577 
‘‘(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2018 through 2022.’’. 
SEC. 9023. CLARIFICATION ON CURRENT ELIGIBILITY FOR 
LOAN REPAYMENT PROGRAMS. 
The Administrator of the Health Resources and Serv-
ices Administration shall clarify the eligibility pursuant to 
section 338B(b)(1)(B) of the Public Health Service Act (42 
U.S.C. 254l–1(b)(1)(B)) of child and adolescent psychia-
trists for the National Health Service Corps Loan Repay-
ment Program under subpart III of part D of title III of 
such Act (42 U.S.C. 254l et seq.). 
SEC. 9024. MINORITY FELLOWSHIP PROGRAM. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART K—MINORITY FELLOWSHIP PROGRAM 
‘‘SEC. 597. FELLOWSHIPS. 
‘‘(a) IN GENERAL.—The Secretary shall maintain a 
program, to be known as the Minority Fellowship Program, 
under which the Secretary shall award fellowships, which 
may include stipends, for the purposes of— 
‘‘(1) increasing the knowledge of mental and sub-
stance use disorders practitioners on issues related to 
prevention, treatment, and recovery support for indi-
578 
viduals who are from racial and ethnic minority pop-
ulations and who have a mental or substance use dis-
order; 
‘‘(2) improving the quality of mental and sub-
stance use disorder prevention and treatment services 
delivered to racial and ethnic minority populations; 
and 
‘‘(3) increasing the number of culturally com-
petent mental and substance use disorders profes-
sionals who teach, administer services, conduct re-
search, and provide direct mental or substance use 
disorder services to racial and ethnic minority popu-
lations. 
‘‘(b) TRAINING COVERED.—The fellowships awarded 
under subsection (a) shall be for postbaccalaureate training 
(including for master’s and doctoral degrees) for mental 
and substance use disorder treatment professionals, includ-
ing in the fields of psychiatry, nursing, social work, psy-
chology, marriage and family therapy, mental health coun-
seling, and substance use disorder and addiction counseling. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$12,669,000 for each of fiscal years 2018 through 2022.’’.
579 
SEC. 9025. LIABILITY PROTECTIONS FOR HEALTH PROFES-
SIONAL 
VOLUNTEERS 
AT 
COMMUNITY 
HEALTH CENTERS. 
Section 224 of the Public Health Service Act (42 
U.S.C. 233) is amended by adding at the end the following: 
‘‘(q)(1) For purposes of this section, a health profes-
sional volunteer at a deemed entity described in subsection 
(g)(4) shall, in providing a health professional service eligi-
ble for funding under section 330 to an individual, be 
deemed to be an employee of the Public Health Service for 
a calendar year that begins during a fiscal year for which 
a transfer was made under paragraph (4)(C). The pre-
ceding sentence is subject to the provisions of this sub-
section. 
‘‘(2) In providing a health service to an individual, 
a health care practitioner shall for purposes of this sub-
section be considered to be a health professional volunteer 
at an entity described in subsection (g)(4) 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), or through offsite programs or events carried 
out by the entity. 
‘‘(B) The entity is sponsoring the health care 
practitioner pursuant to paragraph (3)(B).
580 
‘‘(C) The health care practitioner does not receive 
any compensation for the service from the individual, 
the entity described in subsection (g)(4), or any third- 
party payer (including reimbursement under any in-
surance policy or health plan, or under any Federal 
or State health benefits program), except that the 
health care practitioner may receive repayment from 
the entity described in subsection (g)(4) for reasonable 
expenses incurred by the health care practitioner in 
the provision of the service to the individual, which 
may include travel expenses to or from the site of 
services. 
‘‘(D) Before the service is provided, the health 
care practitioner or the entity described in subsection 
(g)(4) posts a clear and conspicuous notice at the site 
where the service is provided of the extent to which the 
legal liability of the health care practitioner is lim-
ited pursuant to this subsection. 
‘‘(E) At the time the service is provided, the 
health care practitioner is licensed or certified in ac-
cordance with applicable Federal and State laws re-
garding the provision of the service. 
‘‘(F) At the time the service is provided, the enti-
ty described in subsection (g)(4) maintains relevant
581 
documentation certifying that the health care practi-
tioner meets the requirements of this subsection. 
‘‘(3) Subsection (g) (other than paragraphs (3) and 
(5)) and subsections (h), (i), and (l) apply to a health care 
practitioner for purposes of this subsection to the same ex-
tent and in the same manner as such subsections apply to 
an officer, governing board member, employee, or contractor 
of an entity described in subsection (g)(4), subject to para-
graph (4), and subject to the following: 
‘‘(A) The first sentence of paragraph (1) applies 
in lieu of the first sentence of subsection (g)(1)(A). 
‘‘(B) With respect to an entity described in sub-
section (g)(4), a health care practitioner is not a 
health professional volunteer at such entity unless the 
entity sponsors the health care practitioner. For pur-
poses of this subsection, the entity shall be considered 
to be sponsoring the health care practitioner if— 
‘‘(i) with respect to the health care practi-
tioner, the entity submits to the Secretary an ap-
plication meeting the requirements of subsection 
(g)(1)(D); and 
‘‘(ii) the Secretary, pursuant to subsection 
(g)(1)(E), determines that the health care practi-
tioner is deemed to be an employee of the Public 
Health Service.
582 
‘‘(C) In the case of a health care practitioner 
who is determined by the Secretary pursuant to sub-
section (g)(1)(E) to be a health professional volunteer 
at such entity, this subsection applies to the health 
care practitioner (with respect to services performed 
on behalf of the entity sponsoring the health care 
practitioner pursuant to subparagraph (B)) for any 
cause of action arising from an act or omission of the 
health care practitioner occurring on or after the date 
on which the Secretary makes such determination. 
‘‘(D) Subsection (g)(1)(F) applies to a health 
care practitioner for purposes of this subsection only 
to the extent that, in providing health services to an 
individual, each of the conditions specified in para-
graph (2) is met. 
‘‘(4)(A) Amounts in the fund established under sub-
section (k)(2) shall be available for transfer under subpara-
graph (C) for purposes of carrying out this subsection. 
‘‘(B)(i) 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-
penses of witnesses) that, by reason of the acts or omissions 
of health professional volunteers, will be paid pursuant to
583 
this section during the calendar year that begins in the fol-
lowing fiscal year. 
‘‘(ii) Subsection (k)(1)(B) applies to the estimate 
under clause (i) regarding health professional volunteers to 
the same extent and in the same manner as such subsection 
applies to the estimate under such subsection regarding offi-
cers, governing board members, employees, and contractors 
of entities described in subsection (g)(4). 
‘‘(iii) The report shall include a summary of the data 
relied upon for the estimate in clause (i), including the 
number of claims filed and paid from the previous calendar 
year. 
‘‘(C) Not later than December 31 of each fiscal year, 
the Secretary shall transfer from the fund under subsection 
(k)(2) to the appropriate accounts in the Treasury an 
amount equal to the estimate made under subparagraph (B) 
for the calendar year beginning in such fiscal year, subject 
to the extent of amounts in the fund. 
‘‘(5)(A) This subsection shall take effect on October 1, 
2017, except as provided in subparagraph (B) and para-
graph (6). 
‘‘(B) Effective on the date of the enactment of this sub-
section— 
‘‘(i) the Secretary may issue regulations for car-
rying out this subsection, and the Secretary may ac-
584 
cept and consider applications submitted pursuant to 
paragraph (3)(B); and 
‘‘(ii) reports under paragraph (4)(B) may be 
submitted to Congress. 
‘‘(6) Beginning on October 1, 2022, this subsection 
shall cease to have any force or effect.’’. 
SEC. 9026. REPORTS. 
(a) WORKFORCE DEVELOPMENT REPORT.— 
(1) IN GENERAL.—Not later than 2 years after 
the date of enactment of this Act, the Administrator 
of the Health Resources and Services Administration, 
in consultation with the Assistant Secretary for Men-
tal Health and Substance Use, shall conduct a study 
and publicly post on the appropriate Internet website 
of the Department of Health and Human Services a 
report on the adult and pediatric mental health and 
substance use disorder workforce in order to inform 
Federal, State, and local efforts related to workforce 
enhancement. 
(2) CONTENTS.—The report under this subsection 
shall contain— 
(A) national and State-level projections of 
the supply and demand of the mental health and 
substance 
use 
disorder 
health 
workforce, 
disaggregated by profession;
585 
(B) an assessment of the mental health and 
substance 
use 
disorder 
workforce 
capacity, 
strengths, and weaknesses as of the date of the re-
port, including the extent to which primary care 
providers are preventing, screening, or referring 
for mental and substance use disorder services; 
(C) information on trends within the men-
tal health and substance use disorder provider 
workforce, including the number of individuals 
expected to enter the mental health workforce 
over the next 5 years; and 
(D) any additional information determined 
by the Administrator of the Health Resources 
and Services Administration, in consultation 
with the Assistant Secretary for Mental Health 
and Substance Use, to be relevant to the mental 
health and substance use disorder provider work-
force. 
(b) PEER-SUPPORT SPECIALIST PROGRAMS.— 
(1) IN GENERAL.—The Comptroller General of 
the United States shall conduct a study on peer-sup-
port specialist programs in up to 10 States that re-
ceive funding from the Substance Abuse and Mental 
Health Services Administration.
586 
(2) CONTENTS
OF
STUDY.—In conducting the 
study under paragraph (1), the Comptroller General 
of the United States shall examine and identify best 
practices, in the States selected pursuant to such 
paragraph, related to training and credential require-
ments for peer-support specialist programs, such as— 
(A) hours of formal work or volunteer expe-
rience related to mental and substance use dis-
orders conducted through such programs; 
(B) types of peer-support specialist exams 
required for such programs in the selected States; 
(C) codes of ethics used by such programs in 
the selected States; 
(D) required or recommended skill sets for 
such programs in the selected States; and 
(E) requirements for continuing education. 
(3) REPORT.—Not later than 2 years after the 
date of enactment of this Act, the Comptroller General 
of the United States shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce of the 
House of Representatives a report on the study con-
ducted under paragraph (1).
587 
Subtitle C—Mental Health on 
Campus Improvement 
SEC. 9031. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES ON CAMPUS. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended— 
(1) in the section heading, by striking ‘‘AND BE-
HAVIORAL HEALTH’’ and inserting ‘‘HEALTH AND 
SUBSTANCE USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘Services,’’ and inserting 
‘‘Services and’’; 
(B) by striking ‘‘and behavioral health 
problems’’ and inserting ‘‘health or substance use 
disorders’’; 
(C) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorders’’; and 
(D) by adding after, ‘‘suicide attempts,’’ the 
following: ‘‘prevent mental and substance use 
disorders, reduce stigma, and improve the identi-
fication and treatment for students at risk,’’; 
(3) in subsection (b)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘for—’’ and inserting ‘‘for one or 
more of the following:’’; and
589 
‘‘(9) Conducting research through a counseling 
or health center at the institution of higher education 
involved regarding improving the behavioral health of 
students through clinical services, outreach, preven-
tion, or academic success, in a manner that is in 
compliance with all applicable personal privacy laws. 
‘‘(10) Supporting student groups on campus, in-
cluding athletic teams, that engage in activities to 
educate students, including activities to reduce stigma 
surrounding mental and behavioral disorders, and 
promote mental health. 
‘‘(11) Employing appropriately trained staff. 
‘‘(12) Developing and supporting evidence-based 
and emerging best practices, including a focus on cul-
turally and linguistically appropriate best prac-
tices.’’; 
(4) in subsection (c)(5), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorder’’; 
(5) in subsection (d)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘An institution of higher education 
desiring a grant under this section’’ and insert-
ing ‘‘To be eligible to receive a grant under this 
section, an institution of higher education’’;
590 
(B) by striking paragraph (1) and insert-
ing— 
‘‘(1) A description of the population to be tar-
geted by the program carried out under the grant, in-
cluding veterans whenever possible and appropriate, 
and of identified mental and substance use disorder 
needs of students at the institution of higher edu-
cation.’’; 
(C) in paragraph (2), by inserting ‘‘, which 
may include, as appropriate and in accordance 
with subsection (b)(7), a plan to seek input from 
relevant stakeholders in the community, includ-
ing appropriate public and private entities, in 
order to carry out the program under the grant’’ 
before the period at the end; and 
(D) by adding after paragraph (5) the fol-
lowing new paragraphs: 
‘‘(6) An outline of the objectives of the program 
carried out under the grant. 
‘‘(7) For an institution of higher education pro-
posing to use the grant for an activity described in 
paragraph (8) or (9) of subsection (b), a description 
of the policies and procedures of the institution of 
higher education that are related to applicable laws 
regarding access to, and sharing of, treatment records
591 
of students at any campus-based mental health center 
or partner organization, including the policies and 
State laws governing when such records can be 
accessed and shared for non-treatment purposes and 
a description of the process used by the institution of 
higher education to notify students of these policies 
and procedures, including the extent to which written 
consent is required. 
‘‘(8) An assurance that grant funds will be used 
to supplement and not supplant any other Federal, 
State, or local funds available to carry out activities 
of the type carried out under the grant.’’; 
(6) in subsection (e)(1), by striking ‘‘and behav-
ioral health problems’’ and inserting ‘‘health and sub-
stance use disorders’’; 
(7) in subsection (f)(2)— 
(A) by striking ‘‘and behavioral health’’ and 
inserting ‘‘health and substance use disorder’’; 
and 
(B) by striking ‘‘suicide and substance 
abuse’’ and inserting ‘‘suicide and substance use 
disorders’’; 
(8) by redesignating subsection (h) as subsection 
(i);
592 
(9) by inserting after subsection (g) the following 
new subsection: 
‘‘(h) TECHNICAL ASSISTANCE.—The Secretary may 
provide technical assistance to grantees in carrying out this 
section.’’; and 
(10) in subsection (i), as redesignated by para-
graph (8), by striking ‘‘$5,000,000 for fiscal year 
2005’’ and all that follows through the period at the 
end and inserting ‘‘$7,000,000 for each of fiscal years 
2018 through 2022.’’. 
SEC. 9032. INTERAGENCY WORKING GROUP ON COLLEGE 
MENTAL HEALTH. 
(a) PURPOSE.—It is the purpose of this section to pro-
vide for the establishment of a College Campus Task Force 
to discuss mental and behavioral health concerns on cam-
puses of institutions of higher education. 
(b) ESTABLISHMENT.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’) shall establish a College Campus Task Force (re-
ferred to in this section as the ‘‘Task Force’’) to discuss 
mental and behavioral health concerns on campuses of insti-
tutions of higher education. 
(c) MEMBERSHIP.—The Task Force shall be composed 
of a representative from each Federal agency (as appointed 
by the head of the agency) that has jurisdiction over, or
593 
is affected by, mental health and education policies and 
projects, including— 
(1) the Department of Education; 
(2) the Department of Health and Human Serv-
ices; 
(3) the Department of Veterans Affairs; and 
(4) such other Federal agencies as the Assistant 
Secretary for Mental Health and Substance Use, in 
consultation with the Secretary, determines to be ap-
propriate. 
(d) DUTIES.—The Task Force shall— 
(1) serve as a centralized mechanism to coordi-
nate a national effort to— 
(A) discuss and evaluate evidence and 
knowledge on mental and behavioral health serv-
ices available to, and the prevalence of mental 
illness among, the age population of students at-
tending institutions of higher education in the 
United States; 
(B) determine the range of effective, feasible, 
and comprehensive actions to improve mental 
and behavioral health on campuses of institu-
tions of higher education; 
(C) examine and better address the needs of 
the age population of students attending institu-
594 
tions of higher education dealing with mental ill-
ness; 
(D) survey Federal agencies to determine 
which policies are effective in encouraging, and 
how best to facilitate outreach without dupli-
cating, efforts relating to mental and behavioral 
health promotion; 
(E) establish specific goals within and 
across Federal agencies for mental health pro-
motion, including determinations of account-
ability for reaching those goals; 
(F) develop a strategy for allocating respon-
sibilities and ensuring participation in mental 
and behavioral health promotion, particularly in 
the case of competing agency priorities; 
(G) coordinate plans to communicate re-
search results relating to mental and behavioral 
health amongst the age population of students at-
tending institutions of higher education to enable 
reporting and outreach activities to produce 
more useful and timely information; 
(H) provide a description of evidence-based 
practices, model programs, effective guidelines, 
and other strategies for promoting mental and
595 
behavioral health on campuses of institutions of 
higher education; 
(I) make recommendations to improve Fed-
eral efforts relating to mental and behavioral 
health promotion on campuses of institutions of 
higher education and to ensure Federal efforts 
are consistent with available standards, evidence, 
and other programs in existence as of the date of 
enactment of this Act; 
(J) monitor Federal progress in meeting 
specific mental and behavioral health promotion 
goals as they relate to settings of institutions of 
higher education; and 
(K) examine and disseminate best practices 
related to intracampus sharing of treatment 
records; 
(2) consult with national organizations with ex-
pertise in mental and behavioral health, especially 
those organizations working with the age population 
of students attending institutions of higher education; 
and 
(3) consult with and seek input from mental 
health professionals working on campuses of institu-
tions of higher education as appropriate. 
(e) MEETINGS.—
596 
(1) IN GENERAL.—The Task Force shall meet not 
fewer than three times each year. 
(2) ANNUAL CONFERENCE.—The Secretary shall 
sponsor an annual conference on mental and behav-
ioral health in settings of institutions of higher edu-
cation to enhance coordination, build partnerships, 
and share best practices in mental and behavioral 
health promotion, data collection, analysis, and serv-
ices. 
(f) DEFINITION.—In this section, the term ‘‘institution 
of higher education’’ has the meaning given such term in 
section 101 of the Higher Education Act of 1965 (20 U.S.C. 
1001). 
(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$1,000,000 for the period of fiscal years 2018 through 2022. 
SEC. 9033. IMPROVING MENTAL HEALTH ON COLLEGE CAM-
PUSES. 
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. 549. MENTAL AND BEHAVIORAL HEALTH OUTREACH 
AND EDUCATION ON COLLEGE CAMPUSES. 
‘‘(a) PURPOSE.—It is the purpose of this section to in-
crease access to, and reduce the stigma associated with,
597 
mental health services to ensure that students at institutions 
of higher education have the support necessary to success-
fully complete their studies. 
‘‘(b) NATIONAL PUBLIC EDUCATION CAMPAIGN.—The 
Secretary, acting through the Assistant Secretary and in 
collaboration with the Director of the Centers for Disease 
Control and Prevention, shall convene an interagency, pub-
lic-private sector working group to plan, establish, and 
begin coordinating and evaluating a targeted public edu-
cation campaign that is designed to focus on mental and 
behavioral health on the campuses of institutions of higher 
education. Such campaign shall be designed to— 
‘‘(1) improve the general understanding of men-
tal health and mental disorders; 
‘‘(2) encourage help-seeking behaviors relating to 
the promotion of mental health, prevention of mental 
disorders, and treatment of such disorders; 
‘‘(3) make the connection between mental and be-
havioral health and academic success; and 
‘‘(4) assist the general public in identifying the 
early warning signs and reducing the stigma of men-
tal illness. 
‘‘(c) COMPOSITION.—The working group convened 
under subsection (b) shall include—
598 
‘‘(1) mental health consumers, including students 
and family members; 
‘‘(2) representatives of institutions of higher edu-
cation; 
‘‘(3) representatives of national mental and be-
havioral health associations and associations of insti-
tutions of higher education; 
‘‘(4) representatives of health promotion and pre-
vention organizations at institutions of higher edu-
cation; 
‘‘(5) representatives of mental health providers, 
including community mental health centers; and 
‘‘(6) representatives of private-sector and public- 
sector groups with experience in the development of ef-
fective public health education campaigns. 
‘‘(d) PLAN.—The working group under subsection (b) 
shall develop a plan that— 
‘‘(1) targets promotional and educational efforts 
to the age population of students at institutions of 
higher education and individuals who are employed 
in settings of institutions of higher education, includ-
ing through the use of roundtables; 
‘‘(2) develops and proposes the implementation of 
research-based public health messages and activities;
599 
‘‘(3) provides support for local efforts to reduce 
stigma by using the National Health Information 
Center as a primary point of contact for information, 
publications, and service program referrals; and 
‘‘(4) develops and proposes the implementation of 
a social marketing campaign that is targeted at the 
population of students attending institutions of higher 
education and individuals who are employed in set-
tings of institutions of higher education. 
‘‘(e) DEFINITION.—In this section, the term ‘institu-
tion of higher education’ has the meaning given such term 
in section 101 of the Higher Education Act of 1965 (20 
U.S.C. 1001). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$1,000,000 for the period of fiscal years 2018 through 
2022.’’. 
TITLE X—STRENGTHENING MEN-
TAL 
AND 
SUBSTANCE 
USE 
DISORDER CARE FOR CHIL-
DREN AND ADOLESCENTS 
SEC. 10001. PROGRAMS FOR CHILDREN WITH A SERIOUS 
EMOTIONAL DISTURBANCE. 
(a) COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH A SERIOUS EMOTIONAL
600 
DISTURBANCE.—Section 561(a)(1) of the Public Health 
Service Act (42 U.S.C. 290ff(a)(1)) is amended by inserting 
‘‘, which may include efforts to identify and serve children 
at risk’’ before the period. 
(b) REQUIREMENTS WITH RESPECT
TO CARRYING 
OUT PURPOSE OF GRANTS.—Section 562(b) of the Public 
Health Service Act (42 U.S.C. 290ff–1(b)) is amended by 
striking ‘‘will not provide an individual with access to the 
system if the individual is more than 21 years of age’’ and 
inserting ‘‘will provide an individual with access to the sys-
tem through the age of 21 years’’. 
(c) ADDITIONAL PROVISIONS.—Section 564(f) of the 
Public Health Service Act (42 U.S.C. 290ff–3(f)) is amend-
ed by inserting ‘‘(and provide a copy to the State involved)’’ 
after ‘‘to the Secretary’’. 
(d) GENERAL PROVISIONS.—Section 565 of the Public 
Health Service Act (42 U.S.C. 290ff–4) is amended— 
(1) in subsection (b)(1)— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘receiving a grant under section 
561(a)’’ and inserting ‘‘, regardless of whether 
such public entity is receiving a grant under sec-
tion 561(a)’’; and 
(B) in subparagraph (B), by striking ‘‘pur-
suant to’’ and inserting ‘‘described in’’;
601 
(2) in subsection (d)(1), by striking ‘‘not more 
than 21 years of age’’ and inserting ‘‘through the age 
of 21 years’’; and 
(3) 
in 
subsection 
(f)(1), 
by 
striking 
‘‘$100,000,000 for fiscal year 2001, and such sums as 
may be necessary for each of the fiscal years 2002 and 
2003’’ and inserting ‘‘$119,026,000 for each of fiscal 
years 2018 through 2022’’. 
SEC. 10002. INCREASING ACCESS TO PEDIATRIC MENTAL 
HEALTH CARE. 
Title III of the Public Health Service Act is amended 
by inserting after section 330L of such Act (42 U.S.C. 254c– 
18) the following new section: 
‘‘SEC. 330M PEDIATRIC MENTAL HEALTH CARE ACCESS 
GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the 
Administrator of the Health Resources and Services Admin-
istration and in coordination with other relevant Federal 
agencies, shall award grants to States, political subdivi-
sions of States, and Indian tribes and tribal organizations 
(for purposes of this section, as such terms are defined in 
section 4 of the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 450b)) to promote behavioral 
health integration in pediatric primary care by—
602 
‘‘(1) supporting the development of statewide or 
regional pediatric mental health care telehealth access 
programs; and 
‘‘(2) supporting the improvement of existing 
statewide or regional pediatric mental health care 
telehealth access programs. 
‘‘(b) PROGRAM REQUIREMENTS.— 
‘‘(1) IN GENERAL.—A pediatric mental health 
care telehealth access program referred to in sub-
section (a), with respect to which a grant under such 
subsection may be used, shall— 
‘‘(A) be a statewide or regional network of 
pediatric mental health teams that provide sup-
port to pediatric primary care sites as an inte-
grated team; 
‘‘(B) support and further develop organized 
State or regional networks of pediatric mental 
health teams to provide consultative support to 
pediatric primary care sites; 
‘‘(C) conduct an assessment of critical be-
havioral consultation needs among pediatric pro-
viders and such providers’ preferred mechanisms 
for receiving consultation, training, and tech-
nical assistance;
603 
‘‘(D) develop an online database and com-
munication mechanisms, including telehealth, to 
facilitate consultation support to pediatric prac-
tices; 
‘‘(E) provide rapid statewide or regional 
clinical telephone or telehealth consultations 
when requested between the pediatric mental 
health teams and pediatric primary care pro-
viders; 
‘‘(F) conduct training and provide technical 
assistance to pediatric primary care providers to 
support the early identification, diagnosis, treat-
ment, and referral of children with behavioral 
health conditions; 
‘‘(G) provide information to pediatric pro-
viders about, and assist pediatric providers in 
accessing, pediatric mental health care providers, 
including child and adolescent psychiatrists, and 
licensed mental health professionals, such as psy-
chologists, social workers, or mental health coun-
selors and in scheduling and conducting tech-
nical assistance; 
‘‘(H) assist with referrals to specialty care 
and community or behavioral health resources; 
and
604 
‘‘(I) establish mechanisms for measuring 
and monitoring increased access to pediatric 
mental health care services by pediatric primary 
care providers and expanded capacity of pedi-
atric primary care providers to identify, treat, 
and refer children with mental health problems. 
‘‘(2) PEDIATRIC
MENTAL
HEALTH
TEAMS.—In 
this subsection, the term ‘pediatric mental health 
team’ means a team consisting of at least one case co-
ordinator, at least one child and adolescent psychia-
trist, and at least one licensed clinical mental health 
professional, such as a psychologist, social worker, or 
mental health counselor. Such a team may be region-
ally based. 
‘‘(c) APPLICATION.—A State, political subdivision of 
a State, Indian tribe, or tribal organization seeking a grant 
under this section shall submit an application to the Sec-
retary at such time, in such manner, and containing such 
information as the Secretary may require, including a plan 
for the comprehensive evaluation of activities that are car-
ried out with funds received under such grant. 
‘‘(d) EVALUATION.—A State, political subdivision of 
a State, Indian tribe, or tribal organization that receives 
a grant under this section shall prepare and submit an 
evaluation of activities that are carried out with funds re-
605 
ceived under such grant to the Secretary at such time, in 
such manner, and containing such information as the Sec-
retary may reasonably require, including a process and 
outcome evaluation. 
‘‘(e) ACCESS
TO
BROADBAND.—In administering 
grants under this section, the Secretary may coordinate 
with other agencies to ensure that funding opportunities are 
available to support access to reliable, high-speed Internet 
for providers. 
‘‘(f) MATCHING REQUIREMENT.—The Secretary may 
not award a grant under this section unless the State, polit-
ical subdivision of a State, Indian tribe, or tribal organiza-
tion involved agrees, with respect to the costs to be incurred 
by the State, political subdivision of a State, Indian tribe, 
or tribal organization in carrying out the purpose described 
in this section, to make available non-Federal contributions 
(in cash or in kind) toward such costs in an amount that 
is not less than 20 percent of Federal funds provided in 
the grant. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated, 
$9,000,000 for the period of fiscal years 2018 through 
2022.’’.
606 
SEC. 10003. SUBSTANCE USE DISORDER TREATMENT AND 
EARLY INTERVENTION SERVICES FOR CHIL-
DREN AND ADOLESCENTS. 
The first section 514 of the Public Health Service Act 
(42 U.S.C. 290bb–7), relating to substance abuse treatment 
services for children and adolescents, is amended— 
(1) in the section heading, by striking ‘‘ABUSE 
TREATMENT’’ and inserting ‘‘USE
DISORDER 
TREATMENT AND EARLY INTERVENTION’’; 
(2) by striking subsection (a) and inserting the 
following: 
‘‘(a) IN GENERAL.—The Secretary shall award grants, 
contracts, or cooperative agreements to public and private 
nonprofit entities, including Indian tribes or tribal organi-
zations (as such terms are defined in section 4 of the Indian 
Self-Determination and Education Assistance Act), or 
health facilities or programs operated by or in accordance 
with a contract or grant with the Indian Health Service, 
for the purpose of— 
‘‘(1) providing early identification and services 
to meet the needs of children and adolescents who are 
at risk of substance use disorders; 
‘‘(2) providing substance use disorder treatment 
services for children, including children and adoles-
cents with co-occurring mental illness and substance 
use disorders; and
607 
‘‘(3) providing assistance to pregnant women, 
and parenting women, with substance use disorders, 
in obtaining treatment services, linking mothers to 
community resources to support independent family 
lives, and staying in recovery so that children are in 
safe, stable home environments and receive appro-
priate health care services.’’; 
(3) in subsection (b)— 
(A) by striking paragraph (1) and inserting 
the following: 
‘‘(1) apply evidence-based and cost-effective 
methods;’’; 
(B) in paragraph (2)— 
(i) by striking ‘‘treatment’’; and 
(ii) by inserting ‘‘substance abuse,’’ 
after ‘‘child welfare,’’; 
(C) in paragraph (3), by striking ‘‘sub-
stance abuse disorders’’ and inserting ‘‘substance 
use disorders, including children and adolescents 
with co-occurring mental illness and substance 
use disorders,’’; 
(D) in paragraph (5), by striking ‘‘treat-
ment;’’ and inserting ‘‘services; and’’;
608 
(E) in paragraph (6), by striking ‘‘sub-
stance abuse treatment; and’’ and inserting 
‘‘treatment.’’; and 
(F) by striking paragraph (7); and 
(4) in subsection (f), by striking ‘‘$40,000,000’’ 
and all that follows through the period and inserting 
‘‘$29,605,000 for each of fiscal years 2018 through 
2022.’’. 
SEC. 10004. CHILDREN’S RECOVERY FROM TRAUMA. 
The first section 582 of the Public Health Service Act 
(42 U.S.C. 290hh–1; relating to grants to address the prob-
lems of persons who experience violence related stress) is 
amended— 
(1) in subsection (a), by striking ‘‘developing 
programs’’ and all that follows through the period at 
the end and inserting the following: ‘‘developing and 
maintaining programs that provide for— 
‘‘(1) the continued operation of the National 
Child Traumatic Stress Initiative (referred to in this 
section as the ‘NCTSI’), which includes a cooperative 
agreement with a coordinating center, that focuses on 
the mental, behavioral, and biological aspects of psy-
chological trauma response, prevention of the long- 
term consequences of child trauma, and early inter-
609 
vention services and treatment to address the long- 
term consequences of child trauma; and 
‘‘(2) the development of knowledge with regard to 
evidence-based practices for identifying and treating 
mental, behavioral, and biological disorders of chil-
dren and youth resulting from witnessing or experi-
encing a traumatic event.’’; 
(2) in subsection (b)— 
(A) by striking ‘‘subsection (a) related’’ and 
inserting ‘‘subsection (a)(2) (related’’; 
(B) by striking ‘‘treating disorders associ-
ated with psychological trauma’’ and inserting 
‘‘treating mental, behavioral, and biological dis-
orders associated with psychological trauma)’’; 
and 
(C) by striking ‘‘mental health agencies and 
programs that have established clinical and basic 
research’’ and inserting ‘‘universities, hospitals, 
mental health agencies, and other programs that 
have established clinical expertise and research’’; 
(3) by redesignating subsections (c) through (g) 
as subsections (g) through (k), respectively; 
(4) by inserting after subsection (b), the fol-
lowing:
610 
‘‘(c) CHILD OUTCOME DATA.—The NCTSI coordi-
nating center described in subsection (a)(1) shall collect, 
analyze, report, and make publicly available, as appro-
priate, NCTSI-wide child treatment process and outcome 
data regarding the early identification and delivery of evi-
dence-based treatment and services for children and families 
served by the NCTSI grantees. 
‘‘(d) TRAINING.—The NCTSI coordinating center shall 
facilitate the coordination of training initiatives in evi-
dence-based and trauma-informed treatments, interven-
tions, and practices offered to NCTSI grantees, providers, 
and partners. 
‘‘(e) 
DISSEMINATION
AND
COLLABORATION.—The 
NCTSI coordinating center shall, as appropriate, collabo-
rate with— 
‘‘(1) the Secretary, in the dissemination of evi-
dence-based 
and 
trauma-informed 
interventions, 
treatments, products, and other resources to appro-
priate stakeholders; and 
‘‘(2) appropriate agencies that conduct or fund 
research within the Department of Health and 
Human Services, for purposes of sharing NCTSI ex-
pertise, evaluation data, and other activities, as ap-
propriate.
611 
‘‘(f) REVIEW.—The Secretary shall, consistent with the 
peer-review process, ensure that NCTSI applications are re-
viewed by appropriate experts in the field as part of a con-
sensus-review process. The Secretary shall include review 
criteria related to expertise and experience in child trauma 
and evidence-based practices.’’; 
(5) in subsection (g) (as so redesignated), by 
striking ‘‘with respect to centers of excellence are dis-
tributed equitably among the regions of the country’’ 
and inserting ‘‘are distributed equitably among the 
regions of the United States’’; 
(6) in subsection (i) (as so redesignated), by 
striking ‘‘recipient may not exceed 5 years’’ and in-
serting ‘‘recipient shall not be less than 4 years, but 
shall not exceed 5 years’’; and 
(7) in subsection (j) (as so redesignated), by 
striking ‘‘$50,000,000’’ and all that follows through 
‘‘2006’’ and inserting ‘‘$46,887,000 for each of fiscal 
years 2018 through 2022’’. 
SEC. 10005. SCREENING AND TREATMENT FOR MATERNAL 
DEPRESSION. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after section 
317L (42 U.S.C. 247b–13) the following:
612 
‘‘SEC. 317L–1. SCREENING AND TREATMENT FOR MATERNAL 
DEPRESSION. 
‘‘(a) GRANTS.—The Secretary shall make grants to 
States to establish, improve, or maintain programs for 
screening, assessment, and treatment services, including 
culturally and linguistically appropriate services, as appro-
priate, for women who are pregnant, or who have given 
birth within the preceding 12 months, for maternal depres-
sion. 
‘‘(b) APPLICATION.—To seek a grant under this sec-
tion, a State shall submit an application to the Secretary 
at such time, in such manner, and containing such infor-
mation as the Secretary may require. At a minimum, any 
such application shall include explanations of— 
‘‘(1) how a program, or programs, will increase 
the percentage of women screened and treated, as ap-
propriate, for maternal depression in 1 or more com-
munities; and 
‘‘(2) how a program, or programs, if expanded, 
would increase access to screening and treatment serv-
ices for maternal depression. 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary may give priority to States proposing 
to improve or enhance access to screening services for mater-
nal depression in primary care settings.
613 
‘‘(d) USE OF FUNDS.—The activities eligible for fund-
ing through a grant under subsection (a)— 
‘‘(1) shall include— 
‘‘(A) providing appropriate training to 
health care providers; and 
‘‘(B) providing information to health care 
providers, including information on maternal 
depression screening, treatment, and followup 
support services, and linkages to community- 
based resources; and 
‘‘(2) may include— 
‘‘(A) enabling health care providers (includ-
ing obstetrician-gynecologists, pediatricians, psy-
chiatrists, mental health care providers, and 
adult primary care clinicians) to provide or re-
ceive real-time psychiatric consultation (in-per-
son or remotely) to aid in the treatment of preg-
nant and parenting women; 
‘‘(B) establishing linkages with and among 
community-based resources, including mental 
health resources, primary care resources, and 
support groups; and 
‘‘(C) utilizing telehealth services for rural 
areas and medically underserved areas (as de-
fined in section 330I(a)).
614 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$5,000,000 for each of fiscal years 2018 through 2022.’’. 
SEC. 10006. INFANT AND EARLY CHILDHOOD MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
Part Q of title III of the Public Health Service Act 
(42 U.S.C. 280h et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399Z–2. INFANT AND EARLY CHILDHOOD MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
‘‘(a) GRANTS.—The Secretary shall— 
‘‘(1) award grants to eligible entities to develop, 
maintain, or enhance infant and early childhood 
mental health promotion, intervention, and treatment 
programs, including— 
‘‘(A) programs for infants and children at 
significant risk of developing, showing early 
signs of, or having been diagnosed with mental 
illness, including a serious emotional disturb-
ance; and 
‘‘(B) multigenerational therapy and other 
services that support the caregiving relationship; 
and
615 
‘‘(2) ensure that programs funded through grants 
under this section are evidence-informed or evidence- 
based models, practices, and methods that are, as ap-
propriate, culturally and linguistically appropriate, 
and can be replicated in other appropriate settings. 
‘‘(b) ELIGIBLE CHILDREN AND ENTITIES.—In this sec-
tion: 
‘‘(1) ELIGIBLE CHILD.—The term ‘eligible child’ 
means a child from birth to not more than 12 years 
of age who— 
‘‘(A) is at risk for, shows early signs of, or 
has been diagnosed with a mental illness, includ-
ing a serious emotional disturbance; and 
‘‘(B) may benefit from infant and early 
childhood intervention or treatment programs or 
specialized preschool or elementary school pro-
grams that are evidence-based or that have been 
scientifically demonstrated to show promise but 
would benefit from further applied development. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible enti-
ty’ means a human services agency or nonprofit insti-
tution that— 
‘‘(A) employs licensed mental health profes-
sionals who have specialized training and expe-
rience in infant and early childhood mental
616 
health assessment, diagnosis, and treatment, or 
is accredited or approved by the appropriate 
State agency, as applicable, to provide for chil-
dren from infancy to 12 years of age mental 
health promotion, intervention, or treatment 
services; and 
‘‘(B) provides services or programs de-
scribed in subsection (a) that are evidence-based 
or that have been scientifically demonstrated to 
show promise but would benefit from further ap-
plied development. 
‘‘(c) APPLICATION.—An eligible entity seeking a grant 
under subsection (a) shall submit to the Secretary an appli-
cation at such time, in such manner, and containing such 
information as the Secretary may require. 
‘‘(d) USE OF FUNDS FOR EARLY INTERVENTION AND 
TREATMENT
PROGRAMS.—An eligible entity may use 
amounts awarded under a grant under subsection (a)(1) to 
carry out the following: 
‘‘(1) Provide age-appropriate mental health pro-
motion and early intervention services or mental ill-
ness treatment services, which may include specialized 
programs, for eligible children at significant risk of 
developing, showing early signs of, or having been di-
agnosed with a mental illness, including a serious
617 
emotional disturbance. Such services may include so-
cial 
and 
behavioral 
services 
as 
well 
as 
multigenerational therapy and other services that 
support the caregiving relationship. 
‘‘(2) Provide training for health care profes-
sionals with expertise in infant and early childhood 
mental health care with respect to appropriate and 
relevant integration with other disciplines such as 
primary care clinicians, early intervention special-
ists, child welfare staff, home visitors, early care and 
education providers, and others who work with young 
children and families. 
‘‘(3) Provide mental health consultation to per-
sonnel of early care and education programs (includ-
ing licensed or regulated center-based and home-based 
child care, home visiting, preschool special education, 
and early intervention programs) who work with chil-
dren and families. 
‘‘(4) Provide training for mental health clini-
cians in infant and early childhood in promising and 
evidence-based practices and models for infant and 
early childhood mental health treatment and early 
intervention, including with regard to practices for 
identifying and treating mental illness and behav-
ioral disorders of infants and children resulting from
618 
exposure or repeated exposure to adverse childhood ex-
periences or childhood trauma. 
‘‘(5) Provide age-appropriate assessment, diag-
nostic, and intervention services for eligible children, 
including early mental health promotion, interven-
tion, and treatment services. 
‘‘(e) MATCHING FUNDS.—The Secretary may not 
award a grant under this section to an eligible entity unless 
the eligible entity agrees, with respect to the costs to be in-
curred by the eligible entity in carrying out the activities 
described in subsection (d), to make available non-Federal 
contributions (in cash or in kind) toward such costs in an 
amount that is not less than 10 percent of the total amount 
of Federal funds provided in the grant. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
$20,000,000 for the period of fiscal years 2018 through 
2022.’’. 
TITLE XI—COMPASSIONATE 
COMMUNICATION ON HIPAA 
SEC. 11001. SENSE OF CONGRESS. 
(a) FINDINGS.—Congress finds the following: 
(1) According to the National Survey on Drug 
Use and Health, in 2015, there were approximately
619 
9,800,000 adults in the United States with serious 
mental illness. 
(2) The Substance Abuse and Mental Health 
Services Administration defines the term ‘‘serious 
mental illness’’ as an illness affecting individuals 18 
years of age or older as having, at any time in the 
past year, a diagnosable mental, behavioral, or emo-
tional disorder that results in serious functional im-
pairment and substantially interferes with or limits 
one or more major life activities. 
(3) In reporting on the incidence of serious men-
tal illness, the Substance Abuse and Mental Health 
Services Administration includes major depression, 
schizophrenia, bipolar disorder, and other mental dis-
orders that cause serious impairment. 
(4) Adults with a serious mental illness are at 
a higher risk for chronic physical illnesses and pre-
mature death. 
(5) According to the World Health Organization, 
adults with a serious mental illness have lifespans 
that are 10 to 25 years shorter than those without se-
rious mental illness. The vast majority of these deaths 
are due to chronic physical medical conditions, such 
as cardiovascular, respiratory, and infectious dis-
eases, as well as diabetes and hypertension.
620 
(6) According to the World Health Organization, 
the majority of deaths of adults with a serious mental 
illness that are due to physical medical conditions are 
preventable. 
(7) Supported decision making can facilitate 
care decisions in areas where serious mental illness 
may impact the capacity of an individual to deter-
mine a course of treatment while still allowing the in-
dividual to make decisions independently. 
(8) Help should be provided to adults with a se-
rious mental illness to address their acute or chronic 
physical illnesses, make informed choices about treat-
ment, and understand and follow through with appro-
priate treatment. 
(9) There is confusion in the health care commu-
nity regarding permissible practices under the regula-
tions promulgated under the Health Insurance Port-
ability and Accountability Act of 1996 (commonly 
known as ‘‘HIPAA’’). This confusion may hinder ap-
propriate communication of health care information 
or treatment preferences with appropriate caregivers. 
(b) SENSE OF CONGRESS.—It is the sense of Congress 
that clarification is needed regarding the privacy rule pro-
mulgated under section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996 (42 U.S.C.
621 
1320d–2 note) regarding existing permitted uses and disclo-
sures of health information by health care professionals to 
communicate with caregivers of adults with a serious men-
tal illness to facilitate treatment. 
SEC. 11002. CONFIDENTIALITY OF RECORDS. 
Not later than 1 year after the date on which the Sec-
retary of Health and Human Services (in this title referred 
to as the ‘‘Secretary’’) first finalizes regulations updating 
part 2 of title 42, Code of Federal Regulations, relating to 
confidentiality of alcohol and drug abuse patient records, 
after the date of enactment of this Act, the Secretary shall 
convene relevant stakeholders to determine the effect of such 
regulations on patient care, health outcomes, and patient 
privacy. 
SEC. 11003. CLARIFICATION ON PERMITTED USES AND DIS-
CLOSURES OF PROTECTED HEALTH INFOR-
MATION. 
(a) IN GENERAL.—The Secretary, acting through the 
Director of the Office for Civil Rights, shall ensure that 
health care providers, professionals, patients and their fam-
ilies, and others involved in mental or substance use dis-
order treatment have adequate, accessible, and easily com-
prehensible resources relating to appropriate uses and dis-
closures of protected health information under the regula-
tions promulgated under section 264(c) of the Health Insur-
622 
ance Portability and Accountability Act of 1996 (42 U.S.C. 
1320d–2 note). 
(b) GUIDANCE.— 
(1) ISSUANCE.—In carrying out subsection (a), 
not later than 1 year after the date of enactment of 
this section, the Secretary shall issue guidance clari-
fying the circumstances under which, consistent with 
regulations promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996, a health care provider or covered entity may 
use or disclose protected health information. 
(2) CIRCUMSTANCES ADDRESSED.—The guidance 
issued under this section shall address circumstances 
including those that— 
(A) require the consent of the patient; 
(B) require providing the patient with an 
opportunity to object; 
(C) are based on the exercise of professional 
judgment regarding whether the patient would 
object when the opportunity to object cannot 
practicably be provided because of the incapacity 
of the patient or an emergency treatment cir-
cumstance; and 
(D) are determined, based on the exercise of 
professional judgment, to be in the best interest
623 
of the patient when the patient is not present or 
otherwise incapacitated. 
(3) COMMUNICATION
WITH
FAMILY
MEMBERS 
AND CAREGIVERS.—In addressing the circumstances 
described in paragraph (2), the guidance issued under 
this section shall clarify permitted uses or disclosures 
of protected health information for purposes of— 
(A) communicating with a family member 
of the patient, caregiver of the patient, or other 
individual, to the extent that such family mem-
ber, caregiver, or individual is involved in the 
care of the patient; 
(B) in the case that the patient is an adult, 
communicating with a family member of the pa-
tient, caregiver of the patient, or other indi-
vidual involved in the care of the patient; 
(C) in the case that the patient is a minor, 
communicating with the parent or caregiver of 
the patient; 
(D) involving the family members or care-
givers of the patient, or others involved in the 
patient’s care or care plan, including facilitating 
treatment and medication adherence;
624 
(E) listening to the patient, or receiving in-
formation with respect to the patient from the 
family or caregiver of the patient; 
(F) communicating with family members of 
the patient, caregivers of the patient, law en-
forcement, or others when the patient presents a 
serious and imminent threat of harm to self or 
others; and 
(G) communicating to law enforcement and 
family members or caregivers of the patient 
about the admission of the patient to receive care 
at, or the release of a patient from, a facility for 
an emergency psychiatric hold or involuntary 
treatment. 
SEC. 11004. DEVELOPMENT AND DISSEMINATION OF MODEL 
TRAINING PROGRAMS. 
(a) INITIAL PROGRAMS AND MATERIALS.—Not later 
than 1 year after the date of the enactment of this Act, the 
Secretary, in consultation with appropriate experts, shall 
identify the following model programs and materials, or (in 
the case that no such programs or materials exist) recognize 
private or public entities to develop and disseminate each 
of the following: 
(1) Model programs and materials for training 
health care providers (including physicians, emer-
625 
gency medical personnel, psychiatrists, including 
child and adolescent psychiatrists, psychologists, 
counselors, therapists, nurse practitioners, physician 
assistants, behavioral health facilities and clinics, 
care managers, and hospitals, including individuals 
such as general counsels or regulatory compliance 
staff who are responsible for establishing provider pri-
vacy policies) regarding the permitted uses and dis-
closures, consistent with the standards governing the 
privacy and security of individually identifiable 
health information promulgated by the Secretary 
under part C of title XI of the Social Security Act 
(42 U.S.C. 1320d et seq.) and regulations promul-
gated under section 264(c) of the Health Insurance 
Portability and Accountability Act of 1996 (42 
U.S.C. 1320d–2 note) and such part C, of the pro-
tected health information of patients seeking or un-
dergoing mental or substance use disorder treatment. 
(2) A model program and materials for training 
patients and their families regarding their rights to 
protect and obtain information under the standards 
and regulations specified in paragraph (1). 
(b) PERIODIC UPDATES.—The Secretary shall—