‘‘(d) ANNUAL REPORT.—The Secretary shall submit 
an annual report to the Congress on the hotline under sub-
section (a) and implementation of this section, including— 
‘‘(1) an evaluation of the effectiveness of activi-
ties conducted or supported under subsection (a); 
‘‘(2) a directory of entities or organizations to 
which staff maintaining the hotline funded under this 
section may make referrals; and 
‘‘(3) such additional information as the Sec-
retary determines appropriate. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 113. TASK FORCE ON MATERNAL MENTAL HEALTH. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after section 
317L–1 (42 U.S.C. 247b–13a) the following: 
‘‘SEC. 317L–2. TASK FORCE ON MATERNAL MENTAL HEALTH. 
‘‘(a) ESTABLISHMENT.—Not later than 180 days after 
the date of enactment of the Restoring Hope for the Mental 
Health and Well-Being Act of 2022, the Secretary, for pur-
poses of identifying, evaluating, and making recommenda-
tions to coordinate and improve Federal responses to mater-
nal mental health conditions, shall— 
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‘‘(1) establish a task force to be known as the 
Task Force on Maternal Mental Health (in this sec-
tion referred to as the ‘Task Force’); or 
‘‘(2) incorporate the duties, public meetings, and 
reports specified in subsections (c) through (f) into ex-
isting Federal policy forums, including the Maternal 
Health Interagency Policy Committee and the Mater-
nal Health Working Group, as appropriate. 
‘‘(b) MEMBERSHIP.— 
‘‘(1) COMPOSITION.—The Task Force shall be 
composed of— 
‘‘(A) the Federal members under paragraph 
(2); and 
‘‘(B) the non-Federal members under para-
graph (3). 
‘‘(2) FEDERAL MEMBERS.—The Federal members 
of the Task Force shall consist of the following heads 
of Federal departments and agencies (or their des-
ignees): 
‘‘(A) The Assistant Secretary for Health of 
the Department of Health and Human Services, 
who shall serve as Chair. 
‘‘(B) The Assistant Secretary for Planning 
and Evaluation of the Department of Health and 
Human Services. 
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‘‘(C) The Assistant Secretary of the Admin-
istration for Children and Families. 
‘‘(D) The Director of the Centers for Disease 
Control and Prevention. 
‘‘(E) The Administrator of the Centers for 
Medicare & Medicaid Services. 
‘‘(F) The Administrator of the Health Re-
sources and Services Administration. 
‘‘(G) The Director of the Indian Health 
Service. 
‘‘(H) The Assistant Secretary for Mental 
Health and Substance Use. 
‘‘(I) Such other Federal departments and 
agencies as the Secretary determines appropriate 
that serve individuals with maternal mental 
health conditions. 
‘‘(3) NON-FEDERAL MEMBERS.—The non-Federal 
members of the Task Force shall— 
‘‘(A) compose not more than one-half, and 
not less than one-third, of the total membership 
of the Task Force; 
‘‘(B) be appointed by the Secretary; and 
‘‘(C) include— 
‘‘(i) representatives of medical societies 
with expertise in maternal or mental health; 
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‘‘(ii) representatives of nonprofit orga-
nizations with expertise in maternal or 
mental health; 
‘‘(iii) relevant industry representatives; 
and 
‘‘(iv) other representatives, as appro-
priate. 
‘‘(4) DEADLINE FOR DESIGNATING DESIGNEES.— 
If the Assistant Secretary for Health, or the head of 
a Federal department or agency serving as a member 
of the Task Force under paragraph (2), chooses to be 
represented on the Task Force by a designee, the As-
sistant Secretary or department or agency head shall 
designate such designee not later than 90 days after 
the date of the enactment of this section. 
‘‘(c) DUTIES.—The Task Force shall— 
‘‘(1) prepare and regularly update a report that 
analyzes and evaluates the state of national maternal 
mental health policy and programs at the Federal, 
State, and local levels, and identifies best practices 
with respect to maternal mental health policy, includ-
ing— 
‘‘(A) a set of evidence-based, evidence-in-
formed, and promising practices with respect 
to— 
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‘‘(i) prevention strategies for individ-
uals at risk of experiencing a maternal 
mental health condition, including strate-
gies and recommendations to address health 
inequities; 
‘‘(ii) the identification, screening, di-
agnosis, intervention, and treatment of in-
dividuals and families affected by a mater-
nal mental health condition; 
‘‘(iii) the expeditious referral to, and 
implementation of, practices and supports 
that prevent and mitigate the effects of a 
maternal mental health condition, including 
strategies and recommendations to elimi-
nate the racial and ethnic disparities that 
exist in maternal mental health; and 
‘‘(iv) 
community-based 
or 
multigenerational practices that support in-
dividuals and families affected by a mater-
nal mental health condition; and 
‘‘(B) Federal and State programs and ac-
tivities to prevent, screen, diagnose, intervene, 
and treat maternal mental health conditions; 
‘‘(2) develop and regularly update a national 
strategy for maternal mental health, taking into con-
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sideration the findings of the report under paragraph 
(1), on how the Task Force and Federal departments 
and agencies represented on the Task Force may 
prioritize options for, and may implement a coordi-
nated approach to, addressing maternal mental health 
conditions, including by— 
‘‘(A) increasing prevention, screening, diag-
nosis, intervention, treatment, and access to care, 
including clinical and nonclinical care such as 
peer-support and community health workers, 
through the public and private sectors; 
‘‘(B) providing support for pregnant or 
postpartum individuals who are at risk for or 
experiencing a maternal mental health condition, 
and their families, as appropriate; 
‘‘(C) reducing racial, ethnic, geographic, 
and other health disparities for prevention, diag-
nosis, intervention, treatment, and access to care; 
‘‘(D) identifying options for modifying, 
strengthening, and coordinating Federal pro-
grams and activities, such as the Medicaid pro-
gram under title XIX of the Social Security Act 
and the State Children’s Health Insurance Pro-
gram under title XXI of such Act, including ex-
isting infant and maternity programs, in order 
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to increase research, prevention, identification, 
intervention, and treatment with respect to ma-
ternal mental health; and 
‘‘(E) planning, data sharing, and commu-
nication within and across Federal departments, 
agencies, offices, and programs; 
‘‘(3) solicit public comments from stakeholders 
for the report under paragraph (1) and the national 
strategy under paragraph (2), including comments 
from frontline service providers, mental health profes-
sionals, researchers, experts in maternal mental 
health, institutions of higher education, public health 
agencies (including maternal and child health pro-
grams), and industry representatives, in order to in-
form the activities and reports of the Task Force; and 
‘‘(4) disaggregate any data collected under this 
section by race, ethnicity, geographical location, age, 
marital status, socioeconomic level, and other factors, 
as the Secretary determines appropriate. 
‘‘(d) MEETINGS.—The Task Force shall— 
‘‘(1) meet not less than two times each year; and 
‘‘(2) convene public meetings, as appropriate, to 
fulfill its duties under this section. 
‘‘(e) REPORTS TO PUBLIC AND FEDERAL LEADERS.— 
The Task Force shall make publicly available and submit 
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to the heads of relevant Federal departments and agencies, 
the Committee on Energy and Commerce of the House of 
Representatives, the Committee on Health, Education, 
Labor, and Pensions of the Senate, and other relevant con-
gressional committees, the following: 
‘‘(1) Not later than 1 year after the first meeting 
of the Task Force, an initial report under subsection 
(c)(1). 
‘‘(2) Not later than 2 years after the first meet-
ing of the Task Force, an initial national strategy 
under subsection (c)(2). 
‘‘(3) Each year thereafter— 
‘‘(A) an updated report under subsection 
(c)(1); 
‘‘(B) an updated national strategy under 
subsection (c)(2); or 
‘‘(C) if no update is made under subsection 
(c)(1) or (c)(2), a report summarizing the activi-
ties of the Task Force. 
‘‘(f) REPORTS TO GOVERNORS.—Upon finalizing the 
initial national strategy under subsection (c)(2), and upon 
making relevant updates to such strategy, the Task Force 
shall submit a report to the Governors of all States describ-
ing opportunities for local- and State-level partnerships 
identified under subsection (c)(2)(D). 
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‘‘(g) SUNSET.—The Task Force shall terminate on 
September 30, 2027. 
‘‘(h) NONDUPLICATION OF FEDERAL EFFORTS.—The 
Secretary may relieve the Task Force, in carrying out sub-
sections (c) through (f), from responsibility for carrying out 
such activities as may be specified by the Secretary as du-
plicative with other activities carried out by the Depart-
ment of Health and Human Services.’’. 
Subtitle 
C—Reaching 
Improved 
Mental Health Outcomes for Pa-
tients 
SEC. 121. INNOVATION FOR MENTAL HEALTH. 
(a) NATIONAL MENTAL HEALTH AND SUBSTANCE USE 
POLICY LABORATORY.—Section 501A of the Public Health 
Service Act (42 U.S.C. 290aa–0) is amended— 
(1) in subsection (e)(1), by striking ‘‘Indian 
tribes or tribal organizations’’ and inserting ‘‘Indian 
Tribes or Tribal organizations’’; 
(2) by striking subsection (e)(3); and 
(3) by adding at the end the following: 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS 
COORDINATING COMMITTEE.— 
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(1) IN GENERAL.—Part A of title V of the Public 
Health Service Act (42 U.S.C. 290aa et seq.) is 
amended by inserting after section 501A (42 U.S.C. 
290aa–0) the following: 
‘‘SEC. 501B. INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary of Health and 
Human Services, or the designee of the Secretary, 
shall establish a committee to be known as the Inter-
departmental Serious Mental Illness Coordinating 
Committee (in this section referred to as the ‘Com-
mittee’). 
‘‘(2) FEDERAL ADVISORY COMMITTEE ACT.—Ex-
cept as provided in this section, the provisions of the 
Federal Advisory Committee 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.—The Committee shall submit, 
on a biannual basis, 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 re-
lated to the prevention of, diagnosis of, intervention 
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in, and treatment and recovery of serious mental ill-
nesses, serious emotional disturbances, and advances 
in access to services and support for adults with a se-
rious 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, inci-
dence and prevalence of serious mental illnesses, 
serious emotional disturbances, and substance 
use disorders, overdose, overdose deaths, emer-
gency hospitalizations, emergency room board-
ing, preventable emergency room visits, inter-
action with the criminal justice system, home-
lessness, and unemployment; 
‘‘(B) increased rates of employment and en-
rollment in educational and vocational pro-
grams; 
‘‘(C) quality of mental and substance use 
disorders treatment services; or 
‘‘(D) any other criteria as may be deter-
mined by the Secretary; and 
‘‘(3) specific recommendations for actions that 
agencies can take to better coordinate the administra-
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tion of mental health services for adults with a serious 
mental illness or children with a serious emotional 
disturbance. 
‘‘(d) 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. 
‘‘(2) NON-FEDERAL MEMBERS.—The Committee 
shall also include not less than 14 non-Federal public 
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‘‘(K) at least 1 member shall have experi-
ence providing services for homeless individuals 
and working with adults with a serious mental 
illness, children with a serious emotional dis-
turbance, or individuals in a mental health cri-
sis. 
‘‘(3) TERMS.—A member of the Committee ap-
pointed under paragraph (2) shall serve for a term of 
3 years, and may be reappointed for 1 or more addi-
tional 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 suc-
cessor has been appointed. 
‘‘(e) WORKING GROUPS.—In carrying out its func-
tions, the Committee may establish working groups. Such 
working groups shall be composed of Committee members, 
or their designees, and may hold such meetings as are nec-
essary. 
‘‘(f) SUNSET.—The Committee shall terminate on Sep-
tember 30, 2027.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 501(l)(2) of the Public Health 
Service Act (42 U.S.C. 290aa(l)(2)) is amended 
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by striking ‘‘section 6031 of such Act’’ and in-
serting ‘‘section 501B of this Act’’. 
(B) Section 6031 of the Helping Families 
in Mental Health Crisis Reform Act of 2016 (Di-
vision B of Public Law 114–255) is repealed 
(and by conforming the item relating to such sec-
tion in the table of contents in section 1(b)). 
(c) 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), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘$394,550,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$599,036,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 122. CRISIS CARE COORDINATION. 
(a) 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. MENTAL HEALTH CRISIS RESPONSE PARTNER-
SHIP PILOT PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
pilot program under which the Secretary will award com-
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petitive grants to States, localities, territories, Indian 
Tribes, and Tribal organizations to establish new, or en-
hance existing, mobile crisis response teams that divert the 
response for mental health and substance use crises from 
law enforcement to mobile crisis teams, as described in sub-
section (b). 
‘‘(b) MOBILE CRISIS TEAMS DESCRIBED.—A mobile 
crisis team described in this subsection is a team of individ-
uals— 
‘‘(1) that is available to respond to individuals 
in crisis and provide immediate stabilization, refer-
rals to community-based mental health and substance 
use disorder services and supports, and triage to a 
higher level of care if medically necessary; 
‘‘(2) which may include licensed counselors, clin-
ical social workers, physicians, paramedics, crisis 
workers, peer support specialists, or other qualified 
individuals; and 
‘‘(3) which may provide support to divert behav-
ioral health crisis calls from the 9–1–1 system to the 
9–8–8 system. 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall prioritize applications which ac-
count for the specific needs of the communities to be served, 
including children and families, veterans, rural and under-
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served populations, and other groups at increased risk of 
death from suicide or overdose. 
‘‘(d) REPORT.— 
‘‘(1) INITIAL REPORT.—Not later than September 
30, 2024, the Secretary shall submit to Congress a re-
port on steps taken by the entities specified in sub-
section (a) as of such date of enactment to strengthen 
the partnerships among mental health providers, sub-
stance use disorder treatment providers, primary care 
physicians, mental health and substance use crisis 
teams, paramedics, law enforcement officers, and 
other first responders. 
‘‘(2) PROGRESS REPORTS.—Not later than one 
year after the date on which the first grant is award-
ed to carry out this section, and for each year there-
after, the Secretary shall submit to Congress a report 
on the grants made during the year covered by the re-
port, which shall include— 
‘‘(A) impact data on the teams and people 
served by such programs, including demographic 
information of individuals served, volume, and 
types of service utilization; 
‘‘(B) outcomes of the number of linkages to 
community-based resources, short-term crisis re-
ceiving and stabilization facilities, and diversion 
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from law enforcement or hospital emergency de-
partment settings; 
‘‘(C) data consistent with the State block 
grant requirements for continuous evaluation 
and quality improvement, and other relevant 
data as determined by the Secretary; and 
‘‘(D) the Secretary’s recommendations and 
best practices for— 
‘‘(i) States and localities providing 
mobile crisis response and stabilization 
services for youth and adults; and 
‘‘(ii) improvements to the program es-
tablished under this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are 
authorized to be appropriated to carry out this section, 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.— 
(1) IN GENERAL.—Section 520J(b) of the Public 
Health Service Act (42 U.S.C. 290bb–41(b)) is 
amended— 
(A) in paragraph (1), by striking ‘‘Indian 
tribes, tribal organizations’’ and inserting ‘‘In-
dian Tribes, Tribal organizations’’; 
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(B) in paragraph (4), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; 
(C) in paragraph (5)— 
(i) by striking ‘‘Indian tribe, tribal or-
ganization’’ and inserting ‘‘Indian Tribe, 
Tribal organization’’; 
(ii) in subparagraph (A), by striking 
‘‘and’’ at the end; 
(iii) in subparagraph (B)(ii), by strik-
ing the period at the end and inserting ‘‘; 
and’’; and 
(iv) by adding at the end the following: 
‘‘(C) suicide intervention and prevention, 
including recognizing warning signs and how to 
refer someone for help.’’; 
(D) in paragraph (6), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; and 
(E) 
in 
paragraph 
(7), 
by 
striking 
‘‘$14,693,000 for each of fiscal years 2018 
through 2022’’ and inserting ‘‘$24,963,000 for 
each of fiscal years 2023 through 2027’’. 
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(2) TECHNICAL CORRECTIONS.—Section 520J(b) 
of the Public Health Service Act (42 U.S.C. 290bb– 
41(b)) is amended— 
(A) in the heading of paragraph (2), by 
striking ‘‘EMERGENCY SERVICES PERSONNEL’’ 
and inserting ‘‘EMERGENCY
SERVICES
PER-
SONNEL’’; and 
(B) in the heading of paragraph (3), by 
striking ‘‘DISTRIBUTION OF AWARDS’’ and in-
serting ‘‘DISTRIBUTION OF AWARDS’’. 
(c) ADULT SUICIDE PREVENTION.—Section 520L of 
the Public Health Service Act (42 U.S.C. 290bb–43) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (2)— 
(i) by striking ‘‘Indian tribe’’ each 
place it appears and inserting ‘‘Indian 
Tribe’’; and 
(ii) by striking ‘‘tribal organization’’ 
each place it appears and inserting ‘‘Tribal 
organization’’; and 
(B) by amending paragraph (3)(C) to read 
as follows: 
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‘‘(C) Raising awareness of suicide preven-
tion resources, promoting help seeking among 
those at risk for suicide.’’; and 
(2) in subsection (d), by striking ‘‘$30,000,000 
for the period of fiscal years 2018 through 2022’’ and 
inserting ‘‘$30,000,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 123. TREATMENT OF SERIOUS MENTAL ILLNESS. 
(a) ASSERTIVE COMMUNITY TREATMENT GRANT PRO-
GRAM.— 
(1) TECHNICAL AMENDMENT.—Section 520M(b) 
of the Public Health Service Act (42 U.S.C. 290bb– 
44(b)) is amended by striking ‘‘Indian tribe or tribal 
organization’’ and inserting ‘‘Indian Tribe or Tribal 
organization’’. 
(2) REPORT TO CONGRESS.—Section 520M(d)(1) 
of the Public Health Service Act (42 U.S.C. 290bb– 
44(d)(1)) is amended by striking ‘‘not later than the 
end of fiscal year 2021’’ and inserting ‘‘not later than 
the end of fiscal year 2026’’. 
(3) AUTHORIZATION OF APPROPRIATIONS.—Sec-
tion 520M(e)(1) of the Public Health Service Act (42 
U.S.C. 290bb–44(d)(1)) is amended by striking 
‘‘$5,000,000 for the period of fiscal years 2018 
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through 2022’’ and inserting ‘‘$9,000,000 for each of 
fiscal years 2023 through 2027’’. 
(b) ASSISTED OUTPATIENT TREATMENT.—Section 224 
of the Protecting Access to Medicare Act of 2014 (42 U.S.C. 
290aa note) is amended to read as follows: 
‘‘SEC. 224. ASSISTED OUTPATIENT TREATMENT GRANT PRO-
GRAM FOR INDIVIDUALS WITH SERIOUS MEN-
TAL ILLNESS. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
program to award grants to eligible entities for assisted out-
patient treatment programs for individuals with serious 
mental illness. 
‘‘(b) CONSULTATION.—The Secretary shall carry out 
this section in consultation with the Director of the Na-
tional Institute of Mental Health, the Attorney General of 
the United States, the Administrator of the Administration 
for Community Living, and the Assistant Secretary for 
Mental Health and Substance Use. 
‘‘(c) SELECTING AMONG APPLICANTS.—In awarding 
grants under this section, the Secretary— 
‘‘(1) may give preference to applicants that have 
not previously implemented an assisted outpatient 
treatment program; and 
‘‘(2) shall evaluate applicants based on their po-
tential to reduce hospitalization, homelessness, incar-
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ceration, and interaction with the criminal justice 
system while improving the health and social out-
comes of the patient. 
‘‘(d) PROGRAM REQUIREMENTS.—An assisted out-
patient treatment program funded with a grant awarded 
under this section shall include— 
‘‘(1) evaluating the medical and social needs of 
the patients who are participating in the program; 
‘‘(2) preparing and executing treatment plans 
for such patients that— 
‘‘(A) include criteria for completion of 
court-ordered treatment if applicable; and 
‘‘(B) provide for monitoring of the patient’s 
compliance with the treatment plan, including 
compliance with medication and other treatment 
regimens; 
‘‘(3) providing for case management services that 
support the treatment plan; 
‘‘(4) ensuring appropriate referrals to medical 
and social services providers; 
‘‘(5) evaluating the process for implementing the 
program to ensure consistency with the patient’s 
needs and State law; and 
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‘‘(6) measuring treatment outcomes, including 
health and social outcomes such as rates of incarcer-
ation, health care utilization, and homelessness. 
‘‘(e) REPORT.—Not later than the end of fiscal year 
2027, the Secretary shall submit a report to the appropriate 
congressional committees on the grant program under this 
section. Such report shall include an evaluation of the fol-
lowing: 
‘‘(1) Cost savings and public health outcomes 
such as mortality, suicide, substance abuse, hos-
pitalization, and use of services. 
‘‘(2) Rates of incarceration of patients. 
‘‘(3) Rates of homelessness of patients. 
‘‘(4) Patient and family satisfaction with pro-
gram participation. 
‘‘(5) Demographic information regarding par-
ticipation of those served by the grant compared to 
demographic information in the population of the 
grant recipient. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘assisted outpatient treatment’ 
means medically prescribed mental health treatment 
that a patient receives while living in a community 
under the terms of a law authorizing a State or local 
civil court to order such treatment. 
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‘‘(2) The term ‘eligible entity’ means a county, 
city, mental health system, mental health court, or 
any other entity with authority under the law of the 
State in which the entity is located to implement, 
monitor, and oversee an assisted outpatient treatment 
program. 
‘‘(g) FUNDING.— 
‘‘(1) AMOUNT OF GRANTS.— 
‘‘(A) MAXIMUM AMOUNT.—The amount of a 
grant under this section shall not exceed 
$1,000,000 for any fiscal year. 
‘‘(B) DETERMINATION.—Subject to subpara-
graph (A), the Secretary shall determine the 
amount of each grant under this section based on 
the population of the area to be served through 
the grant and an estimate of the number of pa-
tients to be served. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $22,000,000 for each of fiscal years 2023 
through 2027.’’. 
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Subtitle D—Anna Westin Legacy 
SEC. 131. MAINTAINING EDUCATION AND TRAINING ON 
EATING DISORDERS. 
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 102, is further amended by adding at the end the 
following: 
‘‘SEC. 520O. CENTER OF EXCELLENCE FOR EATING DIS-
ORDERS FOR EDUCATION AND TRAINING ON 
EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Assistant Secretary, shall maintain, by competitive grant 
or contract, a Center of Excellence for Eating Disorders (re-
ferred to in this section as the ‘Center’) to improve the iden-
tification of, interventions for, and treatment of eating dis-
orders in a manner that is developmentally, culturally, and 
linguistically appropriate. 
‘‘(b) SUBGRANTS AND SUBCONTRACTS.—The Center 
shall coordinate and implement the activities under sub-
section (c), in whole or in part, by awarding competitive 
subgrants or subcontracts— 
‘‘(1) across geographical regions; and 
‘‘(2) in a manner that is not duplicative. 
‘‘(c) ACTIVITIES.—The Center— 
‘‘(1) shall— 
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‘‘(A) provide training and technical assist-
ance for— 
‘‘(i) primary care and behavioral 
health care providers to carry out screening, 
brief intervention, and referral to treatment 
for individuals experiencing, or at risk for, 
eating disorders; and 
‘‘(ii) nonclinical community support 
workers to identify and support individuals 
with, or at disproportionate risk for, eating 
disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in the 
effective treatment and ongoing support of indi-
viduals with eating disorders, including children 
and marginalized populations at dispropor-
tionate risk for eating disorders; 
‘‘(C) provide collaboration and coordination 
to other centers of excellence, technical assistance 
centers, and psychiatric consultation lines of the 
Substance Abuse and Mental Health Services Ad-
ministration and the Health Resources and 
Services Administration on the identification, ef-
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fective treatment, and ongoing support of indi-
viduals with eating disorders; and 
‘‘(D) coordinate with the Director of the 
Centers for Disease Control and Prevention and 
the Administrator of the Health Resources and 
Services Administration to disseminate training 
to primary care and behavioral health care pro-
viders; and 
‘‘(2) may— 
‘‘(A) coordinate with electronic health 
record systems for the integration of protocols 
pertaining to screening, brief intervention, and 
referral to treatment for individuals experi-
encing, or at risk for, eating disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in the 
effective treatment and ongoing support for 
members of the Armed Forces and veterans expe-
riencing, or at risk for, eating disorders; and 
‘‘(C) consult with the Secretary of Defense 
and the Secretary of Veterans Affairs on preven-
tion, identification, intervention for, and treat-
ment of eating disorders. 
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‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$1,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle 
E—Community 
Mental 
Health Services Block Grant Re-
authorization 
SEC. 141. REAUTHORIZATION OF BLOCK GRANTS FOR COM-
MUNITY MENTAL HEALTH SERVICES. 
(a) FUNDING.—Section 1920(a) of the Public Health 
Service Act (42 U.S.C. 300x–9(a)) is amended by striking 
‘‘$532,571,000 for each of fiscal years 2018 through 2022’’ 
and inserting ‘‘$857,571,000 for each of fiscal years 2023 
through 2027’’. 
(b) SET-ASIDE FOR EVIDENCE-BASED CRISIS CARE 
SERVICES.—Section 1920 of the Public Health Service Act 
(42 U.S.C. 300x–9) is amended by adding at the end the 
following: 
‘‘(d) CRISIS CARE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (3), a State shall expend at least 5 percent of 
the amount the State receives pursuant to section 
1911 for each fiscal year to support evidenced-based 
programs that address the crisis care needs of— 
‘‘(A) individuals, including children and 
adolescents, experiencing mental health crises, 
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substance-related crises, or crises arising from 
co-occurring disorders; and 
‘‘(B) persons with intellectual and develop-
mental disabilities. 
‘‘(2) CORE ELEMENTS.—At the discretion of the 
single State agency responsible for the administration 
of the program of the State under a grant under sec-
tion 1911, funds expended pursuant to paragraph (1) 
may be used to fund some or all of the core crisis care 
service components, delivered according to evidence- 
based principles, including the following: 
‘‘(A) Crisis call centers. 
‘‘(B) 24/7 mobile crisis services. 
‘‘(C) Crisis stabilization programs offering 
acute care or subacute care in a hospital or ap-
propriately licensed facility, as determined by 
the Substance Abuse and Mental Health Services 
Administration, with referrals to inpatient or 
outpatient care. 
‘‘(3) STATE FLEXIBILITY.—In lieu of expending 
5 percent of the amount the State receives pursuant 
to section 1911 for a fiscal year to support evidence- 
based programs as required by paragraph (1), a State 
may elect to expend not less than 10 percent of such 
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amount to support such programs by the end of two 
consecutive fiscal years. 
‘‘(4) RULE OF CONSTRUCTION.—With respect to 
funds expended pursuant to the set-aside in para-
graph (1), section 1912(b)(1)(A)(vi) shall not apply.’’. 
(c) EARLY INTERVENTION.— 
(1) 
STATE
PLAN
OPTION.—Section 
1912(b)(1)(A)(vii) of the Public Health Service Act 
(42 U.S.C. 300x–1(b)(1)(A)(vii)) is amended— 
(A) in subclause (III), by striking ‘‘and’’ at 
the end; 
(B) in subclause (IV), by striking the period 
at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(V) a description of any evi-
dence-based early intervention strate-
gies and programs the State provides 
to prevent, delay, or reduce the severity 
and onset of mental illness and behav-
ioral problems, including for children 
and adolescents, irrespective of experi-
encing a serious mental illness or seri-
ous emotional disturbance, as defined 
under subsection (c)(1).’’. 
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(2) ALLOCATION
ALLOWANCE; REPORTS.—Sec-
tion 1920 of the Public Health Service Act (42 U.S.C. 
300x–9), as amended by subsection (c), is further 
amended by adding at the end the following: 
‘‘(e) EARLY INTERVENTION SERVICES.—In the case of 
a State with a State plan that provides for strategies and 
programs specified in section 1912(b)(1)(A)(vii)(VI), such 
State may expend not more than 5 percent of the amount 
of the allotment of the State pursuant to a funding agree-
ment under section 1911 for each fiscal year to support such 
strategies and programs. 
‘‘(f) REPORTS TO CONGRESS.—Not later than Sep-
tember 30, 2025, and biennially thereafter, the Secretary 
shall provide a report to the Congress on the crisis care and 
early intervention strategies and programs pursued by 
States pursuant to subsections (d) and (e). Each such report 
shall include— 
‘‘(1) a description of the each State’s crisis care 
and early intervention activities; 
‘‘(2) the population served, including informa-
tion on demographics, including age; 
‘‘(3) the outcomes of such activities, including— 
‘‘(A) how such activities reduced hos-
pitalizations and hospital stays; 
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‘‘(B) how such activities reduced incidents 
of suicidal ideation and behaviors; and 
‘‘(C) how such activities reduced the severity 
of onset of serious mental illness and serious 
emotional disturbance; and 
‘‘(4) any other relevant information the Sec-
retary deems necessary.’’. 
Subtitle F—Peer-Supported Mental 
Health Services 
SEC. 151. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
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 520G (42 U.S.C. 290bb—38) the fol-
lowing: 
‘‘SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Director of the Center for Mental Health Serv-
ices, shall award grants to eligible entities to enable such 
entities to develop, expand, and enhance access to mental 
health peer-delivered services. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) shall be used to develop, expand, and enhance 
national, statewide, or community-focused programs, in-
cluding virtual peer-support services and infrastructure, in-
cluding by— 
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‘‘(1) carrying out workforce development, recruit-
ment, and retention activities, to train, recruit, and 
retain peer-support providers; 
‘‘(2) building connections between mental health 
treatment programs, including between community 
organizations and peer-support networks, including 
virtual peer-support networks, and with other mental 
health support services; 
‘‘(3) reducing stigma associated with mental 
health disorders; 
‘‘(4) expanding and improving virtual peer men-
tal health support services, including adoption of 
technologies to expand access to virtual peer mental 
health support services, including by acquiring— 
‘‘(A) appropriate physical hardware for 
such virtual services; 
‘‘(B) software and programs to efficiently 
run peer-support services virtually; and 
‘‘(C) other technology for establishing vir-
tual waiting rooms and virtual video platforms 
for meetings; and 
‘‘(5) conducting research on issues relating to 
mental illness and the impact peer-support has on re-
siliency, including identifying— 
‘‘(A) the signs of mental illness; 
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‘‘(B) the resources available to individuals 
with mental illness and to their families; and 
‘‘(C) the resources available to help support 
individuals living with mental illness. 
‘‘(c) SPECIAL CONSIDERATION.—In carrying out this 
section, the Secretary shall give special consideration to the 
unique needs of rural areas. 
‘‘(d) DEFINITION.—In this section, the term ‘eligible 
entity’ means— 
‘‘(1) a nonprofit consumer-run organization 
that— 
‘‘(A) is principally governed by people liv-
ing with a mental health condition; and 
‘‘(B) mobilizes resources within and outside 
of the mental health community, which may in-
clude through peer-support networks, to increase 
the prevalence and quality of long-term wellness 
of individuals living with a mental health condi-
tion, including those with a co-occurring sub-
stance use disorder; or 
‘‘(2) a Federally recognized Tribe, Tribal organi-
zation, Urban Indian organization, or consortium of 
Tribes or Tribal organizations. 
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‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$13,000,000 for each of fiscal years 2023 through 2027.’’. 
TITLE II—SUBSTANCE USE DIS-
ORDER PREVENTION, TREAT-
MENT, AND RECOVERY SERV-
ICES 
Subtitle A—Native Behavioral 
Health Access Improvement 
SEC. 201. BEHAVIORAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES FOR NATIVE AMERICANS. 
Section 506A of the Public Health Service Act (42 
U.S.C. 290aa–5a) is amended to read as follows: 
‘‘SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE 
DISORDER SERVICES FOR NATIVE AMERI-
CANS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means an Indian 
Tribe, a Tribal organization, an Urban Indian orga-
nization, and a Native Hawaiian health organiza-
tion. 
‘‘(2) The terms ‘Indian Tribe’, ‘Tribal organiza-
tion’, and ‘Urban Indian organization’ have the 
meanings given to the terms ‘Indian tribe’, ‘tribal or-
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ganization’, and ‘Urban Indian organization’ in sec-
tion 4 of the Indian Health Care Improvement Act. 
‘‘(3) The term ‘Native Hawaiian health organi-
zation’ means ‘Papa Ola Lokahi’ as defined in section 
12 of the Native Hawaiian Health Care Improvement 
Act. 
‘‘(b) FORMULA FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Director of the Indian Health Service, 
as appropriate, shall award funds to eligible entities, 
in amounts determined pursuant to the formula de-
scribed in paragraph (2), to be used by the eligible en-
tity to provide culturally appropriate mental health 
and substance use disorder prevention, treatment, and 
recovery services to American Indians, Alaska Na-
tives, and Native Hawaiians. 
‘‘(2) FORMULA.—The Secretary, using the proc-
ess described in subsection (d), shall develop a for-
mula to determine the amount of an award under 
paragraph (1). Such formula shall take into account 
the populations of eligible entities whose rates of over-
dose deaths or suicide are substantially higher relative 
to the populations of other Indian Tribes, Tribal or-
ganizations, Urban Indian organizations, or Native 
Hawaiian health organizations, as applicable. 
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‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVALUA-
TION.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
‘‘(A) provide technical assistance to appli-
cants and awardees under this section; and 
‘‘(B) collect and evaluate information on the 
program carried out under this section. 
‘‘(2) CONSULTATION ON EVALUATION MEASURES, 
AND
DATA
SUBMISSION
AND
REPORTING
REQUIRE-
MENTS.—The Secretary shall, using the process de-
scribed in subsection (d), develop evaluation measures 
and data submission and reporting requirements for 
purposes of the collection and evaluation of informa-
tion. 
‘‘(3) DATA SUBMISSION AND REPORTING.—As a 
condition on receipt of funds under this section, an 
applicant shall agree to submit data and reports in 
a timely manner consistent with the evaluation meas-
ures and data submission and reporting requirements 
developed under subsection (d). 
‘‘(d) REGULATIONS.— 
‘‘(1) PROMULGATION.—Not later than 180 days 
after the date of enactment of the Restoring Hope for 
Mental Health and Well-Being Act of 2022, the Sec-
retary shall initiate procedures under subchapter III 
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of chapter 5 of title 5, United States Code, to nego-
tiate and promulgate such regulations as are nec-
essary to carry out this section, including develop-
ment of the funding formula described in subsection 
(b) and the program evaluation and reporting re-
quirements under subsection (c). 
‘‘(2) PUBLICATION.—Not later than 18 months 
after the date of enactment of the Restoring Hope for 
Mental Health and Well-Being Act of 2022, the Sec-
retary shall publish in the Federal Register proposed 
regulations to implement this section. 
‘‘(3) COMMITTEE.—A negotiated rulemaking 
committee established pursuant to section 565 of title 
5, United States Code, to carry out this subsection 
shall have as its members only representatives of the 
Federal Government, Tribal Governments, and Urban 
Indian organizations. For purposes of such rule-
making, the Indian Health Service shall be the lead 
agency for the Department. 
‘‘(4) ADAPTATION
OF
PROCEDURES.—In car-
rying out this subsection, the Secretary shall adapt 
any negotiated rulemaking procedures to the unique 
context of the government-to-government relationship 
between the United States and Indian Tribes. 
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‘‘(5) EFFECT.—The lack of promulgated regula-
tions under this subsection shall not limit the effect 
or implementation of this section. 
‘‘(e) APPLICATION.—An entity desiring an award 
under subsection (b) shall submit an application to the Sec-
retary at such time, in such manner, and accompanied by 
such information as the Secretary may reasonably require. 
‘‘(f) REPORT.—Not later than 3 years after the date 
of the enactment of the Restoring Hope for Mental Health 
and Well-Being Act of 2022, and annually thereafter, the 
Secretary shall prepare and 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 describing the services provided 
pursuant to this section. 
‘‘(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$40,000,000 for each of fiscal years 2023 through 2027.’’. 
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Subtitle B—Summer Barrow Pre-
vention, Treatment, and Recov-
ery 
SEC. 211. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS. 
Section 506(e) of the Public Health Service Act (42 
U.S.C. 290aa–5(e)) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 212. PRIORITY SUBSTANCE ABUSE 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 the section heading, by striking ‘‘ABUSE’’ 
and inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘tribes and tribal organiza-
tions (as the terms ‘Indian tribes’ and ‘tribal or-
ganizations’ are defined’’ and inserting ‘‘Tribes 
and Tribal organizations (as such terms are de-
fined’’; and 
(B) in paragraph (3), by striking ‘‘in sub-
stance abuse’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE
DIS-
ORDER’’; and 
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(4) in subsection (f), by striking ‘‘$333,806,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$521,517,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 213. EVIDENCE-BASED PRESCRIPTION OPIOID AND 
HEROIN TREATMENT AND INTERVENTIONS 
DEMONSTRATION. 
Section 514B of the Public Health Service Act (42 
U.S.C. 290bb–10) is amended— 
(1) in subsection (a)(1)— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorder’’; 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; and 
(C) by striking ‘‘addiction’’ and inserting 
‘‘substance use disorders’’; 
(2) in subsection (e)(3), by striking ‘‘tribes and 
tribal organizations’’ and inserting ‘‘Tribes and Trib-
al organizations’’; and 
(3) in subsection (f), by striking ‘‘2017 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
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‘‘(1) The term ‘alcohol beverage industry’ means 
the brewers, vintners, distillers, importers, distribu-
tors, and retail or online outlets that sell or serve 
beer, wine, and distilled spirits. 
‘‘(2) The term ‘school-based prevention’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or organi-
zations in any grade of school, kindergarten through 
12th grade. 
‘‘(3) The term ‘youth’ means persons under the 
age of 21.’’; and 
(2) by striking subsections (c) through (g) and 
inserting the following: 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.— 
‘‘(1) INTERAGENCY
COORDINATING
COMMITTEE 
ON THE PREVENTION OF UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in 
subparagraph (B), shall continue to support and 
enhance the efforts of the interagency coordi-
nating committee, that began operating in 2004, 
focusing on underage drinking (referred to in 
this subsection as the ‘Committee’). 
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‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in subparagraph (A) are the Secretary 
of Education, the Attorney General, the Sec-
retary of Transportation, the Secretary of the 
Treasury, the Secretary of Defense, the Surgeon 
General, the Director of the Centers for Disease 
Control and Prevention, the Director of the Na-
tional Institute on Alcohol Abuse and Alco-
holism, the Assistant Secretary for Mental 
Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assistant 
Secretary for Children and Families, the Direc-
tor of the Office of National Drug Control Policy, 
the Administrator of the National Highway 
Traffic Safety Administration, the Adminis-
trator of the Office of Juvenile Justice and De-
linquency Prevention, the Chairman of the Fed-
eral Trade Commission, and such other Federal 
officials as the Secretary of Health and Human 
Services determines to be appropriate. 
‘‘(C) CHAIR.—The Secretary of Health and 
Human Services shall serve as the chair of the 
Committee. 
‘‘(D) DUTIES.—The Committee shall guide 
policy and program development across the Fed-
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eral Government with respect to underage drink-
ing, provided, however, that nothing in this sec-
tion shall be construed as transferring regulatory 
or program authority from an Agency to the Co-
ordinating Committee. 
‘‘(E) 
CONSULTATIONS.—The 
Committee 
shall actively seek the input of and shall consult 
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage in-
dustry trade associations and companies. 
‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on 
behalf of the Committee, shall annually sub-
mit to the Congress a report that summa-
rizes— 
‘‘(I) all programs and policies of 
Federal agencies designed to prevent 
and reduce underage drinking, focusing 
particularly on programs and policies 
that support the adoption and enforce-
ment of State policies designed to pre-
vent and reduce underage drinking as 
specified in paragraph (2); 
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‘‘(II) the extent of progress in pre-
venting and reducing underage drink-
ing at State and national levels; 
‘‘(III) data that the Secretary 
shall collect with respect to the infor-
mation specified in clause (ii); and 
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate. 
‘‘(ii) CERTAIN INFORMATION.—The re-
port under clause (i) shall include informa-
tion on the following: 
‘‘(I) Patterns and consequences of 
underage drinking as reported in re-
search and surveys such as, but not 
limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance Sys-
tem, the National Survey on Drug Use 
and Health, and the Fatality Analysis 
Reporting System. 
‘‘(II) Measures of the availability 
of alcohol from commercial and non- 
commercial sources to underage popu-
lations. 
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‘‘(III) Measures of the exposure of 
underage populations to messages re-
garding alcohol in advertising, social 
media, and the entertainment media. 
‘‘(IV) Surveillance data, including 
information on the onset and preva-
lence of underage drinking, consump-
tion patterns, beverage preferences, 
prevalence of drinking among students 
at institutions of higher education, cor-
relations between adult and youth 
drinking, and the means of underage 
access, including trends over time for 
these surveillance data. The Secretary 
shall develop a plan to improve the col-
lection, measurement, and consistency 
of reporting Federal underage alcohol 
data. 
‘‘(V) Any additional findings re-
sulting from research conducted or sup-
ported under subsection (f). 
‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage 
drinking including a review of the re-
search literature related to State laws, 
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regulations, and policies designed to 
prevent and reduce underage drinking, 
as described in paragraph (2)(B)(i). 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE 
DRINKING
PREVENTION
AND
ENFORCEMENT
ACTIVI-
TIES.— 
‘‘(A) IN
GENERAL.—The Secretary shall, 
with input and collaboration from other appro-
priate Federal agencies, States, Indian Tribes, 
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue a 
report on each State’s performance in enacting, 
enforcing, and creating laws, regulations, and 
policies to prevent or reduce underage drinking 
based on an assessment of best practices devel-
oped pursuant to paragraph (1)(F)(ii)(VI) and 
subparagraph (B)(i). For purposes of this para-
graph, each such report, with respect to a year, 
shall be referred to as the ‘State Report’. Each 
State Report shall be designed as a resource tool 
for Federal agencies assisting States in the their 
underage drinking prevention efforts, State pub-
lic health and law enforcement agencies, State 
and local policymakers, and underage drinking 
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prevention coalitions including those receiving 
grants pursuant to subsection (e). 
‘‘(B) STATE PERFORMANCE MEASURES.— 
‘‘(i) IN GENERAL.—The Secretary shall 
develop, in consultation with the Com-
mittee, a set of measures to be used in pre-
paring the State Report on best practices as 
they relate to State laws, regulations, poli-
cies, and enforcement practices. 
‘‘(ii) STATE
REPORT
CONTENT.—The 
State Report shall include updates on State 
laws, regulations, and policies included in 
previous reports to Congress, including with 
respect to the following: 
‘‘(I) Whether or not the State has 
comprehensive anti-underage drinking 
laws such as for the illegal sale, pur-
chase, attempt to purchase, consump-
tion, or possession of alcohol; illegal 
use of fraudulent ID; illegal furnishing 
or obtaining of alcohol for an indi-
vidual under 21 years; the degree of 
strictness of the penalties for such of-
fenses; and the prevalence of the en-
forcement of each of these infractions. 
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‘‘(II) Whether or not the State has 
comprehensive liability statutes per-
taining to underage access to alcohol 
such as dram shop, social host, and 
house party laws, and the prevalence of 
enforcement of each of these laws. 
‘‘(III) Whether or not the State 
encourages and conducts comprehensive 
enforcement efforts to prevent underage 
access to alcohol at retail outlets, such 
as random compliance checks and 
shoulder tap programs, and the num-
ber of compliance checks within alcohol 
retail outlets measured against the 
number of total alcohol retail outlets in 
each State, and the result of such 
checks. 
‘‘(IV) Whether or not the State en-
courages training on the proper selling 
and serving of alcohol for all sellers 
and servers of alcohol as a condition of 
employment. 
‘‘(V) Whether or not the State has 
policies and regulations with regard to 
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direct sales to consumers and home de-
livery of alcoholic beverages. 
‘‘(VI) Whether or not the State 
has programs or laws to deter adults 
from purchasing alcohol for minors; 
and the number of adults targeted by 
these programs. 
‘‘(VII) Whether or not the State 
has enacted graduated drivers licenses 
and the extent of those provisions. 
‘‘(iii) ADDITIONAL
CATEGORIES.—In 
addition to the updates on State laws, regu-
lations, and policies listed in clause (ii), the 
Secretary shall consider the following: 
‘‘(I) Whether or not States have 
adopted laws, regulations, and policies 
that deter underage alcohol use, as de-
scribed in ‘The Surgeon General’s Call 
to Action to Prevent and Reduce Un-
derage Drinking’ issued in 2007 and 
‘Facing Addiction in America: The 
Surgeon General’s Report on Alcohol, 
Drugs and Health’ issued in 2016, in-
cluding restrictions on low-price, high- 
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volume drink specials, and wholesaler 
pricing provisions. 
‘‘(II) Whether or not States have 
adopted laws, regulations, and policies 
designed to reduce alcohol advertising 
messages attractive to youth and youth 
exposure to alcohol advertising and 
marketing 
in 
measured 
and 
unmeasured media and digital and so-
cial media. 
‘‘(III) Whether or not States have 
laws and policies that promote under-
age drinking prevention policy develop-
ment by local jurisdictions. 
‘‘(IV) Whether or not States have 
adopted laws, regulations, and policies 
to restrict youth access to alcoholic bev-
erages that may pose special risks to 
youth, including but not limited to al-
coholic mists, gelatins, freezer pops, 
premixed caffeinated alcoholic bev-
erages, and flavored malt beverages. 
‘‘(V) Whether or not States have 
adopted uniform best practices proto-
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cols for conducting compliance checks 
and shoulder tap programs. 
‘‘(VI) Whether or not States have 
adopted uniform best practices penalty 
protocols for violations of laws prohib-
iting retail licensees from selling or 
furnishing of alcohol to minors. 
‘‘(iv) UNIFORM
DATA
SYSTEM.—For 
performance measures related to enforce-
ment of underage drinking laws as specified 
in clauses (ii) and (iii), the Secretary shall 
develop and test a uniform data system for 
reporting State enforcement data, including 
the development of a pilot program for this 
purpose. The pilot program shall include 
procedures for collecting enforcement data 
from both State and local law enforcement 
jurisdictions. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $1,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.— 
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‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the National Highway Traffic Safety Ad-
ministration, shall develop an intensive, multifaceted, 
adult-oriented national media campaign to reduce 
underage drinking by influencing attitudes regarding 
underage drinking, increasing the willingness of 
adults to take actions to reduce underage drinking, 
and encouraging public policy changes known to de-
crease underage drinking rates. 
‘‘(2) PURPOSE.—The purpose of the national 
media campaign described in this section shall be to 
achieve the following objectives: 
‘‘(A) Instill a broad societal commitment to 
reduce underage drinking. 
‘‘(B) Increase specific actions by adults that 
are meant to discourage or inhibit underage 
drinking. 
‘‘(C) Decrease adult conduct that tends to 
facilitate or condone underage drinking. 
‘‘(3) COMPONENTS.—When implementing the na-
tional media campaign described in this section, the 
Secretary shall— 
‘‘(A) educate the public about the public 
health and safety benefits of evidence-based poli-
cies to reduce underage drinking, including min-
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