uidated damages as prescribed by the Secretary 
by regulation. 
‘‘(5) APPLICATION.—The Secretary shall re-
quire that any application for a grant under this 
subsection include a description of the applicant’s 
experience working with paraprofessional child and 
adolescent mental health workers. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.—
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2004 through 2008. 
‘‘(e) CHILD
AND ADOLESCENT MENTAL HEALTH 
PROGRAM DEVELOPMENT GRANTS.—
‘‘(1) ESTABLISHMENT.—The Secretary, acting 
through the Administrator of the Health Resources 
and Services Administration, may establish a pro-
gram to increase the number of well-trained child 
and adolescent mental health service professionals in 
the United States by awarding grants on a competi-
tive basis to accredited institutions of higher edu-
cation to enable the institutions to establish or ex-
pand accredited graduate child and adolescent men-
tal health programs.
‘‘(2) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to appli-
cants that—
‘‘(A) demonstrate familiarity with the use 
of evidence-based methods in child and adoles-
cent mental health services; 
‘‘(B) provide experience in and collabora-
tion with community-based child and adolescent 
mental health services; 
‘‘(C) have included normal child develop-
ment curricula; and 
‘‘(D) demonstrate commitment to working 
with high priority populations. 
‘‘(3) USE
OF
FUNDS.—Funds received as a 
grant under this subsection may be used to establish 
or expand any accredited graduate child and adoles-
cent mental health program in any manner deemed 
appropriate by the Secretary, including by improving 
the coursework, related field placements, or faculty 
of such program. 
‘‘(4) REQUIREMENTS.—The Secretary may 
award a grant to an accredited institution of higher 
education under this subsection only if the institu-
tion agrees that—
‘‘(A) any child and adolescent mental 
health program assisted under the grant will 
prioritize cultural competency; 
‘‘(B) the institution will provide to the Sec-
retary such data, assurances, and information 
as the Secretary may require; and 
‘‘(C) with respect to any violation of the 
agreement between the Secretary and the insti-
tution, the institution will pay such liquidated 
damages as prescribed by the Secretary by reg-
ulation. 
‘‘(5) AUTHORIZATION
OF
APPROPRIATIONS.—
There is authorized to be appropriated to carry out 
this subsection $15,000,000 for each of fiscal years 
2004 through 2008. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) SPECIALIZED TRAINING OR CLINICAL EX-
PERIENCE
IN
CHILD
AND
ADOLESCENT
MENTAL 
HEALTH.—The term ‘specialized training or clinical 
experience in child and adolescent mental health’ 
means training and clinical experience that—
(A) is part of or occurs after completion of 
an accredited graduate program in the United 
States for training mental health service profes-
sionals;
(B) consists of at least 500 hours of train-
ing or clinical experience in treating children 
and adolescents; and 
(C) is comprehensive, coordinated, develop-
mentally appropriate, and of high quality to ad-
dress the unique ethnic and cultural diversity of 
the United States population. 
‘‘(2) HIGH PRIORITY POPULATION.—The term 
‘high priority population’ means a population that 
has a high incidence of children and adolescents who 
have serious emotional disturbances, are racial and 
ethnic minorities, or live in urban or rural areas. 
‘‘(3) 
MENTAL
HEALTH
SERVICE
PROFES-
SIONAL.—The term ‘mental health service profes-
sional’ means an individual with a graduate or post-
graduate degree from an accredited institution of 
higher education in psychiatry, psychology, school 
psychology, psychiatric nursing, social work, school 
social work, marriage and family counseling, school 
counseling, or professional counseling.’’. 
SEC. 4. AMENDMENTS TO SOCIAL SECURITY ACT TO IM-
PROVE CHILD AND ADOLESCENT MENTAL 
HEALTH CARE. 
(a) INCREASING NUMBER OF CHILD AND ADOLES-
CENT PSYCHIATRY RESIDENTS PERMITTED TO BE PAID
UNDER THE MEDICARE GRADUATE MEDICAL EDUCATION 
PROGRAM.—Section 1886(h)(4)(F) of the Social Security 
Act (42 U.S.C. 1395ww(h)(4)(F)) is amended by adding 
at the end the following new clause: 
‘‘(iii) INCREASE ALLOWED FOR TRAIN-
ING IN CHILD AND ADOLESCENT PSYCHI-
ATRY.—In applying clause (i), there shall 
not be taken into account such additional 
number of full-time equivalent residents in 
the field of allopathic or osteopathic medi-
cine who are residents or fellows in child 
and adolescent psychiatry as the Secretary 
determines reasonable to meet the need for 
such physicians as demonstrated by the 
1999 report of the Department of Health 
and Human Services entitled ‘Mental 
Health: A Report of the Surgeon Gen-
eral’.’’. 
(b) EXTENSION OF MEDICARE BOARD ELIGIBILITY 
PERIOD FOR RESIDENTS AND FELLOWS IN CHILD AND 
ADOLESCENT PSYCHIATRY.—
(1) IN
GENERAL.—Section 1886(h)(5)(G) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1395ww(h)(5)(G)) is amended—
(A) in clause (i), by striking ‘‘and (v)’’ and 
inserting ‘‘(v), and (vi)’’; and 
(B) by adding at the end the following new 
clause: 
‘‘(vi) CHILD AND ADOLESCENT PSY-
CHIATRY
TRAINING
PROGRAMS.—In the 
case of an individual enrolled in a child 
and adolescent psychiatry residency or fel-
lowship program approved by the Sec-
retary, the period of board eligibility and 
the initial residency period shall be the pe-
riod of board eligibility for the specialty of 
general psychiatry, plus 2 years for the 
subspecialty of child and adolescent psychi-
atry.’’. 
(2) EFFECTIVE DATE.—The amendments made 
by paragraph (1) shall apply to residency training 
years beginning on or after July 1, 2003. 
SEC. 5. CHILD MENTAL HEALTH PROFESSIONAL REPORT. 
(a) STUDY.—The Administrator of the Health Re-
sources and Services Administration (in this section re-
ferred to as the ‘‘Administrator’’) shall study and make 
findings and recommendations on the distribution and 
need for child mental health service professionals, includ-
ing with respect to specialty certifications, practice charac-
teristics, professional licensure, practice types, locations, 
education, and training. 
(b) DISAGGREGATION.—The results of the study re-
quired by subsection (a) shall be disaggregated by State. 
(c) REPORT.—Not later than 1 year after the date 
of the enactment of this Act, the Administrator shall sub-
mit to the Congress and make publicly available a report 
on the study, findings, and recommendations required by 
subsection (a). 
(d) REVISION.—Each year the Administrator shall 
revise the report required under subsection (c). 
(e) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2004 through 2008. 
SEC. 6. REPORTS. 
(a) TRANSMISSION.—The Secretary of Health and 
Human Services shall transmit a report described in sub-
section (b) to the Congress—
(1) not later than 3 years after the date of the 
enactment of this Act; and 
(2) not later than 5 years after the date of the 
enactment of this Act.
(b) CONTENTS.—The reports transmitted to the Con-
gress under subsection (a) shall address each of the fol-
lowing: 
(1) The effectiveness of the amendments made 
by, and the programs carried out under, this Act in 
increasing the number of child and adolescent men-
tal health service professionals and paraprofessional 
child and adolescent mental health workers. 
(2) The demographics of the individuals served 
by such increased number of child and adolescent 
mental health service professionals and paraprofes-
sional child and adolescent mental health workers.
Æ