To reauthorize and improve programs related to mental health and substance use disorders.

SA 730. Mr. HARKIN (for himself, Mr. Alexander, Mr. Franken, Ms.
Murkowski, Mr. Bennet, Mr. Roberts, Ms. Baldwin, Ms. Ayotte, Mrs.
Hagan, Mr. Murphy, Mr. Blumenthal, and Mr. Johanns) proposed an
amendment to the bill S. 649, to ensure that all individuals who should
be prohibited from buying a firearm are listed in the national instant
criminal background check system and require a background check for
every firearm sale, and for other purposes; as follows:

At the appropriate place, insert the following:

TITLE __--MENTAL HEALTH AND SUBSTANCE USE DISORDERS

SEC. _01. SHORT TITLE.

This title may be cited as the ``Mental Health Awareness
and Improvement Act of 2013''.

Subtitle A--Education Programs

SEC. _11. SHORT TITLE.

This subtitle may be cited as the ``Achievement Through
Prevention Act''.

SEC. _12. PURPOSE.

The purpose of this subtitle is to expand the use of
positive behavioral interventions and supports and early
intervening services in schools in order to improve student
academic achievement, reduce overidentification of
individuals with disabilities, and reduce disciplinary
problems in schools.

SEC. _13. AMENDMENTS TO THE ELEMENTARY AND SECONDARY
EDUCATION ACT OF 1965.

(a) Title I State Plans.--Section 1111(b) of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 6311(b)) is
amended by adding at the end the following:
``(11) Positive behavioral interventions and supports.--In
the case of a State that proposes to use funds under this
part to support positive behavioral interventions and
supports, the State plan shall describe how the State
educational agency will--
``(A) assist local educational agencies in implementing
positive behavioral interventions and supports in schools
served by the local educational agency on a whole-school
basis;
``(B) provide technical assistance and training to local
educational agencies to improve and support the development,
implementation, and coordination of comprehensive positive
behavioral interventions and supports carried out under this
Act with activities carried out under the Individuals with
Disabilities Education Act; and
``(C) evaluate the effects of providing positive behavioral
interventions and supports for all students, including
improvement of the learning environment, academic
achievement, disciplinary problems such as incidents of
suspensions, expulsions, referrals to law enforcement, and
other actions that remove students from instruction, and any
other effects the State chooses to evaluate.
``(12) Early intervening services.--In the case of a State
that proposes to use funds under this part to support early
intervening services, the State plan shall describe how the
State educational agency will--
``(A) assist local educational agencies in implementing
early intervening services in schools served by the local
educational agency to reduce the need to label children as
children with disabilities in order to address the learning
and behavioral needs of such children;
``(B) provide technical assistance and training to local
educational agencies to improve coordination of early
intervening services provided under this Act with early
intervening services carried out under the Individuals with
Disabilities Education Act; and
``(C) evaluate the effects of providing early intervening
services.
``(13) Crisis management plans.--In the case of a State
that proposes to use funds under this part to assist local
educational agencies in the State in periodically updating
the crisis management plans, as described in section
4114(d)(7)(D), of such local educational agencies, the State
plan shall describe how the State educational agency will
assist local educational agencies in updating such crisis
management plans.''.
(b) Title I State Reports.--Section 1111(h)(1)(C) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6311(h)(1)(C)) is amended--
(1) in clause (vii), by striking ``and'' after the
semicolon;
(2) in clause (viii), by striking the period and inserting
a semicolon; and
(3) by adding at the end the following:
``(ix) the number of local educational agencies in the
State that implement positive behavioral interventions and
supports;
``(x) the number of students--

``(I) who are served through the use of early intervening
services; and
``(II) who, in the preceding 2-year period, received early
intervening services and who, after receiving such services,
have been identified as eligible for, and receive, special
education and related services under part B of the
Individuals with Disabilities Education Act; and

``(xi) the number of local educational agencies in the
State that implement school-based mental health programs.''.
(c) Title I Local Educational Agency Plans.--Section
1112(b)(1) of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6312(b)(1)) is amended--
(1) in subparagraph (P), by striking ``and'' after the
semicolon;
(2) in subparagraph (Q), by striking the period and
inserting a semicolon; and
(3) by adding at the end the following:
``(R) if the local educational agency proposes to use
subgrant funds under this part for positive behavioral
interventions and supports, a description of the actions the
local educational agency will take to provide positive
behavioral interventions and supports and coordinate those
activities with

[[Page S2767]]

activities carried out under the Individuals with
Disabilities Education Act;
``(S) if the local educational agency proposes to use
subgrant funds under this part for early intervening
services, a description of the actions the local educational
agency will take to provide early intervening services and
coordinate those services with early intervening services
carried out under the Individuals with Disabilities Education
Act;
``(T) if the local educational agency proposes to use
subgrant funds under this part for school-based mental health
programs, a description of the actions the local educational
agency will take to provide school-based mental health
programs and coordinate those activities with activities
carried out under the Individuals with Disabilities Education
Act; and
``(U) if the local educational agency proposes to use
subgrant funds under this part for periodically updating the
crisis management plan of the local educational agency, as
described in section 4114(d)(7)(D), a description of the
actions the local educational agency will take to develop and
implement an updated crisis management plan.''.
(d) Title I Schoolwide Programs.--
(1) Schoolwide programs.--Section 1114(b)(1)(B)(iii)(I) of
the Elementary and Secondary Education Act of 1965 (20 U.S.C.
6314(b)(1)(B)(iii)(I)) is amended--
(A) in item (aa), by striking ``and mentoring services''
and inserting ``mentoring services, and school-based mental
health programs'';
(B) by redesignating items (bb) and (cc) as items (dd) and
(ee), respectively; and
(C) by inserting after item (aa) the following:

``(bb) implementation of schoolwide positive behavioral
interventions and supports, including through coordination
with activities carried out under the Individuals with
Disabilities Education Act, in order to improve academic
outcomes for students and reduce the need for suspensions,
expulsions, and other actions that remove students from
instruction;
``(cc) implementation of early intervening services,
including through coordination with early intervening
services carried out under the Individuals with Disabilities
Education Act;''.

(2) Technical assistance.--Section 1116(b)(4)(B) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6316(b)(4)(B)) is amended--
(A) by redesignating clauses (iii) and (iv) as clauses (iv)
and (v), respectively; and
(B) by inserting after clause (ii) the following:
``(iii) shall include assistance in the implementation of
schoolwide positive behavioral interventions and supports,
school-based mental health programs, and other approaches
with evidence of effectiveness for improving the learning
environment in the school and reducing the need for
suspensions, expulsions, and other actions that remove
students from instruction, including effective strategies for
improving coordination of community resources;''.
(e) Title I Assessments and School Improvement.--
(1) School improvement plan.--Section 1116(b)(3)(A) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6316(b)(3)(A)) is amended--
(A) in clause (ix), by striking ``and'' after the
semicolon;
(B) in clause (x), by striking the period and inserting a
semicolon; and
(C) by adding at the end the following:
``(xi) specify whether the local educational agency or the
school will adopt and implement policies or practices to
implement or improve positive behavioral interventions and
supports and enhance coordination with activities carried out
under the Individuals with Disabilities Education Act;
``(xii) specify whether the local educational agency or the
school will adopt and implement policies or practices to
implement or improve early intervening services and
coordinate with early intervening services carried out under
such Act; and
``(xiii) specify whether the local educational agency or
school will adopt and implement school-based mental health
programs and coordinate with programs carried out under such
Act.''.
(2) Local educational agency improvement plans.--Section
1116(c)(10) of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6316(c)(10)) is amended--
(A) in subparagraph (B), by striking ``subparagraph (E)''
and inserting ``subparagraph (F)'';
(B) by redesignating subparagraphs (D) through (F) as
subparagraphs (E) through (G), respectively; and
(C) by inserting after subparagraph (C) the following:
``(D) Additional activities.--In addition to carrying out 1
or more of the corrective actions required under subparagraph
(C) for a local educational agency, the State educational
agency may also carry out 1 or more of the following
activities:
``(i) Improving or expanding positive behavioral
interventions and supports and enhancing coordination with
activities under the Individuals with Disabilities Education
Act.
``(ii) Improving or expanding early intervening services
and coordinating such services with early intervening
services carried out under the Individuals with Disabilities
Education Act.''.
(f) Title I School Support and Recognition.--
(1) Regional centers.--Section 1117(a)(3) of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 6317(a)(3)) is
amended--
(A) by striking ``of 2002 and comprehensive'' and inserting
``of 2002, comprehensive'';
(B) by striking ``and the comprehensive'' and inserting ``,
the comprehensive''; and
(C) by inserting ``and any technical assistance center on
schoolwide positive behavioral interventions and supports
funded under section 665(b) of the Individuals with
Disabilities Education Act,'' after ``2002),''.
(2) Statewide systems for support.--Section 1117(a)(5)(B)
of the Elementary and Secondary Education Act of 1965 (20
U.S.C. 6317(a)(5)(B)) is amended--
(A) in clause (i), by striking the semicolon at the end and
inserting the following: ``, including by improving or
expanding the use of positive behavioral interventions and
supports aligned with activities carried out under the
Individuals with Disabilities Education Act;'';
(B) in clause (iii), by striking ``and'' after the
semicolon;
(C) in clause (iv), by striking the period and inserting a
semicolon; and
(D) by adding at the end the following:
``(v) review and analyze the school's efforts to identify
and assist students with poor academic achievement and
students who are children with disabilities, and assist the
school in developing or improving early intervening services
that are coordinated with activities carried out under the
Individuals with Disabilities Education Act;
``(vi) review and analyze the school's efforts to address
behavioral or disciplinary problems, and assist the school in
developing or improving schoolwide positive behavioral
interventions and supports that are coordinated with
activities carried out under the Individuals with
Disabilities Education Act;
``(vii) review the number of discipline incidents in the
school and use that information to assist the school to
implement schoolwide positive behavioral interventions and
supports or other early intervening services, or both; and
``(viii) review and analyze the school's efforts to address
mental health needs among students and assist the school in
developing or improving school-based mental health programs
that are coordinated with activities carried out under the
Individuals with Disabilities Education Act.''.
(g) Title I Parental Involvement.--Section 1118(e) of the
Elementary and Secondary Education Act of 1965 (20 U.S.C.
6318(e)) is amended--
(1) by redesignating paragraphs (6) through (14) as
paragraphs (7) through (15), respectively; and
(2) by inserting after paragraph (5) the following:
``(6) shall provide information to school personnel,
students, and parents about the school's use of positive
behavioral interventions and supports, school-based mental
health programs, and the expectations of school personnel,
students, and parents in supporting a safe learning
environment for all students;''.
(h) Prevention and Intervention Programs.--Section
1414(c)(8) of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6434(c)(8)) is amended by inserting ``,
including coordinating the use of positive behavioral
interventions and supports, early intervening services, and
school-based mental health programs to improve academic
achievement and reduce disciplinary actions'' before the
semicolon at the end.
(i) Technical Assistance.--Section 1419 of the Elementary
and Secondary Education Act of 1965 (20 U.S.C. 6439) is
amended--
(1) in paragraph (1), by striking ``and'' after the
semicolon;
(2) in paragraph (2), by striking the period and inserting
``; and''; and
(3) by adding at the end the following:
``(3) to provide technical assistance in implementing
positive behavioral interventions and supports, early
intervening services, and school-based mental health programs
in order to improve academic achievement and reduce
disciplinary actions.''.
(j) Title II Mental Health Professional Development.--
Section 2123 of the Elementary and Secondary Education Act of
1965 (20 U.S.C. 6623) is amended--
(1) in subsection (a), by inserting after paragraph (8) the
following:
``(9) Carrying out in-service training for school personnel
in--
``(A) the techniques and supports needed to identify
children with trauma histories, and children with, or at risk
of, mental illness, early;
``(B) the use of referral mechanisms that effectively link
such children to appropriate treatment and intervention
services in the school and in the community where
appropriate; and
``(C) forming partnerships between school-based mental
health programs and public or private mental health
organizations.'';
(2) by redesignating subsection (b) as subsection (c); and
(3) by inserting after subsection (a) the following:
``(b) Liability Protection for School Personnel.--Section
2366 shall apply to school personnel who received in-service
training under subsection (a)(9), and who are carrying out
activities related to such training, in the same manner as
such section applies to teachers.''.
(k) School-based Mental Health Services Partnership
Programs.--Section 4121 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 7131) is amended--

[[Page S2768]]

(1) in subsection (a)--
(A) in the matter preceding paragraph (1), by inserting ``,
health (including mental health),'' after ``promote safety'';
(B) by redesignating paragraphs (3) through (8) and (9) as
paragraphs (4) through (9) and (11), respectively;
(C) by inserting after paragraph (2) the following:
``(3) the development and implementation of school-based
mental health services partnership programs under subsection
(c);'';
(D) by striking paragraph (7), as redesignated by
subparagraph (B), and inserting the following:
``(7) assistance to school systems that have particularly
severe drug and violence problems or assistance to support
appropriate response efforts to crisis situations,
including--
``(A) hiring drug prevention and school safety
coordinators; and
``(B) making available to students mental health services,
conflict resolution programs, and other school-based violence
prevention strategies;'';
(E) in paragraph (9), as redesignated by subparagraph (B),
by striking ``and'' after the semicolon; and
(F) by inserting after such paragraph (9) the following:
``(10) assistance to States to help local educational
agencies develop and implement comprehensive emergency
management plans; and''; and
(2) by adding at the end the following:
``(c) School-based Mental Health Services Partnership
Programs.--
``(1) In general.--Each grant, contract, or cooperative
agreement awarded or entered into under subsection (a)(3)
shall meet the requirements of this subsection.
``(2) Eligibility.--
``(A) In general.--To be eligible to receive a grant,
contract, or cooperative agreement under this subsection, a
local educational agency shall enter into a school-based
mental health partnership that--
``(i) shall include a public or private mental health
entity or health care entity; and
``(ii) may include a child welfare agency, family-based
mental health entity, family organization, trauma network, or
other community-based entity.
``(B) Flexibility for certain local educational agencies.--
Notwithstanding subparagraph (A), a local educational agency
that is eligible for services under subpart 1 or 2 of part B
of title VI, as determined by the Secretary, and that is
unable to partner with a public or private mental health
entity or health care entity shall be eligible for a grant
under this subsection if the local educational agency can
demonstrate to the Secretary, in its application for a grant
under this subsection, that the local educational agency can
otherwise build the capacity to carry out the requirements of
this subsection.
``(3) Application.--A local educational agency that desires
a grant, contract, or cooperative agreement under this
subsection shall include, in the application required by the
Secretary, a description of how the local educational agency
will--
``(A) assist schools served by the local educational agency
to provide, through the school-based mental health services
partnership program, comprehensive school-based mental health
services and supports and comprehensive staff development for
school and community service personnel working in the school;
``(B) provide technical assistance and training to improve
and support the development, implementation, and coordination
of school-based mental health programs and ensure such
programs are coordinated with activities carried out under
the Individuals with Disabilities Education Act; and
``(C) evaluate the effects of providing school-based mental
health programs.
``(4) Use of funds.--A local educational agency receiving a
grant, contract, or cooperative agreement under this
subsection shall use funds provided under such grant,
contract, or cooperative agreement to provide school-based
mental health services and supports that--
``(A) may include--
``(i) the early identification of social, emotional, or
behavioral problems, or substance use disorders, and the
provision of early intervening services;
``(ii) not withstanding section 4154, the treatment or
referral for treatment of students with social, emotional, or
behavioral health problems, or substance use disorders;
``(iii) the development and implementation of programs to
assist children in dealing with trauma and violence; and
``(iv) the development of mechanisms, based on best
practices, for children to report incidents of violence or
plans by other children or adults to commit violence;
``(B) are based on trauma-informed and evidence-based
practices;
``(C) are coordinated, where appropriate, with early
intervening services carried out under the Individuals with
Disabilities Education Act; and
``(D) are provided by qualified mental and behavioral
health professionals who are certified or licensed by the
State involved and practicing within their area of expertise.
``(5) General requirements.--
``(A) Parental consent.--
``(i) In general.--Each local educational agency receiving
a grant, contract, or cooperative agreement under this
subsection shall obtain prior written, informed consent from
the parent of each child who is under 18 years of age to
participate in any assessment service, program, activity, or
treatment that is--

``(I) funded under this subsection; and
``(II) conducted in connection with an elementary school or
secondary school under the grant, contract, or cooperative
agreement.

``(ii) Exception.--Notwithstanding clause (i), the written,
informed consent described in such clause shall not be
required in--

``(I) an emergency, where it is necessary to protect the
immediate health and safety of the student, other students,
or school personnel; or
``(II) other instances where parental consent cannot
reasonably be obtained, as defined by the Secretary.

``(B) Prohibition on mandatory medication.--No child shall
be required to obtain a prescription for a substance covered
by the Controlled Substances Act (21 U.S.C. 801 et seq.) as a
condition of receiving an evaluation under this subsection,
receiving services under this subsection, or attending a
school receiving assistance under this subsection.
``(C) Privacy.--Each local educational agency receiving a
grant, contract, or cooperative agreement under this
subsection shall ensure that student mental health records
are accorded the privacy protections provided under the
regulations promulgated under section 264(c) of the Health
Insurance Portability and Accountability Act of 1996 (Public
Law 104-191; 110 Stat. 2033) and section 444 of the General
Education Provisions Act (20 U.S.C. 1232g) (commonly referred
to as the `Family Educational Rights and Privacy Act of
1974').
``(6) Liability protection for school personnel.--Section
2366 shall apply to school personnel providing services under
a grant, contract, or cooperative agreement under this
subsection in the same manner as such section applies to
teachers.
``(7) Prohibition against federal mandates, direction, or
control or federal regulation.--In addition to the
prohibition of Federal Government control of a State, local
educational agency, or school's curriculum or program of
instruction that is provided under section 9527(a), nothing
in this subsection shall be construed to authorize an officer
or employee of the Federal Government to mandate, direct, or
control a State, local educational agency, or school's
specific instructional content or academic achievement
standards and assessments.''.
(l) Definition.--Section 9101 of the Elementary and
Secondary Education Act of 1965 (20 U.S.C. 7801) is amended--
(1) by redesignating paragraphs (17) through (43) as
paragraphs (18) through (44), respectively; and
(2) by inserting after paragraph (16) the following:
``(17) Early intervening services.--The term `early
intervening services' means early intervening services
described in section 613(f)(1) of the Individuals with
Disabilities Education Act.''.

SEC. _14. CONFORMING AMENDMENTS.

(a) America COMPETES Reauthorization Act of 2010.--Section
553(d)(6) of the America COMPETES Reauthorization Act of 2010
(20 U.S.C. 9903(d)(6)) is amended by striking ``section
9101(23)'' and inserting ``section 9101(24)''.
(b) Higher Education Act of 1965.--Section 255(k) of the
Higher Education Act of 1965 is amended--
(1) in paragraph (1), by striking ``section
9101(23)(B)(ii)'' and inserting ``section 9101(24)(B)(ii)'';
and
(2) in paragraph (3), by striking ``section 9101(23)'' and
inserting ``section 9101(24)''.
(c) Individuals With Disabilities Education Act.--Section
602(10) of the Individuals with Disabilities Education Act
(20 U.S.C. 1401(10)) is amended--
(1) in subparagraph (C)(ii), by striking ``section
9101(23)'' and inserting ``section 9101(24)''; and
(2) in each of clauses (ii) and (iii) of subparagraph (D),
by striking ``section 9101(23)(C)(ii)'' and inserting
``section 9101(24)(C)(ii)''.

Subtitle B--Health Programs

SEC. _21. GARRETT LEE SMITH MEMORIAL ACT REAUTHORIZATION.

(a) Suicide Prevention Technical Assistance Center.--
Section 520C of the Public Health Service Act (42 U.S.C.
290bb-34) is amended--
(1) in the section heading, by striking the section heading
and inserting ``SUICIDE PREVENTION TECHNICAL ASSISTANCE
CENTER.'';
(2) in subsection (a), by striking ``and in consultation
with'' and all that follows through the period at the end of
paragraph (2) and inserting ``shall establish a research,
training, and technical assistance resource center to provide
appropriate information, training, and technical assistance
to States, political subdivisions of States, federally
recognized Indian tribes, tribal organizations, institutions
of higher education, public organizations, or private
nonprofit organizations regarding the prevention of suicide
among all ages, particularly among groups that are at high
risk for suicide.'';
(3) by striking subsections (b) and (c);
(4) by redesignating subsection (d) as subsection (b);
(5) in subsection (b), as so redesignated--
(A) by striking the subsection heading and inserting
``Responsibilities of the Center.'';
(B) in the matter preceding paragraph (1), by striking
``The additional research'' and

[[Page S2769]]

all that follows through ``nonprofit organizations for'' and
inserting ``The center established under subsection (a) shall
conduct activities for the purpose of'';
(C) by striking ``youth suicide'' each place such term
appears and inserting ``suicide'';
(D) in paragraph (1)--
(i) by striking ``the development or continuation of'' and
inserting ``developing and continuing''; and
(ii) by inserting ``for all ages, particularly among groups
that are at high risk for suicide'' before the semicolon at
the end;
(E) in paragraph (2), by inserting ``for all ages,
particularly among groups that are at high risk for suicide''
before the semicolon at the end;
(F) in paragraph (3), by inserting ``and tribal'' after
``statewide'';
(G) in paragraph (5), by inserting ``and prevention'' after
``intervention'';
(H) in paragraph (8), by striking ``in youth'';
(I) in paragraph (9), by striking ``and behavioral health''
and inserting ``health and substance use disorder''; and
(J) in paragraph (10), by inserting ``conducting'' before
``other''; and
(6) by striking subsection (e) and inserting the following:
``(c) Authorization of Appropriations.--For the purpose of
carrying out this section, there are authorized to be
appropriated $4,948,000 for each of fiscal years 2014 through
2018.''.
(b) Youth Suicide Early Intervention and Prevention
Strategies.--Section 520E of the Public Health Service Act
(42 U.S.C. 290bb-36) is amended--
(1) in paragraph (1) of subsection (a) and in subsection
(c), by striking ``substance abuse'' each place such term
appears and inserting ``substance use disorder'';
(2) in subsection (b)(2)--
(A) by striking ``each State is awarded only 1 grant or
cooperative agreement under this section'' and inserting ``a
State does not receive more than 1 grant or cooperative
agreement under this section at any 1 time''; and
(B) by striking ``been awarded'' and inserting
``received''; and
(3) by striking subsection (m) and inserting the following:
``(m) Authorization of Appropriations.--For the purpose of
carrying out this section, there are authorized to be
appropriated $29,682,000 for each of fiscal years 2014
through 2018.''.
(c) Mental Health and Substance Use Disorder Services.--
Section 520E-2 of the Public Health Service Act (42 U.S.C.
290bb-36b) is amended--
(1) in the section heading, by striking ``AND BEHAVIORAL
HEALTH'' and inserting ``HEALTH AND SUBSTANCE USE DISORDER
SERVICES'';
(2) in subsection (a)--
(A) by striking ``Services,'' and inserting ``Services
and'';
(B) by striking ``and behavioral health problems'' and
inserting ``health or substance use disorders''; and
(C) by striking ``substance abuse'' and inserting
``substance use disorders'';
(3) in subsection (b)--
(A) in the matter preceding paragraph (1), by striking
``for--'' and inserting ``for one or more of the
following:''; and
(B) by striking paragraphs (1) through (6) and inserting
the following:
``(1) Educating students, families, faculty, and staff to
increase awareness of mental health and substance use
disorders.
``(2) The operation of hotlines.
``(3) Preparing informational material.
``(4) Providing outreach services to notify students about
available mental health and substance use disorder services.
``(5) Administering voluntary mental health and substance
use disorder screenings and assessments.
``(6) Supporting the training of students, faculty, and
staff to respond effectively to students with mental health
and substance use disorders.
``(7) Creating a network infrastructure to link colleges
and universities with health care providers who treat mental
health and substance use disorders.'';
(4) in subsection (c)(5), by striking ``substance abuse''
and inserting ``substance use disorder'';
(5) in subsection (d)--
(A) in the matter preceding paragraph (1), by striking ``An
institution of higher education desiring a grant under this
section'' and inserting ``To be eligible to receive a grant
under this section, an institution of higher education'';
(B) in paragraph (1)--
(i) by striking ``and behavioral health'' and inserting
``health and substance use disorder''; and
(ii) by inserting ``, including veterans whenever possible
and appropriate,'' after ``students''; and
(C) in paragraph (2), by inserting ``, which may include,
as appropriate and in accordance with subsection (b)(7), a
plan to seek input from relevant stakeholders in the
community, including appropriate public and private entities,
in order to carry out the program under the grant'' before
the period at the end;
(6) in subsection (e)(1), by striking ``and behavioral
health problems'' and inserting ``health and substance use
disorders'';
(7) in subsection (f)(2)--
(A) by striking ``and behavioral health'' and inserting
``health and substance use disorder''; and
(B) by striking ``suicide and substance abuse'' and
inserting ``suicide and substance use disorders''; and
(8) in subsection (h), by striking ``$5,000,000 for fiscal
year 2005'' and all that follows through the period at the
end and inserting ``$4,858,000 for each of fiscal years 2014
through 2018.''.

SEC. _22. MENTAL HEALTH AWARENESS TRAINING GRANTS.

Section 520J of the Public Health Service Act (42 U.S.C.
290bb-41) is amended--
(1) in the section heading, by inserting ``MENTAL HEALTH
AWARENESS'' before ``TRAINING''; and
(2) in subsection (b)--
(A) in the subsection heading, by striking ``Illness'' and
inserting ``Health'';
(B) in paragraph (1), by inserting ``and other categories
of individuals, as determined by the Secretary,'' after
``emergency services personnel'';
(C) in paragraph (5)--
(i) in the matter preceding subparagraph (A), by striking
``to'' and inserting ``for evidence-based programs for the
purpose of''; and
(ii) by striking subparagraphs (A) through (C) and
inserting the following:
``(A) recognizing the signs and symptoms of mental illness;
and
``(B)(i) providing education to personnel regarding
resources available in the community for individuals with a
mental illness and other relevant resources; or
``(ii) the safe de-escalation of crisis situations
involving individuals with a mental illness.''; and
(D) in paragraph (7), by striking ``, $25,000,000'' and all
that follows through the period at the end and inserting
``$20,000,000 for each of fiscal years 2014 through 2018''.

SEC. _23. CHILDREN'S RECOVERY FROM TRAUMA.

Section 582 of the Public Health Service Act (42 U.S.C.
290hh-1) is amended--
(1) in subsection (a), by striking ``developing programs''
and all that follows and inserting ``developing and
maintaining programs that provide for--
``(1) the continued operation of the National Child
Traumatic Stress Initiative (referred to in this section as
the `NCTSI'), which includes a coordinating center, that
focuses on the mental, behavioral, and biological aspects of
psychological trauma response; and
``(2) the development of knowledge with regard to evidence-
based practices for identifying and treating mental,
behavioral, and biological disorders of children and youth
resulting from witnessing or experiencing a traumatic
event.'';
(2) in subsection (b)--
(A) by striking ``subsection (a) related'' and inserting
``subsection (a)(2) (related'';
(B) by striking ``treating disorders associated with
psychological trauma'' and inserting ``treating mental,
behavioral, and biological disorders associated with
psychological trauma)''; and
(C) by striking ``mental health agencies and programs that
have established clinical and basic research'' and inserting
``universities, hospitals, mental health agencies, and other
programs that have established clinical expertise and
research'';
(3) by redesignating subsections (c) through (g) as
subsections (g) through (k), respectively;
(4) by inserting after subsection (b), the following:
``(c) Child Outcome Data.--The NCTSI coordinating center
shall collect, analyze, and report NCTSI-wide child treatment
process and outcome data regarding the early identification
and delivery of evidence-based treatment and services for
children and families served by the NCTSI grantees.
``(d) Training.--The NCTSI coordinating center shall
facilitate the coordination of training initiatives in
evidence-based and trauma-informed treatments, interventions,
and practices offered to NCTSI grantees, providers, and
partners.
``(e) Dissemination.--The NCTSI coordinating center shall,
as appropriate, collaborate with the Secretary in the
dissemination of evidence-based and trauma-informed
interventions, treatments, products and other resources to
appropriate stakeholders.
``(f) Review.--The Secretary shall, consistent with the
peer review process, ensure that NCTSI applications are
reviewed by appropriate experts in the field as part of a
consensus review process. The Secretary shall include review
criteria related to expertise and experience in child trauma
and evidence-based practices.'';
(5) in subsection (g) (as so redesignated), by striking
``with respect to centers of excellence are distributed
equitably among the regions of the country'' and inserting
``are distributed equitably among the regions of the United
States'';
(6) in subsection (i) (as so redesignated), by striking
``recipient may not exceed 5 years'' and inserting
``recipient shall not be less than 4 years, but shall not
exceed 5 years''; and
(7) in subsection (j) (as so redesignated), by striking
``$50,000,000'' and all that follows through ``2006'' and
inserting ``$45,713,000 for each of fiscal years 2014 through
2018''.

SEC. _24. ASSESSING BARRIERS TO BEHAVIORAL HEALTH
INTEGRATION.

(a) In General.--Not later than 2 years after the date of
enactment of this Act, the Comptroller General of the United
States shall submit a report to the Committee on

[[Page S2770]]

Health, Education, Labor, and Pensions of the Senate and the
Committee on Energy and Commerce of the House of
Representatives concerning Federal requirements that impact
access to treatment of mental health and substance use
disorders related to integration with primary care,
administrative and regulatory issues, quality measurement and
accountability, and data sharing.
(b) Contents.--The report submitted under subsection (a)
shall include the following:
(1) An evaluation of the administrative or regulatory
burden on behavioral healthcare providers.
(2) The identification of outcome and quality measures
relevant to integrated health care, evaluation of the data
collection burden on behavioral healthcare providers, and any
alternative methods for evaluation.
(3) An analysis of the degree to which electronic data
standards, including interoperability and meaningful use
includes behavioral health measures, and an analysis of
strategies to address barriers to health information exchange
posed by part 2 of title 42, Code of Federal Regulations.
(4) An analysis of the degree to which Federal rules and
regulations for behavioral and physical health care are
aligned, including recommendations to address any identified
barriers.

SEC. _25. INCREASING EDUCATION AND AWARENESS OF TREATMENTS
FOR OPIOID USE DISORDERS.

(a) In General.--In order to improve the quality of care
delivery and treatment outcomes among patients with opioid
use disorders, the Secretary of Health and Human Services
(referred to in this section as the ``Secretary''), acting
through the Administrator for the Substance Abuse and Mental
Health Services Administration, may advance, through existing
programs as appropriate, the education and awareness of
providers, patients, and other appropriate stakeholders
regarding all products approved by the Food and Drug
Administration to treat opioid use disorders.
(b) Activities.--The activities described in subsection (a)
may include--
(1) disseminating evidence-based practices for the
treatment of opioid use disorders;
(2) facilitating continuing education programs for health
professionals involved in treating opioid use disorders;
(3) increasing awareness among relevant stakeholders of the
treatment of opioid use disorders;
(4) assessing current barriers to the treatment of opioid
use disorders for patients and providers and development and
implementation of strategies to mitigate such barriers; and
(5) continuing innovative approaches to the treatment of
opioid use disorders in various treatment settings, such as
prisons, community mental health centers, primary care, and
hospitals.
(c) Report.--Not later than 1 year after the date of
enactment of this Act, if the Secretary carries out the
activities under this section, the Secretary shall 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 that examines--
(1) the activities the Substance Abuse and Mental Health
Services Administration conducts under this section,
including any potential impacts on health care costs
associated with such activities;
(2) the role of adherence in the treatment of opioid use
disorders and methods to reduce opioid use disorders; and
(3) recommendations on priorities and strategies to address
co-occurring substance use disorders and mental illnesses.

SEC. _26. EXAMINING MENTAL HEALTH CARE FOR CHILDREN.

(a) In General.--Not later than 1 year after the date of
enactment of this Act, the Comptroller General of the United
States shall conduct an independent evaluation, 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 concerning the utilization
of mental health services for children, including the usage
of psychotropic medications.
(b) Content.--The report submitted under subsection (a)
shall review and assess--
(1) the ways in which children access mental health care,
including information on whether children are treated by
primary care or specialty providers, what types of referrals
for additional care are recommended, and any barriers to
accessing this care;
(2) the extent to which children are prescribed
psychotropic medications in the United States including the
frequency of concurrent medication usage; and
(3) the tools, assessments, and medications that are
available and used to diagnose and treat children with mental
health disorders.

SEC. _27. EVIDENCE BASED PRACTICES FOR OLDER ADULTS.

Section 520A(e) of the Public Health Service Act (42 U.S.C.
290bb-32(e)) is amended by adding at the end the following:
``(3) Geriatric mental health disorders.--The Secretary
shall, as appropriate, provide technical assistance to
grantees regarding evidence-based practices for the
prevention and treatment of geriatric mental health disorders
and co-occurring mental health and substance use disorders
among geriatric populations, as well as disseminate
information about such evidence-based practices to States and
nongrantees throughout the United States.''.

SEC. _28. NATIONAL VIOLENT DEATH REPORTING SYSTEM.

The Secretary of Health and Human Services, acting through
the Director of the Centers for Disease Control and
Prevention, is encouraged to improve, particularly through
the inclusion of additional States, the National Violent
Death Reporting System as authorized by title III of the
Public Health Service Act. Participation in the system by the
States shall be voluntary.

SEC. _29. GAO STUDY ON VIRGINIA TECH RECOMMENDATIONS.

(a) In General.--Not later than 1 year after the date of
enactment of this Act, the Comptroller General of the United
States shall conduct an independent evaluation, and submit to
the appropriate committees of Congress a report concerning
the status of implementation of recommendations made in the
report to the President, On Issues Raised by the Virginia
Tech Tragedy, by the Secretaries of Health and Human Services
and Education and the Attorney General of the United States,
submitted to the President on June 13, 2007.
(b) Content.--The report submitted to the committees of
Congress under subsection (a) shall review and assess--
(1) the extent to which the recommendations in the report
that include participation by the Department of Health and
Human Services were implemented;
(2) whether there are any barriers to implementation of
such recommendations; and
(3) identification of any additional actions the Federal
government can take to support States and local communities
and ensure that the Federal government and Federal law are
not obstacles to addressing at the community level--
(A) school violence; and
(B) mental illness.
______