209 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary shall 
award grants or contracts to one or more eligible entities 
(as defined by the Secretary) for the purposes of providing 
technical assistance and evaluation support to grantees 
under subsection (a). 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated— 
‘‘(1) $14,000,000 for each of fiscal years 2023 
through 2025; and 
‘‘(2) $30,000,000 for each of fiscal years 2026 
through 2027.’’. 
SEC. 
402. 
INFANT 
AND 
EARLY 
CHILDHOOD 
MENTAL 
HEALTH PROMOTION, INTERVENTION, AND 
TREATMENT. 
Section 399Z–2(f) of the Public Health Service Act 
(42 
U.S.C. 
280h–6(f)) 
is 
amended 
by 
striking 
‘‘$20,000,000 for the period of fiscal years 2018 through 
2022’’ and inserting ‘‘$50,000,000 for the period of fiscal 
years 2023 through 2027’’. 
SEC. 403. SCHOOL-BASED MENTAL HEALTH; CHILDREN AND 
ADOLESCENTS. 
(a) TECHNICAL AMENDMENTS.—The second part G 
(relating to services provided through religious organiza-
210 
tions) of title V of the Public Health Service Act (42 
U.S.C. 290kk et seq.) is amended— 
(1) by redesignating such part as part J; and 
(2) by redesignating sections 581 through 584 
as sections 596 through 596C, respectively. 
(b) SCHOOL-BASED MENTAL HEALTH AND CHIL-
DREN.—Section 581 of the Public Health Service Act (42 
U.S.C. 290hh) (relating to children and violence) is 
amended to read as follows: 
‘‘SEC. 581. SCHOOL-BASED MENTAL HEALTH; CHILDREN 
AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall, through grants, 
contracts, or cooperative agreements awarded to eligible 
entities described in subsection (c), provide comprehensive 
school-based mental health services and supports to assist 
children in local communities and schools (including 
schools funded by the Bureau of Indian Education) deal-
ing with traumatic experiences, grief, bereavement, risk of 
suicide, and violence. Such services and supports shall 
be— 
‘‘(1) developmentally, linguistically, and cul-
turally appropriate; 
‘‘(2) trauma-informed; and
211 
‘‘(3) incorporate positive behavioral interven-
tions and supports. 
‘‘(b) ACTIVITIES.—Grants, contracts, or cooperative 
agreements awarded under subsection (a), shall, as appro-
priate, be used for— 
‘‘(1) implementation of school and community- 
based mental health programs that— 
‘‘(A) build awareness of individual trauma 
and the intergenerational, continuum of impacts 
of trauma on populations; 
‘‘(B) train appropriate staff to identify, 
and screen for, signs of trauma exposure, men-
tal health disorders, or risk of suicide; and 
‘‘(C) incorporate positive behavioral inter-
ventions, family engagement, student treatment, 
and multigenerational supports to foster the 
health and development of children, prevent 
mental health disorders, and ameliorate the im-
pact of trauma; 
‘‘(2) technical assistance to local communities 
with respect to the development of programs de-
scribed in paragraph (1); 
‘‘(3) facilitating community partnerships among 
families, students, law enforcement agencies, edu-
cation agencies, mental health and substance use
212 
disorder service systems, family-based mental health 
service systems, child welfare agencies, health care 
providers (including primary care physicians, mental 
health professionals, and other professionals who 
specialize in children’s mental health such as child 
and adolescent psychiatrists), institutions of higher 
education, faith-based programs, trauma networks, 
and other community-based systems to address child 
and adolescent trauma, mental health issues, and vi-
olence; and 
‘‘(4) establishing mechanisms for children and 
adolescents to report incidents of violence or plans 
by other children, adolescents, or adults to commit 
violence. 
‘‘(c) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—To be eligible for a grant, 
contract, or cooperative agreement under subsection 
(a), an entity shall be a partnership that includes— 
‘‘(A) a State educational agency, as de-
fined in section 8101 of the Elementary and 
Secondary Education Act of 1965, in coordina-
tion with one or more local educational agen-
cies, as defined in section 8101 of the Elemen-
tary and Secondary Education Act of 1965, or 
a consortium of any entities described in sub-
213 
paragraph (B), (C), (D), or (E) of section 
8101(30) of such Act; and 
‘‘(B) at least 1 community-based mental 
health provider, including a public or private 
mental health entity, health care entity, family- 
based mental health entity, trauma network, or 
other community-based entity, as determined by 
the Secretary (and which may include addi-
tional entities such as a human services agency, 
law enforcement or juvenile justice entity, child 
welfare agency, agency, an institution of higher 
education, or another entity, as determined by 
the Secretary). 
‘‘(2) COMPLIANCE WITH HIPAA.—Any patient 
records developed by covered entities through activi-
ties under the grant shall meet the regulations pro-
mulgated under section 264(c) of the Health Insur-
ance Portability and Accountability Act of 1996. 
‘‘(3) COMPLIANCE WITH FERPA.—Section 444 
of the General Education Provisions Act (commonly 
known as the ‘Family Educational Rights and Pri-
vacy Act of 1974’) shall apply to any entity that is 
a member of the partnership in the same manner 
that such section applies to an educational agency or 
institution (as that term is defined in such section).
214 
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary 
shall ensure that grants, contracts, or cooperative agree-
ments under subsection (a) will be distributed equitably 
among the regions of the country and among urban and 
rural areas. 
‘‘(e) DURATION
OF AWARDS.—With respect to a 
grant, contract, or cooperative agreement under sub-
section (a), the period during which payments under such 
an award will be made to the recipient shall be 5 years, 
with options for renewal. 
‘‘(f) EVALUATION AND MEASURES OF OUTCOMES.— 
‘‘(1) DEVELOPMENT OF PROCESS.—The Assist-
ant Secretary shall develop a fiscally appropriate 
process for evaluating activities carried out under 
this section. Such process shall include— 
‘‘(A) the development of guidelines for the 
submission of program data by grant, contract, 
or cooperative agreement recipients; 
‘‘(B) the development of measures of out-
comes (in accordance with paragraph (2)) to be 
applied by such recipients in evaluating pro-
grams carried out under this section; and 
‘‘(C) the submission of annual reports by 
such recipients concerning the effectiveness of 
programs carried out under this section.
216 
‘‘(5) LIMITATION.—An eligible entity shall use 
not more than 20 percent of amounts received under 
a grant under this section to carry out evaluation 
activities under this subsection. 
‘‘(g) INFORMATION
AND
EDUCATION.—The Sec-
retary shall disseminate best practices based on the find-
ings of the knowledge development and application under 
this section. 
‘‘(h) AMOUNT OF GRANTS AND AUTHORIZATION OF 
APPROPRIATIONS.— 
‘‘(1) AMOUNT OF GRANTS.—A grant under this 
section shall be in an amount that is not more than 
$2,000,000 for each of the first 5 fiscal years fol-
lowing the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022. The 
Secretary shall determine the amount of each such 
grant based on the population of children up to age 
21 of the area to be served under the grant. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section, $130,000,000 for each of fiscal years 
2023 through 2027.’’. 
(c) CONFORMING AMENDMENT.—Part G of title V of 
the Public Health Service Act (42 U.S.C. 290hh et seq.), 
as amended by subsection (b), is further amended by strik-
217 
ing the part designation and heading and inserting the 
following: 
‘‘PART G—SCHOOL-BASED MENTAL HEALTH’’. 
SEC. 404. CO-OCCURRING CHRONIC CONDITIONS AND MEN-
TAL HEALTH IN YOUTH STUDY. 
Not later than 12 months after the date of enactment 
of this Act, the Secretary of Health and Human Services 
shall— 
(1) complete a study on the rates of suicidal be-
haviors among children and adolescents with chronic 
illnesses, including substance use disorders, auto-
immune disorders, and heritable blood disorders; and 
(2) submit a report to the Congress on the re-
sults of such study, including recommendations for 
early intervention services for such children and ado-
lescents at risk of suicide, the dissemination of best 
practices to support the emotional and mental health 
needs of youth, and strategies to lower the rates of 
suicidal behaviors in children and adolescents de-
scribed in paragraph (1) to reduce any demographic 
disparities in such rates.
218 
SEC. 405. BEST PRACTICES FOR BEHAVIORAL INTERVEN-
TION TEAMS. 
The Public Health Service Act is amended by insert-
ing after section 520H of such Act, as added by section 
151, the following new section: 
‘‘SEC. 520I. BEST PRACTICES FOR BEHAVIORAL INTERVEN-
TION TEAMS. 
‘‘(a) IN GENERAL.—The Secretary shall identify and 
facilitate the development of best practices to assist ele-
mentary schools, secondary schools, and institutions of 
higher education in establishing and using behavioral 
intervention teams. 
‘‘(b) ELEMENTS.—The best practices under sub-
section (a)(1) shall include guidance on the following: 
‘‘(1) How behavioral intervention teams can op-
erate effectively from an evidence-based, objective 
perspective while protecting the constitutional and 
civil rights of individuals. 
‘‘(2) The use of behavioral intervention teams 
to identify concerning behaviors, implement interven-
tions, and manage risk through the framework of 
the school’s or institution’s rules or code of conduct, 
as applicable. 
‘‘(3) How behavioral intervention teams can, 
when assessing an individual—
219 
‘‘(A) access training on evidence-based, 
threat-assessment rubrics; 
‘‘(B) ensure that such teams— 
‘‘(i) have trained, diverse stakeholders 
with varied expertise; and 
‘‘(ii) use cross validation by a wide- 
range of individual perspectives on the 
team; and 
‘‘(C) use violence risk assessment. 
‘‘(4) How behavioral intervention teams can 
help mitigate— 
‘‘(A) inappropriate use of a mental health 
assessment; 
‘‘(B) inappropriate limitations or restric-
tions on law enforcement’s jurisdiction over 
criminal matters; 
‘‘(C) attempts to substitute the behavioral 
intervention process in place of a criminal proc-
ess, or impede a criminal process, when an indi-
vidual’s behavior has potential criminal implica-
tions; 
‘‘(D) endangerment of an individual’s pri-
vacy by failing to ensure that all applicable 
Federal and State privacy laws are fully com-
plied with; or
220 
‘‘(E) inappropriate referrals to, or involve-
ment of, law enforcement when an individual’s 
behavior does not warrant a criminal response. 
‘‘(c) CONSULTATION.—In carrying out subsection 
(a)(1), the Secretary shall consult with— 
‘‘(1) the Secretary of Education; 
‘‘(2) the Director of the National Threat As-
sessment Center of the United States Secretary 
Service; 
‘‘(3) the Attorney General and the Director of 
the Bureau of Justice Assistance; 
‘‘(4) teachers and other educators, principals, 
school administrators, school board members, school 
psychologists, mental health professionals, and par-
ents of students; 
‘‘(5) local law enforcement agencies and campus 
law enforcement administrators; 
‘‘(6) privacy experts; and 
‘‘(7) other education and mental health profes-
sionals as the Secretary deems appropriate. 
‘‘(d) PUBLICATION.—Not later than 2 years after the 
date of enactment of this section, the Secretary shall pub-
lish the best practices under subsection (a)(1) on the inter-
net website of the Department of Health and Human 
Services.
221 
‘‘(e) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to institutions of higher edu-
cation, elementary schools, and secondary schools to assist 
such institutions and schools in implementing the best 
practices under subsection (a). 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘behavioral intervention team’ 
means a team of qualified individuals who— 
‘‘(A) are responsible for identifying and as-
sessing individuals exhibiting concerning behav-
iors, experiencing distress, or who are at risk of 
harm to self or others; 
‘‘(B) develop and facilitate implementation 
of evidence-based interventions to mitigate the 
threat of harm to self or others posed by an in-
dividual and address the mental and behavioral 
health needs of individuals to reduce risk; and 
‘‘(C) provide information to students, par-
ents, and school employees on recognizing be-
havior described in this subsection. 
‘‘(2) The terms ‘elementary school’, ‘parent’, 
and ‘secondary school’ have the meanings given to 
such terms in section 8101 of the Elementary and 
Secondary Education Act of 1965.
222 
‘‘(3) The term ‘institution of higher education’ 
has the meaning given to such term in section 102 
of the Higher Education Act of 1965. 
‘‘(4) The term ‘mental health assessment’ 
means an evaluation, primarily focused on diagnosis, 
determining the need for involuntary commitment, 
medication management, and on-going treatment 
recommendations. 
‘‘(5) The term ‘violence risk assessment’ means 
a broad determination of the potential risk of vio-
lence based on evidence-based literature.’’. 
Subtitle B—Continuing Systems of 
Care for Children 
SEC. 411. COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS 
EMOTIONAL DISTURBANCES. 
(a) DEFINITION OF FAMILY.—Section 565(d)(2)(B) 
of the Public Health Service Act (42 U.S.C. 290ff– 
4(d)(2)(B)) is amended by striking ‘‘as appropriate re-
garding mental health services for the child, the parents 
of the child (biological or adoptive, as the case may be) 
and any foster parents of the child’’ and inserting ‘‘as ap-
propriate regarding mental health services for the child 
and the parents or kinship caregivers of the child’’.
223 
(b) AUTHORIZATION
OF APPROPRIATIONS.—Para-
graph (1) of section 565(f) of the Public Health Service 
Act (42 U.S.C. 290ff–4(f)) is amended— 
(1) by moving the margin of such paragraph 2 
ems to the right; and 
(2) by striking ‘‘$119,026,000 for each of fiscal 
years 
2018 
through 
2022’’ 
and 
inserting 
‘‘$125,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 412. SUBSTANCE USE DISORDER TREATMENT AND 
EARLY INTERVENTION SERVICES FOR CHIL-
DREN AND ADOLESCENTS. 
Section 514 of the Public Health Service Act (42 
U.S.C. 290bb–7) is amended— 
(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’.
224 
Subtitle C—Garrett Lee Smith 
Memorial Reauthorization 
SEC. 421. SUICIDE PREVENTION TECHNICAL ASSISTANCE 
CENTER. 
(a) TECHNICAL AMENDMENT.—Section 520C of the 
Public Health Service Act (42 U.S.C. 290bb–34) is 
amended— 
(1) by striking ‘‘tribes’’ and inserting ‘‘Tribes’’; 
and 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’. 
(b) AUTHORIZATION OF APPROPRIATIONS.—Section 
520C(c) of the Public Health Service Act (42 U.S.C. 
290bb–34(c)) is amended by striking ‘‘$5,988,000 for 
each of fiscal years 2018 through 2022’’ and inserting 
‘‘$9,000,000 for each of fiscal years 2023 through 2027’’. 
(c) ANNUAL REPORT.—Section 520C(d) of the Public 
Health Service Act (42 U.S.C. 290bb–34(d)) is amended 
by striking ‘‘Not later than 2 years after the date of enact-
ment of this subsection’’ and inserting ‘‘Not later than 
2 years after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022’’.
225 
SEC. 422. YOUTH SUICIDE EARLY INTERVENTION AND PRE-
VENTION STRATEGIES. 
Section 520E of the Public Health Service Act (42 
U.S.C. 290bb–36) is amended— 
(1) by striking ‘‘tribe’’ and inserting ‘‘Tribe’’; 
(2) by striking ‘‘tribal’’ each place it appears 
and inserting ‘‘Tribal’’; 
(3) in subsection (a)(1), by inserting ‘‘pediatric 
health programs,’’ after ‘‘foster care systems,’’; 
(4) by amending subsection (b)(1)(B) to read 
as follows: 
‘‘(B) a public organization or private non-
profit organization designated by a State or In-
dian Tribe (as defined under the Federally Rec-
ognized Indian Tribe List Act of 1994) to de-
velop or direct the State-sponsored statewide or 
Tribal youth suicide early intervention and pre-
vention strategy; or’’; 
(5) in subsection (c)— 
(A) in paragraph (1), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’; 
(B) in paragraph (7), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘foster care sys-
tems,’’;
226 
(C) in paragraph (9), by inserting ‘‘pedi-
atric health programs,’’ after ‘‘educational insti-
tutions,’’; 
(D) in paragraph (13), by striking ‘‘and’’ 
at the end; 
(E) in paragraph (14), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(F) by adding at the end the following: 
‘‘(15) provide to parents, legal guardians, and 
family members of youth, supplies to securely store 
means commonly used in suicide, if applicable, with-
in the household.’’; 
(6) in subsection (d)— 
(A) in the heading, by striking ‘‘DIRECT 
SERVICES’’ and inserting ‘‘SUICIDE PREVEN-
TION ACTIVITIES’’; and 
(B) by striking ‘‘direct services, of which 
not less than 5 percent shall be used for activi-
ties authorized under subsection (a)(3)’’ and in-
serting ‘‘suicide prevention activities’’; 
(7) in subsection (e)(3)(A), by inserting ‘‘and 
Department of Education’’ after ‘‘Department of 
Health and Human Services’’; 
(8) in subsection (g)—
227 
(A) in paragraph (1), by striking ‘‘18’’ and 
inserting ‘‘24’’; and 
(B) in paragraph (2), by striking ‘‘2 years 
after the date of enactment of Helping Families 
in Mental Health Crisis Reform Act of 2016’’ 
and inserting ‘‘3 years after December 31, 
2022’’; 
(9) in subsection (l)(4), by striking ‘‘between 10 
and 24 years of age’’ and inserting ‘‘up to 24 years 
of age’’; and 
(10) 
in 
subsection 
(m), 
by 
striking 
‘‘$30,000,000 for each of fiscal years 2018 through 
2022’’ and inserting ‘‘$40,000,000 for each of fiscal 
years 2023 through 2027’’. 
SEC. 423. MENTAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES FOR STUDENTS IN HIGHER 
EDUCATION. 
Section 520E–2 of the Public Health Service Act (42 
U.S.C. 290bb–36b) is amended— 
(1) in the heading, by striking ‘‘ON CAMPUS’’ 
and inserting ‘‘FOR STUDENTS IN HIGHER EDU-
CATION’’; and 
(2) in subsection (i), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’.
228 
SEC. 424. MENTAL AND BEHAVIORAL HEALTH OUTREACH 
AND EDUCATION AT INSTITUTIONS OF HIGH-
ER EDUCATION. 
Section 549 of the Public Health Service Act (42 
U.S.C. 290ee–4) is amended— 
(1) in the heading, by striking ‘‘ON COLLEGE 
CAMPUSES’’ and inserting ‘‘AT INSTITUTIONS OF 
HIGHER EDUCATION’’; 
(2) in subsection (c)(2), by inserting ‘‘, includ-
ing minority-serving institutions as described in sec-
tion 371(a) of the Higher Education Act of 1965 
(20 U.S.C. 1067q) and community colleges’’ after 
‘‘higher education’’; and 
(3) in subsection (f), by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
Subtitle D—Media and Mental 
Health 
SEC. 431. STUDY ON THE EFFECTS OF SMARTPHONE AND 
SOCIAL MEDIA USE ON ADOLESCENTS. 
(a) IN GENERAL.—Not later than 1 year after the 
date of enactment of this Act, the Secretary of Health and 
Human Services shall conduct or support research on— 
(1) smartphone and social media use by adoles-
cents; and 
(2) the effects of such use on—
229 
(A) emotional, behavioral, and physical 
health and development; and 
(B) any disparities in the mental health 
outcomes of rural, minority, and other under-
served populations. 
(b) REPORT.—Not later than 5 years after the date 
of enactment of this Act, the Secretary of Health and 
Human Services shall submit to the Congress, and make 
publicly available, a report on the findings of research 
under this section. 
SEC. 432. RESEARCH ON THE HEALTH AND DEVELOPMENT 
EFFECTS OF MEDIA ON INFANTS, CHILDREN, 
AND ADOLESCENTS. 
Subpart 7 of part C of title IV of the Public Health 
Service Act (42 U.S.C. 285g et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 452H. RESEARCH ON THE HEALTH AND DEVELOP-
MENT EFFECTS OF MEDIA ON INFANTS, CHIL-
DREN, AND ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Director of the National In-
stitutes of Health, in coordination with or acting through 
the Director of the Institute, shall conduct and support 
research and related activities concerning the health and 
developmental effects of media on infants, children, and 
adolescents, which may include the positive and negative
230 
effects of exposure to and use of media, such as social 
media, applications, websites, television, motion pictures, 
artificial intelligence, mobile devices, computers, video 
games, virtual and augmented reality, and other media 
formats as they become available. Such research shall at-
tempt to better understand the relationships between 
media and technology use and individual differences and 
characteristics of children and shall include longitudinally 
designed studies to assess the impact of media on youth 
over time. Such research shall include consideration of 
core areas of child and adolescent health and development 
including the following: 
‘‘(1) COGNITIVE.—The role and impact of 
media use and exposure in the development of chil-
dren and adolescents within such cognitive areas as 
language development, executive functioning, atten-
tion, creative problem solving skills, visual and spa-
tial skills, literacy, critical thinking, and other learn-
ing abilities, and the impact of early technology use 
on developmental trajectories. 
‘‘(2) PHYSICAL.—The role and impact of media 
use and exposure on children’s and adolescent’s 
physical development and health behaviors, including 
diet, exercise, sleeping and eating routines, and 
other areas of physical development.
231 
‘‘(3) SOCIO-EMOTIONAL.—The role and impact 
of media use and exposure on children’s and adoles-
cents’ social-emotional competencies, including self- 
awareness, self-regulation, social awareness, relation-
ship skills, empathy, distress tolerance, perception of 
social cues, awareness of one’s relationship with the 
media, and decision-making, as well as outcomes 
such as violations of privacy, perpetration of or ex-
posure to violence, bullying or other forms of aggres-
sion, depression, anxiety, substance use, misuse or 
disorder, and suicidal ideation/behavior and self- 
harm. 
‘‘(b) DEVELOPING RESEARCH AGENDA.—The Direc-
tor of the National Institutes of Health, in consultation 
with the Director of the Institute, other appropriate na-
tional research institutes, academies, and centers, the 
Trans-NIH Pediatric Research Consortium, and non-Fed-
eral experts as needed, shall develop a research agenda 
on the health and developmental effects of media on in-
fants, children, and adolescents to inform research activi-
ties under subsection (a). In developing such research 
agenda, the Director may use whatever means necessary 
(such as scientific workshops and literature reviews) to as-
sess current knowledge and research gaps in this area.