Professional Documents
Culture Documents
113TH CONGRESS
1ST SESSION
H. R. 3717
A BILL
To make available needed psychiatric, psychological, and supportive services for individuals diagnosed with mental
illness and families in mental health crisis, and for other
purposes.
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(b) TABLE
OF
101.
102.
103.
104.
701.
702.
703.
704.
705.
706.
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Sec. 707. Paperwork reduction study.
TITLE VIIIBEHAVIORAL HEALTH AWARENESS PROGRAM
Sec. 801. Reducing the stigma of serious mental illness.
TITLE IXBEHAVIORAL HEALTH INFORMATION TECHNOLOGY
Sec. 901. Extension of health information technology assistance for behavioral
and mental health and substance abuse.
Sec. 902. Extension of eligibility for Medicare and Medicaid health information
technology implementation assistance.
TITLE XEXPANDING ACCESS TO CARE THROUGH HEALTH
CARE PROFESSIONAL VOLUNTEERISM
Sec. 1001. Liability protections for health care professional volunteers at community health centers and federally qualified community behavioral health clinics.
TITLE XISAMHSA REAUTHORIZATION AND REFORMS
Subtitle AOrganization and General Authorities
Sec.
Sec.
Sec.
Sec.
1101.
1102.
1103.
1104.
In general.
Advisory councils.
Peer review.
Data collection.
Subtitle BCenter for Mental Health Services
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mental illness; or
with
and
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(2) carry out any functions within the Department of Health and Human Services
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substance abuse;
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Policy Laboratory.
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(d) PRIORITIZATION
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AND
EARLY DIAGNOSIS
OF INTEGRATION OF
AND
SERVICES
INTERVENTION.In car-
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orders.
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TORY.
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(1) IN
to be headed by a Director.
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GENERAL.The
(A)
identify
and
implement
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To Transform Services;
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policy
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Act; and
(3) EVIDENCE-BASED
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selecting evidence-based
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Health.
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(4) DEADLINE
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TION.The
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ongoing basis;
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and
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ment.
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(6) EVALUATION.
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(A) IN
Director of the
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GENERAL.The
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under
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the
respective
services
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models.
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(1) IN
GENERAL.Taking
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so long as
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care; or
ing; and
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(2) CONGRESSIONAL
REVIEW.Any
rule pro-
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Code.
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(g) REPORTS
TO
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520A to determine
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ORDINATING COMMITTEE.
4 by section 701, is further amended by inserting after sec5 tion 501A of such Act the following:
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ORDINATING COMMITTEE.
9 Mental Health and Substance Use Disorders (in this sec10 tion referred to as the Assistant Secretary) shall estab11 lish a committee, to be known as the Interagency Serious
12 Mental Illness Coordinating Committee (in this section re13 ferred to as the Committee), to assist the Assistant Sec14 retary in carrying out the Assistant Secretarys duties.
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ness;
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(c) MEMBERSHIP.
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(1) IN
Committee shall be
composed of
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GENERAL.The
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designee);
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Education;
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tion; and
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(2) ADDITIONAL
MEMBERS.Not
fewer than
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cian;
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chiatrist;
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ical psychologist;
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outpatient treatment;
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rections officer.
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SERV-
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sibilities.
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BERSHIP.In
AND
MEM-
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1 necessary to enable the subcommittees to carry out their
2 duties..
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GRAM.
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(b) USE
OF
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ment;
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order; and
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the courts.
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19 shall provide in a timely fashion any data collected pursu20 ant to the grant to the National Mental Health Policy
21 Laboratory, as requested by the Assistant Secretary, con22 cerning health outcomes and treatments.
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24 an annual report to the Committees on Energy and Com25 merce and the Judiciary of the House of Representatives,
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1 the Committees on Health, Education, Labor, and Pen2 sions and the Judiciary of the Senate, and the Congres3 sional Budget Office on the grant program under this sec4 tion. Each such report shall include an evaluation of the
5 following:
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(1) ASSISTED
OUTPATIENT TREATMENT.The
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ment; and
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community; and
pitalizations,
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incarceration,
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tary hospitalization.
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(2) ELIGIBLE
PATIENT.The
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munity;
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participate in treatment;
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safety;
ment; or
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(f) FUNDING.
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(1) AMOUNT
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OF GRANTS.A
(2) AUTHORIZATION
OF
APPROPRIATIONS.
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FOR
CERTAIN PRIMARY
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SE);
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(CRAFFT);
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CAT);
Status (PEDS);
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(YPSC);
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(c) PAYMENTS
FOR
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were provided;
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FOR
MENTAL HEALTH
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(1) IN
GENERAL.For
purposes of subsection
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(2) QUALIFIED
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care provider
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other
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technology
GENERAL.For
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by
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telecommunications
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may require.
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(3) MATCHING
REQUIREMENT.The
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in the grant.
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gram.
(f) LENGTH
OF
(g) AUTHORIZATION
OF
APPROPRIATIONS.Out of
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(h) REPORTS.
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tions.
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23 2016, the Secretary of Health and Human Services (re24 ferred to in this section as the Secretary), in coordina25 tion with the Assistant Secretary for Mental Health and
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1 Substance Use Disorders, shall award planning grants to
2 not to exceed 10 States to enable such States to carry
3 out 5-year demonstration programs to improve the provi4 sion of behavioral health services provided by federally
5 qualified community behavioral health clinics in the State.
6
(b) ELIGIBILITY.
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et seq.);
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(2) WAIVER
OF MEDICAID REQUIREMENTS.In
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quirements
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of
this
section,
including
section
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in such areas;
basis.
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(d) TREATMENT
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BY
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ICAL
(1) IN
MED-
GENERAL.For
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(2) GRANT
CONDITION.As
a condition of re-
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ASSISTANCE.
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(3) PROSPECTIVE
(A) IN
GENERAL.Not
later than 18
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of
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1905(a)(2)(C)
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clinic.
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PAYMENT SYSTEM.
the
Social
(B)
Security
of
such
Act
Act
REQUIREMENTS.The
(42
(42
U.S.C.
prospective
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Secretary; and
Act.
(C) PAYMENTS
TO
STATES.The
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(1) IN
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GENERAL.Not
grants;
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(3) DATA
shall provide
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and treatments.
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(f) CRITERIA
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NITY
FOR
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COLLECTION.Grantees
(1) IN
GENERAL.The
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subsection.
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following:
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evidence-based treatment.
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psychology.
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to pay.
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assessment,
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based).
diagnosis,
psychotherapy,
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profile).
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sis stabilization.
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ployment,
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housing
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chotic episode.
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tion 1915(d).
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programs.
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counselor services.
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organizations.
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this subsection.
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(3) RULE
of this subsection).
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SERVICES.The
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(3) FEDERALLY
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term federally
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OF CONSTRUCTION.Nothing
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(h) AUTHORIZATION
OF
APPROPRIATIONS.In order
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THEIR
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PRIVACY REGULATIONS.
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CAREGIVERS
TO
AS
PERSONAL
REP-
INFORMATION.In ap-
15 plying section 164.502(g) of title 45, Code of Federal Reg16 ulations, to an individual with a serious mental illness who
17 does not provide consent for the disclosure of protected
18 health information to a caregiver of such individual, the
19 caregiver shall be treated by a covered entity as a personal
20 representative
(as
described
under
such
section
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1 protect the health, safety, or welfare of such individual or
2 the safety of one or more other individuals.
3
(1) COVERED
(2) PROTECTED
HEALTH INFORMATION.The
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illness
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ENTITY.The
individual;
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individual; or
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(4) INDIVIDUAL
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NESS.The
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disorder that
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and
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(k) DISCLOSURES
TO
CAREGIVERS
OF THE
TALLY ILL.
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(1) IN
GENERAL.Nothing
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(B)
RECORD.Notwith-
EDUCATION
(C) INDIVIDUAL
TAL ILLNESS.The
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vidual..
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TITLE IVDEPARTMENT OF
JUSTICE REFORMS
GRANTS.
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(a) MODIFICATIONS
RIAL
TO THE
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cers..
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(b) MODIFICATIONS
TO THE
COMMUNITY ORIENTED
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(19).
16
(c) MODIFICATIONS
17
QUATE
TO THE
STAFFING
FOR
ADE-
23 have mental illness and how to properly intervene with in24 dividuals with mental illness.
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(1) IN
GENERAL.Section
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TAL
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ILLNESS;
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and
ILLNESS
MENTAL
DISORDER;
HEALTH
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and
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(9) PRELIMINARILY
20
2991(a) of title I of
(A) IN
QUALIFIED OFFENDER.
GENERAL.The
term prelimi-
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and
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the relevant
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official;
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agency representative..
AND
CONFORMING
AMEND-
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or
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(F) ACADEMY
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(4) PRIORITY
CONSIDERATION.The
Attorney
cooperatively..
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lowing:
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(A) PEER
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GRAMS.The
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the
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(B) QUALIFIED
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and
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(C) VETERANS
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and
available benefits.
(2) VETERANS
(A) IN
GENERAL.The
Attorney General,
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grams;
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ASSISTANCE PROGRAM.
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qualified veterans.
(B)
PRIORITY.In
awarding
grants
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qualified veterans..
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(1) DEFINITIONS.
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FACILITY.The
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(B) ELIGIBLE
term eligi-
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(2) CORRECTIONAL
FACILITY GRANTS.The
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mates;
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INMATE.The
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mates; and
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(f) REAUTHORIZATION
OF
APPROPRIATIONS.Sec-
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1 and assaulted, or individuals killed by law enforcement of2 ficers shall include data with respect to the involvement
3 of mental illness in such incidences, if any. Not later than
4 90 days after the date of the enactment of this Act, the
5 Attorney General shall promulgate or revise regulations as
6 necessary to carry out this section.
7
9
10
(a) REPORT
TALLY
ILL
ON THE
IN THE
COST
OF
TREATING
THE
MEN-
22 Attorney General, in consultation with the Assistant Secemcdonald on DSK67QTVN1PROD with BILLS
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1 cans with Severe Mental Illnesses: Report of the National
2 Advisory Mental Health Council, American Journal of
3 Psychiatry 1993; 150:14471465.
9 SERVICES
10
THE
MENTAL HEALTH
(1) IN
GENERAL.Section
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paragraph:
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section (ll));.
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(2)
SAME-DAY
QUALIFYING
SERVICES
DE-
FINED.Section
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facility; and
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ity..
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ANCE FOR
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and
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age;
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(1) IN
to paragraph (2),
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GENERAL.Subject
(2) EXCEPTION
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(a) COVERAGE
OF
CARE.Section
(b) COVERAGE
OF
ICAID.Section
(8) ACCESS
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graph (5)..
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(1) IN
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(2) FUNDING
20
GENERAL.For
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through 2019.
porting
10
11
interpersonal violence; or
12
13
14
Neurotechnologies Initiative..
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20
ANT SECRETARY.
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tains
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(2) by striking the period at the end and inserting ; and; and
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tory
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and
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herence..
5 U.S.C. 300x2), as amended, is further amended by add6 ing at the end the following:
7
(d)
PERIOD
FOR
EXPENDITURE
OF
GRANT
14
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(1) IN
GENERAL.A
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outpatient treatment; or
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that individual.
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SEC.
705.
ASSISTED
16
17
OUTPATIENT
TREATMENT
UNDER
STATE LAW.
18 U.S.C. 300x4), as amended, is further amended by add19 ing at the end the following:
20
21 STATE LAW.
22
(1) IN
GENERAL.A
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(i)
relapse,
repeated
11
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pitalization.
15
(2) CERTIFICATION
OF STATE COMPLIANCE.
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munity;
participate in treatment;
health or safety;
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treatment; and
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CARE.
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IN
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1 Assistant Secretary for Mental Health and Substance Use
2 Disorders shall obligate 5 percent of the amounts appro3 priated under subsection (a) for a fiscal year through the
4 National Mental Health Laboratory created under this
5 Act. These models may include the Recovery After an Ini6 tial Schizophrenia Episode research project of the Na7 tional Institute of Mental Health and the North American
8 Prodrome Longitudinal Study..
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1
2 (a), the Institute of Medicine (or, if applicable, other ap3 propriate entity) shall examine licensing, certification,
4 service definitions, claims payment, billing codes, and fi5 nancial auditing requirements used by the Office of Man6 agement and Budget, the Centers for Medicare & Medicaid
7 Services, the Health Resources and Services Administra8 tion, the Substance Abuse and Mental Health Services Ad9 ministration, the Office of the Inspector General of the
10 Department of Health and Human Services, State Med11 icaid agencies, State departments of health, State depart12 ments of education, and State and local juvenile justice
15
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time;
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1
TITLE VIIIBEHAVIORAL
HEALTH AWARENESS PROGRAM
6
7
NESS.
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ness; and
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25 shall
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and
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23 health
professionals
(as
defined
in
section
24 331(a)(3)(E)(i)), a substance abuse professional, a psy25 chiatric hospital (as defined in section 1861(f) of the SoHR 3717 IH
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1 cial Security Act), a community mental health center
2 meeting the criteria specified in section 1913(c), a feder3 ally qualified community behavioral health clinic certified
4 under section 201 of the Helping Families in Mental
5 Health Crisis Act of 2013, a residential or outpatient men6 tal health or substance abuse treatment facility,.
7
MEDICAID
10
11
HEALTH
INFORMATION
FOR
TECH-
ELIGIBLE PROFES-
14
15
16
(iv) ADDITIONAL
17
SIONAL.The
18
19
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subparagraph:
23
emcdonald on DSK67QTVN1PROD with BILLS
ELIGIBLE PROFES-
(F) APPLICATION
TO ADDITIONAL ELIGI-
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BLE
25
PROFESSIONALS.The
Secretary
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paragraph (A)
10
tively; and
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2022.; and
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(D)
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SIONAL.The
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ADDITIONAL
24
(6) APPLICATION
PROFESSIONALS.The
TO ADDITIONAL ELIGIBLE
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ELIGIBLE
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cept in applying
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pital
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(as
defined
in
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tively; and
reference
2015
be
11
and
(2) in subsection (n)
13
14
15
(C) ADDITIONAL
ELIGIBLE HOSPITAL.
16
17
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19
20
paragraph:
21
(7) APPLICATION
TO ADDITIONAL ELIGIBLE
22
HOSPITALS.The
23
24
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ing
11
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serting a semicolon;
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new clauses:
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section 1861(f));
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1
dividuals
medical
or
cility that
(I) is accredited by the Joint
11
Commission
12
13
14
15
16
17
Secretary; and
on
Accreditation
of
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the semicolon;
clause:
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clinic that
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graph (2)(B)..
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tions;
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paragraph
14
(2); and
(9)
after
paragraph
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sional;
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ble professionals;
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1
such year.;
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paragraph (2);
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section (m)(1);
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paragraph:
(9) ADDITIONAL
SCRIBED.With
who
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tions;
hospital;
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paragraph
19
(2); and
(7)
after
paragraph
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section 1886(n)(6)(A));
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graph (2);
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paragraph:
(7) ADDITIONAL
ELIGIBLE
HOSPITAL
DE-
SCRIBED.With
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16
PROFESSIONAL
17
NITY
18
QUALIFIED
19
HEALTH CLINICS.
20
HEALTH
VOLUNTEERS
CENTERS
AT
AND
COMMUNITY
COMMU-
FEDERALLY
BEHAVIORAL
23
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graph (4)(B).
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of the service.
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1
2 (5)) and subsections (h), (i), and (l) apply to a health care
3 professional for purposes of this subsection to the same
4 extent and in the same manner as such subsections apply
5 to an officer, governing board member, employee, or con6 tractor of an entity described in subsection (g)(4), subject
7 to paragraph (5) and subject to the following:
8
10
(g)(1)(A).
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professional if
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10
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18 section (k)(2) shall be available for transfer under sub19 paragraph (C) for purposes of carrying out this subsection
20 for health professional volunteers at entities described in
21 subsection (g)(4).
22
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1 penses of witnesses) that, by reason of the acts or omis2 sions of health care professional volunteers, will be paid
3 pursuant to this subsection during the calendar year that
4 begins in the following fiscal year. Subsection (k)(1)(B)
5 applies to the estimate under the preceding sentence re6 garding health care professional volunteers to the same
7 extent and in the same manner as such subsection applies
8 to the estimate under such subsection regarding officers,
9 governing board members, employees, and contractors of
10 entities described in subsection (g)(4).
11
12 the Secretary shall transfer from the fund under sub13 section (k)(2) to the appropriate accounts in the Treasury
14 an amount equal to the estimate made under subpara15 graph (B) for the calendar year beginning in such fiscal
16 year, subject to the extent of amounts in the fund.
17
20 subsection
21
22
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24
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health;
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illness or;
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the end;
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and
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10
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gree in psychology; or
13
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15
professional..
SEC. 1103. PEER REVIEW.
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25
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AND
STANDARDS.Peer
13
14
(a) TRANSFER
AND
OF
20
VEYS TO THE
21
ORATORY.Section
AND
SUR-
NATIONAL MENTAL HEALTH POLICY LAB505 of the Public Health Service Act
24
25
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graph (3);
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illness;
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years; and
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1
illness..
5
6
10
11 Administration a Center for Mental Health Services (here12 after in this section referred to as the Center). The Cen13 ter shall be headed by a Director (hereafter in this section
14 referred to as the Director) appointed by the Secretary
15 from among individuals with extensive experience or aca16 demic qualifications in the provision of mental health serv17 ices or in the evaluation of mental health service systems.
18
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for
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graph (1);
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dividuals;
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services;
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services;
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3 Nothing in this subsection shall be construed as author4 izing any new grant program or project that is not explic5 itly authorized or required by other statutory provisions.
6
FOR
GRANTS.Noth-
SEC.
1112.
REAUTHORIZATION
OF
12
HEALTH
13
TIONAL SIGNIFICANCE.
14
NEEDS
OF
PRIORITY
REGIONAL
MENTAL
AND
NA-
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sistance programs;
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follows:
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the Senate.;
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follows:
15
(1) IN
GENERAL.For
16
tion,
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2018..
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there
is
authorized
to
be
appropriated
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2
3
CENTER.
(b) RESPONSIBILITIES
OF THE
CENTER.The cen-
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suicide;
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suicide;
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(6) ensure the surveillance of suicidal behaviors and nonfatal suicidal attempts;
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to suicide attempts;
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suicide;
and
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(c) AUTHORIZATION
OF
APPROPRIATIONS.For the
AND
PREVEN-
21
22
PREVENTION STRATEGIES.
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ganizations;
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vention strategies;
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and
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7
8
(A) a State;
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strategy; or
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9 grant or cooperative agreement under this section, an eli10 gible entity shall give preference to public organizations,
11 private nonprofit organizations, political subdivisions, in12 stitutions of higher education, and tribal organizations ac13 tively involved with the State-sponsored statewide or tribal
14 youth suicide early intervention and prevention strategy
15 that
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for suicide;
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suicide;
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(d) REQUIREMENT
FOR
DIRECT SERVICES.Not
(e) CONSULTATION
18
(1) IN
AND
POLICY DEVELOPMENT.
GENERAL.In
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youth suicide.
24
25
(2) CONSULTATION.In carrying out this section, the Secretary shall consult with
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lies;
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services;
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(3) POLICY
DEVELOPMENT.In
carrying out
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gies.
17
(f) RULE
OF
CONSTRUCTION; RELIGIOUS
AND
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(1) EVALUATIONS
BY ELIGIBLE ENTITIES.
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(h) RULE
17
TION.Nothing
OF
25 ceiving funding under this section shall obtain prior writHR 3717 IH
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1 ten, informed consent from the childs parent or legal
2 guardian for assessment services, school-sponsored pro3 grams, and treatment involving medication related to
4 youth suicide conducted in elementary and secondary
5 schools. The requirement of the preceding sentence does
6 not apply in the following cases:
7
10
11
12
tained.
13
(k) RELATION
TO
EDUCATION PROVISIONS.Noth-
23
24
(1) EARLY
INTERVENTION.The
term early
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3
4
(2) EDUCATIONAL
INSTITUTION; INSTITUTION
term
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(3)
PREVENTION.The
term
prevention
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18
cide.
19
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21
(m) AUTHORIZATION
OF
APPROPRIATIONS.For
22 the purpose of carrying out this section, there are authoremcdonald on DSK67QTVN1PROD with BILLS
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FOR
YOUTH.Section
follows: SUICIDE
and
following:
SERVICES
AND
AND
OUTREACH
ON
CAMPUS.Section
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(b) USES
OF
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orders.
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practices.
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centers;
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order programs; or
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19
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services.
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cation.
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be met.
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(e)
SPECIAL
CONSIDERATIONS.In
awarding
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lication.
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17
(1) IN
GENERAL.The
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(2) DETERMINATION
OF AMOUNT CONTRIB-
UTED.Non-Federal
10
tions.
11
12
13
14
15
16
20 lowing:
21
22
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24
those activities.
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(i) AUTHORIZATION
OF
APPROPRIATIONS.For the
14
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17
EMOTIONAL DISTURBANCES.
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10
11
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follows:
15
(1) AUTHORIZATION
16
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2019.; and
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emcdonald on DSK67QTVN1PROD with BILLS
OF APPROPRIATIONS.
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8
9
(a) REAUTHORIZATION
MATIC
OF
(f) AUTHORIZATION
OF
APPROPRIATIONS.To
13 carry out this section, there are authorized to be appro14 priated $50,000,000 for each of the fiscal years 2014
15 through 2017..
16
17 PROTECTION
AND
IN
FUNDING
FOR
22
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part, from
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abuse or neglect; or
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giver..
Subtitle FLimitations on
Authority
6
7
8
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2
3
GRAMS.
(a) ELIMINATION
OF
4 STATUTORY AUTHORIZATION.
5
(1) NO
Administrator of
10
11
by statute.
12
NEW PROGRAMS.The
(2) TERMINATION
OF EXISTING PROGRAMS.
13
14
15
16
17
(b) REPORT.
18
(1) IN
GENERAL.The
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