IB 
Union Calendar No. 276 
117TH CONGRESS 
2D SESSION 
H. R. 7666 
[Report No. 117–364, Part I] 
To amend the Public Health Service Act to reauthorize certain programs 
relating to mental health and substance use disorders, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 6, 2022 
Mr. PALLONE (for himself and Mrs. RODGERS of Washington) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce, and in addition to the Committee on the Judiciary, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
JUNE 13, 2022 
Additional sponsor: Mr. TRONE 
JUNE 13, 2022 
Reported from the Committee on Energy and Commerce with an amendment 
[Strike out all after the enacting clause and insert the part printed in italic] 
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 
[For text of introduced bill, see copy of bill as introduced on May 6, 2022] 
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A BILL 
To amend the Public Health Service Act to reauthorize cer-
tain programs relating to mental health and substance 
use disorders, and for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the ‘‘Re-
storing Hope for Mental Health and Well-Being Act of 
2022’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—MENTAL HEALTH AND CRISIS CARE NEEDS 
Subtitle A—Crisis Care Services and 9–8–8 Implementation 
Sec. 101. Behavioral Health Crisis Coordinating Office. 
Sec. 102. Crisis response continuum of care. 
Subtitle B—Into the Light for Maternal Mental Health and Substance Use 
Disorders 
Sec. 111. Screening and treatment for maternal mental health and substance use 
disorders. 
Sec. 112. Maternal mental health hotline. 
Sec. 113. Task force on maternal mental health. 
Subtitle C—Reaching Improved Mental Health Outcomes for Patients 
Sec. 121. Innovation for mental health. 
Sec. 122. Crisis care coordination. 
Sec. 123. Treatment of serious mental illness. 
Subtitle D—Anna Westin Legacy 
Sec. 131. Maintaining education and training on eating disorders. 
Subtitle E—Community Mental Health Services Block Grant Reauthorization 
Sec. 141. Reauthorization of block grants for community mental health services. 
Subtitle F—Peer-Supported Mental Health Services 
Sec. 151. Peer-supported mental health services. 
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TITLE II—SUBSTANCE USE DISORDER PREVENTION, TREATMENT, 
AND RECOVERY SERVICES 
Subtitle A—Native Behavioral Health Access Improvement 
Sec. 201. Behavioral health and substance use disorder services for Native Ameri-
cans. 
Subtitle B—Summer Barrow Prevention, Treatment, and Recovery 
Sec. 211. Grants for the benefit of homeless individuals. 
Sec. 212. Priority substance abuse treatment needs of regional and national sig-
nificance. 
Sec. 213. Evidence-based prescription opioid and heroin treatment and interven-
tions demonstration. 
Sec. 214. Priority substance use disorder prevention needs of regional and na-
tional significance. 
Sec. 215.
Sober Truth on Preventing (STOP) Underage Drinking Reauthoriza-
tion. 
Sec. 216. Grants for jail diversion programs. 
Sec. 217. Formula grants to States. 
Sec. 218. Projects for Assistance in Transition From Homelessness. 
Sec. 219. Grants for reducing overdose deaths. 
Sec. 220. Opioid overdose reversal medication access and education grant pro-
grams. 
Sec. 221. State demonstration grants for comprehensive opioid abuse response. 
Sec. 222. Emergency department alternatives to opioids. 
Subtitle C—Excellence in Recovery Housing 
Sec. 231. Clarifying the role of SAMHSA in promoting the availability of high- 
quality recovery housing. 
Sec. 232. Developing guidelines for States to promote the availability of high- 
quality recovery housing. 
Sec. 233. Coordination of Federal activities to promote the availability of recov-
ery housing. 
Sec. 234. NAS study and report. 
Sec. 235. Grants for States to promote the availability of recovery housing and 
services. 
Sec. 236. Funding. 
Sec. 237. Technical correction. 
Subtitle D—Substance Use Prevention, Treatment, and Recovery Services Block 
Grant 
Sec. 241. Eliminating stigmatizing language relating to substance use. 
Sec. 242. Authorized activities. 
Sec. 243. Requirements relating to certain infectious diseases and human im-
munodeficiency virus. 
Sec. 244. State plan requirements. 
Sec. 245. Updating certain language relating to Tribes. 
Sec. 246. Block grants for substance use prevention, treatment, and recovery serv-
ices. 
Sec. 247. Requirement of reports and audits by States. 
Sec. 248. Study on assessment for use in distribution of limited State resources. 
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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. 
Sec. 252. Changes to Federal opioid treatment standards. 
Subtitle F—Additional Provisions Relating to Addiction Treatment 
Sec. 261. Prohibition. 
Sec. 262. Eliminating additional requirements for dispensing narcotic drugs in 
schedule III, IV, and V for maintenance or detoxification treat-
ment. 
Sec. 263. Requiring prescribers of controlled substances to complete training. 
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. 
Subtitle B—Helping Enable Access to Lifesaving Services 
Sec. 311. Reauthorization and provision of certain programs to strengthen the 
health care workforce. 
Subtitle C—Eliminating the Opt-Out for Nonfederal Governmental Health 
Plans 
Sec. 321. Eliminating the opt-out for nonfederal governmental health plans. 
Subtitle D—Mental Health and Substance Use Disorder Parity Implementation 
Sec. 331. Grants to support mental health and substance use disorder parity im-
plementation. 
TITLE IV—CHILDREN AND YOUTH 
Subtitle A—Supporting Children’s Mental Health Care Access 
Sec. 401. Pediatric mental health care access grants. 
Sec. 402. Infant and early childhood mental health promotion, intervention, and 
treatment. 
Subtitle B—Continuing Systems of Care for Children 
Sec. 411. Comprehensive Community Mental Health Services for Children with 
Serious Emotional Disturbances. 
Sec. 412. Substance Use Disorder Treatment and Early Intervention Services for 
Children and Adolescents. 
Subtitle C—Garrett Lee Smith Memorial Reauthorization 
Sec. 421. Suicide prevention technical assistance center. 
Sec. 422. Youth suicide early intervention and prevention strategies. 
Sec. 423. Mental health and substance use disorder services for students in higher 
education. 
Sec. 424. Mental and behavioral health outreach and education at institutions of 
higher education. 
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TITLE I—MENTAL HEALTH AND 
CRISIS CARE NEEDS 
Subtitle A—Crisis Care Services 
and 9–8–8 Implementation 
SEC. 101. BEHAVIORAL HEALTH CRISIS COORDINATING OF-
FICE. 
Part A of title V of the Public Health Service Act (42 
U.S.C. 290aa et seq.) is amended by adding at the end the 
following: 
‘‘SEC. 506B. BEHAVIORAL HEALTH CRISIS COORDINATING 
OFFICE. 
‘‘(a) IN GENERAL.—The Secretary shall establish, 
within the Substance Abuse and Mental Health Services 
Administration, an office to coordinate work relating to be-
havioral health crisis care across the operating divisions 
and agencies of the Department of Health and Human 
Services, including the Substance Abuse and Mental Health 
Services Administration, the Centers for Medicare & Med-
icaid Services, and the Health Resources and Services Ad-
ministration, and external stakeholders. 
‘‘(b) DUTY.—The office established under subsection 
(a) shall— 
‘‘(1) convene Federal, State, Tribal, local, and 
private partners; 
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‘‘(2) launch and manage Federal workgroups 
charged with making recommendations regarding be-
havioral health crisis issues, including with respect to 
health care best practices, workforce development, 
mental health disparities, data collection, technology, 
program oversight, public awareness, and engage-
ment; and 
‘‘(3) support technical assistance, data analysis, 
and evaluation functions in order to assist States, lo-
calities, Territories, Tribes, and Tribal communities 
to develop crisis care systems and establish nation-
wide best practices with the objective of expanding the 
capacity of, and access to, local crisis call centers, 
mobile crisis care, crisis stabilization, psychiatric 
emergency services, and rapid post-crisis follow-up 
care provided by— 
‘‘(A) the National Suicide Prevention and 
Mental Health Crisis Hotline and Response Sys-
tem; 
‘‘(B) community mental health centers (as 
defined in section 1861(ff)(3)(B) of the Social 
Security Act); 
‘‘(C) certified community behavioral health 
clinics, as described in section 223 of the Pro-
tecting Access to Medicare Act of 2014; and 
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‘‘(D) other community mental health and 
substance use disorder providers. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$5,000,000 for each of fiscal years 2023 through 2027.’’. 
SEC. 102. CRISIS RESPONSE CONTINUUM OF CARE. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.) is amended by 
adding at the end the following: 
‘‘SEC. 520N. CRISIS RESPONSE CONTINUUM OF CARE. 
‘‘(a) IN GENERAL.—The Secretary shall publish best 
practices for a crisis response continuum of care for use 
by health care providers, crisis services administrators, and 
crisis services providers in responding to individuals (in-
cluding children and adolescents) experiencing mental 
health crises, substance-related crises, and crises arising 
from co-occurring disorders. 
‘‘(b) BEST PRACTICES.— 
‘‘(1) SCOPE
OF
BEST
PRACTICES.—The best 
practices published under subsection (a) shall de-
fine— 
‘‘(A) a minimum set of core crisis response 
services, as determined by the Secretary, for each 
entity that furnishes such services, that— 
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‘‘(i) do not require prior authorization 
from an insurance provider or group health 
plan nor a referral from a health care pro-
vider prior to the delivery of services; 
‘‘(ii) provide for serving all individ-
uals regardless of age or ability to pay; 
‘‘(iii) provide for operating 24 hours a 
day, 7 days a week; and 
‘‘(iv) provide for care and support 
through resources described in paragraph 
(2)(A) until the individual has been sta-
bilized or transferred to the next level of cri-
sis care; and 
‘‘(B) psychiatric stabilization, including the 
point at which a case may be closed for— 
‘‘(i) individuals screened over the 
phone; and 
‘‘(ii) individuals stabilized on the scene 
by mobile teams. 
‘‘(2) IDENTIFICATION
OF
ESSENTIAL
FUNC-
TIONS.—The best practices published under subsection 
(a) shall identify the essential functions of each serv-
ice in the crisis response continuum, which shall in-
clude at least the following: 
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