139 
of eating disorders to conduct educational training 
and conferences, including Internet-based courses 
and teleconferences, on— 
(A) how to help prevent the development of 
eating disordered behaviors, identify, intervene 
early, and appropriately and adequately treat 
eating disordered patients; 
(B) how to identify individuals with eating 
disorders, and those who are at risk for suf-
fering from eating disorders and, therefore, at 
risk for related severe medical and mental 
health conditions; 
(C) how to conduct a comprehensive as-
sessment of individual and familial health risk 
factors; and 
(D) how to conduct a comprehensive as-
sessment of a treatment plan; and 
(2) evaluate and report to the Secretary on the 
effectiveness of the training provided by such entity 
in increasing knowledge and changing attitudes and 
behaviors of trainees. 
(d) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
$1,000,000 for each of the fiscal years 2017 through 
2021. 
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SEC. 512. PRIMARY AND BEHAVIORAL HEALTH CARE INTE-
GRATION GRANT PROGRAMS. 
Section 520K of the Public Health Service Act (42 
U.S.C. 290bb–42) is amended to read as follows: 
‘‘SEC. 520K. INTEGRATION INCENTIVE GRANTS. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
primary and behavioral health care integration grant pro-
gram. The Secretary may award grants and cooperative 
agreements to eligible entities to expend funds for im-
provements in integrated settings with integrated prac-
tices. 
‘‘(b) DEFINITIONS.—In this section: 
‘‘(1) INTEGRATED CARE.—The term ‘integrated 
care’ means full collaboration in merged or trans-
formed practices offering behavioral and physical 
health services within the same shared practice 
space in the same facility, where the entity— 
‘‘(A) provides services in a shared space 
that ensures services will be available and ac-
cessible promptly and in a manner which pre-
serves human dignity and assures continuity of 
care; 
‘‘(B) ensures communication among the in-
tegrated care team that is consistent and team- 
based; 
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‘‘(C) ensures shared decisionmaking be-
tween behavioral health and primary care pro-
viders; 
‘‘(D) provides evidence-based services in a 
mode of service delivery appropriate for the tar-
get population; 
‘‘(E) employs staff who are multidisci-
plinary and culturally and linguistically com-
petent; 
‘‘(F) provides integrated services related to 
screening, diagnosis, and treatment of mental 
illness and substance use disorder and co-occur-
ring primary care conditions and chronic dis-
eases; and 
‘‘(G) provides targeted case management, 
including services to assist individuals gaining 
access to needed medical, social, educational, 
and other services and applying for income se-
curity, housing, employment, and other benefits 
to which they may be entitled. 
‘‘(2) INTEGRATED CARE TEAM.—The term ‘in-
tegrated care team’ means a team that includes— 
‘‘(A) allopathic or osteopathic medical doc-
tors, such as a primary care physician and a 
psychiatrist; 
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‘‘(B) licensed clinical behavioral health 
professionals, such as psychologists or social 
workers; 
‘‘(C) a case manager; and 
‘‘(D) other members, such as psychiatric 
advanced practice nurses, physician assistants, 
peer-support specialists or other allied health 
professionals, such as mental health counselors. 
‘‘(3) SPECIAL POPULATION.—The term ‘special 
population’ means— 
‘‘(A) adults with mental illnesses who have 
co-occurring primary care conditions with 
chronic diseases; 
‘‘(B) adults with serious mental illnesses 
who have co-occurring primary care conditions 
with chronic diseases; 
‘‘(C) children and adolescents with serious 
emotional disturbances with co-occurring pri-
mary care conditions and chronic diseases; 
‘‘(D) older adults with mental illness who 
have co-occurring primary care conditions with 
chronic conditions; 
‘‘(E) individuals with substance use dis-
order; or 
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‘‘(F) individuals from populations for 
which there is a significant disparity in the 
quality, outcomes, cost, or use of mental health 
or substance use disorder services or a signifi-
cant disparity in access to such services, as 
compared to the general population, such as ra-
cial and ethnic minorities and rural populations. 
‘‘(c) PURPOSE.—The grant program under this sec-
tion shall be designed to lead to full collaboration between 
primary and behavioral health in an integrated practice 
model to ensure that— 
‘‘(1) the overall wellness and physical health 
status of individuals with serious mental illness or 
serious emotional disturbance and co-occurring sub-
stance use disorders is supported through integra-
tion of primary care into community mental health 
centers meeting the criteria specified in section 
1913(c) of the Social Security Act or certified com-
munity behavioral health clinics described in section 
223 of the Protecting Access to Medicare Act of 
2014; or 
‘‘(2) the mental health status of individuals 
with significant co-occurring psychiatric and physical 
conditions will be supported through integration of 
behavioral health into primary care settings. 
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‘‘(d) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant or cooperative agreement under this section, an 
entity shall be a State department of health, State mental 
health or addiction agency, State Medicaid agency, or li-
censed health care provider or institution. The Adminis-
trator may give preference to States that have existing in-
tegrated care models, such as those authorized by section 
1945 of the Social Security Act. 
‘‘(e) APPLICATION.—An eligible entity desiring a 
grant or cooperative agreement under this section shall 
submit an application to the Administrator at such time, 
in such manner, and accompanied by such information as 
the Administrator may require, including a description of 
a plan to achieve fully collaborative agreements to provide 
services to special populations and— 
‘‘(1) a document that summarizes the State- 
specific policies that inhibit the provision of inte-
grated care, and the specific steps that will be taken 
to address such barriers, such as through licensing 
and billing procedures; and 
‘‘(2) a plan to develop and share a de-identified 
patient registry to track treatment implementation 
and clinical outcomes to inform clinical interven-
tions, patient education, and engagement with 
merged or transformed integrated practices in com-
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pliance with applicable national and State health in-
formation privacy laws. 
‘‘(f) GRANT AMOUNTS.—The maximum annual grant 
amount under this section shall be $2,000,000, of which 
not more than 10 percent may be allocated to State ad-
ministrative functions, and the remaining amounts shall 
be allocated to health facilities that provide integrated 
care. 
‘‘(g) DURATION.—A grant under this section shall be 
for a period of 5 years. 
‘‘(h) REPORT ON PROGRAM OUTCOMES.—An entity 
receiving a grant or cooperative agreement under this sec-
tion shall submit an annual report to the Administrator 
that includes— 
‘‘(1) the progress to reduce barriers to inte-
grated care, including regulatory and billing bar-
riers, as described in the entity’s application under 
subsection (d); and 
‘‘(2) a description of functional outcomes of 
special populations, such as— 
‘‘(A) with respect to individuals with seri-
ous mental illness, participation in supportive 
housing or independent living programs, en-
gagement in social or education activities, par-
ticipation in job training or employment oppor-
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tunities, attendance at scheduled medical and 
mental health appointments, and compliance 
with treatment plans; 
‘‘(B) with respect to individuals with co-oc-
curring mental illness and primary care condi-
tions and chronic diseases, attendance at sched-
uled medical and mental health appointments, 
compliance with treatment plans, and participa-
tion in learning opportunities related to im-
proved health and lifestyle practice; and 
‘‘(C) with respect to children and adoles-
cents with serious emotional disorders who have 
co-occurring primary care conditions and chron-
ic diseases, attendance at scheduled medical 
and mental health appointments, compliance 
with treatment plans, and participation in 
learning opportunities at school and extra-
curricular activities. 
‘‘(i) TECHNICAL ASSISTANCE CENTER FOR PRIMARY- 
BEHAVIORAL HEALTH CARE INTEGRATION.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish a program through which such Secretary shall 
provide appropriate information, training, and tech-
nical assistance to eligible entities that receive a 
grant or cooperative agreement under this section, in 
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order to help such entities to meet the requirements 
of this section, including assistance with— 
‘‘(A) development and selection of inte-
grated care models; 
‘‘(B) dissemination of evidence-based inter-
ventions in integrated care; 
‘‘(C) establishment of organizational prac-
tices to support operational and administrative 
success; and 
‘‘(D) other activities, as the Secretary de-
termines appropriate. 
‘‘(2) ADDITIONAL
DISSEMINATION
OF
TECH-
NICAL
INFORMATION.—The information and re-
sources provided by the technical assistance program 
established under paragraph (1) shall be made avail-
able to States, political subdivisions of a State, In-
dian tribes or tribal organizations (as defined in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act), outpatient mental health and 
addiction treatment centers, community mental 
health centers that meet the criteria under section 
1913(c), certified community behavioral health clin-
ics described in section 223 of the Protecting Access 
to Medicare Act of 2014, primary care organizations 
such as Federally qualified health centers or rural 
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health centers, other community-based organiza-
tions, or other entities engaging in integrated care 
activities, as the Secretary determines appropriate. 
‘‘(j) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
priated $50,000,000 for each of fiscal years 2017 through 
2021, of which $2,000,000 shall be available to the tech-
nical assistance program under subsection (i).’’. 
SEC. 513. HEALTH PROFESSIONS COMPETENCIES TO AD-
DRESS RACIAL, ETHNIC, SEXUAL, AND GEN-
DER MINORITY BEHAVIORAL HEALTH DIS-
PARITIES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall award grants to national organiza-
tions for the purpose of developing, and disseminating to 
health professional educational programs, curricula or 
core competencies addressing behavioral health disparities 
among racial, ethnic, sexual, and gender minority groups. 
(b) USE OF FUNDS.—Organizations receiving funds 
under subsection (a) shall use the funds to develop and 
disseminate curricula or core competencies, as described 
in such subsection, for use in the training of students in 
the professions of social work, psychology, psychiatry, 
nursing, physician assistants, marriage and family ther-
apy, mental health counseling, substance abuse coun-
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seling, or other mental health and substance use disorder 
providers that the Secretary deems appropriate. 
(c) ALLOWABLE ACTIVITIES.—Organizations receiv-
ing funds under subsection (a) may use the funds to en-
gage in the following activities related to the development 
and dissemination of curricula or core competencies: 
(1) Formation of committees or working groups 
comprised of experts from accredited health profes-
sions schools to identify core competencies relating 
to mental health disparities among racial and ethnic 
minority groups. 
(2) Planning of workshops in national fora to 
allow for public input into the educational needs as-
sociated with mental health disparities among racial 
and ethnic minority groups. 
(3) Dissemination and promotion of the use of 
curricula or core competencies in undergraduate and 
graduate health professions training programs na-
tionwide. 
(d) DEFINITIONS.—In this section, the term ‘‘racial 
and ethnic minority group’’ has the meaning given to such 
term in section 1707(g) of the Public Health Service Act 
(42 U.S.C. 300u–6(g)). 
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