I 117th CONGRESS 2d Session H. R. 7666 IN THE HOUSE OF REPRESENTATIVES May 6, 2022 Mr. Pallone (for himself and Mrs. Rodgers of Washington ) introduced the following bill; which was referred to the Committee on Energy and Commerce , and in addition to the Committee on the Judiciary , 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 Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes.

1. Short title; table of contents (a) Short title This Act may be cited as the Restoring Hope for Mental Health and Well-Being Act of 2022 . (b) Table of contents The table of contents for this Act is as follows: Sec. 1. Short title; table of contents. Title I—Mental Health and Crisis Care Needs Subtitle A—Crisis Care Services and 9–8–8 Implementation Sec. 101. Behavioral Health Crisis Coordinating Office. Sec. 102. Crisis response continuum of care. Subtitle B—Into the Light for Maternal Mental Health and Substance Use Disorders Sec. 111. Screening and treatment for maternal mental health and substance use disorders. Sec. 112. Maternal mental health hotline. Subtitle C—REACHING Improved Mental Health Outcomes for Patients Sec. 121. Innovation for mental health. Sec. 122. Crisis care coordination. Sec. 123. Treatment of serious mental illness. Subtitle D—Anna Westin Legacy Sec. 131. Maintaining education and training on eating disorders. Subtitle E—Community Mental Health Services Block Grant Reauthorization Sec. 141. Reauthorization of block grants for community mental health services. Title II—Substance Use Disorder Prevention, Treatment, and Recovery Services Subtitle A—Native Behavioral Health Access Improvement Sec. 201. Behavioral health and substance use disorder services for American Indians and Alaska Natives. Subtitle B—Summer Barrow Prevention, Treatment, and Recovery Sec. 211. Grants for the benefit of homeless individuals. Sec. 212. Priority substance abuse treatment needs of regional and national significance. Sec. 213. Evidence-based prescription opioid and heroin treatment and interventions demonstration. Sec. 214. Priority substance use disorder prevention needs of regional and national significance. Sec. 215.  Sober Truth on Preventing (STOP) Underage Drinking Reauthorization. Sec. 216. Grants for jail diversion programs. Sec. 217. Formula grants to States. Sec. 218. Projects for Assistance in Transition From Homelessness. Sec. 219. Grants for reducing overdose deaths. Sec. 220. Opioid overdose reversal medication access and education grant programs. Sec. 221. State demonstration grants for comprehensive opioid abuse response. Sec. 222. Emergency department alternatives to opioids. Subtitle C—Excellence in Recovery Housing Sec. 231. Clarifying the role of SAMHSA in promoting the availability of high-quality recovery housing. Sec. 232. Developing guidelines for States to promote the availability of high-quality recovery housing. Sec. 233. Coordination of Federal activities to promote the availability of recovery housing. Sec. 234. NAS study and report. Sec. 235. Grants for States to promote the availability of recovery housing and services. Sec. 236. Funding. Sec. 237. Technical correction. Subtitle D—Substance Use Prevention, Treatment, and Recovery Services Block Grant Sec. 241. Eliminating stigmatizing language relating to substance use. Sec. 242. Authorized activities. Sec. 243. Requirements relating to certain infectious diseases and human immunodeficiency virus. Sec. 244. State plan requirements. Sec. 245. Updating certain language relating to Tribes. Sec. 246. Block grants for substance use prevention, treatment, and recovery services. Sec. 247. Requirement of reports and audits by States. Sec. 248. Study on assessment for use in distribution of limited State resources. Subtitle E—Timely Treatment for Opioid Use Disorder Sec. 251. Revise opioid treatment program admission criteria to eliminate requirement that patients have an opioid use disorder for at least 1 year. Sec. 252. Study on exemptions for treatment of opioid use disorder through opioid treatment programs during the COVID–19 public health emergency. Sec. 253. Changes to Federal opioid treatment standards. Title III—Access to Mental Health Care and Coverage Subtitle A—Collaborate in an Orderly and Cohesive Manner Sec. 301. Increasing uptake of the collaborative care model. Subtitle B—Helping Enable Access to Lifesaving Services Sec. 311. Reauthorization and provision of certain programs to strengthen the health care workforce. Subtitle C—Eliminating the Opt-Out for Nonfederal Governmental Health Plans Sec. 321. Eliminating the opt-out for nonfederal governmental health plans. Title IV—Children and Youth Subtitle A—Supporting Children’s Mental Health Care Access Sec. 401. Pediatric mental health care access grants. Sec. 402. Infant and early childhood mental health promotion, intervention, and treatment. Subtitle B—Continuing Systems of Care for Children Sec. 411. Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances. Sec. 412. Substance Use Disorder Treatment and Early Intervention Services for Children and Adolescents. Subtitle C—Garrett Lee Smith Memorial Reauthorization Sec. 421. Suicide prevention technical assistance center. Sec. 422. Youth suicide early intervention and prevention strategies. Sec. 423. Mental health and substance use disorder services for students in higher education. Sec. 424. Mental and behavioral health outreach and education at institutions of higher education. I Mental Health and Crisis Care Needs A Crisis Care Services and 9–8–8 Implementation 101. Behavioral Health Crisis Coordinating Office Part A of title V of the Public Health Service Act ( 42 U.S.C. 290aa et seq. ) is amended by adding at the end the following: 506B. Behavioral Health Crisis Coordinating Office (a) In general The Secretary shall establish an office to coordinate work relating to behavioral health crisis care across the operating divisions and agencies of the Department of Health and Human Services, including the Substance Abuse and Mental Health Services Administration, the Centers for Medicare & Medicaid Services, and the Health Resources and Services Administration, and external stakeholders. (b) Duty The office established under subsection (a) shall— (1) convene Federal, State, Tribal, local, and private partners; (2) launch and manage Federal workgroups charged with making recommendations regarding behavioral health crisis issues, including with respect to health care best practices, workforce development, mental health disparities, data collection, technology, program oversight, public awareness, and engagement; and (3) support technical assistance, data analysis, and evaluation functions in order to assist States, localities, Territories, Tribes, and Tribal communities to develop crisis care systems and establish nationwide best practices with the objective of expanding the capacity of, and access to, local crisis call centers, mobile crisis care, crisis stabilization, psychiatric emergency services, and rapid post-crisis follow-up care provided by— (A) the National Suicide Prevention and Mental Health Crisis Hotline and Response System; (B) community mental health centers (as defined in section 1861(ff)(3)(B) of the Social Security Act); (C) certified community behavioral health clinics, as described in section 223 of the Protecting Access to Medicare Act of 2014; and (D) other community mental health and substance use disorder providers. (c) Authorization of appropriations There is authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2023 through 2027. . 102. Crisis response continuum of care 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. Crisis response continuum of care (a) In general The Secretary shall publish best practices for a crisis response continuum of care for use by health care providers, crisis services administrators, and crisis services providers in responding to individuals (including children and adolescents) experiencing mental health crises, substance related crises, and crises arising from co-occurring disorders. (b) Best practices (1) Scope of best practices The best practices published under subsection (a) shall define— (A) a minimum set of core crisis response services, as determined by the Secretary, for each entity that furnishes such services, that— (i) do not require prior authorization from an insurance provider or group health plan nor a referral from a health care provider prior to the delivery of services; (ii) provide for serving all individuals regardless of age or ability to pay; (iii) provide for operating 24 hours a day, 7 days a week; and (iv) provide for care and support through resources described in paragraph (2)(A) until the individual has been stabilized or transferred to the next level of crisis care; and (B) psychiatric stabilization, including the point at which a case may be closed for— (i) individuals screened over the phone; and (ii) individuals stabilized on the scene by mobile teams. (2) Identification of essential functions The best practices published under subsection (a) shall identify the essential functions of each service in the crisis response continuum, which shall include at least the following: (A) Identification of resources for referral and enrollment in continuing mental health, substance use, or other human services relevant for the individual in crisis where necessary. (B) Delineation of access and entry points to services within the crisis response continuum. (C) Development of protocols and agreements for the transfer and receipt of individuals to and from other segments of the crisis response continuum segments as needed, and from outside referrals including health care providers, first responders including law enforcement, paramedics, and firefighters, education institutions, and community-based organizations. (D) Description of the qualifications of crisis services staff, including roles for physicians, licensed clinicians, case managers, and peers (in accordance with State licensing requirements or requirements applicable to Tribal health professionals). (E) The convening of collaborative meetings of crisis response service providers, first responders including law enforcement, paramedics, and firefighters, and community partners (including National Suicide Prevention Lifeline or 9–8–8 call centers, 9–1–1 public service answering points, and local mental health and substance use disorder treatment providers) operating in a common region for the discussion of case management, best practices, and general performance improvement. (3) Service capacity and quality best practices The best practices under subsection (a) shall include recommendations on— (A) adequate volume of services to meet population need; (B) appropriate timely response; and (C) capacity to meet the needs of different patient populations that may experience a mental health or substance use crisis, including children, families, and all age groups, cultural and linguistic minorities, individuals with co-occurring mental health and substance use disorders, individuals with cognitive disabilities, individuals with developmental delays, and individuals with chronic medical conditions and physical disabilities. (4) Implementation timeframe The Secretary shall— (A) not later than 1 year after the date of enactment of this section, publish and maintain the best practices required by subsection (a); and (B) every two years thereafter, publish updates. (5) Data collection and evaluations The Secretary, directly or through grants, contracts, or interagency agreements, shall collect data and conduct evaluations with respect to the provision of services and programs offered on the crisis response continuum for purposes of assessing the extent to which the provision of such services and programs meet certain objectives and outcomes measures as determined by the Secretary. Such objectives shall include— (A) a reduction in reliance on law enforcement response, as appropriate, to individuals in crisis who would be more appropriately served by a mobile crisis team capable of responding to mental health and substance-related crises; (B) a reduction in boarding or extended holding of patients in emergency room facilities who require further psychiatric care, including care for substance use disorders; (C) evidence of adequate access to crisis care centers and crisis bed services; and (D) evidence of adequate linkage to appropriate post-crisis care and longitudinal treatment for mental health or substance use disorder when relevant. . B Into the Light for Maternal Mental Health and Substance Use Disorders 111. Screening and treatment for maternal mental health and substance use disorders (a) In general Section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— (1) in the section heading, by striking maternal depression and inserting maternal mental health and substance use disorders ; and (2) in subsection (a)— (A) by inserting , Indian Tribes and Tribal Organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act), and Urban Indian organizations (as such term is defined in section 4 of the Indian Health Care Improvement Act) after States ; and (B) by striking for women who are pregnant, or who have given birth within the preceding 12 months, for maternal depression and inserting for women who are postpartum, pregnant, or have given birth within the preceding 12 months, for maternal mental health and substance use disorders . (b) Application Subsection (b) of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— (1) by striking a State shall submit and inserting an entity listed in subsection (a) shall submit ; and (2) in paragraphs (1) and (2), by striking maternal depression each place it appears and inserting maternal mental health and substance use disorders . (c) Priority Subsection (c) of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— (1) by striking may give priority to States proposing to improve or enhance access to screening and inserting the following: shall give priority to entities listed in subsection (a) that— (1) are proposing to create, improve, or enhance screening, prevention, and treatment ; (2) by striking maternal depression and inserting maternal mental health and substance use disorders ; (3) by striking the period at the end of paragraph (1), as so designated, and inserting a semicolon; and (4) by inserting after such paragraph (1) the following: (2) are currently partnered with, or will partner with, a community-based organization to address maternal mental health and substance use disorders; (3) are located in an area with high rates of adverse maternal health outcomes or significant health, economic, racial, or ethnic disparities in maternal health and substance use disorder outcomes; and (4) operate in a health professional shortage area designated under section 332. . (d) Use of funds Subsection (d) of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— (1) in paragraph (1)— (A) in subparagraph (A), by striking to health care providers; and and inserting on maternal mental health and substance use disorder screening, brief intervention, treatment (as applicable for health care providers), and referrals for treatment to health care providers in the primary care setting and nonclinical perinatal support workers; ; (B) in subparagraph (B), by striking to health care providers, including information on maternal depression screening, treatment, and follow-up support services, and linkages to community-based resources; and and inserting on maternal mental health and substance use disorder screening, brief intervention, treatment (as applicable for health care providers) and referrals for treatment, follow-up support services, and linkages to community-based resources to health care providers in the primary care setting and clinical perinatal support workers; and ; and (C) by adding at the end the following: (C) enabling health care providers (such as obstetrician-gynecologists, nurse practitioners, nurse midwives, pediatricians, psychiatrists, mental and other behavioral health care providers, and adult primary care clinicians) to provide or receive real-time psychiatric consultation (in-person or remotely), including through the use of technology-enabled collaborative learning and capacity building models (as defined in section 330N), to aid in the treatment of pregnant and postpartum women; and ; and (2) in paragraph (2)— (A) by striking subparagraph (A) and redesignating subparagraphs (B) and (C) as subparagraphs (A) and (B), respectively; (B) in subparagraph (A), as redesignated, by striking and at the end; (C) in subparagraph (B), as redesignated— (i) by inserting , including before for rural areas ; and (ii) by striking the period at the end and inserting a semicolon; and (D) by inserting after subparagraph (B), as redesignated, the following: (C) providing assistance to pregnant and postpartum women to receive maternal mental health and substance use disorder treatment, including patient consultation, care coordination, and navigation for such treatment; (D) coordinating with maternal and child health programs of the Federal Government and State, local, and Tribal governments, including child psychiatric access programs; (E) conducting public outreach and awareness regarding grants under subsection (a); (F) creating multi-State consortia to carry out the activities required or authorized under this subsection; and (G) training health care providers in the primary care setting and nonclinical perinatal support workers on trauma-informed care, culturally and linguistically appropriate services, and best practices related to training to improve the provision of maternal mental health and substance use disorder care for racial and ethnic minority populations, including with respect to perceptions and biases that may affect the approach to, and provision of, care. . (e) Additional provisions Section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— (1) by redesignating subsection (e) as subsection (h); and (2) by inserting after subsection (d) the following: (e) Technical assistance The Secretary shall provide technical assistance to grantees and entities listed in subsection (a) for carrying out activities pursuant to this section. (f) Dissemination of best practices The Secretary, based on evaluation of the activities funded pursuant to this section, shall identify and disseminate evidence-based or evidence-informed best practices for screening, assessment, and treatment services for maternal mental health and substance use disorders, including culturally and linguistically appropriate services, for women during pregnancy and 12 months following pregnancy. (g) Matching requirement The Federal share of the cost of the activities for which a grant is made to an entity under subsection (a) shall not exceed 90 percent of the total cost of such activities. . (f) Authorization of appropriations Subsection (h) of section 317L–1 ( 42 U.S.C. 247b–13a ) of the Public Health Service Act, as redesignated, is further amended— (1) by striking $5,000,000 and inserting $24,000,000 ; and (2) by striking 2018 through 2022 and inserting 2023 through 2028 . 112. Maternal mental health hotline Part P of title III of the Public Health Service Act ( 42 U.S.C. 280g et seq. ) is amended by adding at the end the following: 399V–7. Maternal mental health hotline (a) In general The Secretary shall maintain, directly or by grant or contract, a national hotline to provide emotional support, information, brief intervention, and mental health and substance use disorder resources to pregnant and postpartum women at risk of, or affected by, maternal mental health and substance use disorders, and to their families or household members. (b) Requirements for hotline The hotline under subsection (a) shall— (1) be a 24/7 real-time hotline; (2) provide voice and text support; (3) be staffed by certified peer specialists, licensed health care professionals, or licensed mental health professionals who are trained on— (A) maternal mental health and substance use disorder prevention, identification, and intervention; and (B) providing culturally and linguistically appropriate support; and (4) provide maternal mental health and substance use disorder assistance and referral services to meet the needs of underserved populations, individuals with disabilities, and family and household members of pregnant or postpartum women at risk of experiencing maternal mental health and substance use disorders. (c) Additional requirements In maintaining the hotline under subsection (a), the Secretary shall— (1) consult with the Domestic Violence Hotline, National Suicide Prevention Lifeline, and Veterans Crisis Line to ensure that pregnant and postpartum women are connected in real-time to the appropriate specialized hotline service, when applicable; (2) conduct a public awareness campaign for the hotline; and (3) consult with Federal departments and agencies, including the Centers of Excellence of the Substance Abuse and Mental Health Services Administration and the Department of Veterans Affairs, to increase awareness regarding the hotline. (d) Annual report The Secretary shall submit an annual report to the Congress on the hotline under subsection (a) and implementation of this section, including— (1) an evaluation of the effectiveness of activities conducted or supported under subsection (a); (2) a directory of entities or organizations to which staff maintaining the hotline funded under this section may make referrals; and (3) such additional information as the Secretary determines appropriate. (e) Authorization of appropriations To carry out this section, there are authorized to be appropriated $10,000,000 for each of fiscal years 2023 through 2028. . C REACHING Improved Mental Health Outcomes for Patients 121. Innovation for mental health (a) National Mental Health and Substance Use Policy Laboratory Section 501A of the Public Health Service Act ( 42 U.S.C. 290aa–0 ) is amended— (1) in subsection (e)(1), by striking Indian tribes or tribal organizations and inserting Indian Tribes or Tribal organizations ; (2) by striking subsection (e)(3); and (3) by adding at the end the following: (f) Authorization of appropriations To carry out this section, there is authorized to be appropriated $10,000,000 for each of fiscal years 2023 through 2027. . (b) Interdepartmental serious mental illness coordinating committee (1) In general Part A of title V of the Public Health Service Act ( 42 U.S.C. 290aa et seq. ) is amended by inserting after section 501A ( 42 U.S.C. 290aa–0 ) the following: 501B. Interdepartmental serious mental illness coordinating committee (a) Establishment (1) In general The Secretary of Health and Human Services, or the designee of the Secretary, shall establish a committee to be known as the Interdepartmental Serious Mental Illness Coordinating Committee (in this section referred to as the Committee ). (2) Federal advisory committee act Except as provided in this section, the provisions of the Federal Advisory Committee Act (5 U.S.C. App.) shall apply to the Committee. (b) Meetings The Committee shall meet not fewer than 2 times each year. (c) Responsibilities The Committee shall submit, on a biannual basis, to Congress and any other relevant Federal department or agency a report including— (1) a summary of advances in serious mental illness and serious emotional disturbance research related to the prevention of, diagnosis of, intervention in, and treatment and recovery of serious mental illnesses, serious emotional disturbances, and advances in access to services and support for adults with a serious mental illness or children with a serious emotional disturbance; (2) an evaluation of the effect Federal programs related to serious mental illness have on public health, including public health outcomes such as— (A) rates of suicide, suicide attempts, incidence and prevalence of serious mental illnesses, serious emotional disturbances, and substance use disorders, overdose, overdose deaths, emergency hospitalizations, emergency room boarding, preventable emergency room visits, interaction with the criminal justice system, homelessness, and unemployment; (B) increased rates of employment and enrollment in educational and vocational programs; (C) quality of mental and substance use disorders treatment services; or (D) any other criteria as may be determined by the Secretary; and (3) specific recommendations for actions that agencies can take to better coordinate the administration of mental health services for adults with a serious mental illness or children with a serious emotional disturbance. (d) Membership (1) Federal members The Committee shall be composed of the following Federal representatives, or the designees of such representatives— (A) the Secretary of Health and Human Services, who shall serve as the Chair of the Committee; (B) the Assistant Secretary for Mental Health and Substance Use; (C) the Attorney General; (D) the Secretary of Veterans Affairs; (E) the Secretary of Defense; (F) the Secretary of Housing and Urban Development; (G) the Secretary of Education; (H) the Secretary of Labor; (I) the Administrator of the Centers for Medicare & Medicaid Services; and (J) the Commissioner of Social Security. (2) Non-federal members The Committee shall also include not less than 14 non-Federal public members appointed by the Secretary of Health and Human Services, of which— (A) at least 2 members shall be an individual who has received treatment for a diagnosis of a serious mental illness; (B) at least 1 member shall be a parent or legal guardian of an adult with a history of a serious mental illness or a child with a history of a serious emotional disturbance; (C) at least 1 member shall be a representative of a leading research, advocacy, or service organization for adults with a serious mental illness; (D) at least 2 members shall be— (i) a licensed psychiatrist with experience in treating serious mental illnesses; (ii) a licensed psychologist with experience in treating serious mental illnesses or serious emotional disturbances; (iii) a licensed clinical social worker with experience treating serious mental illnesses or serious emotional disturbances; or (iv) a licensed psychiatric nurse, nurse practitioner, or physician assistant with experience in treating serious mental illnesses or serious emotional disturbances; (E) at least 1 member shall be a licensed mental health professional with a specialty in treating children and adolescents with a serious emotional disturbance; (F) at least 1 member shall be a mental health professional who has research or clinical mental health experience in working with minorities; (G) at least 1 member shall be a mental health professional who has research or clinical mental health experience in working with medically underserved populations; (H) at least 1 member shall be a State certified mental health peer support specialist; (I) at least 1 member shall be a judge with experience in adjudicating cases related to criminal justice or serious mental illness; (J) at least 1 member shall be a law enforcement officer or corrections officer with extensive experience in interfacing with adults with a serious mental illness, children with a serious emotional disturbance, or individuals in a mental health crisis; and (K) at least 1 member shall have experience providing services for homeless individuals and working with adults with a serious mental illness, children with a serious emotional disturbance, or individuals in a mental health crisis. (3) Terms A member of the Committee appointed under paragraph (2) shall serve for a term of 3 years, and may be reappointed for 1 or more additional 3-year terms. Any member appointed to fill a vacancy for an unexpired term shall be appointed for the remainder of such term. A member may serve after the expiration of the member’s term until a successor has been appointed. (e) Working groups In carrying out its functions, the Committee may establish working groups. Such working groups shall be composed of Committee members, or their designees, and may hold such meetings as are necessary. (f) Sunset The Committee shall terminate on September 30, 2027. . (2) Conforming amendments (A) Section 501(l)(2) of the Public Health Service Act ( 42 U.S.C. 290aa(l)(2) ) is amended by striking section 6031 of such Act and inserting section 501B of this Act . (B) Section 6031 of the Helping Families in Mental Health Crisis Reform Act of 2016 (Division B of Public Law 114–255 ) is repealed. (c) 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— (1) in subsection (a), by striking Indian tribes or tribal organizations and inserting Indian Tribes or Tribal organizations ; and (2) in subsection (f), by striking $394,550,000 for each of fiscal years 2018 through 2022 and inserting $599,036,000 for each of fiscal years 2023 through 2027 . 122. Crisis care 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: 520F. Mental health crisis response partnership pilot program (a) In general The Secretary shall establish a pilot program under which the Secretary will award competitive grants to States, localities, territories, Indian Tribes, and Tribal organizations to establish new, or enhance existing, mobile crisis response teams that divert the response for mental health and substance use crises from law enforcement to mobile crisis teams, as described in subsection (b). (b) Mobile crisis teams described A mobile crisis team described in this subsection is a team of individuals— (1) that is available to respond to individuals in crisis and provide immediate stabilization, referrals to community-based mental health and substance use disorder services and supports, and triage to a higher level of care if medically necessary; (2) which may include licensed counselors, clinical social workers, physicians, paramedics, crisis workers, peer support specialists, or other qualified individuals; and (3) which may provide support to divert behavioral health crisis calls from the 9–1–1 system to the 9–8–8 system. (c) Priority In awarding grants under this section, the Secretary shall prioritize applications which account for the specific needs of the communities to be served, including children and families, veterans, rural and underserved populations, and other groups at increased risk of death from suicide or overdose. (d) Report (1) Initial report Not later than September 30, 2024, the Secretary shall submit to Congress a report on steps taken by the entities specified in subsection (a) as of such date of enactment to strengthen the partnerships among mental health providers, substance use disorder treatment providers, primary care physicians, mental health and substance use crisis teams, and paramedics, law enforcement officers, and other first responders. (2) Progress reports Not later than one year after the date on which the first grant is awarded to carry out this section, and for each year thereafter, the Secretary shall submit to Congress a report on the grants made during the year covered by the report, which shall include— (A) impact data on the teams and people served by such programs, including demographic information of individuals served, volume, and types of service utilization; (B) outcomes of the number of linkages to community-based resources, short-term crisis receiving and stabilization facilities, and diversion from law enforcement or hospital emergency department settings; (C) data consistent with the State block grant requirements for continuous evaluation and quality improvement, and other relevant data as determined by the Secretary; and (D) the Secretary’s recommendations and best practices for— (i) States and localities providing mobile crisis response and stabilization services for youth and adults; and (ii) improvements to the program established under this section. (e) Authorization of appropriations There are authorized to be appropriated to carry out this section, $10,000,000 for each of fiscal years 2023 through 2027. . (b) Mental health awareness training grants (1) In general Section 520J(b) of the Public Health Service Act ( 42 U.S.C. 290bb–41(b) ) is amended— (B) in paragraph (1), by striking Indian tribes, tribal organizations and inserting Indian Tribes, Tribal organizations ; (C) in paragraph (4), by striking Indian tribe, tribal organization each place it appears and inserting Indian Tribe, Tribal organization ; (D) in paragraph (5)— (i) by striking Indian tribe, tribal organization each place it appears and inserting Indian Tribe, Tribal organization ; and (ii) in subparagraph (A), by striking and at the end; (iii) in subparagraph (B)(ii), by striking the period at the end and inserting ; and ; and (iv) by adding at the end the following: (C) suicide intervention and prevention, including recognizing warning signs and how to refer someone for help. ; (E) in paragraph (6), by striking Indian tribe, tribal organization each place it appears and inserting Indian Tribe, Tribal organization ; and (F) in paragraph (7), by striking $14,693,000 for each of fiscal years 2018 through 2022 and inserting $24,963,000 for each of fiscal years 2023 through 2027 . (2) Technical corrections Section 520J(b) of the Public Health Service Act ( 42 U.S.C. 290bb–41(b) ) is amended— (A) in the heading of paragraph (2), by striking Emergency Services Personnel and inserting Emergency services personnel ; and (B) in the heading of paragraph (3), by striking Distribution of Awards and inserting Distribution of awards . (c) Adult suicide prevention Section 520L of the Public Health Service Act ( 42 U.S.C. 290bb–43 ) is amended— (1) in subsection (a)— (A) in paragraph (2)— (i) by striking Indian tribe each place it appears and inserting Indian Tribe ; and (ii) by striking tribal organization each place it appears and inserting Tribal organization ; and (B) by amending paragraph (3)(C) to read as follows: (C) Raising awareness of suicide prevention resources, promoting help seeking among those at risk for suicide. ; and (2) in subsection (d), by striking $30,000,000 for the period of fiscal years 2018 through 2022 and inserting $30,000,000 for each of fiscal years 2023 through 2027 . 123. Treatment of serious mental illness (a) Assertive community treatment grant program (1) Technical amendment Section 520M(b) of the Public Health Service Act ( 42 U.S.C. 290bb–44(b) ) is amended by striking Indian tribe or tribal organization and inserting Indian Tribe or Tribal organization . (2) Report to Congress Section 520M(d)(1) of the Public Health Service Act ( 42 U.S.C. 290bb–44(d)(1) ) is amended by striking not later than the end of fiscal year 2021 and inserting not later than the end of fiscal year 2026 . (3) Authorization of appropriations Section 520M(e)(1) of the Public Health Service Act ( 42 U.S.C. 290bb–44(d)(1) ) is amended by striking $5,000,000 for the period of fiscal years 2018 through 2022 and inserting $15,000,000 for each of fiscal years 2023 through 2027 . (b) Assisted outpatient treatment Section 224 of the Protecting Access to Medicare Act of 2014 ( 42 U.S.C. 290aa note) is amended to read as follows: 224. Assisted outpatient treatment grant program for individuals with serious mental illness (a) In general The Secretary shall carry out a program to award grants to eligible entities for assisted outpatient treatment programs for individuals with serious mental illness. (b) Consultation The Secretary shall carry out this section in consultation with the Director of the National Institute of Mental Health, the Attorney General of the United States, the Administrator of the Administration for Community Living, and the Assistant Secretary for Mental Health and Substance Use. (c) Selecting among applicants In awarding grants under this section, the Secretary— (1) may give preference to applicants that have not previously implemented an assisted outpatient treatment program; and (2) shall evaluate applicants based on their potential to reduce hospitalization, homelessness, incarceration, and interaction with the criminal justice system while improving the health and social outcomes of the patient. (d) Program requirements An assisted outpatient treatment program funded with a grant awarded under this section shall include— (1) evaluating the medical and social needs of the patients who are participating in the program; (2) preparing and executing treatment plans for such patients that— (A) include criteria for completion of court-ordered treatment if applicable; and (B) provide for monitoring of the patient’s compliance with the treatment plan, including compliance with medication and other treatment regimens; (3) providing for case management services that support the treatment plan; (4) ensuring appropriate referrals to medical and social services providers; (5) evaluating the process for implementing the program to ensure consistency with the patient’s needs and State law; and (6) measuring treatment outcomes, including health and social outcomes such as rates of incarceration, health care utilization, and homelessness. (e) Report Not later than the end of fiscal year 2027, the Secretary shall submit a report to the appropriate congressional committees on the grant program under this section. Such report shall include an evaluation of the following: (1) Cost savings and public health outcomes such as mortality, suicide, substance abuse, hospitalization, and use of services. (2) Rates of incarceration of patients. (3) Rates of homelessness of patients. (4) Patient and family satisfaction with program participation. (5) Demographic information regarding participation of those served by the grant compared to demographic information in the population of the grant recipient. (f) Definitions In this section: (1) The term assisted outpatient treatment means medically prescribed mental health treatment that a patient receives while living in a community under the terms of a law authorizing a State or local civil court to order such treatment. (2) The term eligible entity means a county, city, mental health system, mental health court, or any other entity with authority under the law of the State in which the entity is located to implement, monitor, and oversee an assisted outpatient treatment program. (g) Funding (1) Amount of grants (A) Maximum amount The amount of a grant under this section shall not exceed $1,000,000 for any fiscal year. (B) Determination Subject to subparagraph (A), the Secretary shall determine the amount of each grant under this section based on the population of the area to be served through the grant and an estimate of the number of patients to be served. (2) Authorization of appropriations There is authorized to be appropriated to carry out this section $22,000,000 for each of fiscal years 2023 through 2027. . D Anna Westin Legacy 131. Maintaining education and training on eating disorders Subpart 3 of part B of title V of the Public Health Service Act ( 42 U.S.C. 290bb–31 et seq. ), as amended by section 102, is further amended by adding at the end the following: 520O. Center of Excellence for Eating Disorders for education and training on eating disorders (a) In general The Secretary, acting through the Assistant Secretary, shall maintain, by competitive grant or contract, a Center of Excellence for Eating Disorders (referred to in this section as the Center ) to improve the identification of, interventions for, and treatment of eating disorders in a manner that is developmentally, culturally, and linguistically appropriate. (b) Subgrants and subcontracts The Center shall coordinate and implement the activities under subsection (c), in whole or in part, by awarding competitive subgrants or subcontracts— (1) across geographical regions; and (2) in a manner that is not duplicative. (c) Activities The Center— (1) shall— (A) provide training and technical assistance for— (i) primary care and behavioral health care providers to carry out screening, brief intervention, and referral to treatment for individuals experiencing, or at risk for, eating disorders; and (ii) non-clinical community support workers to identify and support individuals with, or at disproportionate risk for, eating disorders; (B) develop and provide training materials to health care providers, including primary care and behavioral health care providers, in the effective treatment and ongoing support of individuals with eating disorders, including children and marginalized populations at disproportionate risk for eating disorders; (C) provide collaboration and coordination to other centers of excellence, technical assistance centers, and psychiatric consultation lines of the Substance Abuse and Mental Health Services Administration and the Health Resources and Services Administration on the identification, effective treatment, and ongoing support of individuals with eating disorders; and (D) coordinate with the Director of the Centers for Disease Control and Prevention and the Administrator of the Health Resources and Services Administration to disseminate training to primary care and behavioral health care providers; and (2) may— (A) coordinate with electronic health record systems for the integration of protocols pertaining to screening, brief intervention, and referral to treatment for individuals experiencing, or at risk for, eating disorders; (B) develop and provide training materials to health care providers, including primary care and behavioral health care providers, in the effective treatment and ongoing support for Members of the Armed Forces and veterans experiencing, or at risk for, eating disorders; and (C) consult with the Secretary of Defense and the Secretary of Veterans Affairs on prevention, identification, intervention for, and treatment of eating disorders. (d) Authorization of appropriations To carry out this section, there is authorized to be appropriated $1,000,000 for each of fiscal years 2023 through 2027. . E Community Mental Health Services Block Grant Reauthorization 141. Reauthorization of block grants for community mental health services (a) Funding 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 $857,571,000 for each of fiscal years 2023 through 2027 . (b) Set-aside for evidence-based crisis care services Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ) is amended by adding at the end the following: (d) Crisis care (1) In general Except as provided in paragraph (3), a State shall expend at least 5 percent of the amount the State receives pursuant to section 1911 for each fiscal year to support evidenced-based programs that address the crisis care needs of— (A) individuals, including children and adolescents, experiencing mental health crises, substance-related crises, or crises arising from co-occurring disorders; and (B) persons with intellectual and developmental disabilities. (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 two consecutive fiscal years. (4) Rule of construction With respect to funds expended pursuant to the set-aside in paragraph (1), section 1912(b)(1)(A)(vi) shall not apply. . (c) Early intervention (1) State plan option Section 1912(b)(1)(A)(vii) of the Public Health Service Act ( 42 U.S.C. 300x–1(b)(1)(A)(vii) ) is amended— (A) in subclause (III), by striking and at the end; (B) in subclause (IV), by striking the period at the end and inserting ; and ; and (C) by adding at the end the following: (V) a description of any evidence-based early intervention strategies and programs the State provides to prevent, delay, or reduce the severity and onset of mental illness and behavioral problems, including for children and adolescents, irrespective of experiencing a serious mental illness or serious emotional disturbance, as defined under subsection (c)(1). . (2) Allocation allowance; reports Section 1920 of the Public Health Service Act ( 42 U.S.C. 300x–9 ), as amended by subsection (c), is further amended by adding at the end the following: (e) Early intervention services In the case of a State with a State plan that provides for strategies and programs specified in section 1912(b)(1)(A)(vii)(VI), such State may expend not more than 5 percent of the amount of the allotment of the State pursuant to a funding agreement under section 1911 for each fiscal year to support such strategies and programs. (f) Reports to Congress Not later than September 30, 2025, and biennially thereafter, the Secretary shall provide a report to the Congress on the crisis care and early intervention strategies and programs pursued by States pursuant to subsections (d) and (e). Each such report shall include— (1) a description of the each State’s crisis care and early intervention activities; (2) the population served, including information on demographics, including age; (3) the outcomes of such activities, including— (A) how such activities reduced hospitalizations and hospital stays; (B) how such activities reduced incidents of suicidal ideation and behaviors; and (C) how such activities reduced the severity of onset of serious mental illness and serious emotional disturbance; and (4) any other relevant information the Secretary deems necessary. . II Substance Use Disorder Prevention, Treatment, and Recovery Services A Native Behavioral Health Access Improvement 201. Behavioral health and substance use disorder services for American Indians and Alaska Natives Section 506A of the Public Health Service Act ( 42 U.S.C. 290aa–5a ) is amended to read as follows: 506A. Behavioral health and substance use disorder services for American Indians and Alaska Natives (a) Definitions In this section: (1) The term eligible entity means an Indian Tribe, a Tribal organization, and Urban Indian organizations. (2) The terms Indian Tribe , Tribal organization , and Urban Indian organization have the meanings given to the terms Indian tribe , tribal organization , and Urban Indian organization in section 4 of the Indian Health Care Improvement Act. (b) Formula grants (1) In general The Secretary shall award grants to eligible entities, in amounts determined pursuant to the formula described in paragraph (2), to be used by the eligible entity to provide culturally appropriate mental health and substance use disorder prevention, treatment, and recovery services to American Indians and Alaska Natives. (2) Formula The Secretary, in consultation with the Director of the Indian Health Service, Indian Tribes, Tribal Organizations, and Urban Indian Organizations, shall develop a formula to determine the amount of a grant under paragraph (1). Such formula shall take into account the populations of eligible entities whose rates of overdose deaths or suicide are substantially higher relative to the populations of other Indian Tribes, Tribal organizations, or Urban Indian Organizations. (c) Technical assistance and program evaluation (1) In general The Secretary shall— (A) provide technical assistance to applicants and grantees under this section; and (B) collect and evaluate information on the program carried out under this section. (2) Consultation on evaluation measures, and data submission and reporting requirements The Secretary shall, in consultation with eligible entities, develop evaluation measures and data submission and reporting requirements for purposes of the collection and evaluation of information under paragraph (1)(B). (3) Data submission and reporting As a condition on receipt of a grant under this section, an applicant shall agree to submit data and reports consistent with the evaluation measures and data submission and reporting requirements developed under paragraph (2). (d) Application An entity desiring a grant, contract, or cooperative agreement under subsection (b) shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may reasonably require. (e) Report Not later than 3 years after the date of the enactment of this section and annually thereafter, the Secretary shall prepare and submit, to the Committee on Health, Education, Labor, and Pensions of the Senate, and the Committee on Energy and Commerce of the House of Representatives, a report describing the services provided pursuant to this section. (f) Authorization of appropriations There are authorized to be appropriated to carry out this section, $40,000,000 for each of fiscal years 2023 through 2027. . B Summer Barrow Prevention, Treatment, and Recovery 211. Grants for the benefit of homeless individuals Section 506(e) of the Public Health Service Act ( 42 U.S.C. 290aa–5(e) ) is amended by striking 2018 through 2022 and inserting 2023 through 2027 . 212. Priority substance abuse treatment needs of regional and national significance Section 509 of the Public Health Service Act ( 42 U.S.C. 290bb–2 ) is amended— (1) in the section heading, by striking Abuse and inserting Use Disorder ; (2) in subsection (a)— (A) by striking tribes and tribal organizations each place it appears and inserting Tribes and Tribal organizations ; and (B) in paragraph (3), by striking in substance abuse ; (3) in subsection (b), in the subsection heading, by striking Abuse and inserting Use Disorder ; and (4) in subsection (f), by striking $333,806,000 for each of fiscal years 2018 through 2022 and inserting $521,517,000 for each of fiscal years 2023 through 2027 . 213. Evidence-based prescription opioid and heroin treatment and interventions demonstration Section 514B of the Public Health Service Act ( 42 U.S.C. 290bb–10 ) is amended— (1) in subsection (a)(1)— (A) by striking substance abuse and inserting substance use disorder ; (B) by striking tribes and tribal organizations and inserting Tribes and Tribal organizations ; and (C) by striking addiction and inserting substance use disorders ; (2) in subsection (e)(3), by striking tribes and tribal organizations and inserting Tribes and Tribal organizations ; and (3) in subsection (f), by striking 2017 through 2021 and inserting 2023 through 2027 . 214. Priority substance use disorder prevention needs of regional and national significance Section 516 of the Public Health Service Act ( 42 U.S.C. 290bb–22 ) is amended— (1) in subsection (a)— (A) in paragraph (3), by striking abuse and inserting use ; and (B) in the matter following paragraph (3), by striking tribes or tribal organizations each place it appears and inserting Tribes or Tribal organizations ; (2) in subsection (b), in the subsection heading, by striking Abuse and inserting Use Disorder ; and (3) in subsection (f), by striking $211,148,000 for each of fiscal years 2018 through 2022 and inserting $218,219,000 for each of fiscal years 2023 through 2027 . 215. Sober Truth on Preventing (STOP) Underage Drinking Reauthorization Section 519B of the Public Health Service Act ( 42 U.S.C. 290bb–25b ) is amended— (1) by amending subsection (a) to read as follows: (a) Definitions For purposes of this section: (1) The term alcohol beverage industry means the brewers, vintners, distillers, importers, distributors, and retail or online outlets that sell or serve beer, wine, and distilled spirits. (2) The term school-based prevention means programs, which are institutionalized, and run by staff members or school-designated persons or organizations in any grade of school, kindergarten through 12th grade. (3) The term youth means persons under the age of 21. ; and (2) by striking subsections (c) through (g) and inserting the following: (c) Interagency coordinating committee; annual report on State underage drinking prevention and enforcement activities (1) Interagency coordinating committee on the prevention of underage drinking (A) In general The Secretary, in collaboration with the Federal officials specified in subparagraph (B), shall continue to support and enhance the efforts of the interagency coordinating committee, that began operating in 2004, focusing on underage drinking (referred to in this subsection as the Committee ). (B) Other agencies The officials referred to in subparagraph (A) are the Secretary of Education, the Attorney General, the Secretary of Transportation, the Secretary of the Treasury, the Secretary of Defense, the Surgeon General, the Director of the Centers for Disease Control and Prevention, the Director of the National Institute on Alcohol Abuse and Alcoholism, the Assistant Secretary for Mental Health and Substance Use, the Director of the National Institute on Drug Abuse, the Assistant Secretary for Children and Families, the Director of the Office of National Drug Control Policy, the Administrator of the National Highway Traffic Safety Administration, the Administrator of the Office of Juvenile Justice and Delinquency Prevention, the Chairman of the Federal Trade Commission, and such other Federal officials as the Secretary of Health and Human Services determines to be appropriate. (C) Chair The Secretary of Health and Human Services shall serve as the chair of the Committee. (D) Duties The Committee shall guide policy and program development across the Federal Government with respect to underage drinking, provided, however, that nothing in this section shall be construed as transferring regulatory or program authority from an Agency to the Coordinating Committee. (E) Consultations The Committee shall actively seek the input of and shall consult with all appropriate and interested parties, including States, public health research and interest groups, foundations, and alcohol beverage industry trade associations and companies. (F) Annual report (i) In general The Secretary, on behalf of the Committee, shall annually submit to the Congress a report that summarizes— (I) all programs and policies of Federal agencies designed to prevent and reduce underage drinking, focusing particularly on programs and policies that support the adoption and enforcement of State policies designed to prevent and reduce underage drinking as specified in paragraph (2); (II) the extent of progress in preventing and reducing underage drinking at State and national levels; (III) data that the Secretary shall collect with respect to the information specified in clause (ii); and (IV) such other information regarding underage drinking as the Secretary determines to be appropriate. (ii) Certain information The report under clause (i) shall include information on the following: (I) Patterns and consequences of underage drinking as reported in research and surveys such as, but not limited to, Monitoring the Future, Youth Risk Behavior Surveillance System, the National Survey on Drug Use and Health, and the Fatality Analysis Reporting System. (II) Measures of the availability of alcohol from commercial and non-commercial sources to underage populations. (III) Measures of the exposure of underage populations to messages regarding alcohol in advertising, social media, and the entertainment media. (IV) Surveillance data, including information on the onset and prevalence of underage drinking, consumption patterns, beverage preferences, prevalence of drinking among students at institutions of higher education, correlations between adult and youth drinking, and the means of underage access, including trends over time for these surveillance data. The Secretary shall develop a plan to improve the collection, measurement, and consistency of reporting Federal underage alcohol data. (V) Any additional findings resulting from research conducted or supported under subsection (f). (VI) Evidence-based best practices to prevent and reduce underage drinking including a review of the research literature related to State laws, regulations, and policies designed to prevent and reduce underage drinking, as described in paragraph (2)(B)(i). (2) Annual report on State underage drinking prevention and enforcement activities (A) In general The Secretary shall, with input and collaboration from other appropriate Federal agencies, States, Indian Tribes, territories, and public health, consumer, and alcohol beverage industry groups, annually issue a report on each State’s performance in enacting, enforcing, and creating laws, regulations, and policies to prevent or reduce underage drinking based on an assessment of best practices developed pursuant to paragraph (1)(F)(ii)(VI) and subparagraph (B)(i). For purposes of this paragraph, each such report, with respect to a year, shall be referred to as the State Report . Each State Report shall be designed as a resource tool for Federal agencies assisting States in the their underage drinking prevention efforts, State public health and law enforcement agencies, State and local policymakers, and underage drinking prevention coalitions including those receiving grants pursuant to subsection (e). (B) State performance measures (i) In general The Secretary shall develop, in consultation with the Committee, a set of measures to be used in preparing the State Report on best practices as they relate to State laws, regulations, policies, and enforcement practices. (ii) State report content The State Report shall include updates on State laws, regulations, and policies included in previous reports to Congress, including with respect to the following: (I) Whether or not the State has comprehensive anti-underage drinking laws such as for the illegal sale, purchase, attempt to purchase, consumption, or possession of alcohol; illegal use of fraudulent ID; illegal furnishing or obtaining of alcohol for an individual under 21 years; the degree of strictness of the penalties for such offenses; and the prevalence of the enforcement of each of these infractions. (II) Whether or not the State has comprehensive liability statutes pertaining to underage access to alcohol such as dram shop, social host, and house party laws, and the prevalence of enforcement of each of these laws. (III) Whether or not the State encourages and conducts comprehensive enforcement efforts to prevent underage access to alcohol at retail outlets, such as random compliance checks and shoulder tap programs, and the number of compliance checks within alcohol retail outlets measured against the number of total alcohol retail outlets in each State, and the result of such checks. (IV) Whether or not the State encourages training on the proper selling and serving of alcohol for all sellers and servers of alcohol as a condition of employment. (V) Whether or not the State has policies and regulations with regard to direct sales to consumers and home delivery of alcoholic beverages. (VI) Whether or not the State has programs or laws to deter adults from purchasing alcohol for minors; and the number of adults targeted by these programs. (VII) Whether or not the State has enacted graduated drivers licenses and the extent of those provisions. (iii) Additional categories In addition to the updates on State laws, regulations, and policies listed in clause (ii), the Secretary shall consider the following: (I) Whether or not States have adopted laws, regulations, and policies that deter underage alcohol use, as described in The Surgeon General’s Call to Action to Prevent and Reduce Underage Drinking issued in 2007 and Facing Addiction in America: The Surgeon General’s Report on Alcohol, Drugs and Health issued in 2016, including restrictions on low-price, high-volume drink specials, and wholesaler pricing provisions. (II) Whether or not States have adopted laws, regulations, and policies designed to reduce alcohol advertising messages attractive to youth and youth exposure to alcohol advertising and marketing in measured and unmeasured media and digital and social media. (III) Whether or not States have laws and policies that promote underage drinking prevention policy development by local jurisdictions. (IV) Whether or not States have adopted laws, regulations, and policies to restrict youth access to alcoholic beverages that may pose special risks to youth, including but not limited to alcoholic mists, gelatins, freezer pops, premixed caffeinated alcoholic beverages, and flavored malt beverages. (V) Whether or not States have adopted uniform best practices protocols for conducting compliance checks and shoulder tap programs. (VI) Whether or not States have adopted uniform best practices penalty protocols for violations of laws prohibiting retail licensees from selling or furnishing of alcohol to minors. (iv) Uniform data system For performance measures related to enforcement of underage drinking laws as specified in clauses (ii) and (iii), the Secretary shall develop and test a uniform data system for reporting State enforcement data, including the development of a pilot program for this purpose. The pilot program shall include procedures for collecting enforcement data from both State and local law enforcement jurisdictions. (3) Authorization of appropriations There is authorized to be appropriated to carry out this subsection $1,000,000 for each of fiscal years 2023 through 2027. (d) National media campaign To prevent underage drinking (1) In general The Secretary, in consultation with the National Highway Traffic Safety Administration, shall develop an intensive, multifaceted, adult-oriented national media campaign to reduce underage drinking by influencing attitudes regarding underage drinking, increasing the willingness of adults to take actions to reduce underage drinking, and encouraging public policy changes known to decrease underage drinking rates. (2) Purpose The purpose of the national media campaign described in this section shall be to achieve the following objectives: (A) Instill a broad societal commitment to reduce underage drinking. (B) Increase specific actions by adults that are meant to discourage or inhibit underage drinking. (C) Decrease adult conduct that tends to facilitate or condone underage drinking. (3) Components When implementing the national media campaign described in this section, the Secretary shall— (A) educate the public about the public health and safety benefits of evidence-based policies to reduce underage drinking, including minimum legal drinking age laws, and build public and parental support for and cooperation with enforcement of such policies; (B) educate the public about the negative consequences of underage drinking; (C) promote specific actions by adults that are meant to discourage or inhibit underage drinking, including positive behavior modeling, general parental monitoring, and consistent and appropriate discipline; (D) discourage adult conduct that tends to facilitate underage drinking, including the hosting of underage parties with alcohol and the purchasing of alcoholic beverages on behalf of underage youth; (E) establish collaborative relationships with local and national organizations and institutions to further the goals of the campaign and assure that the messages of the campaign are disseminated from a variety of sources; (F) conduct the campaign through multi-media sources; and (G) conduct the campaign with regard to changing demographics and cultural and linguistic factors. (4) Consultation requirement In developing and implementing the national media campaign described in this section, the Secretary shall consult recommendations for reducing underage drinking published by the National Academy of Sciences and the Surgeon General. The Secretary shall also consult with interested parties including medical, public health, and consumer and parent groups, law enforcement, institutions of higher education, community organizations and coalitions, and other stakeholders supportive of the goals of the campaign. (5) Annual report The Secretary shall produce an annual report on the progress of the development or implementation of the media campaign described in this subsection, including expenses and projected costs, and, as such information is available, report on the effectiveness of such campaign in affecting adult attitudes toward underage drinking and adult willingness to take actions to decrease underage drinking. (6) Research on youth-oriented campaign The Secretary may, based on the availability of funds, conduct research on the potential success of a youth-oriented national media campaign to reduce underage drinking. The Secretary shall report any such results to Congress with policy recommendations on establishing such a campaign. (7) Administration The Secretary may enter into a subcontract with another Federal agency to delegate the authority for execution and administration of the adult-oriented national media campaign. (8) Authorization of appropriations There is authorized to be appropriated to carry out this section $2,500,000 for each of fiscal years 2023 through 2027. (e) Community-Based coalition enhancement grants To prevent underage drinking (1) Authorization of program The Assistant Secretary for Mental Health and Substance Use, in consultation with the Director of the Office of National Drug Control Policy, shall award enhancement grants to eligible entities to design, implement, evaluate, and disseminate comprehensive strategies to maximize the effectiveness of community-wide approaches to preventing and reducing underage drinking. This subsection is subject to the availability of appropriations. (2) Purposes The purposes of this subsection are to— (A) prevent and reduce alcohol use among youth in communities throughout the United States; (B) strengthen collaboration among communities, the Federal Government, Tribal Governments, and State and local governments; (C) enhance intergovernmental cooperation and coordination on the issue of alcohol use among youth; (D) serve as a catalyst for increased citizen participation and greater collaboration among all sectors and organizations of a community that first demonstrates a long-term commitment to reducing alcohol use among youth; (E) implement state-of-the-art science-based strategies to prevent and reduce underage drinking by changing local conditions in communities; and (F) enhance, not supplant, effective local community initiatives for preventing and reducing alcohol use among youth. (3) Application An eligible entity desiring an enhancement grant under this subsection shall submit an application to the Assistant Secretary at such time, and in such manner, and accompanied by such information and assurances, as the Assistant Secretary may require. Each application shall include— (A) a complete description of the entity’s current underage alcohol use prevention initiatives and how the grant will appropriately enhance the focus on underage drinking issues; or (B) a complete description of the entity’s current initiatives, and how it will use this grant to enhance those initiatives by adding a focus on underage drinking prevention. (4) Uses of funds Each eligible entity that receives a grant under this subsection shall use the grant funds to carry out the activities described in such entity’s application submitted pursuant to paragraph (3) and obtain specialized training and technical assistance by the entity funded under section 4 of Public Law 107–82 , as amended ( 21 U.S.C. 1521 note). Grants under this subsection shall not exceed $60,000 per year and may not exceed four years. (5) Supplement not supplant Grant funds provided under this subsection shall be used to supplement, not supplant, Federal and non-Federal funds available for carrying out the activities described in this subsection. (6) Evaluation Grants under this subsection shall be subject to the same evaluation requirements and procedures as the evaluation requirements and procedures imposed on recipients of drug-free community grants. (7) Definitions For purposes of this subsection, the term eligible entity means an organization that is currently receiving or has received grant funds under the Drug-Free Communities Act of 1997. (8) Administrative expenses Not more than 6 percent of a grant under this subsection may be expended for administrative expenses. (9) Authorization of appropriations There is authorized to be appropriated to carry out this subsection $11,500,000 for each of fiscal years 2023 through 2027. (f) Grants to professional pediatric provider organizations To reduce underage drinking through screening and brief interventions (1) In general The Secretary, acting through the Assistant Secretary for Mental Health and Substance Use, shall make one or more grants to professional pediatric provider organizations to increase among the members of such organizations effective practices to reduce the prevalence of alcohol use among individuals under the age of 21, including college students. (2) Purposes Grants under this subsection shall be made to promote the practices of— (A) screening adolescents for alcohol use; (B) offering brief interventions to adolescents to discourage such use; (C) educating parents about the dangers of and methods of discouraging such use; (D) diagnosing and treating alcohol use disorders; and (E) referring patients, when necessary, to other appropriate care. (3) Use of funds A professional pediatric provider organization receiving a grant under this section may use the grant funding to promote the practices specified in paragraph (2) among its members by— (A) providing training to health care providers; (B) disseminating best practices, including culturally and linguistically appropriate best practices, and developing, printing, and distributing materials; and (C) supporting other activities approved by the Assistant Secretary. (4) Application To be eligible to receive a grant under this subsection, a professional pediatric provider organization shall submit an application to the Assistant Secretary at such time, and in such manner, and accompanied by such information and assurances as the Secretary may require. Each application shall include— (A) a description of the pediatric provider organization; (B) a description of the activities to be completed that will promote the practices specified in paragraph (2); (C) a description of the organization’s qualifications for performing such practices; and (D) a timeline for the completion of such activities. (5) Definitions For the purpose of this subsection: (A) Brief intervention The term brief intervention means, after screening a patient, providing the patient with brief advice and other brief motivational enhancement techniques designed to increase the insight of the patient regarding the patient’s alcohol use, and any realized or potential consequences of such use to effect the desired related behavioral change. (B) Adolescents The term adolescents means individuals under 21 years of age. (C) Professional pediatric provider organization The term professional pediatric provider organization means an organization or association that— (i) consists of or represents pediatric health care providers; and (ii) is qualified to promote the practices specified in paragraph (2). (D) Screening The term screening means using validated patient interview techniques to identify and assess the existence and extent of alcohol use in a patient. (6) Authorization of appropriations There is authorized to be appropriated to carry out this subsection $3,000,000 for each of fiscal years 2023 through 2027. (g) Data collection and research (1) Additional research on underage drinking (A) In general The Secretary shall, subject to the availability of appropriations, collect data, and conduct or support research that is not duplicative of research currently being conducted or supported by the Department of Health and Human Services, on underage drinking, with respect to the following: (i) Improve data collection in support of evaluation of the effectiveness of comprehensive community-based programs or strategies and statewide systems to prevent and reduce underage drinking, across the underage years from early childhood to age 21, such as programs funded and implemented by governmental entities, public health interest groups and foundations, and alcohol beverage companies and trade associations, through the development of models of State-level epidemiological surveillance of underage drinking by funding in States or large metropolitan areas new epidemiologists focused on excessive drinking including underage alcohol use. (ii) Obtain and report more precise information than is currently collected on the scope of the underage drinking problem and patterns of underage alcohol consumption, including improved knowledge about the problem and progress in preventing, reducing, and treating underage drinking, as well as information on the rate of exposure of youth to advertising and other media messages encouraging and discouraging alcohol consumption. (iii) Synthesize, expand on, and widely disseminate existing research on effective strategies for reducing underage drinking, including translational research, and make this research easily accessible to the general public. (iv) Improve and conduct public health surveillance on alcohol use and alcohol-related conditions in States by increasing the use of surveys, such as the Behavioral Risk Factor Surveillance System, to monitor binge and excessive drinking and related harms among individuals who are at least 18 years of age, but not more than 20 years of age, including harm caused to self or others as a result of alcohol use that is not duplicative of research currently being conducted or supported by the Department of Health and Human Services. (B) Authorization of appropriations There is authorized to be appropriated to carry out this paragraph $5,000,000 for each of fiscal years 2023 through 2027. (2) National Academy of Sciences study (A) In general Not later than 12 months after the enactment of the Restoring Hope for Mental Health and Well-Being Act of 2022 , the Secretary shall— (i) contract with the National Academy of Sciences to study developments in research on underage drinking and the public policy implications of these developments; and (ii) report to the Congress on the results of such review. (B) Authorization of appropriations There is authorized to be appropriated to carry out this paragraph $500,000 for fiscal year 2023. . 216. Grants for jail diversion programs Section 520G of the Public Health Service Act ( 42 U.S.C. 290bb–38 ) is amended— (1) in subsection (a)— (A) by striking up to 125 ; and (B) by striking tribes and tribal organizations and inserting Tribes and Tribal organizations ; (2) in subsection (b)(2), by striking tribes, and tribal organizations and inserting Tribes, and Tribal organizations ; (3) in subsection (c)— (A) in paragraph (1), by striking tribe or tribal organization and inserting Tribe or Tribal organization, health facility or program described in subsection (a), or public or nonprofit entity referred to in subsection (a) ; and (B) in paragraph (2)(A)(iii), by striking tribe, or tribal organization and inserting Tribe, or Tribal organization ; (4) in subsection (e)— (A) in the matter preceding paragraph (1), by striking tribe, or tribal organization and inserting Tribe, or Tribal organization ; and (B) in paragraph (5), by striking or arrest and inserting , arrest, or release ; (5) in subsection (f), by striking tribe, or tribal organization each place it appears and inserting Tribe, or Tribal organization ; (6) in subsection (h), by striking tribe, or tribal organization and inserting Tribe, or Tribal organization ; and (7) in subsection (j), by striking $4,269,000 for each of fiscal years 2018 through 2022 and inserting $14,000,000 for each of fiscal years 2023 through 2027 . 217. Formula grants to States Section 521 of the Public Health Service Act ( 42 U.S.C. 290cc–21 ) is amended by striking 2018 through 2022 and inserting 2023 through 2027 . 218. Projects for Assistance in Transition From Homelessness Section 535(a) of the Public Health Service Act ( 42 U.S.C. 290cc–35(a) ) is amended by striking 2018 through 2022 and inserting 2023 through 2027 . 219. Grants for reducing overdose deaths Section 544 of the Public Health Service Act ( 42 U.S.C. 290dd–3 ) is amended— (1) in subsection (b)(1), by striking abuse and inserting use disorder ; and (2) in subsection (f), by striking 2017 through 2021 and inserting 2023 through 2027 . 220. Opioid overdose reversal medication access and education grant programs Section 545 of the Public Health Service Act ( 42 U.S.C. 290ee ) is amended— (1) in subsection (c)(2), by striking abuse and inserting use disorder ; and (2) in subsection (h)(1), by striking 2017 through 2019 and inserting 2023 through 2027 . 221. State demonstration grants for comprehensive opioid abuse response Section 548 of the Public Health Service Act ( 42 U.S.C. 290ee–3 ) is amended— (1) in the section heading, by striking Abuse and inserting Use Disorder ; (2) in subsection (b)— (A) in the subsection heading, by striking Abuse and inserting Use Disorder ; (B) in paragraph (1), by striking abuse and inserting use disorder ; (C) in paragraph (2)— (i) in the matter preceding subparagraph (A), by striking abuse and inserting use disorder ; (ii) in subparagraph (A), by striking opioid use, treatment, and addiction recovery and inserting opioid use disorders, and treatment for, and recovery from opioid use disorders ; (iii) in subparagraph (C), by striking addiction each place it appears and inserting use disorder ; (iv) by amending subparagraph (D) to read as follows: (D) developing, implementing, and expanding efforts to prevent overdose death from opioid or other prescription medication use disorders; and ; and (v) in subparagraph (E), by striking abuse and inserting use disorders ; and (D) in paragraph (4), by striking abuse each place it appears and inserting use disorders ; and (3) by striking 2017 through 2021 and inserting 2023 through 2027 . 222. Emergency department alternatives to opioids Section 7091 of the SUPPORT for Patients and Communities Act ( Public Law 115–271 ) is amended— (1) in the section heading, by striking Demonstration ; (2) in subsection (a)— (A) by amending the subsection heading to read as follows: Grant program ; and (B) in paragraph (1), by striking demonstration ; (3) in subsection (b), in the subsection heading, by striking demonstration ; (4) in subsection (d)(4), by striking tribal and inserting Tribal ; (5) in subsection (f), by striking Not later than 1 year after completion of the demonstration program under this section, the Secretary shall submit a report to the Congress on the results of the demonstration program and inserting Not later than the end of each of fiscal years 2024 and 2027, the Secretary shall submit to the Congress a report on the results of the program ; and (6) in subsection (g), by striking 2019 through 2021 and inserting 2023 through 2027 . C Excellence in Recovery Housing 231. Clarifying the role of SAMHSA in promoting the availability of high-quality recovery housing Section 501(d) of the Public Health Service Act ( 42 U.S.C. 290aa ) is amended— (1) in paragraph (24)(E), by striking and at the end; (2) in paragraph (25), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (26) collaborate with national accrediting entities, reputable providers, organizations or individuals with established expertise in delivery of recovery housing services, States, Federal agencies (including the Department of Health and Human Services, the Department of Housing and Urban Development, and the agencies listed in section 550(e)(2)(B)), and other relevant stakeholders, to promote the availability of high-quality recovery housing and services for individuals with a substance use disorder. . 232. Developing guidelines for States to promote the availability of high-quality recovery housing Section 550(a) of the Public Health Service Act ( 42 U.S.C. 290ee–5(a) ) (relating to national recovery housing best practices) is amended— (1) by amending paragraph (1) to read as follows: (1) In general The Secretary, in consultation with the individuals and entities specified in paragraph (2), shall build on existing best practices and previously developed guidelines to develop and periodically update consensus-based best practices, which may include model laws for implementing suggested minimum standards for operating, and promoting the availability of, high-quality recovery housing. ; (2) in paragraph (2)— (A) by striking subparagraphs (A) and (B) and inserting the following: (A) Officials representing the agencies described in subsection (e)(2). ; and (B) by redesignating subparagraphs (C) through (G) as subparagraphs (B) through (F), respectively; and (3) by adding at the end the following: (3) Availability The best practices referred to in paragraph (1) shall be— (A) made publicly available; and (B) published on the public website of the Substance Abuse and Mental Health Services Administration. (4) Exclusion of guideline on treatment services In developing the guidelines under paragraph (1), the Secretary may not include any guidelines with respect to substance use disorder treatment services. . 233. Coordination of Federal activities to promote the availability of recovery housing Section 550 of the Public Health Service Act ( 42 U.S.C. 290ee–5 ) (relating to national recovery housing best practices) is amended— (1) by redesignating subsections (e), (f), and (g) as subsections (g), (h), and (i), respectively; and (2) by inserting after subsection (d) the following: (e) Coordination of Federal activities To promote the availability of housing for individuals experiencing homelessness, individuals with a mental illness, and individuals with a substance use disorder (1) In general The Secretary, acting through the Assistant Secretary, and the Secretary of Housing and Urban Development shall convene an interagency working group for the following purposes: (A) To increase collaboration, cooperation, and consultation among the Department of Health and Human Services, the Department of Housing and Urban Development, and the Federal agencies listed in paragraph (2)(B), with respect to promoting the availability of housing, including recovery housing, for individuals experiencing homelessness, individuals with mental illnesses, and individuals with substance use disorder. (B) To align the efforts of such agencies and avoid duplication of such efforts by such agencies. (C) To develop objectives, priorities, and a long-term plan for supporting State, Tribal, and local efforts with respect to the operation of recovery housing that is consistent with the best practices developed under this section. (D) To coordinate enforcement of fair housing practices, as appropriate, among Federal and State agencies. (E) To coordinate data collection on the quality of recovery housing. (2) Composition The interagency working group under paragraph (1) shall be composed of— (A) the Secretary, acting through the Assistant Secretary, and the Secretary of Housing and Urban Development, who shall serve as the co-chairs; and (B) representatives of each of the following Federal agencies: (i) The Centers for Medicare & Medicaid Services. (ii) The Substance Abuse and Mental Health Services Administration. (iii) The Health Resources and Services Administration. (iv) The Office of Inspector General. (v) The Indian Health Service. (vi) The Department of Agriculture. (vii) The Department of Justice. (viii) The Office of National Drug Control Policy. (ix) The Bureau of Indian Affairs. (x) The Department of Labor. (xi) Any other Federal agency as the co-chairs determine appropriate. (3) Meetings The working group shall meet on a quarterly basis. (4) Reports to Congress Not later than 4 years after the date of the enactment of this section, the working group shall submit to the Committee on Energy and Commerce, the Committee on Ways and Means, the Committee on Agriculture, and the Committee on Financial Services of the House of Representatives and the Committee on Health, Education, Labor, and Pensions, the Committee on Agriculture, Nutrition, and Forestry, and the Committee on Finance of the Senate a report describing the work of the working group and any recommendations of the working group to improve Federal, State, and local coordination with respect to recovery housing and other housing resources and operations for individuals experiencing homelessness, individuals with a mental illness, and individuals with a substance use disorder. . 234. NAS study and report (a) In general Not later than 60 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— (1) contract with the National Academies of Sciences, Engineering, and Medicine— (A) to study the quality and effectiveness of recovery housing in the United States and whether the availability of such housing meets demand; and (B) to identify recommendations to promote the availability of high-quality recovery housing; and (2) report to the Congress on the results of such review. (b) Authorization of appropriations To carry out this section there is authorized to be appropriated $1,500,000 for fiscal year 2023. 235. Grants for States to promote the availability of recovery housing and services Section 550 of the Public Health Service Act ( 42 U.S.C. 290ee–5 ) (relating to national recovery housing best practices), as amended by sections 232 and 233, is further amended by inserting after subsection (e) (as inserted by section 233) the following: (f) Grants for implementing national recovery housing best practices (1) In general The Secretary shall award grants to States (and political subdivisions thereof), Tribes, and territories— (A) for the provision of technical assistance to implement the guidelines and recommendations developed under subsection (a); and (B) to promote— (i) the availability of recovery housing for individuals with a substance use disorder; and (ii) the maintenance of recovery housing in accordance with best practices developed under this section. (2) State promotion plans Not later than 90 days after receipt of a grant under paragraph (1), and every 2 years thereafter, each State (or political subdivisions thereof,) Tribe, or territory receiving a grant under paragraph (1) shall submit to the Secretary, and publish on a publicly accessible Internet website of the State (or political subdivisions thereof), Tribe, or territory— (A) the plan of the State (or political subdivisions thereof), Tribe, or territory, with respect to the promotion of recovery housing for individuals with a substance use disorder located within the jurisdiction of such State (or political subdivisions thereof), Tribe, or territory; and (B) a description of how such plan is consistent with the best practices developed under this section. . 236. Funding Subsection (i) of section 550 of the Public Health Service Act ( 42 U.S.C. 290ee–5 ) (relating to national recovery housing best practices), as redesignated by section 233, is amended by striking $3,000,000 for the period of fiscal years 2019 through 2021 and inserting $5,000,000 for the period of fiscal years 2023 through 2027 . 237. Technical correction Title V of the Public Health Service Act ( 42 U.S.C. 290aa et seq. ) is amended— (1) by redesignating section 550 (relating to Sobriety Treatment and Recovery Teams) ( 42 U.S.C. 290ee–10 ), as added by section 8214 of Public Law 115–271 , as section 550A; and (2) by moving such section so it appears after section 550 (relating to national recovery housing best practices). D Substance Use Prevention, Treatment, and Recovery Services Block Grant 241. Eliminating stigmatizing language relating to substance use (a) Block Grants for Prevention and Treatment of Substance Use Part B of title XIX of the Public Health Service Act ( 42 U.S.C. 300x et seq. ) is amended— (1) in the part heading, by striking Substance Abuse and inserting Substance Use ; (2) in subpart II, by amending the subpart heading to read as follows: Block grants for substance use prevention, treatment, and recovery services ; (3) in section 1922(a) ( 42 U.S.C. 300x–22(a) )— (A) in paragraph (1), in the matter preceding subparagraph (A), by striking substance abuse and inserting substance use disorders ; and (B) by striking such abuse each place it appears in paragraphs (1) and (2) and inserting such disorders ; (4) in section 1923 ( 42 U.S.C. 300x–23 )— (A) in the section heading, by striking Substance Abuse and inserting Substance Use ; and (B) in subsections (a) and (b), by striking drug abuse and inserting substance use disorders ; (5) in section 1925(a)(1) ( 42 U.S.C. 300x–25(a)(1) ), by striking alcohol or drug abuse and inserting alcohol or other substance use disorders ; (6) in section 1926(b)(2)(B) ( 42 U.S.C. 300x–26(b)(2)(B) ), by striking substance abuse ; (7) in section 1931(b)(2) ( 42 U.S.C. 300x–31(b)(2) ), by striking substance abuse and inserting substance use disorders ; (8) in section 1933(d)(1) ( 42 U.S.C. 300x–33(d) ), in the matter following subparagraph (B), by striking abuse of alcohol and other drugs and inserting use of substances ; (9) by amending paragraph (4) of section 1934 ( 42 U.S.C. 300x–34 ) to read as follows: (4) The term substance use disorder means the recurrent use of alcohol or other drugs that causes clinically significant impairment. ; (10) in section 1935 ( 42 U.S.C. 300x–35 )— (A) in subsection (a), by striking substance abuse and inserting substance use disorders ; and (B) in subsection (b)(1), by striking substance abuse each place it appears and inserting substance use disorders ; (11) in section 1949 ( 42 U.S.C. 300x–59 ), by striking substance abuse each place it appears in subsections (a) and (d) and inserting substance use disorders ; (12) in section 1954(b)(4) ( 42 U.S.C. 300x–64(b)(4) )— (A) by striking substance abuse each place it appears and inserting substance use disorders ; and (B) by striking such abuse and inserting such disorders ; (13) in section 1955 ( 42 U.S.C. 300x–65 ), by striking substance abuse each place it appears and inserting substance use disorder ; and (14) in section 1956 ( 42 U.S.C. 300x–66 ), by striking substance abuse each place it appears and inserting substance use disorders . (b) Certain programs regarding mental health and substance abuse Part C of title XIX of the Public Health Service Act ( 42 U.S.C. 300y et seq. ) is amended— (1) in the part heading, by striking Substance Abuse and inserting Substance Use ; (2) in section 1971 ( 42 U.S.C. 300y ), by striking substance abuse each place it appears in subsections (a), (b), and (f) and inserting substance use ; and (3) in section 1976 ( 42 U.S.C. 300y–11 ), by striking intravenous abuse and inserting intravenous use . 242. Authorized activities Section 1921(b) of the Public Health Service Act ( 42 U.S.C. 300x–21(b) ) is amended by striking prevent and treat substance use disorders and inserting prevent, treat, and provide recovery support services for substance use disorders . 243. Requirements relating to certain infectious diseases and human immunodeficiency virus Section 1924 of the Public Health Service Act ( 42 U.S.C. 300x–24 ) is amended— (1) in the section heading, by striking Tuberculosis and Human Immunodeficiency Virus and inserting Tuberculosis, Viral Hepatitis, and Human Immunodeficiency Virus ; (2) by amending subsection (a)(2) to read as follows: (2) Designated States (A) Fiscal years through fiscal year 2024 For purposes of this subsection, through September 30, 2024, a State described in this paragraph is any State whose rate of cases of acquired immune deficiency syndrome is 10 or more such cases per 100,000 individuals (as indicated by the number of such cases reported to and confirmed by the Director of the Centers for Disease Control and Prevention for the most recent calendar year for which such data are available). (B) Fiscal year 2025 and succeeding fiscal years (i) In general Beginning with fiscal year 2025, for purposes of this subsection, a State described in this paragraph is any State whose rate of cases of human immunodeficiency virus is 10 or more such cases per 100,000 individuals (as indicated by the number of such cases newly reported to and confirmed by the Director of the Centers for Disease Control and Prevention for the most recent calendar year for which such data are available). (ii) Continuation of designated State status In the case of a State whose rate of cases of human immunodeficiency virus falls below the threshold specified in clause (i) for a calendar year, such State shall, notwithstanding clause (i), continue to be described in this paragraph unless the rate of cases falls below such threshold for three consecutive calendar years. . (3) by redesignating subsections (c) and (d) as subsections (d) and (e), respectively; and (4) by inserting after subsection (b) the following: (c) Viral hepatitis (1) In general A funding agreement for a grant under section 1921 is that the State involved will require that any entity receiving amounts from the grant for operating a program of treatment for substance use disorders— (A) will, directly or through arrangements with other public or nonprofit private entities, routinely make available viral hepatitis services to each individual receiving treatment for such disorders; and (B) in the case of an individual in need of such treatment who is denied admission to the program on the basis of the lack of the capacity of the program to admit the individual, will refer the individual to another provider of viral hepatitis services. (2) Viral hepatitis services For purposes of paragraph (1), the term viral hepatitis services , with respect to an individual, means— (A) screening the individual for viral hepatitis; and (B) referring the individual to a provider whose practice includes viral hepatitis vaccination and treatment. . 244. State plan requirements Section 1932(b)(1)(A) of the Public Health Service Act ( 42 U.S.C. 300x–32(b)(1)(A) ) is amended— (1) by redesignating clauses (vi) through (ix) as clauses (vii) through (x), respectively; and (2) by inserting after clause (v) the following: (vi) provides a description of— (I) the State’s comprehensive statewide recovery support services activities, including the number of individuals being served, target populations, and priority needs; and (II) the amount of funds received under this subpart expended on recovery support services, disaggregated by the amount expended for type of service activity; . 245. Updating certain language relating to Tribes Section 1933(d) of the Public Health Service Act ( 42 U.S.C. 300x–33(d) ) is amended— (1) in the subsection heading, by striking tribes and tribal organizations and inserting Tribes and Tribal organizations ; (2) in paragraph (1)— (A) in subparagraph (A)— (i) by striking of an Indian tribe or tribal organization and inserting of an Indian Tribe or Tribal organization ; and (ii) by striking such tribe and inserting such Tribe ; (B) in subparagraph (B)— (i) by striking tribe or tribal organization and inserting Tribe or Tribal organization ; and (ii) by striking Secretary under this and inserting Secretary under this subpart ; and (C) in the matter following subparagraph (B), by striking tribe or tribal organization and inserting Tribe or Tribal organization ; (3) by amending paragraph (2) to read as follows: (2) Indian Tribe or Tribal organization as grantee The amount reserved by the Secretary on the basis of a determination under this subsection shall be granted to the Indian Tribe or Tribal organization serving the individuals for whom such a determination has been made. ; (4) in paragraph (3), by striking tribe or tribal organization and inserting Tribe or Tribal organization ; and (5) in paragraph (4)— (A) in the paragraph heading, by striking Definition and inserting Definitions ; and (B) by striking The terms and all that follows through given such terms and inserting the following: The terms Indian Tribe and Tribal organization have the meanings given the terms Indian tribe and tribal organization . 246. Block grants for substance use prevention, treatment, and recovery services (a) In general Section 1935(a) of the Public Health Service Act ( 42 U.S.C. 300x–35(a) ), as amended by section 241, is further amended by striking appropriated and all that follows through 2022.. and inserting the following: appropriated $1,908,079,000 for each of fiscal years 2023 through 2027. . (b) Technical corrections Section 1935(b)(1)(B) of the Public Health Service Act ( 42 U.S.C. 300x–35(b)(1)(B) ) is amended by striking the collection of data in this paragraph is . 247. Requirement of reports and audits by States Section 1942(a) of the Public Health Service Act ( 42 U.S.C. 300x–52(a) ) is amended— (1) in paragraph (1), by striking and at the end; (2) in paragraph (2), by striking the period at the end and inserting ; and ; and (3) by adding at the end the following: (3) the amount provided to each recipient in the previous fiscal year. . 248. Study on assessment for use in distribution of limited State resources (a) In general The Secretary of Health and Human Services, acting through the Assistant Secretary for Mental Health and Substance Use (in this section referred to as the Secretary ), shall, in consultation with States and other local entities providing prevention, treatment, or recovery support services related to substance use, conduct a study to develop a model needs assessment process for States to consider to help determine how best to allocate block grant funding received under subpart II of part B of title XIX of the Public Health Service Act ( 42 U.S.C. 300x–21 ) to provide services to substance use disorder prevention, treatment, and recovery support. The study must include cost estimates with each model needs assessment process. (b) Report Not later than 2 years after the date of the enactment of this Act, the Secretary shall submit to the Committee on Energy and Commerce of the House of Representatives and the Committee on Health, Education, Labor and Pensions of the Senate a report on the results of the study conducted under paragraph (1). E Timely Treatment for Opioid Use Disorder 251. Revise opioid treatment program admission criteria to eliminate requirement that patients have an opioid use disorder for at least 1 year Not later than 180 days after the date of enactment of this Act, the Secretary of Health and Human Services shall revise section 8.12(e)(1) of title 42, Code of Federal Regulations (or successor regulations), to eliminate the requirement that an opioid treatment program only admit an individual for treatment under the program if the individual has been addicted to opioids for at least 1 year before being so admitted for treatment. 252. Study on exemptions for treatment of opioid use disorder through opioid treatment programs during the COVID–19 public health emergency (a) Study The Assistant Secretary for Mental Health and Substance Use shall conduct a study, in consultation with patients and other stakeholders, on activities carried out pursuant to exemptions granted— (1) to a State (including the District of Columbia or any territory of the United States) or an opioid treatment program; (2) pursuant to section 8.11(h) of title 42, Code of Federal Regulations; and (3) during the period— (A) beginning on the declaration of the public health emergency for the COVID–19 pandemic under section 319 of the Public Health Service Act ( 42 U.S.C. 274 ); and (B) ending on the earlier of— (i) the termination of such public health emergency, including extensions thereof pursuant to such section 319; and (ii) the end of calendar year 2022. (b) Privacy The section does not authorize the disclosure by the Department of Health and Human Services of individually identifiable information about patients. (c) Feedback In conducting the study under subsection (a), the Assistant Secretary for Mental Health and Substance Use shall gather feedback from the States and opioid treatment programs on their experiences in implementing exemptions described in subsection (a). (d) Report Not later than 180 days after the end of the period described in subsection (a)(3)(B), and subject to subsection (c), the Assistant Secretary for Mental Health and Substance Use shall publish a report on the results of the study under this section. 253. Changes to Federal opioid treatment standards (a) Mobile medication units Section 302(e) of the Controlled Substances Act ( 21 U.S.C. 822(e) ) is amended by adding at the end the following: (3) Notwithstanding paragraph (1), a registrant that is dispensing pursuant to section 303(g) narcotic drugs to individuals for maintenance treatment or detoxification treatment shall not be required to have a separate registration to incorporate one or more mobile medication units into the registrant’s practice to dispense such narcotics at locations other than the registrant’s principal place of business or professional practice described in paragraph (1), so long as the registrant meets such standards for operation of a mobile medication unit as the Attorney General may establish. . (b) Final regulation on periods for take-Home supply requirements (1) In general Not later than two years after the date of enactment of this Act, the Secretary of Health and Human Services shall promulgate a final regulation amending paragraphs (i)(3)(i) through (i)(3)(vi) of section 8.12 of title 42, Code of Federal Regulations, as appropriate based on the findings of the study under section 252 of this Act. (2) Criteria The regulation under paragraph (1) shall establish relevant criteria for the medical director of an opioid treatment program, or a medical practitioner appropriately licensed by the State to prescribe or dispense controlled medications, to determine whether a patient is stable and may qualify for unsupervised use, which criteria shall include each of the following: (A) Whether the benefits of providing unsupervised doses to a patient outweigh the risks. (B) The patient’s demonstrated adherence to their treatment plan. (C) The patient’s history of negative toxicology tests. (D) Whether there is an absence of serious behavioral problems. (E) The patient’s stability in living arrangements and social relationships. (F) Whether there is an absence of substance misuse-related behaviors. (G) Whether there is an absence of recent diversion activity. (H) Whether there is an assurance that the medication can be safely stored by the patient. (I) Any other criterion the Secretary of Health and Human Services determines appropriate. (3) Prohibited sole consideration The regulation under paragraph (1) shall prohibit the medical director of an opioid treatment program from considering, as the sole consideration in determining whether a patient is sufficiently responsible in handling opioid drugs for unsupervised use, whether the patient has an absence of recent misuse of drugs (whether narcotic or nonnarcotic), including alcohol. III Access to Mental Health Care and Coverage A Collaborate in an Orderly and Cohesive Manner 301. Increasing uptake of the collaborative care model Section 520K of the Public Health Service Act ( 42 U.S.C. 290bb-42 ) is amended to read as follows: 520K. Integration incentive grants and cooperative agreements (a) Definitions In this section: (1) Collaborative care model The term collaborative care model means the evidence-based, integrated behavioral health service delivery method that— (A) is described on page 80230 of volume 81 of the Federal Register (November 15, 2016), which includes a formal collaborative arrangement among a primary care team consisting of a primary care provider, a care manager, and a psychiatric consultant; and (B) includes the following elements: (i) Care directed by the primary care team. (ii) Structured care management. (iii) Regular assessments of clinical status using developmentally appropriate, validated tools. (iv) Modification of treatment as appropriate. (2) Eligible entity The term eligible entity means a State, or an appropriate State agency, in collaboration with— (A) 1 or more qualified community programs as described in section 1913(b)(1); (B) 1 or more health centers as defined in section 330(a); or (C) 1 or more primary health care practices. (3) Integrated care; bidirectional integrated care (A) The term integrated care means models or practices for coordinating and jointly delivering behavioral and physical health services, which may include practices that share the same space in the same facility. (B) The term bidirectional integrated care means the integration of behavioral health care and specialty physical health care, and the integration of primary and physical health care into specialty behavioral health settings. (4) Primary health care physician The term primary health care physician means a physician who— (A) provides health services related to family medicine, internal medicine, pediatrics, obstetrics, gynecology, or geriatrics; or (B) is a doctor of medicine or osteopathy who is licensed to practice medicine by the State in which such physician primarily practices. (5) Primary health care practice The term primary health care practice means a medical practice of primary health care physicians, including a practice within a larger health care system. (6) Special population The term special population , for an eligible entity that is collaborating with an entity described in subparagraph (A) or (B) of paragraph (3), means— (A) adults with a mental illness who have a co-occurring physical health condition or chronic disease; (B) adults with a serious mental illness who have a co-occurring physical health condition or chronic disease; (C) children and adolescents with a mental illness who have a co-occurring physical health condition or chronic disease; (D) individuals with a substance use disorder; or (E) individuals with a mental illness who have a co-occurring substance use disorder. (b) Grants and cooperative agreements (1) In general The Secretary may award grants and cooperative agreements to eligible entities to support the improvement of integrated care for physical and behavioral health care in accordance with paragraph (2). (2) Use of funds A grant or cooperative agreement awarded under this section shall be used— (A) in the case of an eligible entity that is collaborating with an entity described in subparagraph (A) or (B) of subsection (a)(2)— (i) to promote full integration and collaboration in clinical practices between physical and behavioral health care for special populations including each population listed in subsection (a)(7); (ii) to support the improvement of integrated care models for physical and behavioral health care to improve the overall wellness and physical health status of— (I) adults with a serious mental illness or children with a serious emotional disturbance; and (II) individuals with a substance use disorder; and (iii) to promote bidirectional integrated care services including screening, diagnosis, prevention, treatment, and recovery of mental and substance use disorders, and co-occurring physical health conditions and chronic diseases; and (B) in the case of an eligible entity that is collaborating with a primary health care practice, to support the uptake of the collaborative care model, including by— (i) hiring staff; (ii) identifying and formalizing contractual relationships with other health care providers, including providers who will function as psychiatric consultants and behavioral health care managers in providing behavioral health integration services through the collaborative care model; (iii) purchasing or upgrading software and other resources needed to appropriately provide behavioral health integration services through the collaborative care model, including resources needed to establish a patient registry and implement measurement-based care; and (iv) for such other purposes as the Secretary determines to be necessary. (c) Applications (1) In general An eligible entity that is collaborating with an entity described in subparagraph (A) or (B) of subsection (a)(2) seeking a grant or cooperative agreement under subsection (b)(2)(A) shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require, including the contents described in paragraph (2). (2) Contents Any such application of an eligible entity described in subparagraph (A) or (B) of subsection (a)(2) shall include— (A) a description of a plan to achieve fully collaborative agreements to provide bidirectional integrated care to special populations; (B) a document that summarizes the policies, if any, that are barriers to the provision of integrated care, and the specific steps, if applicable, that will be taken to address such barriers; (C) a description of partnerships or other arrangements with local health care providers to provide services to special populations; (D) an agreement and plan to report to the Secretary performance measures necessary to evaluate patient outcomes and facilitate evaluations across participating projects; (E) a description of how validated rating scales will be implemented to support the improvement of patient outcomes using measurement-based care, including those related to depression screening, patient follow-up, and symptom remission; and (F) a plan for sustainability beyond the grant or cooperative agreement period under subsection (e). (3) Collaborative care model grants An eligible entity that is collaborating with a primary health care practice seeking a grant pursuant to subsection (b)(2)(B) shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may require. (d) Grant and cooperative agreement amounts (1) Target amount The target amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section shall be— (A) $2,000,000 for an eligible entity described in subparagraph (A) or (B) of subsection (a)(2); or (B) $100,000 or less for an eligible entity described in subparagraph (C) of subsection (a)(2). (2) Adjustment permitted The Secretary, taking into consideration the quality of an eligible entity’s application and the number of eligible entities that received grants under this section prior to the date of enactment of the Restoring Hope for Mental Health and Well-Being Act of 2022 , may adjust the target amount that an eligible entity may receive for a year through a grant or cooperative agreement under this section. (3) Limitation An eligible entity that is collaborating with an entity described in subparagraph (A) or (B) of subsection (a)(2) receiving funding under this section— (A) may not allocate more than 20 percent of the funds awarded to such eligible entity under this section to administrative functions; and (B) shall allocate the remainder of such funding to health facilities that provide integrated care. (e) Duration A grant or cooperative agreement under this section shall be for a period not to exceed 5 years. (f) Report on program outcomes An eligible entity receiving a grant or cooperative agreement under this section— (1) that is collaborating with an entity described in subparagraph (A) or (B) of subsection (a)(2) shall submit an annual report to the Secretary that includes— (A) the progress made to reduce barriers to integrated care as described in the entity’s application under subsection (c); and (B) a description of outcomes with respect to each special population listed in subsection (a)(7), including outcomes related to education, employment, and housing; or (2) that is collaborating with a primary health care practice shall submit an annual report to the Secretary that includes— (A) the progress made to improve access; (B) the progress made to improve patient outcomes; and (C) the progress made to reduce referrals to specialty care. (g) Technical assistance for primary-behavioral health care integration (1) Certain recipients The Secretary may provide appropriate information, training, and technical assistance to eligible entities that are collaborating with an entity described in subparagraph (A) or (B) of subsection (a)(2) that receive a grant or cooperative agreement under this section, in order to help such entities meet the requirements of this section, including assistance with— (A) development and selection of integrated care models; (B) dissemination of evidence-based interventions in integrated care; (C) establishment of organizational practices to support operational and administrative success; and (D) other activities, as the Secretary determines appropriate. (2) Collaborative care model recipients The Secretary shall provide appropriate information, training, and technical assistance to eligible entities that are collaborating with primary health care practices that receive funds under this section to help such entities implement the collaborative care model, including— (A) developing financial models and budgets for implementing and maintaining a collaborative care model, based on practice size; (B) developing staffing models for essential staff roles; (C) providing strategic advice to assist practices seeking to utilize other clinicians for additional psychotherapeutic interventions; (D) providing information technology expertise to assist with building the collaborative care model into electronic health records, including assistance with care manager tools, patient registry, ongoing patient monitoring, and patient records; (E) training support for all key staff and operational consultation to develop practice workflows; (F) establishing methods to ensure the sharing of best practices and operational knowledge among primary health care physicians and primary health care practices that provide behavioral health integration services through the collaborative care model; and (G) providing guidance and instruction to primary health care physicians and primary health care practices on developing and maintaining relationships with community-based mental health and substance use disorder facilities for referral and treatment of patients whose clinical presentation or diagnosis is best suited for treatment at such facilities. (3) Additional dissemination of technical information In addition to providing the assistance described in paragraphs (1) and (2) to recipients of a grant or cooperative agreement under this section, the Secretary may also provide such assistance to other States and political subdivisions of States, Indian Tribes and Tribal organizations (as defined in section 4 of the Indian Self-Determination and Education 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 clinics described in section 223 of the Protecting Access to Medicare Act of 2014, primary care organizations such as Federally qualified health centers or rural health clinics as defined in section 1861(aa) of the Social Security Act, primary health care practices, other community-based organizations, and other entities engaging in integrated care activities, as the Secretary determines appropriate. (h) Authorization of appropriations To carry out this section, there is authorized to be appropriated $60,000,000 for each of fiscal years 2023 through 2027. . B Helping Enable Access to Lifesaving Services 311. Reauthorization and provision of certain programs to strengthen the health care workforce (a) Liability protections for health professional volunteers Section 224(q)(6) of the Public Health Service Act ( 42 U.S.C. 233(q)(6) ) is amended by striking October 1, 2022 and inserting October 1, 2027 . (b) Minority fellowships in crisis care management Section 597(b) of the Public Health Service Act ( 42 U.S.C. 290ll(b) ) is amended by striking in the fields of psychiatry, and inserting in the fields of crisis care management, psychiatry, . (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 . (d) Training demonstration program Section 760(g) of the Public Health Service Act ( 42 U.S.C. 294k(g) ) is amended by striking for each of fiscal years 2018 through 2022 and inserting for each of fiscal years 2023 through 2027 . C Eliminating the Opt-Out for Nonfederal Governmental Health Plans 321. Eliminating the opt-out for nonfederal 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 section 2726 may be made on or after the date of the enactment of this subparagraph; and (II) except as provided in clause (ii), no such election with respect to 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 described in subparagraph (A) with respect to section 2726 in effect as of the date of the 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. . IV Children and Youth A Supporting Children’s Mental Health Care Access 401. Pediatric mental health care access grants Section 330M of the Public Health Service Act ( 42 U.S.C. 254c–19 ) is amended— (1) in the section enumerator, by striking 330M and inserting 330M. ; (2) in subsection (a)— (A) by striking Indian tribes and tribal organizations and inserting Indian Tribes and Tribal organizations ; and (B) by inserting or, in the case of a State that does not submit an application, a nonprofit entity that has the support of the State after 450b)) ; (3) in subsection (b)— (A) in paragraph (1)— (i) in subparagraph (G), by inserting developmental-behavioral pediatricians, after adolescent psychiatrists, ; (ii) in subparagraph (H), by striking ; and at the end and inserting a semicolon; (iii) by redesignating subparagraph (I) as subparagraph (J); and (iv) by inserting after subparagraph (H) the following: (I) maintain an up-to-date list of community-based supports for children with mental health problems; and ; (B) by redesignating paragraph (2) as paragraph (4); (C) by inserting after paragraph (1) the following: (2) Support to schools and emergency departments In addition to the activities required by paragraph (1), a pediatric mental health care telehealth access program 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. (3) Priority In awarding grants under this section, the Secretary shall give priority to applicants proposing to— (A) continue existing programs that meet the requirements of paragraph (1); (B) establish a pediatric mental health care telehealth access program in the jurisdiction of a State, Territory, Indian Tribe, or Tribal organization that does not yet have such a program; or (C) expand a pediatric mental health care telehealth access program to include one or more new sites of care, such as a school or emergency department. ; and (D) in paragraph (4), as redesignated by subparagraph (B), by inserting Such a team may include a developmental-behavioral pediatrician. after mental health counselor. ; (4) in subsections (c), (d), and (f), by striking Indian tribe, or tribal organization each place it appears and inserting Indian Tribe, Tribal organization, or nonprofit entity ; and (5) by striking subsection (g) and inserting 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 appropriated— (1) $14,000,000 for each of fiscal years 2023 through 2025; and (2) $30,000,000 for each of fiscal years 2026 through 2027. . 402. Infant and early childhood mental health promotion, intervention, and treatment Section 399Z–2(f) of the Public Health Service Act ( 42 U.S.C. 280h–6(f) ) is amended by striking $20,000,000 for the period of fiscal years 2018 through 2022 and inserting $50,000,000 for the period of fiscal years 2023 through 2027 . B Continuing Systems of Care for Children 411. Comprehensive Community Mental Health Services for Children with Serious Emotional Disturbances (a) Definition of family Section 565(d)(2)(B) of the Public Health Service Act ( 42 U.S.C. 290ff–4(d)(2)(B) ) is amended by striking as appropriate regarding mental health services for the child, the parents of the child (biological or adoptive, as the case may be) and any foster parents of the child and inserting as appropriate regarding mental health services for the child and the parents or kinship caregivers of the child . (b) Authorization of appropriations Paragraph (1) of section 565(f) of the Public Health Service Act ( 42 U.S.C. 290ff–4(f) ) is amended— (1) by moving the margin of such paragraph 2 ems to the left; and (2) 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 . 412. Substance Use Disorder Treatment and Early Intervention Services for Children and Adolescents Section 514 of the Public Health Service Act ( 42 U.S.C. 290bb–7 ) is amended— (1) in subsection (a), by striking Indian tribes or tribal organizations and inserting Indian Tribes or Tribal organizations ; and (2) in subsection (f), by striking 2018 through 2022 and inserting 2023 through 2027 . C Garrett Lee Smith Memorial Reauthorization 421. Suicide prevention technical assistance center (a) Technical amendment Section 520C of the Public Health Service Act ( 42 U.S.C. 290bb–34 ) is amended— (1) by striking tribes each place it appears and inserting Tribes ; and (2) by striking tribal each place it appears and inserting Tribal . (b) Authorization of appropriations 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 $9,000,000 for each of fiscal years 2023 through 2027 . (c) Annual report Section 520C(d) of the Public Health Service Act ( 42 U.S.C. 290bb–34(d) ) is amended by striking Not later than 2 years after the date of enactment of this subsection and inserting Not later than 2 years after the date of enactment of the Restoring Hope for Mental Health and Well-Being Act of 2022 . 422. Youth suicide early intervention and prevention strategies Section 520E of the Public Health Service Act ( 42 U.S.C. 290bb–36 ) is amended— (1) by striking tribe each place it appears and inserting Tribe ; (2) by striking tribal each place it appears and inserting Tribal ; (3) in subsection (a)(1), by inserting pediatric health programs, after foster care systems, ; (4) by amending subsection (b)(1)(B) to read as follows: (B) a public organization or private nonprofit organization designated by a State or Indian Tribe (as defined in the Indian Self-Determination and Education Assistance Act) to develop or direct the State-sponsored statewide or Tribal youth suicide early intervention and prevention strategy; or ; (5) in subsection (c)— (A) in paragraph (1), by inserting pediatric health programs, after foster care systems, ; (B) in paragraph (7), by inserting pediatric health programs, after foster care systems, ; (C) in paragraph (9), by inserting pediatric health programs, after educational institutions, ; (D) in paragraph (13), by striking and at the end; (E) in paragraph (14), by striking the period at the end and inserting ; and ; and (F) by adding at the end the following: (15) provide to parents, legal guardians, and family members of youth supplies to securely store means commonly used in suicide, if applicable, within the household. ; (6) in subsection (d)— (A) in the heading, by striking direct services and inserting suicide prevention activities ; and (B) by striking direct services, of which not less than 5 percent shall be used for activities authorized under subsection (a)(3) and inserting suicide prevention activities ; (7) in subsection (e)(3)(A), by inserting and Department of Education after Department of Health and Human Services ; (8) in subsection (g)— (A) in paragraph (1), by striking 18 and inserting 24 ; and (B) in paragraph (2), by striking 2 years after the date of enactment of Helping Families in Mental Health Crisis Reform Act of 2016 and inserting 3 years after December 31, 2022 ; (9) in subsection (l)(4), by striking between 10 and 24 years of age and inserting up to age 24 years of age ; and (10) in subsection (m), by striking $30,000,000 for each of fiscal years 2018 through 2022 and inserting $40,000,000 for each of fiscal years 2023 through 2027 . 423. Mental health and substance use disorder services for students in higher education Section 520E–2 of the Public Health Service Act ( 42 U.S.C. 290bb–36b ) is amended— (1) in the heading, by striking on campus and inserting for students in higher education ; and (2) in subsection (i), by striking 2018 through 2022 and inserting 2023 through 2027 . 424. Mental and behavioral health outreach and education at institutions of higher education Section 549 of the Public Health Service Act ( 42 U.S.C. 290ee–4 ) is amended— (1) in the heading, by striking on college campuses and inserting at institutions of higher education ; (2) in subsection (c)(2), by inserting , including minority-serving institutions as described in section 371(a) of the Higher Education Act of 1965 ( 20 U.S.C. 1067q ) and community colleges after higher education ; and (3) in subsection (f), by striking 2018 through 2022 and inserting 2023 through 2027 .