I 
117TH CONGRESS 
2D SESSION 
H. R. 8180 
To provide for increased authorization of funding to secure schools and 
improve access to mental health and crisis care. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 22, 2022 
Mr. TONY GONZALES of Texas introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committee on Ways and Means, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To provide for increased authorization of funding to secure 
schools and improve access to mental health and crisis care. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Undertaking Needed 
Investments in Therapy, Education, and De-Escalation 
Act of 2022’’. 
SEC. 2. TABLE OF CONTENTS. 
The table of contents of this Act is as follows: 
Sec. 1. Short title. 
Sec. 2. Table of contents. 
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Sec. 3. Youth suicide prevention and early intervention grant programs. 
Sec. 4. Community services mental health services block grant programs. 
Sec. 5. Establishment of a National Center for Healing, Empowerment, Learn-
ing, and Prevention (HELP) through Behavioral Health. 
Sec. 6. Crisis care response and coordination. 
Sec. 7. Adult and youth grant programs for serious mental illnesses and emo-
tional disturbances. 
Sec. 8. Lifeline call center program. 
Sec. 9. Extension of emergency telehealth services. 
Sec. 10. Pediatric mental health care access grants. 
SEC. 3. YOUTH SUICIDE PREVENTION AND EARLY INTER-
VENTION GRANT PROGRAMS. 
(a) SUICIDE PREVENTION RESOURCE CENTER.— 
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 
‘‘$10,000,000 for each of fiscal years 2023 through 
2027’’. 
(b) GARRETT LEE SMITH CAMPUS SUICIDE PREVEN-
TION PROGRAM.—Section 520E–2(i) of the Public Health 
Service Act (42 U.S.C. 290bb–36b(i)) is amended by 
striking ‘‘2018 through 2022’’ and inserting ‘‘2023 
through 2027’’. 
(c) MENTAL AND BEHAVIORAL HEALTH OUTREACH 
AND EDUCATION.—Section 549(f) of the Public Health 
Service Act (42 U.S.C. 290ee–4(f)) is amended by striking 
‘‘$1,000,000 for the period of fiscal years 2018 through 
2022’’ and inserting ‘‘$9,000,000 for each of fiscal years 
2023 through 2027’’. 
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(d) GARRETT LEE SMITH STATE
AND TRIBAL 
YOUTH SUICIDE PREVENTION AND EARLY INTERVEN-
TION GRANT PROGRAM.—Section 520E(m) of the Public 
Health Service Act (42 U.S.C. 290bb–36(m)) is amended 
by striking ‘‘$30,000,000 for each of fiscal years 2018 
through 2022’’ and inserting ‘‘$50,000,000 for each of fis-
cal years 2023 through 2027’’. 
SEC. 4. COMMUNITY SERVICES MENTAL HEALTH SERVICES 
BLOCK GRANT PROGRAMS. 
Section 1920(a) of the Public Health Service Act (42 
U.S.C. 300x–9(a)) is amended by striking ‘‘$532,571,000 
for each of fiscal years 2018 through 2022’’ and inserting 
‘‘$1,000,000,000 for each of fiscal years 2023 through 
2027’’. 
SEC. 5. ESTABLISHMENT OF A NATIONAL CENTER FOR 
HEALING, EMPOWERMENT, LEARNING, AND 
PREVENTION (HELP) THROUGH BEHAVIORAL 
HEALTH. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
the following: 
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‘‘Subpart XIII—Healing, Empowerment, Learning, 
and Prevention Through Behavioral Health 
‘‘SEC. 340H. NATIONAL CENTER FOR HEALING, EMPOWER-
MENT, 
LEARNING, 
AND 
PREVENTION 
THROUGH BEHAVIORAL HEALTH. 
‘‘(a) ESTABLISHMENT.—For the purpose described 
in subsection (b), the Administrator of the Health Re-
sources and Services Administration shall establish within 
the Office of Rural Health Policy of the Health Resources 
and Services Administration a national center (in this sec-
tion referred to as the ‘National Center’), to be known 
as the National Center for Healing, Empowerment, 
Learning, and Prevention through Behavioral Health. 
‘‘(b) PURPOSE.—The purpose of the National Center 
shall be to facilitate the exchange of knowledge and per-
spectives among experts in medicine, behavioral health, 
telementoring, telemedicine, telehealth, training and tech-
nical assistance, education, health promotion, culturally 
competent community engagement, and implementation of 
science necessary to rapidly implement behavioral health 
services for community recovery. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$10,000,000 for the period of fiscal years 2023 through 
2027.’’. 
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SEC. 6. CRISIS CARE RESPONSE AND COORDINATION. 
(a) STRENGTHENING COMMUNITY CRISIS RESPONSE 
SYSTEMS.—Section 520F of the Public Health Service Act 
(42 U.S.C. 290bb–37) is amended to read as follows: 
‘‘SEC. 520F. STRENGTHENING COMMUNITY CRISIS RE-
SPONSE SYSTEMS. 
‘‘(a) IN GENERAL.—The Secretary shall award com-
petitive grants to State and local governments, Indian 
Tribes, and Tribal organizations to— 
‘‘(1) enhance community-based crisis response 
systems; and 
‘‘(2) implement strategies that improve care co-
ordination, and referral to inpatient psychiatric fa-
cilities, crisis stabilization units, and residential com-
munity mental health and residential substance use 
disorder treatment facilities, as appropriate, for 
adults with a serious mental illness, children with a 
serious emotional disturbance, or individuals with a 
substance use disorder. 
‘‘(b) APPLICATIONS.— 
‘‘(1) IN GENERAL.—To receive a grant under 
subsection (a), an entity shall submit to the Sec-
retary an application, at such time, in such manner, 
and containing such information as the Secretary 
may require. 
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‘‘(2) 
COMMUNITY-BASED
CRISIS
RESPONSE 
PLAN.—An application for a grant under subsection 
(a) shall include a plan for— 
‘‘(A) promoting integration and coordina-
tion between local public and private entities 
engaged in crisis response, which shall include 
first responders, law enforcement, emergency 
health care providers, primary care providers, 
court systems, health care payers, social service 
providers, and behavioral health providers; 
‘‘(B) developing memoranda of under-
standing with public and private entities to im-
plement crisis response services; 
‘‘(C) addressing gaps in community re-
sources for crisis intervention and prevention; 
‘‘(D) developing models for minimizing 
hospital readmissions, including through appro-
priate discharge planning; 
‘‘(E) developing, maintaining, or enhancing 
directories to collect, aggregate, and display in-
formation about local inpatient psychiatric fa-
cilities and crisis stabilization units, and resi-
dential community mental health and residen-
tial substance use disorder treatment facilities, 
to facilitate the identification and designation of 
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such facilities and units for the temporary 
treatment of individuals in mental or substance 
use disorder crisis; and 
‘‘(F) including in such directories real-time 
information about— 
‘‘(i) the number of available beds at 
each facility or unit; 
‘‘(ii) the types of patients that may be 
admitted to each facility or unit; and 
‘‘(iii) any other information necessary 
to allow for the proper identification and 
designation of appropriate facilities or 
units for treatment of individuals in men-
tal or substance use disorder crisis. 
‘‘(c) EVALUATION.—An entity receiving a grant 
under subsection (a) shall submit to the Secretary, at such 
time, in such manner, and containing such information as 
the Secretary may reasonably require, a report, including 
an evaluation of the effects of such grant on— 
‘‘(1) local crisis response services and measures 
for individuals receiving crisis planning and early 
intervention supports; 
‘‘(2) individuals reporting improved functional 
outcomes; and 
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‘‘(3) individuals receiving regular followup care 
following a crisis. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$15,000,000 for the period of fiscal years 2023 through 
2027.’’. 
(b) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.—Section 520J(b)(7) of the Public Health Serv-
ice Act (42 U.S.C. 290bb–41(b)(7)) is amended by strik-
ing ‘‘$14,693,000 for each of fiscal years 2018 through 
2022’’ and inserting ‘‘$25,000,000 for each of fiscal years 
2023 through 2027’’. 
(c) MENTAL AND BEHAVIORAL HEALTH EDUCATION 
AND TRAINING GRANTS.—Section 756(f) of the Public 
Health Service Act (42 U.S.C. 294e–1(f)) is amended by 
striking ‘‘For each of fiscal years 2019 through 2023’’ and 
inserting ‘‘For each of fiscal years 2023 through 2027’’. 
SEC. 7. ADULT AND YOUTH GRANT PROGRAMS FOR SERI-
OUS MENTAL ILLNESSES AND EMOTIONAL 
DISTURBANCES. 
(a) ASSERTIVE COMMUNITY TREATMENT GRANT 
PROGRAM.—Section 520M(e)(1) of the Public Health 
Service Act (42 U.S.C. 290bb–44(e)(1)) is amended by 
striking ‘‘$5,000,000 for the period of fiscal years 2018 
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through 2022’’ and inserting ‘‘$10,000,000 for each of fis-
cal years 2023 through 2027’’. 
(b) COMPREHENSIVE COMMUNITY MENTAL HEALTH 
SERVICES FOR CHILDREN WITH SERIOUS EMOTIONAL 
DISTURBANCES.— 
(1) IN
GENERAL.—Section 565(f)(1) of the 
Public Health Service Act (42 U.S.C. 290ff–4(f)(1)) 
is amended by striking ‘‘$119,026,000 for each of 
fiscal years 2018 through 2022’’ and inserting 
‘‘$130,000,000 for each of fiscal years 2023 through 
2027’’. 
(2) TECHNICAL CORRECTION.—Section 565(f) 
of the Public Health Service Act (42 U.S.C. 290ff– 
4(f)) is amended by moving the margin of paragraph 
(2) 2 ems to the right. 
SEC. 8. LIFELINE CALL CENTER PROGRAM. 
Part B of title V of the Public Health Service Act 
(42 U.S.C. 290bb et seq.) is amended by inserting after 
section 520E–4 (42 U.S.C. 290bb–36d) the following: 
‘‘SEC. 520E–5. REGIONAL AND LOCAL LIFELINE CALL CEN-
TER PROGRAM. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants to crisis call centers— 
‘‘(1) to purchase or upgrade call center tech-
nology; 
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‘‘(2) to provide for training of call center staff; 
‘‘(3) to improve call center operations; and 
‘‘(4) for hiring of call center staff. 
‘‘(b) DEFINITION.—In this section, the term ‘crisis 
call center’ means a regional clinically managed crisis call 
center that— 
‘‘(1) provides telephonic crisis intervention ca-
pabilities; 
‘‘(2) meets the National Suicide Prevention 
Lifeline operational guidelines regarding suicide risk 
assessment and engagement; and 
‘‘(3) offers air traffic control-quality coordina-
tion of crisis care in real-time. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$560,000,000 for fiscal year 2023, to remain available 
until expended.’’. 
SEC. 9. EXTENSION OF EMERGENCY TELEHEALTH SERV-
ICES. 
Section 1135(e) of the Social Security Act (42 U.S.C. 
1320b–5(e)) is amended by adding at the end the fol-
lowing new paragraph: 
‘‘(3) TWO-YEAR EXTENSION OF TELEHEALTH 
SERVICES
FOLLOWING
THE
COVID–19
EMERGENCY 
PERIOD.—Notwithstanding any other provision of 
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this section, a waiver or modification of require-
ments pursuant to subsection (b)(8) shall terminate 
on the date that is 2 years after the last day of the 
emergency 
period 
described 
in 
subsection 
(g)(1)(B).’’. 
SEC. 10. PEDIATRIC MENTAL HEALTH CARE ACCESS 
GRANTS. 
Section 330M of the Public Health Service Act (42 
U.S.C. 254c–19) is amended— 
(1) in subsection (b)— 
(A) by redesignating paragraph (2) as 
paragraph (3); 
(B) by inserting after paragraph (1) the 
following new paragraph: 
‘‘(2) SUPPORT TO SCHOOLS AND EMERGENCY 
DEPARTMENTS.—In addition to the required activi-
ties specified in paragraph (1), a statewide or re-
gional network of pediatric mental health teams re-
ferred to in subsection (a), with respect to which a 
grant under such subsection may be used, may pro-
vide support to schools and emergency depart-
ments.’’; and 
(C) in paragraph (3), as so redesignated, 
by inserting ‘‘Such a team may include a devel-
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opmental-behavioral pediatrician.’’ after ‘‘men-
tal health counselor.’’; 
(2) by striking subsection (g); and 
(3) by adding at the end the following: 
‘‘(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) $15,000,000 for each of fiscal years 2023 
through 2025; and 
‘‘(2) $30,000,000 for each of fiscal years 2026 
through 2027.’’. 
Æ 
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