(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.”.

Section 506A of the Public Health Service Act (42 U.S.C. 290aa–5a) is amended to read as follows:

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”.

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”.

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”.

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”.

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.”.

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”.

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”.

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”.

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”.

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”.

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”.

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”.

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.”.

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.”.

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.”.

(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.

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.”.

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”.

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).

(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”.

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”.

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.”.

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;”.

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’”.

(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”.

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.”.

(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).

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.

(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.

(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.

Section 520K of the Public Health Service Act (42 U.S.C. 290bb-42) is amended to read as follows:

(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”.

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.”.

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.”.

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”.

(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”.

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”.

(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”.

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”.

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”.

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”.