SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Pride In Mental 
Health Act of 2023’’. 
SEC. 2. GRANTS FOR MENTAL HEALTH SERVICES FOR 
LGBTQ+ YOUTH. 
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 
adding at the end the following: 
‘‘SEC. 520O. GRANTS FOR MENTAL HEALTH SERVICES FOR 
LGBTQ+ YOUTH. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use (referred to in this section as the ‘Secretary’), shall 
establish a program under which the Secretary will award 
grants to eligible entities to assess and improve lesbian, 
gay, bisexual, transgender, queer or questioning, non-
binary, intersex, and Two Spirit youth mental health and 
substance abuse outcomes. 
‘‘(b) USE OF FUNDS.—An eligible entity receiving a 
grant under this section shall use funds received through 
such grant— 
‘‘(1) to provide mental and behavioral health 
and crisis intervention resources for lesbian, gay, bi-
sexual, transgender, queer or questioning, non-
binary, intersex, and Two Spirit youth, including 
trauma-informed care; 
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‘‘(2) to provide cultural competency training for 
caregivers; 
‘‘(3) to develop and disseminate mental and be-
havioral health and crisis intervention resources for 
lesbian, gay, bisexual, transgender, queer or ques-
tioning, nonbinary, intersex, and Two Spirit youth, 
and their families and caregivers; 
‘‘(4) to develop and disseminate evidence-based 
practices to be added to the Evidence-Based Prac-
tices Resource Center of the Substance Abuse and 
Mental Health Administration; 
‘‘(5) to collect data with respect to the mental 
and behavioral health of lesbian, gay, bisexual, 
transgender, 
queer 
or 
questioning, 
nonbinary, 
intersex, and Two Spirit youth; 
‘‘(6) to issue school bullying prevention guide-
lines 
with 
respect 
to 
lesbian, 
gay, 
bisexual, 
transgender, 
queer 
or 
questioning, 
nonbinary, 
intersex, and Two Spirit youth; 
‘‘(7) to provide for the integration within school 
systems of mental and behavioral health services for 
lesbian, gay, bisexual, transgender, queer or ques-
tioning, nonbinary, intersex, and Two Spirit youth; 
‘‘(8) to establish and implement mental and be-
havioral patient navigator programs for lesbian, gay, 
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bisexual, transgender, queer or questioning, non-
binary, intersex, and Two Spirit youth, and their 
families; and 
‘‘(9) to create and disseminate family accept-
ance and support models for lesbian, gay, bisexual, 
transgender, 
queer 
or 
questioning, 
nonbinary, 
intersex, and Two Spirit youth, and their families 
and caregivers. 
‘‘(c) LIMITATION.— 
‘‘(1) IN GENERAL.—An eligible entity selected 
to receive a grant under this section shall agree, as 
a condition on receiving the grant that such funds 
shall not be used— 
‘‘(A) to provide conversion therapy to any 
individual; 
‘‘(B) to advertise for the provision of con-
version therapy and claim in such advertising— 
‘‘(i) to change another individual’s 
sexual orientation or gender identity; 
‘‘(ii) to eliminate or reduce sexual or 
romantic attractions or feelings toward in-
dividuals of the same gender; or 
‘‘(iii) that such efforts are harmless or 
without risk to individuals receiving such 
therapy; 
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‘‘(C) to knowingly assist or facilitate the 
provision of conversion therapy to an individual 
if such person receives compensation from any 
source in connection with providing conversion 
therapy; or 
‘‘(D) to promote or direct an individual to 
conversion therapy resources or providers. 
‘‘(2) CONVERSION THERAPY DEFINED.—In this 
subsection, the term ‘conversion therapy’— 
‘‘(A) means any practice or treatment by 
any person that seeks to change another indi-
vidual’s sexual orientation or gender identity, 
including efforts to change behaviors or gender 
expressions, or to eliminate or reduce sexual or 
romantic attractions or feelings toward individ-
uals of the same gender, if such person— 
‘‘(i) receives monetary compensation 
in exchange for such practice or treatment; 
or 
‘‘(ii) instead of, or in addition to, re-
ceiving monetary compensation in ex-
change for such practice or treatment di-
rectly, receives monetary compensation in 
exchange for a product or service that is 
integral to the provision of such practice or 
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treatment by such person, unless such 
product or service is protected by the First 
Amendment to the Constitution; and 
‘‘(B) does not include any practice or 
treatment, which does not seek to change sexual 
orientation or gender identity, that— 
‘‘(i) provides assistance to an indi-
vidual undergoing a gender transition; or 
‘‘(ii) provides acceptance, support, 
and understanding of a client or facilita-
tion of a client’s coping, social support, 
and identity exploration and development, 
including sexual orientation-neutral inter-
ventions to prevent or address unlawful 
conduct or unsafe sexual practices. 
‘‘(d) REVIEW OF REPORTS.— 
‘‘(1) IN GENERAL.—Not later than 1 year after 
the date of the enactment of this section, the Sec-
retary shall review, and update as necessary, the re-
ports and publications listed on the internet website 
of the Substance Abuse and Mental Health Adminis-
tration as of the date of the enactment of this sec-
tion that are focused on lesbian, gay, bisexual, 
transgender, 
queer 
or 
questioning, 
nonbinary, 
intersex, and Two Spirit individuals. 
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‘‘(2) PRIORITY.—In reviewing reports and pub-
lications under paragraph (1), the Secretary shall 
prioritize updating older reports and commissioning 
new reports that fill information gaps with respect 
to the mental and behavioral health of lesbian, gay, 
bisexual, transgender, queer or questioning, non-
binary, intersex, and Two Spirit individuals. 
‘‘(e) FEDERAL SURVEY.—The Secretary shall develop 
and conduct a Federal survey measuring serious psycho-
logical distress, mental illness, mental health, and mental 
health care among lesbian, gay, bisexual, transgender, 
queer or questioning, nonbinary, intersex, and Two Spirit 
youth. In developing such survey, the Secretary may con-
sider integrating such survey as an enhanced feature of 
the National Survey on Drug Use and Health. 
‘‘(f) REPORT.— 
‘‘(1) IN GENERAL.—Not later than 180 days 
after the date of the enactment of this section, the 
Secretary shall, in consultation with the Director of 
the National Institute of Mental Health and the As-
sistant Secretary for the Administration for Children 
and Families, commence a report on mental health, 
mental health care, and cultural competency in men-
tal 
health 
care 
for 
lesbian, 
gay, 
bisexual, 
transgender, 
queer 
or 
questioning, 
nonbinary, 
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intersex, and Two Spirit youth in foster care and 
who are beneficiaries of other social services pro-
grams subject to Federal oversight. 
‘‘(2) SUBMISSION
TO
CONGRESS.—Not later 
than 2 years after the date of the enactment of this 
section, the Secretary shall submit the report re-
quired under paragraph (1) to the Committee on 
Energy and Commerce of the House of Representa-
tives and the Committee on Health, Education, 
Labor, and Pensions of the Senate.’’. 
Æ 
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