administrator’’ or ‘‘ADMINISTRATOR’’ each 
place it appears (including in any headings) and inserting 
‘‘Assistant Secretary’’ or ‘‘ASSISTANT SECRETARY’’, respectively, 
except where the term ‘‘Administrator’’ appears— 
(A) in each of subsections (e) and (f) of section 501 
of such Act (42 U.S.C. 290aa), including the headings of 
such subsections, within the term ‘‘Associate Adminis-
trator’’; 
(B) in section 507(b)(6) of such Act (42 U.S.C. 
290bb(b)(6)), within the term ‘‘Administrator of the Health 
Resources and Services Administration’’; 
(C) in section 507(b)(6) of such Act (42 U.S.C. 
290bb(b)(6)), within the term ‘‘Administrator of the Centers 
for Medicare & Medicaid Services’’; 
(D) in section 519B(c)(1)(B) of such Act (42 U.S.C. 
290bb–25b(c)(1)(B)), within the term ‘‘Administrator of the 
National Highway Traffic Safety Administration’’; or 
(E) in each of sections 519B(c)(1)(B), 520C(a), and 
520D(a) of such Act (42 U.S.C. 290bb–25b(c)(1)(B), 290bb– 
34(a), 290bb–35(a)), within the term ‘‘Administrator of the 
Office of Juvenile Justice and Delinquency Prevention’’. 
(d) REFERENCES.—After executing subsections (a), (b), and (c), 
any reference in statute, regulation, or guidance to the Adminis-
trator of the Substance Abuse and Mental Health Services Adminis-
tration shall be construed to be a reference to the Assistant Sec-
retary for Mental Health and Substance Use.
H. R. 34—172 
SEC. 6002. STRENGTHENING THE LEADERSHIP OF THE SUBSTANCE 
ABUSE AND MENTAL HEALTH SERVICES ADMINISTRA-
TION. 
Section 501 of the Public Health Service Act (42 U.S.C. 290aa), 
as amended by section 6001, is further amended— 
(1) in subsection (b)— 
(A) in the subsection heading, by striking ‘‘AGENCIES’’ 
and inserting ‘‘CENTERS’’; and 
(B) in the matter preceding paragraph (1), by striking 
‘‘entities’’ and inserting ‘‘Centers’’; 
(2) in subsection (d)— 
(A) in paragraph (1)— 
(i) by striking ‘‘agencies’’ each place the term 
appears and inserting ‘‘Centers’’; and 
(ii) by striking ‘‘such agency’’ and inserting ‘‘such 
Center’’; 
(B) in paragraph (2)— 
(i) by striking ‘‘agencies’’ and inserting ‘‘Centers’’; 
(ii) by striking ‘‘with respect to substance abuse’’ 
and inserting ‘‘with respect to substance use disorders’’; 
and 
(iii) by striking ‘‘and individuals who are substance 
abusers’’ and inserting ‘‘and individuals with substance 
use disorders’’; 
(C) in paragraph (5), by striking ‘‘substance abuse’’ 
and inserting ‘‘substance use disorder’’; 
(D) in paragraph (6)— 
(i) by striking ‘‘the Centers for Disease Control’’ 
and inserting ‘‘the Centers for Disease Control and 
Prevention,’’; 
(ii) by striking ‘‘Administration develop’’ and 
inserting ‘‘Administration, develop’’; 
(iii) by striking ‘‘HIV or tuberculosis among sub-
stance abusers and individuals with mental illness’’ 
and inserting ‘‘HIV, hepatitis, tuberculosis, and other 
communicable diseases among individuals with mental 
or substance use disorders,’’; and 
(iv) by striking ‘‘illnesses’’ at the end and inserting 
‘‘diseases or disorders’’; 
(E) in paragraph (7), by striking ‘‘abuse utilizing anti- 
addiction medications, including methadone’’ and inserting 
‘‘use disorders, including services that utilize drugs or 
devices approved or cleared by the Food and Drug Adminis-
tration for the treatment of substance use disorders’’; 
(F) in paragraph (8)— 
(i) by striking ‘‘Agency for Health Care Policy 
Research’’ and inserting ‘‘Agency for Healthcare 
Research and Quality’’; and 
(ii) by striking ‘‘treatment and prevention’’ and 
inserting ‘‘prevention and treatment’’; 
(G) in paragraph (9)— 
(i) by inserting ‘‘and maintenance’’ after ‘‘develop-
ment’’; 
(ii) by striking ‘‘Agency for Health Care Policy 
Research’’ and inserting ‘‘Agency for Healthcare 
Research and Quality’’; and
H. R. 34—173 
(iii) by striking ‘‘treatment and prevention serv-
ices’’ 
and 
inserting 
‘‘prevention, 
treatment, 
and 
recovery support services and are appropriately incor-
porated into programs carried out by the Administra-
tion’’; 
(H) in paragraph (10), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; 
(I) by striking paragraph (11) and inserting the fol-
lowing: 
‘‘(11) work with relevant agencies of the Department of 
Health and Human Services on integrating mental health pro-
motion and substance use disorder prevention with general 
health promotion and disease prevention and integrating 
mental and substance use disorders treatment services with 
physical health treatment services;’’; 
(J) in paragraph (13)— 
(i) in the matter preceding subparagraph (A), by 
striking ‘‘this title, assure that’’ and inserting ‘‘this 
title or part B of title XIX, or grant programs otherwise 
funded by the Administration’’; 
(ii) in subparagraph (A)— 
(I) by inserting ‘‘require that’’ before ‘‘all 
grants’’; and 
(II) by striking ‘‘and’’ at the end; 
(iii) by redesignating subparagraph (B) as subpara-
graph (C); 
(iv) by inserting after subparagraph (A) the fol-
lowing: 
‘‘(B) ensure that the director of each Center of the 
Administration consistently documents the application of 
criteria when awarding grants and the ongoing oversight 
of grantees after such grants are awarded;’’; 
(v) in subparagraph (C), as so redesignated— 
(I) by inserting ‘‘require that’’ before ‘‘all 
grants’’; and 
(II) in clause (ii), by inserting ‘‘and’’ after the 
semicolon at the end; and 
(vi) by adding at the end the following: 
‘‘(D) inform a State when any funds are awarded 
through such a grant to any entity within such State;’’; 
(K) in paragraph (16), by striking ‘‘abuse and mental 
health information’’ and inserting ‘‘use disorder informa-
tion, including evidence-based and promising best practices 
for prevention, treatment, and recovery support services 
for individuals with mental and substance use disorders,’’; 
(L) in paragraph (17)— 
(i) by striking ‘‘substance abuse’’ and inserting 
‘‘substance use disorder’’; and 
(ii) by striking ‘‘and’’ at the end; 
(M) in paragraph (18), by striking the period and 
inserting a semicolon; and 
(N) by adding at the end the following: 
‘‘(19) consult with State, local, and tribal governments, 
nongovernmental entities, and individuals with mental illness, 
particularly adults with a serious mental illness, children with 
a serious emotional disturbance, and the family members of
H. R. 34—174 
such adults and children, with respect to improving community- 
based and other mental health services; 
‘‘(20) collaborate with the Secretary of Defense and the 
Secretary of Veterans Affairs to improve the provision of mental 
and substance use disorder services provided by the Depart-
ment of Defense and the Department of Veterans Affairs to 
members of the Armed Forces, veterans, and the family mem-
bers of such members and veterans, including through the 
provision of services using the telehealth capabilities of the 
Department of Defense and the Department of Veterans Affairs; 
‘‘(21) collaborate with the heads of relevant Federal agen-
cies and departments, States, communities, and nongovern-
mental experts to improve mental and substance use disorders 
services for chronically homeless individuals, including by 
designing strategies to provide such services in supportive 
housing; 
‘‘(22) work with States and other stakeholders to develop 
and support activities to recruit and retain a workforce 
addressing mental and substance use disorders; 
‘‘(23) collaborate with the Attorney General and representa-
tives of the criminal justice system to improve mental and 
substance use disorders services for individuals who have been 
arrested or incarcerated; 
‘‘(24) after providing an opportunity for public input, set 
standards for grant programs under this title for mental and 
substance use disorders services and prevention programs, 
which standards may address— 
‘‘(A) the capacity of the grantee to implement the 
award; 
‘‘(B) requirements for the description of the program 
implementation approach; 
‘‘(C) the extent to which the grant plan submitted 
by the grantee as part of its application must explain 
how the grantee will reach the population of focus and 
provide a statement of need, which may include information 
on how the grantee will increase access to services and 
a description of measurable objectives for improving out-
comes; 
‘‘(D) the extent to which the grantee must collect and 
report on required performance measures; and 
‘‘(E) the extent to which the grantee is proposing to 
use evidence-based practices; and 
‘‘(25) advance, through existing programs, the use of 
performance metrics, including those based on the recommenda-
tions on performance metrics from the Assistant Secretary for 
Planning and Evaluation under section 6021(d) of the Helping 
Families in Mental Health Crisis Reform Act of 2016.’’; and 
(3) in subsection (m), by adding at the end the following: 
‘‘(4) EMERGENCY RESPONSE.—Amounts made available for 
carrying out this subsection shall remain available through 
the end of the fiscal year following the fiscal year for which 
such amounts are appropriated.’’. 
SEC. 6003. CHIEF MEDICAL OFFICER. 
Section 501 of the Public Health Service Act (42 U.S.C. 290aa), 
as amended by sections 6001 and 6002, is further amended—
H. R. 34—175 
(1) by redesignating subsections (g) through (j) and sub-
sections (k) through (o) as subsections (h) through (k) and 
subsections (m) through (q), respectively; 
(2) in subsection (e)(3)(C), by striking ‘‘subsection (k)’’ and 
inserting ‘‘subsection (m)’’; 
(3) in subsection (f)(2)(C)(iii), by striking ‘‘subsection (k)’’ 
and inserting ‘‘subsection (m)’’; and 
(4) by inserting after subsection (f) the following: 
‘‘(g) CHIEF MEDICAL OFFICER.— 
‘‘(1) IN
GENERAL.—The Assistant Secretary, with the 
approval of the Secretary, shall appoint a Chief Medical Officer 
to serve within the Administration. 
‘‘(2) ELIGIBLE CANDIDATES.—The Assistant Secretary shall 
select the Chief Medical Officer from among individuals who— 
‘‘(A) have a doctoral degree in medicine or osteopathic 
medicine; 
‘‘(B) have experience in the provision of mental or 
substance use disorder services; 
‘‘(C) have experience working with mental or substance 
use disorder programs; 
‘‘(D) have an understanding of biological, psychosocial, 
and pharmaceutical treatments of mental or substance use 
disorders; and 
‘‘(E) are licensed to practice medicine in one or more 
States. 
‘‘(3) DUTIES.—The Chief Medical Officer shall— 
‘‘(A) serve as a liaison between the Administration 
and providers of mental and substance use disorders 
prevention, treatment, and recovery services; 
‘‘(B) assist the Assistant Secretary in the evaluation, 
organization, integration, and coordination of programs 
operated by the Administration; 
‘‘(C) promote evidence-based and promising best prac-
tices, including culturally and linguistically appropriate 
practices, as appropriate, for the prevention and treatment 
of, and recovery from, mental and substance use disorders, 
including serious mental illness and serious emotional 
disturbances; 
‘‘(D) participate in regular strategic planning with the 
Administration; 
‘‘(E) coordinate with the Assistant Secretary for Plan-
ning and Evaluation to assess the use of performance 
metrics to evaluate activities within the Administration 
related to mental and substance use disorders; and 
‘‘(F) coordinate with the Assistant Secretary to ensure 
mental and substance use disorders grant programs within 
the 
Administration 
consistently 
utilize 
appropriate 
performance metrics and evaluation designs.’’. 
SEC. 6004. IMPROVING THE QUALITY OF BEHAVIORAL HEALTH PRO-
GRAMS. 
Section 505 of the Public Health Service Act (42 U.S.C. 290aa– 
4), as amended by section 6001(c), is amended— 
(1) by striking the section designation and heading and 
inserting the following:
H. R. 34—176 
‘‘SEC. 505. CENTER FOR BEHAVIORAL HEALTH STATISTICS AND 
QUALITY.’’; 
(2) by redesignating subsections (a) through (d) as sub-
sections (b) through (e), respectively; 
(3) before subsection (b), as redesignated by paragraph 
(2), by inserting the following: 
‘‘(a) IN GENERAL.—The Assistant Secretary shall maintain 
within 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 from among individuals with 
extensive experience and academic qualifications in research and 
analysis in behavioral health care or related fields.’’; 
(4) in subsection (b), as redesignated by paragraph (2)— 
(A) by redesignating paragraphs (1) and (2) as subpara-
graphs (A) and (B), respectively; 
(B) by striking ‘‘The Secretary, acting’’ and all that 
follows through ‘‘year on—’’ and inserting ‘‘The Director 
shall— 
‘‘(1) coordinate the Administration’s integrated data 
strategy, including by collecting data each year on—’’; 
(C) in the subparagraph (B), as redesignated by 
subparagraph (A), by striking ‘‘Assistant Secretary’’ and 
inserting ‘‘Director’’; and 
(D) by adding at the end the following new paragraphs: 
‘‘(2) provide statistical and analytical support for activities 
of the Administration; 
‘‘(3) recommend a core set of performance metrics to 
evaluate activities supported by the Administration; and 
‘‘(4) coordinate with the Assistant Secretary, the Assistant 
Secretary for Planning and Evaluation, and the Chief Medical 
Officer appointed under section 501(g), as appropriate, to 
improve the quality of services provided by programs of the 
Administration and the evaluation of activities carried out by 
the Administration.’’. 
(5) in subsection (c), as so redesignated— 
(A) by striking ‘‘With respect to the activities’’ and 
inserting ‘‘MENTAL HEALTH.—With respect to the activi-
ties’’; 
(B) by striking ‘‘Assistant Secretary’’ each place it 
appears and inserting ‘‘Director’’; and 
(C) by striking ‘‘subsection (a)’’ and inserting ‘‘sub-
section (b)(1)’’; 
(6) in subsection (d), as so redesignated— 
(A) by striking the subsection designation and all that 
follows through ‘‘With respect to the activities’’ and 
inserting the following: 
‘‘(d) SUBSTANCE ABUSE.— 
‘‘(1) IN GENERAL.—With respect to the activities’’; 
(B) in paragraph (1)— 
(i) in the matter before subparagraph (A)— 
(I) by striking ‘‘subsection (a)’’ and inserting 
‘‘subsection (b)(1)’’; and 
(II) by striking ‘‘Assistant Secretary’’ each 
place it appears and inserting ‘‘Director’’; and
H. R. 34—177 
(ii) in subparagraph (B), by inserting ‘‘in coordina-
tion with the Centers for Disease Control and Preven-
tion’’ before the semicolon at the end; and 
(C) in paragraph (2), by striking ‘‘ANNUAL SURVEYS’’ 
and inserting ‘‘ANNUAL SURVEYS; PUBLIC AVAILABILITY OF 
DATA.—Annual surveys’’; and 
(7) in subsection (e), as so redesignated— 
(A) by striking ‘‘After consultation’’ and inserting ‘‘CON-
SULTATION.—After consultation’’; and 
(B) by striking ‘‘Assistant Secretary shall develop’’ and 
inserting ‘‘Assistant Secretary shall use existing standards 
and best practices to develop’’. 
SEC. 6005. STRATEGIC PLAN. 
Section 501 of the Public Health Service Act (42 U.S.C. 290aa), 
as amended by sections 6001 through 6003, is further amended 
by inserting after subsection (k), as redesignated by section 6003, 
the following: 
‘‘(l) STRATEGIC PLAN.— 
‘‘(1) IN GENERAL.—Not later than September 30, 2018, and 
every 4 years thereafter, the Assistant Secretary shall develop 
and carry out a strategic plan in accordance with this subsection 
for the planning and operation of activities carried out by 
the Administration, including evidence-based programs. 
‘‘(2) COORDINATION.—In developing and carrying out the 
strategic plan under this subsection, the Assistant Secretary 
shall take into consideration the findings and recommendations 
of the Assistant Secretary for Planning and Evaluation under 
section 6021(d) of the Helping Families in Mental Health Crisis 
Reform Act of 2016 and the report of the Interdepartmental 
Serious Mental Illness Coordinating Committee under section 
6031 of such Act. 
‘‘(3) PUBLICATION OF PLAN.—Not later than September 30, 
2018, and every 4 years thereafter, the Assistant Secretary 
shall— 
‘‘(A) submit the strategic plan developed under para-
graph (1) to the Committee on Energy and Commerce and 
the Committee on Appropriations of the House of Rep-
resentatives and the Committee on Health, Education, 
Labor, and Pensions and the Committee on Appropriations 
of the Senate; and 
‘‘(B) post such plan on the Internet website of the 
Administration. 
‘‘(4) CONTENTS.—The strategic plan developed under para-
graph (1) shall— 
‘‘(A) identify strategic priorities, goals, and measurable 
objectives for mental and substance use disorders activities 
and programs operated and supported by the Administra-
tion, including priorities to prevent or eliminate the burden 
of mental and substance use disorders; 
‘‘(B) identify ways to improve the quality of services 
for individuals with mental and substance use disorders, 
and to reduce homelessness, arrest, incarceration, violence, 
including self-directed violence, and unnecessary hos-
pitalization of individuals with a mental or substance use 
disorder, including adults with a serious mental illness 
or children with a serious emotional disturbance;
H. R. 34—178 
‘‘(C) ensure that programs provide, as appropriate, 
access to effective and evidence-based prevention, diag-
nosis, intervention, treatment, and recovery services, 
including culturally and linguistically appropriate services, 
as appropriate, for individuals with a mental or substance 
use disorder; 
‘‘(D) identify opportunities to collaborate with the 
Health Resources and Services Administration to develop 
or improve— 
‘‘(i) initiatives to encourage individuals to pursue 
careers (especially in rural and underserved areas and 
with rural and underserved populations) as psychia-
trists, including child and adolescent psychiatrists, 
psychologists, psychiatric nurse practitioners, physi-
cian assistants, clinical social workers, certified peer 
support specialists, licensed professional counselors, or 
other licensed or certified mental health or substance 
use disorder professionals, including such professionals 
specializing in the diagnosis, evaluation, or treatment 
of adults with a serious mental illness or children 
with a serious emotional disturbance; and 
‘‘(ii) a strategy to improve the recruitment, 
training, and retention of a workforce for the treatment 
of individuals with mental or substance use disorders, 
or co-occurring disorders; 
‘‘(E) identify opportunities to improve collaboration 
with States, local governments, communities, and Indian 
tribes and tribal organizations (as such terms are defined 
in section 4 of the Indian Self-Determination and Education 
Assistance Act); and 
‘‘(F) specify a strategy to disseminate evidence-based 
and promising best practices related to prevention, diag-
nosis, early intervention, treatment, and recovery services 
related to mental illness, particularly for adults with a 
serious mental illness and children with a serious emo-
tional disturbance, and for individuals with a substance 
use disorder.’’. 
SEC. 
6006. 
BIENNIAL 
REPORT 
CONCERNING 
ACTIVITIES 
AND 
PROGRESS. 
(a) IN GENERAL.—Section 501 of the Public Health Service 
Act (42 U.S.C. 290aa), as so amended, is further amended by 
amending subsection (m), as redesignated by section 6003, to read 
as follows: 
‘‘(m) 
BIENNIAL
REPORT
CONCERNING
ACTIVITIES
AND 
PROGRESS.—Not later than September 30, 2020, and every 2 years 
thereafter, the Assistant Secretary shall prepare and submit to 
the Committee on Energy and Commerce and the Committee on 
Appropriations of the House of Representatives and the Committee 
on Health, Education, Labor, and Pensions and the Committee 
on Appropriations of the Senate, and post on the Internet website 
of the Administration, a report containing at a minimum— 
‘‘(1) a review of activities conducted or supported by the 
Administration, including progress toward strategic priorities, 
goals, and objectives identified in the strategic plan developed 
under subsection (l);
H. R. 34—179 
‘‘(2) an assessment of programs and activities carried out 
by the Assistant Secretary, including the extent to which pro-
grams and activities under this title and part B of title XIX 
meet identified goals and performance measures developed for 
the respective programs and activities; 
‘‘(3) a description of the progress made in addressing gaps 
in mental and substance use disorders prevention, treatment, 
and recovery services and improving outcomes by the Adminis-
tration, including with respect to serious mental illnesses, 
serious emotional disturbances, and co-occurring disorders; 
‘‘(4) a description of the manner in which the Administra-
tion coordinates and partners with other Federal agencies and 
departments related to mental and substance use disorders, 
including activities related to— 
‘‘(A) the implementation and dissemination of research 
findings into improved programs, including with respect 
to how advances in serious mental illness and serious emo-
tional disturbance research have been incorporated into 
programs; 
‘‘(B) the recruitment, training, and retention of a 
mental and substance use disorders workforce; 
‘‘(C) the integration of mental disorder services, sub-
stance use disorder services, and physical health services; 
‘‘(D) homelessness; and 
‘‘(E) veterans; 
‘‘(5) a description of the manner in which the Administra-
tion promotes coordination by grantees under this title, and 
part B of title XIX, with State or local agencies; and 
‘‘(6) a description of the activities carried out under section 
501A(e), with respect to mental and substance use disorders, 
including— 
‘‘(A) the number and a description of grants awarded; 
‘‘(B) the total amount of funding for grants awarded; 
‘‘(C) a description of the activities supported through 
such grants, including outcomes of programs supported; 
and 
‘‘(D) information on how the National Mental Health 
and Substance Use Policy Laboratory is consulting with 
the Assistant Secretary for Planning and Evaluation and 
collaborating with the Center for Substance Abuse Treat-
ment, the Center for Substance Abuse Prevention, the 
Center for Behavioral Health Statistics and Quality, and 
the Center for Mental Health Services to carry out such 
activities; and 
‘‘(7) recommendations made by the Assistant Secretary for 
Planning and Evaluation under section 6021 of the Helping 
Families in Mental Health Crisis Reform Act of 2016 to improve 
programs within the Administration, and actions taken in 
response to such recommendations to improve programs within 
the Administration. 
The Assistant Secretary may meet reporting requirements estab-
lished under this title by providing the contents of such reports 
as an addendum to the biennial report established under this sub-
section, notwithstanding the timeline of other reporting require-
ments in this title. Nothing in this subsection shall be construed 
to alter the content requirements of such reports or authorize 
the Assistant Secretary to alter the timeline of any such reports
H. R. 34—180 
to be less frequent than biennially, unless as specified in this 
title.’’. 
(b) CONFORMING AMENDMENT.—Section 508(p) of the Public 
Health Service Act (42 U.S.C. 290bb–1(p)) is amended by striking 
‘‘section 501(k)’’ and inserting ‘‘section 501(m)’’. 
SEC. 6007. AUTHORITIES OF CENTERS FOR MENTAL HEALTH SERV-
ICES, SUBSTANCE ABUSE PREVENTION, AND SUBSTANCE 
ABUSE TREATMENT. 
(a) CENTER FOR MENTAL HEALTH SERVICES.—Section 520(b) 
of the Public Health Service Act (42 U.S.C. 290bb–31(b)) is 
amended— 
(1) by redesignating paragraphs (3) through (15) as para-
graphs (4) through (16), respectively; 
(2) by inserting after paragraph (2) the following: 
‘‘(3) collaborate with the Director of the National Institute 
of Mental Health and the Chief Medical Officer, appointed 
under section 501(g), to ensure that, as appropriate, programs 
related to the prevention and treatment of mental illness and 
the promotion of mental health and recovery support are carried 
out in a manner that reflects the best available science and 
evidence-based practices, including culturally and linguistically 
appropriate services, as appropriate;’’; 
(3) in paragraph (5), as so redesignated, by inserting ‘‘, 
including through programs that reduce risk and promote resil-
iency’’ before the semicolon; 
(4) in paragraph (6), as so redesignated, by inserting ‘‘in 
collaboration with the Director of the National Institute of 
Mental Health,’’ before ‘‘develop’’; 
(5) in paragraph (8), as so redesignated, by inserting ‘‘, 
increase meaningful participation of individuals with mental 
illness in programs and activities of the Administration,’’ before 
‘‘and protect the legal’’; 
(6) in paragraph (10), as so redesignated, by striking 
‘‘professional and paraprofessional personnel pursuant to sec-
tion 303’’ and inserting ‘‘health paraprofessional personnel and 
health professionals’’; 
(7) in paragraph (11), as so redesignated, by inserting 
‘‘and tele-mental health’’ after ‘‘rural mental health’’; 
(8) in paragraph (12), as so redesignated, by striking ‘‘estab-
lish a clearinghouse for mental health information to assure 
the widespread dissemination of such information’’ and 
inserting ‘‘disseminate mental health information, including 
evidence-based practices,’’; 
(9) in paragraph (15), as so redesignated, by striking ‘‘and’’ 
at the end; 
(10) in paragraph (16), as so redesignated, by striking 
the period and inserting ‘‘; and’’; and 
(11) by adding at the end the following: 
‘‘(17) ensure the consistent documentation of the application 
of criteria when awarding grants and the ongoing oversight 
of grantees after such grants are awarded.’’. 
(b) DIRECTOR OF THE CENTER FOR SUBSTANCE ABUSE PREVEN-
TION.—Section 515 of the Public Health Service Act (42 U.S.C. 
290bb–21) is amended— 
(1) in the section heading, by striking ‘‘OFFICE’’ and 
inserting ‘‘CENTER’’;
H. R. 34—181 
(2) in subsection (a)— 
(A) by striking ‘‘an Office’’ and inserting ‘‘a Center’’; 
and 
(B) by striking ‘‘The Office’’ and inserting ‘‘The Preven-
tion Center’’; and 
(3) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘through the reduc-
tion of risk and the promotion of resiliency’’ before the 
semicolon; 
(B) by redesignating paragraphs (3) through (11) as 
paragraphs (4) through (12), respectively; 
(C) by inserting after paragraph (2) the following: 
‘‘(3) collaborate with the Director of the National Institute 
on Drug Abuse, the Director of the National Institute on Alcohol 
Abuse and Alcoholism, and States to promote the study of 
substance abuse prevention and the dissemination and 
implementation of research findings that will improve the 
delivery and effectiveness of substance abuse prevention activi-
ties;’’; 
(D) in paragraph (4), as so redesignated, by striking 
‘‘literature on the adverse effects of cocaine free base 
(known as crack)’’ and inserting ‘‘educational information 
on the effects of drugs abused by individuals, including 
drugs that are emerging as abused drugs’’; 
(E) in paragraph (6), as so redesignated— 
(i) by striking ‘‘substance abuse counselors’’ and 
inserting ‘‘health professionals who provide substance 
use and misuse prevention and treatment services’’; 
and 
(ii) by striking ‘‘drug abuse education, prevention,’’ 
and inserting ‘‘illicit drug use education and preven-
tion’’; 
(F) by amending paragraph (7), as so redesignated, 
to read as follows: 
‘‘(7) in cooperation with the Director of the Centers for 
Disease Control and Prevention, develop and disseminate edu-
cational materials to increase awareness for individuals at 
greatest risk for substance use disorders to prevent the trans-
mission of communicable diseases, such as HIV, hepatitis, 
tuberculosis, and other communicable diseases;’’; 
(G) in paragraph (9), as so redesignated— 
(i) by striking ‘‘to discourage’’ and inserting ‘‘that 
reduce the risk of’’; and 
(ii) by inserting before the semicolon ‘‘and promote 
resiliency’’; 
(H) in paragraph (11), as so redesignated, by striking 
‘‘and’’ after the semicolon; 
(I) in paragraph (12), as so redesignated, by striking 
the period and inserting a semicolon; and 
(J) by adding at the end the following: 
‘‘(13) ensure the consistent documentation of the application 
of criteria when awarding grants and the ongoing oversight 
of grantees after such grants are awarded; and 
‘‘(14) assist and support States in preventing illicit drug 
use, including emerging illicit drug use issues.’’.
H. R. 34—182 
(c) DIRECTOR OF THE CENTER FOR SUBSTANCE ABUSE TREAT-
MENT.—Section 507 of the Public Health Service Act (42 U.S.C. 
290bb) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘treatment of substance abuse’’ and 
inserting ‘‘treatment of substance use disorders’’; and 
(B) by striking ‘‘abuse treatment systems’’ and 
inserting ‘‘use disorder treatment systems’’; and 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; 
(B) in paragraph (3), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; 
(C) in paragraph (4), by striking ‘‘individuals who abuse 
drugs’’ and inserting ‘‘individuals who illicitly use drugs’’; 
(D) in paragraph (9), by striking ‘‘carried out by the 
Director’’; 
(E) by striking paragraph (10); 
(F) by redesignating paragraphs (11) through (14) as 
paragraphs (10) through (13), respectively; 
(G) in paragraph (12), as so redesignated, by striking 
‘‘; and’’ and inserting a semicolon; and 
(H) by striking paragraph (13), as so redesignated, 
and inserting the following: 
‘‘(13) ensure the consistent documentation of the application 
of criteria when awarding grants and the ongoing oversight 
of grantees after such grants are awarded; and 
‘‘(14) work with States, providers, and individuals in 
recovery, and their families, to promote the expansion of 
recovery support services and systems of care oriented toward 
recovery.’’. 
SEC. 6008. ADVISORY COUNCILS. 
Section 502(b) of the Public Health Service Act (42 U.S.C. 
290aa–1(b)) is amended— 
(1) in paragraph (2)— 
(A) in subparagraph (E), by striking ‘‘and’’ after the 
semicolon; 
(B) by redesignating subparagraph (F) as subparagraph 
(J); and 
(C) by inserting after subparagraph (E), the following: 
‘‘(F) the Chief Medical Officer, appointed under section 
501(g); 
‘‘(G) the Director of the National Institute of Mental 
Health for the advisory councils appointed under sub-
sections (a)(1)(A) and (a)(1)(D); 
‘‘(H) the Director of the National Institute on Drug 
Abuse for the advisory councils appointed under sub-
sections (a)(1)(A), (a)(1)(B), and (a)(1)(C); 
‘‘(I) the Director of the National Institute on Alcohol 
Abuse and Alcoholism for the advisory councils appointed 
under subsections (a)(1)(A), (a)(1)(B), and (a)(1)(C); and’’; 
and 
(2) in paragraph (3), by adding at the end the following: 
‘‘(C) Not less than half of the members of the advisory 
council appointed under subsection (a)(1)(D)— 
‘‘(i) shall—
H. R. 34—183 
‘‘(I) have a medical degree; 
‘‘(II) have a doctoral degree in psychology; or 
‘‘(III) have an advanced degree in nursing or 
social work from an accredited graduate school 
or be a certified physician assistant; and 
‘‘(ii) shall specialize in the mental health field. 
‘‘(D) Not less than half of the members of the advisory 
councils 
appointed 
under 
subsections 
(a)(1)(B) 
and 
(a)(1)(C)— 
‘‘(i) shall— 
‘‘(I) have a medical degree; 
‘‘(II) have a doctoral degree; or 
‘‘(III) have an advanced degree in nursing, 
public health, behavioral or social sciences, or 
social work from an accredited graduate school 
or be a certified physician assistant; and 
‘‘(ii) shall have experience in the provision of sub-
stance use disorder services or the development and 
implementation of programs to prevent substance 
misuse.’’. 
SEC. 6009. PEER REVIEW. 
Section 504(b) of the Public Health Service Act (42 U.S.C. 
290aa–3(b)) is amended by adding at the end the following: ‘‘In 
the case of any such peer review group that is reviewing a grant, 
cooperative agreement, or contract related to mental illness treat-
ment, not less than half of the members of such peer review group 
shall be licensed and experienced professionals in the prevention, 
diagnosis, or treatment of, or recovery from, mental illness or co- 
occurring mental illness and substance use disorders and have 
a medical degree, a doctoral degree in psychology, or an advanced 
degree in nursing or social work from an accredited program, and 
the Secretary, in consultation with the Assistant Secretary, shall, 
to the extent possible, ensure such peer review groups include 
broad geographic representation, including both urban and rural 
representatives.’’. 
Subtitle B—Oversight and Accountability 
SEC. 6021. IMPROVING OVERSIGHT OF MENTAL AND SUBSTANCE USE 
DISORDERS PROGRAMS THROUGH THE ASSISTANT SEC-
RETARY FOR PLANNING AND EVALUATION. 
(a) IN GENERAL.—The Secretary of Health and Human Services, 
acting through the Assistant Secretary for Planning and Evaluation, 
shall ensure efficient and effective planning and evaluation of 
mental and substance use disorders prevention and treatment pro-
grams and related activities. 
(b) EVALUATION STRATEGY.—In carrying out subsection (a), the 
Assistant Secretary for Planning and Evaluation shall, not later 
than 180 days after the date of enactment of this Act, develop 
a strategy for conducting ongoing evaluations that identifies priority 
programs to be evaluated by the Assistant Secretary for Planning 
and Evaluation and priority programs to be evaluated by other 
relevant offices and agencies within the Department of Health 
and Human Services. The strategy shall—
H. R. 34—184 
(1) include a plan for evaluating programs related to mental 
and substance use disorders, including co-occurring disorders, 
across agencies, as appropriate, including programs related to— 
(A) prevention, intervention, treatment, and recovery 
support services, including such services for adults with 
a serious mental illness or children with a serious emo-
tional disturbance; 
(B) the reduction of homelessness and incarceration 
among individuals with a mental or substance use disorder; 
and 
(C) public health and health services; and 
(2) include a plan for assessing the use of performance 
metrics to evaluate activities carried out by entities receiving 
grants, contracts, or cooperative agreements related to mental 
and substance use disorders prevention and treatment services 
under title V or title XIX of the Public Health Service Act 
(42 U.S.C. 290aa et seq.; 42 U.S.C. 300w et seq.). 
(c) CONSULTATION.—In carrying out this section, the Assistant 
Secretary for Planning and Evaluation shall consult, as appropriate, 
with the Assistant Secretary for Mental Health and Substance 
Use, the Chief Medical Officer of the Substance Abuse and Mental 
Health Services Administration appointed under section 501(g) of 
the Public Health Service Act (42 U.S.C. 290aa(g)), as amended 
by section 6003, the Behavioral Health Coordinating Council of 
the Department of Health and Human Services, other agencies 
within the Department of Health and Human Services, and other 
relevant Federal departments and agencies. 
(d) RECOMMENDATIONS.—In carrying out this section, the 
Assistant Secretary for Planning and Evaluation shall provide rec-
ommendations to the Secretary of Health and Human Services, 
the Assistant Secretary for Mental Health and Substance Use, 
and the Congress on improving the quality of prevention and treat-
ment programs and activities related to mental and substance use 
disorders, including recommendations for the use of performance 
metrics. The Assistant Secretary for Mental Health and Substance 
Use shall include such recommendations in the biennial report 
required by subsection 501(m) of the Public Health Service Act, 
as redesignated by section 6003 of this Act. 
SEC. 6022. REPORTING FOR PROTECTION AND ADVOCACY ORGANIZA-
TIONS. 
(a) PUBLIC AVAILABILITY OF REPORTS.—Section 105(a)(7) of the 
Protection and Advocacy for Individuals with Mental Illness Act 
(42 U.S.C. 10805(a)(7)) is amended by striking ‘‘is located a report’’ 
and inserting ‘‘is located, and make publicly available, a report’’. 
(b) DETAILED ACCOUNTING.—Section 114(a) of the Protection 
and Advocacy for Individuals with Mental Illness Act (42 U.S.C. 
10824(a)) is amended— 
(1) in paragraph (3), by striking ‘‘and’’ at the end; 
(2) in paragraph (4), by striking the period at the end 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(5) using data from the existing required annual program 
progress reports submitted by each system funded under this 
title, a detailed accounting for each such system of how funds 
are spent, disaggregated according to whether the funds were
H. R. 34—185 
received from the Federal Government, the State government, 
a local government, or a private entity.’’. 
SEC. 6023. GAO STUDY. 
(a) IN GENERAL.—Not later than 18 months 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 and the Assistant Secretary for Mental Health and Sub-
stance Use, shall conduct an independent evaluation, and submit 
a report, to the Committee on Health, Education, Labor, and Pen-
sions of the Senate and the Committee on Energy and Commerce 
of the House of Representatives, on programs funded by allotments 
made under title I of the Protection and Advocacy for Individuals 
with Mental Illness Act (42 U.S.C. 10801 et seq.). 
(b) CONTENTS.—The report and evaluation required under sub-
section (a) shall include— 
(1) a review of the programs described in such subsection 
that are carried out by State agencies and such programs 
that are carried out by private, nonprofit organizations; and 
(2) a review of the compliance of the programs described 
in subsection (a) with statutory and regulatory responsibilities, 
such as— 
(A) responsibilities relating to family engagement; 
(B) responsibilities relating to the grievance procedure 
for clients or prospective clients of the system to assure 
that individuals with mental illness have full access to 
the services of the system, for individuals who have 
received or are receiving mental health services, and for 
family members of such individuals with mental illness, 
or representatives of such individuals or family members, 
to assure that the eligible system is operating in compliance 
with the provisions of the Protection and Advocacy for 
Individuals with Mental Illness Act, as required to be estab-
lished by section 105(a)(9) of such Act (42 U.S.C. 
10805(a)(9)); 
(C) investigation of alleged abuse and neglect of per-
sons with mental illness; 
(D) availability of adequate medical and behavioral 
health treatment; 
(E) denial of rights for persons with mental illness; 
and 
(F) compliance with the Federal prohibition on lob-
bying. 
Subtitle C—Interdepartmental Serious 
Mental Illness Coordinating Committee 
SEC. 6031. INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS COORDI-
NATING COMMITTEE. 
(a) ESTABLISHMENT.— 
(1) IN GENERAL.—Not later than 3 months after the date 
of enactment of this Act, the Secretary of Health and Human 
Services, or the designee of the Secretary, shall establish a 
committee to be known as the Interdepartmental Serious 
Mental Illness Coordinating Committee (in this section referred 
to as the ‘‘Committee’’).
H. R. 34—186 
(2) FEDERAL ADVISORY COMMITTEE ACT.—Except as provided 
in this section, the provisions of the Federal Advisory Com-
mittee Act (5 U.S.C. App.) shall apply to the Committee. 
(b) MEETINGS.—The Committee shall meet not fewer than 2 
times each year. 
(c) RESPONSIBILITIES.—Not later than 1 year after the date 
of enactment of this Act, and 5 years after such date of enactment, 
the Committee shall submit to Congress and any other relevant 
Federal department or agency a report including— 
(1) a summary of advances in serious mental illness and 
serious emotional disturbance research related to the preven-
tion of, diagnosis of, intervention in, and treatment and 
recovery of serious mental illnesses, serious emotional disturb-
ances, and advances in access to services and support for adults 
with a serious mental illness or children with a serious emo-
tional disturbance; 
(2) an evaluation of the effect Federal programs related 
to serious mental illness have on public health, including public 
health outcomes such as— 
(A) rates of suicide, suicide attempts, incidence and 
prevalence of serious mental illnesses, serious emotional 
disturbances, and substance use disorders, overdose, over-
dose deaths, emergency hospitalizations, emergency room 
boarding, preventable emergency room visits, interaction 
with the criminal justice system, homelessness, and 
unemployment; 
(B) increased rates of employment and enrollment in 
educational and vocational programs; 
(C) quality of mental and substance use disorders treat-
ment services; or 
(D) any other criteria as may be determined by the 
Secretary; and 
(3) specific recommendations for actions that agencies can 
take to better coordinate the administration of mental health 
services for adults with a serious mental illness or children 
with a serious emotional disturbance. 
(d) COMMITTEE EXTENSION.—Upon the submission of the second 
report under subsection (c), the Secretary shall submit a rec-
ommendation to Congress on whether to extend the operation of 
the Committee. 
(e) MEMBERSHIP.— 
(1) FEDERAL MEMBERS.—The Committee shall be composed 
of the following Federal representatives, or the designees of 
such representatives— 
(A) the Secretary of Health and Human Services, who 
shall serve as the Chair of the Committee; 
(B) the Assistant Secretary for Mental Health and 
Substance Use; 
(C) the Attorney General; 
(D) the Secretary of Veterans Affairs; 
(E) the Secretary of Defense; 
(F) the Secretary of Housing and Urban Development; 
(G) the Secretary of Education; 
(H) the Secretary of Labor; 
(I) the Administrator of the Centers for Medicare & 
Medicaid Services; and 
(J) the Commissioner of Social Security.
H. R. 34—187 
(2) NON-FEDERAL
MEMBERS.—The Committee shall also 
include not less than 14 non-Federal public members appointed 
by the Secretary of Health and Human Services, of which— 
(A) at least 2 members shall be an individual who 
has received treatment for a diagnosis of a serious mental 
illness; 
(B) at least 1 member shall be a parent or legal 
guardian of an adult with a history of a serious mental 
illness or a child with a history of a serious emotional 
disturbance; 
(C) at least 1 member shall be a representative of 
a leading research, advocacy, or service organization for 
adults with a serious mental illness; 
(D) at least 2 members shall be— 
(i) a licensed psychiatrist with experience in 
treating serious mental illnesses; 
(ii) a licensed psychologist with experience in 
treating serious mental illnesses or serious emotional 
disturbances; 
(iii) a licensed clinical social worker with experi-
ence treating serious mental illnesses or serious emo-
tional disturbances; or 
(iv) a licensed psychiatric nurse, nurse practi-
tioner, or physician assistant with experience in 
treating serious mental illnesses or serious emotional 
disturbances; 
(E) at least 1 member shall be a licensed mental health 
professional with a specialty in treating children and 
adolescents with a serious emotional disturbance; 
(F) at least 1 member shall be a mental health profes-
sional who has research or clinical mental health experi-
ence in working with minorities; 
(G) at least 1 member shall be a mental health profes-
sional who has research or clinical mental health experi-
ence in working with medically underserved populations; 
(H) at least 1 member shall be a State certified mental 
health peer support specialist; 
(I) at least 1 member shall be a judge with experience 
in adjudicating cases related to criminal justice or serious 
mental illness; 
(J) at least 1 member shall be a law enforcement 
officer or corrections officer with extensive experience in 
interfacing with adults with a serious mental illness, chil-
dren with a serious emotional disturbance, or individuals 
in a mental health crisis; and 
(K) at least 1 member shall have experience providing 
services for homeless individuals and working with adults 
with a serious mental illness, children with a serious emo-
tional disturbance, or individuals in a mental health crisis. 
(3) TERMS.—A member of the Committee appointed under 
subsection (e)(2) shall serve for a term of 3 years, and may 
be reappointed for 1 or more additional 3-year terms. Any 
member appointed to fill a vacancy for an unexpired term 
shall be appointed for the remainder of such term. A member 
may serve after the expiration of the member’s term until 
a successor has been appointed.
H. R. 34—188 
(f) WORKING GROUPS.—In carrying out its functions, the Com-
mittee may establish working groups. Such working groups shall 
be composed of Committee members, or their designees, and may 
hold such meetings as are necessary. 
(g) SUNSET.—The Committee shall terminate on the date that 
is 6 years after the date on which the Committee is established 
under subsection (a)(1). 
TITLE 
VII—ENSURING 
MENTAL 
AND 
SUBSTANCE 
USE 
DISORDERS 
PRE-
VENTION, TREATMENT, AND RECOV-
ERY PROGRAMS KEEP PACE WITH 
SCIENCE AND TECHNOLOGY 
SEC. 7001. ENCOURAGING INNOVATION AND EVIDENCE-BASED PRO-
GRAMS. 
Title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by inserting after section 501 (42 U.S.C. 290aa) 
the following: 
‘‘SEC. 501A. NATIONAL MENTAL HEALTH AND SUBSTANCE USE POLICY 
LABORATORY. 
‘‘(a) IN
GENERAL.—There shall be established within the 
Administration a National Mental Health and Substance Use Policy 
Laboratory (referred to in this section as the ‘Laboratory’). 
‘‘(b) RESPONSIBILITIES.—The Laboratory shall— 
‘‘(1) continue to carry out the authorities and activities 
that were in effect for the Office of Policy, Planning, and Innova-
tion as such Office existed prior to the date of enactment 
of the Helping Families in Mental Health Crisis Reform Act 
of 2016; 
‘‘(2) identify, coordinate, and facilitate the implementation 
of policy changes likely to have a significant effect on mental 
health, mental illness, recovery supports, and the prevention 
and treatment of substance use disorder services; 
‘‘(3) work with the Center for Behavioral Health Statistics 
and Quality to collect, as appropriate, information from 
grantees under programs operated by the Administration in 
order to evaluate and disseminate information on evidence- 
based practices, including culturally and linguistically appro-
priate services, as appropriate, and service delivery models; 
‘‘(4) provide leadership in identifying and coordinating poli-
cies and programs, including evidence-based programs, related 
to mental and substance use disorders; 
‘‘(5) periodically review programs and activities operated 
by the Administration relating to the diagnosis or prevention 
of, treatment for, and recovery from, mental and substance 
use disorders to— 
‘‘(A) identify any such programs or activities that are 
duplicative; 
‘‘(B) identify any such programs or activities that are 
not evidence-based, effective, or efficient; and 
‘‘(C) formulate recommendations for coordinating, 
eliminating, or improving programs or activities identified
H. R. 34—189 
under subparagraph (A) or (B) and merging such programs 
or activities into other successful programs or activities; 
and 
‘‘(6) carry out other activities as deemed necessary to con-
tinue to encourage innovation and disseminate evidence-based 
programs and practices. 
‘‘(c) EVIDENCE-BASED
PRACTICES
AND
SERVICE
DELIVERY 
MODELS.— 
‘‘(1) IN GENERAL.—In carrying out subsection (b)(3), the 
Laboratory— 
‘‘(A) may give preference to models that improve— 
‘‘(i) the coordination between mental health and 
physical health providers; 
‘‘(ii) the coordination among such providers and 
the justice and corrections system; and 
‘‘(iii) the cost effectiveness, quality, effectiveness, 
and efficiency of health care services furnished to 
adults with a serious mental illness, children with 
a serious emotional disturbance, or individuals in a 
mental health crisis; and 
‘‘(B) may include clinical protocols and practices that 
address the needs of individuals with early serious mental 
illness. 
‘‘(2) CONSULTATION.—In carrying out this section, the Lab-
oratory shall consult with— 
‘‘(A) the Chief Medical Officer appointed under section 
501(g); 
‘‘(B) representatives of the National Institute of Mental 
Health, the National Institute on Drug Abuse, and the 
National Institute on Alcohol Abuse and Alcoholism, on 
an ongoing basis; 
‘‘(C) other appropriate Federal agencies; 
‘‘(D) clinical and analytical experts with expertise in 
psychiatric medical care and clinical psychological care, 
health care management, education, corrections health 
care, and mental health court systems, as appropriate; 
and 
‘‘(E) other individuals and agencies as determined 
appropriate by the Assistant Secretary. 
‘‘(d) DEADLINE FOR BEGINNING IMPLEMENTATION.—The Labora-
tory shall begin implementation of this section not later than 
January 1, 2018. 
‘‘(e) PROMOTING INNOVATION.— 
‘‘(1) IN GENERAL.—The Assistant Secretary, in coordination 
with the Laboratory, may award grants to States, local govern-
ments, Indian tribes or tribal organizations (as such terms 
are defined in section 4 of the Indian Self-Determination and 
Education Assistance Act), educational institutions, and non-
profit organizations to develop evidence-based interventions, 
including culturally and linguistically appropriate services, as 
appropriate, for— 
‘‘(A) evaluating a model that has been scientifically 
demonstrated to show promise, but would benefit from 
further applied development, for—
H. R. 34—190 
‘‘(i) enhancing the prevention, diagnosis, interven-
tion, and treatment of, and recovery from, mental ill-
ness, serious emotional disturbances, substance use 
disorders, and co-occurring illness or disorders; or 
‘‘(ii) integrating or coordinating physical health 
services and mental and substance use disorders serv-
ices; and 
‘‘(B) expanding, replicating, or scaling evidence-based 
programs across a wider area to enhance effective 
screening, early diagnosis, intervention, and treatment 
with respect to mental illness, serious mental illness, 
serious emotional disturbances, and substance use dis-
orders, primarily by— 
‘‘(i) applying such evidence-based programs to the 
delivery of care, including by training staff in effective 
evidence-based treatments; or 
‘‘(ii) integrating such evidence-based programs into 
models of care across specialties and jurisdictions. 
‘‘(2) CONSULTATION.—In awarding grants under this sub-
section, the Assistant Secretary shall, as appropriate, consult 
with the Chief Medical Officer, appointed under section 501(g), 
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. 7002. PROMOTING ACCESS TO INFORMATION ON EVIDENCE- 
BASED PROGRAMS AND PRACTICES. 
Part D of title V of the Public Health Service Act (42 U.S.C. 
290dd et seq.) is amended by inserting after section 543 of such 
Act (42 U.S.C. 290dd–2) the following: 
‘‘SEC. 543A. PROMOTING ACCESS TO INFORMATION ON EVIDENCE- 
BASED PROGRAMS AND PRACTICES. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall, as appro-
priate, improve 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 Inter-
net website of the Administration information on evidence-based 
programs and practices that have been reviewed by the Assistant 
Secretary in accordance with the requirements of this section. 
‘‘(b) APPLICATIONS.— 
‘‘(1) APPLICATION PERIOD.—In carrying out subsection (a), 
the Assistant Secretary may establish a period for the submis-
sion of applications for evidence-based programs and practices 
to be posted publicly in accordance with subsection (a). 
‘‘(2) NOTICE.—In establishing the application period under 
paragraph (1), the Assistant Secretary shall provide for the 
public notice of such application period in the Federal Register.
H. R. 34—191 
Such notice may solicit applications for evidence-based pro-
grams and practices to address gaps in information identified 
by the Assistant Secretary, the National Mental Health and 
Substance Use Policy Laboratory established under section 
501A, or the Assistant Secretary for Planning and Evaluation, 
including pursuant to the evaluation and recommendations 
under section 6021 of the Helping Families in Mental Health 
Crisis Reform Act of 2016 or priorities identified in the strategic 
plan under section 501(l). 
‘‘(c) REQUIREMENTS.—The Assistant Secretary may establish 
minimum requirements for the applications submitted under sub-
section (b), including applications related to the submission of 
research and evaluation. 
‘‘(d) REVIEW AND RATING.— 
‘‘(1) IN
GENERAL.—The Assistant Secretary shall review 
applications prior to public posting in accordance with sub-
section (a), and may prioritize the review of applications for 
evidence-based programs and practices that are related to topics 
included in the notice provided under subsection (b)(2). 
‘‘(2) SYSTEM.—In carrying out paragraph (1), the Assistant 
Secretary may utilize a rating and review system, which may 
include information on the strength of evidence associated with 
the evidence-based programs and practices and a rating of 
the methodological rigor of the research supporting the applica-
tions. 
‘‘(3) PUBLIC ACCESS TO METRICS AND RATING.—The Assistant 
Secretary shall make the metrics used to evaluate applications 
under this section, and any resulting ratings of such applica-
tions, publicly available.’’. 
SEC. 7003. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND 
NATIONAL SIGNIFICANCE. 
Section 520A of the Public Health Service Act (42 U.S.C. 290bb– 
32) is amended— 
(1) in subsection (a)— 
(A) in paragraph (4), by inserting before the period 
‘‘, which may include technical assistance centers’’; and 
(B) in the flush sentence following paragraph (4)— 
(i) by inserting ‘‘, contracts,’’ before ‘‘or cooperative 
agreements’’; and 
(ii) by striking ‘‘Indian tribes and tribal organiza-
tions’’ and inserting ‘‘Indian tribes or tribal organiza-
tions (as such terms are defined in section 4 of the 
Indian Self-Determination and Education Assistance 
Act), health facilities, or programs operated by or in 
accordance with a contract or grant with the Indian 
Health Service, or’’; and 
(2) by amending subsection (f) to read as follows: 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section $394,550,000 for each 
of fiscal years 2018 through 2022.’’. 
SEC. 7004. PRIORITY SUBSTANCE USE DISORDER TREATMENT NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 U.S.C. 290bb– 
2) is amended— 
(1) in subsection (a)—
H. R. 34—192 
(A) in the matter preceding paragraph (1), by striking 
‘‘abuse’’ and inserting ‘‘use disorder’’; 
(B) in paragraph (3), by inserting before the period 
‘‘that permit States, local governments, communities, and 
Indian tribes and tribal organizations (as the terms ‘Indian 
tribes’ and ‘tribal organizations’ are defined in section 4 
of the Indian Self-Determination and Education Assistance 
Act) to focus on emerging trends in substance abuse and 
co-occurrence of substance use disorders with mental illness 
or other conditions’’; and 
(C) in the flush sentence following paragraph (3)— 
(i) by inserting ‘‘, contracts,’’ before ‘‘or cooperative 
agreements’’; and 
(ii) by striking ‘‘Indian tribes and tribal organiza-
tions,’’ and inserting ‘‘Indian tribes or tribal organiza-
tions (as such terms are defined in section 4 of the 
Indian Self-Determination and Education Assistance 
Act), health facilities, or programs operated by or in 
accordance with a contract or grant with the Indian 
Health Service, or’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; and 
(B) in paragraph (2), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; 
(3) in subsection (e), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; and 
(4) in subsection (f), by striking ‘‘$300,000,000’’ and all 
that follows through the period and inserting ‘‘$333,806,000 
for each of fiscal years 2018 through 2022.’’. 
SEC. 7005. PRIORITY SUBSTANCE USE DISORDER PREVENTION NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 516 of the Public Health Service Act (42 U.S.C. 290bb– 
22) is amended— 
(1) in the section heading, by striking ‘‘ABUSE’’ and 
inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) in the matter preceding paragraph (1), by striking 
‘‘abuse’’ and inserting ‘‘use disorder’’; 
(B) in paragraph (3), by inserting before the period 
‘‘, including such programs that focus on emerging drug 
abuse issues’’; and 
(C) in the flush sentence following paragraph (3)— 
(i) by inserting ‘‘, contracts,’’ before ‘‘or cooperative 
agreements’’; and 
(ii) by striking ‘‘Indian tribes and tribal organiza-
tions,’’ and inserting ‘‘Indian tribes or tribal organiza-
tions (as such terms are defined in section 4 of the 
Indian Self-Determination and Education Assistance 
Act), health facilities, or programs operated by or in 
accordance with a contract or grant with the Indian 
Health Service,’’; 
(3) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; and 
(B) in paragraph (2)—
H. R. 34—193 
(i) in subparagraph (A), by striking ‘‘; and’’ at 
the end and inserting ‘‘;’’; 
(ii) in subparagraph (B)— 
(I) by striking ‘‘abuse’’ and inserting ‘‘use dis-
order’’; and 
(II) by striking the period and inserting ‘‘; 
and’’; and 
(iii) by adding at the end the following: 
‘‘(C) substance use disorder prevention among high- 
risk groups.’’; 
(4) in subsection (e), by striking ‘‘abuse’’ and inserting 
‘‘use disorder’’; and 
(5) in subsection (f), by striking ‘‘$300,000,000’’ and all 
that follows through the period and inserting ‘‘$211,148,000 
for each of fiscal years 2018 through 2022.’’. 
TITLE VIII—SUPPORTING STATE PRE-
VENTION 
ACTIVITIES 
AND 
RE-
SPONSES TO MENTAL HEALTH AND 
SUBSTANCE USE DISORDER NEEDS 
SEC. 8001. 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 para-
graphs (2) through (4), respectively; and 
(2) by inserting before paragraph (2) (as so redesignated) 
the following: 
‘‘(1) providing community mental health services for adults 
with a serious mental illness and children with a serious emo-
tional disturbance as defined in accordance with section 
1912(c);’’. 
(b) STATE PLAN.—Section 1912(b) of the Public Health Service 
Act (42 U.S.C. 300x–1(b)) is amended— 
(1) in paragraph (3), by redesignating subparagraphs (A) 
through (C) as clauses (i) through (iii), respectively, and 
realigning the margins accordingly; 
(2) by redesignating paragraphs (1) through (5) as subpara-
graphs (A) through (E), respectively, and realigning the margins 
accordingly; 
(3) in the matter preceding subparagraph (A) (as so redesig-
nated), by striking ‘‘With respect to’’ and all that follows 
through ‘‘are as follows:’’ and inserting ‘‘In accordance with 
subsection (a), a State shall submit to the Secretary a plan 
every two years that, at a minimum, includes each of the 
following:’’; 
(4) by inserting before subparagraph (A) (as so redesig-
nated) the following: 
‘‘(1) SYSTEM OF CARE.—A description of the State’s system 
of care that contains the following:’’; 
(5) by striking subparagraph (A) (as so redesignated) and 
inserting the following: 
‘‘(A) COMPREHENSIVE COMMUNITY-BASED HEALTH SYS-
TEMS.—The plan shall—
H. R. 34—194 
‘‘(i) identify the single State agency to be respon-
sible 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 respect to 
the grant; 
‘‘(ii) provide for an organized community-based 
system of care for individuals with mental illness, and 
describe available services and resources in a com-
prehensive system of care, including services for 
individuals with co-occurring disorders; 
‘‘(iii) include a description of the manner in which 
the State and local entities will coordinate services 
to maximize the efficiency, effectiveness, quality, and 
cost-effectiveness of services and programs to produce 
the best possible outcomes (including health services, 
rehabilitation services, employment services, housing 
services, educational services, substance use disorder 
services, legal services, law enforcement services, social 
services, child welfare services, medical and dental 
care services, and other support services to be provided 
with Federal, State, and local public and private 
resources) with other agencies to enable individuals 
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 pro-
motes evidence-based practices, including those evi-
dence-based programs that address the needs of 
individuals with early serious mental illness regardless 
of the age of the individual at onset, provide com-
prehensive individualized treatment, or integrate 
mental and physical health services; 
‘‘(v) include a description of case management serv-
ices; 
‘‘(vi) include a description of activities that seek 
to engage adults with a serious mental illness or chil-
dren with a serious emotional disturbance and their 
caregivers where appropriate in making health care 
decisions, including activities that enhance communica-
tion among individuals, families, caregivers, and treat-
ment providers; and 
‘‘(vii) as appropriate to, and reflective of, the uses 
the State proposes for the block grant funds, include— 
‘‘(I) a description of the activities intended to 
reduce hospitalizations and hospital stays using 
the block grant funds; 
‘‘(II) a description of the activities intended 
to reduce incidents of suicide using the block grant 
funds; 
‘‘(III) a description of how the State integrates 
mental health and primary care using the block 
grant funds, which may include providing, in the 
case of individuals with co-occurring mental and
H. R. 34—195 
substance use disorders, both mental and sub-
stance use disorders services in primary care set-
tings or arrangements to provide primary and spe-
cialty care services in community-based mental 
and substance use disorders settings; and 
‘‘(IV) a description of recovery and recovery 
support services for adults with a serious mental 
illness and children with a serious emotional 
disturbance.’’; 
(6) in subparagraph (B) (as so redesignated)— 
(A) by striking ‘‘The plan contains’’ and inserting ‘‘The 
plan shall contain’’; and 
(B) by striking ‘‘presents quantitative targets to be 
achieved in the implementation of the system described 
in paragraph (1)’’ and inserting ‘‘present quantitative tar-
gets and outcome measures for programs and services pro-
vided under this subpart’’; 
(7) in subparagraph (C) (as so redesignated)— 
(A) by striking ‘‘serious emotional disturbance’’ in the 
matter preceding clause (i) (as so redesignated) and all 
that follows through ‘‘substance abuse services’’ in clause 
(i) (as so redesignated) and inserting the following: ‘‘a 
serious emotional disturbance (as defined pursuant to sub-
section (c)), the plan shall provide for a system of integrated 
social services, educational services, child welfare services, 
juvenile justice services, law enforcement services, and sub-
stance use disorder services’’; 
(B) by striking ‘‘Education Act);’’ and inserting ‘‘Edu-
cation Act).’’; and 
(C) by striking clauses (ii) and (iii) (as so redesignated); 
(8) in subparagraph (D) (as so redesignated), by striking 
‘‘plan describes’’ and inserting ‘‘plan shall describe’’; 
(9) in subparagraph (E) (as so redesignated)— 
(A) in the subparagraph heading by striking ‘‘SYSTEMS’’ 
and inserting ‘‘SERVICES’’; 
(B) in the first sentence, by striking ‘‘plan describes’’ 
and all that follows through ‘‘and provides for’’ and 
inserting ‘‘plan shall describe the financial resources avail-
able, the existing mental health workforce, and the 
workforce trained in treating individuals with co-occurring 
mental and substance use disorders, and shall provide for’’; 
and 
(C) in the second sentence— 
(i) by striking ‘‘further describes’’ and inserting 
‘‘shall further describe’’; and 
(ii) by striking ‘‘involved.’’ and inserting ‘‘involved, 
and the manner in which the State intends to comply 
with each of the funding agreements in this subpart 
and subpart III.’’; 
(10) by striking the flush matter at the end; and 
(11) by adding at the end the following: 
‘‘(2) GOALS AND OBJECTIVES.—The establishment of 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.’’.
H. R. 34—196 
(c) EARLY SERIOUS MENTAL ILLNESS.—Section 1920 of the 
Public Health Service Act (42 U.S.C. 300x–9) is amended by adding 
at the end the following: 
‘‘(c) EARLY SERIOUS MENTAL ILLNESS.— 
‘‘(1) IN GENERAL.—Except as provided in paragraph (2), 
a State shall expend not less than 10 percent of the amount 
the State receives for carrying out this section for each fiscal 
year to support evidence-based programs that address the needs 
of individuals with early serious mental illness, including psy-
chotic disorders, regardless of the age of the individual at 
onset. 
‘‘(2) STATE FLEXIBILITY.—In lieu of expending 10 percent 
of the amount the State receives under this section for a fiscal 
year as required under paragraph (1), a State may elect to 
expend not less than 20 percent of such amount by the end 
of such succeeding fiscal year.’’. 
(d) ADDITIONAL PROVISIONS.—Section 1915(b) of the Public 
Health Service Act (42 U.S.C. 300x–4(b)) is amended— 
(1) in paragraph (3)— 
(A) by striking ‘‘The Secretary’’ and inserting the fol-
lowing: 
‘‘(A) IN GENERAL.—The Secretary’’; 
(B) by striking ‘‘paragraph (1) if’’ and inserting ‘‘para-
graph (1) in whole or in part if’’; 
(C) by striking ‘‘State justify the waiver.’’ and inserting 
‘‘State in the fiscal year involved or in the previous fiscal 
year justify the waiver’’; and 
(D) by adding at the end the following: 
‘‘(B) DATE CERTAIN FOR ACTION UPON REQUEST.—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 involved.’’; and 
(2) in paragraph (4)— 
(A) in subparagraph (A)— 
(i) by inserting after the subparagraph designation 
the following: ‘‘IN GENERAL.—’’; 
(ii) by striking ‘‘In making a grant’’ and inserting 
the following: 
‘‘(i) DETERMINATION.—In making a grant’’; and 
(iii) by inserting at the end the following: 
‘‘(ii) ALTERNATIVE.—A State that has failed to 
comply with paragraph (1) and would otherwise be 
subject to a reduction in the State’s allotment under 
section 1911 may, upon request by the State, in lieu 
of having the amount of the allotment under section 
1911 for the State reduced for the fiscal year of the 
grant, agree to comply with a negotiated agreement 
that is approved by the Secretary and carried out 
in accordance with guidelines issued by the Secretary. 
If a State fails to enter into or comply with a negotiated 
agreement, the Secretary may take action under this 
paragraph or the terms of the negotiated agreement.’’; 
and 
(B) in subparagraph (B)—
H. R. 34—197 
(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 amended— 
(1) in paragraph (1), by striking ‘‘1941’’ and inserting 
‘‘1942(a)’’; and 
(2) in paragraph (5), by striking ‘‘1915(b)(3)(B)’’ and 
inserting ‘‘1915(b)’’. 
(f) FUNDING.—Section 1920 of the Public Health Service Act 
(42 U.S.C. 300x–9) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘section 505’’ and inserting ‘‘section 
505(c)’’; and 
(B) by striking ‘‘$450,000,000’’ and all that follows 
through the period and inserting ‘‘$532,571,000 for each 
of fiscal years 2018 through 2022.’’; and 
(2) in subsection (b)(2) by striking ‘‘sections 505 and’’ and 
inserting ‘‘sections 505(c) and’’. 
SEC. 8002. SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK 
GRANT. 
(a) FORMULA GRANTS.—Section 1921(b) of the Public Health 
Service Act (42 U.S.C. 300x–21(b)) is amended— 
(1) by inserting ‘‘carrying out the plan developed in accord-
ance with section 1932(b) and for’’ after ‘‘for the purpose of’’; 
and 
(2) by striking ‘‘abuse’’ and inserting ‘‘use disorders’’. 
(b) OUTREACH
TO
PERSONS
WHO
INJECT
DRUGS.—Section 
1923(b) of the Public Health Service Act (42 U.S.C. 300x–23(b)) 
is amended— 
(1) in the subsection heading, by striking ‘‘REGARDING 
INTRAVENOUS SUBSTANCE ABUSE’’ and inserting ‘‘TO PERSONS 
WHO INJECT DRUGS’’; and 
(2) by striking ‘‘for intravenous drug abuse’’ and inserting 
‘‘for persons who inject drugs’’. 
(c) REQUIREMENTS
REGARDING
TUBERCULOSIS
AND
HUMAN 
IMMUNODEFICIENCY VIRUS.—Section 1924 of the Public Health 
Service Act (42 U.S.C. 300x–24) is amended— 
(1) in subsection (a)(1)— 
(A) in the matter preceding subparagraph (A), by 
striking ‘‘substance abuse’’ and inserting ‘‘substance use 
disorders’’; and 
(B) in subparagraph (A), by striking ‘‘such abuse’’ and 
inserting ‘‘such disorders’’; 
(2) in subsection (b)— 
(A) in paragraph (1)(A), by striking ‘‘substance abuse’’ 
and inserting ‘‘substance use disorders’’; 
(B) in paragraph (2), by inserting ‘‘and Prevention’’ 
after ‘‘Disease Control’’; 
(C) in paragraph (3)— 
(i) in the paragraph heading, by striking ‘‘ABUSE’’ 
and inserting ‘‘USE DISORDERS’’; and 
(ii) by striking ‘‘substance abuse’’ and inserting 
‘‘substance use disorders’’; and
H. R. 34—198 
(D) in paragraph (6)(B), by striking ‘‘substance abuse’’ 
and inserting ‘‘substance use disorders’’; 
(3) by striking subsection (d); and 
(4) by redesignating subsection (e) as subsection (d). 
(d) GROUP HOMES.—Section 1925 of the Public Health Service 
Act (42 U.S.C. 300x–25) is amended— 
(1) in the section heading, by striking ‘‘RECOVERING SUB-
STANCE ABUSERS’’ and inserting ‘‘PERSONS IN RECOVERY FROM 
SUBSTANCE USE DISORDERS’’; and 
(2) in subsection (a), in the matter preceding paragraph 
(1), by striking ‘‘recovering substance abusers’’ and inserting 
‘‘persons in recovery from substance use disorders’’. 
(e) ADDITIONAL
AGREEMENTS.—Section 1928 of the Public 
Health Service Act (42 U.S.C. 300x–28) is amended— 
(1) in subsection (a), by striking ‘‘(relative to fiscal year 
1992)’’; 
(2) by striking subsection (b) and inserting the following: 
‘‘(b) PROFESSIONAL DEVELOPMENT.—A funding agreement for 
a grant under section 1921 is that the State involved will ensure 
that prevention, treatment, and recovery personnel operating in 
the State’s substance use disorder prevention, treatment, and 
recovery systems have an opportunity to receive training, on an 
ongoing basis, concerning— 
‘‘(1) recent trends in substance use disorders in the State; 
‘‘(2) improved methods and evidence-based practices for 
providing substance use disorder prevention and treatment 
services; 
‘‘(3) performance-based accountability; 
‘‘(4) data collection and reporting requirements; and 
‘‘(5) any other matters that would serve to further improve 
the delivery of substance use disorder prevention and treatment 
services within the State.’’; and 
(3) in subsection (d)(1), by striking ‘‘substance abuse’’ and 
inserting ‘‘substance use disorders’’. 
(f) REPEAL.—Section 1929 of the Public Health Service Act 
(42 U.S.C. 300x–29) is repealed. 
(g) MAINTENANCE
OF EFFORT.—Section 1930 of the Public 
Health Service Act (42 U.S.C. 300x–30) is amended— 
(1) in subsection (c)(1), by striking ‘‘in the State justify 
the waiver’’ and inserting ‘‘exist in the State, or any part 
of the State, to justify the waiver’’; and 
(2) in subsection (d), by inserting at the end the following: 
‘‘(3) ALTERNATIVE.—A State that has failed to comply with 
this section and would otherwise be subject to a reduction 
in the State’s allotment under section 1921, may, upon request 
by the State, in lieu of having the State’s allotment under 
section 1921 reduced, agree to comply with a negotiated agree-
ment that is approved by the Secretary and carried out in 
accordance with guidelines issued by the Secretary. If a State 
fails to enter into or comply with a negotiated agreement, 
the Secretary may take action under this paragraph or the 
terms of the negotiated agreement.’’. 
(h) RESTRICTIONS ON EXPENDITURES.—Section 1931(b)(1) of the 
Public Health Service Act (42 U.S.C. 300x–31(b)(1)) is amended 
by striking ‘‘substance abuse’’ and inserting ‘‘substance use dis-
orders’’.
H. R. 34—199 
(i) APPLICATION.—Section 1932 of the Public Health Service 
Act (42 U.S.C. 300x–32) is amended— 
(1) in subsection (a)— 
(A) in the matter preceding paragraph (1), by striking 
‘‘subsections (c) and (d)(2)’’ and inserting ‘‘subsection (c)’’; 
and 
(B) in paragraph (5), by striking ‘‘the information 
required in section 1929, the information required in sec-
tion 1930(c)(2), and’’; 
(2) in subsection (b)— 
(A) by striking paragraph (1) and inserting the fol-
lowing: 
‘‘(1) IN GENERAL.—In order for a State to be in compliance 
with subsection (a)(6), the State shall submit to the Secretary 
a plan that, at a minimum, includes the following: 
‘‘(A) A description of the State’s system of care that— 
‘‘(i) identifies the single State agency responsible 
for the administration of the program, including any 
third party who administers substance use disorder 
services and is responsible for complying with the 
requirements of the grant; 
‘‘(ii) provides information on the need for substance 
use disorder prevention and treatment services in the 
State, including estimates on the number of individuals 
who need treatment, who are pregnant women, women 
with dependent children, individuals with a co-occur-
ring mental health and substance use disorder, persons 
who inject drugs, and persons who are experiencing 
homelessness; 
‘‘(iii) provides aggregate information on the 
number of individuals in treatment within the State, 
including the number of such individuals who are preg-
nant women, women with dependent children, individ-
uals with a co-occurring mental health and substance 
use disorder, persons who inject drugs, and persons 
who are experiencing homelessness; 
‘‘(iv) provides a description of the system that is 
available to provide services by modality, including 
the provision of recovery support services; 
‘‘(v) provides a description of the State’s com-
prehensive statewide prevention efforts, including the 
number of individuals being served in the system, tar-
get populations, and priority needs, and provides a 
description of the amount of funds from the prevention 
set-aside expended on primary prevention; 
‘‘(vi) provides a description of the financial 
resources available; 
‘‘(vii) describes the existing substance use disorders 
workforce and workforce trained in treating co-occur-
ring substance use and mental disorders; 
‘‘(viii) includes a description of how the State pro-
motes evidence-based practices; and 
‘‘(ix) describes how the State integrates substance 
use disorder services and primary health care, which 
in the case of those individuals with co-occurring 
mental health and substance use disorders may include
H. R. 34—200 
providing both mental health and substance use dis-
order services in primary care settings or providing 
primary and specialty care services in community- 
based mental health and substance use disorder service 
settings. 
‘‘(B) The establishment of 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. 
‘‘(C) A description of how the State will comply with 
each funding agreement for a grant under section 1921 
that is applicable to the State, including a description 
of the manner in which the State intends to expend grant 
funds.’’; and 
(B) in paragraph (2)— 
(i) 
in 
the 
paragraph 
heading, 
by 
striking 
‘‘AUTHORITY OF SECRETARY REGARDING MODIFICATIONS’’ 
and inserting ‘‘MODIFICATIONS’’; 
(ii) by striking ‘‘As a condition’’ and inserting the 
following: 
‘‘(A) AUTHORITY OF SECRETARY.—As a condition;’’; and 
(iii) by adding at the end the following: 
‘‘(B) STATE REQUEST FOR MODIFICATION.—If the State 
determines that a modification to such plan is necessary, 
the State may request the Secretary to approve the modi-
fication. Any such modification shall be in accordance with 
paragraph (1) and section 1941.’’; and 
(C) in paragraph (3), by inserting, ‘‘, including any 
modification under paragraph (2)’’ after ‘‘subsection (a)(6)’’; 
and 
(3) in subsection (e)(2), by striking ‘‘section 1922(c)’’ and 
inserting ‘‘section 1922(b)’’. 
(j) DEFINITIONS.—Section 1934 of the Public Health Service 
Act (42 U.S.C. 300x–34) is amended— 
(1) in paragraph (3), by striking ‘‘substance abuse’’ and 
inserting ‘‘substance use disorders’’; and 
(2) in paragraph (7), by striking ‘‘substance abuse’’ and 
inserting ‘‘substance use disorders’’. 
(k) FUNDING.—Section 1935 of the Public Health Service Act 
(42 U.S.C. 300x–35) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘section 505’’ and inserting ‘‘section 
505(d)’’; and 
(B) by striking ‘‘$2,000,000,000 for fiscal year 2001, 
and such sums as may be necessary for each of the fiscal 
years 2002 and 2003’’ and inserting ‘‘$1,858,079,000 for 
each of fiscal years 2018 through 2022.’’; and 
(2) in subsection (b)(1)(B) by striking ‘‘sections 505 and’’ 
and inserting ‘‘sections 505(d) and’’. 
SEC. 8003. ADDITIONAL PROVISIONS RELATED TO THE BLOCK GRANTS. 
Subpart III of part B of title XIX of the Public Health Service 
Act (42 U.S.C. 300x–51 et seq.) is amended— 
(1) in section 1943(a)(3) (42 U.S.C. 300x–53(a)(3)), by 
striking ‘‘section 505’’ and inserting ‘‘subsections (c) and (d) 
of section 505’’;
H. R. 34—201 
(2) in section 1953(b) (42 U.S.C. 300x–63(b)), by striking 
‘‘substance abuse’’ and inserting ‘‘substance use disorder’’; and 
(3) by adding at the end the following: 
‘‘SEC. 1957. PUBLIC HEALTH EMERGENCIES. 
‘‘In the case of a public health emergency (as determined under 
section 319), the Secretary, on a State by State basis, may, as 
the circumstances of the emergency reasonably require and for 
the period of the emergency, grant an extension, or waive applica-
tion deadlines or compliance with any other requirement, of a 
grant authorized under section 521, 1911, or 1921 or an allotment 
authorized under Public Law 99–319 (42 U.S.C. 10801 et seq.). 
‘‘SEC. 1958. JOINT APPLICATIONS. 
‘‘The Secretary, acting through the Assistant Secretary for 
Mental Health and Substance Use, shall permit a joint application 
to be submitted for grants under subpart I and subpart II upon 
the request of a State. Such application may be jointly reviewed 
and approved by the Secretary with respect to such subparts, con-
sistent with the purposes and authorized activities of each such 
grant program. A State submitting such a joint application shall 
otherwise meet the requirements with respect to each such sub-
part.’’. 
SEC. 8004. STUDY OF DISTRIBUTION OF FUNDS UNDER THE SUB-
STANCE ABUSE PREVENTION AND TREATMENT BLOCK 
GRANT AND THE COMMUNITY MENTAL HEALTH SERVICES 
BLOCK GRANT. 
(a) IN GENERAL.—The Secretary of Health and Human Services, 
acting through the Assistant Secretary for Mental Health and Sub-
stance Use, shall through a grant or contract, or through an agree-
ment with a third party, conduct a study on the formulas for 
distribution of funds under the substance abuse prevention and 
treatment block grant, and the community mental health services 
block grant, under part B of title XIX of the Public Health Service 
Act (42 U.S.C. 300x et seq.) and recommend changes if necessary. 
Such study shall include— 
(1) an analysis of whether the distributions under such 
block grants accurately reflect the need for the services under 
the grants in the States; 
(2) an examination of whether the indices used under the 
formulas for distribution of funds under such block grants 
are appropriate, and if not, alternatives recommended by the 
Secretary; 
(3) where recommendations are included under paragraph 
(2) for the use of different indices, a description of the variables 
and data sources that should be used to determine the indices; 
(4) an evaluation of the variables and data sources that 
are being used for each of the indices involved, and whether 
such variables and data sources accurately represent the need 
for services, the cost of providing services, and the ability 
of the States to pay for such services; 
(5) the effect that the minimum allotment requirements 
for each such block grant have on each State’s final allotment 
and the effect of such requirements, if any, on each State’s 
formula-based allotment;
H. R. 34—202 
(6) recommendations for modifications to the minimum 
allotment provisions to ensure an appropriate distribution of 
funds; and 
(7) any other information that the Secretary determines 
appropriate. 
(b) REPORT.—Not later than 2 years after the date of enactment 
of this Act, the Secretary of Health and Human Services shall 
submit to the Committee on Health, Education, Labor, and Pensions 
of the Senate and the Committee on Energy and Commerce of 
the House of Representatives, a report containing the findings 
and recommendations of the study conducted under subsection (a) 
and the study conducted under section 9004(g). 
TITLE 
IX—PROMOTING 
ACCESS 
TO 
MENTAL HEALTH AND SUBSTANCE 
USE DISORDER CARE 
Subtitle A—Helping Individuals and 
Families 
SEC. 9001. GRANTS FOR TREATMENT AND RECOVERY FOR HOMELESS 
INDIVIDUALS. 
Section 506 of the Public Health Service Act (42 U.S.C. 290aa– 
5) is amended— 
(1) in subsection (a), by striking ‘‘substance abuse’’ and 
inserting ‘‘substance use disorder’’; 
(2) in subsection (b)— 
(A) in paragraphs (1) and (3), by striking ‘‘substance 
abuse’’ each place the term appears and inserting ‘‘sub-
stance use disorder’’; and 
(B) in paragraph (4), by striking ‘‘substance abuse’’ 
and inserting ‘‘a substance use disorder’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘substance abuse dis-
order’’ and inserting ‘‘substance use disorder’’; and 
(B) in paragraph (2)— 
(i) in subparagraph (A), by striking ‘‘substance 
abuse’’ and inserting ‘‘a substance use disorder’’; and 
(ii) in subparagraph (B), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorder’’; and 
(4) in subsection (e), by striking ‘‘, $50,000,000 for fiscal 
year 2001, and such sums as may be necessary for each of 
the fiscal years 2002 and 2003’’ and inserting ‘‘$41,304,000 
for each of fiscal years 2018 through 2022’’. 
SEC. 9002. GRANTS FOR JAIL DIVERSION PROGRAMS. 
Section 520G of the Public Health Service Act (42 U.S.C. 290bb– 
38) is amended— 
(1) by striking ‘‘substance abuse’’ each place such term 
appears and inserting ‘‘substance use disorder’’; 
(2) in subsection (a)— 
(A) by striking ‘‘Indian tribes, and tribal organizations’’ 
and inserting ‘‘and Indian tribes and tribal organizations 
(as the terms ‘Indian tribes’ and ‘tribal organizations’ are
H. R. 34—203 
defined in section 4 of the Indian Self-Determination and 
Education Assistance Act)’’; and 
(B) by inserting ‘‘or a health facility or program oper-
ated by or in accordance with a contract or grant with 
the Indian Health Service,’’ after ‘‘entities,’’; 
(3) in subsection (c)(2)(A)(i), by striking ‘‘the best known’’ 
and inserting ‘‘evidence-based’’; 
(4) by redesignating subsections (d) through (i) as sub-
sections (e) through (j), respectively; 
(5) by inserting after subsection (c) the following: 
‘‘(d) 
SPECIAL
CONSIDERATION
REGARDING
VETERANS.—In 
awarding grants under subsection (a), the Secretary shall, as appro-
priate, give special consideration to entities proposing to use grant 
funding to support jail diversion services for veterans.’’; 
(6) in subsection (e), as so redesignated— 
(A) in paragraph (3), by striking ‘‘; and’’ and inserting 
a semicolon; 
(B) in paragraph (4), by striking the period and 
inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(5) develop programs to divert individuals prior to booking 
or arrest.’’; and 
(7) in subsection (j), as so redesignated, by striking 
‘‘$10,000,000 for fiscal year 2001, and such sums as may be 
necessary for fiscal years 2002 through 2003’’ and inserting 
‘‘$4,269,000 for each of fiscal years 2018 through 2022’’. 
SEC. 9003. PROMOTING INTEGRATION OF PRIMARY AND BEHAVIORAL 
HEALTH CARE. 
Section 520K of the Public Health Service Act (42 U.S.C. 290bb– 
42) is amended to read as follows: 
‘‘SEC. 520K. INTEGRATION INCENTIVE GRANTS AND COOPERATIVE 
AGREEMENTS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible entity’ means a 
State, or other appropriate State agency, in collaboration with 
1 or more qualified community programs as described in section 
1913(b)(1) or 1 or more community health centers as described 
in section 330. 
‘‘(2) INTEGRATED CARE.—The term ‘integrated care’ means 
collaborative models or practices offering mental and physical 
health services, which may include practices that share the 
same space in the same facility. 
‘‘(3) SPECIAL POPULATION.—The term ‘special population’ 
means— 
‘‘(A) adults with a mental illness who have co-occurring 
physical health conditions or chronic diseases; 
‘‘(B) adults with a serious mental illness who have 
co-occurring physical health conditions or chronic diseases; 
‘‘(C) children and adolescents with a serious emotional 
disturbance with co-occurring physical health conditions 
or chronic diseases; or 
‘‘(D) individuals with a substance use disorder. 
‘‘(b) GRANTS AND COOPERATIVE AGREEMENTS.— 
‘‘(1) IN GENERAL.—The Secretary may award grants and 
cooperative agreements to eligible entities to support the
H. R. 34—204 
improvement of integrated care for primary care and behavioral 
health care in accordance with paragraph (2). 
‘‘(2) PURPOSES.—A grant or cooperative agreement awarded 
under this section shall be designed to— 
‘‘(A) promote full integration and collaboration in clin-
ical practices between primary and behavioral health care; 
‘‘(B) support the improvement of integrated care models 
for primary care and behavioral health care to improve 
the overall wellness and physical health status of adults 
with a serious mental illness or children with a serious 
emotional disturbance; and 
‘‘(C) promote integrated care services related to 
screening, diagnosis, prevention, and treatment of mental 
and substance use disorders, and co-occurring physical 
health conditions and chronic diseases. 
‘‘(c) APPLICATIONS.— 
‘‘(1) IN GENERAL.—An eligible entity seeking a grant or 
cooperative agreement under this section shall submit an 
application to the Secretary at such time, in such manner, 
and accompanied by such information as the Secretary may 
require, including the contents described in paragraph (2). 
‘‘(2) CONTENTS.—The contents described in this paragraph 
are— 
‘‘(A) a description of a plan to achieve fully collaborative 
agreements to provide services to special populations; 
‘‘(B) a document that summarizes the policies, if any, 
that serve as barriers to the provision of integrated care, 
and the specific steps, if applicable, that will be taken 
to address such barriers; 
‘‘(C) a description of partnerships or other arrange-
ments with local health care providers to provide services 
to special populations; 
‘‘(D) an agreement and plan to report to the Secretary 
performance measures necessary to evaluate patient out-
comes and facilitate evaluations across participating 
projects; and 
‘‘(E) a plan for sustainability beyond the grant or 
cooperative agreement period under subsection (e). 
‘‘(d) GRANT AND COOPERATIVE AGREEMENT AMOUNTS.— 
‘‘(1) TARGET AMOUNT.—The target amount that an eligible 
entity may receive for a year through a grant or cooperative 
agreement under this section shall be $2,000,000. 
‘‘(2) ADJUSTMENT PERMITTED.—The Secretary, taking into 
consideration the quality of the application and the number 
of eligible entities that received grants under this section prior 
to the date of enactment of the Helping Families in Mental 
Health Crisis Reform Act of 2016, may adjust the target amount 
that an eligible entity may receive for a year through a grant 
or cooperative agreement under this section. 
‘‘(3) LIMITATION.—An eligible entity receiving funding 
under this section may not allocate more than 10 percent 
of funds awarded under this section to administrative functions, 
and the remaining amounts shall be allocated to health facilities 
that provide integrated care. 
‘‘(e) DURATION.—A grant or cooperative agreement under this 
section shall be for a period not to exceed 5 years.
H. R. 34—205 
‘‘(f) REPORT
ON
PROGRAM
OUTCOMES.—An eligible entity 
receiving a grant or cooperative agreement under this section shall 
submit an annual report to the Secretary that includes— 
‘‘(1) the progress made to reduce barriers to integrated 
care as described in the entity’s application under subsection 
(c); and 
‘‘(2) a description of functional outcomes of special popu-
lations, including— 
‘‘(A) with respect to adults with a serious mental ill-
ness, participation in supportive housing or independent 
living programs, attendance in social and rehabilitative 
programs, participation in job training opportunities, satis-
factory performance in work settings, attendance at sched-
uled medical and mental health appointments, and compli-
ance with prescribed medication regimes; 
‘‘(B) with respect to individuals with co-occurring 
mental illness and physical health conditions and chronic 
diseases, attendance at scheduled medical and mental 
health appointments, compliance with prescribed medica-
tion regimes, and participation in learning opportunities 
related to improved health and lifestyle practices; and 
‘‘(C) with respect to children and adolescents with a 
serious emotional disturbance who have co-occurring phys-
ical health conditions and chronic diseases, attendance at 
scheduled medical and mental health appointments, 
compliance with prescribed medication regimes, and 
participation in learning opportunities at school and extra-
curricular activities. 
‘‘(g) TECHNICAL ASSISTANCE FOR PRIMARY-BEHAVIORAL HEALTH 
CARE INTEGRATION.— 
‘‘(1) IN GENERAL.—The Secretary may provide appropriate 
information, training, and technical assistance to eligible enti-
ties that receive a grant or cooperative agreement under this 
section, in order to help such entities meet the requirements 
of this section, including assistance with— 
‘‘(A) development and selection of integrated care 
models; 
‘‘(B) dissemination of evidence-based interventions in 
integrated care; 
‘‘(C) establishment of organizational practices to sup-
port operational and administrative success; and 
‘‘(D) other activities, as the Secretary determines 
appropriate. 
‘‘(2) ADDITIONAL DISSEMINATION OF TECHNICAL INFORMA-
TION.—The information and resources provided by the Secretary 
under paragraph (1) shall, as appropriate, be made available 
to States, political subdivisions of States, Indian tribes or tribal 
organizations (as defined in section 4 of the Indian Self-Deter-
mination and Education Assistance Act), outpatient mental 
health and addiction treatment centers, community mental 
health centers that meet the criteria under section 1913(c), 
certified community behavioral health clinics described in sec-
tion 223 of the Protecting Access to Medicare Act of 2014, 
primary care organizations such as Federally qualified health 
centers or rural health clinics as defined in section 1861(aa)
H. R. 34—206 
of the Social Security Act, other community-based organiza-
tions, or other entities engaging in integrated care activities, 
as the Secretary determines appropriate. 
‘‘(h) AUTHORIZATION
OF APPROPRIATIONS.—To carry out this 
section, there are authorized to be appropriated $51,878,000 for 
each of fiscal years 2018 through 2022.’’. 
SEC. 9004. PROJECTS FOR ASSISTANCE IN TRANSITION FROM 
HOMELESSNESS. 
(a) FORMULA GRANTS TO STATES.—Section 521 of the Public 
Health Service Act (42 U.S.C. 290cc–21) is amended by striking 
‘‘1991 through 1994’’ and inserting ‘‘2018 through 2022’’. 
(b) PURPOSE OF GRANTS.—Section 522 of the Public Health 
Service Act (42 U.S.C. 290cc–22) is amended— 
(1) in subsection (a)(1)(B), by striking ‘‘substance abuse’’ 
and inserting ‘‘a substance use disorder’’; 
(2) in subsection (b)(6), by striking ‘‘substance abuse’’ and 
inserting ‘‘substance use disorder’’; 
(3) in subsection (c), by striking ‘‘substance abuse’’ and 
inserting ‘‘a substance use disorder’’; 
(4) in subsection (e)— 
(A) in paragraph (1), by striking ‘‘substance abuse’’ 
and inserting ‘‘a substance use disorder’’; and 
(B) in paragraph (2), by striking ‘‘substance abuse’’ 
and inserting ‘‘substance use disorder’’; 
(5) by striking subsection (g) and redesignating subsections 
(h) and (i) as (g) and (h), accordingly; and 
(6) in subsection (g), as redesignated by paragraph (5), 
by striking ‘‘substance abuse’’ each place such term appears 
and inserting ‘‘substance use disorder’’. 
(c) DESCRIPTION OF INTENDED EXPENDITURES OF GRANT.—Sec-
tion 527 of the Public Health Service Act (42 U.S.C. 290cc–27) 
is amended by striking ‘‘substance abuse’’ each place such term 
appears and inserting ‘‘substance use disorder’’. 
(d) TECHNICAL ASSISTANCE.—Section 530 of the Public Health 
Service Act (42 U.S.C. 290cc–30) is amended by striking ‘‘through 
the National Institute of Mental Health, the National Institute 
of Alcohol Abuse and Alcoholism, and the National Institute on 
Drug Abuse’’ and inserting ‘‘acting through the Assistant Secretary’’. 
(e) DEFINITIONS.—Section 534(4) of the Public Health Service 
Act (42 U.S.C. 290cc–34(4)) is amended to read as follows: 
‘‘(4) SUBSTANCE USE DISORDER SERVICES.—The term ‘sub-
stance use disorder services’ has the meaning given the term 
‘substance abuse services’ in section 330(h)(5)(C).’’. 
(f) FUNDING.—Section 535(a) of the Public Health Service Act 
(42 U.S.C. 290cc–35(a)) is amended by striking ‘‘$75,000,000 for 
each of the fiscal years 2001 through 2003’’ and inserting 
‘‘$64,635,000 for each of fiscal years 2018 through 2022’’. 
(g) STUDY CONCERNING FORMULA.— 
(1) IN GENERAL.—Not later than 2 years after the date 
of enactment of this Act, the Assistant Secretary for Mental 
Health and Substance Use (referred to in this section as the 
‘‘Assistant Secretary’’) shall conduct a study concerning the 
formula used under section 524 of the Public Health Service 
Act (42 U.S.C. 290cc–24) for making allotments to States under 
section 521 of such Act (42 U.S.C. 290cc–21). Such study shall 
include an evaluation of quality indicators of need for purposes
H. R. 34—207 
of revising the formula for determining the amount of each 
allotment for the fiscal years following the submission of the 
study. 
(2) REPORT.—In accordance with section 8004(b), the Assist-
ant Secretary shall submit to the committees of Congress 
described in such section a report concerning the results of 
the study conducted under paragraph (1). 
SEC. 9005. NATIONAL SUICIDE PREVENTION LIFELINE PROGRAM. 
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 inserting after 
section 520E–2 (42 U.S.C. 290bb–36b) the following: 
‘‘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 Reform Act of 
2016. 
‘‘(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 prevention and crisis inter-
vention 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 social services resources; 
and 
‘‘(3) consulting with the Secretary of Veterans Affairs to 
ensure that veterans calling the suicide prevention hotline have 
access to a specialized veterans’ suicide prevention hotline. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated $7,198,000 for each 
of fiscal years 2018 through 2022.’’. 
SEC. 9006. CONNECTING INDIVIDUALS AND FAMILIES WITH CARE. 
Subpart 3 of part B of title V of the Public Health Service 
Act (42 U.S.C. 290bb–31 et seq.), as amended by section 9005, 
is further amended by inserting after section 520E–3 the following: 
‘‘SEC. 520E–4. TREATMENT REFERRAL ROUTING SERVICE. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Assistant 
Secretary, shall maintain the National Treatment Referral Routing 
Service (referred to in this section as the ‘Routing Service’) to 
assist individuals and families in locating mental and substance 
use disorders treatment providers. 
‘‘(b) ACTIVITIES OF THE SECRETARY.—To maintain the Routing 
Service, the activities of the Assistant Secretary shall include 
administering— 
‘‘(1) a nationwide, telephone number providing year-round 
access to information that is updated on a regular basis 
regarding local behavioral health providers and community- 
based organizations in a manner that is confidential, without 
requiring individuals to identify themselves, is in languages 
that include at least English and Spanish, and is at no cost 
to the individual using the Routing Service; and
H. R. 34—208 
‘‘(2) an Internet website to provide a searchable, online 
treatment services locator of behavioral health treatment pro-
viders and community-based organizations, which shall include 
information on the name, location, contact information, and 
basic services provided by such providers and organizations. 
‘‘(c) REMOVING PRACTITIONER CONTACT INFORMATION.—In the 
event that the Internet website described in subsection (b)(2) con-
tains information on any qualified practitioner that is certified 
to prescribe medication for opioid dependency under section 
303(g)(2)(B) of the Controlled Substances Act, the Assistant Sec-
retary— 
‘‘(1) shall provide an opportunity to such practitioner to 
have the contact information of the practitioner removed from 
the website at the request of the practitioner; and 
‘‘(2) may evaluate other methods to periodically update 
the information displayed on such website. 
‘‘(d) RULE OF CONSTRUCTION.—Nothing in this section shall 
be construed to prevent the Assistant Secretary from using any 
unobligated amounts otherwise made available to the Administra-
tion to maintain the Routing Service.’’. 
SEC. 9007. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS. 
Section 520F of the Public Health Service Act (42 U.S.C. 290bb– 
37) is amended to read as follows: 
‘‘SEC. 520F. STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS. 
‘‘(a) IN
GENERAL.—The Secretary shall award competitive 
grants to— 
‘‘(1) State and local governments and Indian tribes and 
tribal organizations, to enhance community-based crisis 
response systems; or 
‘‘(2) States to develop, maintain, or enhance a database 
of beds at inpatient psychiatric facilities, crisis stabilization 
units, and residential community mental health and residential 
substance use disorder treatment facilities, for adults with a 
serious mental illness, children with a serious emotional 
disturbance, or individuals with a substance use disorder. 
‘‘(b) APPLICATIONS.— 
‘‘(1) IN GENERAL.—To receive a grant under subsection (a), 
an entity shall submit to the Secretary an application, at such 
time, in such manner, and containing such information as 
the Secretary may require. 
‘‘(2) COMMUNITY-BASED CRISIS RESPONSE PLAN.—An applica-
tion for a grant under subsection (a)(1) shall include a plan 
for— 
‘‘(A) promoting integration and coordination between 
local public and private entities engaged in crisis response, 
including first responders, emergency health care providers, 
primary care providers, law enforcement, court systems, 
health care payers, social service providers, and behavioral 
health providers; 
‘‘(B) developing memoranda of understanding with 
public and private entities to implement crisis response 
services; 
‘‘(C) addressing gaps in community resources for crisis 
intervention and prevention; and
H. R. 34—209 
‘‘(D) developing models for minimizing hospital re-
admissions, including through appropriate discharge plan-
ning. 
‘‘(3) BEDS
DATABASE
PLAN.—An application for a grant 
under subsection (a)(2) shall include a plan for developing, 
maintaining, or enhancing a real-time, Internet-based bed data-
base to collect, aggregate, and display information about beds 
in inpatient psychiatric facilities and crisis stabilization units, 
and residential community mental health and residential sub-
stance use disorder treatment facilities to facilitate the identi-
fication and designation of facilities for the temporary treat-
ment of individuals in mental or substance use disorder crisis. 
‘‘(c) DATABASE REQUIREMENTS.—A bed database described in 
this section is a database that— 
‘‘(1) includes information on inpatient psychiatric facilities, 
crisis stabilization units, and residential community mental 
health and residential substance use disorder facilities in the 
State involved, including contact information for the facility 
or unit; 
‘‘(2) provides real-time information about the number of 
beds available at each facility or unit and, for each available 
bed, the type of patient that may be admitted, the level of 
security provided, and any other information that may be nec-
essary to allow for the proper identification of appropriate 
facilities for treatment of individuals in mental or substance 
use disorder crisis; and 
‘‘(3) enables searches of the database to identify available 
beds that are appropriate for the treatment of individuals in 
mental or substance use disorder crisis. 
‘‘(d) EVALUATION.—An entity receiving a grant under subsection 
(a)(1) shall submit to the Secretary, at such time, in such manner, 
and containing such information as the Secretary may reasonably 
require, a report, including an evaluation of the effect of such 
grant on— 
‘‘(1) local crisis response services and measures for individ-
uals receiving crisis planning and early intervention supports; 
‘‘(2) individuals reporting improved functional outcomes; 
and 
‘‘(3) individuals receiving regular followup care following 
a crisis. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section, $12,500,000 for the 
period of fiscal years 2018 through 2022.’’. 
SEC. 9008. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION. 
(a) SUICIDE PREVENTION TECHNICAL ASSISTANCE CENTER.—Sec-
tion 520C of the Public Health Service Act (42 U.S.C. 290bb– 
34), as amended by section 6001, is further amended— 
(1) in the section heading, by striking ‘‘YOUTH
INTER-
AGENCY RESEARCH, TRAINING, AND TECHNICAL ASSISTANCE 
CENTERS’’ and inserting ‘‘SUICIDE
PREVENTION
TECHNICAL 
ASSISTANCE CENTER’’; 
(2) in subsection (a), by striking ‘‘acting through the Assist-
ant Secretary for Mental Health and Substance Use’’ and all 
that follows through the period at the end of paragraph (2) 
and inserting ‘‘acting through the Assistant Secretary, shall 
establish a research, training, and technical assistance resource
H. R. 34—210 
center to provide appropriate information, training, and tech-
nical assistance to States, political subdivisions of States, feder-
ally recognized Indian tribes, tribal organizations, institutions 
of higher education, public organizations, or private nonprofit 
organizations regarding the prevention of suicide among all 
ages, particularly among groups that are at a 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) in the subsection heading, by striking ‘‘ADDITIONAL 
CENTER’’ and inserting ‘‘RESPONSIBILITIES OF THE CENTER’’; 
(B) in the matter preceding paragraph (1), by striking 
‘‘The additional research’’ and all that follows through ‘‘non-
profit organizations for’’ and inserting ‘‘The center estab-
lished under subsection (a) shall conduct activities for the 
purpose of’’; 
(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, particularly among 
groups that are at a high risk for suicide’’ before the 
semicolon at the end; 
(E) in paragraph (2), by inserting ‘‘for all ages, particu-
larly among groups that are at a 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 behavioral health’’ 
and inserting ‘‘health and substance use disorder’’; and 
(J) in paragraph (10), by inserting ‘‘conducting’’ before 
‘‘other’’; and 
(6) by striking subsection (e) and inserting the following: 
‘‘(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 2018 through 2022. 
‘‘(d) ANNUAL REPORT.—Not later than 2 years after the date 
of enactment of this subsection, the Secretary shall submit to Con-
gress a report on the activities carried out by the center established 
under subsection (a) during the year involved, including the poten-
tial effects of such activities, and the States, organizations, and 
institutions that have worked with the center.’’. 
(b) YOUTH SUICIDE EARLY INTERVENTION
AND PREVENTION 
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)— 
(A) in paragraph (2)—
H. R. 34—211 
(i) by striking ‘‘ensure that each State is awarded 
only 1 grant or cooperative agreement under this sec-
tion’’ and inserting ‘‘ensure that a State does not 
receive more than 1 grant or cooperative agreement 
under this section at any 1 time’’; and 
(ii) by striking ‘‘been awarded’’ and inserting 
‘‘received’’; and 
(B) by adding after paragraph (2) the following: 
‘‘(3) CONSIDERATION.—In awarding grants under this sec-
tion, the Secretary shall take into consideration the extent 
of the need of the applicant, including the incidence and preva-
lence of suicide in the State and among the populations of 
focus, including rates of suicide determined by the Centers 
for Disease Control and Prevention for the State or population 
of focus.’’; 
(3) in subsection (g)(2), by striking ‘‘2 years after the date 
of enactment of this section,’’ and insert ‘‘2 years after the 
date of enactment of Helping Families in Mental Health Crisis 
Reform Act of 2016,’’; and 
(4) 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 
$30,000,000 for each of fiscal years 2018 through 2022.’’. 
SEC. 9009. ADULT SUICIDE PREVENTION. 
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 adding at the 
end the following: 
‘‘SEC. 520L. ADULT SUICIDE PREVENTION. 
‘‘(a) GRANTS.— 
‘‘(1) IN
GENERAL.—The Assistant Secretary shall award 
grants to eligible entities described in paragraph (2) to imple-
ment suicide prevention and intervention programs, for individ-
uals who are 25 years of age or older, that are designed to 
raise awareness of suicide, establish referral processes, and 
improve care and outcomes for such individuals who are at 
risk of suicide. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to receive a grant 
under this section, an entity shall be a community-based pri-
mary care or behavioral health care setting, an emergency 
department, a State mental health agency (or State health 
agency with mental or behavioral health functions), public 
health agency, a territory of the United States, or an Indian 
tribe or tribal organization (as the terms ‘Indian tribe’ and 
‘tribal organization’ are defined in section 4 of the Indian Self- 
Determination and Education Assistance Act). 
‘‘(3) USE OF FUNDS.—The grants awarded under paragraph 
(1) shall be used to implement programs, in accordance with 
such paragraph, that include one or more of the following 
components: 
‘‘(A) Screening for suicide risk, suicide intervention 
services, and services for referral for treatment for individ-
uals at risk for suicide. 
‘‘(B) Implementing evidence-based practices to provide 
treatment for individuals at risk for suicide, including 
appropriate followup services. 
‘‘(C) Raising awareness and reducing stigma of suicide.
H. R. 34—212 
‘‘(b) EVALUATIONS AND TECHNICAL ASSISTANCE.—The Assistant 
Secretary shall— 
‘‘(1) evaluate the activities supported by grants awarded 
under subsection (a), and disseminate, as appropriate, the 
findings from the evaluation; and 
‘‘(2) provide appropriate information, training, and tech-
nical assistance, as appropriate, to eligible entities that receive 
a grant under this section, in order to help such entities to 
meet the requirements of this section, including assistance 
with selection and implementation of evidence-based interven-
tions and frameworks to prevent suicide. 
‘‘(c) DURATION.—A grant under this section shall be for a period 
of not more than 5 years. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section $30,000,000 for the 
period of fiscal years 2018 through 2022.’’. 
SEC. 9010. MENTAL HEALTH AWARENESS TRAINING GRANTS. 
Section 520J of the Public Health Service Act (42 U.S.C. 290bb– 
41) is amended— 
(1) in the section heading, by inserting ‘‘MENTAL HEALTH 
AWARENESS’’ before ‘‘TRAINING’’; and 
(2) in subsection (b)— 
(A) in the subsection heading, by striking ‘‘ILLNESS’’ 
and inserting ‘‘HEALTH’’; 
(B) in paragraph (1), by inserting ‘‘veterans, law 
enforcement, and other categories of individuals, as deter-
mined by the Secretary,’’ after ‘‘emergency services per-
sonnel’’; 
(C) in paragraph (5)— 
(i) in the matter preceding subparagraph (A), by 
striking ‘‘to’’ and inserting ‘‘for evidence-based pro-
grams that provide training and education in accord-
ance with paragraph (1) on matters including’’; and 
(ii) by striking subparagraphs (A) through (C) and 
inserting the following: 
‘‘(A) recognizing the signs and symptoms of mental 
illness; and 
‘‘(B)(i) resources available in the community for individ-
uals with a mental illness and other relevant resources; 
or 
‘‘(ii) safely de-escalating crisis situations involving 
individuals with a mental illness.’’; and 
(D) in paragraph (7), by striking ‘‘, $25,000,000’’ and 
all that follows through the period at the end and inserting 
‘‘$14,693,000 for each of fiscal years 2018 through 2022.’’. 
SEC. 9011. SENSE OF CONGRESS ON PRIORITIZING AMERICAN INDIANS 
AND ALASKA NATIVE YOUTH WITHIN SUICIDE PREVEN-
TION 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 Natives who are 
10 to 34 years of age, suicide is the second leading cause 
of death. 
(3) The suicide rate among American Indian and Alaska 
Native adolescents and young adults ages 15 to 34 (17.9 per
H. R. 34—213 
100,000) is approximately 1.3 times higher than the national 
average for that age group (13.3 per 100,000). 
(b) SENSE
OF CONGRESS.—It is the sense of Congress that 
the Secretary of Health and Human Services, in carrying out suicide 
prevention and intervention programs, should prioritize programs 
and activities for populations with disproportionately high rates 
of suicide, such as American Indians and Alaska Natives. 
SEC. 9012. EVIDENCE-BASED PRACTICES FOR OLDER ADULTS. 
Section 520A(e) of the Public Health Service Act (42 U.S.C. 
290bb–32(e)) is amended by adding at the end the following: 
‘‘(3) GERIATRIC MENTAL DISORDERS.—The Secretary shall, 
as appropriate, provide technical assistance to grantees 
regarding evidence-based practices for the prevention and treat-
ment of geriatric mental disorders and co-occurring mental 
health and substance use disorders among geriatric popu-
lations, as well as disseminate information about such evidence- 
based practices to States and nongrantees throughout the 
United States.’’. 
SEC. 9013. 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 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.). Participation in the system by the States 
shall be voluntary. 
SEC. 9014. ASSISTED OUTPATIENT TREATMENT. 
Section 224 of the Protecting Access to Medicare Act of 2014 
(42 U.S.C. 290aa note) is amended— 
(1) in subsection (e), by striking ‘‘and 2018,’’ and inserting 
‘‘2018, 2019, 2020, 2021, and 2022,’’; and 
(2) in subsection (g)— 
(A) in paragraph (1), by striking ‘‘2018’’ and inserting 
‘‘2022’’; and 
(B) in paragraph (2), by striking ‘‘is authorized to be 
appropriated to carry out this section $15,000,000 for each 
of fiscal years 2015 through 2018’’ and inserting ‘‘are 
authorized to be appropriated to carry out this section 
$15,000,000 for each of fiscal years 2015 through 2017, 
$20,000,000 for fiscal year 2018, $19,000,000 for each of 
fiscal years 2019 and 2020, and $18,000,000 for each of 
fiscal years 2021 and 2022’’. 
SEC. 9015. ASSERTIVE COMMUNITY TREATMENT GRANT PROGRAM. 
Part B of title V of the Public Health Service Act (42 U.S.C. 
290bb et seq.), as amended by section 9009, is further amended 
by adding at the end the following: 
‘‘SEC. 520M. ASSERTIVE COMMUNITY TREATMENT GRANT PROGRAM. 
‘‘(a) IN GENERAL.—The Assistant Secretary shall award grants 
to eligible entities— 
‘‘(1) to establish assertive community treatment programs 
for adults with a serious mental illness; or 
‘‘(2) to maintain or expand such programs.
H. R. 34—247 
‘‘(i) IN GENERAL.—The compliance program guid-
ance document required under this paragraph shall 
provide illustrative, de-identified examples (that do not 
disclose any protected health information or individ-
ually identifiable information) of previous findings of 
compliance and noncompliance with this section, sec-
tion 712 of the Employee Retirement Income Security 
Act of 1974, or section 9812 of the Internal Revenue 
Code of 1986, as applicable, based on investigations 
of violations of such sections, including— 
‘‘(I) examples illustrating requirements for 
information disclosures and nonquantitative treat-
ment limitations; and 
‘‘(II) descriptions of the violations uncovered 
during the course of such investigations. 
‘‘(ii) NONQUANTITATIVE TREATMENT LIMITATIONS.— 
To the extent that any example described in clause 
(i) involves a finding of compliance or noncompliance 
with regard to any requirement for nonquantitative 
treatment limitations, the example shall provide suffi-
cient detail to fully explain such finding, including 
a full description of the criteria involved for approving 
medical and surgical benefits and the criteria involved 
for approving mental health and substance use dis-
order benefits. 
‘‘(iii) 
ACCESS
TO
ADDITIONAL
INFORMATION 
REGARDING
COMPLIANCE.—In developing and issuing 
the compliance program guidance document required 
under this paragraph, the Secretaries specified in 
subparagraph (A)— 
‘‘(I) shall enter into interagency agreements 
with the Inspector General of the Department of 
Health and Human Services, the Inspector General 
of the Department of Labor, and the Inspector 
General of the Department of the Treasury to 
share 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, as 
applicable; and 
‘‘(II) shall seek to enter into an agreement 
with a State to share information on 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, as applicable. 
‘‘(C) RECOMMENDATIONS.—The compliance program 
guidance document shall include recommendations to 
advance compliance with this section, section 712 of the 
Employee Retirement Income Security Act of 1974, or sec-
tion 9812 of the Internal Revenue Code of 1986, as 
applicable, and encourage the development and use of 
internal controls to monitor adherence to applicable stat-
utes, regulations, and program requirements. Such internal 
controls may include illustrative examples of nonquantita-
tive treatment limitations on mental health and substance 
use disorder benefits, which may fail to comply with this
H. R. 34—283 
‘‘(n) PREVENTING DUPLICATIVE GRANTS.— 
‘‘(1) IN GENERAL.—Before the Attorney General awards a 
grant to an applicant under this section, the Attorney General 
shall compare potential grant awards with other grants 
awarded under this Act to determine if duplicate grant awards 
are awarded for the same purpose. 
‘‘(2) REPORT.—If the Attorney General awards duplicate 
grants to the same applicant for the same purpose the Attorney 
General shall submit to the Committee on the Judiciary of 
the Senate and the Committee on the Judiciary of the House 
of Representatives a report that includes— 
‘‘(A) a list of all duplicate grants awarded, including 
the total dollar amount of any duplicate grants awarded; 
and 
‘‘(B) the reason the Attorney General awarded the 
duplicate grants.’’. 
DIVISION C—INCREASING CHOICE, AC-
CESS, AND QUALITY IN HEALTH CARE 
FOR AMERICANS 
SEC. 15000. SHORT TITLE. 
This division may be cited as the ‘‘Increasing Choice, Access, 
and Quality in Health Care for Americans Act’’. 
TITLE XV—PROVISIONS RELATING TO 
MEDICARE PART A 
SEC. 15001. DEVELOPMENT OF MEDICARE HCPCS VERSION OF MS– 
DRG CODES FOR SIMILAR HOSPITAL SERVICES. 
Section 1886 of the Social Security Act (42 U.S.C. 1395ww) 
is amended by adding at the end the following new subsection: 
‘‘(t) RELATING SIMILAR INPATIENT AND OUTPATIENT HOSPITAL 
SERVICES.— 
‘‘(1) DEVELOPMENT OF HCPCS VERSION OF MS–DRG CODES.— 
Not later than January 1, 2018, the Secretary shall develop 
HCPCS versions for MS–DRGs that are similar to the ICD– 
10–PCS for such MS–DRGs such that, to the extent possible, 
the MS–DRG assignment shall be similar for a claim coded 
with the HCPCS version as an identical claim coded with 
a ICD–10–PCS code. 
‘‘(2) COVERAGE
OF
SURGICAL
MS–DRGS.—In carrying out 
paragraph (1), the Secretary shall develop HCPCS versions 
of MS–DRG codes for not fewer than 10 surgical MS–DRGs. 
‘‘(3) PUBLICATION
AND
DISSEMINATION
OF
THE
HCPCS 
VERSIONS OF MS–DRGS.— 
‘‘(A) IN
GENERAL.—The Secretary shall develop a 
HCPCS MS–DRG definitions manual and software that 
is similar to the definitions manual and software for ICD– 
10–PCS codes for such MS–DRGs. The Secretary shall 
post the HCPCS MS–DRG definitions manual and software 
on the Internet website of the Centers for Medicare & 
Medicaid Services. The HCPCS MS–DRG definitions
H. R. 34—307 
(1) IN GENERAL.—Section 9831 of the Internal Revenue 
Code of 1986 is amended by adding at the end the following 
new subsection: 
‘‘(d) EXCEPTION
FOR QUALIFIED SMALL EMPLOYER HEALTH 
REIMBURSEMENT ARRANGEMENTS.— 
‘‘(1) IN
GENERAL.—For purposes of this title (except as 
provided in section 4980I(f)(4) and notwithstanding any other 
provision of this title), the term ‘group health plan’ shall not 
include any qualified small employer health reimbursement 
arrangement. 
‘‘(2) QUALIFIED SMALL EMPLOYER HEALTH REIMBURSEMENT 
ARRANGEMENT.—For purposes of this subsection— 
‘‘(A) IN GENERAL.—The term ‘qualified small employer 
health reimbursement arrangement’ means an arrange-
ment which— 
‘‘(i) is described in subparagraph (B), and 
‘‘(ii) is provided on the same terms to all eligible 
employees of the eligible employer. 
‘‘(B) ARRANGEMENT
DESCRIBED.—An arrangement is 
described in this subparagraph if— 
‘‘(i) such arrangement is funded solely by an 
eligible employer and no salary reduction contributions 
may be made under such arrangement, 
‘‘(ii) such arrangement provides, after the employee 
provides proof of coverage, for the payment of, or 
reimbursement of, an eligible employee for expenses 
for medical care (as defined in section 213(d)) incurred 
by the eligible employee or the eligible employee’s 
family members (as determined under the terms of 
the arrangement), and 
‘‘(iii) the amount of payments and reimbursements 
described in clause (ii) for any year do not exceed 
$4,950 ($10,000 in the case of an arrangement that 
also provides for payments or reimbursements for 
family members of the employee). 
‘‘(C) CERTAIN VARIATION PERMITTED.—For purposes of 
subparagraph (A)(ii), an arrangement shall not fail to be 
treated as provided on the same terms to each eligible 
employee merely because the employee’s permitted benefit 
under such arrangement varies in accordance with the 
variation in the price of an insurance policy in the relevant 
individual health insurance market based on— 
‘‘(i) the age of the eligible employee (and, in the 
case of an arrangement which covers medical expenses 
of the eligible employee’s family members, the age 
of such family members), or 
‘‘(ii) the number of family members of the eligible 
employee the medical expenses of which are covered 
under such arrangement. 
The variation permitted under the preceding sentence shall 
be determined by reference to the same insurance policy 
with respect to all eligible employees. 
‘‘(D) RULES
RELATING
TO
MAXIMUM
DOLLAR
LIMITA-
TION.—