SEC. 3. ESTABLISHMENT OF A FEDERAL INTERAGENCY 
GERIATRIC 
MENTAL 
HEALTH 
PLANNING 
COUNCIL. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall establish an Interagency Geriatric 
Mental Health Planning Council (referred to in this sec-
tion as the ‘‘Council’’) to coordinate and collaborate on 
the planning for the delivery of mental health services, to 
include suicide prevention, to older adults. 
(b) MEMBERS.—The members of the Council shall in-
clude representatives of— 
(1) the Substance Abuse and Mental Health 
Services Administration; 
(2) the Indian Health Service; 
(3) the Health Resources and Services Adminis-
tration; 
(4) the Centers for Medicare & Medicaid Serv-
ices; 
(5) the National Institute of Mental Health; 
(6) the National Institute on Aging; 
(7) the Centers for Disease Control and Preven-
tion; 
(8) the Department of Veterans Affairs; and 
(9) older adults, family members of older adults 
with mental illness, and geriatric mental health ex-
perts or advocates for elderly mental health con-
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cerns, to be appointed by the Secretary of Health 
and Human Services in consultation with a national 
advocacy organization focused on suicide prevention, 
including senior suicide prevention. 
(c) CO-CHAIRS.—The Assistant Secretary for Health 
and the Assistant Secretary for Aging of the Department 
of Health and Human Services shall serve as the co-chairs 
of the Council. 
(d) ACTIVITIES.—The Council shall— 
(1) carry out an interagency planning process 
to foster the integration of mental health, suicide 
prevention, health, and aging services, which is crit-
ical for effective service delivery for older adults; 
(2) make recommendations to the heads of rel-
evant Federal agencies to improve the delivery of 
mental health and suicide prevention services for 
older adults; and 
(3) submit an annual report to the President 
and Congress concerning the activities of the Coun-
cil. 
SEC. 4. ELIMINATION OF DISCRIMINATORY COPAYMENT 
RATES FOR MEDICARE OUTPATIENT PSY-
CHIATRIC SERVICES. 
Section 1833(c) of the Social Security Act (42 U.S.C. 
1395l(c)) is amended to read as follows: 
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‘‘(c)(1) Notwithstanding any other provision of this 
part, with respect to expenses incurred in a calendar year 
in connection with the treatment of mental, psycho-
neurotic, and personality disorders of an individual who 
is not an inpatient of a hospital at the time such expenses 
are incurred, there shall be considered as incurred ex-
penses for purposes of subsections (a) and (b)— 
‘‘(A) for expenses incurred in any year before 
2009, only 621⁄2 percent of such expenses; 
‘‘(B) for expenses incurred in 2009, only 683⁄4 
percent of such expenses; 
‘‘(C) for expenses incurred in 2010, only 75 
percent of such expenses; 
‘‘(D) for expenses incurred in 2011, only 811⁄4 
percent of such expenses; 
‘‘(E) for expenses incurred in 2012, only 871⁄2 
percent of such expenses; 
‘‘(F) for expenses incurred in 2013, only 933⁄4 
percent of such expenses; and 
‘‘(G) for expenses incurred in 2014 or any sub-
sequent year, 100 percent of such expenses. 
‘‘(2) For purposes of subparagraphs (A) through (G) 
of paragraph (1), the term ‘treatment’ does not include 
brief office visits (as defined by the Secretary) for the sole 
purpose of monitoring or changing drug prescriptions used 
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in the treatment of such disorders or partial hospitaliza-
tion services that are not directly provided by a physi-
cian.’’. 
SEC. 5. ELDERLY SUICIDE EARLY INTERVENTION AND PRE-
VENTION STRATEGIES. 
Title V of the Public Health Service Act is amended 
by inserting after section 520E–2 (42 U.S.C. 290bb–36b) 
the following: 
‘‘SEC. 520E–3. ELDERLY SUICIDE EARLY INTERVENTION 
AND PREVENTION STRATEGIES. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants or cooperative agreements to eligible entities to de-
velop strategies for addressing suicide among the elderly. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible for a grant 
or cooperative agreement under subsection (a) an entity 
shall— 
‘‘(1) be a— 
‘‘(A) State or local government agency, a 
territory, or a federally recognized Indian tribe, 
tribal organization (as defined in the Indian 
Self-Determination and Education Assistance 
Act), or an urban Indian organization (as de-
fined in the Indian Health Care Improvement 
Act); or 
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‘‘(B) a public or private nonprofit organi-
zation; and 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require. 
‘‘(c) USE OF FUNDS.—An entity shall use amounts 
received under a grant or cooperative agreement under 
this section to— 
‘‘(1) develop and implement elderly suicide early 
intervention and prevention strategies in 1 or more 
settings that serve seniors, including senior centers, 
nutrition sites, primary care settings, veterans’ fa-
cilities, nursing facilities, assisted living facilities, 
and aging information and referral sites, such as 
those operated by area agencies on aging or Aging 
and Disability Resource Centers (as those terms are 
defined in section 102 of the Older Americans Act 
of 1965); 
‘‘(2) collect and analyze data on elderly suicide 
early intervention and prevention services for pur-
poses of monitoring, research and policy develop-
ment; and 
‘‘(3) assess the outcomes and effectiveness of 
such services. 
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‘‘(d) REQUIREMENTS.—An applicant for a grant or 
cooperative agreement under this section shall dem-
onstrate how such applicant will— 
‘‘(1) collaborate with other State and local pub-
lic and private nonprofit organizations; 
‘‘(2) offer immediate support, information, and 
referral to seniors or their families who are at risk 
for suicide, and appropriate postsuicide intervention 
services care, and information to families and 
friends of seniors who recently completed suicide and 
other interested individuals; and 
‘‘(3) conduct annual self-evaluations concerning 
the goals, outcomes, and effectiveness of the activi-
ties carried out under the grant or agreement, in 
consultation with interested families and national 
advocacy organizations focused on suicide preven-
tion, including senior suicide prevention. 
‘‘(e) PREFERENCE.—In awarding a grant or coopera-
tive agreement under this section, the Secretary shall give 
preference to applicants with demonstrated expertise and 
capability in providing— 
‘‘(1) early intervention and assessment services, 
including voluntary screening programs, education, 
and outreach to elderly who are at risk for mental 
or emotional disorders that may lead to a suicide at-
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tempt and that are integrated with aging services 
support organizations; 
‘‘(2) early intervention and prevention practices 
and strategies adapted to the community it will 
serve, with equal preference given to applicants that 
are already serving the same community, and appli-
cants that will serve a new community under a grant 
or agreement under this section, if the applicant has 
already demonstrated expertise and capability in 
providing early intervention and prevention practices 
and strategies adapted to the community or commu-
nities it currently serves; 
‘‘(3) access to services and care for seniors with 
diverse linguistic and cultural backgrounds; and 
‘‘(4) services in States or geographic regions 
with rates of elder suicide that exceed the national 
average as determined by the Centers for Disease 
Control and Prevention. 
‘‘(f) REQUIREMENT
FOR DIRECT SERVICES.—Not 
less than 85 percent of amounts received under a grant 
or cooperative agreement under this section shall be used 
to provide direct services. 
‘‘(g) COORDINATION AND COLLABORATION.— 
‘‘(1) IN GENERAL.—In carrying out this section 
(including awarding grants and cooperative agree-
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ments under subsection (a)), the Secretary shall col-
laborate with the Interagency Geriatric Mental 
Health Planning Council. 
‘‘(2) CONSULTATION.— 
‘‘(A) IN GENERAL.—Except as provided in 
subparagraph (B), in developing and imple-
menting Federal policy to carry out this section, 
the Secretary shall consult with— 
‘‘(i) State and local agencies, includ-
ing agencies comprising the aging network; 
‘‘(ii) national advocacy organizations 
focused on suicide prevention, including 
senior suicide prevention; 
‘‘(iii) relevant national medical and 
other health specialty organizations; 
‘‘(iv) seniors who are at risk for sui-
cide, who have survived suicide attempts, 
or who are currently receiving care from 
early intervention and prevention services; 
‘‘(v) families and friends of seniors 
who are at risk for suicide, who have sur-
vived attempts, who are currently receiving 
care from early intervention and prevention 
services, or who have completed suicide; 
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‘‘(vi) qualified professionals who pos-
sess the specialized knowledge, skills, expe-
rience, and relevant attributes needed to 
serve seniors at risk for suicide and their 
families; and 
‘‘(vii) other entities as determined by 
the Secretary. 
‘‘(B) LIMITATION.—The Secretary shall 
not consult with the entities described in sub-
paragraph (A) for the purpose of awarding 
grants and cooperative agreements under sub-
section (a). 
‘‘(h) EVALUATIONS AND REPORTS.— 
‘‘(1) EVALUATIONS BY GRANTEES.— 
‘‘(A) EVALUATION
DESIGN.—Not later 
than 1 year after receiving a grant or coopera-
tive agreement under this section, an eligible 
entity shall submit to the Secretary a plan on 
the design of an evaluation strategy to assess 
the effectiveness of results of the activities car-
ried out under the grant or agreement. 
‘‘(B) EVALUATION OF EFFECTIVENESS.— 
Not later than 2 years after receiving a grant 
or cooperative agreement under this section, an 
eligible entity shall submit to the Secretary an 
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effectiveness evaluation on the implementation 
and results of the activities carried out by the 
eligible entity under the grant or agreement. 
‘‘(2) REPORT.—Not later than 3 years after the 
date that the initial grants or cooperative agree-
ments are awarded to eligible entities under this sec-
tion, the Secretary shall submit to the appropriate 
committees of Congress a report describing the 
projects funded under this section and include an 
evaluation plan for future activities. The report 
shall— 
‘‘(A) be a coordinated response by all rep-
resentatives on the Interagency Geriatric Men-
tal Health Advisory Council; and 
‘‘(B) include input from consumers and 
family members of consumers on progress being 
made and actions that need to be taken. 
‘‘(i) DEFINITION.—In this section: 
‘‘(1) AGING NETWORK.—The term ‘aging net-
work’ has the meaning given such term in section 
102(5) of the Older Americans Act of 1965. 
‘‘(2) EARLY INTERVENTION.—The term ‘early 
intervention’ means a strategy or approach that is 
intended to prevent an outcome or to alter the 
course of an existing condition. 
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‘‘(3) 
PREVENTION.—The 
term 
‘prevention’ 
means a strategy or approach that reduces the likeli-
hood of risk or onset, or delays the onset, of adverse 
health problems that have been known to lead to sui-
cide. 
‘‘(4) SENIOR.—The term ‘senior’ means— 
‘‘(A) an individual who is 60 years of age 
or older and being served by aging network pro-
grams; or 
‘‘(B) an individual who is 65 years of age 
or older and covered under Medicare. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—– 
‘‘(1) IN
GENERAL.—For the purpose of car-
rying out this section there is authorized to be ap-
propriated 
$4,000,000 
for 
fiscal 
year 
2008, 
$6,000,000 for fiscal year 2009 and $8,000,000 for 
fiscal year 2010. 
‘‘(2) PREFERENCE.—If less than $3,500,000 is 
appropriated for any fiscal year to carry out this 
section, in awarding grants and cooperative agree-
ments under this section during such fiscal year, the 
Secretary shall give preference to applicants in 
States that have rates of elderly suicide that signifi-
cantly exceed the national average as determined by 
the Centers for Disease Control and Prevention.’’. 
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SEC. 6. INTERAGENCY TECHNICAL ASSISTANCE CENTER. 
(a) INTERAGENCY RESEARCH, TRAINING, AND TECH-
NICAL ASSISTANCE CENTERS.—Section 520C(d) of the 
Public Health Service Act (42 U.S.C. 290bb–34(d)) is 
amended— 
(1) in paragraph (1), by striking ‘‘youth suicide 
early intervention and prevention strategies’’ and in-
serting ‘‘suicide early intervention and prevention 
strategies for all ages, particularly for groups that 
are at a high risk for suicide’’; 
(2) in paragraph (2), by striking ‘‘youth suicide 
early intervention and prevention strategies’’ and in-
serting ‘‘suicide early intervention and prevention 
strategies for all ages, particularly for groups that 
are at a high risk for suicide’’; 
(3) in paragraph (3)— 
(A) by striking ‘‘youth’’; and 
(B) by inserting before the semicolon the 
following: ‘‘for all ages, particularly for groups 
that are at a high risk for suicide’’; 
(4) in paragraph (4), by striking ‘‘youth sui-
cide’’ and inserting ‘‘suicide for all ages, particularly 
among groups that are at a high risk for suicide’’; 
(5) in paragraph (5), by striking ‘‘youth suicide 
early intervention techniques and technology’’ and 
inserting ‘‘suicide early intervention techniques and 
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