Internal Revenue Code of 1986 and exempt from 
taxation under section 501(a) of such Code. 
‘‘(2) ISDEAA 
TERMS.—The terms ‘Indian 
tribe’ and ‘tribal organization’ have the meanings 
given those terms in section 4 of the Indian Self-De-
termination and Education Assistance Act. 
‘‘(3) MENTAL
HEALTH
SERVICES
EMPLOY-
MENT.—The term ‘mental health services employ-
ment’ means full-time employment (including a fel-
lowship)— 
‘‘(A) where the primary intent and func-
tion of the position is the direct treatment or 
recovery support of patients with or in recovery 
from a diagnosable mental, behavioral, or emo-
tional disorder, including master’s level social 
workers, psychologists, counselors, marriage 
and family therapists, psychiatric mental health 
practitioners, child and adolescent psychiatrists, 
occupational therapists, psychology doctoral in-
terns, behavioral health paraprofessionals and 
physicians, physician assistants, and nurses, 
who are licensed or certified in accordance with 
applicable State and Federal laws; and 
‘‘(B) which is located at a mental health 
treatment program, private physician practice, 
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hospital or health system-affiliated inpatient 
treatment center or outpatient clinic (including 
an academic medical center-affiliated treatment 
program), correctional facility or program, 
youth detention center or program, inpatient 
psychiatric facility, crisis stabilization unit, 
community health center, community mental 
health or other specialty community behavioral 
health center, recovery center, school, commu-
nity-based organization, telehealth platform, mi-
grant health center, health program or facility 
operated by an Indian tribe or tribal organiza-
tion, Federal medical facility, or any other facil-
ity as determined appropriate for purposes of 
this section by the Secretary. 
‘‘(4) MUNICIPALITY.—The term ‘municipality’ 
means a city, town, or other public body created by 
or pursuant to State law, or an Indian tribe.’’. 
SEC. 204. HEALTH WORKFORCE RESILIENCY PROGRAM. 
(a) FUNDING
FOR MENTAL HEALTH
AND SUB-
STANCE USE DISORDER TRAINING FOR HEALTH CARE 
PROFESSIONALS, PARAPROFESSIONALS, 
AND
PUBLIC 
SAFETY OFFICERS.—Section 2703 of the American Res-
cue Plan Act of 2021 (Public Law 117–2; 135 Stat. 46) 
is amended— 
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(1) in subsection (b), by striking ‘‘appropriated 
by subsection (a)’’ and inserting ‘‘appropriated by 
subsection (a) or pursuant to subsection (c)’’; and 
(2) by adding at the end the following: 
‘‘(c) AUTHORIZATION
FOR FY 2025 TO 2029.— 
There is authorized to be appropriated for the purpose de-
scribed in subsection (b) $100,000,000 for the period of 
fiscal years 2025 through 2029.’’. 
(b) FUNDING
FOR EDUCATION
AND AWARENESS 
CAMPAIGN ENCOURAGING HEALTHY WORK CONDITIONS 
AND USE OF MENTAL HEALTH AND SUBSTANCE USE 
DISORDER
SERVICES
BY
HEALTH
CARE
PROFES-
SIONALS.—Section 2704 of the American Rescue Plan Act 
of 2021 (Public Law 117–2; 135 Stat. 46) is amended— 
(1) in subsection (b), by striking ‘‘appropriated 
by subsection (a)’’ and inserting ‘‘appropriated by 
subsection (a) or pursuant to subsection (c)’’; and 
(2) by adding at the end the following: 
‘‘(c) AUTHORIZATION
FOR FY 2025 TO 2029.— 
There is authorized to be appropriated for the purpose de-
scribed in subsection (b) $100,000,000 for the period of 
fiscal years 2025 through 2029.’’. 
(c) FUNDING FOR GRANTS FOR HEALTH CARE PRO-
VIDERS TO PROMOTE MENTAL HEALTH AMONG THEIR 
HEALTH PROFESSIONAL WORKFORCE.—Section 2705 of 
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the American Rescue Plan Act of 2021 (Public Law 117– 
2; 135 Stat. 46) is amended— 
(1) in subsection (b), by striking ‘‘appropriated 
by subsection (a)’’ and inserting ‘‘appropriated by 
subsection (a) or pursuant to subsection (c)’’; and 
(2) by adding at the end the following: 
‘‘(c) AUTHORIZATION
FOR FY 2025 TO 2029.— 
There is authorized to be appropriated for the purpose de-
scribed in subsection (b) $100,000,000 for the period of 
fiscal years 2025 through 2029.’’. 
SEC. 205. TASK FORCE TO PREVENT HEALTH CARE WORK-
ER BURNOUT. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Administrator of the 
Health Resources and Services Administration, (in this 
section referred to as the ‘‘Secretary’’) shall establish a 
task force to prevent health care worker burnout (in this 
section referred to as the ‘‘Task Force’’). 
(b) MEMBERS.—The Task Force shall have the fol-
lowing members, to be appointed by the Secretary (unless 
otherwise specified): 
(1) The Surgeon General, who shall serve as 
chair. 
(2) A representative from the Centers for Medi-
care & Medicaid Services. 
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(3) A representative from the Centers for Dis-
ease Control and Prevention. 
(4) A representative from the Office of Rural 
Health Policy of the Health Resources and Services 
Administration. 
(5) A representative from the Provider Relief 
Bureau of the Health Resources and Services Ad-
ministration. 
(6) A representative from the Office of Civil 
Rights, Diversity, and Inclusion of the Health Re-
sources and Services Administration. 
(7) Such other members as the chair deter-
mines appropriate, who shall be appointed by the 
chair. 
(c) REPORTS.—Not later than 2 years after the date 
of enactment of this Act, the Task Force shall submit to 
Congress a report that includes— 
(1) statistics and data on turnover in health 
care employment and health care worker satisfaction 
(including with regard to the mental health and sub-
stance use disorder workforces); 
(2) recommendations on how to reduce burnout 
among health care workers; 
(3) an assessment of burnout in Health Re-
sources and Services Administration workforce pro-
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grams and how such programs may be improved; 
and 
(4) a study of the administrative burden of 
health insurance systems (including Medicare, Med-
icaid, CHIP programs, and VA health). 
TITLE III—MEASUREMENTS OF 
LONELINESS 
SEC. 301. ADDITION OF LONELINESS TO THE OLDER AMERI-
CANS ACT OF 1965. 
Section 102(14)(N) of the Older Americans Act of 
1965 (42 U.S.C. 3002(14)(N)) is amended by inserting 
‘‘or loneliness’’ after ‘‘social isolation’’ each place it ap-
pears. 
SEC. 302. HHS WORKING GROUP ON MEASUREMENTS OF 
LONELINESS AND ISOLATION. 
The Secretary of Health and Human Services shall 
establish within the Department of Health and Human 
Services a working group to formulate recommendations 
for standardizing the methods by which agencies and com-
ponents of the Department measure loneliness and isola-
tion. 
SEC. 303. GAO STUDY AND REPORT ON IMPACT OF SOCIAL 
ISOLATION. 
(a) STUDY.—The Comptroller General of the United 
States shall conduct a study on the impact of social isola-
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tion and efforts by the Federal Government and State and 
local governments to address such social isolation. 
(b) REPORT.—Not later than 5 years after the date 
of enactment of this Act, the Comptroller General of the 
United shall submit to Congress a report detailing the re-
sults of the study under subsection (a). 
TITLE IV—COMMUNITY HEALTH 
WORKERS 
SEC. 401. COVERAGE OF COMMUNITY HEALTH WORKER 
SERVICES 
UNDER 
MEDICARE 
AND 
IN-
CREASED FMAP FOR COMMUNITY HEALTH 
WORKER SERVICES. 
(a) COVERAGE OF COMMUNITY HEALTH WORKER 
SERVICES
AND CERTIFIED COMMUNITY BEHAVIORAL 
HEALTH CLINIC SERVICES UNDER MEDICARE.— 
(1) IN GENERAL.—Section 1861 of the Social 
Security Act (42 U.S.C. 1395x) is amended— 
(A) in subsection (s)(2), by adding at the 
end the following new subparagraphs: 
‘‘(KK) professional services furnished by a com-
munity health worker (as defined in subsection 
(nnn)) on or after October 1, 2026; 
‘‘(LL) certified community behavioral health 
clinic services (as defined in section 1905(jj)) fur-
nished on or after October 1, 2026;’’; and 
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(B) by adding at the end the following new 
subsection: 
‘‘(nnn) COMMUNITY HEALTH WORKER.—The term 
‘community health worker’ means an individual who is a 
frontline health worker who is a trusted member of the 
community in which the worker serves or who has an un-
usually close understanding of the community served that 
enables the worker to build trusted relationships, serve as 
a liaison or link between health and social services and 
the community, facilitate access to services, improve the 
quality and cultural competence of service delivery, build 
individual and community capacity, and increase health 
knowledge and self-sufficiency through a wide range of 
community health worker core roles, including through— 
‘‘(1) providing cultural mediation among indi-
viduals, communities, and health and social service 
systems; 
‘‘(2) providing culturally appropriate health 
education and information; 
‘‘(3) providing care coordination, case manage-
ment, and system navigation; 
‘‘(4) providing coaching and social support; 
‘‘(5) advocating for individuals and commu-
nities; 
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‘‘(6) building individual and community capac-
ity; 
‘‘(7) providing direct service, including basic 
screening tests, such as weight and blood pressure 
screening, basic services such as diabetic foot checks, 
and meeting basic needs; 
‘‘(8) implementing individual and community 
assessments; 
‘‘(9) conducting outreach; and 
‘‘(10) participating in evaluation and research’’. 
(2) PAYMENT RULE.—Section 1833 of the So-
cial Security Act (42 U.S.C. 1395l) is amended— 
(A) in subsection (a)(1)— 
(i) in subparagraph (GG), by striking 
‘‘and’’ at the end; and 
(ii) by inserting before the semicolon 
at the end the following: ‘‘, and (II) with 
respect to professional services furnished 
by a community health worker (as defined 
in section 1861(nnn)) and certified com-
munity behavioral health clinic services (as 
defined in section 1905(jj)), the amounts 
paid shall be 100 percent of the lesser of 
the actual charge for the services or the 
amount determined under a fee schedule 
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established by the Secretary for such serv-
ices’’; and 
(B) in subsection (b)— 
(i) by striking ‘‘, and (13)’’ and in-
serting ‘‘(13)’’; and 
(ii) by striking ‘‘1861(n).’’ and insert-
ing ‘‘1861(n), (14) such deductible shall 
not apply with respect to professional serv-
ices furnished by a community health 
worker (as defined in section 1861(nnn)), 
and (15) such deductible shall not apply 
with respect to certified community behav-
ioral health clinic services (as defined in 
section 1905(jj))’’. 
(b) COVERAGE OF COMMUNITY HEALTH WORKER 
SERVICES UNDER MEDICAID.— 
(1) IN GENERAL.—Section 1905(a) of the So-
cial Security Act (42 U.S.C. 1396d(a)) is amend-
ed— 
(A) in paragraph (31), by striking ‘‘and’’ 
at the end; 
(B) by redesignating paragraph (32) as 
paragraph (33); and 
(C) by inserting after paragraph (31) the 
following new paragraph: 
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‘‘(32) beginning on October 1, 2026, profes-
sional services furnished by a community health 
worker (as defined in section 1861(nnn)); and’’. 
(2) FMAP INCREASE.—Section 1905 of the So-
cial Security Act (42 U.S.C. 1396d) is amended— 
(A) in subsection (b), by striking ‘‘and 
(ii)’’ and inserting ‘‘(ii), and (kk)’’; and 
(B) by adding at the end the following new 
subsection: 
‘‘(kk) INCREASED FMAP FOR COMMUNITY HEALTH 
WORKER SERVICES.—For each fiscal quarter beginning 
on or after October 1, 2026, the Federal medical assist-
ance percentage for a State shall be increased by 6 per-
centage points with respect to amounts expended by the 
State for medical assistance for professional services fur-
nished by a community health worker (as defined in sec-
tion 1861(nnn)).’’. 
SEC. 402. COMMUNITY HEALTH WORKERS IN NHSC LOAN 
REPAYMENT PROGRAM. 
Section 338B of the Public Health Service Act (42 
U.S.C. 254l–1) is amended— 
(1) in subsection (b)(1)(A), by striking ‘‘or phy-
sician assistant’’ and inserting ‘‘physician assistant, 
or community health worker’’; and 
(2) by adding at the end the following: 
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‘‘(i) COMMUNITY HEALTH WORKER DEFINED.—In 
this section, the term ‘community health worker’ means 
an individual who— 
‘‘(1) promotes wellness by helping individuals 
adopt healthy behaviors; 
‘‘(2) implements programs and advocates for in-
dividuals who may have limited access to health re-
sources and social services; and 
‘‘(3) works closely with other health care and 
social service providers.’’. 
TITLE V—EDUCATION 
SEC. 501. SCHOOL-BASED SERVICES UNDER MEDICAID AND 
CHIP. 
Section 11003(b) of the Bipartisan Safer Commu-
nities Act (42 U.S.C. 1396a note) is amended by inserting 
‘‘, and $50,000,000 for fiscal year 2026,’’ after ‘‘fiscal 
year 2022’’. 
SEC. 502. SUPPORT FOR PROJECT AWARE. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following: 
‘‘SEC. 554. PROJECT AWARE GRANTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use, (in this section referred to as the ‘Secretary’) shall 
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establish the Project Advancing Wellness and Resiliency 
in Education (in this section referred to as ‘Project 
AWARE’), to award grants to develop a sustainable infra-
structure for school-based mental health programs and 
services. 
‘‘(b) USE
OF FUNDS.—A grant awarded under 
Project AWARE may be used to provide peer mental 
health first aid training, including— 
‘‘(1) to train teachers, other relevant school 
personnel (including education support profes-
sionals), students, and parents and caregivers of stu-
dents— 
‘‘(A) to recognize symptoms of childhood 
and adolescent mental health conditions; 
‘‘(B) to refer teachers, school personnel, 
students, and their family members to appro-
priate mental health services if necessary; and 
‘‘(C) to recognize signs of immediate men-
tal distress and, upon recognizing such signs 
apply mental health first aid tactics; and 
‘‘(2) to provide education to such teachers, per-
sonnel, students, parents, and caregivers regarding 
resources that are available in the community for in-
dividuals with a mental illness. 
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‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$130,000,000 for each of fiscal years 2026 through 
2030.’’. 
SEC. 503. SUPPORT FOR THE 21ST CENTURY COMMUNITY 
LEARNING CENTERS PROGRAM AND THE 
FULL-SERVICE COMMUNITY SCHOOLS PRO-
GRAM. 
(a) COMMUNITY LEARNING CENTER SERVICES, PRO-
GRAMS, AND ACTIVITIES.—Section 4201(a)(2) of the Ele-
mentary and Secondary Education Act of 1965 (20 U.S.C. 
7171(a)(2)) is amended by inserting ‘‘mental health serv-
ices, community service activities,’’ after ‘‘counseling pro-
grams,’’. 
(b) AUTHORIZATION OF APPROPRIATIONS FOR 21ST 
CENTURY COMMUNITY LEARNING CENTERS PROGRAM.— 
Section 4206 of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 7176) is amended to read as fol-
lows: 
‘‘SEC. 4206. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There are authorized to be appropriated to carry out 
this part— 
‘‘(1) $1,329,673,000 for fiscal year 2025; 
‘‘(2) $1,429,673,000 for fiscal year 2026; 
‘‘(3) $1,529,673,000 for fiscal year 2027; 
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‘‘(4) $1,629,673,000 for fiscal year 2028; and 
‘‘(5) $1,729,673,000 for fiscal year 2029.’’. 
(c) AUTHORIZATION OF APPROPRIATIONS FOR FULL- 
SERVICE COMMUNITY SCHOOLS PROGRAM.—Section 4601 
of the Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7251(a)) is amended— 
(1) in the matter preceding paragraph (1) of 
subsection (a), by inserting ‘‘(except for section 
4625)’’ after ‘‘part’’; 
(2) in the matter preceding clause (i) of sub-
section (b)(2)(B), by inserting ‘‘(except for section 
4625)’’ after ‘‘subpart 2’’; and 
(3) by adding at the end the following: 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS
FOR 
FULL-SERVICE COMMUNITY SCHOOLS.—There are au-
thorized to be appropriated to carry out section 4625— 
‘‘(1) $500,000,000 for fiscal year 2025; 
‘‘(2) $600,000,000 for fiscal year 2026; 
‘‘(3) $700,000,000 for fiscal year 2027; 
‘‘(4) $850,000,000 for fiscal year 2028; and 
‘‘(5) $1,000,000,000 for fiscal year 2029.’’. 
(d) CONFORMING AMENDMENTS.—Section 4623(a) 
of the Elementary and Secondary Education Act of 1965 
(20 U.S.C. 7273(a)) is amended— 
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(1) by redesignating paragraph (2) as para-
graph (3); and 
(2) by striking paragraph (1) and inserting the 
following: 
‘‘(1) PROMISE
NEIGHBORHOODS.—The Sec-
retary shall use not less than 95 percent of the 
amounts made available under section 4601(b)(2)(B) 
to award grants, on a competitive basis and subject 
to subsection (e), to eligible entities for the imple-
mentation of a comprehensive, effective continuum 
of coordinated services that meets the purpose de-
scribed in section 4621(1) by carrying out activities 
in neighborhoods with— 
‘‘(A) high concentrations of low-income in-
dividuals; 
‘‘(B) multiple signs of distress, which may 
include high rates of poverty, childhood obesity, 
academic failure, and juvenile delinquency, ad-
judication, or incarceration; and 
‘‘(C) schools implementing comprehensive 
support and improvement activities or targeted 
support and improvement activities under sec-
tion 1111(d). 
‘‘(2) FULL-SERVICE COMMUNITY SCHOOLS AU-
THORIZED.—The Secretary shall use the amounts 
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made available under section 4601(c) to carry out 
the full-service community school program under 
section 4625.’’. 
TITLE VI—DEFINITIONS 
SEC. 601. DEFINITIONS. 
In this Act: 
(1) BURNOUT.—The term ‘‘burnout’’ means ex-
haustion and mental distance from one’s job. 
(2) 
LONELINESS.—The 
term 
‘‘loneliness’’ 
means subjectively feeling alone, or the discrepancy 
between one’s desired level of social connection and 
one’s actual level of social connection. 
(3) SOCIAL
CONNECTION.—The term ‘‘social 
connection’’ means the variety of ways one can con-
nect with others socially, through physical, behav-
ioral, social-cognitive, and emotional channels. 
(4) SOCIAL ISOLATION.—The term ‘‘social isola-
tion’’ means objectively being alone, or having few 
relationships or infrequent social contact. 
(5) UNDERSERVED
COMMUNITIES.—The term 
‘‘underserved communities’’ includes communities 
with a high proportion of individuals who— 
(A) are socioeconomically disadvantaged; 
(B) have limited English proficiency; 
(C) are geographically isolated; 
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(D) are educationally disenfranchised; 
(E) are individuals of color; 
(F) are of ethnic or national origin minori-
ties; 
(G) are women or children; 
(H) have disabilities; or 
(I) are seniors. 
Æ 
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