166 
Subtitle B—Protection and Advo-
cacy for Individuals With Men-
tal Illness 
SEC. 811. PROHIBITION AGAINST LOBBYING BY SYSTEMS 
ACCEPTING FEDERAL FUNDS TO PROTECT 
AND ADVOCATE THE RIGHTS OF INDIVID-
UALS WITH MENTAL ILLNESS. 
Section 105(a) of the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10805(a)) 
is amended— 
(1) in paragraph (9), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (10), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(11) agree to refrain, during any period for 
which funding is provided to the system under this 
part, from— 
‘‘(A) lobbying or retaining a lobbyist for 
the purpose of influencing a Federal, State, or 
local governmental entity or officer; and 
‘‘(B) counseling an individual with a seri-
ous mental illness who lacks insight into their 
condition on refusing medical treatment or act-
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ing against the wishes of such individual’s care-
giver;’’. 
SEC. 812. ENSURING THAT CAREGIVERS OF INDIVIDUALS 
WITH SERIOUS MENTAL ILLNESS HAVE AC-
CESS TO THE PROTECTED HEALTH INFORMA-
TION OF SUCH INDIVIDUALS. 
Section 105(a) of the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10805(a)), 
as amended by section 811, is further amended by adding 
at the end the following: 
‘‘(12) ensure that caregivers (as defined in sec-
tion 201 of the Helping Families in Mental Health 
Crisis Act of 2015) of individuals with serious men-
tal illness (as defined in such section 201) have ac-
cess to the protected health information of such indi-
viduals consistent with such section 201;’’. 
SEC. 813. PROTECTION AND ADVOCACY ACTIVITIES TO 
FOCUS 
EXCLUSIVELY 
ON 
SAFEGUARDING 
RIGHTS TO BE FREE FROM ABUSE AND NE-
GLECT. 
(a) PURPOSES.—Section 101(b) of the Protection 
and Advocacy for Individuals with Mental Illness Act (42 
U.S.C. 10801(b)) is amended— 
(1) in paragraph (1), by inserting ‘‘to be free 
from abuse and neglect’’ before ‘‘are protected’’; and 
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168 
(2) in paragraph (2)(A), by inserting ‘‘to be 
free from abuse and neglect’’ before ‘‘through activi-
ties to ensure’’. 
(b) ALLOTMENTS.—Section 103(2)(A) of the Protec-
tion and Advocacy for Individuals with Mental Illness Act 
(42 U.S.C. 10803(2)(A)) is amended by inserting ‘‘to be 
free from abuse and neglect’’ before the semicolon. 
(c) USE OF ALLOTMENTS.—Section 104(a)(1) of the 
Protection and Advocacy for Individuals with Mental Ill-
ness Act (42 U.S.C. 10804(a)(1)) is amended— 
(1) in subparagraph (A), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (B), by striking the semi-
colon at the end and inserting ‘‘to be free from 
abuse and neglect; and’’; and 
(3) by adding at the end the following: 
‘‘(C) the protection and advocacy activities 
of such an agency or organization shall be ex-
clusively focused on safeguarding the rights of 
individuals with mental illness to be free from 
abuse and neglect.’’. 
(d) SYSTEM REQUIREMENTS.—Section 105 of the 
Protection and Advocacy for Individuals with Mental Ill-
ness Act (42 U.S.C. 10805), as amended by sections 811 
and 812, is further amended— 
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(1) in subsection (a)— 
(A) in the matter before paragraph (1), by 
inserting ‘‘to be free from abuse and neglect’’ 
before ‘‘shall’’; 
(B) in paragraph (6)(A), by inserting ‘‘to 
be free from abuse and neglect’’ before the 
semicolon; and 
(C) by adding at the end the following: 
‘‘(13) be exclusively focused on safeguarding 
the rights of individuals with mental illness to be 
free from abuse and neglect; and’’; and 
(2) in subsection (c)(1)(A), by inserting ‘‘to be 
free from abuse and neglect’’ before ‘‘shall have a 
governing authority’’. 
(e) APPLICATIONS.—Section 111(a) of the Protection 
and Advocacy for Individuals with Mental Illness Act (42 
U.S.C. 10821(a)) is amended— 
(1) in paragraph (1), by inserting ‘‘to be free 
from abuse and neglect’’ before the semicolon; 
(2) in paragraph (3), by striking ‘‘and’’ at the 
end; 
(3) by redesignating paragraph (4) as para-
graph (5); and 
(4) by inserting after paragraph (3) the fol-
lowing: 
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‘‘(4) assurances that such system, and any 
State agency or nonprofit organization with which 
such system may enter into a contract under section 
10804(a), will be exclusively focused on safeguarding 
the rights of individuals with mental illness to be 
free from abuse and neglect; and’’. 
(f) REPORTS BY SECRETARY.—Section 114(a) of the 
Protection and Advocacy for Individuals with Mental Ill-
ness Act (42 U.S.C. 10824(a)) is amended— 
(1) in paragraph (1) in the matter before sub-
paragraph (A), by inserting ‘‘to be free from abuse 
and neglect’’ before ‘‘supported with payments’’; 
(2) in paragraph (2)(A), by inserting ‘‘to be 
free from abuse and neglect’’ before ‘‘supported with 
payments’’; and 
(3) in paragraph (4), by inserting ‘‘to be free 
from abuse and neglect’’ before ‘‘and a description’’. 
SEC. 814. REPORTING. 
(a) PUBLIC AVAILABILITY
OF REPORTS.—Section 
105(a)(7) of the Protection and Advocacy for Individuals 
with Mental Illness Act (42 U.S.C. 10805(a)(7)) is 
amended by striking ‘‘is located a report’’ and inserting 
‘‘is located, and make publicly available, a report’’. 
(b) DETAILED ACCOUNTING.—Section 114(a) of the 
Protection and Advocacy for Individuals with Mental Ill-
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171 
ness Act (42 U.S.C. 10824(a)), as amended, is further 
amended— 
(1) in paragraph (3), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (4), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(5) a detailed accounting, for each system 
funded under this title, of how funds are spent, 
disaggregated according to whether the funds were 
received from the Federal Government, the State 
government, a local government, or a private enti-
ty.’’. 
SEC. 815. GRIEVANCE PROCEDURE. 
Section 105 of the Protection and Advocacy for Indi-
viduals with Mental Illness Act (42 U.S.C. 10805), as 
amended, is further amended by adding at the end the 
following: 
‘‘(d) GRIEVANCE PROCEDURE.—The Assistant Sec-
retary shall establish an independent grievance procedure 
for the types of claims to be adjudicated, at the request 
of persons described in subsection (a)(9), through a sys-
tem’s grievance procedure established under such sub-
section.’’. 
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SEC. 816. EVIDENCE-BASED TREATMENT FOR INDIVIDUALS 
WITH SERIOUS MENTAL ILLNESS. 
Section 105(a) of the Protection and Advocacy for 
Individuals with Mental Illness Act (42 U.S.C. 10805(a)), 
as amended by sections 811, 812, and 813, is further 
amended by adding at the end the following: 
‘‘(14) ensure that individuals with serious men-
tal illness have access to and can obtain evidence- 
based treatment for their serious mental illness.’’. 
TITLE IX—REPORTING 
SEC. 901. GAO STUDY ON PREVENTING DISCRIMINATORY 
COVERAGE LIMITATIONS FOR INDIVIDUALS 
WITH SERIOUS MENTAL ILLNESS AND SUB-
STANCE USE DISORDERS. 
Not later than 1 year after the date of the enactment 
of this Act, the Comptroller General of the United States, 
in consultation with the Assistant Secretary for Mental 
Health and Substance Use Disorders, the Secretary of 
Health and Human Services, the Secretary of Labor, and 
the Secretary of the Treasury, shall submit to Congress 
a report detailing the extent to which covered group health 
plans (or health insurance coverage offered in connection 
with such plans), including Medicaid managed care plans 
under section 1903 of the Social Security Act (42 U.S.C. 
1396b), comply with the Paul Wellstone and Pete Domen-
ici Mental Health Parity and Addiction Equity Act of 
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2008 (subtitle B of title V of division C of Public Law 
110–343) (in this section referred to as the ‘‘law’’), includ-
ing— 
(1) how nonquantitative treatment limitations, 
including medical necessity criteria, of covered group 
health plans comply with the law; 
(2) how the responsible Federal departments 
and agencies ensure that plans comply with the law; 
and 
(3) how proper enforcement, education, and co-
ordination activities within responsible Federal de-
partments and agencies can be used to ensure full 
compliance with the law, including educational ac-
tivities directed to State insurance commissioners. 
Æ 
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