II 117th CONGRESS 2d Session S. 5325 IN THE SENATE OF THE UNITED STATES December 20, 2022 Mr. Cornyn (for himself and Mr. King ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To amend the Public Health Service Act to direct the Secretary of Health and Human Services to develop best practices for the establishment and use of behavioral intervention teams at schools, and for other purposes.

1. Short title This Act may be cited as the Behavioral Intervention Guidelines Act of 2022 . 2. Best practices for behavioral and mental health intervention teams The Public Health Service Act is amended by inserting after section 520G of such Act ( 42 U.S.C. 290bb–38 ) the following new section: 520H. Best practices for behavioral and mental health intervention teams (a) In general The Secretary, acting through the Assistant Secretary for Mental Health and Substance Use, and in consultation with the Secretary of Education, shall submit to the Health, Education, Labor, and Pensions Committee of the Senate and the Energy and Commerce Committee of the House of Representatives a report that identifies best practices related to using behavioral and mental health intervention teams, which may be used to assist elementary schools, secondary schools, and institutions of higher education interested in voluntarily establishing and using such teams to support students exhibiting behaviors interfering with learning at school or who are at risk of harm to self or others. (b) Elements The report under subsection (a) shall assess evidence supporting such best practices and, as appropriate, include consideration of the following: (1) How behavioral and mental health intervention teams might operate effectively from an evidence-based, objective perspective while protecting the constitutional and civil rights and privacy of individuals. (2) The use of behavioral and mental health intervention teams— (A) to identify and support students exhibiting behaviors interfering with learning or posing a risk of harm to self or others; and (B) to implement evidence-based interventions to meet the behavioral and mental health needs of such students. (3) How behavioral and mental health intervention teams can— (A) access evidence-based professional development to support students described in paragraph (2)(A); and (B) ensure that such teams— (i) are composed of trained, diverse stakeholders with expertise in child and youth development, behavioral and mental health, and disability; and (ii) use cross validation by a wide-range of individual perspectives on the team. (4) How behavioral and mental health intervention teams can help mitigate inappropriate referral to mental health services or law enforcement by implementing evidence-based interventions that meet student needs. (c) Consultation In carrying out subsection (a), the Secretary shall consult with— (1) the Secretary of Education; (2) the Director of the National Threat Assessment Center of the United States Secret Service; (3) the Attorney General; (4) teachers (which shall include special education teachers), principals and other school leaders, school board members, behavioral and mental health professionals (including school-based mental health professionals), and parents of students; (5) local law enforcement agencies and campus law enforcement administrators; (6) privacy, disability, and civil rights experts; and (7) other education and mental health professionals as the Secretary deems appropriate. (d) Publication The Secretary shall publish the report under subsection (a) in an accessible format on the internet website of the Department of Health and Human Services. (e) Definitions In this section: (1) The term behavioral and mental health intervention team means a multidisciplinary team of trained individuals who— (A) are trained to identify and assess the behavioral health needs of children and youth and who are responsible for identifying, supporting, and connecting students exhibiting behaviors interfering with learning at school, or who are at risk of harm to self or others, with appropriate behavioral health services; and (B) develop and facilitate implementation of evidence-based interventions to— (i) mitigate the threat of harm to self or others posed by a student described in subparagraph (A); (ii) meet the mental and behavioral health needs of such students; and (iii) support positive, safe, and supportive learning environments. (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. (3) The term institution of higher education has the meaning given to such term in section 102 of the Higher Education Act of 1965. .