tient to obtain outpatient mental health 
treatment while the patient is living in a 
community; and 
(ii) is designed to improve access and 
adherence by such patient to intensive be-
havioral health services in order to— 
(I) avert relapse, repeated hos-
pitalizations, 
arrest, 
incarceration, 
suicide, property destruction, and vio-
lent behavior; and 
(II) provide such patient with the 
opportunity to live in a less restrictive 
alternative to incarceration or involun-
tary hospitalization. 
(2) ELIGIBLE PATIENT.—The term ‘‘eligible pa-
tient’’ means an adult, mentally ill person who, as 
determined by the court— 
(A) has a history of violence, incarceration, 
or medically unnecessary hospitalizations; 
(B) without supervision and treatment, 
may be a danger to self or others in the com-
munity; 
(C) is substantially unlikely to voluntarily 
participate in treatment; 
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(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 con-
dition that is likely to substantially deteriorate 
if the patient is not provided with timely treat-
ment; 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. 
(f) FUNDING.— 
(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$1,000,000 for each of grant years 2014 through 
2017. Subject to the preceding sentence, the Assist-
ant Secretary shall determine the amount of each 
grant based on the population of patients of the area 
to be served under the grant. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $15,000,000 for each of fiscal years 
2014 through 2017. 
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SEC. 104. TELE-PSYCHIATRY AND PRIMARY CARE PHYSI-
CIAN TRAINING GRANT PROGRAM. 
(a) IN GENERAL.—The Assistant Secretary of Men-
tal Health and Substance Use Disorders (in this section 
referred to as the ‘‘Assistant Secretary’’) shall establish 
a grant program (in this section referred to as the ‘‘grant 
program’’) under which the Assistant Secretary shall 
award to 10 eligible States (as described in subsection (e)) 
grants for carrying out all 3 of the purposes described in 
subsections (b), (c), and (d). 
(b) TRAINING PROGRAM
FOR CERTAIN PRIMARY 
CARE PHYSICIANS.—For purposes of subsection (a), the 
purpose described in this subsection, with respect to a 
grant awarded to a State under the grant program, is for 
the State to establish a training program to train primary 
care physicians in— 
(1) approved standardized behavioral-health 
screening tools, including— 
(A) Ages and Stages Questionnaires (ASQ: 
SE); 
(B) Brief Infant-Toddler Social and Emo-
tional Assessment (BITSEA); 
(C) screening for substance abuse, known 
as Car, Relax, Alone, Forget, Friends, Trouble, 
(CRAFFT); 
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(D) screening for autism, known as Modi-
fied Checklist for Autism in Toddlers (M– 
CAT); 
(E) Parents’ Evaluation of Developmental 
Status (PEDS); 
(F) screening for depression, known as Pa-
tient Health Questionnaire-9 (PHQ–9); 
(G) Pediatric Symptom Checklist (PSC) 
and Pediatric Symptom Checklist-Youth Report 
(Y–PSC); 
(H) Strengths and Difficulties Question-
naire (SDQ); and 
(I) any additional areas that the Assistant 
Secretary determines applicable; 
(2) implementing the use of behavioral-health 
screening tools in their practices; and 
(3) knowing what to do when a behavioral- 
health need is identified. 
(c) PAYMENTS
FOR MENTAL HEALTH SERVICES 
PROVIDED BY CERTAIN PRIMARY CARE PHYSICIANS.— 
(1) For purposes of subsection (a), the purpose 
described in this subsection, with respect to a grant 
awarded to a State under the grant program, is for 
the State to provide, in accordance with this sub-
section, in the case of a primary care physician that 
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participates in the training program of the State es-
tablish pursuant to subsection (b), payments to the 
primary care physician for services furnished by the 
primary care physician. 
(2) The Assistant Secretary, in determining the 
structure, quality, and form of payment under para-
graph (1) shall seek to find innovative payment sys-
tems which may take in to account— 
(A) quality of services rendered; 
(B) patients’ health outcome; 
(C) geographical location of where services 
were provided; 
(D) severity of patients’ medical condition; 
(E) duration of services provided; and 
(F) feasibility of replicating that payment 
model in other States nationwide. 
(d) TELEHEALTH SERVICES FOR MENTAL HEALTH 
DISORDERS.— 
(1) IN GENERAL.—For purposes of subsection 
(a), the purpose described in this subsection, with 
respect to a grant awarded to a State under the 
grant program, is for the State to provide, in the 
case of an individual furnished items and services by 
a primary care physician during an office visit, for 
payment for a consultation provided by a psychia-
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trist or psychologist to such physician with respect 
to such individual through the use of qualified tele-
health technology for the identification, diagnosis, 
mitigation, or treatment of a mental health disorder 
if such consultation occurs not later than the first 
business day that follows such visit. 
(2) QUALIFIED TELEHEALTH TECHNOLOGY.— 
For purposes of subsection (C)(1), the term ‘‘quali-
fied telehealth technology’’, with respect to the provi-
sion of items and services to a patient by a health 
care provider— 
(A) includes the use of interactive audio, 
audio-only telephone conversation, video, or 
other telecommunications technology by a 
health care provider to deliver health care serv-
ices within the scope of the provider’s practice 
at a site other than the site where the patient 
is located, including the use of electronic media 
for consultation relating to the health care diag-
nosis or treatment of the patient; and 
(B) does not include the use of electronic 
mail message or facsimile transmission. 
(e) ELIGIBLE STATE.— 
(1) IN GENERAL.—For purposes of this section, 
an eligible State is a State that has submitted to the 
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Assistant Secretary an application under paragraph 
(a) and has been selected under paragraph (3). 
(2) APPLICATION.—A State seeking to partici-
pate in the grant program under this section shall 
submit to the Assistant Secretary, at such time and 
in such format as the Assistant Secretary requires, 
an application that includes such information, provi-
sions, and assurances, as the Assistant Secretary 
may require. 
(3) MATCHING REQUIREMENT.—The Assistant 
Secretary may not make a grant under the grant 
program unless the State involved agrees, with re-
spect to the costs to be incurred by the State in car-
rying out the purpose described in this section, to 
make available non-Federal contributions (in cash or 
in kind) toward such costs in an amount equal to 
not less than 20 percent of Federal funds provided 
in the grant. 
(4) SELECTION.—A State shall be determined 
eligible for the grant program by the Assistant Sec-
retary on a competitive basis among States with ap-
plications meeting the requirements of paragraphs 
(2) and (3). In selecting State applications for the 
grant program, the Secretary shall seek to achieve 
an appropriate national balance in the geographic 
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distribution of grants awarded under the grant pro-
gram. 
(f) LENGTH OF GRANT PROGRAM.—The grant pro-
gram established under this section shall be conducted for 
a period of 3 consecutive years. 
(g) AUTHORIZATION OF APPROPRIATIONS.—Out of 
any funds in the Treasury not otherwise appropriated, 
there is authorized to be appropriated to carry out this 
section, $3,000,000 for each of the fiscal years 2015 
through 2017. 
(h) REPORTS.— 
(1) REPORTS.—For each fiscal year that grants 
are awarded under this section, the Assistant Sec-
retary and the National Mental Health Policy Lab-
oratory shall conduct a study on the results of the 
grants and submit to the Congress a report on such 
results that includes the following: 
(A) An evaluation of the grant program 
outcomes, including a summary of activities 
carried out with the grant and the results 
achieved through those activities. 
(B) Recommendations on how to improve 
access to mental health services at grantee loca-
tions. 
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(C) An assessment of access to mental 
health services under the program. 
(D) An assessment of the impact of the 
demonstration project on the costs of the full 
range of mental health services (including inpa-
tient, emergency and ambulatory care). 
(E) Recommendations on congressional ac-
tion to improve the grant. 
(2) REPORT.—Not later than December 31, 
2017, the Assistant Secretary and the National 
Mental Health Policy Laboratory shall submit to 
Congress and make available to the public a report 
on the findings of the evaluation under paragraph 
(1) and also a policy outline on how Congress can 
expand the grant program to the national level. 
TITLE 
II—FEDERALLY 
QUALI-
FIED BEHAVIORAL HEALTH 
CLINICS 
SEC. 201. DEMONSTRATION PROGRAM TO IMPROVE FEDER-
ALLY QUALIFIED COMMUNITY BEHAVIORAL 
HEALTH CLINIC SERVICES. 
(a) ESTABLISHMENT.—Not later than January 1, 
2016, the Secretary of Health and Human Services (re-
ferred to in this section as the ‘‘Secretary’’), in coordina-
tion with the Assistant Secretary for Mental Health and 
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Substance Use Disorders, shall award planning grants to 
not to exceed 10 States to enable such States to carry 
out 5-year demonstration programs to improve the provi-
sion of behavioral health services provided by federally 
qualified community behavioral health clinics in the State. 
(b) ELIGIBILITY.— 
(1) APPLICATION.—To be eligible to receive a 
grant under subsection (a), a State shall— 
(A) submit to the Secretary an application 
at such time, in such manner, and containing 
such information as the Secretary may require; 
(B) certify to the Secretary that behavioral 
health providers that are provided assistance 
under the demonstration program are federally 
qualified community behavioral health clinics; 
(C) certify to the Secretary that, with re-
spect to the behavioral health providers pro-
vided assistance under the demonstration pro-
gram, not more than 75 percent of the total 
number of such providers are participating pro-
viders under the State Medicaid plan under title 
XIX of the Social Security Act (42 U.S.C. 1396 
et seq.); 
(D) demonstrate the actuarial soundness 
of the demonstration program to be carried out 
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under the grant by providing a detailed esti-
mate of eligible clinics and Medicaid expendi-
tures over the entire projected period of the 
demonstration program; and 
(E) comply with any other requirement de-
termined appropriate by the Secretary. 
(2) WAIVER OF MEDICAID REQUIREMENTS.—In 
approving States to conduct demonstration programs 
under this section, the Secretary shall waive such 
provisions of title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) as are necessary to conduct the 
demonstration program in accordance with the re-
quirements 
of 
this 
section, 
including 
section 
1902(a)(1) of the Social Security Act (42 U.S.C. 
1396a(a)(1)) (relating to statewideness). 
(c) REQUIREMENTS.—In awarding grants under this 
section, the Secretary shall— 
(1) ensure the geographic diversity of grantee 
States; 
(2) ensure that federally qualified community 
behavioral health clinics in such States that are lo-
cated in rural areas, as defined by the Secretary, 
and other mental health professional shortage areas 
are fairly and appropriately considered with the ob-
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jective of facilitating access to mental health services 
in such areas; 
(3) take into account the ability of clinics in 
such States to provide required services, and the 
ability of such clinics to report required data as re-
quired under this section; and 
(4) take into account the ability of such States 
to provide such required services on a statewide 
basis. 
(d) TREATMENT OF CERTAIN SERVICES PROVIDED 
BY COMMUNITY BEHAVIORAL HEALTH CLINICS AS MED-
ICAL ASSISTANCE.— 
(1) IN GENERAL.—For purposes of the dem-
onstration program under this section, community 
behavioral health clinic services (as defined in sub-
section (f)(1)) that are provided by federally quali-
fied community behavioral health clinics receiving 
assistance under this section shall be considered 
medical assistance for purposes of payments to 
States under paragraph (3)(C). 
(2) GRANT CONDITION.—As a condition of re-
ceiving a grant under this section, a State shall 
agree to provide for payment for community behav-
ioral health clinic services in accordance with the 
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ambulatory services, as determined by the 
Secretary; and 
(ii) no payment shall be made to sat-
ellite facilities of community behavioral 
health clinics if such facilities are estab-
lished after the date of enactment of this 
Act. 
(C) PAYMENTS
TO
STATES.—The Sec-
retary shall pay each State awarded a grant 
under this section an amount each quarter 
equal to the enhanced FMAP (as defined in 
section 2105(b) of the Social Security Act (42 
U.S.C. 1397dd(b)) but without regard to the 
second and third sentences of that section) of 
the State’s expenditures in the quarter for med-
ical assistance for community behavioral health 
clinic services provided by federally qualified 
community behavioral health clinics in the State 
that receive assistance under this section. Pay-
ments to States made under this subparagraph 
shall be considered to have been under, and are 
subject to the requirements of, section 1903 of 
the Social Security Act (42 U.S.C. 1396b). 
(e) ANNUAL REPORT.— 
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(1) IN GENERAL.—Not later than 1 year after 
the date on which the first grants are awarded 
under this section, and annually thereafter, the Sec-
retary shall submit to Congress an annual report on 
the use of funds provided under the demonstration 
program. Each such report shall include— 
(A) an assessment of access to community- 
based mental health services under the Med-
icaid program in the States awarded such 
grants; 
(B) an assessment of the quality and scope 
of services provided by federally qualified com-
munity behavioral health clinics under the 
grants as compared against community-based 
mental health services provided in States that 
are not receiving such grants; 
(C) an assessment of the impact of the 
demonstration programs on the costs of a full 
range of mental health services (including inpa-
tient, emergency and ambulatory services); and 
(D) a peer-reviewed assessment of the pub-
lic health impact, including but not limited to 
rates of community mortality, hospitalization, 
and other measures as determined by the Direc-
tor of the National Institute of Mental Health. 
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(2) RECOMMENDATIONS.—Not later than De-
cember 31, 2019, the Secretary shall submit to Con-
gress recommendations concerning whether the dem-
onstration programs under this section should be 
continued and expanded on a national basis. 
(3) DATA COLLECTION.—Grantees shall provide 
in a timely fashion any such data to the National 
Mental Health Policy Laboratory, as requested by 
the Assistant Secretary concerning health outcomes 
and treatments. 
(f) CRITERIA FOR FEDERALLY QUALIFIED COMMU-
NITY BEHAVIORAL HEALTH CLINICS.— 
(1) IN GENERAL.—The Assistant Secretary for 
Mental Health and Substance Use Disorders shall 
certify federally qualified community behavioral 
health clinics as meeting the criteria specified in this 
subsection. 
(2) CRITERIA.—The criteria referred to in this 
subsection are that the clinic performs each of the 
following: 
(A) Provide required primary health serv-
ices (as defined by the Assistant Secretary for 
Mental Health and Substance Use Disorders). 
(B) Provide services in locations that en-
sure services will be available and accessible 
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promptly and in a manner which preserves 
human dignity and assures continuity of care. 
(C) Provide services in a mode of service 
delivery appropriate for the target population. 
(D) Provide individuals with a choice of 
service options where there is more than one 
evidence-based treatment. 
(E) Employ a core staff that is sufficiently 
trained in child and adolescent psychiatry or 
psychology. 
(F) Employ a core staff that is sufficiently 
trained in child and adolescent psychiatry, dual 
diagnosis issues, crisis management and sta-
bilization and interventions with patients at 
high risk for violence. 
(G) Provide services, within the limits of 
the capacities of the center, to any individual 
residing or employed in the service area of the 
center, regardless of the ability of the individual 
to pay. 
(H) Provide, directly or through contract, 
to the extent covered for adults in the State 
Medicaid plan under title XIX of the Social Se-
curity Act and for children in accordance with 
section 1905(r) of such Act regarding early and 
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periodic screening, diagnosis, and treatment, 
each of the following services: 
(i) Screening, assessment, and diag-
nosis, including risk assessment. 
(ii) Person-centered treatment plan-
ning or similar processes, including risk as-
sessment and crisis planning. 
(iii) Outpatient mental health and 
substance use services, including screening, 
assessment, 
diagnosis, 
psychotherapy, 
medication management, and integrated 
treatment for mental illness and substance 
abuse which shall be evidence-based (in-
cluding cognitive behavioral therapy and 
other such therapies which are evidence- 
based). 
(iv) Outpatient clinic primary care 
screening and monitoring of key health in-
dicators and health risk (including screen-
ing for diabetes, hypertension, and cardio-
vascular disease and monitoring of weight, 
height, body mass index (BMI), blood pres-
sure, blood glucose or HbA1C, and lipid 
profile). 
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(v) Crisis mental health services, in-
cluding 24-hour mobile crisis teams, emer-
gency crisis intervention services, and cri-
sis stabilization. 
(vi) Targeted case management (serv-
ices provided by a social worker to assist 
individuals gaining access to needed med-
ical, social, educational, and other services 
and applying for income security and other 
benefits to which they may be entitled). 
(vii) Psychiatric rehabilitation services 
including skills training, assertive commu-
nity treatment, family psychoeducation, 
disability self-management, supported em-
ployment, 
supported 
housing 
services, 
therapeutic foster care services, and such 
other evidence-based practices as the Sec-
retary may require. 
(viii) Peer support and counselor serv-
ices and family supports. 
(ix) Supported education and sup-
ported employment for individuals with se-
rious mental illness after an initial psy-
chotic episode. 
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(x) Case management services for in-
dividuals with serious mental illness after 
an initial psychotic episode. 
(I) Use and share electronic health records 
consistent with other applicable law. 
(J) Be available to provide assisted out-
patient treatment that is ordered by a State 
court pursuant to a State law described in sec-
tion 1915(d). 
(K) Be available to participate in research 
projects conducted or supported by the National 
Institute of Mental Health. 
(L) Maintain linkages, and where possible 
enter into formal contracts with the following: 
(i) Federally qualified health centers. 
(ii) Inpatient psychiatric facilities and 
substance use detoxification, post-detoxi-
fication step-down services, and residential 
programs. 
(iii) Adult and youth peer support and 
counselor services. 
(iv) Family support services for fami-
lies of children with serious mental or sub-
stance use disorders. 
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(v) Other community or regional serv-
ices, supports, and providers, including 
schools, child welfare agencies, juvenile and 
criminal justice agencies and facilities (in-
cluding mental health courts, local police 
forces, and local jails and other detention 
facilities), housing agencies and programs, 
employers, and other social services such 
as schools and religious organizations. 
(vi) Integrating care with primary 
care services, including, to the extent fea-
sible, through a common delivery site. 
(vii) Enabling services, including out-
reach, transportation, and translation. 
(viii) Health and wellness services, in-
cluding services for tobacco cessation. 
(ix) Adopt models of first episode psy-
chosis training, supervision, team meet-
ings, and coordination with adjacent care 
organizations. 
(M) Where feasible, provide outreach and 
engagement to encourage individuals who could 
benefit from mental health care to freely par-
ticipate in receiving the services described in 
this subsection. 
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(3) RULE OF CONSTRUCTION.—Nothing in this 
section shall be construed as prohibiting States re-
ceiving funds appropriated through the Community 
Mental Health Services Block Grant under this sub-
part from financing qualified community programs 
(whether such programs meet the definition of eligi-
ble programs prior to or after the date of enactment 
of this subsection). 
(g) DEFINITIONS.—In this section: 
(1) COMMUNITY BEHAVIORAL HEALTH CLINIC 
SERVICES.—The term ‘‘community behavioral health 
clinic services’’ means ambulatory behavioral health 
services of the type described in subparagraphs (I), 
(L), (M), and (N) of subsection (f)(2) that are pro-
vided by federally qualified community behavioral 
health clinics receiving assistance under this section. 
(2) STATE.—The term ‘‘State’’ has the mean-
ing given such term for purposes of title XIX of the 
Social Security Act (42 U.S.C. 1396 et seq.). 
(3) FEDERALLY
QUALIFIED
COMMUNITY
BE-
HAVIORAL
HEALTH
CLINIC.—The term ‘‘federally 
qualified community behavioral health clinic’’ means 
a federally qualified behavioral health clinic with a 
certification in effect under this section. 
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(h) AUTHORIZATION OF APPROPRIATIONS.—In order 
to fund State planning grants and the administrative costs 
associated with certifying community behavioral health 
clinics, there is authorized to be appropriated to carry out 
this section, $50,000,000 for fiscal year 2016, to remain 
available until expended. 
TITLE III—HIPAA AND FERPA 
CAREGIVERS 
SEC. 301. PROMOTING APPROPRIATE TREATMENT FOR 
MENTALLY ILL INDIVIDUALS BY TREATING 
THEIR 
CAREGIVERS 
AS 
PERSONAL 
REP-
RESENTATIVES FOR PURPOSES OF HIPAA 
PRIVACY REGULATIONS. 
(a) CAREGIVER ACCESS TO INFORMATION.—In ap-
plying section 164.502(g) of title 45, Code of Federal Reg-
ulations, to an individual with a serious mental illness who 
does not provide consent for the disclosure of protected 
health information to a caregiver of such individual, the 
caregiver shall be treated by a covered entity as a personal 
representative 
(as 
described 
under 
such 
section 
164.502(g)) of such individual with respect to protected 
health information of such individual when the provider 
furnishing services to the individual reasonably believes it 
is necessary for protected health information of the indi-
vidual to be made available to the caregiver in order to 
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protect the health, safety, or welfare of such individual or 
the safety of one or more other individuals. 
(b) DEFINITIONS.—For purposes of this section: 
(1) COVERED ENTITY.—The term ‘‘covered en-
tity’’ has the meaning given such term in section 
106.103 of title 45, Code of Federal Regulations. 
(2) PROTECTED HEALTH INFORMATION.—The 
term ‘‘protected health information’’ has the mean-
ing given such term in section 106.103 of title 45, 
Code of Federal Regulations. 
(3) CAREGIVER.—The term ‘‘caregiver’’ means, 
with respect to an individual with a serious mental 
illness— 
(A) an immediate family member of such 
individual; 
(B) an individual who assumes primary re-
sponsibility for providing a basic need of such 
individual; or 
(C) a personal representative of the indi-
vidual as determined by the law of the State in 
which such individual resides. 
(4) INDIVIDUAL WITH A SERIOUS MENTAL ILL-
NESS.—The term ‘‘individual with a serious mental 
illness’’ means, with respect to the disclosure to a 
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caregiver of protected health information of an indi-
vidual, an individual who— 
(A) is 18 years of age or older; and 
(B) has, within one year before the date of 
the disclosure, been evaluated, diagnosed, or 
treated for a mental, behavioral, or emotional 
disorder that— 
(i) is determined by a physician to be 
of sufficient duration to meet diagnostic 
criteria specified within the Diagnostic and 
Statistical Manual of Mental Disorders; 
and 
(ii) results in functional impairment 
of the individual that substantially inter-
feres with or limits one or more major life 
activities of the individual. 
SEC. 302. CAREGIVERS PERMITTED ACCESS TO CERTAIN 
EDUCATION RECORDS UNDER FERPA. 
Section 444 of the General Education Provisions Act 
(20 U.S.C. 1232g) is amended by adding at the end the 
following new subsection: 
‘‘(k) DISCLOSURES TO CAREGIVERS OF THE MEN-
TALLY ILL.— 
‘‘(1) IN GENERAL.—Nothing in this Act, the 
Elementary and Secondary Education Act of 1965, 
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or the Higher Education Act of 1965 shall be con-
strued to prohibit an educational agency or institu-
tion from disclosing, to a caregiver of an individual 
with a serious mental illness who has not explicitly 
provided consent to the agency or institution for the 
disclosure of protected health information, an edu-
cation record of such individual if a physician, psy-
chologist, or other recognized mental health profes-
sional or paraprofessional acting in his or her pro-
fessional or paraprofessional capacity, or assisting in 
that capacity reasonably believes such disclosure to 
the caregiver is necessary to protect the health, safe-
ty, or welfare of such individual or the safety of one 
or more other individuals. 
‘‘(2) DEFINITIONS.—In this subsection: 
‘‘(A) CAREGIVER.—The term ‘caregiver’ 
means, with respect to an individual with a seri-
ous mental illness, a family member or imme-
diate past legal guardian who assumes a pri-
mary responsibility for providing a basic need 
of such individual (such as a family member or 
past legal guardian of the individual who has 
assumed the responsibility of co-signing a loan 
with the individual). 
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‘‘(B) 
EDUCATION
RECORD.—Notwith-
standing subsection (a)(4)(B), the term ‘edu-
cation record’ shall include a record described 
in clause (iv) of such subsection. 
‘‘(C) INDIVIDUAL WITH A SERIOUS MEN-
TAL ILLNESS.—The term ‘individual with a se-
rious mental illness’ means, with respect to the 
disclosure to a caregiver of protected health in-
formation of an individual, an individual who— 
‘‘(i) is 18 years of age or older; and 
‘‘(ii) has, within one year before the 
date of the disclosure, been evaluated, di-
agnosed, or treated for a mental, behav-
ioral, or emotional disorder that— 
‘‘(I) is determined by a physician 
to be of sufficient duration to meet di-
agnostic criteria specified within the 
Diagnostic and Statistical Manual of 
Mental Disorders; and 
‘‘(II) results in functional impair-
ment of the individual that substan-
tially interferes with or limits one or 
more major life activities of the indi-
vidual.’’. 
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TITLE IV—DEPARTMENT OF 
JUSTICE REFORMS 
SEC. 401. ADDITIONAL PURPOSES FOR CERTAIN FEDERAL 
GRANTS. 
(a) MODIFICATIONS TO THE EDWARD BYRNE MEMO-
RIAL JUSTICE ASSISTANCE GRANT PROGRAM.—Section 
501(a)(1) of title I of the Omnibus 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 oper-
ations by law enforcement or corrections offi-
cers.’’. 
(b) MODIFICATIONS TO THE COMMUNITY ORIENTED 
POLICING SERVICES PROGRAM.—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 (16), by striking ‘‘and’’ at the 
end; 
(2) by redesignating paragraph (17) as para-
graph (19); 
(3) by inserting after paragraph (16) the fol-
lowing: 
‘‘(17) to provide specialized training to law en-
forcement officers (including village public safety of-
ficers (as defined in section 247 of the Indian Arts 
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and Crafts Amendments Act of 2010 (42 U.S.C. 
3796dd note))) to recognize individuals who have 
mental illness and how to properly intervene with in-
dividuals with mental illness, and to establish pro-
grams that enhance the ability of law enforcement 
agencies to address the mental health, behavioral, 
and substance abuse problems of individuals encoun-
tered in the line of duty; 
‘‘(18) to provide specialized training to enhance 
the ability of corrections officers to address the men-
tal health of individuals under the care and custody 
of jails and prisons; and’’; and 
(4) in paragraph (19), as redesignated, by 
striking ‘‘through (16)’’ and inserting ‘‘through 
(19)’’. 
(c) MODIFICATIONS TO THE STAFFING FOR ADE-
QUATE FIRE AND EMERGENCY RESPONSE GRANTS.—Sec-
tion 34(a)(1)(B) of Public Law 93–498 (15 U.S.C. 
2229a(a)(1)(B)) is amended by inserting before the period 
at the end the following: ‘‘and to provide specialized train-
ing to paramedics, emergency medical services workers, 
and other first responders to recognize individuals who 
have mental illness and how to properly intervene with in-
dividuals with mental illness’’. 
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SEC. 402. REAUTHORIZATION AND ADDITIONAL AMEND-
MENTS TO THE MENTALLY ILL OFFENDER 
TREATMENT AND CRIME REDUCTION ACT. 
(a) SAFE COMMUNITIES.— 
(1) IN GENERAL.—Section 2991(a) of title I of 
the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa(a)) is amended— 
(A) in paragraph (7)— 
(i) in the heading, by striking ‘‘MEN-
TAL
ILLNESS’’ and inserting ‘‘MENTAL 
ILLNESS; MENTAL
HEALTH
DISORDER’’; 
and 
(ii) by striking ‘‘term ‘mental illness’ 
means’’ and inserting ‘‘terms ‘mental ill-
ness’ and ‘mental health disorder’ mean’’; 
and 
(B) by striking paragraph (9) and insert-
ing the following: 
‘‘(9) PRELIMINARILY QUALIFIED OFFENDER.— 
‘‘(A) IN
GENERAL.—The term ‘prelimi-
narily qualified offender’ means an adult or ju-
venile accused of an offense who— 
‘‘(i)(I) previously or currently has 
been diagnosed by a qualified mental 
health professional as having a mental ill-
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ness or co-occurring mental illness and 
substance abuse disorders; 
‘‘(II) manifests obvious signs of men-
tal illness or co-occurring mental illness 
and substance abuse disorders during ar-
rest or confinement or before any court; or 
‘‘(III) in the case of a veterans treat-
ment court provided under subsection (i), 
has been diagnosed with, or manifests ob-
vious signs of, mental illness or a sub-
stance abuse disorder or co-occurring men-
tal illness and substance abuse disorder; 
and 
‘‘(ii) has been unanimously approved 
for participation in a program funded 
under this section by, when appropriate, 
the relevant— 
‘‘(I) prosecuting attorney; 
‘‘(II) defense attorney; 
‘‘(III) probation or corrections 
official; 
‘‘(IV) judge; and 
‘‘(V) a representative from the 
relevant mental health agency de-
scribed in subsection (b)(5)(B)(i). 
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‘‘(B) DETERMINATION.—In determining 
whether to designate a defendant as a prelimi-
narily qualified offender, the relevant pros-
ecuting attorney, defense attorney, probation or 
corrections official, judge, and mental health or 
substance abuse agency representative shall 
take into account— 
‘‘(i) whether the participation of the 
defendant in the program would pose a 
substantial risk of violence to the commu-
nity; 
‘‘(ii) the criminal history of the de-
fendant and the nature and severity of the 
offense for which the defendant is charged; 
‘‘(iii) the views of any relevant victims 
to the offense; 
‘‘(iv) the extent to which the defend-
ant would benefit from participation in the 
program; 
‘‘(v) the extent to which the commu-
nity would realize cost savings because of 
the defendant’s participation in the pro-
gram; and 
‘‘(vi) whether the defendant satisfies 
the eligibility criteria for program partici-
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pation unanimously established by the rel-
evant prosecuting attorney, defense attor-
ney, probation or corrections official, judge 
and mental health or substance abuse 
agency representative.’’. 
(2) TECHNICAL
AND
CONFORMING
AMEND-
MENT.—Section 2927(2) of title I of the Omnibus 
Crime Control and Safe Streets Act of 1968 (42 
U.S.C. 3797s–6(2)) is amended— 
(A) by striking ‘‘has the meaning given 
that term in section 2991(a).’’ and inserting the 
following: ‘‘means an offense that—’’; and 
(B) by adding at the end the following: 
‘‘(A) does not have as an element the use, 
attempted use, or threatened use of physical 
force against the person or property of another; 
or 
‘‘(B) is not a felony that by its nature in-
volves a substantial risk that physical force 
against the person or property of another may 
be used in the course of committing the of-
fense.’’. 
(b) EVIDENCE-BASED PRACTICES.—Section 2991(c) 
of title I of the Omnibus Crime Control and Safe Streets 
Act of 1968 (42 U.S.C. 3797aa(c)) is amended— 
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(1) in paragraph (3), by striking ‘‘or’’ at the 
end; 
(2) by redesignating paragraph (4) as para-
graph (6); and 
(3) by inserting after paragraph (3) the fol-
lowing: 
‘‘(4) propose interventions that have been 
shown by empirical evidence to reduce recidivism; 
‘‘(5) when appropriate, use validated assess-
ment tools to target preliminarily qualified offenders 
with a moderate or high risk of recidivism and a 
need for treatment and services; or’’. 
(c) ACADEMY TRAINING.—Section 2991(h) of title I 
of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa(h)) is amended— 
(1) in paragraph (1), by adding at the end the 
following: 
‘‘(F) ACADEMY
TRAINING.—To provide 
support for academy curricula, law enforcement 
officer orientation programs, continuing edu-
cation training, and other programs that teach 
law enforcement personnel how to identify and 
respond to incidents involving persons with 
mental health disorders or co-occurring mental 
health and substance abuse disorders.’’; and 
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(2) by adding at the end the following: 
‘‘(4) PRIORITY CONSIDERATION.—The Attorney 
General, in awarding grants under this subsection, 
shall give priority to programs that law enforcement 
personnel and members of the mental health and 
substance abuse professions develop and administer 
cooperatively.’’. 
(d) ASSISTING VETERANS.—Section 2991 of title I 
of the Omnibus Crime Control and Safe Streets Act of 
1968 (42 U.S.C. 3797aa) is further amended— 
(1) by redesignating subsection (i) as subsection 
(n); and 
(2) by inserting after subsection (h) the fol-
lowing: 
‘‘(i) ASSISTING VETERANS.— 
‘‘(1) DEFINITIONS.—In this subsection: 
‘‘(A) PEER TO PEER SERVICES OR PRO-
GRAMS.—The term ‘peer to peer services or 
programs’ means services or programs that con-
nect qualified veterans with other veterans for 
the 
purpose 
of 
providing 
support 
and 
mentorship to assist qualified veterans in ob-
taining treatment, recovery, stabilization, or re-
habilitation. 
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‘‘(B) QUALIFIED
VETERAN.—The term 
‘qualified veteran’ means a preliminarily quali-
fied offender who— 
‘‘(i) has served on active duty in any 
branch of the Armed Forces, including the 
National Guard and reserve components; 
and 
‘‘(ii) was discharged or released from 
such service under conditions other than 
dishonorable. 
‘‘(C) VETERANS TREATMENT COURT PRO-
GRAM.—The term ‘veterans treatment court 
program’ means a court program involving col-
laboration among criminal justice, veterans, and 
mental health and substance abuse agencies 
that provides qualified veterans with— 
‘‘(i) intensive judicial supervision and 
case management, which may include ran-
dom and frequent drug testing where ap-
propriate; 
‘‘(ii) a full continuum of treatment 
services, including mental health services, 
substance abuse services, medical services, 
and services to address trauma; 
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‘‘(iii) alternatives to incarceration; 
and 
‘‘(iv) other appropriate services, in-
cluding housing, transportation, mentoring, 
employment, job training, education, and 
assistance in applying for and obtaining 
available benefits. 
‘‘(2) VETERANS ASSISTANCE PROGRAM.— 
‘‘(A) IN GENERAL.—The Attorney General, 
in consultation with the Secretary of Veterans 
Affairs, may award grants under this sub-
section to applicants to establish or expand— 
‘‘(i) veterans treatment court pro-
grams; 
‘‘(ii) peer to peer services or programs 
for qualified veterans; 
‘‘(iii) practices that identify and pro-
vide treatment, rehabilitation, legal, transi-
tional, and other appropriate services to 
qualified veterans who have been incarcer-
ated; and 
‘‘(iv) training programs to teach 
criminal justice, law enforcement, correc-
tions, mental health, and substance abuse 
personnel how to identify and appro-
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priately respond to incidents involving 
qualified veterans. 
‘‘(B) 
PRIORITY.—In 
awarding 
grants 
under this subsection, the Attorney General 
shall give priority to applications that— 
‘‘(i) demonstrate collaboration be-
tween and joint investments by criminal 
justice, mental health, substance abuse, 
and veterans service agencies; 
‘‘(ii) promote effective strategies to 
identify and reduce the risk of harm to 
qualified veterans and public safety; and 
‘‘(iii) propose interventions with em-
pirical support to improve outcomes for 
qualified veterans.’’. 
(e) CORRECTIONAL FACILITIES.—Section 2991 of 
title I of the Omnibus Crime Control and Safe Streets Act 
of 1968 (42 U.S.C. 3797aa) is further amended by insert-
ing after subsection (i), as so added by subsection (d), the 
following: 
‘‘(j) CORRECTIONAL FACILITIES.— 
‘‘(1) DEFINITIONS.— 
‘‘(A) CORRECTIONAL FACILITY.—The term 
‘correctional facility’ means a jail, prison, or 
other detention facility used to house people 
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who have been arrested, detained, held, or con-
victed by a criminal justice agency or a court. 
‘‘(B) ELIGIBLE INMATE.—The term ‘eligi-
ble inmate’ means an individual who— 
‘‘(i) is being held, detained, or incar-
cerated in a correctional facility; and 
‘‘(ii) manifests obvious signs of a 
mental illness or has been diagnosed by a 
qualified mental health professional as hav-
ing a mental illness. 
‘‘(2) CORRECTIONAL
FACILITY
GRANTS.—The 
Attorney General may award grants to applicants to 
enhance the capabilities of a correctional facility— 
‘‘(A) to identify and screen for eligible in-
mates; 
‘‘(B) to plan and provide— 
‘‘(i) initial and periodic assessments of 
the clinical, medical, and social needs of in-
mates; and 
‘‘(ii) appropriate treatment and serv-
ices that address the mental health and 
substance abuse needs of inmates; 
‘‘(C) to develop, implement, and enhance— 
‘‘(i) post-release transition plans for 
eligible inmates that, in a comprehensive 
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manner, coordinate health, housing, med-
ical, employment, and other appropriate 
services and public benefits; 
‘‘(ii) the availability of mental health 
care services and substance abuse treat-
ment services; and 
‘‘(iii) alternatives to solitary confine-
ment and segregated housing and mental 
health screening and treatment for inmates 
placed in solitary confinement or seg-
regated housing; and 
‘‘(D) to train each employee of the correc-
tional facility to identify and appropriately re-
spond to incidents involving inmates with men-
tal health or co-occurring mental health and 
substance abuse disorders.’’. 
(f) REAUTHORIZATION OF APPROPRIATIONS.—Sec-
tion 2991(n) of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968, as redesignated in subsection 
(d), is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (B), by striking 
‘‘and’’ at the end; 
(B) in subparagraph (C), by striking the 
period and inserting ‘‘; and’’; and 
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(C) by adding at the end the following: 
‘‘(D) $40,000,000 for each of fiscal years 
2015 through 2019.’’; and 
(2) by adding at the end the following: 
‘‘(3) LIMITATION.—Not more than 20 percent 
of the funds authorized to be appropriated under 
this section may be used for purposes described in 
subsection (i) (relating to veterans).’’. 
SEC. 403. ASSISTED OUTPATIENT TREATMENT. 
Section 2201(2)(B) of title I of the Omnibus Crime 
Control and Safe Streets Act of 1968 (42 U.S.C. 
3796ii(2)(B)) is amended by inserting before the semi-
colon the following: ‘‘, or court-ordered assisted outpatient 
treatment (as defined in section 14(a) of the Helping 
Families in Mental Health Crisis Act of 2013) when the 
court has determined such treatment to be necessary’’. 
SEC. 404. IMPROVEMENTS TO THE DEPARTMENT OF JUS-
TICE DATA COLLECTION AND REPORTING OF 
MENTAL ILLNESS IN CRIME. 
Notwithstanding any other provision of law, any data 
prepared by or submitted to the Attorney General or the 
Director of the Federal Bureau of Investigation on or 
after the date of enactment of this Act that is 90 days 
after the date of enactment of this Act with respect to 
the incidences of homicides, law enforcement officers killed 
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and assaulted, or individuals killed by law enforcement of-
ficers shall include data with respect to the involvement 
of mental illness in such incidences, if any. Not later than 
90 days after the date of the enactment of this Act, the 
Attorney General shall promulgate or revise regulations as 
necessary to carry out this section. 
SEC. 405. REPORTS ON THE NUMBER OF SERIOUSLY MEN-
TALLY ILL WHO ARE IMPRISONED. 
(a) REPORT ON THE COST OF TREATING THE MEN-
TALLY ILL IN THE CRIMINAL JUSTICE SYSTEM.—Not 
later than 12 months after the date of enactment of this 
Act, the Comptroller General of the United States shall 
submit to Congress a report detailing the cost of imprison-
ment for persons who have serious mental illness by the 
Federal Government or a State or local government. The 
report shall calculate the number and type of crimes com-
mitted by persons with serious mental illness each year, 
and detail strategies or ideas for preventing crimes by 
those individuals with serious mental illness from occur-
ring. 
(b) DEFINITION.—For purposes of this section, the 
Attorney General, in consultation with the Assistant Sec-
retary of Mental Health and Substance Use Disorders 
shall determine an appropriate definition of ‘‘serious men-
tal illness’’ based on the ‘‘Health Care Reform for Ameri-
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cans with Severe Mental Illnesses: Report’’ of the National 
Advisory Mental Health Council, American Journal of 
Psychiatry 1993; 150:1447–1465. 
TITLE V—MEDICARE AND 
MEDICAID REFORMS 
SEC. 501. ENHANCED MEDICAID COVERAGE RELATING TO 
CERTAIN MENTAL HEALTH SERVICES. 
(a) MEDICAID COVERAGE
OF MENTAL HEALTH 
SERVICES AND PRIMARY CARE SERVICES FURNISHED ON 
THE SAME DAY.— 
(1) IN GENERAL.—Section 1902(a) of the So-
cial Security Act (42 U.S.C. 1396a(a)) is amended 
by inserting after paragraph (77) the following new 
paragraph: 
‘‘(78) not prohibit payment under the plan for 
a mental health service or primary care service fur-
nished to an individual at a federally qualified com-
munity behavioral health center (as defined in sec-
tion 1905(l)(4)) or a federally qualified health center 
(as defined in section 1861(aa)(3)) for which pay-
ment would otherwise be payable under the plan, 
with respect to such individual, if such service were 
not a same-day qualifying service (as defined in sub-
section (ll));’’. 
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(2) SAME-DAY
QUALIFYING
SERVICES
DE-
FINED.—Section 1902 of the Social Security Act (42 
U.S.C. 1396a) is amended by adding at the end the 
following new subsection: 
‘‘(ll) SAME-DAY QUALIFYING SERVICES DEFINED.— 
For purposes of subsection (a)(78), the term ‘same-day 
qualifying service’ means— 
‘‘(1) a primary care service furnished to an in-
dividual by a provider at a facility on the same day 
a mental health service is furnished to such indi-
vidual by such provider (or another provider) at the 
facility; and 
‘‘(2) a mental health service furnished to an in-
dividual by a provider at a facility on the same day 
a primary care service is furnished to such individual 
by such provider (or another provider) at the facil-
ity.’’. 
(b) STATE OPTION TO PROVIDE MEDICAL ASSIST-
ANCE FOR CERTAIN INPATIENT PSYCHIATRIC SERVICES 
TO NONELDERLY ADULTS.—Section 1905 of the Social 
Security Act (42 U.S.C. 1396d) is amended— 
(1) in subsection (a)(16)— 
(A) by inserting ‘‘(A)’’ before ‘‘effective’’; 
and 
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(B) by inserting before the semicolon at 
the end the following: ‘‘(B) qualified inpatient 
psychiatric hospital services (as defined in sub-
section (h)(3)) for individuals over 21 years of 
age and under 65 years of age, and (C) psy-
chiatric residential treatment facility services 
(as defined in subsection (h)(4)) for individuals 
over 21 years of age and under 65 years of 
age’’; 
(2) in the subdivision (B) that follows para-
graph (29), by inserting ‘‘(other than services de-
scribed in subparagraphs (B) and (C) of paragraph 
(16) for individuals described in such subpara-
graphs)’’ after ‘‘mental diseases’’; and 
(3) in subsection (h), by adding at the end the 
following new paragraphs: 
‘‘(3) For purposes of subsection (a)(16)(B), the 
term ‘qualified inpatient psychiatric hospital serv-
ices’ means, with respect to individuals described in 
such subsection, services described in subparagraphs 
(A) and (B) of paragraph (1) that are furnished in 
an acute care psychiatric unit in a State-operated 
psychiatric hospital or a psychiatric hospital (as de-
fined section 1861(f)) if such unit or hospital, as ap-
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plicable, has a facilitywide average (determined on 
an annual basis) length of stay of less than 30 days. 
‘‘(4) For purposes of subsection (a)(16)(C), the 
term ‘psychiatric residential treatment facility serv-
ices’ means, with respect to individuals described in 
such subsection, services described in subparagraphs 
(A) and (B) of paragraph (1) that are furnished in 
a psychiatric residential treatment facility (as de-
fined in section 484.353 of title 42, Code of Federal 
Regulations, as in effect on December 9, 2013).’’. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made this section shall apply to 
items and services furnished after the first day of 
the first calendar year that begins after the date of 
the enactment of this section. 
(2) EXCEPTION FOR STATE LEGISLATION.—In 
the case of a State plan under title XIX of the So-
cial Security Act, which the Secretary of Health and 
Human Services determines requires State legisla-
tion in order for the respective plan to meet any re-
quirement imposed by amendments made by this 
section, the respective plan shall not be regarded as 
failing to comply with the requirements of such title 
solely on the basis of its failure to meet such an ad-
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ditional requirement before the first day of the first 
calendar quarter beginning after the close of the 
first regular session of the State legislature that be-
gins after the date of enactment of this section. For 
purposes of the previous sentence, in the case of a 
State that has a 2-year legislative session, each year 
of the session shall be considered to be a separate 
regular session of the State legislature. 
SEC. 502. ACCESS TO MENTAL HEALTH PRESCRIPTION 
DRUGS UNDER MEDICARE AND MEDICAID. 
(a) COVERAGE OF PRESCRIPTION DRUGS USED TO 
TREAT MENTAL HEALTH DISORDERS UNDER MEDI-
CARE.—Section 1860D–4(b)(3)(G)(i)(II) of the Social Se-
curity Act (42 U.S.C. 1395w–104(b)(3)(G)(i)(II)) is 
amended by inserting ‘‘, for categories and classes of 
drugs other than the categories and classes of drugs speci-
fied in subclauses (II) and (IV) of clause (iv),’’ before ‘‘ex-
ceptions’’. 
(b) COVERAGE OF PRESCRIPTION DRUGS USED TO 
TREAT MENTAL HEALTH DISORDERS UNDER MED-
ICAID.—Section 1927(d) of the Social Security Act (42 
U.S.C. 1396r–8(d)) is amended by adding at the end the 
following new paragraph: 
‘‘(8) ACCESS
TO
MENTAL
HEALTH
DRUGS.— 
With respect to covered outpatient drugs used for 
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the treatment of a mental health disorder, including 
major depression, bipolar (manic-depressive) dis-
order, panic disorder, obsessive-compulsive disorder, 
schizophrenia, and schizoaffective disorder, a State 
shall not exclude from coverage or otherwise restrict 
access to such drugs other than pursuant to a prior 
authorization program that is consistent with para-
graph (5).’’. 
TITLE 
VI—RESEARCH 
BY 
NA-
TIONAL INSTITUTE OF MEN-
TAL HEALTH 
SEC. 601. INCREASE IN FUNDING FOR CERTAIN RESEARCH. 
Section 402A(a) of the Public Health Service Act (42 
U.S.C. 282a(a)) is amended— 
(1) by striking ‘‘For the purpose of’’ and insert-
ing the following: 
‘‘(1) IN GENERAL.—For the purpose of’’; and 
(2) by adding at the end the following: 
‘‘(2) FUNDING FOR THE BRAIN INITIATIVE AT 
THE NATIONAL INSTITUTE OF MENTAL HEALTH.— 
‘‘(A) FUNDING.—In addition to amounts 
made available pursuant to paragraph (1), 
there are authorized to be appropriated to the 
National Institute of Mental Health for the 
purpose described in subparagraph (B)(ii) 
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$40,000,000 for each of fiscal years 2015 
through 2019. 
‘‘(B) PURPOSES.—Amounts appropriated 
pursuant to subparagraph (A) shall be used ex-
clusively for the purpose of conducting or sup-
porting— 
‘‘(i) research on the determinants of 
self- and other directed-violence in mental 
illness, including studies directed at reduc-
ing the risk of self harm, suicide, and 
interpersonal violence; or 
‘‘(ii) brain research through the Brain 
Research through Advancing Innovative 
Neurotechnologies Initiative.’’. 
TITLE VII—COMMUNITY MENTAL 
HEALTH 
SERVICES 
BLOCK 
GRANT REFORM 
SEC. 701. ADMINISTRATION OF BLOCK GRANTS BY ASSIST-
ANT SECRETARY. 
Section 1911(a) of the Public Health Service Act (42 
U.S.C. 300x) is amended by striking ‘‘acting through the 
Director of the Center for Mental Health Services’’ and 
inserting ‘‘acting through the Assistant Secretary for 
Mental Health and Substance Use Disorders’’. 
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SEC. 702. ADDITIONAL PROGRAM REQUIREMENTS. 
(a) INTEGRATED SERVICES.—Subsection (b)(1) of 
section 1912 of the Public Health Service Act (42 U.S.C. 
300x–1) is amended by inserting ‘‘integration of’’ after 
‘‘The description of the system of care shall include’’. 
(b) DATA COLLECTION SYSTEM.—Subsection (b)(2) 
of section 1912 of the Public Health Service Act (42 
U.S.C. 300x–1) is amended— 
(1) by striking ‘‘The plan contains an estimate 
of’’ and inserting the following: ‘‘The plan con-
tains— 
‘‘(A) an estimate of’’; 
(2) by striking the period at the end and insert-
ing ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(B) an agreement by the State to report 
to the National Mental Health Policy Labora-
tory— 
‘‘(i) such data as may be required by 
the Secretary concerning— 
‘‘(I) comprehensive community 
mental health services in the State; 
and 
‘‘(II) public health outcomes for 
persons with serious mental illness in 
the State, including mortality, emer-
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gency room visits, and medication ad-
herence.’’. 
SEC. 703. PERIOD FOR EXPENDITURE OF GRANT FUNDS. 
Section 1913 of the Public Health Service Act (42 
U.S.C. 300x–2), as amended, is further amended by add-
ing at the end the following: 
‘‘(d) 
PERIOD
FOR
EXPENDITURE
OF
GRANT 
FUNDS.—In implementing a plan submitted under section 
1912(a), a State receiving grant funds under section 1911 
may make such funds available to providers of services de-
scribed in subsection (b) for the provision of services with-
out fiscal year limitation.’’. 
SEC. 704. TREATMENT STANDARD UNDER STATE LAW. 
Section 1915 of the Public Health Service Act (42 
U.S.C. 300x–4) is amended by adding at the end the fol-
lowing: 
‘‘(c) TREATMENT STANDARD UNDER STATE LAW.— 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1911 is that— 
‘‘(A) the State involved has in effect a law 
under which, if a State court finds by clear and 
convincing evidence that an individual, as a re-
sult of mental illness, is a danger to self, is a 
danger to others, is persistently or acutely dis-
abled, or is gravely disabled and in need of 
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treatment, and is either unwilling or unable to 
accept voluntary treatment, the court must 
order the individual to undergo inpatient or 
outpatient treatment; or 
‘‘(B) the State involved has in effect a law 
under which a State court must order an indi-
vidual with a mental illness to undergo inpa-
tient or outpatient treatment, the law was in ef-
fect on the date of enactment of the Helping 
Families in Mental Health Crisis Act of 2013, 
and the Secretary finds that the law requires a 
State court to order such treatment across all 
or a sufficient range of the type of cir-
cumstances described in subparagraph (A). 
‘‘(2) DEFINITION.—For purposes of paragraph 
(1), the term ‘persistently or acutely disabled’ refers 
to a serious mental illness that meets all the fol-
lowing criteria: 
‘‘(A) If not treated, the illness has a sub-
stantial probability of causing the individual to 
suffer or continue to suffer severe and abnor-
mal mental, emotional, or physical harm that 
significantly impairs judgment, reason, behav-
ior, or capacity to recognize reality. 
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‘‘(B) The illness substantially impairs the 
individual’s capacity to make an informed deci-
sion regarding treatment, and this impairment 
causes the individual to be incapable of under-
standing and expressing an understanding of 
the advantages and disadvantages of accepting 
treatment and understanding and expressing an 
understanding of the alternatives to the par-
ticular treatment offered after the advantages, 
disadvantages, and alternatives are explained to 
that individual. 
‘‘(C) The illness has a reasonable prospect 
of being treatable by outpatient, inpatient, or 
combined inpatient and outpatient treatment.’’. 
SEC. 705. ASSISTED OUTPATIENT TREATMENT UNDER 
STATE LAW. 
Section 1915 of the Public Health Service Act (42 
U.S.C. 300x–4), as amended, is further amended by add-
ing at the end the following: 
‘‘(d) ASSISTED OUTPATIENT TREATMENT UNDER 
STATE LAW.— 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1911 is that the State involved 
has in effect a law under which a State court may 
order a treatment plan for an eligible patient that— 
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‘‘(A) requires such patient to obtain out-
patient mental health treatment while the pa-
tient is living in a community; 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 hos-
pitalizations, arrest, incarceration, suicide, 
property 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. 
‘‘(2) CERTIFICATION OF STATE COMPLIANCE.— 
A funding agreement described in paragraph (1) is 
effective only if the Assistant Secretary for Mental 
Health and Substance Use Disorders reviews the 
State law and certifies that it satisfies the criteria 
specified in such paragraph. 
‘‘(3) DEFINITION.—In this subsection, the term 
‘eligible patient’ means an adult, mentally ill person 
who, as determined by the court— 
‘‘(A) has a history of violence, incarcer-
ation, or medically unnecessary hospitalizations; 
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‘‘(B) without supervision and treatment, 
may be a danger to self or others in the com-
munity; 
‘‘(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) with a history of mental illness or 
condition that is likely to substantially deterio-
rate if the patient is not provided with timely 
treatment; and 
‘‘(F) due to mental illness, lacks capacity 
to fully understand or lacks judgment to make 
informed decisions regarding his or her need for 
treatment, care, or supervision.’’. 
SEC. 706. BEST AVAILABLE SCIENCE AND MODELS OF 
CARE. 
Section 1920 of the Public Health Service Act (42 
U.S.C. 300x–9) is amended by adding at the end the fol-
lowing: 
‘‘(c) BEST PRACTICES
IN CLINICAL CARE MOD-
ELS.—For the purpose of translating evidence-based med-
icine and best available science into systems of care, the 
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Assistant Secretary for Mental Health and Substance Use 
Disorders shall obligate 5 percent of the amounts appro-
priated under subsection (a) for a fiscal year through the 
National Mental Health Laboratory created under this 
Act. These models may include the Recovery After an Ini-
tial Schizophrenia Episode research project of the Na-
tional Institute of Mental Health and the North American 
Prodrome Longitudinal Study.’’. 
SEC. 707. PAPERWORK REDUCTION STUDY. 
(a) IN GENERAL.—The Assistant Secretary for Men-
tal Health and Substance Use Disorders shall enter into 
an arrangement with the Institute of Medicine of the Na-
tional Academies (or, if the Institute declines, another ap-
propriate entity) under which, not later than 12 months 
after the date of enactment of this Act, the Institute will 
submit to the appropriate committees of Congress a report 
that evaluates the combined paperwork burden of— 
(1) community mental health centers meeting 
the criteria specified in section 1913(c) of the Public 
Health Service Act (42 U.S.C. 300x–2), including 
such centers meeting such criteria as in effect on the 
day before the date of enactment of this Act; and 
(2) federally qualified community mental health 
clinics certified pursuant to section 201 of this Act. 
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(b) SCOPE.—In preparing the report under section 
(a), the Institute of Medicine (or, if applicable, other ap-
propriate entity) shall examine licensing, certification, 
service definitions, claims payment, billing codes, and fi-
nancial auditing requirements used by the Office of Man-
agement and Budget, the Centers for Medicare & Medicaid 
Services, the Health Resources and Services Administra-
tion, the Substance Abuse and Mental Health Services Ad-
ministration, the Office of the Inspector General of the 
Department of Health and Human Services, State Med-
icaid agencies, State departments of health, State depart-
ments of education, and State and local juvenile justice 
and social service agencies to— 
(1) establish an estimate of the combined na-
tionwide cost of complying with such requirements, 
in terms of both administrative funding and staff 
time; 
(2) establish an estimate of the per capita cost 
to each center described in paragraph (1) or (2) of 
subsection (a) to comply with such requirements, in 
terms of both administrative funding and staff time; 
and 
(3) make administrative and statutory rec-
ommendations to Congress (which recommendations 
may include a uniform methodology) to reduce the 
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paperwork burden experienced by centers described 
in paragraph (1) or (2) of subsection (a). 
TITLE VIII—BEHAVIORAL 
HEALTH AWARENESS PROGRAM 
SEC. 801. REDUCING THE STIGMA OF SERIOUS MENTAL ILL-
NESS. 
(a) IN GENERAL.—The Secretary of Education, 
along with the Assistant Secretary for Mental Health and 
Substance Use Disorders, shall organize a national aware-
ness campaign involving public health organizations, advo-
cacy groups for persons with serious mental illness, and 
social media companies to assist secondary school students 
and postsecondary students in— 
(1) reducing the stigma associated with serious 
mental illness; 
(2) understanding how to assist an individual 
who is demonstrating signs of a serious mental ill-
ness; and 
(3) understanding the importance of seeking 
treatment from a physician, clinical psychologist, or 
licensed mental health professional when a student 
believes the student may be suffering from a serious 
mental illness or behavioral health disorder. 
(b) DATA COLLECTION.—The Secretary of Education 
shall— 
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(1) evaluate the program under subsection (a) 
on public health to determine whether the program 
has made an impact on public health, including mor-
tality rates of persons with serious mental illness, 
prevalence of serious mental illness, physician and 
clinical psychological visits, emergency room visits; 
and 
(2) submit a report on the evaluation to the 
National Mental Health Policy Laboratory created 
by title I of this Act. 
(c) SECONDARY SCHOOL DEFINED.—For purposes of 
this section, the term ‘‘secondary school’’ has the meaning 
given the term in section 9101 of the Elementary and Sec-
ondary Education Act of 1965 (20 U.S.C. 7801). 
TITLE IX—BEHAVIORAL HEALTH 
INFORMATION TECHNOLOGY 
SEC. 901. EXTENSION OF HEALTH INFORMATION TECH-
NOLOGY ASSISTANCE FOR BEHAVIORAL AND 
MENTAL HEALTH AND SUBSTANCE ABUSE. 
Section 3000(3) of the Public Health Service Act (42 
U.S.C. 300jj(3)) is amended by inserting before ‘‘and any 
other category’’ the following: ‘‘behavioral and mental 
health 
professionals 
(as 
defined 
in 
section 
331(a)(3)(E)(i)), a substance abuse professional, a psy-
chiatric hospital (as defined in section 1861(f) of the So-
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cial Security Act), a community mental health center 
meeting the criteria specified in section 1913(c), a feder-
ally qualified community behavioral health clinic certified 
under section 201 of the Helping Families in Mental 
Health Crisis Act of 2013, a residential or outpatient men-
tal health or substance abuse treatment facility,’’. 
SEC. 902. EXTENSION OF ELIGIBILITY FOR MEDICARE AND 
MEDICAID 
HEALTH 
INFORMATION 
TECH-
NOLOGY IMPLEMENTATION ASSISTANCE. 
(a) PAYMENT INCENTIVES FOR ELIGIBLE PROFES-
SIONALS UNDER MEDICARE.—Section 1848 of the Social 
Security Act (42 U.S.C. 1395w–4) is amended— 
(1) in subsection (a)(7)— 
(A) in subparagraph (E), by adding at the 
end the following new clause: 
‘‘(iv) ADDITIONAL ELIGIBLE PROFES-
SIONAL.—The term ‘additional eligible pro-
fessional’ means a clinical psychologist pro-
viding qualified psychologist services (as 
defined in section 1861(ii)).’’; and 
(B) by adding at the end the following new 
subparagraph: 
‘‘(F) APPLICATION TO ADDITIONAL ELIGI-
BLE
PROFESSIONALS.—The Secretary shall 
apply the provisions of this paragraph with re-
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spect to an additional eligible professional in 
the same manner as such provisions apply to an 
eligible professional, except in applying sub-
paragraph (A)— 
‘‘(i) in clause (i), the reference to 
2015 shall be deemed a reference to 2019; 
‘‘(ii) in clause (ii), the references to 
2015, 2016, and 2017 shall be deemed ref-
erences to 2019, 2020, and 2021, respec-
tively; and 
‘‘(iii) in clause (iii), the reference to 
2018 shall be deemed a reference to 
2022.’’; and 
(2) in subsection (o)— 
(A) in paragraph (5), by adding at the end 
the following new subparagraph: 
‘‘(D) 
ADDITIONAL
ELIGIBLE
PROFES-
SIONAL.—The term ‘additional eligible profes-
sional’ means a clinical psychologist providing 
qualified psychologist services (as defined in 
section 1861(ii)).’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(6) APPLICATION
TO
ADDITIONAL
ELIGIBLE 
PROFESSIONALS.—The Secretary shall apply the 
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provisions of this subsection with respect to an addi-
tional eligible professional in the same manner as 
such provisions apply to an eligible professional, ex-
cept in applying— 
‘‘(A) paragraph (1)(A)(ii), the reference to 
2016 shall be deemed a reference to 2020; 
‘‘(B) paragraph (1)(B)(ii), the references 
to 2011 and 2012 shall be deemed references to 
2015 and 2016, respectively; 
‘‘(C) paragraph (1)(B)(iii), the references 
to 2013 shall be deemed references to 2017; 
‘‘(D) paragraph (1)(B)(v), the references 
to 2014 shall be deemed references to 2018; 
and 
‘‘(E) paragraph (1)(E), the reference to 
2011 shall be deemed a reference to 2015.’’. 
(b) ELIGIBLE HOSPITALS.—Section 1886 of the So-
cial Security Act (42 U.S.C. 1395ww) is amended— 
(1) in subsection (b)(3)(B)(ix), by adding at the 
end the following new subclause: 
‘‘(V) The Secretary shall apply 
the provisions of this subsection with 
respect to an additional eligible hos-
pital 
(as 
defined 
in 
subsection 
(n)(6)(C)) in the same manner as 
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such provisions apply to an eligible 
hospital, except in applying— 
‘‘(aa) subclause (I), the ref-
erences to 2015, 2016, and 2017 
shall be deemed references to 
2019, 2020, and 2021, respec-
tively; and 
‘‘(bb) subclause (III), the 
reference 
to 
2015 
shall 
be 
deemed a reference to 2019.’’; 
and 
(2) in subsection (n)— 
(A) in paragraph (6), by adding at the end 
the following new subparagraph: 
‘‘(C) ADDITIONAL ELIGIBLE HOSPITAL.— 
The term ‘additional eligible hospital’ means an 
inpatient hospital that is a psychiatric hospital 
(as defined in section 1861(f)).’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(7) APPLICATION
TO
ADDITIONAL
ELIGIBLE 
HOSPITALS.—The Secretary shall apply the provi-
sions of this subsection with respect to an additional 
eligible hospital in the same manner as such provi-
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sions apply to an eligible hospital, except in apply-
ing— 
‘‘(A) paragraph (2)(E)(ii), the references 
to 2013 and 2015 shall be deemed references to 
2017 and 2019, respectively; and 
‘‘(B) paragraph (2)(G)(i), the reference to 
2011 shall be deemed a reference to 2015.’’. 
(c) MEDICAID PROVIDERS.—Section 1903(t) of the 
Social Security Act (42 U.S.C. 1396b(t)) is amended— 
(1) in paragraph (2)(B)— 
(A) in clause (i), by striking ‘‘, or’’ and in-
serting a semicolon; 
(B) in clause (ii), by striking the period 
and inserting a semicolon; and 
(C) by adding after clause (ii) the following 
new clauses: 
‘‘(iii) a public hospital that is prin-
cipally a psychiatric hospital (as defined in 
section 1861(f)); 
‘‘(iv) a private hospital that is prin-
cipally a psychiatric hospital (as defined in 
section 1861(f)) and that has at least 10 
percent of its patient volume (as estimated 
in accordance with a methodology estab-
lished by the Secretary) attributable to in-
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(A) in clause (iv), by striking ‘‘and’’ after 
the semicolon; 
(B) in clause (v), by striking the period 
and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
clause: 
‘‘(vi) clinical psychologist providing 
qualified psychologist services (as defined 
in section 1861(ii)), if such clinical psy-
chologist is practicing in an outpatient 
clinic that— 
‘‘(I) is led by a clinical psycholo-
gist; and 
‘‘(II) is not otherwise receiving 
payment under paragraph (1) as a 
Medicaid provider described in para-
graph (2)(B).’’. 
(d) MEDICARE ADVANTAGE ORGANIZATIONS.—Sec-
tion 1853 of the Social Security Act (42 U.S.C. 1395w– 
23) is amended— 
(1) in subsection (l)— 
(A) in paragraph (1)— 
(i) by inserting ‘‘or additional eligible 
professionals (as described in paragraph 
(9))’’ after ‘‘paragraph (2)’’; and 
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(ii) by inserting ‘‘and additional eligi-
ble professionals’’ before ‘‘under such sec-
tions’’; 
(B) in paragraph (3)(B)— 
(i) in clause (i) in the matter pre-
ceding subclause (I), by inserting ‘‘or an 
additional eligible professional described in 
paragraph (9)’’ after ‘‘paragraph (2)’’; and 
(ii) in clause (ii)— 
(I) in the matter preceding sub-
clause (I), by inserting ‘‘or an addi-
tional eligible professional described in 
paragraph 
(9)’’ 
after 
‘‘paragraph 
(2)’’; and 
(II) in subclause (I), by inserting 
‘‘or an additional eligible professional, 
respectively,’’ after ‘‘eligible profes-
sional’’; 
(C) in paragraph (3)(C), by inserting ‘‘and 
additional eligible professionals’’ after ‘‘all eligi-
ble professionals’’; 
(D) in paragraph (4)(D), by adding at the 
end the following new sentence: ‘‘In the case 
that a qualifying MA organization attests that 
not all additional eligible professionals of the 
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organization are meaningful EHR users with 
respect to an applicable year, the Secretary 
shall apply the payment adjustment under this 
paragraph based on the proportion of all such 
additional eligible professionals of the organiza-
tion that are not meaningful EHR users for 
such year.’’; 
(E) in paragraph (6)(A), by inserting 
‘‘and, as applicable, each additional eligible pro-
fessional described in paragraph (9)’’ after 
‘‘paragraph (2)’’; 
(F) in paragraph (6)(B), by inserting 
‘‘and, as applicable, each additional eligible hos-
pital described in paragraph (9)’’ after ‘‘sub-
section (m)(1)’’; 
(G) in paragraph (7)(A), by inserting 
‘‘and, as applicable, additional eligible profes-
sionals’’ after ‘‘eligible professionals’’; 
(H) in paragraph (7)(B), by inserting 
‘‘and, as applicable, additional eligible profes-
sionals’’ after ‘‘eligible professionals’’; 
(I) in paragraph (8)(B), by inserting ‘‘and 
additional eligible professionals described in 
paragraph (9)’’ after ‘‘paragraph (2)’’; and 
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(J) by adding at the end the following new 
paragraph: 
‘‘(9) ADDITIONAL ELIGIBLE PROFESSIONAL DE-
SCRIBED.—With respect to a qualifying MA organi-
zation, an additional eligible professional described 
in this paragraph is an additional eligible profes-
sional (as defined for purposes of section 1848(o)) 
who— 
‘‘(A)(i) is employed by the organization; or 
‘‘(ii)(I) is employed by, or is a partner of, 
an entity that through contract with the organi-
zation furnishes at least 80 percent of the enti-
ty’s Medicare patient care services to enrollees 
of such organization; and 
‘‘(II) furnishes at least 80 percent of the 
professional services of the additional eligible 
professional covered under this title to enrollees 
of the organization; and 
‘‘(B) furnishes, on average, at least 20 
hours per week of patient care services.’’; and 
(2) in subsection (m)— 
(A) in paragraph (1)— 
(i) by inserting ‘‘or additional eligible 
hospitals (as described in paragraph (7))’’ 
after ‘‘paragraph (2)’’; and 
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(ii) by inserting ‘‘and additional eligi-
ble hospitals’’ before ‘‘under such sec-
tions’’; 
(B) in paragraph (3)(A)(i), by inserting 
‘‘or additional eligible hospital’’ after ‘‘eligible 
hospital’’; 
(C) in paragraph (3)(A)(ii), by inserting 
‘‘or an additional eligible hospital’’ after ‘‘eligi-
ble hospital’’ in each place it occurs; 
(D) in paragraph (3)(B)— 
(i) in clause (i), by inserting ‘‘or an 
additional eligible hospital described in 
paragraph (7)’’ after ‘‘paragraph (2)’’; and 
(ii) in clause (ii)— 
(I) in the matter preceding sub-
clause (I), by inserting ‘‘or an addi-
tional eligible hospital described in 
paragraph 
(7)’’ 
after 
‘‘paragraph 
(2)’’; and 
(II) in subclause (I), by inserting 
‘‘or an additional eligible hospital, re-
spectively,’’ after ‘‘eligible hospital’’; 
(E) in paragraph (4)(A), by inserting ‘‘or 
one or more additional eligible hospitals (as de-
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fined in section 1886(n)), as appropriate,’’ after 
‘‘section 1886(n)(6)(A))’’; 
(F) in paragraph (4)(D), by adding at the 
end the following new sentence: ‘‘In the case 
that a qualifying MA organization attests that 
not all additional eligible hospitals of the orga-
nization are meaningful EHR users with re-
spect to an applicable period, the Secretary 
shall apply the payment adjustment under this 
paragraph based on the methodology specified 
by the Secretary, taking into account the pro-
portion of such additional eligible hospitals, or 
discharges from such hospitals, that are not 
meaningful EHR users for such period.’’; 
(G) in paragraph (5)(A), by inserting 
‘‘and, as applicable, each additional eligible hos-
pital described in paragraph (7)’’ after ‘‘para-
graph (2)’’; 
(H) in paragraph (5)(B), by inserting 
‘‘and additional eligible hospitals, as applica-
ble,’’ after ‘‘eligible hospitals’’; 
(I) in paragraph (6)(B), by inserting ‘‘and 
additional eligible hospitals described in para-
graph (7)’’ after ‘‘paragraph (2)’’; and 
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(J) by adding at the end the following new 
paragraph: 
‘‘(7) ADDITIONAL
ELIGIBLE
HOSPITAL
DE-
SCRIBED.—With respect to a qualifying MA organi-
zation, an additional eligible hospital described in 
this paragraph is an additional eligible hospital (as 
defined in section 1886(n)(6)(C)) that is under com-
mon corporate governance with such organization 
and serves individuals enrolled under an MA plan of-
fered by such organization.’’. 
TITLE 
X—EXPANDING 
ACCESS 
TO CARE THROUGH HEALTH 
CARE 
PROFESSIONAL 
VOL-
UNTEERISM 
SEC. 1001. LIABILITY PROTECTIONS FOR HEALTH CARE 
PROFESSIONAL 
VOLUNTEERS 
AT 
COMMU-
NITY HEALTH CENTERS AND FEDERALLY 
QUALIFIED 
COMMUNITY 
BEHAVIORAL 
HEALTH CLINICS. 
Section 224 of the Public Health Service Act (42 
U.S.C. 233) is amended by adding at the end the fol-
lowing: 
‘‘(q)(1) In this subsection, the term ‘federally quali-
fied community behavioral health clinic’ means— 
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‘‘(A) a federally qualified community behavioral 
health clinic with a certification in effect under sec-
tion 201 of the Helping Families in Mental Health 
Crisis Act of 2013; or 
‘‘(B) a community mental health center meeting 
the criteria specified in section 1913(c) of this Act. 
‘‘(2) For purposes of this section, a health care pro-
fessional volunteer at an entity described in subsection 
(g)(4) or a federally qualified community behavioral health 
clinic shall, in providing health care services eligible for 
funding under section 330 or subpart I of part B of title 
XIX to an individual, be deemed to be an employee of the 
Public Health Service for a calendar year that begins dur-
ing a fiscal year for which a transfer was made under 
paragraph (5)(C). The preceding sentence is subject to the 
provisions of this subsection. 
‘‘(3) In providing a health care service to an indi-
vidual, a health care professional shall for purposes of this 
subsection be considered to be a health professional volun-
teer at an entity described in subsection (g)(4) or at a 
federally qualified community behavioral health clinic if 
the following conditions are met: 
‘‘(A) The service is provided to the individual at 
the facilities of an entity described in subsection 
(g)(4), at a federally qualified community behavioral 
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health clinic, or through offsite programs or events 
carried out by the center. 
‘‘(B) The center or entity is sponsoring the 
health care professional volunteer pursuant to para-
graph (4)(B). 
‘‘(C) The health care professional does not re-
ceive any compensation for the service from the indi-
vidual or from any third-party payer (including re-
imbursement under any insurance policy or health 
plan, or under any Federal or State health benefits 
program), except that the health care professional 
may receive repayment from the entity described in 
subsection (g)(4) or the center for reasonable ex-
penses incurred by the health care professional in 
the provision of the service to the individual. 
‘‘(D) Before the service is provided, the health 
care professional or the center or entity described in 
subsection (g)(4) posts a clear and conspicuous no-
tice at the site where the service is provided of the 
extent to which the legal liability of the health care 
professional is limited pursuant to this subsection. 
‘‘(E) At the time the service is provided, the 
health care professional is licensed or certified in ac-
cordance with applicable law regarding the provision 
of the service. 
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‘‘(4) Subsection (g) (other than paragraphs (3) and 
(5)) and subsections (h), (i), and (l) apply to a health care 
professional for purposes of this subsection to the same 
extent and in the same manner as such subsections apply 
to an officer, governing board member, employee, or con-
tractor of an entity described in subsection (g)(4), subject 
to paragraph (5) and subject to the following: 
‘‘(A) The first sentence of paragraph (2) ap-
plies in lieu of the first sentence of subsection 
(g)(1)(A). 
‘‘(B) With respect to an entity described in sub-
section (g)(4) or a federally qualified community be-
havioral health clinic, a health care professional is 
not a health professional volunteer at such center 
unless the center sponsors the health care profes-
sional. For purposes of this subsection, the center 
shall be considered to be sponsoring the health care 
professional if— 
‘‘(i) with respect to the health care profes-
sional, the center submits to the Secretary an 
application meeting the requirements of sub-
section (g)(1)(D); and 
‘‘(ii) the Secretary, pursuant to subsection 
(g)(1)(E), determines that the health care pro-
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fessional is deemed to be an employee of the 
Public Health Service. 
‘‘(C) In the case of a health care professional 
who is determined by the Secretary pursuant to sub-
section (g)(1)(E) to be a health professional volun-
teer at such center, this subsection applies to the 
health care professional (with respect to services de-
scribed in paragraph (2)) for any cause of action 
arising from an act or omission of the health care 
professional occurring on or after the date on which 
the Secretary makes such determination. 
‘‘(D) Subsection (g)(1)(F) applies to a health 
professional volunteer for purposes of this subsection 
only to the extent that, in providing health services 
to an individual, each of the conditions specified in 
paragraph (3) is met. 
‘‘(5)(A) Amounts in the fund established under sub-
section (k)(2) shall be available for transfer under sub-
paragraph (C) for purposes of carrying out this subsection 
for health professional volunteers at entities described in 
subsection (g)(4). 
‘‘(B) Not later than May 1 of each fiscal year, the 
Attorney General, in consultation with the Secretary, shall 
submit to the Congress a report providing an estimate of 
the amount of claims (together with related fees and ex-
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penses of witnesses) that, by reason of the acts or omis-
sions of health care professional volunteers, will be paid 
pursuant to this subsection during the calendar year that 
begins in the following fiscal year. Subsection (k)(1)(B) 
applies to the estimate under the preceding sentence re-
garding health care professional volunteers to the same 
extent and in the same manner as such subsection applies 
to the estimate under such subsection regarding officers, 
governing board members, employees, and contractors of 
entities described in subsection (g)(4). 
‘‘(C) Not later than December 31 of each fiscal year, 
the Secretary shall transfer from the fund under sub-
section (k)(2) to the appropriate accounts in the Treasury 
an amount equal to the estimate made under subpara-
graph (B) for the calendar year beginning in such fiscal 
year, subject to the extent of amounts in the fund. 
‘‘(6)(A) This subsection takes effect on October 1, 
2015, except as provided in subparagraph (B). 
‘‘(B) Effective on the date of the enactment of this 
subsection— 
‘‘(i) the Secretary may issue regulations for car-
rying out this subsection, and the Secretary may ac-
cept and consider applications submitted pursuant to 
paragraph (4)(B); and 
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‘‘(ii) reports under paragraph (5)(B) may be 
submitted to the Congress.’’. 
TITLE XI—SAMHSA REAUTHOR-
IZATION AND REFORMS 
Subtitle A—Organization and 
General Authorities 
SEC. 1101. IN GENERAL. 
Section 501 of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in subsection (c)(2), by striking ‘‘Secretary’’ 
and inserting ‘‘Assistant Secretary for Mental 
Health and Substance Use Disorders’’; 
(2) in subsection (d)— 
(A) in paragraph (2)— 
(i) by striking ‘‘and mental illness’’; 
and 
(ii) by striking ‘‘promote mental 
health’’; 
(B) in paragraph (4), by inserting ‘‘related 
to substance abuse’’ after ‘‘related services’’; 
(C) in paragraph (6), by striking ‘‘and in-
dividuals with mental illness and to develop ap-
propriate mental health services for individuals 
with such illnesses’’; and 
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101 
(B) in paragraph (3), by striking ‘‘Sec-
retary’’ and inserting ‘‘Assistant Secretary for 
Mental Health and Substance Use Disorders’’. 
SEC. 1102. ADVISORY COUNCILS. 
Paragraph (3) of section 502(b) of the Public Health 
Service Act (42 U.S.C. 290aa–1(b)) is amended by adding 
at the end the following: 
‘‘(C) No fewer than half of the members of 
an advisory council shall— 
‘‘(i) have a medical degree; 
‘‘(ii) have an equivalent doctoral de-
gree in psychology; or 
‘‘(iii) serve as a licensed mental health 
professional.’’. 
SEC. 1103. PEER REVIEW. 
Section 504 of the Public Health Service Act (42 
U.S.C. 290aa–3) is amended— 
(1) by adding at the end of subsection (b) the 
following: ‘‘At least half of the members of any peer 
review group established under subsection (a) shall 
have a degree in medicine, or an equivalent doctoral 
degree in psychology, or be a licensed mental health 
professional. Before awarding a grant, cooperative 
agreement, or contract, the Secretary shall provide a 
list of the members of the peer review group respon-
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102 
sible for reviewing the award to the Committee on 
Energy and Commerce of the House of Representa-
tives and the Committee on Health, Education, 
Labor, and Pensions of the Senate.’’; and 
(2) by adding at the end the following: 
‘‘(e) SCIENTIFIC CONTROLS AND STANDARDS.—Peer 
review under this section shall ensure that any research 
concerning an intervention is based on scientific controls 
and standards indicating whether the intervention reduces 
symptoms, improves medical or behavioral outcomes, and 
improves social functioning.’’. 
SEC. 1104. DATA COLLECTION. 
(a) TRANSFER OF BEHAVIORAL HEALTH STATISTICS 
AND
QUALITY.—The Assistant Secretary for Mental 
Health and Substance Use Disorders shall transfer all 
functions and responsibilities of the Center for Behavioral 
Health Statistics and Quality to the National Mental 
Health Policy Laboratory, established under section 501A. 
(b) TRANSFERRING DATA COLLECTION AND SUR-
VEYS TO THE NATIONAL MENTAL HEALTH POLICY LAB-
ORATORY.—Section 505 of the Public Health Service Act 
(42 U.S.C. 290aa–4) is amended— 
(1) in subsection (a), by striking ‘‘acting 
through the Administrator’’ and inserting ‘‘acting 
through the National Mental Health Policy Labora-
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103 
tory under the Assistant Secretary for Mental 
Health and Substance Use Disorders (in this section 
referred to as the ‘Assistant Secretary’) with respect 
to mental illness and substance abuse’’; 
(2) in subsections (a)(2) and (d), by striking 
‘‘Administrator’’ each place it appears and inserting 
‘‘Assistant Secretary’’; and 
(3) in subsection (b)— 
(A) by striking ‘‘Administrator’’ each place 
it appears and inserting ‘‘Assistant Secretary’’; 
(B) by striking ‘‘and’’ at the end of para-
graph (3); 
(C) by striking paragraph (4); and 
(D) by adding at the end the following: 
‘‘(4) the number of individuals with serious 
mental illnesses, including those with schizophrenia, 
bipolar disorder, or major depressive disorder; 
‘‘(5) the number of individuals admitted to hos-
pital emergency rooms as a result of serious mental 
illness; 
‘‘(6) the number of individuals who receive in-
patient care and are subsequently readmitted to the 
hospital as a result of their condition within two 
years; and 
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104 
‘‘(7) other public health outcomes including 
mortality rates for individuals with serious mental 
illness.’’. 
Subtitle B—Center for Mental 
Health Services 
SEC. 1111. CENTER FOR MENTAL HEALTH SERVICES. 
Section 520 of the Public Health Service Act (42 
U.S.C. 290bb–31) is amended to read as follows: 
‘‘SEC. 520. CENTER FOR MENTAL HEALTH SERVICES. 
‘‘(a) ESTABLISHMENT.—There is established in the 
Administration a Center for Mental Health Services (here-
after in this section referred to as the ‘Center’). The Cen-
ter shall be headed by a Director (hereafter in this section 
referred to as the ‘Director’) appointed by the Secretary 
from among individuals with extensive experience or aca-
demic qualifications in the provision of mental health serv-
ices or in the evaluation of mental health service systems. 
‘‘(b) DUTIES.—The Director of the Center shall— 
‘‘(1) assist the Assistant Secretary for Mental 
Health and Substance Use Disorders in designing 
national goals and establishing national priorities 
for— 
‘‘(A) the prevention of mental illness; 
‘‘(B) the treatment of mental illness; and 
‘‘(C) the promotion of mental health; 
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105 
‘‘(2) encourage local entities and State agencies 
to achieve the goals and priorities described in para-
graph (1); 
‘‘(3) collaborate with the Department of Edu-
cation and the Department of Justice to assist local 
communities in addressing violence among children 
and adolescents related to mental illness; 
‘‘(4) assist the National Institute of Mental 
Health in deploying improved methods of treating 
individuals with mental health problems and im-
proved methods of assisting the families of such in-
dividuals; 
‘‘(5) carry out the provisions of the Protection 
and Advocacy of Mentally Ill Individuals Act in 
order to foster independence and protect the legal 
rights of persons with mental illness; 
‘‘(6) carry out the programs under part C; 
‘‘(7) carry out responsibilities for the Human 
Resource Development programs; 
‘‘(8) conduct services-related assessments, in-
cluding evaluations of the organization and financing 
of care, self-help, mental health economics, mental 
health service systems, and rural mental health, and 
improve the capacity of States to conduct evalua-
tions of publicly funded mental health programs; 
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106 
‘‘(9) establish a clearinghouse of evidence-based 
practices, which has first been reviewed and ap-
proved by a panel of psychiatrists and clinical psy-
chologists, for mental health information to assure 
the widespread dissemination of such information to 
States, political subdivisions, educational agencies 
and institutions, treatment and prevention service 
providers, and the general public, including informa-
tion concerning the practical application of research 
supported by the National Institute of Mental 
Health that is applicable to improving the delivery of 
services; 
‘‘(10) provide technical assistance to public and 
private entities that are providers of mental health 
services; 
‘‘(11) monitor and enforce obligations incurred 
by community mental health centers pursuant to the 
Community Mental Health Centers Act (as in effect 
prior to the repeal of such Act on August 13, 1981, 
by section 902(e)(2)(B) of Public Law 97–35 (95 
Stat. 560)); and 
‘‘(12) assist the Assistant Secretary for Mental 
Health and Substance Use Disorders, and the Direc-
tor of the Centers for Disease Control and Preven-
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107 
tion, with surveys with respect to mental health, 
such as the National Reporting Program. 
Nothing in this subsection shall be construed as author-
izing any new grant program or project that is not explic-
itly authorized or required by other statutory provisions. 
‘‘(c) NO GENERAL AUTHORITY FOR GRANTS.—Noth-
ing in this section shall be construed as authorizing or 
requiring any new grant program or project that is not 
explicitly authorized or required by other statutory provi-
sions.’’. 
SEC. 
1112. 
REAUTHORIZATION 
OF 
PRIORITY 
MENTAL 
HEALTH 
NEEDS 
OF 
REGIONAL 
AND 
NA-
TIONAL SIGNIFICANCE. 
Section 520A of the Public Health Service Act (42 
U.S.C. 290bb–32) is amended— 
(1) in subsection (a)— 
(A) in paragraph (2), by inserting ‘‘using 
evidence-based medicine’’ after ‘‘technical as-
sistance programs’’; 
(B) by amending paragraph (4) to read as 
follows: 
‘‘(4) evidence-based programs designed in con-
junction with the Assistant Secretary for Mental 
Health and Substance Use Disorders to treat indi-
viduals with serious mental illness.’’; and 
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108 
(C) by adding at the end the following: 
‘‘Before awarding a grant, cooperative agree-
ment, or contract under this section, the Sec-
retary shall give written notice of the award to 
the Committee on Energy and Commerce of the 
House of Representatives and the Committee 
on Health, Education, Labor, and Pensions of 
the Senate.’’; 
(2) in subsection (b)(2), by inserting ‘‘, includ-
ing the primary and behavioral health care integra-
tion program under section 520K’’ after ‘‘primary 
health care systems’’; and 
(3) by amending subsection (f)(1) to read as 
follows: 
‘‘(1) IN GENERAL.—For carrying out this sec-
tion, there is authorized to be appropriated 
$150,000,000 for each of fiscal years 2014 through 
2018.’’. 
SEC. 1113. GARRETT LEE SMITH REAUTHORIZATION. 
(a) SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER.—Section 520C of the Public Health Service Act 
(42 U.S.C. 290bb–34) is amended to read as follows: 
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109 
‘‘SEC. 520C. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
‘‘(a) PROGRAM AUTHORIZED.—The Assistant Sec-
retary for Mental Health and Substance Use Disorders, 
acting through the Administrator of the Substance Abuse 
and Mental Health Services Administration, shall award 
a grant for the operation and maintenance of a research, 
training, and technical assistance resource center to pro-
vide appropriate information, training, and technical as-
sistance to States, political subdivisions of States, feder-
ally recognized Indian tribes, tribal organizations, institu-
tions of higher education, public organizations, or private 
nonprofit organizations concerning the prevention of sui-
cide among all ages, particularly among groups that are 
at high risk for suicide. 
‘‘(b) RESPONSIBILITIES OF THE CENTER.—The cen-
ter operated and maintained under subsection (a) shall— 
‘‘(1) assist in the development or continuation 
of statewide and tribal suicide early intervention and 
prevention strategies for all ages, particularly among 
groups that are at high risk for suicide; 
‘‘(2) ensure the surveillance of suicide early 
intervention and prevention strategies for all ages, 
particularly among groups that are at high risk for 
suicide; 
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110 
‘‘(3) study the costs and effectiveness of state-
wide and tribal suicide early intervention and pre-
vention strategies in order to provide information 
concerning relevant issues of importance to State, 
tribal, and national policymakers; 
‘‘(4) further identify and understand causes 
and associated risk factors for suicide for all ages, 
particularly among groups that are at high risk for 
suicide; 
‘‘(5) analyze the efficacy of new and existing 
suicide early intervention and prevention techniques 
and technology for all ages, particularly among 
groups that are at high risk for suicide; 
‘‘(6) ensure the surveillance of suicidal behav-
iors and nonfatal suicidal attempts; 
‘‘(7) study the effectiveness of State-sponsored 
statewide and tribal suicide early intervention and 
prevention strategies for all ages particularly among 
groups that are at high risk for suicide on the over-
all wellness and health promotion strategies related 
to suicide attempts; 
‘‘(8) promote the sharing of data regarding sui-
cide with Federal agencies involved with suicide 
early intervention and prevention, and State-spon-
sored statewide and tribal suicide early intervention 
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and prevention strategies for the purpose of identi-
fying previously unknown mental health causes and 
associated risk factors for suicide among all ages 
particularly among groups that are at high risk for 
suicide; 
‘‘(9) evaluate and disseminate outcomes and 
best practices of mental health and substance use 
disorder services at institutions of higher education; 
and 
‘‘(10) conduct other activities determined ap-
propriate by the Secretary. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $4,957,000 for each of the fiscal years 
2014 through 2018.’’. 
(b) YOUTH SUICIDE INTERVENTION AND PREVEN-
TION STRATEGIES.—Section 520E of the Public Health 
Service Act (42 U.S.C. 290bb–36) is amended to read as 
follows: 
‘‘SEC. 520E. YOUTH SUICIDE EARLY INTERVENTION AND 
PREVENTION STRATEGIES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Substance Abuse and Mental 
Health Services Administration, shall award grants or co-
operative agreements to eligible entities to— 
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‘‘(1) develop and implement State-sponsored 
statewide or tribal youth suicide early intervention 
and prevention strategies in schools, educational in-
stitutions, juvenile justice systems, substance use 
disorder programs, mental health programs, foster 
care systems, and other child and youth support or-
ganizations; 
‘‘(2) support public organizations and private 
nonprofit organizations actively involved in State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies and in the de-
velopment and continuation of State-sponsored 
statewide youth suicide early intervention and pre-
vention strategies; 
‘‘(3) provide grants to institutions of higher 
education to coordinate the implementation of State- 
sponsored statewide or tribal youth suicide early 
intervention and prevention strategies; 
‘‘(4) collect and analyze data on State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention services that can be used to 
monitor the effectiveness of such services and for re-
search, technical assistance, and policy development; 
and 
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‘‘(5) assist eligible entities, through State-spon-
sored statewide or tribal youth suicide early inter-
vention and prevention strategies, in achieving tar-
gets for youth suicide reductions under title V of the 
Social Security Act. 
‘‘(b) ELIGIBLE ENTITY.— 
‘‘(1) DEFINITION.—In this section, the term 
‘eligible entity’ means— 
‘‘(A) a State; 
‘‘(B) a public organization or private non-
profit organization designated by a State to de-
velop or direct the State-sponsored statewide 
youth suicide early intervention and prevention 
strategy; or 
‘‘(C) a federally recognized Indian tribe or 
tribal organization (as defined in the Indian 
Self-Determination and Education Assistance 
Act) or an urban Indian organization (as de-
fined in the Indian Health Care Improvement 
Act) that is actively involved in the development 
and continuation of a tribal youth suicide early 
intervention and prevention strategy. 
‘‘(2) LIMITATION.—In carrying out this section, 
the Secretary shall ensure that a State does not re-
ceive more than one grant or cooperative agreement 
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under this section at any one time. For purposes of 
the preceding sentence, a State shall be considered 
to have received a grant or cooperative agreement if 
the eligible entity involved is the State or an entity 
designated by the State under paragraph (1)(B). 
Nothing in this paragraph shall be constructed to 
apply to entities described in paragraph (1)(C). 
‘‘(c) PREFERENCE.—In providing assistance under a 
grant or cooperative agreement under this section, an eli-
gible entity shall give preference to public organizations, 
private nonprofit organizations, political subdivisions, in-
stitutions of higher education, and tribal organizations ac-
tively involved with the State-sponsored statewide or tribal 
youth suicide early intervention and prevention strategy 
that— 
‘‘(1) provide early intervention and assessment 
services, including screening programs, to youth who 
are at risk for mental or emotional disorders that 
may lead to a suicide attempt, and that are inte-
grated with school systems, educational institutions, 
juvenile justice systems, substance use disorder pro-
grams, mental health programs, foster care systems, 
and other child and youth support organizations; 
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‘‘(2) demonstrate collaboration among early 
intervention and prevention services or certify that 
entities will engage in future collaboration; 
‘‘(3) employ or include in their applications a 
commitment to evaluate youth suicide early interven-
tion and prevention practices and strategies adapted 
to the local community; 
‘‘(4) provide timely referrals for appropriate 
community-based mental health care and treatment 
of youth who are at risk for suicide in child-serving 
settings and agencies; 
‘‘(5) provide immediate support and informa-
tion resources to families of youth who are at risk 
for suicide; 
‘‘(6) offer access to services and care to youth 
with diverse linguistic and cultural backgrounds; 
‘‘(7) offer appropriate postsuicide intervention 
services, care, and information to families, friends, 
schools, educational institutions, juvenile justice sys-
tems, substance use disorder programs, mental 
health programs, foster care systems, and other 
child and youth support organizations of youth who 
recently completed suicide; 
‘‘(8) offer continuous and up-to-date informa-
tion and awareness campaigns that target parents, 
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family members, child care professionals, community 
care providers, and the general public and highlight 
the risk factors associated with youth suicide and 
the life-saving help and care available from early 
intervention and prevention services; 
‘‘(9) ensure that information and awareness 
campaigns on youth suicide risk factors, and early 
intervention and prevention services, use effective 
communication mechanisms that are targeted to and 
reach youth, families, schools, educational institu-
tions, and youth organizations; 
‘‘(10) provide a timely response system to en-
sure that child-serving professionals and providers 
are properly trained in youth suicide early interven-
tion and prevention strategies and that child-serving 
professionals and providers involved in early inter-
vention and prevention services are properly trained 
in effectively identifying youth who are at risk for 
suicide; 
‘‘(11) provide continuous training activities for 
child care professionals and community care pro-
viders on the latest youth suicide early intervention 
and prevention services practices and strategies; 
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‘‘(12) conduct annual self-evaluations of out-
comes and activities, including consulting with inter-
ested families and advocacy organizations; 
‘‘(13) provide services in areas or regions with 
rates of youth suicide that exceed the national aver-
age as determined by the Centers for Disease Con-
trol and Prevention; and 
‘‘(14) obtain informed written consent from a 
parent or legal guardian of an at-risk child before 
involving the child in a youth suicide early interven-
tion and prevention program. 
‘‘(d) REQUIREMENT FOR DIRECT SERVICES.—Not 
less than 85 percent of grant funds received under this 
section shall be used to provide direct services, of which 
not less than 5 percent shall be used for activities author-
ized under subsection (a)(3). 
‘‘(e) CONSULTATION AND POLICY DEVELOPMENT.— 
‘‘(1) IN GENERAL.—In carrying out this sec-
tion, the Secretary shall collaborate with the Sec-
retary of Education and relevant Federal agencies 
and suicide working groups responsible for early 
intervention and prevention services relating to 
youth suicide. 
‘‘(2) CONSULTATION.—In carrying out this sec-
tion, the Secretary shall consult with— 
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‘‘(A) State and local agencies, including 
agencies responsible for early intervention and 
prevention services under title XIX of the So-
cial Security Act, the State Children’s Health 
Insurance Program under title XXI of the So-
cial Security Act, and programs funded by 
grants under title V of the Social Security Act; 
‘‘(B) local and national organizations that 
serve youth at risk for suicide and their fami-
lies; 
‘‘(C) relevant national medical and other 
health and education specialty organizations; 
‘‘(D) youth who are at risk for suicide, 
who have survived suicide attempts, or who are 
currently receiving care from early intervention 
services; 
‘‘(E) families and friends of youth who are 
at risk for suicide, who have survived suicide at-
tempts, who are currently receiving care from 
early intervention and prevention services, or 
who have completed suicide; 
‘‘(F) qualified professionals who possess 
the specialized knowledge, skills, experience, 
and relevant attributes needed to serve youth at 
risk for suicide and their families; and 
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‘‘(G) third-party payers, managed care or-
ganizations, and related commercial industries. 
‘‘(3) POLICY DEVELOPMENT.—In carrying out 
this section, the Secretary shall— 
‘‘(A) coordinate and collaborate on policy 
development at the Federal level with the rel-
evant Department of Health and Human Serv-
ices agencies and suicide working groups; and 
‘‘(B) consult on policy development at the 
Federal level with the private sector, including 
consumer, medical, suicide prevention advocacy 
groups, and other health and education profes-
sional-based organizations, with respect to 
State-sponsored statewide or tribal youth sui-
cide early intervention and prevention strate-
gies. 
‘‘(f) RULE
OF
CONSTRUCTION; RELIGIOUS
AND 
MORAL ACCOMMODATION.—Nothing in this section shall 
be construed to require suicide assessment, early interven-
tion, or treatment services for youth whose parents or 
legal guardians object based on the parents’ or legal 
guardians’ religious beliefs or moral objections. 
‘‘(g) EVALUATIONS AND REPORT.— 
‘‘(1) EVALUATIONS BY ELIGIBLE ENTITIES.— 
Not later than 18 months after receiving a grant or 
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cooperative agreement under this section, an eligible 
entity shall submit to the Secretary the results of an 
evaluation to be conducted by the entity concerning 
the effectiveness of the activities carried out under 
the grant or agreement. 
‘‘(2) REPORT.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall 
submit to the appropriate committees of Congress a 
report concerning the results of— 
‘‘(A) the evaluations conducted under 
paragraph (1); and 
‘‘(B) an evaluation conducted by the Sec-
retary to analyze the effectiveness and efficacy 
of the activities conducted with grants, collabo-
rations, and consultations under this section. 
‘‘(h) RULE OF CONSTRUCTION; STUDENT MEDICA-
TION.—Nothing in this section shall be construed to allow 
school personnel to require that a student obtain any 
medication as a condition of attending school or receiving 
services. 
‘‘(i) PROHIBITION.—Funds appropriated to carry out 
this section, section 527, or section 529 shall not be used 
to pay for or refer for abortion. 
‘‘(j) PARENTAL CONSENT.—States and entities re-
ceiving funding under this section shall obtain prior writ-
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ten, informed consent from the child’s parent or legal 
guardian for assessment services, school-sponsored pro-
grams, and treatment involving medication related to 
youth suicide conducted in elementary and secondary 
schools. The requirement of the preceding sentence does 
not apply in the following cases: 
‘‘(1) In an emergency, where it is necessary to 
protect the immediate health and safety of the stu-
dent or other students. 
‘‘(2) Other instances, as defined by the State, 
where parental consent cannot reasonably be ob-
tained. 
‘‘(k) RELATION TO EDUCATION PROVISIONS.—Noth-
ing in this section shall be construed to supersede section 
444 of the General Education Provisions Act, including 
the requirement of prior parental consent for the disclo-
sure of any education records. Nothing in this section shall 
be construed to modify or affect parental notification re-
quirements for programs authorized under the Elementary 
and Secondary Education Act of 1965 (as amended by the 
No Child Left Behind Act of 2001; Public Law 107–110). 
‘‘(l) DEFINITIONS.—In this section: 
‘‘(1) EARLY INTERVENTION.—The term ‘early 
intervention’ means a strategy or approach that is 
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intended to prevent an outcome or to alter the 
course of an existing condition. 
‘‘(2) EDUCATIONAL INSTITUTION; INSTITUTION 
OF HIGHER EDUCATION; SCHOOL.—The term— 
‘‘(A) ‘educational institution’ means a 
school or institution of higher education; 
‘‘(B) ‘institution of higher education’ has 
the meaning given such term in section 101 of 
the Higher Education Act of 1965; and 
‘‘(C) ‘school’ means an elementary or sec-
ondary school (as such terms are defined in sec-
tion 9101 of the Elementary and Secondary 
Education Act of 1965). 
‘‘(3) 
PREVENTION.—The 
term 
‘prevention’ 
means a strategy or approach that reduces the likeli-
hood or risk of onset, or delays the onset, of adverse 
health problems that have been known to lead to sui-
cide. 
‘‘(4) YOUTH.—The term ‘youth’ means individ-
uals who are between 10 and 24 years of age. 
‘‘(m) AUTHORIZATION
OF APPROPRIATIONS.—For 
the purpose of carrying out this section, there are author-
ized to be appropriated $29,738,000 for each of the fiscal 
years 2014 through 2018.’’. 
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(c) SUICIDE PREVENTION
FOR YOUTH.—Section 
520E–1 of the Public Health Service Act (42 U.S.C. 
290bb–36a) is amended— 
(1) by amending the section heading to read as 
follows: ‘‘SUICIDE
PREVENTION
FOR
YOUTH’’; 
and 
(2) by striking subsection (n) and inserting the 
following: 
‘‘(n) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there is authorized 
to be appropriated such sums as may be necessary for 
each of fiscal years 2014 through 2018.’’. 
(d) MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDERS SERVICES AND OUTREACH ON CAMPUS.—Section 
520E–2 of the Public Health Service Act (42 U.S.C. 
290bb–36b) is amended to read as follows: 
‘‘SEC. 520E–2. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDERS SERVICES ON CAMPUS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Center for Mental Health Services and 
in consultation with the Secretary of Education, shall 
award grants on a competitive basis to institutions of 
higher education to enhance services for students with 
mental health or substance use disorders and to develop 
best practices for the delivery of such services. 
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‘‘(b) USES OF FUNDS.—Amounts received under a 
grant under this section shall be used for 1 or more of 
the following activities: 
‘‘(1) The provision of mental health and sub-
stance use disorder services to students, including 
prevention, promotion of mental health, voluntary 
screening, early intervention, voluntary assessment, 
treatment, and management of mental health and 
substance abuse disorder issues. 
‘‘(2) The provision of outreach services to notify 
students about the existence of mental health and 
substance use disorder services. 
‘‘(3) Educating students, families, faculty, staff, 
and communities to increase awareness of mental 
health and substance use disorders. 
‘‘(4) The employment of appropriately trained 
staff, including administrative staff. 
‘‘(5) The provision of training to students, fac-
ulty, and staff to respond effectively to students with 
mental health and substance use disorders. 
‘‘(6) The creation of a networking infrastruc-
ture to link colleges and universities with providers 
who can treat mental health and substance use dis-
orders. 
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‘‘(7) Developing, supporting, evaluating, and 
disseminating evidence-based and emerging best 
practices. 
‘‘(c) IMPLEMENTATION OF ACTIVITIES USING GRANT 
FUNDS.—An institution of higher education that receives 
a grant under this section may carry out activities under 
the grant through— 
‘‘(1) college counseling centers; 
‘‘(2) college and university psychological service 
centers; 
‘‘(3) mental health centers; 
‘‘(4) psychology training clinics; 
‘‘(5) institution of higher education supported, 
evidence-based, mental health and substance use dis-
order programs; or 
‘‘(6) any other entity that provides mental 
health and substance use disorder services at an in-
stitution of higher education. 
‘‘(d) APPLICATION.—To be eligible to receive a grant 
under this section, an institution of higher education shall 
prepare and submit to the Secretary an application at 
such time and in such manner as the Secretary may re-
quire. At a minimum, such application shall include the 
following: 
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‘‘(1) A description of identified mental health 
and substance use disorder needs of students at the 
institution of higher education. 
‘‘(2) A description of Federal, State, local, pri-
vate, and institutional resources currently available 
to address the needs described in paragraph (1) at 
the institution of higher education. 
‘‘(3) A description of the outreach strategies of 
the institution of higher education for promoting ac-
cess to services, including a proposed plan for reach-
ing those students most in need of mental health 
services. 
‘‘(4) A plan, when applicable, to meet the spe-
cific mental health and substance use disorder needs 
of veterans attending institutions of higher edu-
cation. 
‘‘(5) A plan to seek input from community 
mental health providers, when available, community 
groups and other public and private entities in car-
rying out the program under the grant. 
‘‘(6) A plan to evaluate program outcomes, in-
cluding a description of the proposed use of funds, 
the program objectives, and how the objectives will 
be met. 
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‘‘(7) An assurance that the institution will sub-
mit a report to the Secretary each fiscal year con-
cerning the activities carried out with the grant and 
the results achieved through those activities. 
‘‘(e) 
SPECIAL
CONSIDERATIONS.—In 
awarding 
grants under this section, the Secretary shall give special 
consideration to applications that describe programs to be 
carried out under the grant that— 
‘‘(1) demonstrate the greatest need for new or 
additional mental and substance use disorder serv-
ices, in part by providing information on current ra-
tios of students to mental health and substance use 
disorder health professionals; and 
‘‘(2) demonstrate the greatest potential for rep-
lication. 
‘‘(f) REQUIREMENT OF MATCHING FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary may make a 
grant under this section to an institution of higher 
education only if the institution agrees to make 
available (directly or through donations from public 
or private entities) non-Federal contributions in an 
amount that is not less than $1 for each $1 of Fed-
eral funds provided under the grant, toward the 
costs of activities carried out with the grant (as de-
scribed in subsection (b)) and other activities by the 
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institution to reduce student mental health and sub-
stance use disorders. 
‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions required under 
paragraph (1) may be in cash or in kind. Amounts 
provided by the Federal Government, or services as-
sisted or subsidized to any significant extent by the 
Federal Government, may not be included in deter-
mining the amount of such non-Federal contribu-
tions. 
‘‘(3) WAIVER.—The Secretary may waive the 
application of paragraph (1) with respect to an insti-
tution of higher education if the Secretary deter-
mines that extraordinary need at the institution jus-
tifies the waiver. 
‘‘(g) REPORTS.—For each fiscal year that grants are 
awarded under this section, the Secretary shall conduct 
a study on the results of the grants and submit to the 
Congress a report on such results that includes the fol-
lowing: 
‘‘(1) An evaluation of the grant program out-
comes, including a summary of activities carried out 
with the grant and the results achieved through 
those activities. 
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‘‘(2) Recommendations on how to improve ac-
cess to mental health and substance use disorder 
services at institutions of higher education, including 
efforts to reduce the incidence of suicide and sub-
stance use disorders. 
‘‘(h) DEFINITIONS.—In this section, the term ‘insti-
tution of higher education’ has the meaning given such 
term in section 101 of the Higher Education Act of 1965. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $4,975,000 for each of the fiscal years 
2014 through 2018.’’. 
Subtitle C—Children With Serious 
Emotional Disturbances 
SEC. 1121. COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS 
EMOTIONAL DISTURBANCES. 
Paragraph (1) of section 564(a) of the Public Health 
Service Act (42 U.S.C. 290ff(a)) is amended— 
(1) by striking ‘‘, acting through the Director 
of the Center for Mental Health Services,’’; and 
(2) by adding at the end the following: ‘‘Before 
making any such grant, the Assistant Secretary 
shall consult with the Director of the National Insti-
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tutes of Health to ensure that the grant recipient 
will use evidence-based practices.’’. 
SEC. 1122. GENERAL PROVISIONS; REPORT; FUNDING. 
Section 565 of the Public Health Service Act (42 
U.S.C. 290ff–4) is amended— 
(1) in subsection (c)(2), by striking ‘‘not later 
than 1 year after the date on which amounts are 
first appropriated under subsection (c)’’ and insert-
ing ‘‘not later than 1 year after the date of enact-
ment of the Helping Families in Mental Health Cri-
sis Act of 2013’’; and 
(2) in subsection (f)— 
(A) by amending paragraph (1) to read as 
follows: 
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.— 
For the purpose of carrying out this part, there are 
authorized to be appropriated $117,000,000 for fis-
cal year 2015, $120,000,000 for fiscal year 2016, 
$123,000,000 for fiscal year 2017, $126,000,000 for 
fiscal year 2018, and $130,000,000 for fiscal year 
2019.’’; and 
(B) by moving the margin of paragraph 
(2) two ems to the right. 
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Subtitle E—Protection and Advo-
cacy for Individuals With Men-
tal Illness 
SEC. 1141. PROHIBITION AGAINST LOBBYING BY SYSTEMS 
ACCEPTING FEDERAL FUNDS TO PROTECT 
AND ADVOCATE THE RIGHTS OF INDIVID-
UALS WITH MENTAL ILLNESS. 
Section 105(a) of the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10805(a)) 
is amended— 
(1) in paragraph (9), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (10), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(11) agree to refrain, during any period for 
which funding is provided to the system under this 
part, from— 
‘‘(A) lobbying or retaining a lobbyist for 
the purpose of influencing a Federal, State, or 
local governmental entity or officer; 
‘‘(B) using such funding to engage in sys-
temic lawsuits, or to investigate and seek legal 
remedies cases other than individual cases of 
abuse or neglect; or 
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‘‘(C) counseling an individual with a seri-
ous mental illness who lacks insight into their 
condition on refusing medical treatment or act-
ing against the wishes of such individual’s care-
giver.’’. 
Subtitle F—Limitations on 
Authority 
SEC. 1151. LIMITATIONS ON SAMHSA PROGRAMS. 
(a) NO SPONSORING CONFERENCES.—The Adminis-
trator of the Substance Abuse and Mental Health Services 
Administration shall not host or sponsor any conference 
that will not be primarily administered by the Substance 
Abuse and Mental Health Services Administration without 
giving at least 90 days of prior notification to the Com-
mittee 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. 
(b) EVIDENCE-BASED PRACTICES.—The Adminis-
trator of the Substance Abuse and Mental Health Services 
Administration shall not provide any financial assistance 
for any program relating to mental health or substance 
use diagnosis or treatment, unless such diagnosis and 
treatment relies on evidence-based practices. 
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SEC. 1152. ELIMINATION OF UNAUTHORIZED SAMHSA PRO-
GRAMS. 
(a) ELIMINATION OF PROGRAMS WITHOUT EXPLICIT 
STATUTORY AUTHORIZATION.— 
(1) NO NEW PROGRAMS.—The Administrator of 
the Substance Abuse and Mental Health Services 
Administration may not establish, and the Secretary 
of Health and Human Services may not delegate to 
the Administrator responsibility for, any program or 
project that is not explicitly authorized or required 
by statute. 
(2) TERMINATION OF EXISTING PROGRAMS.— 
By the end of fiscal year 2014, any program or 
project of the Substance Abuse and Mental Health 
Services Administration that is not explicitly author-
ized or required by statute shall be terminated. 
(b) REPORT.— 
(1) IN GENERAL.—The Assistant Secretary for 
Mental Health and Substance Use Disorders shall 
seek to enter into an arrangement with the Institute 
of Medicine under which the Institute (or, if the In-
stitute declines to enter into such arrangement, an-
other appropriate entity) agrees to submit a report 
to the Congress not later than July 31, 2014, identi-
fying each program, project, or activity to be termi-
nated under subsection (a). 
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(2) RECOMMENDATIONS.—The report under 
paragraph (1) shall recommend whether any of the 
programs should be retained based on public health 
data, such as reduced mortality rates and hos-
pitalization within the community for individuals 
with serious mental illness, thus proving the pro-
gram has had a demonstrable benefit using public 
health and epidemiological factors. 
Æ 
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