1039 
(4) Establishing external stakeholder advisory 
boards to provide meaningful input into policy and 
program development and best practices to reduce 
mental health inequities among racial and ethnic 
groups, including participation and leadership from 
communities of color with lived experience of the im-
pacts of mental health inequities. 
(c) DEFINITIONS.—In this section: 
(1) QUALIFIED NATIONAL ORGANIZATION.—The 
term ‘‘qualified national organization’’ means a na-
tional organization that focuses on the education of 
students in programs of social work, occupational 
therapy, psychology, psychiatry, substance use coun-
seling, and marriage and family therapy. 
(2) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given to such term in section 1707(g) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)), as amended by title I of this Act. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2023 through 2027. 
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SEC. 6022. INTERPROFESSIONAL HEALTH CARE TEAMS FOR 
BEHAVIORAL HEALTH CARE. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following: 
‘‘SEC. 553. INTERPROFESSIONAL HEALTH CARE TEAMS FOR 
PROVISION OF BEHAVIORAL HEALTH CARE 
IN PRIMARY CARE SETTINGS. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Assistant Secretary for Mental Health and Substance Use, 
shall award grants to eligible entities for the purpose of 
establishing interprofessional health care teams that pro-
vide behavioral health care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a Federally 
qualified health center (as defined in section 1861(aa) of 
the Social Security Act), rural health clinic, women’s 
health clinic, or behavioral health program (including any 
such program operated by a community-based organiza-
tion) serving a high proportion of individuals from racial 
and ethnic minority groups (as defined in section 
1707(g)). 
‘‘(c) LOAN FORGIVENESS.—To encourage qualified 
and diverse allied health professionals to enter the mental 
health field, an eligible entity receiving a grant under this 
section shall agree to use not less than $10,000 of the 
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grant funds on a loan forgiveness program for practi-
tioners who commit to working in the mental health field 
for a period of 2 years. 
‘‘(d) SCIENTIFICALLY AND CULTURALLY BASED.— 
Integrated health care funded through this section shall 
be scientifically and culturally based, taking into consider-
ation the results of the most recent peer-reviewed research 
available, including information on language accessibility, 
cultural humility, diversity of practitioners, and consider-
ation of social determinants of health. 
‘‘(e) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $20,000,000 for each of fiscal years 2023 through 
2027.’’. 
SEC. 6023. INTEGRATED HEALTH CARE DEMONSTRATION 
PROGRAM. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by sections 6022 
and 6052, is further amended by adding at the end the 
following: 
‘‘SEC. 555. INTERPROFESSIONAL HEALTH CARE TEAMS FOR 
PROVISION OF BEHAVIORAL HEALTH CARE 
IN PRIMARY CARE SETTINGS. 
‘‘(a) GRANTS.—The Secretary shall award grants to 
eligible entities for the purpose of establishing interprofes-
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sional health care teams that provide behavioral health 
care. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under this section, an entity shall be a Federally 
qualified health center (as defined in section 1861(aa) of 
the Social Security Act), rural health clinic, or behavioral 
health program, serving a high proportion of individuals 
from racial and ethnic minority groups (as defined in sec-
tion 1707(g)). 
‘‘(c) SCIENTIFICALLY
BASED.—Integrated health 
care funded through this section shall be scientifically 
based, taking into consideration the results of the most 
recent peer-reviewed research available. 
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $20,000,000 for each of the first 5 fiscal years 
following the date of enactment of the Pursuing Equity 
in Mental Health Act.’’. 
Subtitle C—Workforce 
Development 
SEC. 6031. BUILDING AN EFFECTIVE WORKFORCE IN MEN-
TAL HEALTH. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in coordination with the Assistant Sec-
retary for Mental Health and Substance Use, the Adminis-
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trator of the Health Resources and Services Administra-
tion, the Secretary of Labor, and advocacy and behavioral 
and mental health organizations serving vulnerable popu-
lations, including youth and young adults, people with low 
incomes, and people of color, shall— 
(1) develop, strengthen, and implement strate-
gies to bolster career pathways for diverse mental 
health professionals; 
(2) identify the breadth of settings where men-
tal health care and behavioral health care can take 
place; and 
(3) identify current mental health professional 
workforce shortages, inclusive of shortages of diverse 
mental health professionals. 
(b) CONTENTS.—Strategies under subsection (a) 
shall include— 
(1) the variety of settings where mental health 
professionals are needed, including community-based 
organizations, women’s centers, shelters, organiza-
tions focused on youth development, workforce agen-
cies, job placement and development centers, emer-
gency rooms, the special supplemental nutrition pro-
gram for women, infants, and children under section 
17 of the Child Nutrition Act of 1966 (42 U.S.C. 
1786), food banks, legal aid, and benefit issuers as 
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defined in section 3 of the Food and Nutrition Act 
of 2008 (7 U.S.C. 2012); 
(2) defining career pathways in mental and be-
havioral health, to help diverse communities under-
stand the variety of careers in mental and behavioral 
health that are available; 
(3) building career pathways in mental and be-
havioral health as part of the curriculum at the 
postsecondary education level; 
(4) providing accessible training and certifi-
cation pathways for diverse lay health workers such 
as community health workers and other peer support 
specialists to ensure that careers pay a living wage; 
(5) creating incentives for students in the fields 
of occupational therapy, social work, psychology, 
medicine, and nursing to learn more about mental 
health, and to include a mental health rotation, with 
a particular focus in racially and ethnically diverse 
communities, as a part of the health professional 
curricula; 
(6) including training and education for teach-
ers about the basics of section 504 of the Rehabilita-
tion Act of 1973 (29 U.S.C. 794) and individualized 
education programs (as defined in section 614(d) of 
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the Individuals with Disabilities Education Act (20 
U.S.C. 1414(d))); 
(7) researching, developing, and implementing 
programs for mental and behavioral health profes-
sionals to prevent burnout; and 
(8) finding better and increased avenues to en-
sure equity by providing better loan forgiveness pro-
grams, including a focus area within the National 
Health Service Corps focused on community trauma. 
(c) USE OF FUNDS.—Programs and activities funded 
under this section shall be consistent with section (a)(1) 
and must include the following: 
(1) Subgrants to entities serving youth and 
young adults which demonstrate a need for an in-
creased mental health workforce, using strategies 
mentioned in subsection (a)(1). 
(2) Funding towards the Health Resources and 
Services Administration’s Behavioral Health Work-
force Education and Training Program. 
(3) Funding towards the development and im-
plementation of a National Health Service Corps 
program focused on community trauma. 
(d) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$50,000,000 for each of fiscal years 2023 through 2033. 
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SEC. 6032. PILOT PROGRAM TO INCREASE LANGUAGE AC-
CESS AT FEDERALLY QUALIFIED HEALTH 
CENTERS. 
(a) LOAN REPAYMENTS
TO QUALIFIED HEALTH 
CARE PROFESSIONALS.— 
(1) IN GENERAL.—For the purpose of increas-
ing language access to mental health services, the 
Secretary shall carry out a demonstration project 
under which— 
(A) the Secretary matches qualified mental 
health professionals with Federally qualified 
health centers; 
(B) the qualified mental health profes-
sionals each agree to a period of obligated serv-
ice at a Federally qualified health center with 
which they are so matched; and 
(C) the Secretary agrees to make loan re-
payments under section 338B of the Public 
Health Service Act (42 U.S.C. 254l–1) on be-
half of such qualified mental health profes-
sionals. 
(2) PREFERENCE.—In matching qualified men-
tal health professionals with Federally qualified 
health centers under paragraph (1), the Secretary 
shall give preference to placement at Federally quali-
fied health centers at which at least 20 percent of 
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1047 
the patients are best served in a language other than 
English, as indicated by data in the Uniform Data 
System (or any successor database). 
(3) ENHANCED
COMPENSATION.—For each 
year of obligated service that a qualified mental 
health professional contracts to serve under para-
graph (1) at a Federally qualified health center at 
which at least 20 percent of the patients are best 
served in a language other than English, as indi-
cated by data in the Uniform Data System (or any 
successor database), the Secretary may pay the 
higher of— 
(A) $10,000 above the maximum amount 
otherwise 
applicable 
under 
section 
338B(g)(2)(A) of the Public Health Service Act 
(42 U.S.C. 254l–1(g)(2)(A)); or 
(B) if the qualified health professional is 
fluent in a language other than English that is 
needed by such Federally qualified health cen-
ter, $15,000 above such maximum amount. 
(4) ACHIEVING FLUENCY.—A qualified mental 
health professional eligible to receive the enhanced 
pay amount specified in paragraph (3)(A) at the be-
ginning of the professional’s period of obligated serv-
ice may transition to being eligible to receive the en-
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1048 
hanced higher pay amount specified in paragraph 
(3)(B) if the professional is determined by the Fed-
erally qualified health center at which the profes-
sional serves to have achieved fluency in a language 
other than English needed by that health center. 
(b) GRANTS TO HEALTH CENTERS.— 
(1) IN
GENERAL.—The Secretary shall carry 
out a demonstration program consisting of awarding 
grants under section 330 of the Public Health Serv-
ice Act (42 U.S.C. 254b) to Federally qualified 
health centers to recruit, hire, employ, and supervise 
qualified mental health professionals who are fluent 
in a language other than English to provide mental 
health services in such other language. 
(2) PREFERENCE.—In selecting grant recipi-
ents under paragraph (1), the Secretary shall give 
preference to Federally qualified health centers at 
which at least 20 percent of the patients are best 
served in a language other than English, as indi-
cated by data in the Uniform Data System (or any 
successor database). 
(3) MARKETING.—A Federally qualified health 
center receiving a grant under this subsection shall 
use a portion of the grant funds to disseminate in-
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formation about, and otherwise market, the mental 
health services supported through the grant. 
(c) REPORTS.— 
(1) INITIAL REPORT.—Not later than 6 months 
after awarding loan repayment agreements under 
subsection (a) and grants under subsection (b), the 
Secretary shall submit to the Committees on Appro-
priations of the House of Representatives and the 
Senate, and to other appropriate congressional com-
mittees, a report on the implementation of the pro-
grams under this section. Such report shall in-
clude— 
(A) the languages spoken by the qualified 
mental health professionals receiving loan re-
payments pursuant to subsection (a) or re-
cruited pursuant to a grant under subsection 
(b); 
(B) the Federally qualified health centers 
at which such professionals were placed; 
(C) how many Federally qualified health 
centers received funding through the grant pro-
gram under subsection (b); 
(D) an analysis, conducted in consultation 
with the Federally qualified health centers re-
ceiving grants under section (b), of the effec-
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tiveness of such grants at increasing language 
access to mental health services; and 
(E) best practices, developed in consulta-
tion with Federally qualified health centers re-
ceiving grants under section (b), for the recruit-
ment and retention of mental health profes-
sionals at Federally qualified health centers. 
(2) FINAL REPORT.—Not later than the end of 
fiscal year 2027, the Secretary shall submit to the 
Committees on Appropriations of the House of Rep-
resentatives and the Senate, and to other appro-
priate congressional committees, a final report on 
the implementation of the programs under this sec-
tion, including the information, analysis, and best 
practices listed in subparagraphs (A) through (E) of 
paragraph (1). 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘Federally qualified health cen-
ter’’ has the meaning given the term in section 
1861(aa) of the Social Security Act (42 U.S.C. 
1395x(aa)). 
(2) The term ‘‘qualified mental health profes-
sional’’ means— 
(A) physicians, allopathic physicians, osteo-
pathic physicians, nurse practitioners, and phy-
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1051 
sician assistants with a specialty in mental 
health and psychiatry; 
(B) health service psychologists; 
(C) licensed clinical social workers; 
(D) psychiatric nurse specialists; 
(E) marriage and family therapists; 
(F) licensed professional counselors; 
(G) substance use disorder counselors; 
(H) occupational therapists; and 
(I) other individuals who— 
(i) have not yet been licensed or cer-
tified to serve as a professional listed in 
any of subparagraphs (A) through (H); 
and 
(ii) will serve at the Federally quali-
fied health center under the supervision of 
a licensed individual or certified profes-
sional so listed. 
(3) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(e) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—To carry out this section, 
there is authorized to be appropriated $75,000,000 
for each of fiscal years 2023 through 2027. 
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(2) SUPPLEMENT, NOT
SUPPLANT.—Amounts 
made available to carry out this section shall be in 
addition to amounts otherwise available to provide 
mental health services at Federally qualified health 
centers pursuant to sections 338B and 330 of the 
Public Health Service Act (42 U.S.C. 254l–1, 254b). 
SEC. 6033. HEALTH PROFESSIONS COMPETENCIES TO AD-
DRESS RACIAL AND ETHNIC MINORITY MEN-
TAL HEALTH DISPARITIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services may award grants to qualified national 
organizations for the purposes of— 
(1) developing, and disseminating to health pro-
fessional educational programs, best practices or 
core competencies addressing mental health dispari-
ties among racial and ethnic minority groups for use 
in the training of students in the professions of so-
cial work, psychology, psychiatry, marriage and fam-
ily therapy, mental health counseling, and substance 
abuse counseling; and 
(2) certifying community health workers and 
peer wellness specialists with respect to such best 
practices and core competencies and integrating and 
expanding the use of such workers and specialists 
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into health care to address mental health disparities 
among racial and ethnic minority groups. 
(b) BEST PRACTICES; CORE COMPETENCIES.—Orga-
nizations receiving funds under subsection (a) may use the 
funds to engage in the following activities related to the 
development and dissemination of best practices or core 
competencies described in subsection (a)(1): 
(1) Formation of committees or working groups 
comprised of experts from accredited health profes-
sions schools to identify best practices and core com-
petencies relating to mental health disparities among 
racial and ethnic minority groups. 
(2) Planning of workshops at the national level 
to allow for public input into the educational needs 
associated with mental health disparities among ra-
cial and ethnic minority groups. 
(3) Dissemination and promotion of the use of 
best practices or core competencies for culturally 
and linguistically appropriate mental health services 
in undergraduate and graduate health professions 
training programs nationwide. 
(4) Establishing external stakeholder advisory 
boards to provide meaningful input into policy and 
program development and best practices to reduce 
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mental health disparities among racial and ethnic 
minority groups. 
(c) DEFINITIONS.—In this section: 
(1) QUALIFIED NATIONAL ORGANIZATION.—The 
term ‘‘qualified national organization’’ means a na-
tional organization that focuses on the education of 
students in one or more of the professions of social 
work, psychology, psychiatry, marriage and family 
therapy, mental health counseling, and substance 
misuse counseling. 
(2) RACIAL AND ETHNIC MINORITY GROUP.— 
The term ‘‘racial and ethnic minority group’’ has the 
meaning given to such term in section 1707(g) of 
the Public Health Service Act (42 U.S.C. 300u– 
6(g)). 
Subtitle D—Children’s Mental 
Health 
SEC. 6041. PEDIATRIC BEHAVIORAL HEALTH CARE. 
Subpart V of part D of title III of the Public Health 
Service Act (42 U.S.C. 256 et seq.) is amended by adding 
at the end the following: 
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‘‘SEC. 340A–1. GRANTS TO SUPPORT PEDIATRIC BEHAV-
IORAL HEALTH CARE INTEGRATION AND CO-
ORDINATION. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall award grants to eligible entities for 
the purpose of supporting pediatric behavioral health care 
integration and coordination within communities to meet 
local community needs. 
‘‘(b) ELIGIBLE
ENTITIES.—Entities eligible for 
grants under subsection (a) include— 
‘‘(1) pediatricians; 
‘‘(2) children’s hospitals; 
‘‘(3) pediatric behavioral health providers with 
the capacity to organize and implement activities 
working with community organizations and pro-
viders; and 
‘‘(4) other entities as determined appropriate by 
the Secretary. 
‘‘(c) PRIORITIZATION.—In awarding grants under 
subsection (a), the Secretary shall prioritize applicants 
that demonstrate the highest needs at the local level along 
the care continuum for strengthening children’s behavioral 
health crisis care and access. 
‘‘(d) USE OF FUNDS.—Activities that may be funded 
through a grant under subsection (a) include— 
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‘‘(8) supporting, enhancing, or expanding pedi-
atric mental, emotional, and behavioral health pre-
ventive and crisis intervention services; 
‘‘(9) establishing or maintaining pediatric men-
tal, emotional, and behavioral health urgent care; 
‘‘(10) establishing or maintaining community- 
based initiatives, such as school-based partnerships; 
and 
‘‘(11) addressing other access and coordination 
gaps to mental, emotional, and behavioral health 
services in the community for children. 
‘‘(e) FUNDING.—To carry out this section, there is 
hereby appropriated, out of amounts in the Treasury not 
otherwise obligated, $500,000,000 for each of fiscal years 
2023 through 2027. 
‘‘SEC. 340A–2. PEDIATRIC BEHAVIORAL HEALTH WORK-
FORCE TRAINING PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator of the Health Resources and Services 
Administration, shall award grants to eligible entities for 
the purpose of supporting evidence-based pediatric behav-
ioral health workforce training. 
‘‘(b) ELIGIBLE
ENTITIES.—Entities eligible for 
grants under subsection (a) include— 
‘‘(1) children’s hospitals; and 
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‘‘(2) other pediatric health care providers as de-
termined appropriate by the Secretary. 
‘‘(c) USE OF FUNDS.—The training that may be sup-
ported through a grant under subsection (a) includes ex-
panded training in pediatric behavioral health for physi-
cians and nonphysician practitioners, including the fol-
lowing practitioner types: 
‘‘(1) Child and adolescent psychiatrists. 
‘‘(2) Psychiatric nurses. 
‘‘(3) Psychologists. 
‘‘(4) Advanced practice nurses. 
‘‘(5) Family therapists. 
‘‘(6) Social workers. 
‘‘(7) Mental health counselors. 
‘‘(8) Other practitioner types as determined ap-
propriate by the Secretary. 
‘‘(d) FUNDING.—To carry out this section, there is 
hereby appropriated, out of amounts in the Treasury not 
otherwise obligated, $100,000,000 for each of fiscal years 
2023 through 2027.’’. 
SEC. 6042. MENTAL HEALTH IN SCHOOLS. 
(a) PURPOSE.— It is the purpose of this section to— 
(1) revise, increase funding for, and expand the 
scope of the Project AWARE State Educational 
Agency Grant Program carried out by the Secretary 
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1059 
of Health and Human Services, in order to provide 
access to more comprehensive school-based mental 
health services and supports; 
(2) provide for comprehensive staff development 
for school and community service personnel working 
in the school; 
(3) provide for comprehensive training to im-
prove health and academic outcomes for children 
with, or who have a high likelihood of developing, 
mental health conditions, for parents or guardians, 
siblings, and other family members of such children, 
and for concerned members of the community; 
(4) provide for comprehensive, universal, evi-
dence-based screening to identify children and ado-
lescents with potential mental health conditions or 
unmet emotional health needs; 
(5) recognize best practices for the delivery of 
mental health care in school-based settings, includ-
ing school-based health centers; 
(6) provide for comprehensive training for par-
ents or guardians, siblings, other family members, 
and concerned members of the community on behalf 
of children and adolescents experiencing mental 
health trauma, disorders, cooccurring conditions, or 
disabilities; and 
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(7) establish formal working relationships 
among health, human service, and educational enti-
ties that support the mental and emotional health of 
children and adolescents in the school setting or that 
have a child or youth focus. 
(b) TECHNICAL AMENDMENTS.—The second part G 
(relating to services provided through religious organiza-
tions) of title V of the Public Health Service Act (42 
U.S.C. 290kk et seq.) is amended— 
(1) by redesignating such part as part J; and 
(2) by redesignating sections 581 through 584 
as sections 596 through 596C, respectively. 
(c) SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN AND VIOLENCE.—Section 581 of the Public Health 
Service Act (42 U.S.C. 290hh) (relating to children and 
violence) is amended to read as follows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN 
AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall, through grants, 
contracts, or cooperative agreements awarded to eligible 
entities described in subsection (b), provide comprehensive 
school-based mental health services and supports to assist 
children in local communities and schools (including 
schools funded by the Bureau of Indian Education) deal-
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ing with traumatic experiences, grief, bereavement, risk of 
suicide, and the risk of experiencing community or inter-
personal violence, such as abuse or neglect. All services 
and supports provided under such a grant, contract, or 
cooperative agreement shall be— 
‘‘(1) developmentally, linguistically, and cul-
turally appropriate; 
‘‘(2) trauma-informed; and 
‘‘(3) incorporate positive behavioral interven-
tions and supports. 
‘‘(b) ACTIVITIES.—Grants, contracts, or cooperative 
agreements awarded under subsection (a), shall, as appro-
priate, be used for— 
‘‘(1) implementation of school and community- 
based mental health programs that— 
‘‘(A) build awareness of individual trauma 
and the intergenerational continuum of impacts 
of trauma on populations; 
‘‘(B) train appropriate staff to identify, 
and screen for, signs of trauma exposure, men-
tal health and cooccurring conditions, or risk of 
suicide; and 
‘‘(C) incorporate positive behavioral inter-
ventions, family engagement, student treatment, 
and multigenerational supports to foster the 
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1062 
health and development of children, prevent 
mental health disorders, and ameliorate the im-
pact of trauma; 
‘‘(2) technical assistance to local communities 
with respect to the development of programs de-
scribed in paragraph (1); 
‘‘(3) facilitating diverse community partnerships 
among families, students, education agencies, mental 
health and substance use disorder service systems, 
family-based mental health service systems, child 
welfare agencies, health care providers (including 
primary care physicians, mental health professionals, 
and other professionals who specialize in children’s 
mental health such as child and adolescent psychia-
trists), institutions of higher education, faith-based 
programs, trauma networks, and other community- 
based systems to address child and adolescent trau-
ma, as well as unmet mental health needs; and 
‘‘(4) establishing and promoting best practices 
that are either evidence-based or culturally based for 
children and adolescents to share their experiences 
of individual and community trauma, including their 
exposure to community and domestic violence, with 
trusted adults. 
‘‘(c) REQUIREMENTS.— 
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1063 
‘‘(1) IN GENERAL.—To be eligible for a grant, 
contract, or cooperative agreement under subsection 
(a), an entity shall be a partnership that includes— 
‘‘(A) a State educational agency, as de-
fined in section 8101 of the Elementary and 
Secondary Education Act of 1965, in coordina-
tion with one or more local educational agen-
cies, as defined in section 8101 of the Elemen-
tary and Secondary Education Act of 1965, or 
a consortium of any entities described in sub-
paragraph (B), (C), (D), or (E) of section 
8101(30) of such Act; and 
‘‘(B) at least 1 community-based mental 
health provider, including a public or private 
mental health entity, health care entity, family- 
based mental health entity, trauma network, or 
other community-based entity, as determined by 
the Secretary (and which may include addi-
tional entities such as a human services agency, 
child welfare agency, an institution of higher 
education, or another entity, as determined by 
the Secretary). 
‘‘(2) COMPLIANCE WITH HIPAA.—Any patient 
records developed by covered entities through activi-
ties under the grant shall meet the regulations pro-
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1064 
mulgated under section 264(c) of the Health Insur-
ance Portability and Accountability Act of 1996. 
‘‘(3) COMPLIANCE WITH FERPA.—Section 444 
of the General Education Provisions Act (commonly 
known as the ‘Family Educational Rights and Pri-
vacy Act of 1974’) shall apply to any entity that is 
a member of the partnership in the same manner 
that such section applies to an educational agency or 
institution (as that term is defined in such section). 
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary 
shall ensure that grants, contracts, or cooperative agree-
ments under subsection (a) will be distributed equitably 
among the regions of the country and among urban and 
rural areas. 
‘‘(e) DURATION
OF AWARDS.—With respect to a 
grant, contract, or cooperative agreement under sub-
section (a), the period during which payments under such 
an award will be made to the recipient shall be 5 years, 
with options for renewal. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT OF PROCESS.—The Assist-
ant Secretary shall develop a fiscally appropriate 
process for evaluating activities carried out under 
this section. Such process shall include— 
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‘‘(A) the development of guidelines for the 
submission of program data by grant, contract, 
or cooperative agreement recipients; 
‘‘(B) the development of measures of out-
comes (in accordance with paragraph (2)) to be 
applied by such recipients in evaluating pro-
grams carried out under this section; and 
‘‘(C) the submission of annual reports by 
such recipients concerning the effectiveness of 
programs carried out under this section. 
‘‘(2) MEASURES OF OUTCOMES.—The Assistant 
Secretary shall develop measures of outcomes to be 
applied by recipients of assistance under this section 
to evaluate the effectiveness of programs carried out 
under this section, including outcomes related to the 
student, family, and local educational systems sup-
ported by this Act. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An eligi-
ble entity described in subsection (c) that receives a 
grant, contract, or cooperative agreement under this 
section shall annually submit to the Assistant Sec-
retary a report that includes data to evaluate the 
success of the program carried out by the entity 
based on whether such program is achieving the pur-
poses of the program. Such reports shall utilize the 
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1066 
measures of outcomes under paragraph (2) in a rea-
sonable manner to demonstrate the progress of the 
program in achieving such purposes. 
‘‘(4) EVALUATION BY ASSISTANT SECRETARY.— 
Based on the data submitted under paragraph (3), 
the Assistant Secretary shall annually submit to 
Congress a report concerning the results and effec-
tiveness of the programs carried out with assistance 
received under this section. 
‘‘(5) LIMITATION.—An eligible entity shall use 
not more than 20 percent of amounts received under 
a grant under this section to carry out evaluation 
activities under this subsection. 
‘‘(g) INFORMATION
AND
EDUCATION.—The Sec-
retary shall disseminate best practices based on findings 
made pursuant to this section. 
‘‘(h) AMOUNT OF GRANTS AND AUTHORIZATION OF 
APPROPRIATIONS.— 
‘‘(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$2,000,000 for each of the first 5 fiscal years fol-
lowing the date of enactment of this section. The 
Secretary shall determine the amount of each such 
grant based on the population of children up to age 
21 of the area to be served under the grant. 
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1203 
(3) 
EVALUATION.—The 
Secretaries 
shall, 
through the pilot projects, evaluate— 
(A) the effective and economic delivery of 
care in diagnosing and treating prostate cancer 
with the use of telehealth services in medically 
underserved and Tribal areas including collabo-
rative uses of health professionals and integra-
tion of the range of telehealth and other tech-
nologies; 
(B) the effectiveness of improving the ca-
pacity of nonmedical providers and nonspecial-
ized medical providers to provide health services 
for prostate cancer in medically underserved 
and Tribal areas, including the exploration of 
innovative medical home models with collabora-
tion between urologists, other relevant medical 
specialists, including oncologists, radiologists, 
and primary care teams, and coordination of 
care through the efficient use of primary care 
teams and physician extenders; and 
(C) the effectiveness of using telehealth 
services to provide prostate cancer treatment in 
medically underserved areas, including the use 
of tumor boards to facilitate better patient 
counseling. 
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