663 
(2) Each benefit classification examined by any 
such investigation conducted during the covered re-
porting period. 
(3) Each subject matter, including compliance 
with requirements for quantitative and nonquantita-
tive treatment limitations, of any such investigation 
conducted during the covered reporting period. 
(4) A summary of the basis of the final decision 
rendered for each closed investigation conducted dur-
ing the covered reporting period that resulted in a 
finding of a serious violation. 
(c) LIMITATION.—Any individually identifiable infor-
mation shall be excluded from reports under subsection (a) 
consistent with protections under the health privacy and 
security rules promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act of 
1996 (42 U.S.C. 1320d–2 note). 
SEC. 13004. GAO STUDY ON PARITY IN MENTAL HEALTH 
AND SUBSTANCE USE DISORDER BENEFITS. 
Not later than 3 years after the date of enactment of 
this Act, the Comptroller General of the United States, in 
consultation with the Secretary of Health and Human 
Services, the Secretary of Labor, and the Secretary of the 
Treasury, shall submit to the Committee on Energy and 
Commerce of the House of Representatives and the Com-
664 
mittee on Health, Education, Labor, and Pensions of the 
Senate a report detailing the extent to which group health 
plans or health insurance issuers offering group or indi-
vidual health insurance coverage that provides both medical 
and surgical benefits and mental health or substance use 
disorder benefits, medicaid managed care organizations 
with a contract under section 1903(m) of the Social Secu-
rity Act (42 U.S.C. 1396b(m)), and health plans provided 
under the State Children’s Health Insurance Program 
under title XXI of the Social Security Act (42 U.S.C. 
1397aa et seq.) comply with section 2726 of the Public 
Health Service Act (42 U.S.C. 300gg–26), section 712 of 
the Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1185a), and section 9812 of the Internal Revenue 
Code of 1986, including— 
(1) how nonquantitative treatment limitations, 
including medical necessity criteria, of such plans or 
issuers comply with such sections; 
(2) how the responsible Federal departments and 
agencies ensure that such plans or issuers comply 
with such sections, including an assessment of how 
the Secretary of Health and Human Services has used 
its authority to conduct audits of such plans to ensure 
compliance;
665 
(3) a review of how the various Federal and 
State agencies responsible for enforcing mental health 
parity requirements have improved enforcement of 
such requirements in accordance with the objectives 
and timeline described in the action plan under sec-
tion 13002; and 
(4) recommendations for how additional enforce-
ment, education, and coordination activities by re-
sponsible Federal and State departments and agencies 
could better ensure compliance with such sections, in-
cluding recommendations regarding the need for addi-
tional legal authority. 
SEC. 13005. INFORMATION AND AWARENESS ON EATING 
DISORDERS. 
(a) INFORMATION.—The Secretary of Health and 
Human Services, acting through the Director of the Office 
on Women’s Health, may— 
(1) update information, related fact sheets, and 
resource lists related to eating disorders that are 
available on the public Internet website of the Na-
tional Women’s Health Information Center sponsored 
by the Office on Women’s Health, to include— 
(A) updated findings and current research 
related to eating disorders, as appropriate; and
666 
(B) information about eating disorders, in-
cluding information related to males and fe-
males; 
(2) incorporate, as appropriate, and in coordi-
nation with the Secretary of Education, information 
from publicly available resources into appropriate 
obesity prevention programs developed by the Office 
on Women’s Health; and 
(3) make publicly available (through a public 
Internet website or other method) information, related 
fact sheets, and resource lists, as updated under para-
graph (1), and the information incorporated into ap-
propriate obesity prevention programs under para-
graph (2). 
(b) AWARENESS.—The Secretary of Health and 
Human Services may advance public awareness on— 
(1) the types of eating disorders; 
(2) the seriousness of eating disorders, including 
prevalence, comorbidities, and physical and mental 
health consequences; 
(3) methods to identify, intervene, refer for treat-
ment, and prevent behaviors that may lead to the de-
velopment of eating disorders; 
(4) discrimination and bullying based on body 
size;
667 
(5) the effects of media on self-esteem and body 
image; and 
(6) the signs and symptoms of eating disorders. 
SEC. 13006. EDUCATION AND TRAINING ON EATING DIS-
ORDERS. 
The Secretary of Health and Human Services may fa-
cilitate the identification of model programs and materials 
for educating and training health professionals in effective 
strategies to— 
(1) identify individuals with eating disorders; 
(2) provide early intervention services for indi-
viduals with eating disorders; 
(3) refer patients with eating disorders for ap-
propriate treatment; 
(4) prevent the development of eating disorders; 
and 
(5) provide appropriate treatment services for 
individuals with eating disorders. 
SEC. 13007. CLARIFICATION OF EXISTING PARITY RULES. 
If a group health plan or a health insurance issuer 
offering group or individual health insurance coverage pro-
vides coverage for eating disorder benefits, including resi-
dential treatment, such group health plan or health insur-
ance issuer shall provide such benefits consistent with the 
requirements of section 2726 of the Public Health Service
668 
Act (42 U.S.C. 300gg–26), section 712 of the Employee Re-
tirement Income Security Act of 1974 (29 U.S.C. 1185a), 
and section 9812 of the Internal Revenue Code of 1986. 
TITLE XIV—MENTAL HEALTH 
AND SAFE COMMUNITIES 
Subtitle A—Mental Health and Safe 
Communities 
SEC. 14001. LAW ENFORCEMENT GRANTS FOR CRISIS 
INTERVENTION 
TEAMS, 
MENTAL 
HEALTH 
PURPOSES. 
(a) EDWARD BYRNE MEMORIAL JUSTICE ASSISTANCE 
GRANT PROGRAM.—Section 501(a)(1) of title I of the Om-
nibus Crime Control and Safe Streets Act of 1968 (42 
U.S.C. 3751(a)(1)) is amended by adding at the end the 
following: 
‘‘(H) Mental health programs and related 
law enforcement and corrections programs, in-
cluding behavioral programs and crisis interven-
tion teams.’’. 
(b) COMMUNITY ORIENTED POLICING SERVICES PRO-
GRAM.—Section 1701(b) of title I of the Omnibus Crime 
Control and Safe Streets Act of 1968 (42 U.S.C. 3796dd(b)) 
is amended— 
(1) in paragraph (17), by striking ‘‘and’’ at the 
end;
669 
(2) by redesignating paragraph (18) as para-
graph (22); 
(3) by inserting after paragraph (17) the fol-
lowing: 
‘‘(18) to provide specialized training to law en-
forcement officers to— 
‘‘(A) recognize individuals who have a men-
tal illness; and 
‘‘(B) properly interact with individuals who 
have a mental illness, including strategies for 
verbal de-escalation of crises; 
‘‘(19) to establish collaborative programs that en-
hance the ability of law enforcement agencies to ad-
dress the mental health, behavioral, and substance 
abuse problems of individuals encountered by law en-
forcement officers in the line of duty; 
‘‘(20) to provide specialized training to correc-
tions officers to recognize individuals who have a 
mental illness; 
‘‘(21) to enhance the ability of corrections officers 
to address the mental health of individuals under the 
care and custody of jails and prisons, including spe-
cialized training and strategies for verbal de-esca-
lation of crises; and’’; and
670 
(4) in paragraph (22), as redesignated, by strik-
ing ‘‘through (17)’’ and inserting ‘‘through (21)’’. 
(c) MODIFICATIONS TO THE STAFFING FOR ADEQUATE 
FIRE
AND
EMERGENCY
RESPONSE
GRANTS.—Section 
34(a)(1)(B) of the Federal Fire Prevention and Control Act 
of 1974 (15 U.S.C. 2229a(a)(1)(B)) is amended by inserting 
before the period at the end the following: ‘‘and to provide 
specialized training to paramedics, emergency medical serv-
ices workers, and other first responders to recognize individ-
uals who have mental illness and how to properly intervene 
with individuals with mental illness, including strategies 
for verbal de-escalation of crises’’. 
SEC. 14002. ASSISTED OUTPATIENT TREATMENT PRO-
GRAMS. 
(a) IN GENERAL.—Section 2201 of title I of the Omni-
bus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3796ii) is amended in paragraph (2)(B), by inserting be-
fore the semicolon the following: ‘‘, or court-ordered assisted 
outpatient treatment when the court has determined such 
treatment to be necessary’’. 
(b) DEFINITIONS.—Section 2202 of title I of the Omni-
bus Crime Control and Safe Streets Act of 1968 (42 U.S.C. 
3796ii—1) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end;
671 
(2) in paragraph (2), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(3) the term ‘court-ordered assisted outpatient 
treatment’ means a program through which a court 
may order a treatment plan for an eligible patient 
that— 
‘‘(A) requires such patient to obtain out-
patient mental health treatment while the pa-
tient is not currently residing in a correctional 
facility or inpatient treatment facility; and 
‘‘(B) is designed to improve access and ad-
herence by such patient to intensive behavioral 
health services in order to— 
‘‘(i) avert relapse, repeated hospitaliza-
tions, arrest, incarceration, suicide, prop-
erty destruction, and violent behavior; and 
‘‘(ii) provide such patient with the op-
portunity to live in a less restrictive alter-
native to incarceration or involuntary hos-
pitalization; and 
‘‘(4) the term ‘eligible patient’ means an adult, 
mentally ill person who, as determined by a court— 
‘‘(A) has a history of violence, incarcer-
ation, or medically unnecessary hospitalizations;
672 
‘‘(B) without supervision and treatment, 
may be a danger to self or others in the commu-
nity; 
‘‘(C) is substantially unlikely to voluntarily 
participate in treatment; 
‘‘(D) may be unable, for reasons other than 
indigence, to provide for any of his or her basic 
needs, such as food, clothing, shelter, health, or 
safety; 
‘‘(E) has a history of mental illness or a 
condition that is likely to substantially deterio-
rate if the person is not provided with timely 
treatment; or 
‘‘(F) due to mental illness, lacks capacity to 
fully understand or lacks judgment to make in-
formed decisions regarding his or her need for 
treatment, care, or supervision.’’. 
SEC. 14003. FEDERAL DRUG AND MENTAL HEALTH COURTS. 
(a) DEFINITIONS.—In this section— 
(1) the term ‘‘eligible offender’’ means a person 
who— 
(A)(i) previously or currently has been di-
agnosed by a qualified mental health professional 
as having a mental illness, mental retardation,
673 
or co-occurring mental illness and substance 
abuse disorders; or 
(ii) manifests obvious signs of mental ill-
ness, mental retardation, or co-occurring mental 
illness and substance abuse disorders during ar-
rest or confinement or before any court; 
(B) comes into contact with the criminal 
justice system or is arrested or charged with an 
offense that is not— 
(i) a crime of violence, as defined 
under applicable State law or in section 
3156 of title 18, United States Code; or 
(ii) a serious drug offense, as defined 
in section 924(e)(2)(A) of title 18, United 
States Code; and 
(C) is determined by a judge to be eligible; 
and 
(2) 
the 
term 
‘‘mental 
illness’’ 
means 
a 
diagnosable mental, behavioral, or emotional dis-
order— 
(A) of sufficient duration to meet diagnostic 
criteria within the most recent edition of the Di-
agnostic and Statistical Manual of Mental Dis-
orders published by the American Psychiatric 
Association; and
674 
(B) that has resulted in functional impair-
ment that substantially interferes with or limits 
1 or more major life activities. 
(b) ESTABLISHMENT OF PROGRAM.—Not later than 1 
year after the date of enactment of this Act, the Attorney 
General shall establish a pilot program to determine the ef-
fectiveness of diverting eligible offenders from Federal pros-
ecution, Federal probation, or a Bureau of Prisons facility, 
and placing such eligible offenders in drug or mental health 
courts. 
(c) PROGRAM SPECIFICATIONS.—The pilot program 
established under subsection (b) shall involve— 
(1) continuing judicial supervision, including 
periodic review, of program participants who have a 
substance abuse problem or mental illness; and 
(2) the integrated administration of services and 
sanctions, which shall include— 
(A) mandatory periodic testing, as appro-
priate, for the use of controlled substances or 
other addictive substances during any period of 
supervised release or probation for each program 
participant; 
(B) substance abuse treatment for each pro-
gram participant who requires such services;
675 
(C) diversion, probation, or other supervised 
release with the possibility of prosecution, con-
finement, or incarceration based on noncompli-
ance with program requirements or failure to 
show satisfactory progress toward completing 
program requirements; 
(D) programmatic offender management, 
including case management, and aftercare serv-
ices, such as relapse prevention, health care, edu-
cation, vocational training, job placement, hous-
ing placement, and child care or other family 
support services for each program participant 
who requires such services; 
(E) outpatient or inpatient mental health 
treatment, as ordered by the court, that carries 
with it the possibility of dismissal of charges or 
reduced sentencing upon successful completion of 
such treatment; 
(F) centralized case management, includ-
ing— 
(i) the consolidation of all cases, in-
cluding violations of probations, of the pro-
gram participant; and 
(ii) coordination of all mental health 
treatment plans and social services, includ-
676 
ing life skills and vocational training, hous-
ing and job placement, education, health 
care, and relapse prevention for each pro-
gram participant who requires such serv-
ices; and 
(G) continuing supervision of treatment 
plan compliance by the program participant for 
a term not to exceed the maximum allowable sen-
tence or probation period for the charged or rel-
evant offense and, to the extent practicable, con-
tinuity of psychiatric care at the end of the su-
pervised period. 
(d) IMPLEMENTATION; DURATION.—The pilot program 
established under subsection (b) shall be conducted— 
(1) in not less than 1 United States judicial dis-
trict, designated by the Attorney General in consulta-
tion with the Director of the Administrative Office of 
the United States Courts, as appropriate for the pilot 
program; and 
(2) during fiscal year 2017 through fiscal year 
2021. 
(e) CRITERIA FOR DESIGNATION.—Before making a 
designation under subsection (d)(1), the Attorney General 
shall—
677 
(1) obtain the approval, in writing, of the 
United States Attorney for the United States judicial 
district being designated; 
(2) obtain the approval, in writing, of the chief 
judge for the United States judicial district being des-
ignated; and 
(3) determine that the United States judicial dis-
trict being designated has adequate behavioral health 
systems for treatment, including substance abuse and 
mental health treatment. 
(f) ASSISTANCE FROM OTHER FEDERAL ENTITIES.— 
The Administrative Office of the United States Courts and 
the United States Probation Offices shall provide such as-
sistance and carry out such functions as the Attorney Gen-
eral may request in monitoring, supervising, providing 
services to, and evaluating eligible offenders placed in a 
drug or mental health court under this section. 
(g) REPORTS.—The Attorney General, in consultation 
with the Director of the Administrative Office of the United 
States Courts, shall monitor the drug and mental health 
courts under this section, and shall submit a report to Con-
gress on the outcomes of the program at the end of the period 
described in subsection (d)(2).
678 
SEC. 14004. MENTAL HEALTH IN THE JUDICIAL SYSTEM. 
Part V of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (42 U.S.C. 3796ii et seq.) is 
amended by inserting at the end the following: 
‘‘SEC. 2209. MENTAL HEALTH RESPONSES IN THE JUDICIAL 
SYSTEM. 
‘‘(a) PRETRIAL SCREENING AND SUPERVISION.— 
‘‘(1) IN GENERAL.—The Attorney General may 
award grants to States, units of local government, ter-
ritories, Indian Tribes, nonprofit agencies, or any 
combination thereof, to develop, implement, or expand 
pretrial services programs to improve the identifica-
tion and outcomes of individuals with mental illness. 
‘‘(2) ALLOWABLE USES.—Grants awarded under 
this subsection may be may be used for— 
‘‘(A) behavioral health needs and risk 
screening of defendants, including verification of 
interview information, mental health evaluation, 
and criminal history screening; 
‘‘(B) assessment of risk of pretrial mis-
conduct through objective, statistically validated 
means, and presentation to the court of rec-
ommendations based on such assessment, includ-
ing services that will reduce the risk of pre-trial 
misconduct;
679 
‘‘(C) followup review of defendants unable 
to meet the conditions of pretrial release; 
‘‘(D) evaluation of process and results of 
pre-trial service programs; 
‘‘(E) supervision of defendants who are on 
pretrial release, including reminders to defend-
ants of scheduled court dates; 
‘‘(F) reporting on process and results of pre-
trial services programs to relevant public and 
private mental health stakeholders; and 
‘‘(G) data collection and analysis necessary 
to make available information required for as-
sessment of risk. 
‘‘(b) BEHAVIORAL HEALTH ASSESSMENTS AND INTER-
VENTION.— 
‘‘(1) IN GENERAL.—The Attorney General may 
award grants to States, units of local government, ter-
ritories, Indian Tribes, nonprofit agencies, or any 
combination thereof, to develop, implement, or expand 
a behavioral health screening and assessment program 
framework for State or local criminal justice systems. 
‘‘(2) ALLOWABLE USES.—Grants awarded under 
this subsection may be used for— 
‘‘(A) promotion of the use of validated as-
sessment tools to gauge the criminogenic risk,
699 
‘‘(2) CRITERIA.—An eligible entity, in submit-
ting an application under paragraph (1), shall— 
‘‘(A) provide extensive evidence of collabora-
tion with State and local government agencies 
overseeing health, community corrections, courts, 
prosecution, substance abuse, mental health, vic-
tims services, and employment services, and with 
local law enforcement agencies; 
‘‘(B) demonstrate consultation with the Sin-
gle State Authority for Substance Abuse of the 
State (as that term is defined in section 201(e) 
of the Second Chance Act of 2007); 
‘‘(C) demonstrate that evidence-based treat-
ment practices will be utilized; and 
‘‘(D) 
demonstrate 
that 
evidence-based 
screening and assessment tools will be used to 
place participants in the treatment alternative 
to incarceration program. 
‘‘(d) REQUIREMENTS.—Each eligible entity awarded a 
grant for a treatment alternative to incarceration program 
under this section shall— 
‘‘(1) determine the terms and conditions of par-
ticipation in the program by eligible participants, 
taking into consideration the collateral consequences 
of an arrest, prosecution or criminal conviction;