117 
SEC. 244. STATE PLAN REQUIREMENTS. 
Section 1932(b)(1)(A) of the Public Health Service Act 
(42 U.S.C. 300x–32(b)(1)(A)) is amended— 
(1) by redesignating clauses (vi) through (ix) as 
clauses (vii) through (x), respectively; and 
(2) by inserting after clause (v) the following: 
‘‘(vi) provides a description of— 
‘‘(I) the State’s comprehensive 
statewide recovery support services ac-
tivities, including the number of indi-
viduals being served, target popu-
lations, and priority needs; and 
‘‘(II) the amount of funds received 
under this subpart expended on recov-
ery support services, disaggregated by 
the amount expended for type of service 
activity;’’. 
SEC. 245. UPDATING CERTAIN LANGUAGE RELATING TO 
TRIBES. 
Section 1933(d) of the Public Health Service Act (42 
U.S.C. 300x–33(d)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A)— 
(i) by striking ‘‘of an Indian tribe or 
tribal organization’’ and inserting ‘‘of an 
Indian Tribe or Tribal organization’’; and 
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(ii) by striking ‘‘such tribe’’ and in-
serting ‘‘such Tribe’’; 
(B) in subparagraph (B)— 
(i) by striking ‘‘tribe or tribal organi-
zation’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(ii) by striking ‘‘Secretary under this’’ 
and inserting ‘‘Secretary under this sub-
part’’; and 
(C) in the matter following subparagraph 
(B), by striking ‘‘tribe or tribal organization’’ 
and inserting ‘‘Tribe or Tribal organization’’; 
(2) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) INDIAN TRIBE OR TRIBAL ORGANIZATION AS 
GRANTEE.—The amount reserved by the Secretary on 
the basis of a determination under this subsection 
shall be granted to the Indian Tribe or Tribal organi-
zation serving the individuals for whom such a deter-
mination has been made.’’; 
(3) in paragraph (3), by striking ‘‘tribe or tribal 
organization’’ and inserting ‘‘Tribe or Tribal organi-
zation’’; and 
(4) in paragraph (4)— 
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(A) in the paragraph heading, by striking 
‘‘DEFINITION’’ and inserting ‘‘DEFINITIONS’’; 
and 
(B) by striking ‘‘The terms’’ and all that 
follows through ‘‘given such terms’’ and inserting 
the following: ‘‘The terms ‘Indian Tribe’ and 
‘Tribal organization’ have the meanings given 
the terms ‘Indian tribe’ and ‘tribal organiza-
tion’ ’’. 
SEC. 246. BLOCK GRANTS FOR SUBSTANCE USE PREVEN-
TION, TREATMENT, AND RECOVERY SERV-
ICES. 
(a) IN GENERAL.—Section 1935(a) of the Public 
Health Service Act (42 U.S.C. 300x–35(a)), as amended by 
section 241, is further amended by striking ‘‘appropriated’’ 
and all that follows through ‘‘2022..’’ and inserting the fol-
lowing: ‘‘appropriated $1,908,079,000 for each of fiscal 
years 2023 through 2027.’’. 
(b) TECHNICAL CORRECTIONS.—Section 1935(b)(1)(B) 
of the Public Health Service Act (42 U.S.C. 300x– 
35(b)(1)(B)) is amended by striking ‘‘the collection of data 
in this paragraph is’’. 
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SEC. 247. REQUIREMENT OF REPORTS AND AUDITS BY 
STATES. 
Section 1942(a) of the Public Health Service Act (42 
U.S.C. 300x–52(a)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(3) the amount provided to each recipient in 
the previous fiscal year.’’. 
SEC. 248. STUDY ON ASSESSMENT FOR USE IN DISTRIBU-
TION OF LIMITED STATE RESOURCES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Secretary for 
Mental Health and Substance Use (in this section referred 
to as the ‘‘Secretary’’), shall, in consultation with States 
and other local entities providing prevention, treatment, or 
recovery support services related to substance use, conduct 
a study to develop a model needs assessment process for 
States to consider to help determine how best to allocate 
block grant funding received under subpart II of part B 
of title XIX of the Public Health Service Act (42 U.S.C. 
300x–21) to provide services to substance use disorder pre-
vention, treatment, and recovery support. The study shall 
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include cost estimates with each model needs assessment 
process. 
(b) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary shall submit to 
the Committee on Energy and Commerce of the House of 
Representatives and the Committee on Health, Education, 
Labor, and Pensions of the Senate a report on the results 
of the study conducted under paragraph (1). 
Subtitle E—Timely Treatment for 
Opioid Use Disorder 
SEC. 251. STUDY ON EXEMPTIONS FOR TREATMENT OF 
OPIOID USE DISORDER THROUGH OPIOID 
TREATMENT PROGRAMS DURING THE COVID– 
19 PUBLIC HEALTH EMERGENCY. 
(a) STUDY.—The Assistant Secretary for Mental 
Health and Substance Use shall conduct a study, in con-
sultation with patients and other stakeholders, on activities 
carried out pursuant to exemptions granted— 
(1) to a State (including the District of Colum-
bia or any territory of the United States) or an 
opioid treatment program; 
(2) pursuant to section 8.11(h) of title 42, Code 
of Federal Regulations; and 
(3) during the period— 
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(A) beginning on the declaration of the pub-
lic health emergency for the COVID–19 pan-
demic under section 319 of the Public Health 
Service Act (42 U.S.C. 247d); and 
(B) ending on the earlier of— 
(i) the termination of such public 
health 
emergency, 
including 
extensions 
thereof pursuant to such section 319; and 
(ii) the end of calendar year 2022. 
(b) PRIVACY.—The section does not authorize the dis-
closure by the Department of Health and Human Services 
of individually identifiable information about patients. 
(c) FEEDBACK.—In conducting the study under sub-
section (a), the Assistant Secretary for Mental Health and 
Substance Use shall gather feedback from the States and 
opioid treatment programs on their experiences in imple-
menting exemptions described in subsection (a). 
(d) REPORT.—Not later than 180 days after the end 
of the period described in subsection (a)(3)(B), and subject 
to subsection (c), the Assistant Secretary for Mental Health 
and Substance Use shall publish a report on the results of 
the study under this section. 
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SEC. 252. CHANGES TO FEDERAL OPIOID TREATMENT 
STANDARDS. 
(a) MOBILE MEDICATION UNITS.—Section 302(e) of 
the Controlled Substances Act (21 U.S.C. 822(e)) is amend-
ed by adding at the end the following: 
‘‘(3) Notwithstanding paragraph (1), a registrant that 
is dispensing pursuant to section 303(g) narcotic drugs to 
individuals for maintenance treatment or detoxification 
treatment shall not be required to have a separate registra-
tion to incorporate one or more mobile medication units 
into the registrant’s practice to dispense such narcotics at 
locations other than the registrant’s principal place of busi-
ness or professional practice described in paragraph (1), so 
long as the registrant meets such standards for operation 
of a mobile medication unit as the Attorney General may 
establish.’’. 
(b) REVISE OPIOID TREATMENT PROGRAM ADMISSION 
CRITERIA TO ELIMINATE REQUIREMENT THAT PATIENTS 
HAVE AN OPIOID USE DISORDER FOR AT LEAST 1 YEAR.— 
Not later than 18 months after the date of enactment of 
this Act, the Secretary of Health and Human Services shall 
revise section 8.12(e)(1) of title 42, Code of Federal Regula-
tions (or successor regulations), to eliminate the require-
ment that an opioid treatment program only admit an in-
dividual for treatment under the program if the individual 
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has been addicted to opioids for at least 1 year before being 
so admitted for treatment. 
(c) FINAL REGULATION ON PERIODS FOR TAKE-HOME 
SUPPLY REQUIREMENTS.— 
(1) IN
GENERAL.—Not later than 18 months 
after the date of enactment of this Act, the Secretary 
of Health and Human Services shall promulgate a 
final 
regulation 
amending 
paragraphs 
(i)(3)(i) 
through (i)(3)(vi) of section 8.12 of title 42, Code of 
Federal Regulations, as appropriate based on the 
findings of the study under section 251 of this Act. 
(2) CRITERIA.—The regulation under paragraph 
(1) shall establish relevant criteria for the medical di-
rector or an appropriately licensed practitioner of an 
opioid treatment program, to determine whether a pa-
tient is stable and may qualify for unsupervised use, 
which criteria may allow for consideration of each of 
the following: 
(A) Whether the benefits of providing unsu-
pervised doses to a patient outweigh the risks. 
(B) The patient’s demonstrated adherence to 
their treatment plan. 
(C) The patient’s history of negative toxi-
cology tests. 
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(D) Whether there is an absence of serious 
behavioral problems. 
(E) The patient’s stability in living ar-
rangements and social relationships. 
(F) Whether there is an absence of substance 
misuse-related behaviors. 
(G) Whether there is an absence of recent 
diversion activity. 
(H) Whether there is an assurance that the 
medication can be safely stored by the patient. 
(I) Any other criterion the Secretary of 
Health and Human Services determines appro-
priate. 
(3) PROHIBITED
SOLE
CONSIDERATION.—The 
regulation under paragraph (1) shall prohibit the 
medical director of an opioid treatment program from 
considering, as the sole consideration in determining 
whether a patient is sufficiently responsible in han-
dling opioid drugs for unsupervised use, whether the 
patient has an absence of recent misuse of drugs 
(whether narcotic or nonnarcotic), including alcohol. 
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Subtitle F—Additional Provisions 
Relating to Addiction Treatment 
SEC. 261. PROHIBITION. 
Notwithstanding any provision of this Act and the 
amendments made by this Act, no funds made available to 
carry out this Act or any amendment made by this Act 
shall be used to purchase, procure, or distribute pipes or 
cylindrical objects intended to be used to smoke or inhale 
illegal scheduled substances. 
SEC. 262. ELIMINATING ADDITIONAL REQUIREMENTS FOR 
DISPENSING NARCOTIC DRUGS IN SCHEDULE 
III, IV, AND V FOR MAINTENANCE OR DETOXI-
FICATION TREATMENT. 
(a) IN GENERAL.—Section 303(g) of the Controlled 
Substances Act (21 U.S.C. 823(g)) is amended— 
(1) by striking paragraph (2); 
(2) by striking ‘‘(g)(1) Except as provided in 
paragraph (2), practitioners who dispense narcotic 
drugs to individuals for maintenance treatment or de-
toxification treatment’’ and inserting ‘‘(g) Practi-
tioners who dispense narcotic drugs (other than nar-
cotic drugs in schedule III, IV, or V) to individuals 
for maintenance treatment or detoxification treat-
ment’’; 
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(3) by redesignating subparagraphs (A), (B), 
and (C) as paragraphs (1), (2), and (3), respectively; 
and 
(4) in paragraph (2), as so redesignated— 
(A) by striking ‘‘(i) security of stocks’’ and 
inserting ‘‘(A) security of stocks’’; and 
(B) by striking ‘‘(ii) the maintenance of 
records’’ and inserting ‘‘(B) the maintenance of 
records’’. 
(b) CONFORMING CHANGES.— 
(1) Subsections (a) and (d)(1) of section 304 of 
the Controlled Substances Act (21 U.S.C. 824) are 
each amended by striking ‘‘303(g)(1)’’ each place it 
appears and inserting ‘‘303(g)’’. 
(2) Section 309A(a)(2) of the Controlled Sub-
stances Act (21 U.S.C. 829a) is amended— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘the controlled substance is to be 
administered for the purpose of maintenance or 
detoxification treatment under section 303(g)(2)’’ 
and inserting ‘‘the controlled substance is a nar-
cotic drug in schedule III, IV, or V to be admin-
istered for the purpose of maintenance or detoxi-
fication treatment’’; and 
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(B) by striking ‘‘and—’’ and all that fol-
lows through ‘‘is to be administered by injection 
or implantation;’’ and inserting ‘‘and is to be 
administered by injection or implantation;’’. 
(3) Section 520E–4(c) of the Public Health Serv-
ice Act (42 U.S.C. 290bb–36d(c)) is amended by strik-
ing ‘‘information on any qualified practitioner that 
is certified to prescribe medication for opioid depend-
ency under section 303(g)(2)(B) of the Controlled 
Substances Act’’ and inserting ‘‘information on any 
practitioner who prescribes narcotic drugs in schedule 
III, IV, or V of section 202 of the Controlled Sub-
stances Act for the purpose of maintenance or detoxi-
fication treatment’’. 
(4) Section 544(a)(3) of the Public Health Serv-
ice Act (42 U.S.C. 290dd–3), as added by section 
219(a)(2), is amended by striking ‘‘any practitioner 
dispensing narcotic drugs pursuant to section 303(g) 
of the Controlled Substances Act’’ and inserting ‘‘any 
practitioner dispensing narcotic drugs for the purpose 
of maintenance or detoxification treatment’’. 
(5) Section 1833(bb)(3)(B) of the Social Security 
Act (42 U.S.C. 1395l(bb)(3)(B)) is amended by strik-
ing ‘‘first receives a waiver under section 303(g) of 
the Controlled Substances Act on or after January 1, 
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‘‘(III) any organization accredited 
by the American Osteopathic Associa-
tion to provide continuing medical 
education; or 
‘‘(IV) any organization approved 
by the Assistant Secretary for Mental 
Health and Substance Abuse or the 
ACCME. 
‘‘(v) The physician graduated in good 
standing from an accredited school of 
allopathic medicine or osteopathic medicine 
in the United States during the 5-year pe-
riod immediately preceding the date on 
which the physician first registers or renews 
under this section and has successfully com-
pleted a comprehensive allopathic or osteo-
pathic medicine curriculum or accredited 
medical residency that included not less 
than 8 hours of training on treating and 
managing patients with opioid and other 
substance use disorders, including the ap-
propriate clinical use of all drugs approved 
by the Food and Drug Administration for 
the treatment of a substance use disorder. 
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‘‘(B) If the practitioner is not a physician, 
the practitioner meets one or more of the fol-
lowing conditions: 
‘‘(i) The practitioner has completed not 
fewer than 8 hours of training with respect 
to the treatment and management of pa-
tients with opioid or other substance use 
disorders (through classroom situations, 
seminars at professional society meetings, 
electronic communications, or otherwise) 
provided by the American Society of Addic-
tion Medicine, the American Academy of 
Addiction Psychiatry, the American Med-
ical Association, the American Osteopathic 
Association, 
the 
American 
Nurses 
Credentialing Center, the American Psy-
chiatric Association, the American Associa-
tion of Nurse Practitioners, the American 
Academy of Physician Associates, or any 
other organization approved or accredited 
by the Assistant Secretary for Mental 
Health and Substance Abuse or the or the 
Accreditation Council for Continuing Med-
ical Education. 
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‘‘(ii) The practitioner has graduated in 
good standing from an accredited physician 
assistant school or accredited school of ad-
vanced practice nursing in the United 
States during the 5-year period imme-
diately preceding the date on which the 
practitioner first registers or renews under 
this section and has successfully completed a 
comprehensive physician assistant or ad-
vanced practice nursing curriculum that in-
cluded not fewer than 8 hours of training 
on treating and managing patients with 
opioid and other substance use disorders, 
including the appropriate clinical use of all 
drugs approved by the Food and Drug Ad-
ministration for the treatment of a sub-
stance use disorder. 
‘‘(2) ONE-TIME TRAINING.—The Attorney Gen-
eral shall not require any qualified practitioner to 
complete the training described in clause (iv) or (v) 
of paragraph (1)(A) or clause (i) or (ii) of paragraph 
(1)(B) more than once. 
‘‘(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection shall be construed to preclude the use, by 
a qualified practitioner, of training received pursuant 
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to this subsection to satisfy registration requirements 
of a State or for some other lawful purpose. 
‘‘(4) DEFINITIONS.—In this section: 
‘‘(A) FIRST APPLICABLE REGISTRATION.— 
The term ‘first applicable registration’ means the 
first registration or renewal of registration by a 
qualified practitioner under this section that oc-
curs on or after the date that is 180 days after 
the date of enactment of the Restoring Hope for 
Mental Health and Well-Being Act of 2022. 
‘‘(B) QUALIFIED
PRACTITIONER.—In this 
subsection, the term ‘qualified practitioner’ 
means a practitioner who— 
‘‘(i) is licensed under State law to pre-
scribe controlled substances; and 
‘‘(ii) is not solely a veterinarian.’’. 
TITLE III—ACCESS TO MENTAL 
HEALTH CARE AND COVERAGE 
Subtitle A—Collaborate in an 
Orderly and Cohesive Manner 
SEC. 301. INCREASING UPTAKE OF THE COLLABORATIVE 
CARE MODEL. 
Section 520K of the Public Health Service Act (42 
U.S.C. 290bb–42) is amended to read as follows: 
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‘‘SEC. 520K. INTEGRATION INCENTIVE GRANTS AND COOP-
ERATIVE AGREEMENTS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) COLLABORATIVE CARE MODEL.—The term 
‘collaborative care model’ means the evidence-based, 
integrated behavioral health service delivery method 
that includes— 
‘‘(A) care directed by the primary care 
team; 
‘‘(B) structured care management; 
‘‘(C) regular assessments of clinical status 
using developmentally appropriate, validated 
tools; and 
‘‘(D) modification of treatment as appro-
priate. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible enti-
ty’ means a State, or an appropriate State agency, 
in collaboration with— 
‘‘(A) 1 or more qualified community pro-
grams as described in section 1913(b)(1); 
‘‘(B) 1 or more health centers (as defined in 
section 330(a)), a rural health clinic (as defined 
in section 1961(aa) of the Social Security Act), 
or a Federally qualified health center (as defined 
in such section); or 
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‘‘(C) 1 or more primary health care prac-
tices. 
‘‘(3) INTEGRATED CARE; BIDIRECTIONAL INTE-
GRATED CARE.— 
‘‘(A) The term ‘integrated care’ means mod-
els or practices for coordinating and jointly de-
livering behavioral and physical health services, 
which may include practices that share the same 
space in the same facility. 
‘‘(B) The term ‘bidirectional integrated 
care’ means the integration of behavioral health 
care and specialty physical health care, as well 
as the integration of primary and physical 
health care with specialty behavioral health set-
tings, including within primary health care set-
tings. 
‘‘(4) PRIMARY
HEALTH
CARE
PROVIDER.—The 
term ‘primary health care provider’ means a provider 
who— 
‘‘(A) provides health services related to fam-
ily medicine, internal medicine, pediatrics, ob-
stetrics, gynecology, or geriatrics; or 
‘‘(B) is a doctor of medicine or osteopathy, 
physician assistant, or nurse practitioner, who is 
licensed to practice medicine by the State in 
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which such physician, assistant, or practitioner 
primarily practices, including within primary 
health care settings. 
‘‘(5) PRIMARY
HEALTH
CARE
PRACTICE.—The 
term ‘primary health care practice’ means a medical 
practice of primary health care providers, including 
a practice within a larger health care system. 
‘‘(6) SPECIAL POPULATION.—The term ‘special 
population’, for an eligible entity that is collaborating 
with an entity described in subparagraph (A) or (B) 
of paragraph (3), means— 
‘‘(A) adults with a serious mental illness 
who have a co-occurring physical health condi-
tion or chronic disease; 
‘‘(B) children and adolescents with a men-
tal illness who have a co-occurring physical 
health condition or chronic disease; 
‘‘(C) individuals with a substance use dis-
order; or 
‘‘(D) individuals with a mental illness who 
have a co-occurring substance use disorder. 
‘‘(b) GRANTS AND COOPERATIVE AGREEMENTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants and cooperative agreements to eligible entities 
to support the improvement of integrated care for 
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physical and behavioral health care in accordance 
with paragraph (2). 
‘‘(2) USE OF FUNDS.—A grant or cooperative 
agreement awarded under this section shall be used— 
‘‘(A) in the case of an eligible entity that is 
collaborating with an entity described in sub-
paragraph (A) or (B) of subsection (a)(2)— 
‘‘(i) to promote full integration and 
collaboration in clinical practices between 
physical and behavioral health care for spe-
cial populations including each population 
listed in subsection (a)(7); 
‘‘(ii) to support the improvement of in-
tegrated care models for physical and behav-
ioral health care to improve the overall 
wellness and physical health status of— 
‘‘(I) adults with a serious mental 
illness or children with a serious emo-
tional disturbance; and 
‘‘(II) individuals with a substance 
use disorder; and 
‘‘(iii) to promote bidirectional inte-
grated care services including screening, di-
agnosis, prevention, treatment, and recovery 
of mental and substance use disorders, and 
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co-occurring physical health conditions and 
chronic diseases; and 
‘‘(B) in the case of an eligible entity that is 
collaborating with a primary health care prac-
tice, to support the uptake of the collaborative 
care model, including by— 
‘‘(i) hiring staff; 
‘‘(ii) identifying and formalizing con-
tractual relationships with other health care 
providers, including providers who will 
function as psychiatric consultants and be-
havioral health care managers in providing 
behavioral 
health 
integration 
services 
through the collaborative care model; 
‘‘(iii) purchasing or upgrading soft-
ware and other resources needed to appro-
priately provide behavioral health integra-
tion services through the collaborative care 
model, including resources needed to estab-
lish a patient registry and implement meas-
urement-based care; and 
‘‘(iv) for such other purposes as the 
Secretary determines to be necessary. 
‘‘(c) APPLICATIONS.— 
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141 
‘‘(1) IN GENERAL.—An eligible entity that is col-
laborating with an entity described in subparagraph 
(A) or (B) of subsection (a)(2) seeking a grant or co-
operative agreement under subsection (b)(2)(A) shall 
submit an application to the Secretary at such time, 
in such manner, and accompanied by such informa-
tion as the Secretary may require, including the con-
tents described in paragraph (2). 
‘‘(2) CONTENTS.—Any such application of an el-
igible entity described in subparagraph (A) or (B) of 
subsection (a)(2) shall include— 
‘‘(A) a description of a plan to achieve fully 
collaborative agreements to provide bidirectional 
integrated care to special populations; 
‘‘(B) a document that summarizes the poli-
cies, if any, that are barriers to the provision of 
integrated care, and the specific steps, if applica-
ble, that will be taken to address such barriers; 
‘‘(C) a description of partnerships or other 
arrangements with local health care providers to 
provide services to special populations; 
‘‘(D) an agreement and plan to report to 
the Secretary performance measures necessary to 
evaluate patient outcomes and facilitate evalua-
tions across participating projects; 
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‘‘(E) a description of how validated rating 
scales will be implemented to support the im-
provement of patient outcomes using measure-
ment-based care, including those related to de-
pression screening, patient follow-up, and symp-
tom remission; and 
‘‘(F) a plan for sustainability beyond the 
grant or cooperative agreement period under sub-
section (e). 
‘‘(3) COLLABORATIVE CARE MODEL GRANTS.—An 
eligible entity that is collaborating with a primary 
health care practice seeking a grant pursuant to sub-
section (b)(2)(B) shall submit an application to the 
Secretary at such time, in such manner, and accom-
panied by such information as the Secretary may re-
quire. 
‘‘(d) 
GRANT
AND
COOPERATIVE
AGREEMENT 
AMOUNTS.— 
‘‘(1) TARGET AMOUNT.—The target amount that 
an eligible entity may receive for a year through a 
grant or cooperative agreement under this section 
shall be— 
‘‘(A) $2,000,000 for an eligible entity de-
scribed in subparagraph (A) or (B) of subsection 
(a)(2); or 
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‘‘(B) $100,000 or less for an eligible entity 
described in subparagraph (C) of subsection 
(a)(2). 
‘‘(2) ADJUSTMENT PERMITTED.—The Secretary, 
taking into consideration the quality of an eligible en-
tity’s application and the number of eligible entities 
that received grants under this section prior to the 
date of enactment of the Restoring Hope for Mental 
Health and Well-Being Act of 2022, may adjust the 
target amount that an eligible entity may receive for 
a year through a grant or cooperative agreement 
under this section. 
‘‘(3) LIMITATION.—An eligible entity that is col-
laborating with an entity described in subparagraph 
(A) or (B) of subsection (a)(2) receiving funding 
under this section— 
‘‘(A) may not allocate more than 20 percent 
of the funds awarded to such eligible entity 
under this section to administrative functions; 
and 
‘‘(B) shall allocate the remainder of such 
funding to health facilities that provide inte-
grated care. 
‘‘(e) DURATION.—A grant or cooperative agreement 
under this section shall be for a period not to exceed 5 years. 
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‘‘(f) REPORT ON PROGRAM OUTCOMES.—An eligible 
entity receiving a grant or cooperative agreement under this 
section— 
‘‘(1) that is collaborating with an entity de-
scribed in subparagraph (A) or (B) of subsection 
(a)(2) shall submit an annual report to the Secretary 
that includes— 
‘‘(A) the progress made to reduce barriers to 
integrated care as described in the entity’s appli-
cation under subsection (c); and 
‘‘(B) a description of outcomes with respect 
to each special population listed in subsection 
(a)(7), including outcomes related to education, 
employment, and housing; or 
‘‘(2) that is collaborating with a primary health 
care practice shall submit an annual report to the 
Secretary that includes— 
‘‘(A) the progress made to improve access; 
‘‘(B) the progress made to improve patient 
outcomes; and 
‘‘(C) the progress made to reduce referrals to 
specialty care. 
‘‘(g) TECHNICAL ASSISTANCE FOR PRIMARY-BEHAV-
IORAL HEALTH CARE INTEGRATION.— 
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‘‘(1) CERTAIN RECIPIENTS.—The Secretary may 
provide appropriate information, training, and tech-
nical assistance to eligible entities that are collabo-
rating with an entity described in subparagraph (A) 
or (B) of subsection (a)(2) that receive a grant or co-
operative agreement under this section, in order to 
help such entities meet the requirements of this sec-
tion, including assistance with— 
‘‘(A) development and selection of integrated 
care models; 
‘‘(B) dissemination of evidence-based inter-
ventions in integrated care; 
‘‘(C) establishment of organizational prac-
tices to support operational and administrative 
success; and 
‘‘(D) other activities, as the Secretary deter-
mines appropriate. 
‘‘(2) COLLABORATIVE
CARE
MODEL
RECIPI-
ENTS.—The Secretary shall provide appropriate in-
formation, training, and technical assistance to eligi-
ble entities that are collaborating with primary health 
care practices that receive funds under this section to 
help such entities implement the collaborative care 
model, including— 
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‘‘(A) developing financial models and budg-
ets for implementing and maintaining a collabo-
rative care model, based on practice size; 
‘‘(B) developing staffing models for essential 
staff roles; 
‘‘(C) providing strategic advice to assist 
practices seeking to utilize other clinicians for 
additional psychotherapeutic interventions; 
‘‘(D) providing information technology ex-
pertise to assist with building the collaborative 
care model into electronic health records, includ-
ing assistance with care manager tools, patient 
registry, ongoing patient monitoring, and pa-
tient records; 
‘‘(E) training support for all key staff and 
operational consultation to develop practice 
workflows; 
‘‘(F) establishing methods to ensure the 
sharing of best practices and operational knowl-
edge among primary health care physicians and 
primary health care practices that provide be-
havioral health integration services through the 
collaborative care model; and 
‘‘(G) providing guidance and instruction to 
primary health care physicians and primary 
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health care practices on developing and main-
taining relationships with community-based 
mental health and substance use disorder facili-
ties for referral and treatment of patients whose 
clinical presentation or diagnosis is best suited 
for treatment at such facilities. 
‘‘(3) ADDITIONAL DISSEMINATION OF TECHNICAL 
INFORMATION.—In addition to providing the assist-
ance described in paragraphs (1) and (2) to recipi-
ents of a grant or cooperative agreement under this 
section, the Secretary may also provide such assist-
ance to other States and political subdivisions of 
States, Indian Tribes and Tribal organizations (as 
defined under the Federally Recognized Indian Tribe 
List Act of 1994), outpatient mental health and ad-
diction treatment centers, community mental health 
centers that meet the criteria under section 1913(c), 
certified community behavioral health clinics de-
scribed in section 223 of the Protecting Access to 
Medicare Act of 2014, primary care organizations 
such as Federally qualified health centers or rural 
health clinics as defined in section 1861(aa) of the 
Social Security Act, primary health care practices, 
other community-based organizations, and other enti-
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ties engaging in integrated care activities, as the Sec-
retary determines appropriate. 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$60,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle B—Helping Enable Access 
to Lifesaving Services 
SEC. 311. REAUTHORIZATION AND PROVISION OF CERTAIN 
PROGRAMS TO STRENGTHEN THE HEALTH 
CARE WORKFORCE. 
(a) LIABILITY PROTECTIONS FOR HEALTH PROFES-
SIONAL VOLUNTEERS.—Section 224(q)(6) of the Public 
Health Service Act (42 U.S.C. 233(q)(6)) is amended by 
striking ‘‘October 1, 2022’’ and inserting ‘‘October 1, 2027’’. 
(b) MINORITY FELLOWSHIPS IN CRISIS CARE MAN-
AGEMENT.—Section 597(b) of the Public Health Service Act 
(42 U.S.C. 290ll(b)) is amended by striking ‘‘in the fields 
of psychiatry,’’ and inserting ‘‘in the fields of crisis care 
management, psychiatry,’’. 
(c) MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS.—Section 756 of the Public Health 
Service Act (42 U.S.C. 294e–1) is amended— 
(1) in subsection (a)(1), by inserting ‘‘(which 
may include master’s and doctoral level programs)’’ 
after ‘‘occupational therapy’’; and 
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(2) in subsection (f), by striking ‘‘For each of fis-
cal years 2019 through 2023’’ and inserting ‘‘For 
each of fiscal years 2023 through 2027’’. 
(d) TRAINING DEMONSTRATION PROGRAM.—Section 
760(g) of the Public Health Service Act (42 U.S.C. 294k(g)) 
is amended by inserting ‘‘and $31,700,000 for each of fiscal 
years 2023 through 2027’’ before the period at the end. 
Subtitle C—Eliminating the Opt- 
Out 
for 
Nonfederal 
Govern-
mental Health Plans 
SEC. 321. ELIMINATING THE OPT-OUT FOR NONFEDERAL 
GOVERNMENTAL HEALTH PLANS. 
Section 2722(a)(2) of the Public Health Service Act 
(42 U.S.C. 300gg–21(a)(2)) is amended by adding at the 
end the following new subparagraph: 
‘‘(F) SUNSET OF ELECTION OPTION.— 
‘‘(i) IN
GENERAL.—Notwithstanding 
the preceding provisions of this para-
graph— 
‘‘(I) no election described in sub-
paragraph (A) with respect to section 
2726 may be made on or after the date 
of the enactment of this subparagraph; 
and 
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‘‘(II) except as provided in clause 
(ii), no such election with respect to 
section 2726 expiring on or after the 
date that is 180 days after the date of 
such enactment may be renewed. 
‘‘(ii) EXCEPTION
FOR
CERTAIN
COL-
LECTIVELY
BARGAINED
PLANS.—Notwith-
standing clause (i)(II), a plan described in 
subparagraph (B)(ii) that is subject to mul-
tiple agreements described in such subpara-
graph of varying lengths and that has an 
election described in subparagraph (A) with 
respect to section 2726 in effect as of the 
date of the enactment of this subparagraph 
that expires on or after the date that is 180 
days after the date of such enactment may 
extend such election until the date on which 
the term of the last such agreement ex-
pires.’’. 
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Subtitle 
D—Mental 
Health 
and 
Substance Use Disorder Parity 
Implementation 
SEC. 331. GRANTS TO SUPPORT MENTAL HEALTH AND SUB-
STANCE USE DISORDER PARITY IMPLEMEN-
TATION. 
(a) IN GENERAL.—Section 2794(c) of the Public 
Health Service Act (42 U.S.C. 300gg–94(c)) (as added by 
section 1003 of the Patient Protection and Affordable Care 
Act (Public Law 111–148)) is amended by adding at the 
end the following: 
‘‘(3) PARITY IMPLEMENTATION.— 
‘‘(A) IN GENERAL.—Beginning during the 
first fiscal year that begins after the date of en-
actment of this paragraph, the Secretary shall, 
out of funds made available pursuant to sub-
paragraph (C), award grants to eligible States to 
enforce and ensure compliance with the mental 
health and substance use disorder parity provi-
sions of section 2726. 
‘‘(B) ELIGIBLE STATE.—A State shall be el-
igible for a grant awarded under this paragraph 
only if such State— 
‘‘(i) submits to the Secretary an appli-
cation for such grant at such time, in such 
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manner, and containing such information 
as specified by the Secretary; and 
‘‘(ii) agrees to request and review from 
health insurance issuers offering group or 
individual health insurance coverage the 
comparative analyses and other information 
required of such health insurance issuers 
under subsection (a)(8)(A) of section 2726 
relating to the design and application of 
nonquantitative treatment limitations im-
posed on mental health or substance use dis-
order benefits. 
‘‘(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appropriated 
$10,000,000 for each of the first five fiscal years 
beginning after the date of the enactment of this 
paragraph, to remain available until expended, 
for purposes of awarding grants under subpara-
graph (A).’’. 
(b) TECHNICAL AMENDMENT.—Section 2794 of the 
Public Health Service Act (42 U.S.C. 300gg–95), as added 
by section 6603 of the Patient Protection and Affordable 
Care Act (Public Law 111–148) is redesignated as section 
2795. 
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TITLE IV—CHILDREN AND 
YOUTH 
Subtitle A—Supporting Children’s 
Mental Health Care Access 
SEC. 401. PEDIATRIC MENTAL HEALTH CARE ACCESS 
GRANTS. 
Section 330M of the Public Health Service Act (42 
U.S.C. 254c–19) is amended— 
(1) in the section enumerator, by striking 
‘‘330M’’ and inserting ‘‘330M.’’; 
(2) in subsection (a)— 
(A) by striking ‘‘Indian tribes and tribal 
organizations’’ and inserting ‘‘Indian Tribes and 
Tribal organizations’’; and 
(B) by inserting ‘‘or, in the case of a State 
that does not submit an application, a nonprofit 
entity that has the support of the State’’ after 
‘‘450b))’’; 
(3) in subsection (b)— 
(A) in paragraph (1)— 
(i) in subparagraph (G), by inserting 
‘‘developmental-behavioral 
pediatricians,’’ 
after ‘‘adolescent psychiatrists,’’; 
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(ii) in subparagraph (H), by striking 
‘‘; and’’ at the end and inserting a semi-
colon; 
(iii) by redesignating subparagraph (I) 
as subparagraph (J); and 
(iv) by inserting after subparagraph 
(H) the following: 
‘‘(I) maintain an up-to-date list of commu-
nity-based supports for children with mental 
health problems; and’’; 
(B) by redesignating paragraph (2) as 
paragraph (4); 
(C) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) SUPPORT TO SCHOOLS AND EMERGENCY DE-
PARTMENTS.—In addition to the activities required 
by paragraph (1), a pediatric mental health care tele-
health access program referred to in subsection (a), 
with respect to which a grant under such subsection 
may be used, may provide support to schools and 
emergency departments. 
‘‘(3) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to applicants 
proposing to— 
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‘‘(A) continue existing programs that meet 
the requirements of paragraph (1); 
‘‘(B) establish a pediatric mental health 
care telehealth access program in the jurisdiction 
of a State, Territory, Indian Tribe, or Tribal or-
ganization that does not yet have such a pro-
gram; or 
‘‘(C) expand a pediatric mental health care 
telehealth access program to include one or more 
new sites of care, such as a school or emergency 
department.’’; and 
(D) in paragraph (4), as redesignated by 
subparagraph (B), by inserting ‘‘Such a team 
may include a developmental-behavioral pedia-
trician.’’ after ‘‘mental health counselor.’’; 
(4) in subsections (c), (d), and (f), by striking 
‘‘Indian tribe, or tribal organization’’ each place it 
appears and inserting ‘‘Indian Tribe, Tribal organi-
zation, or nonprofit entity’’; and 
(5) by striking subsection (g) and inserting the 
following: 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
award grants or contracts to one or more eligible entities 
(as defined by the Secretary) for the purposes of providing 
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technical assistance and evaluation support to grantees 
under subsection (a). 
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated— 
‘‘(1) $14,000,000 for each of fiscal years 2023 
through 2025; and 
‘‘(2) $30,000,000 for each of fiscal years 2026 
through 2027.’’. 
SEC. 402. INFANT AND EARLY CHILDHOOD MENTAL HEALTH 
PROMOTION, INTERVENTION, AND TREAT-
MENT. 
Section 399Z–2(f) of the Public Health Service Act (42 
U.S.C. 280h–6(f)) is amended by striking ‘‘$20,000,000 for 
the period of fiscal years 2018 through 2022’’ and inserting 
‘‘$50,000,000 for the period of fiscal years 2023 through 
2027’’. 
Subtitle B—Continuing Systems of 
Care for Children 
SEC. 411. COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS 
EMOTIONAL DISTURBANCES. 
(a) DEFINITION OF FAMILY.—Section 565(d)(2)(B) of 
the Public Health Service Act (42 U.S.C. 290ff–4(d)(2)(B)) 
is amended by striking ‘‘as appropriate regarding mental 
health services for the child, the parents of the child (biologi-
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cal or adoptive, as the case may be) and any foster parents 
of the child’’ and inserting ‘‘as appropriate regarding men-
tal health services for the child and the parents or kinship 
caregivers of the child’’. 
(b) AUTHORIZATION
OF
APPROPRIATIONS.—Para-
graph (1) of section 565(f) of the Public Health Service Act 
(42 U.S.C. 290ff–4(f)) is amended— 
(1) by moving the margin of such paragraph 2 
ems to the right; and 
(2) by striking ‘‘$119,026,000 for each of fiscal 
years 
2018 
through 
2022’’ 
and 
inserting 
‘‘$125,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 412. SUBSTANCE USE DISORDER TREATMENT AND 
EARLY INTERVENTION SERVICES FOR CHIL-
DREN AND ADOLESCENTS. 
Section 514 of the Public Health Service Act (42 
U.S.C. 290bb–7) is amended— 
(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
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Subtitle C—Garrett Lee Smith 
Memorial Reauthorization 
SEC. 421. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
(a) TECHNICAL AMENDMENT.—Section 520C of the 
Public Health Service Act (42 U.S.C. 290bb–34) is amend-
ed— 
(1) by striking ‘‘tribes’’ and inserting ‘‘Tribes’’; 
and 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’. 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Section 
520C(c) of the Public Health Service Act (42 U.S.C. 290bb– 
34(c)) is amended by striking ‘‘$5,988,000 for each of fiscal 
years 2018 through 2022’’ and inserting ‘‘$9,000,000 for 
each of fiscal years 2023 through 2027’’. 
(c) ANNUAL REPORT.—Section 520C(d) of the Public 
Health Service Act (42 U.S.C. 290bb–34(d)) is amended by 
striking ‘‘Not later than 2 years after the date of enactment 
of this subsection’’ and inserting ‘‘Not later than 2 years 
after the date of enactment of the Restoring Hope for Mental 
Health and Well-Being Act of 2022’’. 
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SEC. 422. YOUTH SUICIDE EARLY INTERVENTION AND PRE-
VENTION STRATEGIES. 
Section 520E of the Public Health Service Act (42 
U.S.C. 290bb–36) is amended— 
(1) by striking ‘‘tribe’’ and inserting ‘‘Tribe’’; 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’; 
(3) in subsection (a)(1), by inserting ‘‘pediatric 
health programs,’’ after ‘‘foster care systems,’’; 
(4) by amending subsection (b)(1)(B) to read as 
follows: 
‘‘(B) a public organization or private non-
profit organization designated by a State or In-
dian Tribe (as defined under the Federally Rec-
ognized Indian Tribe List Act of 1994) to de-
velop or direct the State-sponsored statewide or 
Tribal youth suicide early intervention and pre-
vention strategy; or’’; 
(5) in subsection (c)— 
(A) in paragraph (1), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’; 
(B) in paragraph (7), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’; 
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(C) in paragraph (9), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘educational insti-
tutions,’’; 
(D) in paragraph (13), by striking ‘‘and’’ 
at the end; 
(E) in paragraph (14), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(F) by adding at the end the following: 
‘‘(15) provide to parents, legal guardians, and 
family members of youth, supplies to securely store 
means commonly used in suicide, if applicable, with-
in the household.’’; 
(6) in subsection (d)— 
(A) in the heading, by striking ‘‘DIRECT 
SERVICES’’ and inserting ‘‘SUICIDE PREVENTION 
ACTIVITIES’’; and 
(B) by striking ‘‘direct services, of which 
not less than 5 percent shall be used for activities 
authorized under subsection (a)(3)’’ and insert-
ing ‘‘suicide prevention activities’’; 
(7) in subsection (e)(3)(A), by inserting ‘‘and 
Department of Education’’ after ‘‘Department of 
Health and Human Services’’; 
(8) in subsection (g)— 
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(A) in paragraph (1), by striking ‘‘18’’ and 
inserting ‘‘24’’; and 
(B) in paragraph (2), by striking ‘‘2 years 
after the date of enactment of Helping Families 
in Mental Health Crisis Reform Act of 2016’’ 
and inserting ‘‘3 years after December 31, 
2022’’; 
(9) in subsection (l)(4), by striking ‘‘between 10 
and 24 years of age’’ and inserting ‘‘up to 24 years 
of age’’; and 
(10) in subsection (m), by striking ‘‘$30,000,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$40,000,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 423. MENTAL HEALTH AND SUBSTANCE USE DISORDER 
SERVICES FOR STUDENTS IN HIGHER EDU-
CATION. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended— 
(1) in the heading, by striking ‘‘ON CAMPUS’’ 
and inserting ‘‘FOR STUDENTS IN HIGHER EDU-
CATION’’; and 
(2) in subsection (i), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
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Union Calendar No. 276 
117TH CONGRESS 
2D SESSION 
H. R. 7666 
[Report No. 117–364, Part I] 
A BILL 
To amend the Public Health Service Act to reau-
thorize certain programs relating to mental 
health and substance use disorders, and for other 
purposes. 
JUNE 13, 2022 
Reported from the Committee on Energy and Commerce 
with an amendment 
JUNE 13, 2022 
Committee on the Judiciary discharged; committed to the 
Committee of the Whole House on the State of the 
Union and ordered to be printed 
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