I 117th CONGRESS 2d Session H. R. 7644 IN THE HOUSE OF REPRESENTATIVES May 3, 2022 Ms. Davids of Kansas (for herself, Mr. Torres of New York , Mr. Pappas , Mr. Sean Patrick Maloney of New York , Mr. Cicilline , Mr. Takano , and Mr. David Scott of Georgia ) introduced the following bill; which was referred to the Committee on Education and Labor , and in addition to the Committee on Energy and Commerce , for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned A BILL To amend the Child Abuse Prevention and Treatment Act to ensure protections for lesbian, gay, bisexual, and transgender youth and their families.

1. Short title This Act may be cited as the Pride in Mental Health Act . 2. Amendments to CAPTA The Child Abuse Prevention and Treatment Act ( 42 U.S.C. 5101 et seq. ) is amended— (1) in section 104 ( 42 U.S.C. 5105 )— (A) in subsection (a)— (i) in paragraph (1)— (I) by redesignating subparagraphs (N) and (O) as subparagraphs (O) and (P), respectively; (II) by inserting after subparagraph (M) the following: (N) child abuse and neglect issues facing lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth and families, including— (i) providing recommendations for improving the collection of data at the Federal, State, and local levels to better identify young people who may be at risk of, or experiencing, child abuse or neglect or adverse childhood experiences because of their sexual orientation, gender identity, or gender expression; and (ii) the effectiveness of mandated child abuse and neglect reporters specific to lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth and families and the extent to which implicit bias or lack of cultural competency affect such mandated reporters; ; (III) in subparagraph (O), as so redesignated, by striking subparagraph (O) and inserting subparagraph (P) ; and (IV) in clause (ix) of subparagraph (P), as so redesignated, by inserting (including sexual orientation, gender identity, and gender expression) after sex ; and (ii) in paragraph (2), by striking paragraph (1)(O) and inserting paragraph (1)(P) ; and (B) in subsection (b), by inserting or lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth after children with disabilities ; (2) in section 105(a)(1)(E) ( 42 U.S.C. 5106(a)(1)(E) ), by inserting and lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth after children with disabilities ; (3) in section 106(d)(1) ( 42 U.S.C. 5106a(d)(1) ), by inserting , disaggregated by demographic characteristics such as age, sex (including sexual orientation, gender identity, and gender expression), race, family structure, household relationship, school enrollment and education attainment, disability, caregivers, labor force status, work status in previous year, and income in previous year before the period; (4) in section 107 ( 42 U.S.C. 5106c )— (A) in subsection (a)— (i) by redesignating paragraphs (3) and (4) as paragraphs (4) and (5), respectively; and (ii) by inserting after paragraph (2) the following: (3) the assessment and investigation of cases involving lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth who are suspected victims of child abuse or neglect; ; (B) in subsection (b)(5), by striking paragraphs (1) through (3) and inserting paragraphs (1) through (4) ; and (C) in subsection (c)(1)— (i) by redesignating subparagraphs (G) through (J) as subparagraphs (H) through (K), respectively; and (ii) by inserting after subparagraph (F) the following: (G) individuals experienced in working with lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth and families; ; (5) in section 201(b)(1)(G) ( 42 U.S.C. 5116(b)(1)(G) ), by inserting (including lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth and families) before the semicolon; (6) in section 202 ( 42 U.S.C. 5116a )— (A) in paragraph (2)— (i) in subparagraph (A), by inserting and families with other vulnerable youth, including lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth before the semicolon; and (ii) in subparagraph (B), by striking and public sector and private nonprofit sector service providers, and parents with disabilities and inserting public sector and private nonprofit sector service providers, parents with disabilities, and parents of other vulnerable youth, including lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth ; and (B) in paragraph (3)— (i) in subparagraph (C), by striking ; and and inserting a semicolon; (ii) in subparagraph (D), by striking the period and inserting ; and ; and (iii) by adding at the end the following: (E) will integrate its efforts with individuals and organizations experienced in working in partnership with families with vulnerable youth, including lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth, and with the child abuse and neglect prevention activities of the State, and demonstrate a financial commitment to those activities. ; and (7) in section 206(4) ( 42 U.S.C. 5116f(4) ), by striking and parents with disabilities and inserting parents with disabilities, and families with other vulnerable youth, including lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth . 3. Grants for mental health services for LGBTQ+ youth Subpart 3 of part B of title V of the Public Health Service Act ( 42 U.S.C. 290bb–31 et seq. ) is amended by adding at the end the following: 520N. Grants for mental health services for LGBTQ+ youth (a) In general The Secretary, acting through the Assistant Secretary for Mental Health and Substance Use (referred to in this section as the Secretary ), shall establish a program under which the Secretary will award grants to eligible entities to assess and improve lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth mental health and substance abuse outcomes. (b) Use of funds An eligible entity receiving a grant under this section shall use funds received through such grant— (1) to provide mental and behavioral health resources for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth, including trauma-informed care; (2) to provide cultural competency training for caregivers; (3) to develop and disseminate mental and behavioral health best practices and toolkits for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth, and their families and caregivers; (4) to develop and disseminate evidence-based practices to be added to the Evidence-Based Practices Resource Center of the Substance Abuse and Mental Health Administration; (5) to collect data with respect to the mental and behavioral health of lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth; (6) to issue school bullying prevention guidelines with respect to lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth; (7) to provide for the integration within school systems of mental and behavioral health services for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth; (8) to establish and implement mental and behavioral patient navigator programs for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth, and their families; and (9) to create and disseminate family acceptance and support models for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth, and their families and caregivers. (c) Limitation (1) In general An eligible entity selected to receive a grant under this section shall agree, as a condition on receiving the grant that such funds shall not be used— (A) to provide conversion therapy to any individual; (B) to advertise for the provision of conversion therapy and claim in such advertising— (i) to change another individual's sexual orientation or gender identity; (ii) to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender; or (iii) that such efforts are harmless or without risk to individuals receiving such therapy; (C) to knowingly assist or facilitate the provision of conversion therapy to an individual if such person receives compensation from any source in connection with providing conversion therapy; or (D) to promote or direct an individual to conversion therapy resources or providers. (2) Conversion therapy defined In this subsection, the term conversion therapy — (A) means any practice or treatment by any person that seeks to change another individual's sexual orientation or gender identity, including efforts to change behaviors or gender expressions, or to eliminate or reduce sexual or romantic attractions or feelings toward individuals of the same gender, if such person— (i) receives monetary compensation in exchange for such practice or treatment; or (ii) instead of, or in addition to, receiving monetary compensation in exchange for such practice or treatment directly, receives monetary compensation in exchange for a product or service that is integral to the provision of such practice or treatment by such person, unless such product or service is protected by the First Amendment to the Constitution; and (B) does not include any practice or treatment, which does not seek to change sexual orientation or gender identity, that— (i) provides assistance to an individual undergoing a gender transition; or (ii) provides acceptance, support, and understanding of a client or facilitation of a client's coping, social support, and identity exploration and development, including sexual orientation-neutral interventions to prevent or address unlawful conduct or unsafe sexual practices. (d) Review of reports (1) In general Not later than 1 year after the date of the enactment of this section, the Secretary shall review, and update as necessary, the reports and publications listed on the internet website of the Substance Abuse and Mental Health Administration as of the date of the enactment of this section that are focused on lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit individuals. (2) Priority In reviewing reports and publications under paragraph (1), the Secretary shall prioritize updating older reports and commissioning new reports that fill information gaps with respect to the mental and behavioral health of lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit individuals. (e) Federal survey The Secretary shall develop and conduct a Federal survey measuring serious psychological distress, mental illness, mental health, and mental health care among lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth. In developing such survey, the Secretary may consider integrating such survey as an enhanced feature of the National Survey on Drug Use and Health. (f) Report (1) In general Not later than 180 days after the date of the enactment of this section, the Secretary shall, in consultation with the Director of the National Institute of Mental Health and the Assistant Secretary for the Administration for Children and Families, commence a report on mental health, mental health care, and cultural competency in mental health care for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, and Two Spirit youth in foster care and who are beneficiaries of other social services programs subject to Federal oversight. (2) Submission to Congress Not later than 2 years after the date of the enactment of this section, the Secretary shall submit the report required under paragraph (1) to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor, and Pensions of the Senate. .