I 
113TH CONGRESS 
1ST SESSION H. R. 3717 
To make available needed psychiatric, psychological, and supportive services 
for individuals diagnosed with mental illness and families in mental 
health crisis, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 12, 2013 
Mr. MURPHY of Pennsylvania (for himself, Mr. CASSIDY, Mr. LANCE, and Ms. 
EDDIE BERNICE JOHNSON of Texas) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committees on the Judiciary, Education and the Workforce, Ways 
and Means, and Science, Space, and Technology, for a period to be subse-
quently determined by the Speaker, in each case for consideration of such 
provisions as fall within the jurisdiction of the committee concerned 
A BILL 
To make available needed psychiatric, psychological, and sup-
portive services for individuals diagnosed with mental 
illness and families in mental health crisis, and for other 
purposes. 
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 
‘‘Helping Families in Mental Health Crisis Act of 2013’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I—ASSISTANT SECRETARY FOR MENTAL HEALTH 
Sec. 101. Assistant Secretary for Mental Health and Substance Use Disorders. 
Sec. 102. Interagency Serious Mental Illness Coordinating Committee. 
Sec. 103. Assisted outpatient treatment grant program. 
Sec. 104. Tele-psychiatry and primary care physician training grant program. 
TITLE II—FEDERALLY QUALIFIED BEHAVIORAL HEALTH 
CLINICS 
Sec. 201. Demonstration program to improve federally qualified community be-
havioral health clinic services. 
TITLE III—HIPAA AND FERPA CAREGIVERS 
Sec. 301. Promoting appropriate treatment for mentally ill individuals by treat-
ing their caregivers as personal representatives for purposes of 
HIPAA privacy regulations. 
Sec. 302. Caregivers permitted access to certain education records under 
FERPA. 
TITLE IV—DEPARTMENT OF JUSTICE REFORMS 
Sec. 401. Additional purposes for certain Federal grants. 
Sec. 402. Reauthorization and additional amendments to the Mentally Ill Of-
fender Treatment and Crime Reduction Act. 
Sec. 403. Assisted outpatient treatment. 
Sec. 404. Improvements to the Department of Justice data collection and re-
porting of mental illness in crime. 
Sec. 405. Reports on the number of seriously mentally ill who are imprisoned. 
TITLE V—MEDICARE AND MEDICAID REFORMS 
Sec. 501. Enhanced Medicaid coverage relating to certain mental health serv-
ices. 
Sec. 502. Access to mental health prescription drugs under Medicare and Med-
icaid. 
TITLE VI—RESEARCH BY NATIONAL INSTITUTE OF MENTAL 
HEALTH 
Sec. 601. Increase in funding for certain research. 
TITLE VII—COMMUNITY MENTAL HEALTH SERVICES BLOCK 
GRANT REFORM 
Sec. 701. Administration of block grants by Assistant Secretary. 
Sec. 702. Additional program requirements. 
Sec. 703. Period for expenditure of grant funds. 
Sec. 704. Treatment standard under State law. 
Sec. 705. Assisted outpatient treatment under State law. 
Sec. 706. Best available science and models of care. 
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Sec. 707. Paperwork reduction study. 
TITLE VIII—BEHAVIORAL HEALTH AWARENESS PROGRAM 
Sec. 801. Reducing the stigma of serious mental illness. 
TITLE IX—BEHAVIORAL HEALTH INFORMATION TECHNOLOGY 
Sec. 901. Extension of health information technology assistance for behavioral 
and mental health and substance abuse. 
Sec. 902. Extension of eligibility for Medicare and Medicaid health information 
technology implementation assistance. 
TITLE X—EXPANDING ACCESS TO CARE THROUGH HEALTH 
CARE PROFESSIONAL VOLUNTEERISM 
Sec. 1001. Liability protections for health care professional volunteers at com-
munity health centers and federally qualified community behav-
ioral health clinics. 
TITLE XI—SAMHSA REAUTHORIZATION AND REFORMS 
Subtitle A—Organization and General Authorities 
Sec. 1101. In general. 
Sec. 1102. Advisory councils. 
Sec. 1103. Peer review. 
Sec. 1104. Data collection. 
Subtitle B—Center for Mental Health Services 
Sec. 1111. Center for Mental Health Services. 
Sec. 1112. Reauthorization of priority mental health needs of regional and na-
tional significance. 
Sec. 1113. Garrett Lee Smith Reauthorization. 
Subtitle C—Children With Serious Emotional Disturbances 
Sec. 1121. Comprehensive community mental health services for children with 
serious emotional disturbances. 
Sec. 1122. General provisions; report; funding. 
Subtitle D—Projects for Children and Violence 
Sec. 1131. Children and violence. 
Sec. 1132. Reauthorization of National Child Traumatic Stress Network. 
Subtitle E—Protection and Advocacy for Individuals With Mental Illness 
Sec. 1141. Prohibition against lobbying by systems accepting Federal funds to 
protect and advocate the rights of individuals with mental ill-
ness. 
Subtitle F—Limitations on Authority 
Sec. 1151. Limitations on SAMHSA programs. 
Sec. 1152. Elimination of unauthorized SAMHSA programs. 
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TITLE I—ASSISTANT SECRETARY 
FOR MENTAL HEALTH 
SEC. 101. ASSISTANT SECRETARY FOR MENTAL HEALTH 
AND SUBSTANCE USE DISORDERS. 
Title V of the Public Health Service Act is amended 
by inserting after section 501 of such Act (42 U.S.C. 
290aa) the following: 
‘‘SEC. 501A. ASSISTANT SECRETARY FOR MENTAL HEALTH 
AND SUBSTANCE USE DISORDERS. 
‘‘(a) IN GENERAL.—There shall be in the Depart-
ment of Health and Human Services an official to be 
known as the Assistant Secretary for Mental Health and 
Substance Use Disorders (in this section referred to as 
the ‘Assistant Secretary’), who shall— 
‘‘(1) report directly to the Secretary; 
‘‘(2) be appointed by the Secretary, by and with 
the advice and consent of the Senate; and 
‘‘(3) be selected from among individuals who— 
‘‘(A)(i) have a doctoral degree in medicine 
or osteopathic medicine and clinical and re-
search experience in psychiatry; 
‘‘(ii) graduated from an Accreditation 
Council for Graduate Medical Education-cer-
tified psychiatric residency program; and 
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‘‘(iii) have an understanding of biological, 
psychosocial, and pharmaceutical treatments of 
mental illness; or 
‘‘(B) have a doctoral degree in psychology 
with— 
‘‘(i) clinical and research experience; 
and 
‘‘(ii) an understanding of biological, 
psychosocial, and pharmaceutical treat-
ments of mental illness. 
‘‘(b) RELATION TO SAMHSA ADMINISTRATOR.—The 
Administrator of the Substance Abuse and Mental Health 
Services Administration shall be under the supervision and 
direction of the Assistant Secretary. 
‘‘(c) DUTIES.—The Assistant Secretary shall— 
‘‘(1) promote the coordination of service pro-
grams conducted by other departments, agencies, or-
ganizations, and individuals that are or may be re-
lated to the problems of individuals suffering from 
substance abuse and mental illness; 
‘‘(2) carry out any functions within the Depart-
ment of Health and Human Services— 
‘‘(A) to improve the treatment of, and re-
lated services to, individuals with respect to 
substance abuse and mental illness; 
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‘‘(B) to improve prevention services for 
such individuals; and 
‘‘(C) to protect the legal rights of individ-
uals with mental illnesses and individuals who 
are substance abusers; 
‘‘(3) carry out the administrative and financial 
management, policy development and planning, eval-
uation, knowledge dissemination, and public infor-
mation functions that are required for the implemen-
tation of mental health programs, including block 
grants, treatments, and data collection; 
‘‘(4) ensure that the Substance Abuse and Men-
tal Health Services Administration conducts and co-
ordinates demonstration projects, evaluations, and 
service system assessments and other activities nec-
essary to improve the availability and quality of 
treatment, prevention, and related services related to 
substance abuse; 
‘‘(5) within the Department of Health and 
Human Services, oversee and coordinate all pro-
grams and activities relating to the prevention of, or 
treatment or rehabilitation for, mental health or 
substance use disorders; 
‘‘(6) across the Federal Government— 
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‘‘(A) review programs and activities de-
scribed in paragraph (5); 
‘‘(B) identify any such programs and ac-
tivities that are duplicative; and 
‘‘(C) formulate recommendations for the 
coordination and improvement of such pro-
grams and activities; and 
‘‘(7) supervise data collection for and dissemi-
nate best practices by the National Mental Health 
Policy Laboratory. 
‘‘(d) PRIORITIZATION OF INTEGRATION OF SERVICES 
AND EARLY DIAGNOSIS
AND INTERVENTION.—In car-
rying out the duties described in subsection (c), the Assist-
ant Secretary shall prioritize— 
‘‘(1) the integration of services for the purpose 
of preventing, treating, or providing rehabilitation 
for the prevention of, and treatment or rehabilitation 
for, mental health or substance use disorders with 
primary care services; and 
‘‘(2) early diagnosis and intervention services 
for the prevention of, and treatment or rehabilitation 
for, serious mental health or substance use dis-
orders. 
‘‘(e) NATIONAL MENTAL HEALTH POLICY LABORA-
TORY.— 
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‘‘(1) IN GENERAL.—The Assistant Secretary for 
Mental Health and Substance Use Disorders shall 
establish, within the Office of the Assistant Sec-
retary, the National Mental Health Policy Labora-
tory (in this section referred to as the ‘NMHPL’), 
to be headed by a Director. 
‘‘(2) DUTIES.—The Director of the NMHPL 
shall— 
‘‘(A) 
identify 
and 
implement 
policy 
changes and other trends likely to have the 
most significant impact on mental health serv-
ices and monitor their impact in accordance 
with the principles outlined in National Advi-
sory Mental Health Council’s 2006 report enti-
tled ‘The Road Ahead: Research Partnerships 
To Transform Services’; 
‘‘(B) collect information from grantees 
under programs established or amended by the 
Helping Families in Mental Health Crisis Act 
of 2013 and under other mental health pro-
grams under this Act, including grantees that 
are federally qualified community behavioral 
health clinics certified under section 201 of the 
Helping Families in Mental Health Crisis Act 
of 2013 and States receiving funds under a 
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block grant under part B of title XIX of this 
Act; and 
‘‘(C) evaluate and disseminate to such 
grantees evidence-based practices and services 
delivery models using the best available science 
shown to reduce program expenditures while en-
hancing the quality of care furnished to individ-
uals by other such grantees. 
‘‘(3) EVIDENCE-BASED PRACTICES AND SERV-
ICE DELIVERY MODELS.—In selecting evidence-based 
practices and services delivery models for evaluation 
and dissemination under paragraph (2)(C), the Di-
rector of the NMHPL— 
‘‘(A) shall give preference to models that 
improve the coordination, quality, and efficiency 
of health care services furnished to individuals 
with serious mental illness; and 
‘‘(B) may include clinical protocols and 
practices used in the Recovery After Initial 
Schizophrenia Episode (RAISE) project and the 
North American Prodrome Longitudinal Study 
(NAPLS) of the National Institute of Mental 
Health. 
‘‘(4) DEADLINE FOR BEGINNING IMPLEMENTA-
TION.—The Director of the NMHPL shall begin im-
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plementation of the duties described in this sub-
section not later than January 1, 2016. 
‘‘(5) CONSULTATION.—In carrying out the du-
ties under this section, the Director of the NMHPL 
shall consult with— 
‘‘(A) representatives of the National Insti-
tute of Mental Health on organization, hiring 
decisions, and operations, initially and on an 
ongoing basis; 
‘‘(B) other appropriate Federal agencies; 
and 
‘‘(C) clinical and analytical experts with 
expertise in medicine, psychiatric and clinical 
psychological care, and health care manage-
ment. 
‘‘(6) EVALUATION.— 
‘‘(A) IN GENERAL.—The Director of the 
NMHPL shall conduct an evaluation of grant 
programs described in paragraph (2)(B). Such 
evaluation shall include an analysis of— 
‘‘(i) the quality of care furnished 
under the respective services delivery 
model, including the measurement of pa-
tient-level outcomes and public health out-
comes such as reduced mortality rates, re-
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duced hospitalization from psychotic epi-
sodes, and other criteria determined by the 
Assistant Secretary; and 
‘‘(ii) the changes in spending under 
such programs by reason of the model. 
‘‘(B) INFORMATION.—The Assistant Sec-
retary shall make the results of each evaluation 
under this paragraph available to the public in 
a timely fashion and may establish require-
ments for States and other entities partici-
pating in the testing of models under grant pro-
grams described in paragraph (2)(B) to collect 
information that the Assistant Secretary deter-
mines is necessary to monitor and evaluate such 
models. 
‘‘(f) EXPANSION OF MODELS.— 
‘‘(1) IN GENERAL.—Taking into account the re-
sults of evaluations under subsection (e), the Assist-
ant Secretary may, by rule, as part of the program 
of block grants for community mental health services 
under subpart I of part B of title XIX, provide for 
expanded use across the Nation of service delivery 
models by providers funded under such block grants, 
so long as— 
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‘‘(A) the Assistant Secretary determines 
that such expansion will— 
‘‘(i) reduce spending under such block 
grants without reducing the quality of 
care; or 
‘‘(ii) improve the quality of patient 
care without significantly increasing spend-
ing; and 
‘‘(B) the Director of the National Institute 
of Mental Health determines that such expan-
sion would improve the quality of patient care. 
‘‘(2) CONGRESSIONAL REVIEW.—Any rule pro-
mulgated pursuant to paragraph (1) is deemed to be 
a major rule subject to congressional review and dis-
approval under chapter 8 of title 5, United States 
Code. 
‘‘(g) REPORTS TO CONGRESS.—Not later than 1 year 
after the date of enactment of this Act, and every 2 years 
thereafter, the Assistant Secretary shall submit a report 
to the Congress— 
‘‘(1) summarizing the activities of the Assistant 
Secretary; 
‘‘(2) analyzing the efficiency and effectiveness 
of Federal programs and activities relating to the 
prevention of, or treatment or rehabilitation for, 
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mental health or substance use disorders, including 
an accounting of the costs of such programs and ac-
tivities with administrative costs disaggregated from 
the costs of services and care provided; 
‘‘(3) evaluating the impact on public health of 
projects addressing priority mental health needs of 
regional and national significance under section 
520A to determine— 
‘‘(A) whether each such project has re-
duced the mortality rate, prevalence, and emer-
gency room visits for persons with serious men-
tal illness; and 
‘‘(B) the effect of such projects on other 
public health measures; 
‘‘(4) formulating recommendations for the co-
ordination and improvement of Federal programs 
and activities described in paragraph (2); and 
‘‘(5) identifying any such programs and activi-
ties that are duplicative. 
‘‘(h) FUNDING.—Of the amounts made available to 
carry out the block grant for community mental health 
services for each of fiscal years 2014 through 2019, not 
more than 5 percent of such amounts are authorized to 
be appropriated to carry out this section.’’. 
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SEC. 102. INTERAGENCY SERIOUS MENTAL ILLNESS CO-
ORDINATING COMMITTEE. 
Title V of the Public Health Service Act, as amended 
by section 701, is further amended by inserting after sec-
tion 501A of such Act the following: 
‘‘SEC. 501B. INTERAGENCY SERIOUS MENTAL ILLNESS CO-
ORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.—The Assistant Secretary for 
Mental Health and Substance Use Disorders (in this sec-
tion referred to as the ‘Assistant Secretary’) shall estab-
lish a committee, to be known as the Interagency Serious 
Mental Illness Coordinating Committee (in this section re-
ferred to as the ‘Committee’), to assist the Assistant Sec-
retary in carrying out the Assistant Secretary’s duties. 
‘‘(b) RESPONSIBILITIES.—The Committee shall— 
‘‘(1) develop and annually update a summary of 
advances in serious mental illness research related to 
causes, prevention, treatment, early screening, diag-
nosis or rule out, intervention, and access to services 
and supports for individuals with serious mental ill-
ness; 
‘‘(2) monitor Federal activities with respect to 
serious mental illness; 
‘‘(3) make recommendations to the Assistant 
Secretary regarding any appropriate changes to such 
activities, including recommendations to the Director 
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of NIH with respect to the strategic plan developed 
under paragraph (5); 
‘‘(4) make recommendations to the Assistant 
Secretary regarding public participation in decisions 
relating to serious mental illness; 
‘‘(5) develop and annually update a strategic 
plan for the conduct of, and support for, serious 
mental illness research, including proposed budg-
etary requirements; and 
‘‘(6) submit to the Congress such strategic plan 
and any updates to such plan. 
‘‘(c) MEMBERSHIP.— 
‘‘(1) IN
GENERAL.—The Committee shall be 
composed of— 
‘‘(A) the Assistant Secretary for Mental 
Health and Substance Use Disorders (or the 
Assistant Secretary’s designee), who shall serve 
as the Chair of the Committee; 
‘‘(B) the Director of the National Institute 
of Mental Health (or the Director’s designee); 
‘‘(C) the Attorney General of the United 
States (or the Attorney General’s designee); 
‘‘(D) the Director of the Centers for Dis-
ease Control and Prevention (or the Director’s 
designee); 
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‘‘(E) the Director of the National Insti-
tutes of Health (or the Director’s designee); 
‘‘(F) the directors of such national re-
search institutes of the National Institutes of 
Health as the Assistant Secretary for Mental 
Health and Substance Use Disorders deter-
mines appropriate (or their designees); 
‘‘(G) representatives, appointed by the As-
sistant Secretary, of Federal agencies that are 
outside of the Department of Health and 
Human Services and serve individuals with seri-
ous mental illness, such as the Department of 
Education; 
‘‘(H) the Administrator of Substance 
Abuse and Mental Health Services Administra-
tion; and 
‘‘(I) the additional members appointed 
under paragraph (2). 
‘‘(2) ADDITIONAL MEMBERS.—Not fewer than 
9 members of the Committee, or 1⁄3 of the total 
membership of the Committee, whichever is greater, 
shall be composed of non-Federal public members to 
be appointed by the Assistant Secretary, of which— 
‘‘(A) at least one such member shall be an 
individual with a diagnosis of serious mental ill-
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ness who has benefitted from and is receiving 
medical treatment under the care of a physi-
cian; 
‘‘(B) at least one such member shall be a 
parent or legal guardian of an individual with 
a serious mental illness; 
‘‘(C) at least one such member shall be a 
representative of leading research, advocacy, 
and service organizations for individuals with 
serious mental illness; 
‘‘(D) at least one member shall be a psy-
chiatrist; 
‘‘(E) at least one member shall be a clin-
ical psychologist; 
‘‘(F) at least one member shall be a judge 
with successful experiences applying assisted 
outpatient treatment; 
‘‘(G) at least one member shall be a law 
enforcement officer; and 
‘‘(H) at least one member shall be a cor-
rections officer. 
‘‘(d) ADMINISTRATIVE SUPPORT; TERMS OF SERV-
ICE; OTHER PROVISIONS.—The following provisions shall 
apply with respect to the Committee: 
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‘‘(1) The Assistant Secretary shall provide such 
administrative support to the Committee as may be 
necessary for the Committee to carry out its respon-
sibilities. 
‘‘(2) Members of the Committee appointed 
under subsection (c)(2) shall serve for a term of 4 
years, and may be reappointed for one or more addi-
tional 4-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 taken office. 
‘‘(3) The Committee shall meet at the call of 
the chair or upon the request of the Assistant Sec-
retary. The Committee shall meet not fewer than 2 
times each year. 
‘‘(4) All meetings of the Committee shall be 
public and shall include appropriate time periods for 
questions and presentations by the public. 
‘‘(e) SUBCOMMITTEES; ESTABLISHMENT AND MEM-
BERSHIP.—In carrying out its functions, the Committee 
may establish subcommittees and convene workshops and 
conferences. Such subcommittees shall be composed of 
Committee members and may hold such meetings as are 
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necessary to enable the subcommittees to carry out their 
duties.’’. 
SEC. 103. ASSISTED OUTPATIENT TREATMENT GRANT PRO-
GRAM. 
(a) IN GENERAL.—The Assistant Secretary for Men-
tal Health and Substance Use Disorders (in this section 
referred to as the ‘‘Assistant Secretary’’), in consultation 
with the Director of the National Institute of Mental 
Health and the Attorney General of the United States, 
shall establish a 4-year pilot program to award not more 
than 50 grants each year to counties, cities, mental health 
systems, mental health courts, and any other entities with 
authority under the law of a State to implement, monitor, 
and oversee assisted outpatient treatment programs. The 
Assistant Secretary may only award grants under this sec-
tion to applicants that have not previously implemented 
an assisted outpatient treatment program. The Assistant 
Secretary shall evaluate applicants based on their poten-
tial to reduce hospitalization, homelessness, incarceration, 
and interaction with the criminal justice system while im-
proving health outcomes, such as adherence to medication 
usage. 
(b) USE OF GRANT.—An assisted outpatient treat-
ment program carried out with a grant awarded under this 
section shall include— 
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(1) evaluating and seeking out eligible individ-
uals who may benefit from assisted outpatient treat-
ment; 
(2) preparing and executing treatment plans for 
eligible patients and filing petitions for assisted out-
patient treatment in appropriate courts; 
(3) providing case management services to eligi-
ble patients who are participating in the program to 
provide such patients with resources, monitoring, 
and oversight, including directly monitoring a par-
ticipant’s level of compliance and the delivery of 
services by other providers pursuant to the court 
order; and 
(4) carrying out referrals and medical evalua-
tions, and paying the costs of legal counsel for com-
mitment orders to be submitted and evaluated by 
the courts. 
(c) DATA COLLECTION.—Grantees under this section 
shall provide in a timely fashion any data collected pursu-
ant to the grant to the National Mental Health Policy 
Laboratory, as requested by the Assistant Secretary, con-
cerning health outcomes and treatments. 
(d) REPORT.—The Assistant Secretary shall submit 
an annual report to the Committees on Energy and Com-
merce and the Judiciary of the House of Representatives, 
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the Committees on Health, Education, Labor, and Pen-
sions and the Judiciary of the Senate, and the Congres-
sional Budget Office on the grant program under this sec-
tion. Each such report shall include an evaluation of the 
following: 
(1) Cost savings and public health outcomes 
such as mortality, suicide, substance abuse, hos-
pitalization, and use of services. 
(2) Rates of incarceration by patients. 
(3) Rates of employment by patients. 
(4) Rates of homelessness. 
(e) DEFINITIONS.—In this section: 
(1) ASSISTED OUTPATIENT TREATMENT.—The 
term ‘‘assisted outpatient treatment’’ means— 
(A) except as provided in subparagraph 
(B), medically prescribed treatment that an eli-
gible patient must undergo while living in a 
community under the terms of a law author-
izing a State or local court to order such treat-
ment; and 
(B) in the case of a State that does not 
have a law described in subparagraph (A) in ef-
fect on the date of enactment— 
(i) a court-ordered treatment plan for 
an eligible patient that requires such pa-
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dividuals 
receiving 
medical 
assistance 
under this title; 
‘‘(v) a community mental health cen-
ter meeting the criteria specified in section 
1913(c) of the Public Health Service Act; 
or 
‘‘(vi) a residential or outpatient men-
tal health or substance abuse treatment fa-
cility that— 
‘‘(I) is accredited by the Joint 
Commission 
on 
Accreditation 
of 
Healthcare Organizations, the Com-
mission on Accreditation of Rehabili-
tation Facilities, the Council on Ac-
creditation, or any other national ac-
crediting agency recognized by the 
Secretary; and 
‘‘(II) has at least 10 percent of 
its patient volume (as estimated in ac-
cordance with a methodology estab-
lished by the Secretary) attributable 
to individuals receiving medical assist-
ance under this title.’’; and 
(2) in paragraph (3)(B)— 
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100 
(D) in paragraph (18), by striking ‘‘mental 
illness or’’; 
(3) in subsection (h), by inserting at the end 
the following: ‘‘For any such peer review group re-
viewing a proposal or grant related to mental illness, 
no fewer than half of the members of the group shall 
have a medical degree, or an equivalent doctoral de-
gree in psychology and clinical experience.’’; 
(4) in subsection (l)— 
(A) in paragraph (2), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (3), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(4) At least 30 days before awarding a grant, 
cooperative agreement, or contract, the Adminis-
trator shall give written notice of the award to the 
Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, 
Education, Labor, and Pensions of the Senate.’’; 
and 
(5) in subsection (m)— 
(A) in paragraph (1), by striking ‘‘2.5 per-
cent’’ and inserting ‘‘1.5 percent’’; and 
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