(i) ELIGIBLE ENTITIES.—As a condi-
tion of receiving a grant under this section, 
an eligible entity shall agree to submit a 
report to the Secretary, on an annual 
basis, describing the activities carried out 
with the grant and assessing the effective-
ness of such activities. 
(ii) 
SECRETARY.—The 
Secretary 
shall, on an annual basis, and using the re-
ports received under clause (i), report to 
Congress on the overall impact and effec-
tiveness of the grant program under this 
section. 
(B) FINAL REPORT.—Not later than Janu-
ary 15, 2024, the Secretary shall submit to 
Congress a final report that includes rec-
ommendations with respect to the feasibility 
and advisability of extending or expanding the 
grant program. 
(6) COLLECTION OF DATA.— 
(A) IN GENERAL.—The Secretary shall col-
lect data on the grant program to determine its 
effectiveness in reducing the social impact of 
mental health crises and the feasibility and ad-
visability of extending the grant program. 
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(B) MANNER OF COLLECTION.—Data de-
scribed in subparagraph (A) shall be collected 
and analyzed using a scientific peer-reviewed 
system and valid and reliable results-based re-
search methodologies. 
(c) FUNDING.— 
(1) GRANT AMOUNT.—A grant under this sec-
tion shall be in an amount that is not more than 
$100,000 for each of fiscal years 2020 through 
2024. Subject to the preceding sentence, the Sec-
retary shall determine the amount of each grant. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $10,000,000 for each of fiscal years 
2020 though 2024. 
SEC. 102. SCHOOL-BASED MENTAL HEALTH PROGRAMS. 
(a) 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. 
(b) SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN AND VIOLENCE.—Section 581 of the Public Health 
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Service Act (42 U.S.C. 290hh) is amended to read as fol-
lows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN AND VIOLENCE. 
‘‘(a) IN GENERAL.—The Secretary, in collaboration 
with the Secretary of Education and in consultation with 
the Attorney General, shall, directly or through grants, 
contracts, or cooperative agreements awarded to public en-
tities and local education agencies, assist local commu-
nities and schools in applying a public health approach 
to mental health services both in schools and in the com-
munity. Such approach should provide comprehensive age- 
appropriate services and supports, be linguistically and 
culturally appropriate, be trauma-informed, and incor-
porate age-appropriate strategies of positive behavioral 
interventions and supports. A comprehensive school men-
tal health program funded under this section shall assist 
children in dealing with trauma and violence. 
‘‘(b) ACTIVITIES.—Under the program under sub-
section (a), the Secretary may— 
‘‘(1) provide financial support to enable local 
communities to implement a comprehensive cul-
turally and linguistically appropriate, trauma-in-
formed, and age-appropriate, school mental health 
program that incorporates positive behavioral inter-
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ventions, client treatment, and supports to foster the 
health and development of children; 
‘‘(2) provide technical assistance to local com-
munities with respect to the development of pro-
grams described in paragraph (1); 
‘‘(3) provide assistance to local communities in 
the development of policies to address child and ado-
lescent trauma and mental health issues and violence 
when and if it occurs; 
‘‘(4) facilitate community partnerships among 
families, students, law enforcement agencies, edu-
cation systems, mental health and substance use dis-
order service systems, family-based mental health 
service systems, welfare agencies, health care service 
systems (including physicians), faith-based pro-
grams, trauma networks, and other community- 
based systems; and 
‘‘(5) establish mechanisms for children and ado-
lescents to report incidents of violence or plans by 
other children, adolescents, or adults to commit vio-
lence. 
‘‘(c) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—To be eligible for a grant, 
contract, or cooperative agreement under subsection 
(a), an entity shall— 
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‘‘(A) be a partnership between a local edu-
cation agency and at least one community pro-
gram or agency that is involved in mental 
health; and 
‘‘(B) submit an application, that is en-
dorsed by all members of the partnership, that 
contains the assurances described in paragraph 
(2). 
‘‘(2) REQUIRED ASSURANCES.—An application 
under paragraph (1) shall contain assurances as fol-
lows: 
‘‘(A) That the applicant will ensure that, 
in carrying out activities under this section, the 
local educational agency involved will enter into 
a memorandum of understanding— 
‘‘(i) with at least one public or private 
mental health entity, health care entity, 
law enforcement or juvenile justice entity, 
child welfare agency, family-based mental 
health entity, family or family organiza-
tion, trauma network, or other community- 
based entity; and 
‘‘(ii) that clearly states— 
‘‘(I) how school-employed mental 
health professionals (such as school 
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psychologists, school counselors, and 
school social workers) will be utilized 
in the comprehensive school mental 
health program; 
‘‘(II) the responsibilities of each 
partner with respect to the activities 
to be carried out; 
‘‘(III) how each such partner will 
be accountable for carrying out such 
responsibilities; and 
‘‘(IV) the amount of non-Federal 
funding or in-kind contributions that 
each such partner will contribute in 
order to sustain the program. 
‘‘(B) That the comprehensive school-based 
mental health program carried out under this 
section supports the flexible use of funds to ad-
dress— 
‘‘(i) the promotion of the social, emo-
tional, mental, and behavioral health and 
wellness of all students in an environment 
that is conducive to learning; 
‘‘(ii) the reduction in the likelihood of 
at-risk students developing social, emo-
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in the school and in the community and to 
follow-up when services are not available; 
‘‘(iii) strategies for promoting the so-
cial, emotional, mental, and behavioral 
health of all students; and 
‘‘(iv) strategies to increase the knowl-
edge and skills of school and community 
leaders about the impact of trauma and vi-
olence and on the application of a public 
health approach to comprehensive school- 
based mental health programs. 
‘‘(D) That the comprehensive school-based 
mental health program carried out under this 
section will include comprehensive training for 
parents, siblings, and other family members of 
children with mental health disorders, and for 
concerned members of the community in— 
‘‘(i) the techniques and supports need-
ed to identify early children with trauma 
histories, and children with, or at risk of, 
mental illness; 
‘‘(ii) the use of referral mechanisms 
that effectively link such children to appro-
priate treatment and intervention services 
in the school and in the community and 
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follow-up when such services are not avail-
able; and 
‘‘(iii) strategies that promote a school- 
wide positive environment. 
‘‘(E) That the comprehensive school-based 
mental health program carried out under this 
section will demonstrate the measures to be 
taken to sustain the program after funding 
under this section terminates. 
‘‘(F) That the local education agency part-
nership involved is supported by the State edu-
cational and mental health system to ensure 
that the sustainability of the programs is estab-
lished after funding under this section termi-
nates. 
‘‘(G) That the comprehensive school-based 
mental health program carried out under this 
section will be based on trauma-informed and 
evidence-based practices. 
‘‘(H) That the comprehensive school-based 
mental health program carried out under this 
section will be coordinated with early inter-
vening activities carried out under the Individ-
uals with Disabilities Education Act. 
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‘‘(I) That the comprehensive school-based 
mental health program carried out under this 
section will be trauma-informed and culturally 
and linguistically appropriate. 
‘‘(J) That the comprehensive school-based 
mental health program carried out under this 
section will include a broad needs assessment of 
youth who drop out of school due to policies of 
‘zero tolerance’ with respect to drugs, alcohol, 
or weapons and an inability to obtain appro-
priate services. 
‘‘(K) That the mental health services pro-
vided through the comprehensive school-based 
mental health program carried out under this 
section will be provided by qualified mental and 
behavioral health professionals who are certified 
or licensed by the State involved and practicing 
within their area of expertise. 
‘‘(3) COORDINATOR.—Any entity that is a 
member of a partnership described in paragraph 
(1)(A) may serve as the coordinator of funding and 
activities under the grant if all members of the part-
nership agree. 
‘‘(4) COMPLIANCE
WITH
HIPAA.—A grantee 
under this section shall be deemed to be a covered 
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entity for purposes of compliance with the regula-
tions promulgated under section 264(c) of the 
Health Insurance Portability and Accountability Act 
of 1996 with respect to any patient records devel-
oped through activities under the grant. 
‘‘(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 6 years. 
An entity may receive only one award under this section, 
except that an entity that is providing services and sup-
ports on a regional basis may receive additional funding 
after the expiration of the preceding grant period. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT
OF
PROCESS.—The Ad-
ministrator shall develop a fiscally appropriate proc-
ess 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.— 
‘‘(A) IN
GENERAL.—The Administrator 
shall develop measures of outcomes to be ap-
plied by recipients of assistance under this sec-
tion, and the Administrator, in evaluating the 
effectiveness of programs carried out under this 
section. Such measures shall include student 
and family measures as provided for in sub-
paragraph (B) and local educational measures 
as provided for under subparagraph (C). 
‘‘(B) STUDENT AND FAMILY MEASURES OF 
OUTCOMES.—The measures of outcomes devel-
oped under paragraph (1)(B) relating to stu-
dents and families shall, with respect to activi-
ties carried out under a program under this 
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section, at a minimum include provisions to 
evaluate whether the program is effective in— 
‘‘(i) improving social, emotional, men-
tal, and behavioral health and wellness; 
‘‘(ii) increasing academic competency 
(as defined by the Secretary); 
‘‘(iii) reducing disruptive and aggres-
sive behaviors; 
‘‘(iv) improving child functioning; 
‘‘(v) reducing substance use disorders; 
‘‘(vi) reducing suspensions, truancy, 
expulsions, and violence; 
‘‘(vii) increasing graduation rates (de-
fined as the percentage of students who 
graduate from secondary school with a reg-
ular diploma in the standard number of 
years); and 
‘‘(viii) improving access to care for 
mental health disorders. 
‘‘(C) LOCAL EDUCATIONAL OUTCOMES.— 
The outcome measures developed under para-
graph (1)(B) relating to local educational sys-
tems shall, with respect to activities carried out 
under a program under this section, at a min-
imum include provisions to evaluate— 
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‘‘(i) the effectiveness of comprehensive 
school mental health programs established 
under this section; 
‘‘(ii) the effectiveness of formal part-
nership linkages among child and family 
serving institutions, community support 
systems, and the educational system; 
‘‘(iii) the progress made in sustaining 
the program once funding under the grant 
has expired; 
‘‘(iv) the effectiveness of training and 
professional development programs for all 
school personnel that incorporate indica-
tors that measure cultural and linguistic 
competencies under the program in a man-
ner that incorporates appropriate cultural 
and linguistic training; 
‘‘(v) the improvement in perception of 
a safe and supportive learning environment 
among school staff, students, and parents; 
‘‘(vi) the improvement in case-finding 
of students in need of more intensive serv-
ices and referral of identified students to 
early intervention and clinical services; 
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‘‘(vii) the improvement in the imme-
diate availability of clinical assessment and 
treatment services within the context of 
the local community to students posing a 
danger to themselves or others; 
‘‘(viii) the increased successful matric-
ulation to postsecondary school; and 
‘‘(ix) reduced referrals to juvenile jus-
tice. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An entity 
that receives a grant, contract, or cooperative agree-
ment under this section shall annually submit to the 
Administrator a report that includes data to evalu-
ate the success of the program carried out by the en-
tity based on whether such program is achieving the 
purposes of the program. Such reports shall utilize 
the measures of outcomes under paragraph (2) in a 
reasonable manner to demonstrate the progress of 
the program in achieving such purposes. 
‘‘(4) EVALUATION BY ADMINISTRATOR.—Based 
on the data submitted under paragraph (3), the Ad-
ministrator shall annually submit to Congress a re-
port concerning the results and effectiveness of the 
programs carried out with assistance received under 
this section. 
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‘‘(5) LIMITATION.—A grantee shall use not to 
exceed 10 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 establish comprehensive information and edu-
cation programs to disseminate the findings of the knowl-
edge development and application under this section to the 
general public and to health care professionals. 
‘‘(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 
$1,000,000 for each of grant years 2020 though 
2024. 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. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section, $200,000,000 for each of fiscal years 
2020 though 2024.’’. 
(c) CONFORMING AMENDMENT.—Part G of title V of 
the Public Health Service Act (42 U.S.C. 290hh et seq.), 
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as amended by this section, is further amended by striking 
the part heading and inserting the following: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
SEC. 103. HIGH UTILIZERS. 
Section 2991 of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10651) is amended— 
(1) by redesignating subsections (m) through 
(o) as subsections (n) through (p), respectively; and 
(2) by inserting after subsection (l) the fol-
lowing: 
‘‘(m) DEMONSTRATION GRANTS RESPONDING
TO 
HIGH UTILIZERS.— 
‘‘(1) DEFINITION.—In this subsection, the term 
‘high utilizer’ means an individual who— 
‘‘(A) manifests obvious signs of mental ill-
ness or has been diagnosed by a qualified men-
tal health professional as having a mental ill-
ness; and 
‘‘(B) consumes a significantly dispropor-
tionate quantity of public resources, such as 
emergency, housing, judicial, corrections, and 
law enforcement services. 
‘‘(2) DEMONSTRATION GRANTS RESPONDING TO 
HIGH UTILIZERS.— 
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‘‘(A) IN GENERAL.—The Attorney General 
may award not more than 6 grants per year 
under this subsection to applicants for the pur-
pose of reducing the use of public services by 
high utilizers. 
‘‘(B) USE OF GRANTS.—A recipient of a 
grant awarded under this subsection may use 
the grant— 
‘‘(i) to develop or support multidisci-
plinary teams that coordinate, implement, 
and administer community-based crisis re-
sponses and long-term plans for high uti-
lizers; 
‘‘(ii) to provide training on how to re-
spond appropriately to the unique issues 
involving high utilizers for public service 
personnel, including criminal justice, men-
tal health, substance abuse, emergency 
room, healthcare, law enforcement, correc-
tions, and housing personnel; 
‘‘(iii) to develop or support alter-
natives to hospital and jail admissions for 
high utilizers that provide treatment, sta-
bilization, and other appropriate supports 
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in the least restrictive, yet appropriate, en-
vironment; or 
‘‘(iv) to develop protocols and systems 
among law enforcement, mental health, 
substance abuse, housing, corrections, and 
emergency medical service operations to 
provide coordinated assistance to high uti-
lizers. 
‘‘(C) REPORT.—Not later than the last 
day of the first year following the fiscal year in 
which a grant is awarded under this subsection, 
the recipient of the grant shall submit to the 
Attorney General a report that— 
‘‘(i) measures the performance of the 
grant recipient in reducing the use of pub-
lic services by high utilizers; and 
‘‘(ii) provides a model set of practices, 
systems, or procedures that other jurisdic-
tions can adopt to reduce the use of public 
services by high utilizers.’’. 
TITLE II—IMPROVING 
RESEARCH ON VIOLENCE 
SEC. 201. RESEARCH WITH RESPECT TO VIOLENCE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Director of the 
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National Institutes of Health, shall expand and intensify 
research on self-directed and other-directed violence asso-
ciated with mental illness and substance abuse disorders. 
(b) LIMITATIONS
ON AUTHORIZATION
OF APPRO-
PRIATIONS.—To carry out subsection (a), there are au-
thorized to be appropriated $100,000,000 without fiscal 
year limitation, which is authorized to remain available 
until expended. 
TITLE 
III—UNDERSTANDING 
THE EPIDEMIC OF GUN VIO-
LENCE 
SEC. 301. NATIONAL VIOLENT DEATH REPORTING SYSTEM. 
The Secretary of Health and Human Services, acting 
through the Director of the Centers for Disease Control 
and Prevention, shall improve the National Violent Death 
Reporting System, as authorized by title III of the Public 
Health Service Act (42 U.S.C. 241 et seq.), particularly 
through the expansion of the application of such system 
to include the 50 States. Participation in the system by 
the States shall be voluntary. 
SEC. 302. REAFFIRMING CENTERS FOR DISEASE CONTROL 
AND PREVENTION’S AUTHORITY. 
(a) IN GENERAL.—Section 391 of the Public Health 
Service Act (42 U.S.C. 280b) is amended— 
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(1) in subsection (a)(1), by striking ‘‘research 
relating to the causes, mechanisms, prevention, diag-
nosis, treatment of injuries, and rehabilitation from 
injuries;’’ and inserting ‘‘research, including data 
collection, relating to— 
‘‘(A) the causes, mechanisms, prevention, diag-
nosis, and treatment of injuries, including with re-
spect to gun violence; and 
‘‘(B) rehabilitation from such injuries;’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(c) NO ADVOCACY OR PROMOTION OF GUN CON-
TROL.—Nothing in this section shall be construed to— 
‘‘(1) authorize the Secretary to give assistance, 
make grants, or enter into cooperative agreements or 
contracts for the purpose of advocating or promoting 
gun control; or 
‘‘(2) permit a recipient of any assistance, grant, 
cooperative agreement, or contract under this section 
to use such assistance, grant, agreement, or contract 
for the purpose of advocating or promoting gun con-
trol.’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
394A of the Public Health Service Act (42 U.S.C. 280b– 
3) is amended by striking ‘‘authorized to be appropriated’’ 
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and all that follows through the end and inserting the fol-
lowing: ‘‘authorized to be appropriated such sums as may 
be necessary for each of fiscal years 2020 though 2024.’’. 
SEC. 303. PROTECTING CONFIDENTIAL DOCTOR-PATIENT 
RELATIONSHIP. 
Section 2717(c) of the Public Health Service Act (42 
U.S.C. 300gg–17(c)) is amended by adding at the end the 
following new paragraph: 
‘‘(6) 
RULE
OF
CONSTRUCTION.—Notwith-
standing the previous provisions of this subsection, 
none of the authorities provided to the Secretary 
under this subsection, Public Law 111–148, or an 
amendment made by such Public Law shall be con-
strued to prohibit a physician or other health care 
provider from— 
‘‘(A) asking a patient about the ownership, 
possession, use, or storage of a firearm or am-
munition in the home of such patient; 
‘‘(B) speaking to a patient about gun safe-
ty; or 
‘‘(C) reporting to the authorities a pa-
tient’s threat of violence.’’. 
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TITLE IV—ENSURING SAFE 
COMMUNITIES 
SEC. 401. BAN ON FIREARM POSSESSION BY PERSON COM-
MITTED INVOLUNTARILY TO MENTAL INSTI-
TUTION ON AN OUTPATIENT BASIS. 
Subsections (d)(4) and (g)(4) of section 922 of title 
18, United States Code, are each amended by inserting 
‘‘on an involuntary inpatient or involuntary outpatient 
basis’’ before the semicolon. 
SEC. 402. GRANT PROGRAM REGARDING FIREARMS. 
Section 506(b) of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10157(b)) is amend-
ed— 
(1) by striking ‘‘1 or more States or units of 
local government, for 1 or more of the purposes 
specified in section 501, pursuant to his determina-
tion that the same is necessary’’; 
(2) by inserting before paragraph (1) the fol-
lowing: 
‘‘(1) one or more States or units of local gov-
ernment, for one or more of the purposes specified 
in section 501, pursuant to his determination that 
the same is necessary—’’; 
(3) by redesignating the second paragraph (1) 
as subparagraph (A); 
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(4) in paragraph (2)— 
(A) by striking the period at the end and 
inserting ‘‘; or’’; and 
(B) by redesignating paragraph (2) as sub-
paragraph (B); and 
(5) by adding at the end the following: 
‘‘(2) one or more States, if that State has dem-
onstrated, in the determination of the Attorney Gen-
eral, that the State has adopted policies, procedures, 
protocols, laws or regulations pertaining to the pos-
session or transfer of firearms or ammunition that— 
‘‘(A)(i) give State and local law enforce-
ment the authority, to the extent allowable 
under Federal laws and the United States Con-
stitution, to seize firearms or ammunition from 
an individual pursuant to a warrant, where 
there is probable cause to believe that the indi-
vidual in possession of such firearms or ammu-
nition poses an elevated risk of harm to himself 
or herself or to another individual, which may 
be determined by considering whether the indi-
vidual has caused harm to himself or herself or 
another individual, has detailed plans to cause 
harm to himself or herself or another indi-
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vidual, has a history of substance abuse, or 
lacks impulse control; and 
‘‘(ii) provide that not later than 14 days 
after such a seizure, an individual from whom 
a firearm or ammunition was so seized shall be 
given an opportunity to contest such seizure in 
court, and any firearm or ammunition so seized 
shall be returned to the individual, unless a 
State or local law enforcement officer dem-
onstrates in court by a preponderance of the 
evidence that the individual from whom a fire-
arm or ammunition was seized poses an ele-
vated risk of harm to himself or herself or to 
another individual; or 
‘‘(B) temporarily prohibit an individual 
who has been involuntarily hospitalized for a 
period of not less than 48 hours for mental ill-
ness on an emergency basis, from possessing a 
firearm or ammunition;’’. 
SEC. 403. NOTIFICATION OF STATE AND LOCAL LAW EN-
FORCEMENT AUTHORITIES OF ATTEMPT TO 
PURCHASE FIREARM BY INELIGIBLE PER-
SON. 
(a) IN GENERAL.—The Attorney General shall estab-
lish a system for the prompt notification of the relevant 
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State and local enforcement agencies when the National 
Instant Criminal Background Check System established 
under section 103 of the Brady Handgun Violence Preven-
tion Act notifies a licensed dealer that the information 
available to the system indicates that the possession of a 
firearm by an individual attempting to obtain a firearm 
from the licensed dealer would violate subsection (g) or 
(n) of section 922 of title 18, United States Code, or State 
law, except when it is determined, on a case-by-case basis, 
that law enforcement purposes would best be served by 
not providing such a notice. 
(b) DEFINITIONS.—In this section, the terms ‘‘fire-
arm’’ and ‘‘licensed dealer’’ shall have the meanings given 
such terms in section 921(a) of title 18, United States 
Code. 
TITLE V—RESTORATION 
SEC. 501. FEDERAL AGENCY RELIEF PROGRAM. 
Section 101(c) of the NICS Improvement Amend-
ments Act of 2007 (34 U.S.C. 40911) is amended— 
(1) in paragraph (2)(A)(i), by inserting after 
‘‘imposed by such subsections’’ the following: ‘‘if 
such person is a person described in subparagraph 
(C) and submits the opinion (and records and infor-
mation supporting the opinion) of a psychiatrist, a 
clinical psychologist, or a licensed or qualified men-
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tal health professional who can provide adequate in-
formation who has personally evaluated the person’’; 
and 
(2) by adding at the end of paragraph (2) the 
following: 
‘‘(C) PERSON
DESCRIBED.—A person is 
described in this subparagraph if, beginning not 
earlier than 1 year after the person is subject 
to the disabilities imposed by subsection (d)(4) 
or (g)(4) of section 922 of title 18, United 
States Code, and after affording the Federal 
department or agency the opportunity to re-
quest an additional evaluation, by a psychia-
trist, a clinical psychologist, or a licensed or 
qualified mental health professional who can 
provide adequate information appointed by the 
department or agency, the department or agen-
cy determines by a preponderance of the evi-
dence received that— 
‘‘(i) the person no longer manifests 
the symptoms of mental disorder that re-
sulted in that person’s adjudication as in-
eligible due to disqualifying mental status 
or involuntary commitment or that other-
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wise significantly elevate the risk of harm 
to self or others; 
‘‘(ii) the person has adhered consist-
ently to any prescribed treatment for a 
substantial period of time preceding the 
date of the application and has expressed 
a willingness to continue treatment under 
an appropriate mental health professional; 
‘‘(iii) if ongoing treatment is required, 
that adherence to that treatment is likely 
to minimize the risk that the person will 
revert to a mental state that would present 
a danger to self or others; and 
‘‘(iv) the granting of the relief would 
not be contrary to the public interest.’’. 
SEC. 502. STATE RELIEF PROGRAMS. 
(a) IN GENERAL.—Section 105 of the NICS Im-
provement Amendments Act of 2007 (34 U.S.C. 40915) 
is amended— 
(1) in subsection (a)(2), by striking ‘‘if the cir-
cumstances’’ and all that follows through ‘‘public in-
terest’’ and inserting ‘‘beginning not earlier than 1 
year after the person is first adjudicated as de-
scribed in subsection (g)(4) of section 922 of title 
18, United States Code, if the person submits the 
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opinion (and records and information supporting the 
opinion) of a psychiatrist, a clinical psychologist, or 
a licensed or qualified mental health professional 
who can provide adequate information who has per-
sonally evaluated the person, and after affording the 
State the opportunity to request an additional eval-
uation, by a psychiatrist, clinical psychologist, or 
other licensed or qualified mental health professional 
who can provide adequate information appointed by 
the court, board, commission, or other lawful author-
ity, only if the court, board, commission, or other 
lawful authority determines by a preponderance of 
the evidence received that the person is a person de-
scribed in subsection (c)’’; and 
(2) by adding at the end the following: 
‘‘(c) ELIGIBLE PERSON DESCRIBED.—A person de-
scribed in this subsection is any person who submits with 
the application for relief under subsection (a)(1), the opin-
ion (and records and information supporting the opinion) 
of a psychiatrist, a clinical psychologist, or a licensed or 
qualified mental health professional who can provide ade-
quate information who has personally evaluated the peti-
tioner and which attests that— 
‘‘(1) the person no longer manifests the symp-
toms of disqualifying mental status that resulted in 
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that person’s adjudication as ineligible due to dis-
qualifying mental status or involuntary commitment; 
‘‘(2) the person appears to have adhered con-
sistently to any prescribed treatment for a substan-
tial period of time preceding the date of the applica-
tion and has expressed a willingness to continue 
treatment under an appropriate mental health pro-
fessional; 
‘‘(3) if ongoing treatment is required, that ad-
herence to that treatment is likely to minimize the 
risk that the person will revert to a mental state 
that would present a danger to self or others; and 
‘‘(4) the granting of the relief would not be con-
trary to the public interest. 
‘‘(d) DEFINITIONS.—The Attorney General may, by 
rule, define terms used in this section to ensure conformity 
with Federal programs providing relief from disabilities 
imposed under subsections (d) and (g) of section 922 of 
title 18, United States Code.’’. 
(b) TRANSITION RULE.—The amendment made by 
subsection (a) shall apply only beginning on the date that 
is 5 years after the date of enactment of this Act, in the 
case of any State that has a program described in section 
105 of the NICS Improvement Amendments Act of 2007 
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