Title: Mental Health Reform Reauthorization Act of 2022
Policy area: Health

Summary:
Mental Health Reform Reauthorization Act of 2022
This bill reauthorizes through FY2027 various activities related to mental health services and resources.
Specifically, the bill reauthorizes a policy laboratory housed within the Substance Abuse and Mental Health Services Administration (SAMHSA) that promotes evidence-based practices and service delivery models.
Additionally, the bill reauthorizes and modifies grants and similar assistance for
The bill also addresses insurance coverage for mental and behavioral health. This includes (1) grants for assessing health insurance plans for compliance with requirements related to parity in the coverage of mental health, (2) applying the parity requirements to self-funded, nonfederal government health plans, and (3) requiring specified agencies to provide states with guidance about coverage recommendations for mental and behavioral health services. Additionally, the Centers for Medicare & Medicaid Services must review claims data to assess the degree to which mental and behavioral health treatment aligns with evidence-based recommendations and standards of care.
Other matters addressed by the bill include first episode psychosis activities (interventions to improve symptoms, reduce relapse episodes, and prevent deterioration and disability among individuals suffering from psychotic illness) and improving data collection and reporting of SAMHSA's activities.

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4170 Introduced in Senate (IS)]

<DOC>






117th CONGRESS
  2d Session
                                S. 4170

    To reauthorize programs related to mental health, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 10, 2022

Mr. Cassidy (for himself and Mr. Murphy) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
    To reauthorize programs related to mental health, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mental Health Reform Reauthorization 
Act of 2022''.

SEC. 2. SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION.

    Section 501(d) of the Public Health Service Act (42 U.S.C. 
290aa(d)) is amended--
            (1) in paragraph (5), by inserting ``coordination between 
        programs and Centers of Excellence regarding promising and best 
        practices and dissemination to the field and'' after ``, 
        including'';
            (2) in paragraph (24)(E), by striking ``; and'' and 
        inserting a semicolon;
            (3) in paragraph (25), by striking the period and inserting 
        ``; and''; and
            (4) by adding at the end the following:
            ``(26) coordinate with the Centers for Medicare & Medicaid 
        Services to promote coverage of evidence-based prevention and 
        treatment services, improve quality of care, and identify 
        opportunities for State Medicaid agencies and State mental 
        health and substance use disorder agencies to collaborate, 
        including through the braiding of funds, demonstration 
        programs, waivers, amendments to State plans under section 
        1912, other State flexibilities, and agency guidance for all 
        populations enrolled in Medicaid programs.''.

SEC. 3. COMMUNITY MENTAL HEALTH SERVICES BLOCK GRANT.

    (a) Funding.--Section 1920 of the Public Health Service Act (42 
U.S.C. 300x-9) is amended--
            (1) in subsection (a), 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''; 
        and
            (2) by adding at the end the following:
    ``(d) Crisis Care.--
            ``(1) In general.--Except as provided in paragraph (3), a 
        State shall expend not less than 5 percent of the amount the 
        State receives pursuant to section 1911 for each fiscal year to 
        support evidenced-based programs.
            ``(2) Core elements.--At the discretion of the single State 
        agency responsible for the administration of the program of the 
        State under a grant under section 1911, funds expended pursuant 
        to paragraph (1) may be used to fund some or all of the core 
        crisis care service components, delivered according to 
        evidence-based principles, including the following:
                    ``(A) Crisis call centers.
                    ``(B) 24/7 mobile crisis services.
                    ``(C) Crisis stabilization programs offering acute 
                care or subacute care in a hospital or appropriately 
                licensed facility, as determined by the Substance Abuse 
                and Mental Health Services Administration, with 
                referrals to inpatient or outpatient care.
            ``(3) State flexibility.--In lieu of expending 5 percent of 
        the amount the State receives pursuant to section 1911 for a 
        fiscal year to support evidence-based programs as required by 
        paragraph (1), a State may elect to expend not less than 10 
        percent of such amount to support such programs by the end of 2 
        consecutive fiscal years.
    ``(e) Prevention.--
            ``(1) In general.--Except as provided in paragraph (3), a 
        State shall expend not less than 5 percent of the amount the 
        State receives pursuant to section 1911 for each fiscal year to 
        support evidenced-based early identification and early 
        intervention programs that prevent or mitigate the development 
        of mental illness in individuals, including children and 
        adolescents, who may be at risk of developing a serious mental 
        illness or serious emotional disturbance, within the meaning of 
        such term as defined by the Secretary pursuant to section 1912, 
        or as determined through the use of evidence-based screening 
        instruments or clinical assessment.
            ``(2) Core elements.--At the discretion of the single State 
        agency responsible for the administration of the program of the 
        State under a grant under section 1911, funds expended pursuant 
        to paragraph (1) shall be used for evidence-based practices 
        that follow or exceed the quality of generally accepted 
        standards of care.
            ``(3) State flexibility.--In lieu of expending 5 percent of 
        the amount the State receives pursuant to section 1911 for a 
        fiscal year to support evidence-based early identification and 
        early intervention programs as required by paragraph (1), a 
        State may elect to expend not less than 10 percent of such 
        amount to support such programs by the end of 2 consecutive 
        fiscal years.
    ``(f) Reports by the Secretary.--
            ``(1) In general.--The Secretary shall--
                    ``(A) commission longitudinal follow-up studies of 
                the population of individuals served by funds expended 
                pursuant to subsection (e)(1) to determine clinical 
                outcomes that may be associated with such funds, 
                including crisis services utilization and emergency 
                department visits and hospitalizations related to 
                mental illness, prevalence of suicidal behavior, 
                mortality, disability income, high school graduation 
                rates, employment status and successful timely 
                reunification, placement stability, and permanency for 
                children in foster care, disaggregated by mental 
                illness diagnosis; and
                    ``(B) submit a biennial report summarizing 
                incremental findings of the studies conducted under 
                paragraph (1) to Congress.
            ``(2) Requirements.--In carrying out paragraph (1)(A), the 
        Secretary shall--
                    ``(A) solicit feedback from stakeholders, including 
                pediatric experts, on outcomes to use for different age 
                groups and populations; and
                    ``(B) consider how States who have received funding 
                are partnering with providers to increase access to 
                mental health services specific to adults and to 
                children.
    ``(g) Special Rule.--The requirements described in subsection 
(b)(1)(A)(vi) for a State plan required under such section shall not 
apply with respect to funds allocated for the purposes described in 
subsections (d) and (e).''.
    (b) Restrictions on Use of Payments.--Section 1916(a) of the Public 
Health Service Act (42 U.S.C. 300x-5(a)) is amended--
            (1) in paragraph (3), by adding ``or'' after the semicolon;
            (2) in paragraph (4), by striking ``; or'' and inserting a 
        period; and
            (3) by striking paragraph (5).

SEC. 4. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Section 520G of the Public Health Service Act (42 U.S.C. 290bb-38) 
is amended--
            (1) in subsection (c)(2)(A)(i)--
                    (A) by inserting ``support continuity of care 
                (including in consultation with the individual's mental 
                health clinician when feasible and with continuation of 
                previously prescribed psychotropic medication and 
                medication for the treatment of substance use disorder, 
                as appropriate),'' after ``evidence-based practices,'';
                    (B) by inserting ``to relevant medications approved 
                by the Food and Drug Administration'' after 
                ``management and access''; and
                    (C) by inserting ``peer recovery support 
                services,'' after ``co-occurring substance use disorder 
                treatment,'';
            (2) in subsection (e)(4) by inserting ``and response 
        (including suicide prevention)'' after ``crisis intervention''; 
        and
            (3) in subsection (j), by striking ``$4,269,000 for each of 
        fiscal years 2018 through 2022'' and inserting ``$6,269,000 for 
        each of fiscal years 2023 through 2027''.

SEC. 5. ASSISTED OUTPATIENT TREATMENT.

    Section 224 of the Protecting Access to Medicare Act of 2014 
(Public Law 113-93; 42 U.S.C. 290aa note) is amended--
            (1) in subsection (e)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``each of fiscal years 2016, 2017, 2018, 2019, 
                2020, 2021, and 2022'' and inserting ``fiscal year 
                2027'';
                    (B) by striking paragraphs (2) and (3) and 
                inserting the following:
            ``(2) Impact of assisted outpatient treatment on rates of 
        psychiatric hospitalization, homelessness, arrest, and 
        incarceration of patients.
            ``(3) Significant variations in program design among 
        grantees, including variations in the role of courts in 
        monitoring and motivating patient progress, and the comparative 
        impacts of such variations upon program outcomes.''; and
                    (C) by adding at the end the following:
            ``(5) Use of psychiatric advance directives or other 
        methods for patient input in care.'';
            (2) in subsection (f)(1), by striking ``local court'' and 
        inserting ``local civil court''; and
            (3) in subsection (g)--
                    (A) in paragraph (1), by striking ``2015 through 
                2022'' and inserting ``2023 through 2027''; and
                    (B) in paragraph (2), by striking ``$15,000,000 for 
                each of'' and all that follows through ``2022'' and 
                inserting ``$21,000,000 for each of fiscal years 2023 
                through 2027''.

SEC. 6. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    Part C of title V of the Public Health Service Act (42 U.S.C. 
290cc-21 et seq.) is amended--
            (1) in section 522(g)(1) (42 U.S.C. 290cc-22(g)(1)) by 
        striking ``20 percent'' and inserting ``25 percent''; and
            (2) in section 535(a) (42 U.S.C. 290cc-35(a)), by striking 
        ``$64,635,000 for each of fiscal years 2018 through 2022'' and 
        inserting ``$64,635,000 for each of fiscal years 2023 through 
        2027''.

SEC. 7. GRANTS TO SUPPORT MENTAL HEALTH AND SUBSTANCE USE DISORDER 
              PARITY IMPLEMENTATION.

    (a) In General.--Section 2794(c) of the Public Health Service Act 
(42 U.S.C. 300gg-94(c)) (as added by section 1003 of the Patient 
Protection and Affordable Care Act (Public Law 111-148) is amended by 
adding at the end the following:
            ``(3) Parity implementation.--
                    ``(A) In general.--Beginning 60 days after the date 
                of enactment of the Parity Implementation Assistance 
                Act, the Secretary shall award grants to States to 
                implement the mental health and substance use disorder 
                parity provisions of section 2726, provided that in 
                order to receive such a grant, a State is required to 
                request and review from health insurance issuers 
                offering group or individual health insurance coverage 
                the comparative analyses and other information required 
                of such health insurance issuers under subsection 
                (a)(8)(A) of such section 2726 regarding the design and 
                application of nonquantitative treatment limitations 
                imposed on mental health or substance use disorder 
                benefits.
                    ``(B) Authorization of appropriations.--For 
                purposes of awarding grants under subparagraph (A), 
                there are authorized to be appropriated $25,000,000 for 
                each of the first five fiscal years beginning after the 
                date of the enactment of this paragraph.''.
    (b) Technical Amendment.--Section 2794 of the Public Health Service 
Act (42 U.S.C. 300gg-95), as added by section 6603 of the Patient 
Protection and Affordable Care Act (Public Law 111-148) is redesignated 
as section 2795.

SEC. 8. ELIMINATING THE OPT-OUT FOR NON-FEDERAL GOVERNMENTAL HEALTH 
              PLANS.

    Section 2722(a)(2) of the Public Health Service Act (42 U.S.C. 
300gg-21(a)(2)) is amended by adding at the end the following new 
subparagraph:
                    ``(F) Sunset of election option.--
                            ``(i) In general.--Notwithstanding the 
                        preceding provisions of this paragraph--
                                    ``(I) no election described in 
                                subparagraph (A) with respect to the 
                                provisions of section 2726 may be made 
                                on or after the date of enactment of 
                                this subparagraph; and
                                    ``(II) except as provided in clause 
                                (ii), no such election with respect to 
                                the provisions of section 2726 expiring 
                                on or after the date that is 180 days 
                                after the date of such enactment may be 
                                renewed.
                            ``(ii) Exception for certain collectively 
                        bargained plans.--Notwithstanding clause 
                        (i)(II), a plan described in subparagraph 
                        (B)(ii) that is subject to multiple agreements 
                        described in such subparagraph of varying 
                        lengths and that has an election in effect 
                        under subparagraph (A) as of the date of 
                        enactment of this subparagraph that expires on 
                        or after the date that is 180 days after the 
                        date of such enactment may extend such election 
                        until the date on which the term of the last 
                        such agreement expires.
                            ``(iii) Guidance.--The Secretary shall 
                        issue guidance to plans to support carrying out 
                        activities under this section with regard to 
                        section 2726, including the requirements under 
                        subsection (a)(8) of such section. Such 
                        guidance shall include an explanation of 
                        documents that are required to be disclosed and 
                        analyses that are required to be conducted 
                        pursuant to such subsection (a)(8), including 
                        how nonquantitative treatment limitations are 
                        applied to mental health or substance use 
                        disorder benefits and medical or surgical 
                        benefits covered under the plan, in order for 
                        such plan to demonstrate compliance with this 
                        section and section 2726.''.

SEC. 9. MINORITY FELLOWSHIP PROGRAM.

    Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is 
amended--
            (1) in subsection (b), by inserting ``addiction medicine,'' 
        after ``mental health counseling,''; and
            (2) in subsection (c), by striking ``$12,669,000 for each 
        of fiscal years 2018 through 2022'' and inserting ``$25,000,000 
        for each of fiscal years 2023 through 2027''.

SEC. 10. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE.

    Section 520A of the Public Health Service Act (42 U.S.C. 290bb-32) 
is amended by striking ``2018 through 2022'' and inserting ``2023 
through 2027''.

SEC. 11. ENCOURAGING INNOVATION AND EVIDENCE-BASED PROGRAMS WITHIN THE 
              NATIONAL MENTAL HEALTH AND SUBSTANCE USE POLICY 
              LABORATORY.

    (a) Reauthorization.--Section 501A(e)(3) of the Public Health 
Service Act (42 U.S.C. 290aa-0(e)(3)) is amended by striking ``2018 
through 2020'' each place it appears and inserting ``2023 through 
2027''.
    (b) GAO Study.--Not later than 18 months after the date of 
enactment of this Act, the Comptroller General of the United States 
shall perform a report on the work of the National Mental Health and 
Substance Use Policy Laboratory established under section 501A of the 
Public Health Service Act (42 U.S.C. 290aa-0), including--
            (1) the extent to which such Laboratory is meeting its 
        responsibilities as set forth in such section 501A; and
            (2) any recommendations for improvement, including methods 
        to expand the use of evidence-based practices across programs, 
        recommendations to improve program evaluations for 
        effectiveness, and dissemination of resources to stakeholders 
        and the public.

SEC. 12. PROGRAMS FOR CHILDREN WITH A SERIOUS EMOTIONAL DISTURBANCE.

    Section 565(f) of the Public Health Service Act (42 U.S.C. 290ff-
4(f)) is amended--
            (1) in paragraph (1), 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''; 
        and
            (2) by moving the margin of paragraph (2) 2 ems to the 
        right.

SEC. 13. 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--
            (1) in the matter preceding paragraph (1)--
                    (A) by striking ``2019 through 2023'' and inserting 
                ``2023 through 2027''; and
                    (B) by striking ``$50,000,000'' and inserting 
                ``$102,000,000'';
            (2) in paragraph (1), by striking ``$15,000,000'' and 
        inserting ``$30,500,000'';
            (3) in paragraph (2), by striking ``$15,000,000'' and 
        inserting ``$30,500,000'';
            (4) in paragraph (3), by striking ``$10,000,000'' and 
        inserting ``$20,500,000''; and
            (5) in paragraph (4), by striking ``$10,000,000'' and 
        inserting ``$20,500,000''.

SEC. 14. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS UNDER 
              HIPAA.

    Section 11004 of the 21st Century Cures Act (Public Law 114-255; 42 
U.S.C. 1320d-2 note) is amended--
            (1) by redesignating subsections (c) through (e) as 
        subsections (d) through (f), respectively;
            (2) by inserting after subsection (b) the following:
    ``(b) Reports to Congress.--The Secretary shall submit a report to 
Congress--
            ``(1) not later than 1 year after the date of enactment of 
        the Mental Health Reform Reauthorization Act of 2022, on 
        actions taken pursuant to subsection (b); and
            ``(2) not later than 2 years after the date of submission 
        of the report under paragraph (1), on updates made to the model 
        programs and materials described in subsection (a) after the 
        release of the final regulations required under section 3221(i) 
        of the Coronavirus Aid, Relief, and Economic Security Act 
        (Public Law 116-136).''; and
            (3) in subsection (f), as so redesignated, by striking 
        ``this section--'' and all that follows through the end of 
        paragraph (3) and inserting the following: ``this section 
        $1,000,000 for each of fiscal years 2023 through 2027''.

SEC. 15. PROMOTING INTEGRATION OF PRIMARY CARE AND BEHAVIORAL HEALTH.

    Section 520K of the Public Health Service Act (42 U.S.C. 290bb-42) 
is amended--
            (1) in subsection (c)(2)--
                    (A) in subparagraph (D), by striking ``; and'' and 
                inserting a semicolon;
                    (B) by redesignating subparagraph (E) as 
                subparagraph (F); and
                    (C) by inserting after subparagraph (D) the 
                following:
                    ``(E) a description of how validated rating scales 
                will be implemented to support the improvement of 
                patient outcomes using measurement-based care, 
                including related to depression screening, patient 
                follow up, and symptom improvement; and''; and
            (2) in subsection (h), by striking ``$51,878,000 for each 
        of fiscal years 2018 through 2022'' and inserting ``$52,877,000 
        for each of fiscal years 2023 through 2027''.

SEC. 16. PEDIATRIC MENTAL HEALTH CARE ACCESS GRANT PROGRAM.

    Section 330M of the Public Health Service Act (42 U.S.C. 254c-19) 
is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1)--
                            (i) in subparagraph (G)--
                                    (I) by inserting ``developmental-
                                behavioral pediatricians,'' after 
                                ``adolescent psychiatrists,''; and
                                    (II) by inserting ``, and which may 
                                include addiction specialists,'' after 
                                ``mental health counselors'';
                            (ii) in subparagraph (H), by striking ``; 
                        and'' and inserting a semicolon;
                            (iii) in subparagraph (I), by striking the 
                        period and inserting ``; and''; and
                            (iv) by adding at the end the following:
                    ``(J) maintain an up-to-date list of community-
                based supports for children with mental health 
                conditions.'';
                    (B) in paragraph (2), by inserting ``, and which 
                may include a developmental-behavioral pediatrician and 
                an addiction specialist'' before the period at the end 
                of the first sentence; and
                    (C) by adding at the end the following:
            ``(3) Support to schools and emergency departments.--In 
        addition to the required activities specified in paragraph (1), 
        a statewide or regional network of pediatric mental health 
        teams referred to in subsection (a), with respect to which a 
        grant under such subsection may be used, may provide support to 
        schools and emergency departments.'';
            (2) by redesignating subsection (g) as subsection (h);
            (3) by inserting after subsection (f) the following:
    ``(g) Technical Assistance.--The Secretary may award a grant to an 
eligible entity for purposes of providing technical assistance to 
recipients of grants under subsection (a).''; and
            (4) in subsection (h), as so redesignated, by striking 
        ``$9,000,000 for the period of fiscal years 2018 through 2022'' 
        and inserting ``$14,000,000 for each of fiscal years 2023 
        through 2025 and $30,000,000 for each of fiscal years 2026 and 
        2027''.

SEC. 17. TRAINING IN BEHAVIORAL HEALTH FOR PRIMARY CARE PROVIDERS 
              CARING FOR PEDIATRIC POPULATIONS.

    The Advisory Committee on Training in Primary Care Medicine and 
Dentistry of the Health Resources and Services Administration shall 
convene and issue a report that includes--
            (1) recommendations to optimize the content and 
        competencies of trainees and primary care providers treating 
        pediatric populations to address behavioral health conditions; 
        and
            (2) best practices for training pediatric providers in 
        behavioral health conditions, utilization of evidence-based 
        screening tools, and follow up care to higher levels of care, 
        when appropriate.

SEC. 18. FIRST EPISODE PSYCHOSIS.

    (a) Review of Use of Certain Funding.--Not later than 180 days 
after the date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Assistant Secretary for Mental 
Health and Substance Use, shall conduct a review of the use by States 
of funds made available under the Community Mental Health Services 
Block Grant subpart I of part B of title XIX of the Public Health 
Service Act (42 U.S.C. 300x et seq.) for First Episode Psychosis 
activities. Such review shall consider the following:
            (1) How the States use funds for evidence-based treatments 
        and services according to the standard of care for those with 
        serious mental illness, including the comprehensiveness of such 
        treatments to include all aspects of the recommended 
        intervention.
            (2) How State mental health departments are coordinating 
        with State Medicaid departments in the delivery of the 
        treatments and services described in paragraph (1).
            (3) What percentage of the State funding under the block 
        grant is being applied toward First Episode Psychosis in excess 
        of 10 percent of the amount of the grant, as broken down on a 
        State-by-State basis. The review shall also identify any States 
        that fail to expend the required 10 percent of block grant 
        funds on First Episode Psychosis activities.
            (4) How many individuals are served by the expenditures 
        described in paragraph (3), broken down on a per-capita basis.
            (5) How the funds are used to reach individuals in 
        underserved populations, including individuals in rural areas 
        and individuals from minority groups.
    (b) Report and Guidance.--
            (1) Report.--Not later than 6 months after the completion 
        of the review under subsection (a), the Secretary of Health and 
        Human Services, acting through the Assistant Secretary for 
        Mental Health and Substance Use, shall submit to the 
        appropriate authorization and appropriations committees of 
        Congress, a report on the finding made as a result of the 
        review conducted under subsection (a). Such report shall 
        include any recommendations with respect to any changes to the 
        Community Mental Health Services Block Grant program, including 
        the set aside required for First Episode Psychosis, that would 
        facilitate improved outcomes for the targeted population 
        involved.
            (2) Guidance.--Not later than 1 year after the date on 
        which the report is submitted under paragraph (1), the 
        Secretary of Health and Human Services, acting through the 
        Assistant Secretary for Mental Health and Substance Use, shall 
        update the guidance provided to States under the Community 
        Mental Health Services Block Grant based on the findings and 
        recommendations of the report.
    (c) Technical Assistance.--The Director of the National Institute 
of Mental Health shall coordinate with the Assistant Secretary for 
Mental Health and Substance Use in providing technical assistance to 
State grantees and provider subgrantees in the delivery of services for 
First Episode Psychosis under the Community Mental Health Services 
Block Grant.

SEC. 19. CMS STUDY AND REPORT REGARDING ADHERENCE TO STANDARD OF CARE 
              FOR TREATMENT OF INDIVIDUALS WITH SERIOUS MENTAL ILLNESS 
              AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE UNDER 
              MEDICARE AND MEDICAID.

    (a) Study.--The Administrator of the Centers for Medicare & 
Medicaid Services shall review claims relating to treatment of 
individuals with serious mental illness and children with serious 
emotional disturbance made under the Medicare program established under 
title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.) and the 
Medicaid program established under title XIX of such Act (42 U.S.C. 
1396 et seq.) and the State Children's Health Insurance Program under 
title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) for 
purposes of assessing the extent to which such individuals receive 
evidence-based treatments according to the standard of care for those 
with serious mental illness and serious emotional disturbance and the 
extent to which the comprehensiveness of such treatments includes all 
aspects of a recommended intervention under the applicable standard of 
care.
    (b) Report.--Not later than 6 months after the date of enactment of 
this Act, the Administrator of the Centers for Medicare & Medicaid 
Services shall submit to Congress a report on the study required by 
subsection (a).

SEC. 20. GUIDANCE FOR STATES RELATING TO COVERAGE RECOMMENDATIONS OF 
              HEALTH CARE SERVICES AND INTERVENTIONS FOR INDIVIDUALS 
              WITH SERIOUS MENTAL ILLNESS AND CHILDREN WITH SERIOUS 
              EMOTIONAL DISTURBANCE.

    Not later than 2 years after the date of enactment of this Act, the 
Administrator of the Centers for Medicare & Medicaid Services, jointly 
with the Assistant Secretary for Mental Health and Substance Use and 
the Director of the National Institute of Mental Health--
            (1) shall provide updated guidance to States concerning--
                    (A) coverage recommendations relating to health 
                care services and interventions for those with serious 
                mental illness, specifically First Episode Psychosis; 
                and
                    (B) the manner in which Federal funding provided to 
                States through programs administered by such agencies, 
                including the Community Mental Health Services Block 
                Grant program under subpart I of part B of title XIX of 
                the Public Health Service Act (42 U.S.C. 300x et seq.), 
                may be coordinated to support individuals with serious 
                mental illness and serious emotional disturbance; and
            (2) may streamline relevant State reporting requirements if 
        such streamlining would result in making it easier for States 
        to coordinate funding under the programs described in paragraph 
        (1)(B) to improve treatments for individuals with serious 
        mental illness and serious emotional disturbance.

SEC. 21. GAO STUDY ON DATA COLLECTION AND PUBLIC REPORTING.

    Not later than 18 months after the date of enactment of this Act, 
the Comptroller General of the United States, in consultation with the 
Assistant Secretary for Mental Health and Substance Use and the 
Secretary of Health and Human Services, shall perform a study on areas 
to improve data reporting across programs of the Substance Abuse and 
Mental Health Services Administration. Such report and evaluation shall 
include--
            (1) recommendations for improvements to--
                    (A) data collected from recipients of grants, 
                contract, and cooperative agreements from the Substance 
                Abuse and Mental Health Services Administration;
                    (B) utilization of outcome measures and evidence-
                based practices;
                    (C) program performance evaluations; and
                    (D) the impact of grant funding on different age 
                groups and populations, including children and 
                adolescents;
            (2) a review of how the State plans required under section 
        1912 of the Public Health Service Act (42 U.S.C. 300x-1) and 
        section 1932 of such Act (42 U.S.C. 300x-32) and reports 
        required under section 1942 of such Act (42 U.S.C. 300x-52) 
        could be updated and simplified; and
            (3) areas to improve dissemination and how data should be 
        reported to the public.

SEC. 22. PRIMARY CARE TRAINING AND ENHANCEMENT FOR MENTAL HEALTH.

    Section 747(c)(2) of the Public Health Service Act (42 U.S.C. 
293k(c)(2)) is amended--
            (1) by striking ``Fifteen percent'' and inserting the 
        following:
                    ``(A) Physician assistant training programs.--
                Fifteen percent''; and
            (2) by adding at the end the following:
                    ``(B) Mental health programs.--Ten percent of the 
                amount appropriated pursuant to paragraph (1) in each 
                such fiscal year shall be allocated to training 
                programs focused on mental health, with an emphasis on 
                primary care for pediatric populations.''.
                                 <all>