180 
‘‘(D) an agreement and plan to report to 
the Secretary performance measures necessary 
to evaluate patient outcomes and facilitate eval-
uations across participating projects; 
‘‘(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 
subsection (e). 
‘‘(3) COLLABORATIVE CARE MODEL GRANTS.— 
An eligible entity that is collaborating with a pri-
mary health care practice seeking a grant pursuant 
to subsection (b)(2)(B) shall submit an application 
to the Secretary at such time, in such manner, and 
accompanied by such information as the Secretary 
may require. 
‘‘(d) 
GRANT
AND
COOPERATIVE
AGREEMENT 
AMOUNTS.— 
‘‘(1) TARGET
AMOUNT.—The target amount 
that an eligible entity may receive for a year through
181 
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 sub-
section (a)(2); or 
‘‘(B) $100,000 or less for an eligible entity 
described in subparagraph (C) of subsection 
(a)(2). 
‘‘(2) 
ADJUSTMENT
PERMITTED.—The 
Sec-
retary, taking into consideration the quality of an el-
igible entity’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 ad-
just 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 
collaborating with an entity described in subpara-
graph (A) or (B) of subsection (a)(2) receiving fund-
ing under this section— 
‘‘(A) may not allocate more than 20 per-
cent of the funds awarded to such eligible entity 
under this section to administrative functions; 
and
182 
‘‘(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. 
‘‘(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 Sec-
retary that includes— 
‘‘(A) the progress made to reduce barriers 
to integrated care as described in the entity’s 
application under subsection (c); and 
‘‘(B) a description of outcomes with re-
spect to each special population listed in sub-
section (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;
183 
‘‘(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.— 
‘‘(1) CERTAIN
RECIPIENTS.—The Secretary 
may provide appropriate information, training, and 
technical assistance to eligible entities that are col-
laborating with an entity described in subparagraph 
(A) or (B) of subsection (a)(2) that receive a grant 
or cooperative agreement under this section, in order 
to help such entities meet the requirements of this 
section, including assistance with— 
‘‘(A) development and selection of inte-
grated 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 de-
termines appropriate. 
‘‘(2) COLLABORATIVE
CARE
MODEL
RECIPI-
ENTS.—The Secretary shall provide appropriate in-
184 
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 collabo-
rative care model, including— 
‘‘(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 essen-
tial 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, in-
cluding assistance with care manager tools, pa-
tient registry, ongoing patient monitoring, and 
patient 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
185 
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 
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
TECH-
NICAL INFORMATION.—In addition to providing the 
assistance described in paragraphs (1) and (2) to re-
cipients of a grant or cooperative agreement under 
this section, the Secretary may also provide such as-
sistance 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
186 
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 en-
tities engaging in integrated care activities, as the 
Secretary determines appropriate. 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $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,’’.
187 
(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 
(2) in subsection (f), by striking ‘‘For each of 
fiscal 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. 
SEC. 312. REAUTHORIZATION OF MINORITY FELLOWSHIP 
PROGRAM. 
Section 597(c) of the Public Health Service Act (42 
U.S.C. 290ll(c)) is amended by striking ‘‘$12,669,000 for 
each of fiscal years 2018 through 2022’’ and inserting 
‘‘$25,000,000 for each of fiscal years 2023 through 
2027’’.
188 
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 subpara-
graph; and 
‘‘(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
189 
subparagraph (B)(ii) that is subject to 
multiple agreements described in such sub-
paragraph 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 subpara-
graph that expires on or after the date 
that is 180 days after the date of such en-
actment may extend such election until the 
date on which the term of the last such 
agreement expires.’’. 
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-
190 
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 men-
tal health and substance use disorder parity 
provisions of section 2726. 
‘‘(B) ELIGIBLE STATE.—A State shall be 
eligible for a grant awarded under this para-
graph only if such State— 
‘‘(i) submits to the Secretary an appli-
cation for such grant at such time, in such 
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 cov-
erage the comparative analyses and other 
information required of such health insur-
ance issuers under subsection (a)(8)(A) of 
section 2726 relating to the design and ap-
plication of nonquantitative treatment limi-
tations imposed on mental health or sub-
stance use disorder benefits. 
‘‘(C) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appro-
191 
priated $10,000,000 for each of the first five 
fiscal years beginning after the date of the en-
actment of this paragraph, to remain available 
until expended, for purposes of awarding grants 
under subparagraph (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 Af-
fordable Care Act (Public Law 111–148) is redesignated 
as section 2795. 
Subtitle E—Improving Emergency 
Department Mental Health Ac-
cess, Services, and Responders 
SEC. 341. HELPING EMERGENCY RESPONDERS OVERCOME. 
(a) DATA SYSTEM TO CAPTURE NATIONAL PUBLIC 
SAFETY
OFFICER
SUICIDE
INCIDENCE.—The Public 
Health Service Act is amended by inserting before section 
318 of such Act (42 U.S.C. 247c) the following: 
‘‘SEC. 317V. DATA SYSTEM TO CAPTURE NATIONAL PUBLIC 
SAFETY OFFICER SUICIDE INCIDENCE. 
‘‘(a) IN GENERAL.—The Secretary, in coordination 
with the Director of the Centers for Disease Control and 
Prevention and other agencies as the Secretary determines 
appropriate, may—
192 
‘‘(1) develop and maintain a data system, to be 
known as the Public Safety Officer Suicide Report-
ing System, for the purposes of— 
‘‘(A) collecting data on the suicide inci-
dence among public safety officers; and 
‘‘(B) facilitating the study of successful 
interventions to reduce suicide among public 
safety officers; and 
‘‘(2) integrate such system into the National 
Violent Death Reporting System, so long as the Sec-
retary determines such integration to be consistent 
with the purposes described in paragraph (1). 
‘‘(b) DATA COLLECTION.—In collecting data for the 
Public Safety Officer Suicide Reporting System, the Sec-
retary shall, at a minimum, collect the following informa-
tion: 
‘‘(1) The total number of suicides in the United 
States among all public safety officers in a given cal-
endar year. 
‘‘(2) Suicide rates for public safety officers in 
a given calendar year, disaggregated by— 
‘‘(A) age and gender of the public safety 
officer; 
‘‘(B) State;
193 
‘‘(C) occupation; including both the indi-
vidual’s role in their public safety agency and 
their primary occupation in the case of volun-
teer public safety officers; 
‘‘(D) where available, the status of the 
public safety officer as volunteer, paid-on-call, 
or career; and 
‘‘(E) status of the public safety officer as 
active or retired. 
‘‘(c) CONSULTATION DURING DEVELOPMENT.—In 
developing the Public Safety Officer Suicide Reporting 
System, the Secretary shall consult with non-Federal ex-
perts to determine the best means to collect data regard-
ing suicide incidence in a safe, sensitive, anonymous, and 
effective manner. Such non-Federal experts shall include, 
as appropriate, the following: 
‘‘(1) Public health experts with experience in 
developing and maintaining suicide registries. 
‘‘(2) Organizations that track suicide among 
public safety officers. 
‘‘(3) Mental health experts with experience in 
studying suicide and other profession-related trau-
matic stress. 
‘‘(4) Clinicians with experience in diagnosing 
and treating mental health issues.
194 
‘‘(5) Active and retired volunteer, paid-on-call, 
and career public safety officers. 
‘‘(6) Relevant national police, and fire and 
emergency medical services, organizations. 
‘‘(d) DATA PRIVACY AND SECURITY.—In developing 
and maintaining the Public Safety Officer Suicide Report-
ing System, the Secretary shall ensure that all applicable 
Federal privacy and security protections are followed to 
ensure that— 
‘‘(1) the confidentiality and anonymity of sui-
cide victims and their families are protected, includ-
ing so as to ensure that data cannot be used to deny 
benefits; and 
‘‘(2) data is sufficiently secure to prevent unau-
thorized access. 
‘‘(e) REPORTING.— 
‘‘(1) ANNUAL REPORT.—Not later than 2 years 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, and 
biannually thereafter, the Secretary shall submit a 
report to the Congress on the suicide incidence 
among public safety officers. Each such report 
shall—
195 
‘‘(A) include the number and rate of such 
suicide incidence, disaggregated by age, gender, 
and State of employment; 
‘‘(B) identify characteristics and contrib-
uting circumstances for suicide among public 
safety officers; 
‘‘(C) disaggregate rates of suicide by— 
‘‘(i) occupation; 
‘‘(ii) status as volunteer, paid-on-call, 
or career; and 
‘‘(iii) status as active or retired; 
‘‘(D) include recommendations for further 
study regarding the suicide incidence among 
public safety officers; 
‘‘(E) specify in detail, if found, any obsta-
cles in collecting suicide rates for volunteers 
and include recommended improvements to 
overcome such obstacles; 
‘‘(F) identify options for interventions to 
reduce suicide among public safety officers; and 
‘‘(G) describe procedures to ensure the 
confidentiality and anonymity of suicide victims 
and their families, as described in subsection 
(d)(1).
196 
‘‘(2) PUBLIC AVAILABILITY.—Upon the submis-
sion of each report to the Congress under paragraph 
(1), the Secretary shall make the full report publicly 
available on the website of the Centers for Disease 
Control and Prevention. 
‘‘(f) DEFINITION.—In this section, the term ‘public 
safety officer’ means— 
‘‘(1) a public safety officer as defined in section 
1204 of the Omnibus Crime Control and Safe 
Streets Act of 1968; or 
‘‘(2) a public safety telecommunicator as de-
scribed in detailed occupation 43–5031 in the Stand-
ard Occupational Classification Manual of the Office 
of Management and Budget (2018). 
‘‘(g) PROHIBITED USE OF INFORMATION.—Notwith-
standing any other provision of law, if an individual is 
identified as deceased based on information contained in 
the Public Safety Officer Suicide Reporting System, such 
information may not be used to deny or rescind life insur-
ance payments or other benefits to a survivor of the de-
ceased individual.’’. 
(b) PEER-SUPPORT
BEHAVIORAL
HEALTH
AND 
WELLNESS PROGRAMS WITHIN FIRE DEPARTMENTS AND 
EMERGENCY MEDICAL SERVICE AGENCIES.—
197 
(1) IN GENERAL.—Part B of title III of the 
Public Health Service Act (42 U.S.C. 243 et seq.) 
is amended by adding at the end the following: 
‘‘SEC. 320C. PEER-SUPPORT BEHAVIORAL HEALTH AND 
WELLNESS PROGRAMS WITHIN FIRE DEPART-
MENTS AND EMERGENCY MEDICAL SERVICE 
AGENCIES. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to eligible entities for the purpose of establishing or en-
hancing peer-support behavioral health and wellness pro-
grams within fire departments and emergency medical 
services agencies. 
‘‘(b) PROGRAM DESCRIPTION.—A peer-support be-
havioral health and wellness program funded under this 
section shall— 
‘‘(1) use career and volunteer members of fire 
departments or emergency medical services agencies 
to serve as peer counselors; 
‘‘(2) provide training to members of career, vol-
unteer, and combination fire departments or emer-
gency medical service agencies to serve as such peer 
counselors; 
‘‘(3) purchase materials to be used exclusively 
to provide such training; and
198 
‘‘(4) disseminate such information and mate-
rials as are necessary to conduct the program. 
‘‘(c) DEFINITION.—In this section: 
‘‘(1) The term ‘eligible entity’ means a non-
profit organization with expertise and experience 
with respect to the health and life safety of members 
of fire and emergency medical services agencies. 
‘‘(2) The term ‘member’— 
‘‘(A) with respect to an emergency medical 
services agency, means an employee, regardless 
of rank or whether the employee receives com-
pensation (as defined in section 1204(7) of the 
Omnibus Crime Control and Safe Streets Act of 
1968); and 
‘‘(B) with respect to a fire department, 
means any employee, regardless of rank or 
whether the employee receives compensation, of 
a Federal, State, Tribal, or local fire depart-
ment who is responsible for responding to calls 
for emergency service.’’. 
(2) TECHNICAL CORRECTION.—Effective as if 
included in the enactment of the Children’s Health 
Act of 2000 (Public Law 106–310), the amendment 
instruction in section 1603 of such Act is amended 
by striking ‘‘Part B of the Public Health Service
199 
Act’’ and inserting ‘‘Part B of title III of the Public 
Health Service Act’’. 
(c) HEALTH CARE PROVIDER BEHAVIORAL HEALTH 
AND WELLNESS PROGRAMS.—Part B of title III of the 
Public Health Service Act (42 U.S.C. 243 et seq.), as 
amended by subsection (b)(1), is further amended by add-
ing at the end the following: 
‘‘SEC. 
320D. 
HEALTH 
CARE 
PROVIDER 
BEHAVIORAL 
HEALTH AND WELLNESS PROGRAMS. 
‘‘(a) IN GENERAL.—The Secretary may award grants 
to eligible entities for the purpose of establishing or en-
hancing behavioral health and wellness programs for 
health care providers. 
‘‘(b) PROGRAM DESCRIPTION.—A behavioral health 
and wellness program funded under this section shall— 
‘‘(1) provide confidential support services for 
health care providers to help handle stressful or 
traumatic patient-related events, including coun-
seling services and wellness seminars; 
‘‘(2) provide training to health care providers to 
serve as peer counselors to other health care pro-
viders; 
‘‘(3) purchase materials to be used exclusively 
to provide such training; and
200 
‘‘(4) disseminate such information and mate-
rials as are necessary to conduct such training and 
provide such peer counseling. 
‘‘(c) DEFINITIONS.—In this section, the term ‘eligible 
entity’ means a hospital, including a critical access hos-
pital (as defined in section 1861(mm)(1) of the Social Se-
curity Act) or a disproportionate share hospital (as defined 
under section 1923(a)(1)(A) of such Act), a Federally- 
qualified 
health 
center 
(as 
defined 
in 
section 
1905(1)(2)(B) of such Act), or any other health care facil-
ity.’’. 
(d) DEVELOPMENT OF RESOURCES FOR EDUCATING 
MENTAL HEALTH PROFESSIONALS ABOUT TREATING 
FIRE FIGHTERS AND EMERGENCY MEDICAL SERVICES 
PERSONNEL.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall develop and make publicly 
available resources that may be used by the Federal 
Government and other entities to educate mental 
health professionals about— 
(A) the culture of Federal, State, Tribal, 
and local career, volunteer, and combination 
fire departments and emergency medical serv-
ices agencies;
201 
(B) the different stressors experienced by 
firefighters and emergency medical services per-
sonnel, supervisory firefighters and emergency 
medical services personnel, and chief officers of 
fire departments and emergency medical serv-
ices agencies; 
(C) challenges encountered by retired fire-
fighters and emergency medical services per-
sonnel; and 
(D) evidence-based therapies for mental 
health issues common to firefighters and emer-
gency medical services personnel within such 
departments and agencies. 
(2) CONSULTATION.—In developing resources 
under paragraph (1), the Secretary of Health and 
Human Services shall consult with national fire and 
emergency medical services organizations. 
(3) DEFINITIONS.—In this subsection: 
(A) The term ‘‘firefighter’’ means any em-
ployee, regardless of rank or whether the em-
ployee receives compensation, of a Federal, 
State, Tribal, or local fire department who is 
responsible for responding to calls for emer-
gency service.
202 
(B) The term ‘‘emergency medical services 
personnel’’ means any employee, regardless of 
rank or whether the employee receives com-
pensation, as defined in section 1204(7) of the 
Omnibus Crime Control and Safe Streets Act of 
1968 (34 U.S.C. 10284(7)). 
(C) The term ‘‘chief officer’’ means any in-
dividual who is responsible for the overall oper-
ation of a fire department or an emergency 
medical services agency, irrespective of whether 
such individual also serves as a firefighter or 
emergency medical services personnel. 
(e) BEST PRACTICES AND OTHER RESOURCES FOR 
ADDRESSING
POSTTRAUMATIC
STRESS
DISORDER
IN 
PUBLIC SAFETY OFFICERS.— 
(1) DEVELOPMENT; UPDATES.—The Secretary 
of Health and Human Services shall— 
(A) develop and assemble evidence-based 
best practices and other resources to identify, 
prevent, and treat posttraumatic stress disorder 
and co-occurring disorders in public safety offi-
cers; and 
(B) reassess and update, as the Secretary 
determines necessary, such best practices and 
resources, including based upon the options for
203 
interventions to reduce suicide among public 
safety officers identified in the annual reports 
required by section 317V(e)(1)(F) of the Public 
Health Service Act, as added by subsection (a). 
(2) CONSULTATION.—In developing, assem-
bling, and updating the best practices and resources 
under paragraph (1), the Secretary of Health and 
Human Services shall consult with, at a minimum, 
the following: 
(A) Public health experts. 
(B) Mental health experts with experience 
in studying suicide and other profession-related 
traumatic stress. 
(C) Clinicians with experience in diag-
nosing and treating mental health issues. 
(D) Relevant national police, fire, and 
emergency medical services organizations. 
(3) AVAILABILITY.—The Secretary of Health 
and Human Services shall make the best practices 
and resources under paragraph (1) available to Fed-
eral, State, and local fire, law enforcement, and 
emergency medical services agencies. 
(4) FEDERAL
TRAINING
AND
DEVELOPMENT 
PROGRAMS.—The Secretary of Health and Human 
Services shall work with Federal departments and
204 
agencies, including the United States Fire Adminis-
tration, to incorporate education and training on the 
best practices and resources under paragraph (1) 
into Federal training and development programs for 
public safety officers. 
(5) DEFINITION.—In this subsection, the term 
‘‘public safety officer’’ means— 
(A) a public safety officer as defined in 
section 1204 of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10284); or 
(B) a public safety telecommunicator as 
described in detailed occupation 43–5031 in the 
Standard Occupational Classification Manual of 
the Office of Management and Budget (2018). 
Subtitle F—Other Provisions 
SEC. 
351. 
REPORT 
ON 
LAW 
ENFORCEMENT 
MENTAL 
HEALTH AND WELLNESS. 
(a) IN GENERAL.—Not later than 270 days after the 
date of enactment of this Act, the Attorney General, in 
consultation with the Director of the Federal Bureau of 
Investigation, the Director of the National Institute for 
Justice, and the Assistant Secretary for Mental Health 
and Substance Abuse, shall submit to the Committee on 
Health, Education, Labor, and Pensions and the Com-
mittee on the Judiciary of the Senate and the Committee
205 
on Energy and Commerce and the Committee on the Judi-
ciary of the House of Representatives a report on— 
(1) the types, frequency, and severity of mental 
health and stress-related responses of law enforce-
ment officers to aggressive actions or other trauma- 
inducing incidents against law enforcement officers; 
(2) mental health and stress-related resources 
or programs that are available to law enforcement 
officers at the Federal, State, and local level, includ-
ing peer-to-peer programs; 
(3) the extent to which law enforcement officers 
use the resources or programs described in para-
graph (2); 
(4) the availability of, or need for, mental 
health screening within Federal, State, and local law 
enforcement agencies; and 
(5) recommendations for Federal, State, and 
local law enforcement agencies to improve the men-
tal health and wellness of their officers. 
(b) DEVELOPMENT.—In developing the report re-
quired under subsection (a), the Attorney General, the Di-
rector of the Federal Bureau of Investigation, the Director 
of the National Institute of Justice, and the Assistant Sec-
retary for Mental Health and Substance Abuse shall con-
sult relevant stakeholders, including—
206 
(1) Federal, State, Tribal and local law enforce-
ment agencies; and 
(2) 
nongovernmental 
organizations, 
inter-
national organizations, academies, or other entities. 
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)—
207 
(i) in subparagraph (G), by inserting 
‘‘developmental-behavioral 
pediatricians,’’ 
after ‘‘adolescent psychiatrists,’’; 
(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 
following: 
‘‘(2) SUPPORT TO SCHOOLS AND EMERGENCY 
DEPARTMENTS.—In addition to the activities re-
quired by paragraph (1), a pediatric mental health 
care telehealth access program referred to in sub-
section (a), with respect to which a grant under such 
subsection may be used, may provide support to 
schools and emergency departments.
208 
‘‘(3) PRIORITY.—In awarding grants under this 
section, the Secretary shall give priority to appli-
cants proposing to— 
‘‘(A) continue existing programs that meet 
the requirements of paragraph (1); 
‘‘(B) establish a pediatric mental health 
care telehealth access program in the jurisdic-
tion of a State, Territory, Indian Tribe, or 
Tribal organization that does not yet have such 
a program; 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:
215 
‘‘(2) MEASURES OF OUTCOMES.—The Assistant 
Secretary shall develop measures of outcomes to be 
applied by recipients of assistance under this section 
to evaluate the effectiveness of programs carried out 
under this section, including outcomes related to the 
student, family, and local educational systems sup-
ported by this Act. 
‘‘(3) SUBMISSION OF ANNUAL DATA.—An eligi-
ble entity described in subsection (c) that receives a 
grant, contract, or cooperative agreement under this 
section shall annually submit to the Assistant Sec-
retary a report that includes data to evaluate the 
success of the program carried out by the entity 
based on whether such program is achieving the pur-
poses of the program. Such reports shall utilize the 
measures of outcomes under paragraph (2) in a rea-
sonable manner to demonstrate the progress of the 
program in achieving such purposes. 
‘‘(4) EVALUATION BY ASSISTANT SECRETARY.— 
Based on the data submitted under paragraph (3), 
the Assistant Secretary shall annually submit to 
Congress a report concerning the results and effec-
tiveness of the programs carried out with assistance 
received under this section.