‘‘(A) any training program assisted under 
the grant will prioritize cultural competency; 
‘‘(B) the organization will provide to the 
Secretary such data, assurances, and informa-
tion as the Secretary may require; and 
‘‘(C) with respect to any violation of the 
agreement between the Secretary and the orga-
nization, the organization will pay such liq-
uidated damages as prescribed by the Secretary 
by regulation. 
‘‘(5) APPLICATION.—The Secretary shall re-
quire that any application for a grant under this 
subsection include a description of the applicant’s 
experience working with paraprofessional child and 
adolescent mental health workers. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2006 through 2010. 
‘‘(e) CHILD
AND ADOLESCENT MENTAL HEALTH 
PROGRAM DEVELOPMENT GRANTS.— 
‘‘(1) ESTABLISHMENT.—The Secretary, acting 
through the Administrator of the Health Resources 
and Services Administration, may establish a pro-
gram to increase the number of well-trained child
and adolescent mental health service professionals in 
the United States by awarding grants on a competi-
tive basis to accredited institutions of higher edu-
cation to enable the institutions to establish or ex-
pand accredited graduate child and adolescent men-
tal health programs. 
‘‘(2) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to appli-
cants that— 
‘‘(A) demonstrate familiarity with the use 
of evidence-based methods in child and adoles-
cent mental health services; 
‘‘(B) provide experience in and collabora-
tion with community-based child and adolescent 
mental health services; 
‘‘(C) have included normal child develop-
ment curricula; and 
‘‘(D) demonstrate commitment to working 
with high-priority populations. 
‘‘(3) USE
OF
FUNDS.—Funds received as a 
grant under this subsection may be used to establish 
or expand any accredited graduate child and adoles-
cent mental health program in any manner deemed 
appropriate by the Secretary, including by improving
the course work, related field placements, or faculty 
of such program. 
‘‘(4) REQUIREMENTS.—The Secretary may 
award a grant to an accredited institution of higher 
education under this subsection only if the institu-
tion agrees that— 
‘‘(A) any child and adolescent mental 
health program assisted under the grant will 
prioritize cultural competency; 
‘‘(B) the institution will provide to the Sec-
retary such data, assurances, and information 
as the Secretary may require; and 
‘‘(C) with respect to any violation of the 
agreement between the Secretary and the insti-
tution, the institution will pay such liquidated 
damages as prescribed by the Secretary by reg-
ulation. 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $15,000,000 for each of fiscal years 
2006 through 2010. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) SPECIALIZED TRAINING OR CLINICAL EX-
PERIENCE
IN
CHILD
AND
ADOLESCENT
MENTAL 
HEALTH.—The term ‘specialized training or clinical
experience in child and adolescent mental health’ 
means training and clinical experience that— 
‘‘(A) is part of or occurs after completion 
of an accredited graduate program in the 
United States for training mental health service 
professionals; 
‘‘(B) consists of at least 500 hours of 
training or clinical experience in treating chil-
dren and adolescents; and 
‘‘(C) is comprehensive, coordinated, devel-
opmentally appropriate, and of high quality to 
address the unique ethnic and cultural diversity 
of the United States population. 
‘‘(2) HIGH-PRIORITY POPULATION.—The term 
‘high-priority population’ means— 
‘‘(A) a population in which there is a sig-
nificantly greater incidence than the national 
average of— 
‘‘(i) children who have serious emo-
tional disturbances; or 
‘‘(ii) children who are racial or ethnic 
minorities; or 
‘‘(B) a population consisting of individuals 
living in a high-poverty urban or rural area.
‘‘(3) 
MENTAL
HEALTH
SERVICE
PROFES-
SIONAL.—The term ‘mental health service profes-
sional’ means an individual with a graduate or post-
graduate degree from an accredited institution of 
higher education in psychiatry, psychology, school 
psychology, psychiatric nursing, social work, school 
social work, marriage and family counseling, school 
counseling, or professional counseling.’’. 
SEC. 4. AMENDMENTS TO SOCIAL SECURITY ACT TO IM-
PROVE CHILD AND ADOLESCENT MENTAL 
HEALTH CARE. 
(a) INCREASING NUMBER OF CHILD AND ADOLES-
CENT PSYCHIATRY RESIDENTS PERMITTED TO BE PAID 
UNDER THE MEDICARE GRADUATE MEDICAL EDUCATION 
PROGRAM.—Section 1886(h)(4)(F) of the Social Security 
Act (42 U.S.C. 1395ww(h)(4)(F)) is amended by adding 
at the end the following new clause: 
‘‘(iii) INCREASE ALLOWED FOR TRAIN-
ING IN CHILD AND ADOLESCENT PSYCHI-
ATRY.—In applying clause (i), there shall 
not be taken into account such additional 
number of full-time equivalent residents in 
the field of allopathic or osteopathic medi-
cine who are residents or fellows in child 
and adolescent psychiatry as the Secretary