H. R. 2617—1182 
(B) in consultation with the Director of the Centers 
for Disease Control and Prevention, options to improve 
data regarding usage of the Suicide Prevention Lifeline, 
such as repeat calls, consistent with applicable Federal 
and State privacy laws; and 
(2) submit a report to Congress on the progress made 
on meeting the goals and objectives identified pursuant to 
paragraph (2)(A) of such section 520E–3(c) and recommenda-
tions on improving the program, including improvements to 
enhance data collection and usage. 
(d) GAO STUDY AND REPORT.— 
(1) IN GENERAL.—Not later than 2 years after the Secretary 
of Health and Human Services begins implementation of the 
plan required by section 520E–3(c) of the Public Health Service 
Act, as added by subsection (a)(2)(B), the Comptroller General 
of the United States shall— 
(A) complete a study on the Suicide Prevention Lifeline; 
and 
(B) submit a report to the Congress on the results 
of such study. 
(2) CONTENT.—The study required by paragraph (1) shall 
include what is known about— 
(A) the feasibility of routing calls to the Suicide Preven-
tion Lifeline to the nearest crisis center based on the phys-
ical location of the contact; 
(B) capacity of the Suicide Prevention Lifeline; 
(C) State and regional variation with respect to access 
to crisis centers described in section 520E–3(b)(1) of the 
Public Health Service Act (42 U.S.C. 290bb–36c(b)(1)), 
including wait times, answer times, hours of operation, 
and funding sources; 
(D) the implementation of the plan under section 520E– 
3(c) of the Public Health Service Act, as added by subsection 
(a)(2)(B), including the progress toward meeting the goals 
and objectives in such plan; and 
(E) the capacity of the Suicide Prevention Lifeline to 
handle calls from individuals with limited English pro-
ficiency. 
(3) RECOMMENDATIONS.—The report required by paragraph 
(1) shall include recommendations for improving the Suicide 
Prevention Lifeline, including recommendations for administra-
tive actions. 
(e) DEFINITION.—In this section, the term ‘‘Suicide Prevention 
Lifeline’’ means the suicide prevention hotline maintained pursuant 
to section 520E–3 of the Public Health Service Act (42 U.S.C. 
290bb–36c). 
CHAPTER 2—INTO THE LIGHT FOR MATERNAL MENTAL 
HEALTH AND SUBSTANCE USE DISORDERS 
SEC. 1111. SCREENING AND TREATMENT FOR MATERNAL MENTAL 
HEALTH AND SUBSTANCE USE DISORDERS. 
(a) IN GENERAL.—Section 317L–1 of the Public Health Service 
Act (42 U.S.C. 247b–13a) is amended— 
(1) in the section heading, by striking ‘‘MATERNAL DEPRES-
SION’’ and inserting ‘‘MATERNAL MENTAL HEALTH AND SUB-
STANCE USE DISORDERS’’; and
H. R. 2617—1183 
(2) in subsection (a)— 
(A) by inserting ‘‘, Indian Tribes and Tribal organiza-
tions (as such terms are defined in section 4 of the Indian 
Self-Determination and Education Assistance Act)’’ after 
‘‘States’’; and 
(B) by striking ‘‘for women who are pregnant, or who 
have given birth within the preceding 12 months, for 
maternal depression’’ and inserting ‘‘for women who are 
postpartum, pregnant, or have given birth within the pre-
ceding 12 months, for maternal mental health and sub-
stance use disorders’’. 
(b) APPLICATION.—Subsection (b) of section 317L–1 of the Public 
Health Service Act (42 U.S.C. 247b–13a) is amended— 
(1) by striking ‘‘a State shall submit’’ and inserting ‘‘an 
entity listed in subsection (a) shall submit’’; and 
(2) in paragraphs (1) and (2), by striking ‘‘maternal depres-
sion’’ each place it appears and inserting ‘‘maternal mental 
health and substance use disorders’’. 
(c) PRIORITY.—Subsection (c) of section 317L–1 of the Public 
Health Service Act (42 U.S.C. 247b–13a) is amended— 
(1) by striking ‘‘may give priority to States proposing to 
improve or enhance access to screening’’ and inserting the 
following: ‘‘shall, as appropriate, give priority to entities listed 
in subsection (a) that— 
‘‘(1) are proposing to create, improve, or enhance screening, 
prevention, and treatment’’; 
(2) by striking ‘‘maternal depression’’ and inserting 
‘‘maternal mental health and substance use disorders’’; 
(3) by striking the period at the end of paragraph (1), 
as so designated, and inserting a semicolon; and 
(4) by inserting after such paragraph (1) the following: 
‘‘(2) are currently partnered with, or will partner with, 
one or more community-based organizations to address 
maternal mental health and substance use disorders; 
‘‘(3) are located in, or provide services under this section 
in, an area with disproportionately high rates of maternal 
mental health or substance use disorders or other related 
disparities; and 
‘‘(4) operate in a health professional shortage area des-
ignated under section 332, including maternity care health 
professional target areas.’’. 
(d) USE OF FUNDS.—Subsection (d) of section 317L–1 of the 
Public Health Service Act (42 U.S.C. 247b–13a) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A), by striking ‘‘to health care 
providers; and’’ and inserting ‘‘on maternal mental health 
and substance use disorder screening, brief intervention, 
treatment (as applicable for health care providers), and 
referrals for treatment to health care providers in the 
primary care setting and, as applicable, relevant health 
paraprofessionals;’’; 
(B) in subparagraph (B), by striking ‘‘to health care 
providers, including information on maternal depression 
screening, treatment, and followup support services, and 
linkages to community-based resources; and’’ and inserting 
‘‘on maternal mental health and substance use disorder 
screening, brief intervention, treatment (as applicable for
H. R. 2617—1184 
health care providers) and referrals for treatment, follow- 
up support services, and linkages to community-based 
resources to health care providers in the primary care 
setting and, as applicable, relevant health paraprofes-
sionals; and’’; and 
(C) by adding at the end the following: 
‘‘(C) to the extent practicable and appropriate, enabling 
health care providers (such as obstetrician-gynecologists, 
nurse practitioners, nurse midwives, pediatricians, psychia-
trists, mental and other behavioral health care providers, 
and adult primary care clinicians) to provide or receive 
real-time psychiatric consultation (in-person or remotely), 
including through the use of technology-enabled collabo-
rative learning and capacity building models (as defined 
in section 330N), to aid in the treatment of pregnant and 
postpartum women; and’’; and 
(2) in paragraph (2)— 
(A) by striking subparagraph (A); 
(B) by redesignating subparagraphs (B) and (C) as 
subparagraphs (A) and (B), respectively; 
(C) in subparagraph (A), as so redesignated, by striking 
‘‘and’’ at the end; 
(D) in subparagraph (B), as so redesignated— 
(i) by inserting ‘‘, including’’ before ‘‘for rural 
areas’’; and 
(ii) by striking the period at the end and inserting 
a semicolon; and 
(E) by inserting after subparagraph (B), as so redesig-
nated, the following: 
‘‘(C) providing assistance to pregnant and postpartum 
women to receive maternal mental health and substance 
use disorder treatment, including patient consultation, care 
coordination, and navigation for such treatment; 
‘‘(D) coordinating, as appropriate, with maternal and 
child health programs of State, local, and Tribal govern-
ments, including child psychiatric access programs; 
‘‘(E) 
conducting 
public 
outreach 
and 
awareness 
regarding grants under subsection (a); 
‘‘(F) creating multistate consortia to carry out the 
activities required or authorized under this subsection; and 
‘‘(G) training health care providers in the primary care 
setting and relevant health paraprofessionals on trauma- 
informed care, culturally and linguistically appropriate 
services, and best practices related to training to improve 
the provision of maternal mental health and substance 
use disorder care for racial and ethnic minority populations 
and reduce related disparities in the delivery of such care.’’. 
(e) ADDITIONAL PROVISIONS.—Section 317L–1 of the Public 
Health Service Act (42 U.S.C. 247b–13a) is amended— 
(1) by redesignating subsection (e) as subsection (h); and 
(2) by inserting after subsection (d) the following: 
‘‘(e) TECHNICAL ASSISTANCE.—The Secretary shall provide tech-
nical assistance to grantees and entities listed in subsection (a) 
for carrying out activities pursuant to this section. 
‘‘(f) DISSEMINATION OF BEST PRACTICES.—The Secretary, based 
on evaluation of the activities funded pursuant to this section, 
shall identify and disseminate evidence-based or evidence-informed
H. R. 2617—1185 
practices for screening, assessment, treatment, and referral to treat-
ment services for maternal mental health and substance use dis-
orders, including culturally and linguistically appropriate services, 
for women during pregnancy and 12 months following pregnancy. 
‘‘(g) MATCHING REQUIREMENT.—The Federal share of the cost 
of the activities for which a grant is made to an entity under 
subsection (a) shall not exceed 90 percent of the total cost of 
such activities.’’. 
(f) AUTHORIZATION OF APPROPRIATIONS.—Subsection (h) of sec-
tion 317L–1 (42 U.S.C. 247b–13a) of the Public Health Service 
Act, as redesignated by subsection (e), is amended— 
(1) by striking ‘‘$5,000,000’’ and inserting ‘‘$24,000,000’’; 
and 
(2) by striking ‘‘2018 through 2022’’ and inserting ‘‘2023 
through 2027’’. 
SEC. 1112. MATERNAL MENTAL HEALTH HOTLINE. 
Part P of title III of the Public Health Service Act (42 U.S.C. 
280g et seq.) is amended by adding at the end the following: 
‘‘SEC. 399V–7. MATERNAL MENTAL HEALTH HOTLINE. 
‘‘(a) IN GENERAL.—The Secretary shall maintain, by grant or 
contract, a national maternal mental health hotline to provide 
emotional support, information, brief intervention, and mental 
health and substance use disorder resources to pregnant and 
postpartum women at risk of, or affected by, maternal mental 
health and substance use disorders, and to their families or house-
hold members. 
‘‘(b) REQUIREMENTS
FOR HOTLINE.—The hotline under sub-
section (a) shall— 
‘‘(1) be a 24/7 real-time hotline; 
‘‘(2) provide voice and text support; 
‘‘(3) be staffed by certified peer specialists, licensed health 
care professionals, or licensed mental health professionals who 
are trained on— 
‘‘(A) maternal mental health and substance use dis-
order prevention, identification, and intervention; and 
‘‘(B) providing culturally and linguistically appropriate 
support; and 
‘‘(4) provide maternal mental health and substance use 
disorder assistance and referral services to meet the needs 
of underserved populations, individuals with disabilities, and 
family and household members of pregnant or postpartum 
women at risk of experiencing maternal mental health and 
substance use disorders. 
‘‘(c) ADDITIONAL REQUIREMENTS.—In maintaining the hotline 
under subsection (a), the Secretary shall— 
‘‘(1) consult with the Domestic Violence Hotline, National 
Suicide Prevention Lifeline, and Veterans Crisis Line to ensure 
that pregnant and postpartum women are connected in real- 
time to the appropriate specialized hotline service, when 
applicable; 
‘‘(2) conduct a public awareness campaign for the hotline; 
‘‘(3) consult with Federal departments and agencies, 
including the Substance Abuse and Mental Health Services 
Administration and the Department of Veterans Affairs, to 
increase awareness regarding the hotline; and
H. R. 2617—1186 
‘‘(4) consult with appropriate State, local, and Tribal public 
health officials, including officials who administer programs 
that serve low-income pregnant and postpartum individuals. 
‘‘(d) ANNUAL REPORT.—The Secretary shall submit an annual 
report to the Congress on the hotline under subsection (a) and 
implementation of this section, including— 
‘‘(1) an evaluation of the effectiveness of activities conducted 
or supported under subsection (a); 
‘‘(2) a directory of entities or organizations to which staff 
maintaining the hotline funded under this section may make 
referrals; and 
‘‘(3) such additional information as the Secretary deter-
mines appropriate. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated $10,000,000 for each 
of fiscal years 2023 through 2027.’’. 
SEC. 1113. TASK FORCE ON MATERNAL MENTAL HEALTH. 
(a) ESTABLISHMENT.—Not later than 180 days after the date 
of enactment of this Act, the Secretary of Health and Human 
Services, for purposes of identifying, evaluating, and making rec-
ommendations to coordinate and improve Federal activities related 
to addressing maternal mental health conditions, shall— 
(1) establish a task force to be known as the Task Force 
on Maternal Mental Health (in this section referred to as the 
‘‘Task Force’’); or 
(2) incorporate the duties, public meetings, and reports 
specified in subsections (c) through (f) into existing relevant 
Federal committees or working groups, such as the Maternal 
Health Interagency Policy Committee and the Maternal Health 
Working Group, as appropriate. 
(b) MEMBERSHIP.— 
(1) COMPOSITION.—The Task Force shall be composed of— 
(A) the Federal members under paragraph (2); and 
(B) the non-Federal members under paragraph (3). 
(2) FEDERAL MEMBERS.—The Federal members of the Task 
Force shall consist of the following heads of Federal depart-
ments and agencies (or their designees): 
(A) The Assistant Secretary for Health of the Depart-
ment of Health and Human Services and the Assistant 
Secretary for Mental Health and Substance Use, who shall 
serve as co-chairs. 
(B) The Assistant Secretary for Planning and Evalua-
tion of the Department of Health and Human Services. 
(C) The Assistant Secretary of the Administration for 
Children and Families. 
(D) The Director of the Centers for Disease Control 
and Prevention. 
(E) The Administrator of the Centers for Medicare 
& Medicaid Services. 
(F) The Administrator of the Health Resources and 
Services Administration. 
(G) The Director of the Indian Health Service. 
(H) Such other Federal departments and agencies as 
the Secretary determines appropriate that serve individuals 
with maternal mental health conditions.
H. R. 2617—1187 
(3) NON-FEDERAL MEMBERS.—The non-Federal members of 
the Task Force shall— 
(A) compose not more than one-half, and not less than 
one-third, of the total membership of the Task Force; 
(B) be appointed by the Secretary; and 
(C) include— 
(i) representatives of professional medical societies, 
professional nursing societies, and relevant health 
paraprofessional societies with expertise in maternal 
or mental health; 
(ii) representatives of nonprofit organizations with 
expertise in maternal or mental health; 
(iii) relevant industry representatives; and 
(iv) other representatives, as appropriate. 
(4) DEADLINE FOR DESIGNATING DESIGNEES.—If the Assist-
ant Secretary for Health, the Assistant Secretary for Mental 
Health and Substance Use, or the head of a Federal department 
or agency serving as a member of the Task Force under para-
graph (2), chooses to be represented on the Task Force by 
a designee, the Assistant Secretary for Health, the Assistant 
Secretary for Mental Health and Substance Use, or department 
or agency head shall designate such designee not later than 
90 days after the date of the enactment of this section. 
(c) DUTIES.—The Task Force shall— 
(1) prepare and regularly update a report that analyzes 
and evaluates the state of maternal mental health programs 
at the Federal level, and identifies best practices with respect 
to maternal mental health (which may include co-occurring 
substance use disorders), including— 
(A) a set of evidence-based, evidence-informed, and 
promising practices with respect to— 
(i) prevention strategies for maternal mental 
health 
conditions, 
including 
strategies 
and 
rec-
ommendations to reduce racial, ethnic, geographic, and 
other health disparities; 
(ii) the identification, screening, diagnosis, inter-
vention, and treatment of maternal mental health 
conditions and affected families; 
(iii) 
the 
timely 
referral 
to 
supports, 
and 
implementation of practices, that prevent and mitigate 
the effects of a maternal mental health condition, 
including strategies and recommendations to eliminate 
racial and ethnic disparities that exist in maternal 
mental health; and 
(iv) community-based or multigenerational prac-
tices that provide support related to maternal mental 
health conditions, including support for affected fami-
lies; and 
(B) Federal and State programs and activities that 
support prevention, screening, diagnosis, intervention, and 
treatment of maternal mental health conditions; 
(2) develop and regularly update a national strategy for 
maternal mental health, taking into consideration the findings 
of the report under paragraph (1), on how the Task Force 
and Federal departments and agencies represented on the Task 
Force may prioritize options for, and may improve coordination
H. R. 2617—1188 
with respect to, addressing maternal mental health conditions, 
including by— 
(A) increasing prevention, screening, diagnosis, inter-
vention, treatment, and access to maternal mental health 
care, including clinical and nonclinical care such as peer- 
support and community health workers, through the public 
and private sectors; 
(B) providing support relating to the prevention, 
screening, diagnosis, intervention, and treatment of 
maternal mental health conditions, including families, as 
appropriate; 
(C) reducing racial, ethnic, geographic, and other 
health disparities related to prevention, diagnosis, inter-
vention, treatment, and access to maternal mental health 
care; 
(D) identifying opportunities to modify, strengthen, and 
better coordinate existing Federal infant and maternal 
health programs in order to improve screening, diagnosis, 
research, prevention, identification, intervention, and treat-
ment with respect to maternal mental health; and 
(E) improving planning, coordination, and collaboration 
across Federal departments, agencies, offices, and pro-
grams; 
(3) solicit public comments, as appropriate, from stake-
holders for the report under paragraph (1) and the national 
strategy under paragraph (2) in order to inform the activities 
and reports of the Task Force; and 
(4) consider the latest research related to maternal mental 
health in developing the strategy, including, as applicable and 
appropriate, data and information disaggregated by relevant 
factors, such as race, ethnicity, geographical location, age, socio-
economic level, and others, as appropriate. 
(d) MEETINGS.—The Task Force shall— 
(1) meet not less than two times each year; and 
(2) convene public meetings, as appropriate, to fulfill its 
duties under this section. 
(e) REPORTS
TO PUBLIC
AND FEDERAL LEADERS.—The Task 
Force shall make publicly available and submit to the heads of 
relevant Federal departments and agencies, the Committee on 
Energy and Commerce of the House of Representatives, the Com-
mittee on Health, Education, Labor, and Pensions of the Senate, 
and other relevant congressional committees, the following: 
(1) Not later than 1 year after the first meeting of the 
Task Force, an initial report under subsection (c)(1). 
(2) Not later than 2 years after the first meeting of the 
Task Force, an initial national strategy under subsection (c)(2). 
(3) Each year thereafter— 
(A) an updated report under subsection (c)(1); 
(B) an updated national strategy under subsection 
(c)(2); or 
(C) if no update is made under subsection (c)(1) or 
(c)(2), a report summarizing the activities of the Task Force. 
(f) REPORTS
TO
GOVERNORS.—Upon finalizing the initial 
national strategy under subsection (c)(2), and upon making relevant 
updates to such strategy, the Task Force shall submit a report 
to the Governors of all States describing any opportunities for 
local- and State-level partnerships identified under subsection (c)(2).
H. R. 2617—1189 
(g) SUNSET.—The Task Force shall terminate on September 
30, 2027. 
(h) NONDUPLICATION OF FEDERAL EFFORTS.—The Secretary may 
relieve the Task Force, in carrying out subsections (c) through 
(f), from responsibility for carrying out such activities as may be 
specified by the Secretary as duplicative of other activities carried 
out by the Department of Health and Human Services. 
SEC. 1114. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND 
POSTPARTUM WOMEN PILOT PROGRAM REAUTHORIZA-
TION. 
Section 508(r) of the Public Health Service Act (42 U.S.C. 
290bb–1(r)) is amended— 
(1) by striking paragraph (4); 
(2) by redesignating paragraphs (5) and (6) as paragraphs 
(4) and (5), respectively; and 
(3) in paragraph (4)(B), as so redesignated— 
(A) in the matter preceding clause (i), by striking ‘‘The 
Director’’ and inserting ‘‘Not later than September 30, 2026, 
the Director’’; and 
(B) by striking ‘‘the relevant committees of jurisdiction 
of the House of Representatives and the Senate’’ and 
inserting ‘‘the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives’’. 
CHAPTER 3—REACHING IMPROVED MENTAL HEALTH 
OUTCOMES FOR PATIENTS 
SEC. 1121. INNOVATION FOR MENTAL HEALTH. 
(a) NATIONAL MENTAL HEALTH AND SUBSTANCE USE POLICY 
LABORATORY.—Section 501A of the Public Health Service Act (42 
U.S.C. 290aa–0) is amended— 
(1) in subsection (e)(1), by striking ‘‘Indian tribes or tribal 
organizations’’ and inserting ‘‘Indian Tribes or Tribal organiza-
tions’’; 
(2) by striking subsection (e)(3); and 
(3) by adding at the end the following: 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there is authorized to be appropriated $10,000,000 for each 
of fiscal years 2023 through 2027.’’. 
(b) GAO STUDY.—Not later than 18 months after the date 
of enactment of this Act, the Comptroller General of the United 
States shall prepare a report on the work of the National Mental 
Health and Substance Use Policy Laboratory established under 
section 501A of the Public Health Service Act (42 U.S.C. 290aa– 
0), including— 
(1) the extent to which such Laboratory is meeting its 
responsibilities as set forth in such section 501A; and 
(2) any recommendations for improvement, including 
methods to expand the use of evidence-based practices across 
programs, recommendations to improve program evaluations 
for effectiveness, and dissemination of resources to stakeholders 
and the public. 
(c) INTERDEPARTMENTAL SERIOUS MENTAL ILLNESS COORDI-
NATING COMMITTEE.—
H. R. 2617—1190 
(1) IN GENERAL.—Part A of title V of the Public Health 
Service Act (42 U.S.C. 290aa et seq.), as amended by section 
1101, is further amended by inserting after section 501B, as 
added by such section 1101, the following: 
‘‘SEC. 
501C. 
INTERDEPARTMENTAL 
SERIOUS 
MENTAL 
ILLNESS 
COORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary, or the designee of the 
Secretary, shall establish a committee to be known as the 
Interdepartmental Serious Mental Illness Coordinating Com-
mittee (in this section referred to as the ‘Committee’). 
‘‘(2) FEDERAL ADVISORY COMMITTEE ACT.—Except as pro-
vided in this section, the provisions of the Federal Advisory 
Committee Act (5 U.S.C. App.) shall apply to the Committee. 
‘‘(b) MEETINGS.—The Committee shall meet not fewer than 
2 times each year. 
‘‘(c) RESPONSIBILITIES.—Not later than each of 1 year and 5 
years after the date of enactment of this section, the Committee 
shall submit to Congress and any other relevant Federal department 
or agency a report including— 
‘‘(1) a summary of advances in serious mental illness and 
serious emotional disturbance research related to the preven-
tion of, diagnosis of, intervention in, and treatment and 
recovery of serious mental illnesses, serious emotional disturb-
ances, and advances in access to services and support for adults 
with a serious mental illness or children with a serious emo-
tional disturbance; 
‘‘(2) an evaluation of the effect Federal programs related 
to serious mental illness have on public health, including out-
comes such as— 
‘‘(A) rates of suicide, suicide attempts, incidence and 
prevalence of serious mental illnesses, serious emotional 
disturbances, and substance use disorders, overdose, over-
dose deaths, emergency hospitalizations, emergency depart-
ment boarding, preventable emergency department visits, 
interaction with the criminal justice system, homelessness, 
and unemployment; 
‘‘(B) increased rates of employment and enrollment 
in educational and vocational programs; 
‘‘(C) quality of mental and substance use disorders 
treatment services; or 
‘‘(D) any other criteria as may be determined by the 
Secretary; and 
‘‘(3) specific recommendations for actions that agencies can 
take to better coordinate the administration of mental health 
services for adults with a serious mental illness or children 
with a serious emotional disturbance. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) FEDERAL MEMBERS.—The Committee shall be composed 
of the following Federal representatives, or the designees of 
such representatives— 
‘‘(A) the Secretary of Health and Human Services, who 
shall serve as the Chair of the Committee; 
‘‘(B) the Assistant Secretary for Mental Health and 
Substance Use; 
‘‘(C) the Attorney General;
H. R. 2617—1191 
‘‘(D) the Secretary of Veterans Affairs; 
‘‘(E) the Secretary of Defense; 
‘‘(F) the Secretary of Housing and Urban Development; 
‘‘(G) the Secretary of Education; 
‘‘(H) the Secretary of Labor; 
‘‘(I) the Administrator of the Centers for Medicare & 
Medicaid Services; 
‘‘(J) the Administrator of the Administration for 
Community Living; and 
‘‘(K) the Commissioner of Social Security. 
‘‘(2) NON-FEDERAL
MEMBERS.—The Committee shall also 
include not less than 14 non-Federal public members appointed 
by the Secretary of Health and Human Services, of which— 
‘‘(A) at least 2 members shall be an individual who 
has received treatment for a diagnosis of a serious mental 
illness; 
‘‘(B) at least 1 member shall be a parent or legal 
guardian of an adult with a history of a serious mental 
illness or a child with a history of a serious emotional 
disturbance; 
‘‘(C) at least 1 member shall be a representative of 
a leading research, advocacy, or service organization for 
adults with a serious mental illness; 
‘‘(D) at least 2 members shall be— 
‘‘(i) a licensed psychiatrist with experience in 
treating serious mental illnesses; 
‘‘(ii) a licensed psychologist with experience in 
treating serious mental illnesses or serious emotional 
disturbances; 
‘‘(iii) a licensed clinical social worker with experi-
ence treating serious mental illnesses or serious emo-
tional disturbances; or 
‘‘(iv) a licensed psychiatric nurse, nurse practi-
tioner, or physician assistant with experience in 
treating serious mental illnesses or serious emotional 
disturbances; 
‘‘(E) at least 1 member shall be a licensed mental 
health professional with a specialty in treating children 
and adolescents with a serious emotional disturbance; 
‘‘(F) at least 1 member shall be a mental health profes-
sional who has research or clinical mental health experi-
ence in working with minorities; 
‘‘(G) at least 1 member shall be a mental health profes-
sional who has research or clinical mental health experi-
ence in working with medically underserved populations; 
‘‘(H) at least 1 member shall be a State certified mental 
health peer support specialist; 
‘‘(I) at least 1 member shall be a judge with experience 
in adjudicating cases related to criminal justice or serious 
mental illness; 
‘‘(J) at least 1 member shall be a law enforcement 
officer or corrections officer with extensive experience in 
interfacing with adults with a serious mental illness, chil-
dren with a serious emotional disturbance, or individuals 
in a mental health crisis; and 
‘‘(K) at least 1 member shall have experience providing 
services for homeless individuals and working with adults
H. R. 2617—1192 
with a serious mental illness, children with a serious emo-
tional disturbance, or individuals in a mental health crisis. 
‘‘(3) TERMS.—A member of the Committee appointed under 
paragraph (2) shall serve for a term of 3 years, and may 
be reappointed for 1 or more additional 3-year terms. Any 
member appointed to fill a vacancy for an unexpired term 
shall be appointed for the remainder of such term. A member 
may serve after the expiration of the member’s term until 
a successor has been appointed. 
‘‘(e) WORKING GROUPS.—In carrying out its functions, the Com-
mittee may establish working groups. Such working groups shall 
be composed of Committee members, or their designees, and may 
hold such meetings as are necessary. 
‘‘(f) SUNSET.—The Committee shall terminate on September 
30, 2027.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 501(l)(2) of the Public Health Service Act 
(42 U.S.C. 290aa(l)(2)) is amended by striking ‘‘section 6031 
of such Act’’ and inserting ‘‘section 501C’’. 
(B) The Helping Families in Mental Health Crisis 
Reform Act of 2016 (Division B of Public Law 114–255) 
is amended— 
(i) by repealing section 6031; and 
(ii) by conforming the item relating to such section 
in the table of contents in section 1(b) of Public Law 
114–255. 
(d) PRIORITY
MENTAL
HEALTH
NEEDS
OF
REGIONAL
AND 
NATIONAL
SIGNIFICANCE.—Section 520A of the Public Health 
Service Act (42 U.S.C. 290bb–32) is amended— 
(1) in subsection (a), by striking ‘‘Indian tribes or tribal 
organizations’’ and inserting ‘‘Indian Tribes or Tribal organiza-
tions’’; and 
(2) in subsection (f), by striking ‘‘$394,550,000 for each 
of fiscal years 2018 through 2022’’ and inserting ‘‘$599,036,000 
for each of fiscal years 2023 through 2027’’. 
SEC. 1122. CRISIS CARE COORDINATION. 
(a) STRENGTHENING COMMUNITY CRISIS RESPONSE SYSTEMS.— 
Section 520F of the Public Health Service Act (42 U.S.C. 290bb– 
37) is amended to read as follows: 
‘‘SEC. 520F. MENTAL HEALTH CRISIS RESPONSE PARTNERSHIP PILOT 
PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a pilot program 
under which the Secretary will award competitive grants to States, 
localities, territories, Indian Tribes, and Tribal organizations to 
establish new, or enhance existing, mobile crisis response teams 
that divert the response for mental health and substance use dis-
order crises from law enforcement to mobile crisis teams, as 
described in subsection (b). 
‘‘(b) MOBILE CRISIS TEAMS DESCRIBED.—A mobile crisis team, 
for purposes of this section, is a team of individuals— 
‘‘(1) that is available to respond to individuals in mental 
health and substance use disorder crises and provide immediate 
stabilization, referrals to community-based mental health and 
substance use disorder services and supports, and triage to 
a higher level of care if medically necessary;
H. R. 2617—1193 
‘‘(2) which may include licensed counselors, clinical social 
workers, physicians, paramedics, crisis workers, peer support 
specialists, or other qualified individuals; and 
‘‘(3) which may provide support to divert mental health 
and substance use disorder crisis calls from the 9–1–1 system 
to the 9–8–8 system. 
‘‘(c) PRIORITY.—In awarding grants under this section, the Sec-
retary shall prioritize applications which account for the specific 
needs of the communities to be served, including children and 
families, veterans, rural and underserved populations, and other 
groups at increased risk of death from suicide or overdose. 
‘‘(d) REPORT.— 
‘‘(1) INITIAL REPORT.—Not later than September 30, 2024, 
the Secretary shall submit to Congress a report on steps taken 
by States, localities, territories, Indian Tribes, and Tribal 
organizations prior to the date of enactment of this section 
to strengthen the partnerships among mental health providers, 
substance use disorder treatment providers, primary care physi-
cians, mental health and substance use disorder crisis teams, 
paramedics, 
law 
enforcement 
officers, 
and 
other 
first 
responders. 
‘‘(2) PROGRESS REPORTS.—Not later than one year after 
the date on which the first grant is awarded to carry out 
this section, and for each year thereafter, the Secretary shall 
submit to Congress a report on the grants made during the 
year covered by the report, which shall include— 
‘‘(A) impact data on the teams and people served by 
such programs, including demographic information of 
individuals served, volume, and types of service utilization; 
‘‘(B) outcomes of the number of linkages made to 
community-based resources or short-term crisis receiving 
and stabilization facilities, as applicable, and diversion 
from law enforcement or hospital emergency department 
settings; 
‘‘(C) data consistent with the State block grant require-
ments for continuous evaluation and quality improvement, 
and other relevant data as determined by the Secretary; 
‘‘(D) 
identification 
and, 
where 
appropriate, 
rec-
ommendations of best practices from States and localities 
providing mobile crisis response and stabilization services 
for youth and adults; and 
‘‘(E) identification of any opportunities for improve-
ments to the program established under this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section, $10,000,000 for each 
of fiscal years 2023 through 2027.’’. 
(b) MENTAL HEALTH AWARENESS TRAINING GRANTS.— 
(1) IN
GENERAL.—Section 520J(b) of the Public Health 
Service Act (42 U.S.C. 290bb–41(b)) is amended— 
(A) in paragraph (1), by striking ‘‘Indian tribes, tribal 
organizations’’ 
and 
inserting 
‘‘Indian 
Tribes, 
Tribal 
organizations’’; 
(B) in paragraph (4), by striking ‘‘Indian tribe, tribal 
organization’’ and inserting ‘‘Indian Tribe, Tribal organiza-
tion’’; 
(C) in paragraph (5)—
H. R. 2617—1194 
(i) by striking ‘‘Indian tribe, tribal organization’’ 
and inserting ‘‘Indian Tribe, Tribal organization’’; 
(ii) in subparagraph (A), by striking ‘‘and’’ at the 
end; 
(iii) in subparagraph (B)(ii), by striking the period 
at the end and inserting ‘‘; and’’; and 
(iv) by adding at the end the following: 
‘‘(C) suicide intervention and prevention.’’; 
(D) in paragraph (6), by striking ‘‘Indian tribe, tribal 
organization’’ and inserting ‘‘Indian Tribe, Tribal organiza-
tion’’; 
(E) by redesignating paragraph (7) as paragraph (8); 
(F) by inserting after paragraph (6) the following: 
‘‘(7) TECHNICAL ASSISTANCE.—The Secretary may provide 
technical assistance to grantees in carrying out this section, 
which may include assistance with— 
‘‘(A) 
program 
evaluation 
and 
related 
activities, 
including related data collection and reporting; 
‘‘(B) implementing and disseminating evidence-based 
practices and programs; and 
‘‘(C) facilitating collaboration among grantees.’’; and 
(G) in paragraph (8), as so redesignated, by striking 
‘‘$14,693,000 for each of fiscal years 2018 through 2022’’ 
and inserting ‘‘$24,963,000 for each of fiscal years 2023 
through 2027’’. 
(2) TECHNICAL CORRECTIONS.—Section 520J(b) of the Public 
Health Service Act (42 U.S.C. 290bb–41(b)) is amended— 
(A) in the heading of paragraph (2), by striking ‘‘EMER-
GENCY SERVICES PERSONNEL’’ and inserting ‘‘EMERGENCY 
SERVICES PERSONNEL’’; and 
(B) in the heading of paragraph (3), by striking ‘‘DIS-
TRIBUTION OF AWARDS’’ and inserting ‘‘DISTRIBUTION OF 
AWARDS’’. 
(c) ADULT SUICIDE PREVENTION.—Section 520L of the Public 
Health Service Act (42 U.S.C. 290bb–43) is amended— 
(1) in subsection (a)— 
(A) in paragraph (1)— 
(i) by striking ‘‘individuals who are 25 years of 
age or older’’ and inserting ‘‘adult individuals’’; and 
(ii) by inserting ‘‘prevention’’ after ‘‘raise awareness 
of suicide’’; and 
(B) in paragraph (2)— 
(i) by striking ‘‘Indian tribe’’ each place it appears 
and inserting ‘‘Indian Tribe’’; and 
(ii) by striking ‘‘tribal organization’’ each place it 
appears and inserting ‘‘Tribal organization’’; and 
(C) by amending paragraph (3)(C) to read as follows: 
‘‘(C) Raising awareness of suicide prevention resources 
and promoting help seeking among those at risk for sui-
cide.’’; 
(2) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘; and’’ and inserting 
a semicolon; 
(B) in paragraph (2), by striking the period at the 
end and inserting ‘‘; and’’; and 
(C) by adding at the end the following:
H. R. 2617—1195 
‘‘(3) identify best practices, as applicable, to improve the 
identification, assessment, treatment, and timely transition, 
as appropriate, to additional or follow-up care for individuals 
in emergency departments who are at risk for suicide and 
enhance the coordination of care for such individuals during 
and after discharge, in support of activities under subsection 
(a).’’; and 
(3) in subsection (d), by striking ‘‘$30,000,000 for the period 
of fiscal years 2018 through 2022’’ and inserting ‘‘$30,000,000 
for each of fiscal years 2023 through 2027’’. 
SEC. 1123. TREATMENT OF SERIOUS MENTAL ILLNESS. 
(a) ASSERTIVE COMMUNITY TREATMENT GRANT PROGRAM.— 
(1) TECHNICAL AMENDMENT.—Section 520M(b) of the Public 
Health Service Act (42 U.S.C. 290bb–44(b)) is amended by 
striking ‘‘Indian tribe or tribal organization’’ and inserting 
‘‘Indian Tribe or Tribal organization’’. 
(2) REPORT TO CONGRESS.—Section 520M(d)(1) of the Public 
Health Service Act (42 U.S.C. 290bb–44(d)(1)) is amended— 
(A) by striking ‘‘not later than the end of fiscal year 
2021’’ and inserting ‘‘not later than the end of fiscal year 
2026’’; and 
(B) by striking ‘‘appropriate congressional committees’’ 
and inserting ‘‘Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives’’. 
(3) 
AUTHORIZATION
OF
APPROPRIATIONS.—Section 
520M(e)(1) of the Public Health Service Act (42 U.S.C. 290bb– 
44(d)(1)) is amended by striking ‘‘$5,000,000 for the period 
of fiscal years 2018 through 2022’’ and inserting ‘‘$9,000,000 
for each of fiscal years 2023 through 2027’’. 
(b) ASSISTED OUTPATIENT TREATMENT.— 
(1) IN GENERAL.—Section 224 of the Protecting Access to 
Medicare Act of 2014 (Public Law 113–93; 42 U.S.C. 290aa 
note) is amended— 
(A) in subsection (a), by striking ‘‘4-year pilot’’; 
(B) in subsection (e), in the matter preceding paragraph 
(1)— 
(i) by striking ‘‘each of fiscal years 2016, 2017, 
2018, 2019, 2020, 2021, and 2022’’ and inserting ‘‘fiscal 
year 2023, and biennially thereafter’’; and 
(ii) by striking ‘‘appropriate congressional commit-
tees’’ and inserting ‘‘Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee 
on Energy and Commerce of the House of Representa-
tives’’; 
(C) in subsection (e), by inserting after paragraph (4) 
the following: 
‘‘(5) Demographic information regarding participation of 
those served by the grant compared to demographic information 
in the population of the grant recipient.’’; and 
(D) in subsection (g)— 
(i) in paragraph (1), by striking ‘‘2015 through 
2022’’ and inserting ‘‘2023 through 2027’’; and 
(ii) by amending paragraph (2) to read as follows:
H. R. 2617—1196 
‘‘(2) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this section $22,000,000 
for each of fiscal years 2023 through 2027.’’. 
(2) GAO REPORT.—Not later than 3 years after the date 
of enactment of this Act, the Comptroller General of the United 
States shall submit to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives a report 
examining the efficacy of assisted outpatient treatment pro-
grams that received funding under section 224 of the Protecting 
Access to Medicare Act of 2014 (Public Law 113– 93; 42 U.S.C. 
290aa note) in improving health outcomes and treatment adher-
ence, reducing rates of incarceration, and reducing rates of 
homelessness. Such report shall include— 
(A) a comparison of health outcomes, treatment compli-
ance, program participant feedback, reduced rates of incar-
ceration, and reduced rates of homelessness as compared 
to other evidence- and community-based outpatient treat-
ment programs and services, including information on 
geographic differences in program efficacy, as applicable; 
and 
(B) identification of best practices used, as applicable, 
in the implementation of assisted outpatient treatment pro-
grams to ensure program participants are receiving treat-
ment in the least restrictive environment that is clinically 
appropriate consistent with Federal and State law, as 
applicable. 
SEC. 1124. STUDY ON THE COSTS OF SERIOUS MENTAL ILLNESS. 
(a) IN GENERAL.—The Secretary of Health and Human Services, 
in consultation with the Assistant Secretary for Mental Health 
and Substance Use, the Assistant Secretary for Planning and 
Evaluation, the Attorney General of the United States, the Sec-
retary of Labor, and the Secretary of Housing and Urban Develop-
ment, shall conduct a study on the direct and indirect costs of 
serious mental illness with respect to— 
(1) nongovernmental entities; and 
(2) the Federal Government and State, local, and Tribal 
governments. 
(b) CONTENT.—The study under subsection (a) shall consider 
each of the following: 
(1) The costs to the health care system for health services, 
including with respect to— 
(A) office-based physician visits; 
(B) residential and inpatient treatment programs; 
(C) outpatient treatment programs; 
(D) emergency department visits; 
(E) crisis stabilization programs; 
(F) home health care; 
(G) skilled nursing and long-term care facilities; 
(H) prescription drugs and digital therapeutics; and 
(I) any other relevant health services. 
(2) The costs of homelessness, including with respect to— 
(A) homeless shelters; 
(B) street outreach activities; 
(C) crisis response center visits; and 
(D) other supportive services.
H. R. 2617—1197 
(3) The costs of structured residential facilities and other 
supportive housing for residential and custodial care services. 
(4) The costs of law enforcement encounters and encounters 
with the criminal justice system, including with respect to— 
(A) encounters that do and do not result in an arrest; 
(B) criminal and judicial proceedings; 
(C) services provided by law enforcement and judicial 
staff (including public defenders, prosecutors, and private 
attorneys); and 
(D) incarceration. 
(5) The costs of serious mental illness on employment. 
(6) With respect to family members and caregivers, the 
costs of caring for an individual with a serious mental illness. 
(7) Any other relevant costs for programs and services 
administered by the Federal Government or State, Tribal, or 
local governments. 
(c) DATA DISAGGREGATION.—In conducting the study under sub-
section (a), the Secretary of Health and Human Services shall 
(to the extent feasible)— 
(1) disaggregate data by— 
(A) costs to nongovernmental entities, the Federal 
Government, and State, local, and Tribal governments; 
(B) types of serious mental illnesses and medical 
chronic diseases common in patients with a serious mental 
illness; and 
(C) demographic characteristics, including race, eth-
nicity, sex, age (including pediatric subgroups), and other 
characteristics determined by the Secretary; and 
(2) include an estimate of— 
(A) the total number of individuals with a serious 
mental illness in the United States, including in traditional 
and nontraditional housing; and 
(B) the percentage of such individuals in— 
(i) homeless shelters; 
(ii) penal facilities, including Federal prisons, State 
prisons, and county and municipal jails; and 
(iii) nursing facilities. 
(d) REPORT.—Not later than 2 years after the date of the 
enactment of this Act, the Secretary of Health and Human Services 
shall— 
(1) submit to the Congress a report containing the results 
of the study conducted under this section; and 
(2) make such report publicly available. 
CHAPTER 4—ANNA WESTIN LEGACY 
SEC. 1131. MAINTAINING EDUCATION AND TRAINING ON EATING DIS-
ORDERS. 
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. CENTER OF EXCELLENCE FOR EATING DISORDERS FOR 
EDUCATION AND TRAINING ON EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through the Assistant 
Secretary, shall maintain, by competitive grant or contract, a Center 
of Excellence for Eating Disorders (referred to in this section as
H. R. 2617—1198 
the ‘Center’) to improve the identification of, interventions for, 
and treatment of eating disorders in a manner that is develop-
mentally, culturally, and linguistically appropriate. 
‘‘(b) SUBGRANTS AND SUBCONTRACTS.—The Center shall coordi-
nate and implement the activities under subsection (c), in whole 
or in part, which may include by awarding competitive subgrants 
or subcontracts— 
‘‘(1) across geographical regions; and 
‘‘(2) in a manner that is not duplicative. 
‘‘(c) ACTIVITIES.—The Center— 
‘‘(1) shall— 
‘‘(A) 
provide 
training 
and 
technical 
assistance, 
including for— 
‘‘(i) primary care and mental health providers to 
carry out screening, brief intervention, and referral 
to treatment for individuals experiencing, or at risk 
for, eating disorders; and 
‘‘(ii) other paraprofessionals and relevant individ-
uals providing nonclinical community services to iden-
tify and support individuals with, or at dispropor-
tionate risk for, eating disorders; 
‘‘(B) facilitate the development of, and provide training 
materials to, health care providers (including primary care 
and mental health professionals) regarding the effective 
treatment and ongoing support of individuals with eating 
disorders, including children and marginalized populations 
at disproportionate risk for eating disorders; 
‘‘(C) collaborate and coordinate, as appropriate, with 
other centers of excellence, technical assistance centers, 
and psychiatric consultation lines of the Substance Abuse 
and Mental Health Services Administration and the Health 
Resources and Services Administration regarding eating 
disorders; 
‘‘(D) coordinate with the Director of the Centers for 
Disease Control and Prevention and the Administrator of 
the Health Resources and Services Administration, and 
other Federal agencies, as appropriate, to disseminate 
training to primary care and mental health care providers; 
and 
‘‘(E) support other activities, as determined appropriate 
by the Secretary; and 
‘‘(2) may— 
‘‘(A) support the integration of protocols pertaining to 
screening, brief intervention, and referral to treatment for 
individuals experiencing, or at risk for, eating disorders, 
with health information technology systems; 
‘‘(B) develop and provide training materials to health 
care providers, including primary care and mental health 
providers, to provide screening, brief intervention, and 
referral to treatment for members of the military and vet-
erans experiencing, or at risk for, eating disorders; and 
‘‘(C) consult, as appropriate, with the Secretary of 
Defense and the Secretary of Veterans Affairs on preven-
tion, identification, intervention for, and treatment of 
eating disorders.
H. R. 2617—1199 
‘‘(d) AUTHORIZATION
OF APPROPRIATIONS.—To carry out this 
section, there is authorized to be appropriated $1,000,000 for each 
of fiscal years 2023 through 2027.’’. 
CHAPTER 5—COMMUNITY MENTAL HEALTH SERVICES 
BLOCK GRANT REAUTHORIZATION 
SEC. 1141. REAUTHORIZATION OF BLOCK GRANTS FOR COMMUNITY 
MENTAL HEALTH SERVICES. 
(a) FUNDING.—Section 1920(a) of the Public Health Service 
Act (42 U.S.C. 300x–9(a)) is amended by striking ‘‘$532,571,000 
for each of fiscal years 2018 through 2022’’ and inserting 
‘‘$857,571,000 for each of fiscal years 2023 through 2027’’. 
(b) SET-ASIDE FOR EVIDENCE-BASED CRISIS CARE SERVICES.— 
Section 1920 of the Public Health Service Act (42 U.S.C. 300x– 
9) is amended by adding at the end the following: 
‘‘(d) CRISIS CARE.— 
‘‘(1) IN GENERAL.—Except as provided in paragraph (3), 
a State shall expend at least 5 percent of the amount the 
State receives pursuant to section 1911 for each fiscal year 
to support evidenced-based programs that address the crisis 
care needs of individuals with serious mental illnesses and 
children with serious emotional disturbances, which may 
include individuals (including children and adolescents) experi-
encing mental health crises demonstrating serious mental ill-
ness or serious emotional disturbance, as applicable. 
‘‘(2) CORE ELEMENTS.—At the discretion of the single State 
agency responsible for the administration of the program of 
the State under a grant under section 1911, funds expended 
pursuant to paragraph (1) may be used to fund some or all 
of the core crisis care service components, as applicable and 
appropriate, including the following: 
‘‘(A) Crisis call centers. 
‘‘(B) 24/7 mobile crisis services. 
‘‘(C) Crisis stabilization programs offering acute care 
or subacute care in a hospital or appropriately licensed 
facility, as determined by such State, with referrals to 
inpatient or outpatient care. 
‘‘(3) STATE FLEXIBILITY.—In lieu of expending 5 percent 
of the amount the State receives pursuant to section 1911 
for a fiscal year to support evidence-based programs as required 
by paragraph (1), a State may elect to expend not less than 
10 percent of such amount to support such programs by the 
end of two consecutive fiscal years. 
‘‘(4) RULE
OF
CONSTRUCTION.—Section 1912(b)(1)(A)(vi) 
shall not be construed as limiting the provision of crisis care 
services pursuant to paragraph (1).’’. 
(c) REPORT TO CONGRESS.—Not later than September 30, 2025, 
and biennially thereafter, the Secretary shall provide a report to 
the Congress on the crisis care strategies and programs pursued 
by States pursuant to subsection (d) of section 1920 of the Public 
Health Service Act (42 U.S.C. 300x–9), as added by subsection 
(b). Such report shall include— 
(1) a description of each State’s crisis care activities; 
(2) the population served, including information on demo-
graphics, including age; 
(3) the outcomes of such activities, including—
H. R. 2617—1200 
(A) how such activities reduced hospitalizations and 
hospital stays; 
(B) how such activities reduced incidents of suicidal 
ideation and behaviors; and 
(C) how such activities reduced the severity of onset 
of serious mental illness and serious emotional disturbance, 
as applicable; and 
(4) any other relevant information the Secretary determines 
is necessary. 
CHAPTER 6—PEER-SUPPORTED MENTAL HEALTH 
SERVICES 
SEC. 1151. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
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 inserting after 
section 520G (42 U.S.C. 290bb—38) the following: 
‘‘SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting through the 
Assistant Secretary for Mental Health and Substance Use, shall 
award grants to eligible entities to enable such entities to develop, 
expand, and enhance access to mental health peer-delivered serv-
ices. 
‘‘(b) USE OF FUNDS.—Grants awarded under subsection (a) shall 
be used to develop, expand, and enhance national, statewide, or 
community-focused programs, including virtual peer-support serv-
ices and technology-related capabilities, including by— 
‘‘(1) carrying out workforce development, recruitment, and 
retention activities, to train, recruit, and retain peer-support 
providers; 
‘‘(2) building connections between mental health treatment 
programs, including between community organizations and 
peer-support networks, including virtual peer-support networks, 
and with other mental health support services; 
‘‘(3) reducing stigma associated with mental health dis-
orders; 
‘‘(4) expanding and improving virtual peer mental health 
support services, including through the adoption of technologies 
and capabilities to expand access to virtual peer mental health 
support services, such as by acquiring equipment and software 
necessary to efficiently run virtual peer-support services; and 
‘‘(5) conducting research on issues relating to mental illness 
and the impact peer-support has on resiliency, including identi-
fying— 
‘‘(A) the signs of mental illness; 
‘‘(B) the resources available to individuals with mental 
illness and to their families; and 
‘‘(C) the resources available to help support individuals 
living with mental illness. 
‘‘(c) SPECIAL CONSIDERATION.—In carrying out this section, the 
Secretary shall give special consideration to the unique needs of 
rural areas. 
‘‘(d) DEFINITION.—In this section, the term ‘eligible entity’ 
means— 
‘‘(1) a consumer-run nonprofit organization that—
H. R. 2617—1201 
‘‘(A) is principally governed by people living with a 
mental health condition; and 
‘‘(B) mobilizes resources within and outside of the 
mental health community, which may include through peer- 
support networks, to increase the prevalence and quality 
of long-term wellness of individuals living with a mental 
health condition, including those with a co-occurring sub-
stance use disorder; or 
‘‘(2) an Indian Tribe, Tribal organization, Urban Indian 
organization, or consortium of Tribes or Tribal organizations. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated to carry out this section $13,000,000 for each 
of fiscal years 2023 through 2027.’’. 
Subtitle B—Substance Use Disorder Pre-
vention, Treatment, and Recovery Serv-
ices 
CHAPTER 1—NATIVE BEHAVIORAL HEALTH RESOURCES 
SEC. 1201. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER 
RESOURCES FOR NATIVE AMERICANS. 
Section 506A of the Public Health Service Act (42 U.S.C. 290aa– 
5a) is amended to read as follows: 
‘‘SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDER 
RESOURCES FOR NATIVE AMERICANS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means any health program 
administered directly by the Indian Health Service, a Tribal 
health program, an Indian Tribe, a Tribal organization, an 
Urban Indian organization, and a Native Hawaiian health 
organization. 
‘‘(2) The terms ‘Indian Tribe’, ‘Tribal health program’, 
‘Tribal organization’, and ‘Urban Indian organization’ have the 
meanings given to the terms ‘Indian tribe’, ‘Tribal health pro-
gram’, ‘tribal organization’, and ‘Urban Indian organization’ 
in section 4 of the Indian Health Care Improvement Act. 
‘‘(3) The term ‘health program administered directly by 
the Indian Health Service’ means a ‘health program adminis-
tered by the Service’ as such term is used in section 4(12)(A) 
of the Indian Health Care Improvement Act. 
‘‘(4) The term ‘Native Hawaiian health organization’ means 
‘Papa Ola Lokahi’ as defined in section 12 of the Native 
Hawaiian Health Care Improvement Act. 
‘‘(b) GRANT PROGRAM.— 
‘‘(1) IN GENERAL.—The Secretary, acting through the Assist-
ant Secretary for Mental Health and Substance Use, and in 
consultation with the Director of the Indian Health Service, 
as appropriate, shall award funds to eligible entities, in 
amounts developed in accordance with paragraph (2), to be 
used by the eligible entity to provide services for the prevention 
of, treatment of, and recovery from mental health and substance 
use disorders among American Indians, Alaska Natives, and 
Native Hawaiians.
H. R. 2617—1202 
‘‘(2) FORMULA.—The Secretary, in consultation with the 
Director of the Indian Health Service, using the process 
described in subsection (d), shall develop a formula to determine 
the amount of an award under paragraph (1). 
‘‘(3) DELIVERY OF FUNDS.—On request from an Indian Tribe 
or Tribal organization, the Secretary, acting through the Assist-
ant Secretary for Mental Health and Substance Use and in 
coordination with the Director of the Indian Health Service, 
may award funds under this section through a contract or 
compact under, as applicable, title I or V of the Indian Self- 
Determination and Education Assistance Act. 
‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVALUATION.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
‘‘(A) provide technical assistance to applicants and 
awardees under this section; and 
‘‘(B) in consultation with Indian Tribes and Tribal 
organizations, conference with Urban Indian organizations, 
and engagement with a Native Hawaiian health organiza-
tion, identify and establish appropriate mechanisms for 
Indian Tribes and Tribal organizations, Urban Indian 
organizations, and a Native Hawaiian health organization 
to demonstrate outcomes and report data as required for 
participation in the program under this section. 
‘‘(2) DATA SUBMISSION AND REPORTING.—As a condition of 
receipt of funds under this section, an applicant shall agree 
to submit program evaluation data and reports consistent with 
the data submission and reporting requirements developed 
under this subsection. 
‘‘(d) CONSULTATION.—The Secretary shall, using an accountable 
process, consult with Indian Tribes and Tribal organizations, confer 
with Urban Indian organizations, and engage with a Native 
Hawaiian health organization regarding the development of funding 
allocations pursuant to subsection (b)(2) and program evaluation 
and reporting requirements pursuant to subsection (c). In estab-
lishing such requirements, the Secretary shall seek to minimize 
administrative burden for eligible entities, as practicable. 
‘‘(e) APPLICATION.—An entity desiring an award under sub-
section (b) shall submit an application to the Secretary at such 
time, in such manner, and accompanied by such information as 
the Secretary may reasonably require. 
‘‘(f) REPORT.—Not later than 3 years after the date of the 
enactment of the Restoring Hope for Mental Health and Well- 
Being Act of 2022, the Secretary shall prepare and submit, to 
the Committee on Health, Education, Labor, and Pensions of the 
Senate, and the Committee on Energy and Commerce of the House 
of Representatives, a report describing the services provided pursu-
ant to this section. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized 
to be appropriated to carry out this section, $80,000,000 for each 
of fiscal years 2023 through 2027.’’.
H. R. 2617—1203 
CHAPTER 2—SUMMER BARROW PREVENTION, 
TREATMENT, AND RECOVERY 
SEC. 1211. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS. 
Section 506(e) of the Public Health Service Act (42 U.S.C. 
290aa–5(e)) is amended by striking ‘‘2018 through 2022’’ and 
inserting ‘‘2023 through 2027’’. 
SEC. 1212. PRIORITY SUBSTANCE USE DISORDER TREATMENT NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 U.S.C. 290bb– 
2) is amended— 
(1) in the section heading, by striking ‘‘ABUSE’’ and 
inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘tribes and tribal organizations (as the 
terms ‘Indian tribes’ and ‘tribal organizations’ are defined’’ 
and inserting ‘‘Tribes and Tribal organizations (as such 
terms are defined’’; and 
(B) in paragraph (3), by striking ‘‘in substance abuse’’ 
and inserting ‘‘in substance use disorders’’; 
(3) in subsection (b), in the subsection heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; and 
(4) in subsection (f), by striking ‘‘$333,806,000 for each 
of fiscal years 2018 through 2022’’ and inserting ‘‘$521,517,000 
for each of fiscal years 2023 through 2027’’. 
SEC. 1213. EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN 
TREATMENT AND INTERVENTIONS DEMONSTRATION. 
Section 514B of the Public Health Service Act (42 U.S.C. 290bb– 
10) is amended— 
(1) in subsection (a)(1)— 
(A) by striking ‘‘substance abuse’’ and inserting ‘‘sub-
stance use disorder’’; 
(B) by striking ‘‘tribes and tribal organizations’’ and 
inserting ‘‘Tribes and Tribal organizations’’; and 
(C) by striking ‘‘addiction’’ and inserting ‘‘substance 
use disorders’’; 
(2) in subsection (e)(3), by striking ‘‘tribes and tribal 
organizations’’ and inserting ‘‘Tribes and Tribal organizations’’; 
and 
(3) in subsection (f), by striking ‘‘2017 through 2021’’ and 
inserting ‘‘2023 through 2027’’. 
SEC. 1214. PRIORITY SUBSTANCE USE DISORDER PREVENTION NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 516 of the Public Health Service Act (42 U.S.C. 290bb– 
22) is amended— 
(1) in subsection (a)— 
(A) in paragraph (3), by striking ‘‘abuse’’ and inserting 
‘‘use’’; and 
(B) in the matter following paragraph (3), by striking 
‘‘tribes or tribal organizations’’ and inserting ‘‘Tribes or 
Tribal organizations’’; 
(2) in subsection (b), in the subsection heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; and
H. R. 2617—1204 
(3) in subsection (f), by striking ‘‘$211,148,000 for each 
of fiscal years 2018 through 2022’’ and inserting ‘‘$218,219,000 
for each of fiscal years 2023 through 2027’’. 
SEC. 1215. SOBER TRUTH ON PREVENTING (STOP) UNDERAGE 
DRINKING REAUTHORIZATION. 
Section 519B of the Public Health Service Act (42 U.S.C. 290bb– 
25b) is amended— 
(1) by amending subsection (a) to read as follows: 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘alcohol beverage industry’ means the 
brewers, vintners, distillers, importers, distributors, and retail 
or online outlets that sell or serve beer, wine, and distilled 
spirits. 
‘‘(2) The term ‘school-based prevention’ means programs, 
which are institutionalized, and run by staff members or school- 
designated persons or organizations in any grade of school, 
kindergarten through 12th grade. 
‘‘(3) The term ‘youth’ means persons under the age of 
21.’’; and 
(2) by striking subsections (c) through (g) and inserting 
the following: 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; ANNUAL REPORT 
ON STATE UNDERAGE DRINKING PREVENTION AND ENFORCEMENT 
ACTIVITIES.— 
‘‘(1) INTERAGENCY
COORDINATING
COMMITTEE
ON
THE 
PREVENTION OF UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary, in collaboration with 
the Federal officials specified in subparagraph (B), shall 
continue to support and enhance the efforts of the inter-
agency coordinating committee, that began operating in 
2004, focusing on underage drinking (referred to in this 
subsection as the ‘Committee’). 
‘‘(B) OTHER
AGENCIES.—The officials referred to in 
subparagraph (A) are the Secretary of Education, the 
Attorney General, the Secretary of Transportation, the Sec-
retary of the Treasury, the Secretary of Defense, the Sur-
geon General, the Director of the Centers for Disease Con-
trol and Prevention, the Director of the National Institute 
on Alcohol Abuse and Alcoholism, the Assistant Secretary 
for Mental Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assistant Secretary 
for Children and Families, the Director of the Office of 
National Drug Control Policy, the Administrator of the 
National Highway Traffic Safety Administration, the 
Administrator of the Office of Juvenile Justice and Delin-
quency Prevention, the Chairman of the Federal Trade 
Commission, and such other Federal officials as the Sec-
retary of Health and Human Services determines to be 
appropriate. 
‘‘(C) CHAIR.—The Secretary of Health and Human 
Services shall serve as the chair of the Committee. 
‘‘(D) DUTIES.—The Committee shall guide policy and 
program development across the Federal Government with 
respect to underage drinking, provided, however, that 
nothing in this section shall be construed as transferring
H. R. 2617—1205 
regulatory or program authority from an agency to the 
Committee. 
‘‘(E) CONSULTATIONS.—The Committee shall actively 
seek the input of and shall consult with all appropriate 
and interested parties, including States, public health 
research and interest groups, foundations, and alcohol bev-
erage industry trade associations and companies. 
‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on behalf of the 
Committee, shall annually submit to the Congress a 
report that summarizes— 
‘‘(I) all programs and policies of Federal agen-
cies designed to prevent and reduce underage 
drinking, including such programs and policies 
that support State efforts to prevent or reduce 
underage drinking; 
‘‘(II) the extent of progress in preventing and 
reducing underage drinking at State and national 
levels; 
‘‘(III) data that the Secretary shall collect with 
respect to the information specified in clause (ii); 
and 
‘‘(IV) such other information regarding under-
age drinking as the Secretary determines to be 
appropriate. 
‘‘(ii) CERTAIN
INFORMATION.—The report under 
clause (i) shall include information on the following: 
‘‘(I) Patterns and consequences of underage 
drinking as reported in research and surveys such 
as, but not limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance System, the 
National Survey on Drug Use and Health, and 
the Fatality Analysis Reporting System. 
‘‘(II) Measures of the availability of alcohol 
from commercial and non-commercial sources to 
underage populations. 
‘‘(III) Measures of the exposure of underage 
populations to messages regarding alcohol in 
advertising, social media, and the entertainment 
media. 
‘‘(IV) Surveillance data, including, to the 
extent such information is available, information 
on the onset and prevalence of underage drinking, 
consumption patterns and beverage preferences, 
trends related to drinking among different age 
groups, including between youth and adults, the 
means of underage access, including trends over 
time, for these surveillance data, and other data, 
as appropriate. The Secretary shall develop a plan 
to improve the collection, measurement, and 
consistency of reporting Federal underage alcohol 
data. 
‘‘(V) Any additional findings resulting from 
research conducted or supported under subsection 
(g).
H. R. 2617—1206 
‘‘(VI) Evidence-based best practices to prevent 
and reduce underage drinking and provide treat-
ment services to those youth who need such serv-
ices. 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE
DRINKING 
PREVENTION AND ENFORCEMENT ACTIVITIES.— 
‘‘(A) IN GENERAL.—The Secretary shall, with input and 
collaboration from other appropriate Federal agencies, 
States, Indian Tribes, territories, and public health, con-
sumer, and alcohol beverage industry groups, annually 
issue a report on each State’s performance in enacting, 
enforcing, and creating laws, regulations, programs, and 
other actions to prevent or reduce underage drinking based 
on the best practices identified pursuant to paragraph 
(1)(F)(ii)(VI). For purposes of this paragraph, each such 
report, with respect to a year, shall be referred to as 
the ‘State Report’. Each State Report may be used as 
a resource to inform the identification and implementation 
of activities to prevent underage drinking, as determined 
to be appropriate by such State or other applicable entity. 
‘‘(B) CONTENTS.— 
‘‘(i) PERFORMANCE MEASURES.—The Secretary shall 
develop, in consultation with the Committee, a set 
of measures to be used in preparing the State Report 
on best practices, including as they relate to State 
laws, regulations, other actions, and enforcement prac-
tices. 
‘‘(ii) STATE REPORT CONTENT.—The State Report 
shall include updates on State laws, regulations, and 
other actions, including those described in previous 
reports to Congress, including with respect to the fol-
lowing: 
‘‘(I) Whether or not the State has comprehen-
sive anti-underage drinking laws such as for the 
illegal sale, purchase, attempt to purchase, 
consumption, or possession of alcohol; illegal use 
of fraudulent ID; illegal furnishing or obtaining 
of alcohol for an individual under 21 years; the 
degree of strictness of the penalties for such 
offenses; and the prevalence of the enforcement 
of each of these infractions. 
‘‘(II) Whether or not the State has comprehen-
sive liability statutes pertaining to underage access 
to alcohol such as dram shop, social host, and 
house party laws, and the prevalence of enforce-
ment of each of these laws. 
‘‘(III) Whether or not the State encourages 
and conducts comprehensive enforcement efforts 
to prevent underage access to alcohol at retail 
outlets, such as random compliance checks and 
shoulder tap programs, and the number of compli-
ance checks within alcohol retail outlets measured 
against the number of total alcohol retail outlets 
in each State, and the result of such checks. 
‘‘(IV) Whether or not the State encourages 
training on the proper selling and serving of
H. R. 2617—1207 
alcohol for all sellers and servers of alcohol as 
a condition of employment. 
‘‘(V) Whether or not the State has policies 
and regulations with regard to direct sales to con-
sumers and home delivery of alcoholic beverages. 
‘‘(VI) Whether or not the State has programs 
or laws to deter adults from purchasing alcohol 
for minors; and the number of adults targeted 
by these programs. 
‘‘(VII) Whether or not the State has enacted 
graduated drivers licenses and the extent of those 
provisions. 
‘‘(VIII) Whether or not the State has adopted 
any other policies consistent with evidence-based 
practices related to the prevention of underage 
alcohol use, which may include any such practices 
described in relevant reports issued by the Surgeon 
General and practices related to youth exposure 
to alcohol-related products and information. 
‘‘(IX) A description of the degree to which the 
practices of local jurisdictions within the State 
vary from one another. 
‘‘(3) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection $1,000,000 
for each of fiscal years 2023 through 2027. 
‘‘(d) NATIONAL
MEDIA
CAMPAIGN
TO
PREVENT
UNDERAGE 
DRINKING.— 
‘‘(1) IN GENERAL.—The Secretary, in consultation with the 
National Highway Traffic Safety Administration, shall develop 
or continue an intensive, multifaceted national media campaign 
aimed at adults to reduce underage drinking. 
‘‘(2) PURPOSE.—The purpose of the national media cam-
paign described in this section shall be to achieve the following 
objectives: 
‘‘(A) Promote community awareness of, and a commit-
ment to, reducing underage drinking. 
‘‘(B) Encourage activities, including activities carried 
out by adults, that inhibit the illegal use of alcohol by 
youth. 
‘‘(C) Discourage activities, including activities carried 
out by adults, that promote the illegal use of alcohol by 
youth. 
‘‘(3) COMPONENTS.—When implementing the national media 
campaign described in this section, the Secretary shall— 
‘‘(A) educate the public about the public health and 
safety benefits of evidence-based strategies to reduce under-
age drinking, including existing laws related to the min-
imum legal drinking age, and engage the public and par-
ents in the implementation of such strategies; 
‘‘(B) educate the public about the negative con-
sequences of underage drinking; 
‘‘(C) identify specific actions by adults to discourage 
or inhibit underage drinking; 
‘‘(D) discourage adult conduct that tends to facilitate 
underage drinking; 
‘‘(E) establish collaborative relationships with local and 
national organizations and institutions to further the goals
H. R. 2617—1208 
of the campaign and assure that the messages of the cam-
paign are disseminated from a variety of sources; 
‘‘(F) conduct the campaign through multi-media 
sources; and 
‘‘(G) take into consideration demographics and other 
relevant factors to most effectively reach target audiences. 
‘‘(4) CONSULTATION
REQUIREMENT.—In developing and 
implementing the national media campaign described in this 
section, the Secretary shall review recommendations for 
reducing underage drinking, including those published by the 
National Academies of Sciences, Engineering, and Medicine 
and the Surgeon General. The Secretary shall also consult 
with interested parties including the alcohol beverage industry, 
medical, public health, and consumer and parent groups, law 
enforcement, institutions of higher education, community-based 
organizations and coalitions, and other relevant stakeholders. 
‘‘(5) ANNUAL
REPORT.—The Secretary shall produce an 
annual report on the progress of the development or 
implementation of the media campaign described in this sub-
section, including expenses and projected costs, and, as such 
information is available, report on the effectiveness of such 
campaign in affecting adult attitudes toward underage drinking 
and adult willingness to take actions to decrease underage 
drinking. 
‘‘(6) RESEARCH ON YOUTH-ORIENTED CAMPAIGN.—The Sec-
retary may, based on the availability of funds, conduct or 
support research on the potential success of a youth-oriented 
national media campaign to reduce underage drinking. The 
Secretary shall report to Congress any such results and any 
related recommendations. 
‘‘(7) ADMINISTRATION.—The Secretary may enter into an 
agreement with another Federal agency to delegate the 
authority for execution and administration of the adult-oriented 
national media campaign. 
‘‘(8) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this section $2,500,000 
for each of fiscal years 2023 through 2027. 
‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT GRANTS TO 
PREVENT UNDERAGE DRINKING.— 
‘‘(1) AUTHORIZATION OF PROGRAM.—The Assistant Secretary 
for Mental Health and Substance Use, in consultation with 
the Director of the Office of National Drug Control Policy, 
shall award enhancement grants to eligible entities to design, 
implement, evaluate, and disseminate comprehensive strategies 
to maximize the effectiveness of community-wide approaches 
to preventing and reducing underage drinking. This subsection 
is subject to the availability of appropriations. 
‘‘(2) PURPOSES.—The purposes of this subsection are to— 
‘‘(A) prevent and reduce alcohol use among youth in 
communities throughout the United States; 
‘‘(B) strengthen collaboration among communities, the 
Federal Government, Tribal Governments, and State and 
local governments; 
‘‘(C) 
enhance 
intergovernmental 
cooperation 
and 
coordination on the issue of alcohol use among youth; 
‘‘(D) serve as a catalyst for increased citizen participa-
tion and greater collaboration among all sectors and
H. R. 2617—1209 
organizations of a community that first demonstrates a 
long-term commitment to reducing alcohol use among 
youth; 
‘‘(E) implement evidence-based strategies to prevent 
and reduce underage drinking in communities; and 
‘‘(F) enhance, not supplant, effective local community 
initiatives for preventing and reducing alcohol use among 
youth. 
‘‘(3) APPLICATION.—An eligible entity desiring an enhance-
ment grant under this subsection shall submit an application 
to the Assistant Secretary at such time, and in such manner, 
and accompanied by such information and assurances, as the 
Assistant Secretary may require. Each application shall 
include— 
‘‘(A) a complete description of the entity’s current 
underage alcohol use prevention initiatives and how the 
grant will appropriately enhance the focus on underage 
drinking issues; or 
‘‘(B) a complete description of the entity’s current initia-
tives, and how it will use the grant to enhance those 
initiatives by adding a focus on underage drinking preven-
tion. 
‘‘(4) USES OF FUNDS.—Each eligible entity that receives 
a grant under this subsection shall use the grant funds to 
carry out the activities described in such entity’s application 
submitted pursuant to paragraph (3) and obtain specialized 
training and technical assistance by the entity funded under 
section 4 of Public Law 107–82, as amended (21 U.S.C. 1521 
note). Grants under this subsection shall not exceed $60,000 
per year and may not exceed four years. 
‘‘(5) SUPPLEMENT
NOT
SUPPLANT.—Grant funds provided 
under this subsection shall be used to supplement, not supplant, 
Federal and non-Federal funds available for carrying out the 
activities described in this subsection. 
‘‘(6) EVALUATION.—Grants under this subsection shall be 
subject to the same evaluation requirements and procedures 
as the evaluation requirements and procedures imposed on 
recipients of drug-free community grants. 
‘‘(7) DEFINITIONS.—For purposes of this subsection, the 
term ‘eligible entity’ means an organization that is currently 
receiving or has received grant funds under the Drug-Free 
Communities Act of 1997. 
‘‘(8) ADMINISTRATIVE EXPENSES.—Not more than 6 percent 
of a grant under this subsection may be expended for adminis-
trative expenses. 
‘‘(9) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection $11,500,000 
for each of fiscal years 2023 through 2027. 
‘‘(f) GRANTS TO ORGANIZATIONS REPRESENTING PEDIATRIC PRO-
VIDERS AND OTHER RELATED HEALTH PROFESSIONALS TO REDUCE 
UNDERAGE DRINKING THROUGH SCREENING AND BRIEF INTERVEN-
TIONS.— 
‘‘(1) IN GENERAL.—The Secretary, acting through the Assist-
ant Secretary for Mental Health and Substance Use, shall 
make awards to one or more entities representing pediatric
H. R. 2617—1210 
providers and other related health professionals with dem-
onstrated ability to increase among the members of such enti-
ties effective practices to reduce the prevalence of alcohol use 
among individuals under the age of 21, including college stu-
dents. 
‘‘(2) PURPOSES.—Grants under this subsection shall be 
made to improve— 
‘‘(A) screening adolescents for alcohol use; 
‘‘(B) offering brief interventions to adolescents to 
discourage such use; 
‘‘(C) educating parents about the dangers of and 
methods of discouraging such use; 
‘‘(D) diagnosing and treating alcohol use disorders; and 
‘‘(E) referring patients, when necessary, to other appro-
priate care. 
‘‘(3) USE OF FUNDS.—An entity receiving a grant under 
this section may use the grant funding to promote the practices 
specified in paragraph (2) among its members by— 
‘‘(A) providing training to health care providers; 
‘‘(B) disseminating best practices, including culturally 
and linguistically appropriate best practices, and devel-
oping and distributing materials; and 
‘‘(C) supporting other activities as determined appro-
priate by the Assistant Secretary. 
‘‘(4) APPLICATION.—To be eligible to receive a grant under 
this subsection, an entity shall submit an application to the 
Assistant Secretary at such time, and in such manner, and 
accompanied by such information and assurances as the Sec-
retary may require. Each application shall include— 
‘‘(A) a description of the entity; 
‘‘(B) a description of the activities to be completed 
that will promote the practices specified in paragraph (2); 
‘‘(C) a description of the entity’s qualifications for per-
forming such activities; and 
‘‘(D) a timeline for the completion of such activities. 
‘‘(5) DEFINITIONS.—For the purpose of this subsection: 
‘‘(A) BRIEF INTERVENTION.—The term ‘brief interven-
tion’ means, after screening a patient, providing the patient 
with brief advice and other brief motivational enhancement 
techniques designed to increase the insight of the patient 
regarding the patient’s alcohol use, and any realized or 
potential consequences of such use to effect the desired 
related behavioral change. 
‘‘(B) SCREENING.—The term ‘screening’ means using 
validated patient interview techniques to identify and 
assess the existence and extent of alcohol use in a patient. 
‘‘(6) AUTHORIZATION OF APPROPRIATIONS.—There is author-
ized to be appropriated to carry out this subsection $3,000,000 
for each of fiscal years 2023 through 2027. 
‘‘(g) DATA COLLECTION AND RESEARCH.— 
‘‘(1) ADDITIONAL RESEARCH ON UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary shall, subject to the 
availability of appropriations, support the collection of data, 
and conduct or support research that is not duplicative 
of research currently being conducted or supported by the 
Department of Health and Human Services, on underage 
drinking, with respect to the following: