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‘‘(B) the Assistant Secretary for Mental 
Health and Substance Use; 
‘‘(C) the Attorney General; 
‘‘(D) the Secretary of Veterans Affairs; 
‘‘(E) the Secretary of Defense; 
‘‘(F) the Secretary of Housing and Urban 
Development; 
‘‘(G) the Secretary of Education; 
‘‘(H) the Secretary of Labor; 
‘‘(I) the Administrator of the Centers for 
Medicare & Medicaid Services; and 
‘‘(J) the Commissioner of Social Security. 
‘‘(2) NON-FEDERAL
MEMBERS.—The Com-
mittee shall also include not less than 14 non-Fed-
eral public members appointed by the Secretary of 
Health and Human Services, of which— 
‘‘(A) at least 2 members shall be an indi-
vidual who has received treatment for a diag-
nosis of a serious mental illness; 
‘‘(B) at least 1 member shall be a parent 
or legal guardian of an adult with a history of 
a serious mental illness or a child with a history 
of a serious emotional disturbance; 
‘‘(C) at least 1 member shall be a rep-
resentative of a leading research, advocacy, or 
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service organization for adults with a serious 
mental illness; 
‘‘(D) at least 2 members shall be— 
‘‘(i) a licensed psychiatrist with expe-
rience in treating serious mental illnesses; 
‘‘(ii) a licensed psychologist with expe-
rience in treating serious mental illnesses 
or serious emotional disturbances; 
‘‘(iii) a licensed clinical social worker 
with experience treating serious mental ill-
nesses or serious emotional disturbances; 
or 
‘‘(iv) a licensed psychiatric nurse, 
nurse practitioner, or physician assistant 
with experience in treating serious mental 
illnesses or serious emotional disturbances; 
‘‘(E) at least 1 member shall be a licensed 
mental health professional with a specialty in 
treating children and adolescents with a serious 
emotional disturbance; 
‘‘(F) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with mi-
norities; 
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‘‘(G) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with medi-
cally underserved populations; 
‘‘(H) at least 1 member shall be a State 
certified mental health peer support specialist; 
‘‘(I) at least 1 member shall be a judge 
with experience in adjudicating cases related to 
criminal justice or serious mental illness; 
‘‘(J) at least 1 member shall be a law en-
forcement officer or corrections officer with ex-
tensive experience in interfacing with adults 
with a serious mental illness, children with a se-
rious emotional disturbance, or individuals in a 
mental health crisis; and 
‘‘(K) at least 1 member shall have experi-
ence providing services for homeless individuals 
and working with adults with a serious mental 
illness, children with a serious emotional dis-
turbance, or individuals in a mental health cri-
sis. 
‘‘(3) TERMS.—A member of the Committee ap-
pointed under paragraph (2) shall serve for a term 
of 3 years, and may be reappointed for 1 or more 
additional 3-year terms. Any member appointed to 
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fill a vacancy for an unexpired term shall be ap-
pointed for the remainder of such term. A member 
may serve after the expiration of the member’s term 
until a successor has been appointed. 
‘‘(e) WORKING GROUPS.—In carrying out its func-
tions, the Committee may establish working groups. Such 
working groups shall be composed of Committee members, 
or their designees, and may hold such meetings as are nec-
essary. 
‘‘(f) SUNSET.—The Committee shall terminate on 
September 30, 2027.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 501(l)(2) of the Public Health 
Service Act (42 U.S.C. 290aa(l)(2)) is amended 
by striking ‘‘section 6031 of such Act’’ and in-
serting ‘‘section 501B of this Act’’. 
(B) Section 6031 of the Helping Families 
in Mental Health Crisis Reform Act of 2016 
(Division B of Public Law 114–255) is repealed 
(and by conforming the item relating to such 
section in the table of contents in section 1(b)). 
(c) PRIORITY MENTAL HEALTH NEEDS
OF RE-
GIONAL AND NATIONAL SIGNIFICANCE.—Section 520A of 
the Public Health Service Act (42 U.S.C. 290bb–32) is 
amended— 
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(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘$394,550,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$599,036,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 122. CRISIS CARE COORDINATION. 
(a) STRENGTHENING COMMUNITY CRISIS RESPONSE 
SYSTEMS.—Section 520F of the Public Health Service Act 
(42 U.S.C. 290bb–37) is amended to read as follows: 
‘‘SEC. 520F. MENTAL HEALTH CRISIS RESPONSE PARTNER-
SHIP PILOT PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
pilot program under which the Secretary will award com-
petitive grants to States, localities, territories, Indian 
Tribes, and Tribal organizations to establish new, or en-
hance existing, mobile crisis response teams that divert the 
response for mental health and substance use crises from 
law enforcement to mobile crisis teams, as described in 
subsection (b). 
‘‘(b) MOBILE CRISIS TEAMS DESCRIBED.—A mobile 
crisis team described in this subsection is a team of indi-
viduals— 
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‘‘(1) that is available to respond to individuals 
in crisis and provide immediate stabilization, refer-
rals to community-based mental health and sub-
stance use disorder services and supports, and triage 
to a higher level of care if medically necessary; 
‘‘(2) which may include licensed counselors, 
clinical social workers, physicians, paramedics, crisis 
workers, peer support specialists, or other qualified 
individuals; and 
‘‘(3) which may provide support to divert be-
havioral health crisis calls from the 9–1–1 system to 
the 9–8–8 system. 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall prioritize applications which ac-
count for the specific needs of the communities to be 
served, including children and families, veterans, rural and 
underserved populations, and other groups at increased 
risk of death from suicide or overdose. 
‘‘(d) REPORT.— 
‘‘(1) INITIAL
REPORT.—Not later than Sep-
tember 30, 2024, the Secretary shall submit to Con-
gress a report on steps taken by the entities speci-
fied in subsection (a) as of such date of enactment 
to strengthen the partnerships among mental health 
providers, substance use disorder treatment pro-
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viders, primary care physicians, mental health and 
substance use crisis teams, paramedics, law enforce-
ment officers, and other first responders. 
‘‘(2) PROGRESS REPORTS.—Not later than one 
year after the date on which the first grant is 
awarded to carry out this section, and for each year 
thereafter, the Secretary shall submit to Congress a 
report on the grants made during the year covered 
by the report, which shall include— 
‘‘(A) impact data on the teams and people 
served by such programs, including demo-
graphic information of individuals served, vol-
ume, and types of service utilization; 
‘‘(B) outcomes of the number of linkages 
to community-based resources, short-term crisis 
receiving and stabilization facilities, and diver-
sion from law enforcement or hospital emer-
gency department settings; 
‘‘(C) data consistent with the State block 
grant requirements for continuous evaluation 
and quality improvement, and other relevant 
data as determined by the Secretary; and 
‘‘(D) the Secretary’s recommendations and 
best practices for— 
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‘‘(i) States and localities providing 
mobile crisis response and stabilization 
services for youth and adults; and 
‘‘(ii) improvements to the program es-
tablished under this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.— 
(1) IN GENERAL.—Section 520J(b) of the Pub-
lic Health Service Act (42 U.S.C. 290bb–41(b)) is 
amended— 
(A) in paragraph (1), by striking ‘‘Indian 
tribes, tribal organizations’’ and inserting ‘‘In-
dian Tribes, Tribal organizations’’; 
(B) in paragraph (4), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; 
(C) in paragraph (5)— 
(i) by striking ‘‘Indian tribe, tribal or-
ganization’’ and inserting ‘‘Indian Tribe, 
Tribal organization’’; 
(ii) in subparagraph (A), by striking 
‘‘and’’ at the end; 
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(iii) in subparagraph (B)(ii), by strik-
ing the period at the end and inserting ‘‘; 
and’’; and 
(iv) by adding at the end the fol-
lowing: 
‘‘(C) suicide intervention and prevention, 
including recognizing warning signs and how to 
refer someone for help.’’; 
(D) in paragraph (6), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; and 
(E) 
in 
paragraph 
(7), 
by 
striking 
‘‘$14,693,000 for each of fiscal years 2018 
through 2022’’ and inserting ‘‘$24,963,000 for 
each of fiscal years 2023 through 2027’’. 
(2) 
TECHNICAL
CORRECTIONS.—Section 
520J(b) of the Public Health Service Act (42 U.S.C. 
290bb–41(b)) is amended— 
(A) in the heading of paragraph (2), by 
striking ‘‘EMERGENCY SERVICES PERSONNEL’’ 
and inserting ‘‘EMERGENCY
SERVICES
PER-
SONNEL’’; and 
(B) in the heading of paragraph (3), by 
striking ‘‘DISTRIBUTION OF AWARDS’’ and in-
serting ‘‘DISTRIBUTION OF AWARDS’’. 
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(c) ADULT SUICIDE PREVENTION.—Section 520L of 
the Public Health Service Act (42 U.S.C. 290bb–43) is 
amended— 
(1) in subsection (a)— 
(A) in paragraph (2)— 
(i) by striking ‘‘Indian tribe’’ each 
place it appears and inserting ‘‘Indian 
Tribe’’; and 
(ii) by striking ‘‘tribal organization’’ 
each place it appears and inserting ‘‘Tribal 
organization’’; and 
(B) by amending paragraph (3)(C) to read 
as follows: 
‘‘(C) Raising awareness of suicide preven-
tion resources, promoting help seeking among 
those at risk for suicide.’’; and 
(2) in subsection (d), by striking ‘‘$30,000,000 
for the period of fiscal years 2018 through 2022’’ 
and inserting ‘‘$30,000,000 for each of fiscal years 
2023 through 2027’’. 
SEC. 123. TREATMENT OF SERIOUS MENTAL ILLNESS. 
(a) ASSERTIVE COMMUNITY TREATMENT GRANT 
PROGRAM.— 
(1) 
TECHNICAL
AMENDMENT.—Section 
520M(b) of the Public Health Service Act (42 
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U.S.C. 290bb–44(b)) is amended by striking ‘‘Indian 
tribe or tribal organization’’ and inserting ‘‘Indian 
Tribe or Tribal organization’’. 
(2) 
REPORT
TO
CONGRESS.—Section 
520M(d)(1) of the Public Health Service Act (42 
U.S.C. 290bb–44(d)(1)) is amended by striking ‘‘not 
later than the end of fiscal year 2021’’ and inserting 
‘‘not later than the end of fiscal year 2026’’. 
(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 520M(e)(1) of the Public Health Service Act 
(42 U.S.C. 290bb–44(d)(1)) is amended by striking 
‘‘$5,000,000 for the period of fiscal years 2018 
through 2022’’ and inserting ‘‘$9,000,000 for each 
of fiscal years 2023 through 2027’’. 
(b) ASSISTED OUTPATIENT TREATMENT.—Section 
224 of the Protecting Access to Medicare Act of 2014 (42 
U.S.C. 290aa note) is amended to read as follows: 
‘‘SEC. 224. ASSISTED OUTPATIENT TREATMENT GRANT 
PROGRAM FOR INDIVIDUALS WITH SERIOUS 
MENTAL ILLNESS. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
program to award grants to eligible entities for assisted 
outpatient treatment programs for individuals with serious 
mental illness. 
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‘‘(b) CONSULTATION.—The Secretary shall carry out 
this section in consultation with the Director of the Na-
tional Institute of Mental Health, the Attorney General 
of the United States, the Administrator of the Administra-
tion for Community Living, and the Assistant Secretary 
for Mental Health and Substance Use. 
‘‘(c) SELECTING AMONG APPLICANTS.—In awarding 
grants under this section, the Secretary— 
‘‘(1) may give preference to applicants that 
have not previously implemented an assisted out-
patient treatment program; and 
‘‘(2) shall evaluate applicants based on their po-
tential to reduce hospitalization, homelessness, incar-
ceration, and interaction with the criminal justice 
system while improving the health and social out-
comes of the patient. 
‘‘(d) PROGRAM REQUIREMENTS.—An assisted out-
patient treatment program funded with a grant awarded 
under this section shall include— 
‘‘(1) evaluating the medical and social needs of 
the patients who are participating in the program; 
‘‘(2) preparing and executing treatment plans 
for such patients that— 
‘‘(A) include criteria for completion of 
court-ordered treatment if applicable; and 
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‘‘(B) provide for monitoring of the pa-
tient’s compliance with the treatment plan, in-
cluding compliance with medication and other 
treatment regimens; 
‘‘(3) providing for case management services 
that support the treatment plan; 
‘‘(4) ensuring appropriate referrals to medical 
and social services providers; 
‘‘(5) evaluating the process for implementing 
the program to ensure consistency with the patient’s 
needs and State law; and 
‘‘(6) measuring treatment outcomes, including 
health and social outcomes such as rates of incarcer-
ation, health care utilization, and homelessness. 
‘‘(e) REPORT.—Not later than the end of fiscal year 
2027, the Secretary shall submit a report to the appro-
priate congressional committees on the grant program 
under this section. Such report shall include an evaluation 
of the following: 
‘‘(1) Cost savings and public health outcomes 
such as mortality, suicide, substance abuse, hos-
pitalization, and use of services. 
‘‘(2) Rates of incarceration of patients. 
‘‘(3) Rates of homelessness of patients. 
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‘‘(4) Patient and family satisfaction with pro-
gram participation. 
‘‘(5) Demographic information regarding par-
ticipation of those served by the grant compared to 
demographic information in the population of the 
grant recipient. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘assisted outpatient treatment’ 
means medically prescribed mental health treatment 
that a patient receives while living in a community 
under the terms of a law authorizing a State or local 
civil court to order such treatment. 
‘‘(2) The term ‘eligible entity’ means a county, 
city, mental health system, mental health court, or 
any other entity with authority under the law of the 
State in which the entity is located to implement, 
monitor, and oversee an assisted outpatient treat-
ment program. 
‘‘(g) FUNDING.— 
‘‘(1) AMOUNT OF GRANTS.— 
‘‘(A) MAXIMUM AMOUNT.—The amount of 
a grant under this section shall not exceed 
$1,000,000 for any fiscal year. 
‘‘(B) DETERMINATION.—Subject to sub-
paragraph (A), the Secretary shall determine 
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the amount of each grant under this section 
based on the population of the area to be served 
through the grant and an estimate of the num-
ber of patients to be served. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $22,000,000 for each of fiscal years 
2023 through 2027.’’. 
SEC. 124. STUDY ON THE COSTS OF SERIOUS MENTAL ILL-
NESS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Assistant Sec-
retary for Mental Health and Substance Use, the Assist-
ant Secretary for Planning and Evaluation, the Attorney 
General of the United States, the Secretary of Labor, and 
the Secretary of Housing and Urban Development, shall 
conduct a study on the direct and indirect costs of serious 
mental illness with respect to— 
(1) nongovernmental entities; and 
(2) the Federal Government and State, local, 
and Tribal governments. 
(b) CONTENT.—The study under subsection (a) shall 
consider each of the following: 
(1) The costs to the health care system for 
health services, including with respect to— 
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(A) office-based physician visits; 
(B) residential and inpatient treatment 
programs; 
(C) outpatient treatment programs; 
(D) emergency room visits; 
(E) crisis stabilization programs; 
(F) home health care; 
(G) skilled nursing and long-term care fa-
cilities; 
(H) prescription drugs and digital thera-
peutics; and 
(I) any other relevant health services. 
(2) The costs of homelessness, including with 
respect to— 
(A) homeless shelters; 
(B) street outreach activities; 
(C) crisis response center visits; and 
(D) other supportive services. 
(3) The costs of structured residential facilities 
and other supportive housing for residential and cus-
todial care services. 
(4) The costs of law enforcement encounters 
and encounters with the criminal justice system, in-
cluding with respect to— 
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(A) encounters that do and do not result 
in an arrest; 
(B) criminal and judicial proceedings; 
(C) services provided by law enforcement 
and judicial staff (including public defenders, 
prosecutors, and private attorneys); and 
(D) incarceration. 
(5) The costs of serious mental illness on em-
ployment. 
(6) With respect to family members and care-
givers, the costs of caring for an individual with a 
serious mental illness. 
(7) Any other relevant costs for programs and 
services administered by the Federal Government or 
State, Tribal, or local governments. 
(c) DATA
DISAGGREGATION.—In conducting the 
study under subsection (a), the Secretary of Health and 
Human Services shall (to the extent feasible)— 
(1) disaggregate data by— 
(A) costs to nongovernmental entities, the 
Federal Government, and State, local, and 
Tribal governments; 
(B) types of serious mental illnesses and 
medical chronic diseases common in patients 
with a serious mental illness; and 
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(C) demographic characteristics, including 
race, ethnicity, sex, age (including pediatric 
subgroups), and other characteristics deter-
mined by the Secretary; and 
(2) include an estimate of— 
(A) the total number of individuals with a 
serious mental illness in the United States, in-
cluding in traditional and nontraditional hous-
ing; and 
(B) the percentage of such individuals in— 
(i) homeless shelters; 
(ii) penal facilities, including Federal 
prisons, State prisons, and county and mu-
nicipal jails; and 
(iii) nursing facilities. 
(d) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall— 
(1) submit to the Congress a report containing 
the results of the study conducted under this sec-
tion; and 
(2) make such report publicly available. 
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Subtitle D—Anna Westin Legacy 
SEC. 131. MAINTAINING EDUCATION AND TRAINING ON 
EATING DISORDERS. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.), as amended by 
section 102, is further amended by adding at the end the 
following: 
‘‘SEC. 520O. CENTER OF EXCELLENCE FOR EATING DIS-
ORDERS FOR EDUCATION AND TRAINING ON 
EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary, shall maintain, by competitive 
grant or contract, a Center of Excellence for Eating Dis-
orders (referred to in this section as the ‘Center’) to im-
prove the identification of, interventions for, and treat-
ment of eating disorders in a manner that is develop-
mentally, culturally, and linguistically appropriate. 
‘‘(b) SUBGRANTS AND SUBCONTRACTS.—The Center 
shall coordinate and implement the activities under sub-
section (c), in whole or in part, by awarding competitive 
subgrants or subcontracts— 
‘‘(1) across geographical regions; and 
‘‘(2) in a manner that is not duplicative. 
‘‘(c) ACTIVITIES.—The Center— 
‘‘(1) shall— 
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‘‘(A) provide training and technical assist-
ance for— 
‘‘(i) primary care and behavioral 
health care providers to carry out screen-
ing, brief intervention, and referral to 
treatment for individuals experiencing, or 
at risk for, eating disorders; and 
‘‘(ii) nonclinical community support 
workers to identify and support individuals 
with, or at disproportionate risk for, eating 
disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in 
the effective treatment and ongoing support of 
individuals with eating disorders, including chil-
dren and marginalized populations at dispropor-
tionate risk for eating disorders; 
‘‘(C) provide collaboration and coordina-
tion to other centers of excellence, technical as-
sistance centers, and psychiatric consultation 
lines of the Substance Abuse and Mental 
Health Services Administration and the Health 
Resources and Services Administration on the 
identification, effective treatment, and ongoing 
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support of individuals with eating disorders; 
and 
‘‘(D) coordinate with the Director of the 
Centers for Disease Control and Prevention and 
the Administrator of the Health Resources and 
Services Administration to disseminate training 
to primary care and behavioral health care pro-
viders; and 
‘‘(2) may— 
‘‘(A) coordinate with electronic health 
record systems for the integration of protocols 
pertaining to screening, brief intervention, and 
referral to treatment for individuals experi-
encing, or at risk for, eating disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in 
the effective treatment and ongoing support for 
members of the Armed Forces and veterans ex-
periencing, or at risk for, eating disorders; and 
‘‘(C) consult with the Secretary of Defense 
and the Secretary of Veterans Affairs on pre-
vention, identification, intervention for, and 
treatment of eating disorders. 
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‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $1,000,000 for each of fiscal years 2023 through 
2027.’’. 
Subtitle 
E—Community 
Mental 
Health Services Block Grant Re-
authorization 
SEC. 141. REAUTHORIZATION OF BLOCK GRANTS FOR COM-
MUNITY MENTAL HEALTH SERVICES. 
(a) FUNDING.—Section 1920(a) of the Public Health 
Service Act (42 U.S.C. 300x–9(a)) is amended by striking 
‘‘$532,571,000 for each of fiscal years 2018 through 
2022’’ and inserting ‘‘$857,571,000 for each of fiscal 
years 2023 through 2027’’. 
(b) SET-ASIDE FOR EVIDENCE-BASED CRISIS CARE 
SERVICES.—Section 1920 of the Public Health Service 
Act (42 U.S.C. 300x–9) is amended by adding at the end 
the following: 
‘‘(d) CRISIS CARE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (3), a State shall expend at least 5 percent of 
the amount the State receives pursuant to section 
1911 for each fiscal year to support evidenced-based 
programs that address the crisis care needs of— 
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‘‘(A) individuals, including children and 
adolescents, experiencing mental health crises, 
substance-related crises, or crises arising from 
co-occurring disorders; and 
‘‘(B) persons with intellectual and develop-
mental disabilities. 
‘‘(2) CORE
ELEMENTS.—At the discretion of 
the single State agency responsible for the adminis-
tration of the program of the State under a grant 
under section 1911, funds expended pursuant to 
paragraph (1) may be used to fund some or all of 
the core crisis care service components, delivered ac-
cording to evidence-based principles, including the 
following: 
‘‘(A) Crisis call centers. 
‘‘(B) 24/7 mobile crisis services. 
‘‘(C) Crisis stabilization programs offering 
acute care or subacute care in a hospital or ap-
propriately licensed facility, as determined by 
the Substance Abuse and Mental Health Serv-
ices Administration, with referrals to inpatient 
or outpatient care. 
‘‘(3) STATE FLEXIBILITY.—In lieu of expending 
5 percent of the amount the State receives pursuant 
to section 1911 for a fiscal year to support evidence- 
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based programs as required by paragraph (1), a 
State may elect to expend not less than 10 percent 
of such amount to support such programs by the 
end of two consecutive fiscal years. 
‘‘(4) RULE OF CONSTRUCTION.—With respect 
to funds expended pursuant to the set-aside in para-
graph (1), section 1912(b)(1)(A)(vi) shall not 
apply.’’. 
(c) EARLY INTERVENTION.— 
(1) 
STATE
PLAN
OPTION.—Section 
1912(b)(1)(A)(vii) of the Public Health Service Act 
(42 U.S.C. 300x–1(b)(1)(A)(vii)) is amended— 
(A) in subclause (III), by striking ‘‘and’’ at 
the end; 
(B) in subclause (IV), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(V) a description of any evi-
dence-based early intervention strate-
gies and programs the State provides 
to prevent, delay, or reduce the sever-
ity and onset of mental illness and be-
havioral problems, including for chil-
dren and adolescents, irrespective of 
experiencing a serious mental illness 
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or serious emotional disturbance, as 
defined under subsection (c)(1).’’. 
(2) ALLOCATION ALLOWANCE; REPORTS.—Sec-
tion 1920 of the Public Health Service Act (42 
U.S.C. 300x–9), as amended by subsection (c), is 
further amended by adding at the end the following: 
‘‘(e) EARLY INTERVENTION SERVICES.—In the case 
of a State with a State plan that provides for strategies 
and programs specified in section 1912(b)(1)(A)(vii)(VI), 
such State may expend not more than 5 percent of the 
amount of the allotment of the State pursuant to a fund-
ing agreement under section 1911 for each fiscal year to 
support such strategies and programs. 
‘‘(f) REPORTS TO CONGRESS.—Not later than Sep-
tember 30, 2025, and biennially thereafter, the Secretary 
shall provide a report to the Congress on the crisis care 
and early intervention strategies and programs pursued by 
States pursuant to subsections (d) and (e). Each such re-
port shall include— 
‘‘(1) a description of the each State’s crisis care 
and early intervention activities; 
‘‘(2) the population served, including informa-
tion on demographics, including age; 
‘‘(3) the outcomes of such activities, includ-
ing— 
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‘‘(A) how such activities reduced hos-
pitalizations and hospital stays; 
‘‘(B) how such activities reduced incidents 
of suicidal ideation and behaviors; and 
‘‘(C) how such activities reduced the sever-
ity of onset of serious mental illness and serious 
emotional disturbance; and 
‘‘(4) any other relevant information the Sec-
retary deems necessary.’’. 
Subtitle F—Peer-Supported Mental 
Health Services 
SEC. 151. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb—31 et seq.) is amended by 
inserting after section 520G (42 U.S.C. 290bb—38) the 
following: 
‘‘SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Director of the Center for Mental Health 
Services, shall award grants to eligible entities to enable 
such entities to develop, expand, and enhance access to 
mental health peer-delivered services. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) shall be used to develop, expand, and enhance 
national, statewide, or community-focused programs, in-
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cluding virtual peer-support services and infrastructure, 
including by— 
‘‘(1) carrying out workforce development, re-
cruitment, and retention activities, to train, recruit, 
and retain peer-support providers; 
‘‘(2) building connections between mental 
health treatment programs, including between com-
munity organizations and peer-support networks, in-
cluding virtual peer-support networks, and with 
other mental health support services; 
‘‘(3) reducing stigma associated with mental 
health disorders; 
‘‘(4) expanding and improving virtual peer men-
tal health support services, including adoption of 
technologies to expand access to virtual peer mental 
health support services, including by acquiring— 
‘‘(A) appropriate physical hardware for 
such virtual services; 
‘‘(B) software and programs to efficiently 
run peer-support services virtually; and 
‘‘(C) other technology for establishing vir-
tual waiting rooms and virtual video platforms 
for meetings; and 
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‘‘(5) conducting research on issues relating to 
mental illness and the impact peer-support has on 
resiliency, including identifying— 
‘‘(A) the signs of mental illness; 
‘‘(B) the resources available to individuals 
with mental illness and to their families; and 
‘‘(C) the resources available to help sup-
port individuals living with mental illness. 
‘‘(c) SPECIAL CONSIDERATION.—In carrying out this 
section, the Secretary shall give special consideration to 
the unique needs of rural areas. 
‘‘(d) DEFINITION.—In this section, the term ‘eligible 
entity’ means— 
‘‘(1) a nonprofit consumer-run organization 
that— 
‘‘(A) is principally governed by people liv-
ing with a mental health condition; and 
‘‘(B) mobilizes resources within and out-
side of the mental health community, which 
may include through peer-support networks, to 
increase the prevalence and quality of long-term 
wellness of individuals living with a mental 
health condition, including those with a co-oc-
curring substance use disorder; or 
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‘‘(2) a Federally recognized Tribe, Tribal orga-
nization, Urban Indian organization, or consortium 
of Tribes or Tribal organizations. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$13,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle G—Military Suicide 
Prevention in the 21st Century 
SEC. 161. PILOT PROGRAM ON PRE-PROGRAMMING OF SUI-
CIDE PREVENTION RESOURCES INTO SMART 
DEVICES 
ISSUED 
TO 
MEMBERS 
OF 
THE 
ARMED FORCES. 
(a) IN GENERAL.—Commencing not later than 120 
days after the date of the enactment of this Act, the Sec-
retary of Defense shall carry out a pilot program under 
which the Secretary— 
(1) pre-downloads the Virtual Hope Box appli-
cation of the Defense Health Agency, or such suc-
cessor application, on smart devices individually 
issued to members of the Armed Forces; 
(2) pre-programs the National Suicide Hotline 
number and Veterans Crisis Line number into the 
contacts for such devices; and 
(3) provides training, as part of training on sui-
cide awareness and prevention conducted throughout 
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the Department of Defense, on the preventative re-
sources described in paragraphs (1) and (2). 
(b) DURATION.—The Secretary shall carry out the 
pilot program under this section for a two-year period. 
(c) SCOPE.—The Secretary shall determine the ap-
propriate scope of individuals participating in the pilot 
program under this section to best represent each Armed 
Force and to ensure a relevant sample size. 
(d) IDENTIFICATION
OF OTHER RESOURCES.—In 
carrying out the pilot program under this section, the Sec-
retary shall coordinate with the Director of the Defense 
Health Agency and the Secretary of Veterans Affairs to 
identify other useful technology-related resources for use 
in the pilot program. 
(e) REPORT.—Not later than 30 days after com-
pleting the pilot program under this section, the Secretary 
shall submit to the Committee on Armed Services of the 
Senate and the Committee on Armed Services of the 
House of Representatives a report on the pilot program. 
(f) VETERANS CRISIS LINE DEFINED.—In this sec-
tion, the term ‘‘Veterans Crisis Line’’ means the toll-free 
hotline for veterans established under section 1720F(h) of 
title 38, United States Code. 
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TITLE II—SUBSTANCE USE DIS-
ORDER PREVENTION, TREAT-
MENT, AND RECOVERY SERV-
ICES 
Subtitle A—Native Behavioral 
Health Access Improvement 
SEC. 201. BEHAVIORAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES FOR NATIVE AMERICANS. 
Section 506A of the Public Health Service Act (42 
U.S.C. 290aa–5a) is amended to read as follows: 
‘‘SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE 
DISORDER SERVICES FOR NATIVE AMERI-
CANS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means an Indian 
Tribe, a Tribal organization, an Urban Indian orga-
nization, and a Native Hawaiian health organization. 
‘‘(2) The terms ‘Indian Tribe’, ‘Tribal organiza-
tion’, and ‘Urban Indian organization’ have the 
meanings given to the terms ‘Indian tribe’, ‘tribal 
organization’, and ‘Urban Indian organization’ in 
section 4 of the Indian Health Care Improvement 
Act. 
‘‘(3) The term ‘Native Hawaiian health organi-
zation’ means ‘Papa Ola Lokahi’ as defined in sec-
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tion 12 of the Native Hawaiian Health Care Im-
provement Act. 
‘‘(b) FORMULA FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Director of the Indian Health Service, 
as appropriate, shall award funds to eligible entities, 
in amounts determined pursuant to the formula de-
scribed in paragraph (2), to be used by the eligible 
entity to provide culturally appropriate mental 
health and substance use disorder prevention, treat-
ment, and recovery services to American Indians, 
Alaska Natives, and Native Hawaiians. 
‘‘(2) FORMULA.—The Secretary, using the 
process described in subsection (d), shall develop a 
formula to determine the amount of an award under 
paragraph (1). Such formula shall take into account 
the populations of eligible entities whose rates of 
overdose deaths or suicide are substantially higher 
relative to the populations of other Indian Tribes, 
Tribal organizations, Urban Indian organizations, or 
Native Hawaiian health organizations, as applicable. 
‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVAL-
UATION.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
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‘‘(A) provide technical assistance to appli-
cants and awardees under this section; and 
‘‘(B) collect and evaluate information on 
the program carried out under this section. 
‘‘(2) CONSULTATION
ON
EVALUATION
MEAS-
URES, AND DATA SUBMISSION AND REPORTING RE-
QUIREMENTS.—The Secretary shall, using the proc-
ess described in subsection (d), develop evaluation 
measures and data submission and reporting re-
quirements for purposes of the collection and evalua-
tion of information. 
‘‘(3) DATA SUBMISSION AND REPORTING.—As a 
condition on receipt of funds under this section, an 
applicant shall agree to submit data and reports in 
a timely manner consistent with the evaluation 
measures and data submission and reporting re-
quirements developed under subsection (d). 
‘‘(d) REGULATIONS.— 
‘‘(1) PROMULGATION.—Not later than 180 days 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, the 
Secretary shall initiate procedures under subchapter 
III of chapter 5 of title 5, United States Code, to 
negotiate and promulgate such regulations as are 
necessary to carry out this section, including devel-
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opment of the funding formula described in sub-
section (b) and the program evaluation and report-
ing requirements under subsection (c). 
‘‘(2) PUBLICATION.—Not later than 18 months 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, the 
Secretary shall publish in the Federal Register pro-
posed regulations to implement this section. 
‘‘(3) COMMITTEE.—A negotiated rulemaking 
committee established pursuant to section 565 of 
title 5, United States Code, to carry out this sub-
section shall have as its members only representa-
tives of the Federal Government, Tribal Govern-
ments, and Urban Indian organizations. For pur-
poses of such rulemaking, the Indian Health Service 
shall be the lead agency for the Department. 
‘‘(4) ADAPTATION
OF
PROCEDURES.—In car-
rying out this subsection, the Secretary shall adapt 
any negotiated rulemaking procedures to the unique 
context of the government-to-government relation-
ship between the United States and Indian Tribes. 
‘‘(5) EFFECT.—The lack of promulgated regu-
lations under this subsection shall not limit the ef-
fect or implementation of this section. 
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‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on 
behalf of the Committee, shall annually 
submit to the Congress a report that sum-
marizes— 
‘‘(I) all programs and policies of 
Federal agencies designed to prevent 
and reduce underage drinking, focus-
ing particularly on programs and poli-
cies that support the adoption and en-
forcement of State policies designed to 
prevent and reduce underage drinking 
as specified in paragraph (2); 
‘‘(II) the extent of progress in 
preventing and reducing underage 
drinking at State and national levels; 
‘‘(III) data that the Secretary 
shall collect with respect to the infor-
mation specified in clause (ii); and 
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate. 
‘‘(ii) CERTAIN
INFORMATION.—The 
report under clause (i) shall include infor-
mation on the following: 
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