H. R. 34—234 
and other programs that have established clinical expertise 
and research’’; 
(3) by redesignating subsections (c) through (g) as sub-
sections (g) through (k), respectively; 
(4) by inserting after subsection (b), the following: 
‘‘(c) CHILD OUTCOME DATA.—The NCTSI coordinating center 
described in subsection (a)(1) shall collect, analyze, report, and 
make publicly available, as appropriate, NCTSI-wide child treat-
ment process and outcome data regarding the early identification 
and delivery of evidence-based treatment and services for children 
and families served by the NCTSI grantees. 
‘‘(d) TRAINING.—The NCTSI coordinating center shall facilitate 
the coordination of training initiatives in evidence-based and 
trauma-informed treatments, interventions, and practices offered 
to NCTSI grantees, providers, and partners. 
‘‘(e) DISSEMINATION AND COLLABORATION.—The NCTSI coordi-
nating center shall, as appropriate, collaborate with— 
‘‘(1) the Secretary, in the dissemination of evidence-based 
and trauma-informed interventions, treatments, products, and 
other resources to appropriate stakeholders; and 
‘‘(2) appropriate agencies that conduct or fund research 
within the Department of Health and Human Services, for 
purposes of sharing NCTSI expertise, evaluation data, and 
other activities, as appropriate. 
‘‘(f) REVIEW.—The Secretary shall, consistent with the peer- 
review process, ensure that NCTSI applications are reviewed by 
appropriate experts in the field as part of a consensus-review 
process. The Secretary shall include review criteria related to exper-
tise and experience in child trauma and evidence-based practices.’’; 
(5) in subsection (g) (as so redesignated), by striking ‘‘with 
respect to centers of excellence are distributed equitably among 
the regions of the country’’ and inserting ‘‘are distributed equi-
tably among the regions of the United States’’; 
(6) in subsection (i) (as so redesignated), by striking 
‘‘recipient may not exceed 5 years’’ and inserting ‘‘recipient 
shall not be less than 4 years, but shall not exceed 5 years’’; 
and 
(7) in subsection (j) (as so redesignated), by striking 
‘‘$50,000,000’’ and all that follows through ‘‘2006’’ and inserting 
‘‘$46,887,000 for each of fiscal years 2018 through 2022’’. 
SEC. 10005. SCREENING AND TREATMENT FOR MATERNAL DEPRES-
SION. 
Part B of title III of the Public Health Service Act (42 U.S.C. 
243 et seq.) is amended by inserting after section 317L (42 U.S.C. 
247b–13) the following: 
‘‘SEC. 317L–1. SCREENING AND TREATMENT FOR MATERNAL DEPRES-
SION. 
‘‘(a) GRANTS.—The Secretary shall make grants to States to 
establish, improve, or maintain programs for screening, assessment, 
and treatment services, including culturally and linguistically 
appropriate services, as appropriate, for women who are pregnant, 
or who have given birth within the preceding 12 months, for 
maternal depression. 
‘‘(b) APPLICATION.—To seek a grant under this section, a State 
shall submit an application to the Secretary at such time, in such 
manner, and containing such information as the Secretary may
H. R. 34—235 
require. At a minimum, any such application shall include expla-
nations of— 
‘‘(1) how a program, or programs, will increase the percent-
age of women screened and treated, as appropriate, for 
maternal depression in 1 or more communities; and 
‘‘(2) how a program, or programs, if expanded, would 
increase access to screening and treatment services for 
maternal depression. 
‘‘(c) PRIORITY.—In awarding grants under this section, the Sec-
retary may give priority to States proposing to improve or enhance 
access to screening services for maternal depression in primary 
care settings. 
‘‘(d) USE OF FUNDS.—The activities eligible for funding through 
a grant under subsection (a)— 
‘‘(1) shall include— 
‘‘(A) providing appropriate training to health care pro-
viders; and 
‘‘(B) providing information to health care providers, 
including information on maternal depression screening, 
treatment, and followup support services, and linkages to 
community-based resources; and 
‘‘(2) may include— 
‘‘(A) enabling health care providers (including obstetri-
cian-gynecologists, 
pediatricians, 
psychiatrists, 
mental 
health care providers, and adult primary care clinicians) 
to provide or receive real-time psychiatric consultation (in- 
person or remotely) to aid in the treatment of pregnant 
and parenting women; 
‘‘(B) establishing linkages with and among community- 
based resources, including mental health resources, pri-
mary care resources, and support groups; and 
‘‘(C) utilizing telehealth services for rural areas and 
medically underserved areas (as defined in section 330I(a)). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated $5,000,000 for each 
of fiscal years 2018 through 2022.’’. 
SEC. 10006. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PRO-
MOTION, INTERVENTION, AND TREATMENT. 
Part Q of title III of the Public Health Service Act (42 U.S.C. 
280h et seq.) is amended by adding at the end the following: 
‘‘SEC. 399Z–2. INFANT AND EARLY CHILDHOOD MENTAL HEALTH PRO-
MOTION, INTERVENTION, AND TREATMENT. 
‘‘(a) GRANTS.—The Secretary shall— 
‘‘(1) award grants to eligible entities to develop, maintain, 
or enhance infant and early childhood mental health promotion, 
intervention, and treatment programs, including— 
‘‘(A) programs for infants and children at significant 
risk of developing, showing early signs of, or having been 
diagnosed with mental illness, including a serious emo-
tional disturbance; and 
‘‘(B) multigenerational therapy and other services that 
support the caregiving relationship; and 
‘‘(2) ensure that programs funded through grants under 
this section are evidence-informed or evidence-based models, 
practices, and methods that are, as appropriate, culturally and
H. R. 34—236 
linguistically appropriate, and can be replicated in other appro-
priate settings. 
‘‘(b) ELIGIBLE CHILDREN AND ENTITIES.—In this section: 
‘‘(1) ELIGIBLE CHILD.—The term ‘eligible child’ means a 
child from birth to not more than 12 years of age who— 
‘‘(A) is at risk for, shows early signs of, or has been 
diagnosed with a mental illness, including a serious emo-
tional disturbance; and 
‘‘(B) may benefit from infant and early childhood inter-
vention or treatment programs or specialized preschool or 
elementary school programs that are evidence-based or that 
have been scientifically demonstrated to show promise but 
would benefit from further applied development. 
‘‘(2) ELIGIBLE ENTITY.—The term ‘eligible entity’ means a 
human services agency or nonprofit institution that— 
‘‘(A) employs licensed mental health professionals who 
have specialized training and experience in infant and early 
childhood mental health assessment, diagnosis, and treat-
ment, or is accredited or approved by the appropriate State 
agency, as applicable, to provide for children from infancy 
to 12 years of age mental health promotion, intervention, 
or treatment services; and 
‘‘(B) provides services or programs described in sub-
section (a) that are evidence-based or that have been sci-
entifically demonstrated to show promise but would benefit 
from further applied development. 
‘‘(c) APPLICATION.—An eligible entity seeking a grant under 
subsection (a) shall submit to the Secretary an application at such 
time, in such manner, and containing such information as the 
Secretary may require. 
‘‘(d) USE OF FUNDS FOR EARLY INTERVENTION AND TREATMENT 
PROGRAMS.—An eligible entity may use amounts awarded under 
a grant under subsection (a)(1) to carry out the following: 
‘‘(1) Provide age-appropriate mental health promotion and 
early intervention services or mental illness treatment services, 
which may include specialized programs, for eligible children 
at significant risk of developing, showing early signs of, or 
having been diagnosed with a mental illness, including a serious 
emotional disturbance. Such services may include social and 
behavioral services as well as multigenerational therapy and 
other services that support the caregiving relationship. 
‘‘(2) Provide training for health care professionals with 
expertise in infant and early childhood mental health care 
with respect to appropriate and relevant integration with other 
disciplines such as primary care clinicians, early intervention 
specialists, child welfare staff, home visitors, early care and 
education providers, and others who work with young children 
and families. 
‘‘(3) Provide mental health consultation to personnel of 
early care and education programs (including licensed or regu-
lated center-based and home-based child care, home visiting, 
preschool special education, and early intervention programs) 
who work with children and families. 
‘‘(4) Provide training for mental health clinicians in infant 
and early childhood in promising and evidence-based practices 
and models for infant and early childhood mental health treat-
ment and early intervention, including with regard to practices
H. R. 34—237 
for identifying and treating mental illness and behavioral dis-
orders of infants and children resulting from exposure or 
repeated exposure to adverse childhood experiences or childhood 
trauma. 
‘‘(5) Provide age-appropriate assessment, diagnostic, and 
intervention services for eligible children, including early 
mental health promotion, intervention, and treatment services. 
‘‘(e) MATCHING FUNDS.—The Secretary may not award a grant 
under this section to an eligible entity unless the eligible entity 
agrees, with respect to the costs to be incurred by the eligible 
entity in carrying out the activities described in subsection (d), 
to make available non-Federal contributions (in cash or in kind) 
toward such costs in an amount that is not less than 10 percent 
of the total amount of Federal funds provided in the grant. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there are authorized to be appropriated $20,000,000 for the 
period of fiscal years 2018 through 2022.’’. 
TITLE XI—COMPASSIONATE 
COMMUNICATION ON HIPAA 
SEC. 11001. SENSE OF CONGRESS. 
(a) FINDINGS.—Congress finds the following: 
(1) According to the National Survey on Drug Use and 
Health, in 2015, there were approximately 9,800,000 adults 
in the United States with serious mental illness. 
(2) The Substance Abuse and Mental Health Services 
Administration defines the term ‘‘serious mental illness’’ as 
an illness affecting individuals 18 years of age or older as 
having, at any time in the past year, a diagnosable mental, 
behavioral, or emotional disorder that results in serious func-
tional impairment and substantially interferes with or limits 
one or more major life activities. 
(3) In reporting on the incidence of serious mental illness, 
the Substance Abuse and Mental Health Services Administra-
tion includes major depression, schizophrenia, bipolar disorder, 
and other mental disorders that cause serious impairment. 
(4) Adults with a serious mental illness are at a higher 
risk for chronic physical illnesses and premature death. 
(5) According to the World Health Organization, adults 
with a serious mental illness have lifespans that are 10 to 
25 years shorter than those without serious mental illness. 
The vast majority of these deaths are due to chronic physical 
medical conditions, such as cardiovascular, respiratory, and 
infectious diseases, as well as diabetes and hypertension. 
(6) According to the World Health Organization, the 
majority of deaths of adults with a serious mental illness that 
are due to physical medical conditions are preventable. 
(7) Supported decision making can facilitate care decisions 
in areas where serious mental illness may impact the capacity 
of an individual to determine a course of treatment while 
still allowing the individual to make decisions independently. 
(8) Help should be provided to adults with a serious mental 
illness to address their acute or chronic physical illnesses, 
make informed choices about treatment, and understand and 
follow through with appropriate treatment.