H.R. 7666: Restoring Hope for Mental Health and Well-Being Act of 2022

Bill · 117th Congress (2021–2022). Passed House, 22 Jun 2022. Introduced 6 May 2022.

Official title: To amend the Public Health Service Act to reauthorize certain programs relating to mental health and substance use disorders, and for other purposes.

Vote results

House, 22 Jun 2022: Passed, 402 Yea, 20 Nay, 0 Present, 7 Not voting. The House’s roll call
President: Not presented to the President.

How each member voted

House

Yea (402): Harold Rogers (R-KY-5); Christopher H. Smith (R-NJ-4); Steny H. Hoyer (D-MD-5); Marcy Kaptur (D-OH-9); Peter A. DeFazio (D-OR-4); Fred Upton (R-MI-6); Frank Pallone, Jr. (D-NJ-6); Richard E. Neal (D-MA-1); David E. Price (D-NC-4); Jim Cooper (D-TN-5); Rosa L. DeLauro (D-CT-3); Maxine Waters (D-CA-43); Jerrold Nadler (D-NY-10); Sanford D. Bishop, Jr. (D-GA-2); Ken Calvert (R-CA-42); James E. Clyburn (D-SC-6); Anna G. Eshoo (D-CA-18); Eddie Bernice Johnson (D-TX-30); Carolyn B. Maloney (D-NY-12); Lucille Roybal-Allard (D-CA-40); Bobby L. Rush (D-IL-1); Robert C. "Bobby" Scott (D-VA-3); Nydia M. Velázquez (D-NY-7); Bennie G. Thompson (D-MS-2); Frank D. Lucas (R-OK-3); Lloyd Doggett (D-TX-35); Sheila Jackson Lee (D-TX-18); Zoe Lofgren (D-CA-19); Earl Blumenauer (D-OR-3); Steve Chabot (R-OH-1); Robert B. Aderholt (R-AL-4); Kevin Brady (R-TX-8); Danny K. Davis (D-IL-7); Diana DeGette (D-CO-1); Kay Granger (R-TX-12); Ron Kind (D-WI-3); James P. McGovern (D-MA-2); Bill Pascrell, Jr. (D-NJ-9); Brad Sherman (D-CA-30); Adam Smith (D-WA-9); Gregory W. Meeks (D-NY-5); Barbara Lee (D-CA-13); John B. Larson (D-CT-1); Grace F. Napolitano (D-CA-32); Janice D. Schakowsky (D-IL-9); Michael K. Simpson (R-ID-2); Mike Thompson (D-CA-5); Pete Sessions (R-TX-17); Sam Graves (R-MO-6); James R. Langevin (D-RI-2); Rick Larsen (D-WA-2); Betty McCollum (D-MN-4); Adam B. Schiff (D-CA-28); Stephen F. Lynch (D-MA-8); Joe Wilson (R-SC-2); Michael C. Burgess (R-TX-26); John R. Carter (R-TX-31); Tom Cole (R-OK-4); Mario Diaz-Balart (R-FL-25); Raúl M. Grijalva (D-AZ-3); Mike Rogers (R-AL-3); C. A. Dutch Ruppersberger (D-MD-2); Tim Ryan (D-OH-13); David Scott (D-GA-13); Linda T. Sánchez (D-CA-38); Michael R. Turner (R-OH-10); Darrell Issa (R-CA-50); Emanuel Cleaver (D-MO-5); Jim Costa (D-CA-16); Henry Cuellar (D-TX-28); Virginia Foxx (R-NC-5); Al Green (D-TX-9); Brian Higgins (D-NY-26); Michael T. McCaul (R-TX-10); Patrick T. McHenry (R-NC-10); Cathy McMorris Rodgers (R-WA-5); Gwen Moore (D-WI-4); Debbie Wasserman Schultz (D-FL-23); Doris O. Matsui (D-CA-6); Albio Sires (D-NJ-8); Gus M. Bilirakis (R-FL-12); Vern Buchanan (R-FL-16); Kathy Castor (D-FL-14); Yvette D. Clarke (D-NY-9); Steve Cohen (D-TN-9); Joe Courtney (D-CT-2); Henry C. "Hank" Johnson, Jr. (D-GA-4); Jim Jordan (R-OH-4); Doug Lamborn (R-CO-5); Kevin McCarthy (R-CA-23); Jerry McNerney (D-CA-9); Ed Perlmutter (D-CO-7); John P. Sarbanes (D-MD-3); Adrian Smith (R-NE-3); Peter Welch (D-VT-AL); John A. Yarmuth (D-KY-3); Robert E. Latta (R-OH-5); André Carson (D-IN-7); Jackie Speier (D-CA-14); Steve Scalise (R-LA-1); Tim Walberg (R-MI-7); Gerald E. Connolly (D-VA-11); Brett Guthrie (R-KY-2); James A. Himes (D-CT-4); Blaine Luetkemeyer (R-MO-3); Chellie Pingree (D-ME-1); Bill Posey (R-FL-8); Glenn Thompson (R-PA-15); Paul Tonko (D-NY-20); Kurt Schrader (D-OR-5); Mike Quigley (D-IL-5); Judy Chu (D-CA-27); John Garamendi (D-CA-3); Bill Foster (D-IL-11); Karen Bass (D-CA-37); Larry Bucshon (R-IN-8); David N. Cicilline (D-RI-1); Eric A. "Rick" Crawford (R-AR-1); Scott DesJarlais (R-TN-4); Jeff Duncan (R-SC-3); Charles J. "Chuck" Fleischmann (R-TN-3); Bob Gibbs (R-OH-7); H. Morgan Griffith (R-VA-9); Andy Harris (R-MD-1); Vicky Hartzler (R-MO-4); Jaime Herrera Beutler (R-WA-3); Bill Huizenga (R-MI-2); Bill Johnson (R-OH-6); William R. Keating (D-MA-9); Mike Kelly (R-PA-16); Adam Kinzinger (R-IL-16); Billy Long (R-MO-7); David B. McKinley (R-WV-1); Steven M. Palazzo (R-MS-4); David Schweikert (R-AZ-6); Austin Scott (R-GA-8); Terri A. Sewell (D-AL-7); Frederica S. Wilson (D-FL-24); Steve Womack (R-AR-3); Dina Titus (D-NV-1); Kweisi Mfume (D-MD-7); Mark E. Amodei (R-NV-2); Suzanne Bonamici (D-OR-1); Suzan K. DelBene (D-WA-1); Donald M. Payne, Jr. (D-NJ-10); Andy Barr (R-KY-6); Joyce Beatty (D-OH-3); Ami Bera (D-CA-7); Julia Brownley (D-CA-26); Cheri Bustos (D-IL-17); Matt Cartwright (D-PA-8); Joaquin Castro (D-TX-20); Tony Cárdenas (D-CA-29); Rodney Davis (R-IL-13); Lois Frankel (D-FL-21); Richard Hudson (R-NC-8); Jared Huffman (D-CA-2); Hakeem S. Jeffries (D-NY-8); David P. Joyce (R-OH-14); Daniel T. Kildee (D-MI-5); Derek Kilmer (D-WA-6); Ann Kirkpatrick (D-AZ-2); Ann M. Kuster (D-NH-2); Doug LaMalfa (R-CA-1); Alan S. Lowenthal (D-CA-47); Sean Patrick Maloney (D-NY-18); Grace Meng (D-NY-6); Markwayne Mullin (R-OK-2); Scott Perry (R-PA-10); Scott H. Peters (D-CA-52); Mark Pocan (D-WI-2); Tom Rice (R-SC-7); Raul Ruiz (D-CA-36); Chris Stewart (R-UT-2); Eric Swalwell (D-CA-15); Mark Takano (D-CA-41); Juan Vargas (D-CA-51); Marc A. Veasey (D-TX-33); Ann Wagner (R-MO-2); Randy K. Weber, Sr. (R-TX-14); Brad R. Wenstrup (R-OH-2); Roger Williams (R-TX-25); Robin L. Kelly (D-IL-2); Jason Smith (R-MO-8); Katherine M. Clark (D-MA-5); Alma S. Adams (D-NC-12); Pete Aguilar (D-CA-31); Rick W. Allen (R-GA-12); Brian Babin (R-TX-36); Donald S. Beyer, Jr. (D-VA-8); Mike Bost (R-IL-12); Brendan F. Boyle (D-PA-2); Earl L. "Buddy" Carter (R-GA-1); Ed Case (D-HI-1); Mark DeSaulnier (D-CA-11); Debbie Dingell (D-MI-12); Tom Emmer (R-MN-6); Ruben Gallego (D-AZ-7); Garret Graves (R-LA-6); Glenn Grothman (R-WI-6); J. French Hill (R-AR-2); John Katko (R-NY-24); Brenda L. Lawrence (D-MI-14); Ted Lieu (D-CA-33); Barry Loudermilk (R-GA-11); John R. Moolenaar (R-MI-4); Alexander X. Mooney (R-WV-2); Seth Moulton (D-MA-6); Dan Newhouse (R-WA-4); Gary J. Palmer (R-AL-6); Kathleen M. Rice (D-NY-4); David Rouzer (R-NC-7); Elise M. Stefanik (R-NY-21); Norma J. Torres (D-CA-35); Bonnie Watson Coleman (D-NJ-12); Bruce Westerman (R-AR-4); Bradley Scott Schneider (D-IL-10); David G. Valadao (R-CA-21); Trent Kelly (R-MS-1); Darin LaHood (R-IL-18); Warren Davidson (R-OH-8); James Comer (R-KY-1); Dwight Evans (D-PA-3); Jodey C. Arrington (R-TX-19); Don Bacon (R-NE-2); Jim Banks (R-IN-3); Nanette Diaz Barragán (D-CA-44); Jack Bergman (R-MI-1); Lisa Blunt Rochester (D-DE-AL); Anthony G. Brown (D-MD-4); Ted Budd (R-NC-13); Salud O. Carbajal (D-CA-24); Liz Cheney (R-WY-AL); J. Luis Correa (D-CA-46); Val Butler Demings (D-FL-10); Neal P. Dunn (R-FL-2); Adriano Espaillat (D-NY-13); A. Drew Ferguson IV (R-GA-3); Brian K. Fitzpatrick (R-PA-1); Mike Gallagher (R-WI-8); Vicente Gonzalez (D-TX-15); Josh Gottheimer (D-NJ-5); Trey Hollingsworth (R-IN-9); Steven Horsford (D-NV-4); Pramila Jayapal (D-WA-7); Mike Johnson (R-LA-4); Ro Khanna (D-CA-17); Raja Krishnamoorthi (D-IL-8); David Kustoff (R-TN-8); Al Lawson, Jr. (D-FL-5); Brian J. Mast (R-FL-18); Stephanie N. Murphy (D-FL-7); Tom O’Halleran (D-AZ-1); Jimmy Panetta (D-CA-20); Jamie Raskin (D-MD-8); John H. Rutherford (R-FL-4); Lloyd Smucker (R-PA-11); Darren Soto (D-FL-9); Thomas R. Suozzi (D-NY-3); Ron Estes (R-KS-4); Jimmy Gomez (D-CA-34); John R. Curtis (R-UT-3); Conor Lamb (D-PA-17); Debbie Lesko (R-AZ-8); Troy Balderson (R-OH-12); Kevin Hern (R-OK-1); Joseph D. Morelle (D-NY-25); Mary Gay Scanlon (D-PA-5); Susan Wild (D-PA-7); Colin Z. Allred (D-TX-32); Kelly Armstrong (R-ND-AL); Cynthia Axne (D-IA-3); James R. Baird (R-IN-4); Sean Casten (D-IL-6); Ben Cline (R-VA-6); Angie Craig (D-MN-2); Dan Crenshaw (R-TX-2); Jason Crow (D-CO-6); Sharice Davids (D-KS-3); Madeleine Dean (D-PA-4); Veronica Escobar (D-TX-16); Lizzie Fletcher (D-TX-7); Russ Fulcher (R-ID-1); Sylvia R. Garcia (D-TX-29); Jesús G. "Chuy" García (D-IL-4); Jared F. Golden (D-ME-2); Anthony Gonzalez (R-OH-16); Lance Gooden (R-TX-5); Mark E. Green (R-TN-7); Josh Harder (D-CA-10); Jahana Hayes (D-CT-5); Chrissy Houlahan (D-PA-6); Dusty Johnson (R-SD-AL); John Joyce (R-PA-13); Andy Kim (D-NJ-3); Susie Lee (D-NV-3); Andy Levin (D-MI-9); Mike Levin (D-CA-49); Elaine G. Luria (D-VA-2); Tom Malinowski (D-NJ-7); Lucy McBath (D-GA-6); Daniel Meuser (R-PA-9); Carol D. Miller (R-WV-3); Joe Neguse (D-CO-2); Alexandria Ocasio-Cortez (D-NY-14); Ilhan Omar (D-MN-5); Chris Pappas (D-NH-1); Dean Phillips (D-MN-3); Katie Porter (D-CA-45); Ayanna Pressley (D-MA-7); Guy Reschenthaler (R-PA-14); John W. Rose (R-TN-6); Kim Schrier (D-WA-8); Mikie Sherrill (D-NJ-11); Elissa Slotkin (D-MI-8); Abigail Davis Spanberger (D-VA-7); Greg Stanton (D-AZ-9); Pete Stauber (R-MN-8); Bryan Steil (R-WI-1); Haley M. Stevens (D-MI-11); William R. Timmons IV (R-SC-4); Rashida Tlaib (D-MI-13); Lori Trahan (D-MA-3); David J. Trone (D-MD-6); Lauren Underwood (D-IL-14); Jefferson Van Drew (R-NJ-2); Michael Waltz (R-FL-6); Jennifer Wexton (D-VA-10); Claudia Tenney (R-NY-22); Fred Keller (R-PA-12); Dan Bishop (R-NC-9); Gregory F. Murphy (R-NC-3); Mike Garcia (R-CA-25); Thomas P. Tiffany (R-WI-7); Chris Jacobs (R-NY-27); Jake Auchincloss (D-MA-4); Cliff Bentz (R-OR-2); Stephanie I. Bice (R-OK-5); Carolyn Bourdeaux (D-GA-7); Jamaal Bowman (D-NY-16); Cori Bush (D-MO-1); Kat Cammack (R-FL-3); Jerry L. Carl (R-AL-1); Madison Cawthorn (R-NC-11); Andrew S. Clyde (R-GA-9); Byron Donalds (R-FL-19); Pat Fallon (R-TX-4); Randy Feenstra (R-IA-4); Michelle Fischbach (R-MN-7); Scott Fitzgerald (R-WI-5); Scott Franklin (R-FL-15); Andrew R. Garbarino (R-NY-2); Carlos A. Gimenez (R-FL-26); Tony Gonzales (R-TX-23); Diana Harshbarger (R-TN-1); Yvette Herrell (R-NM-2); Ashley Hinson (R-IA-1); Ronny Jackson (R-TX-13); Sara Jacobs (D-CA-53); Mondaire Jones (D-NY-17); Kaiali’i Kahele (D-HI-2); Young Kim (R-CA-39); Jake LaTurner (R-KS-2); Teresa Leger Fernandez (D-NM-3); Nancy Mace (R-SC-1); Nicole Malliotakis (R-NY-11); Tracey Mann (R-KS-1); Kathy E. Manning (D-NC-6); Lisa C. McClain (R-MI-10); Peter Meijer (R-MI-3); Mariannette Miller-Meeks (R-IA-2); Barry Moore (R-AL-2); Blake D. Moore (R-UT-1); Frank J. Mrvan (D-IN-1); Troy E. Nehls (R-TX-22); Marie Newman (D-IL-3); Jay Obernolte (R-CA-8); Burgess Owens (R-UT-4); August Pfluger (R-TX-11); Matthew M. Rosendale, Sr. (R-MT-AL); Deborah K. Ross (D-NC-2); Maria Elvira Salazar (R-FL-27); Victoria Spartz (R-IN-5); Michelle Steel (R-CA-48); Marilyn Strickland (D-WA-10); Ritchie Torres (D-NY-15); Beth Van Duyne (R-TX-24); Nikema Williams (D-GA-5); Julia Letlow (R-LA-5); Troy A. Carter (D-LA-2); Melanie A. Stansbury (D-NM-1); Jake Ellzey (R-TX-6); Shontel M. Brown (D-OH-11); Mike Carey (R-OH-15); Sheila Cherfilus-McCormick (D-FL-20); Mayra Flores (R-TX-34); Michael F. Doyle (D-PA-18); G. K. Butterfield (D-NC-1); Theodore E. Deutch (D-FL-22); Jackie Walorski (R-IN-2); A. Donald McEachin (D-VA-4); Charlie Crist (D-FL-13).

Nay (20): Louie Gohmert (R-TX-1); Tom McClintock (R-CA-4); Mo Brooks (R-AL-5); Paul A. Gosar (R-AZ-4); Thomas Massie (R-KY-4); Ken Buck (R-CO-4); Andy Biggs (R-AZ-5); Matt Gaetz (R-FL-1); Clay Higgins (R-LA-3); Ralph Norman (R-SC-5); Michael Cloud (R-TX-27); Tim Burchett (R-TN-2); Michael Guest (R-MS-3); Chip Roy (R-TX-21); W. Gregory Steube (R-FL-17); Van Taylor (R-TX-3); Lauren Boebert (R-CO-3); Bob Good (R-VA-5); Marjorie Taylor Greene (R-GA-14); Mary E. Miller (R-IL-15).

Not voting (7): Robert J. Wittman (R-VA-1); Daniel Webster (R-FL-11); Donald Norcross (D-NJ-1); Jody B. Hice (R-GA-10); Lee M. Zeldin (R-NY-1); Greg Pence (R-IN-6); Connie Conway (R-CA-22).

Speaker, not listed (1): Nancy Pelosi (D-CA-12).

Not in office (19): Mike Flood (R-NE-1); Brad Finstad (R-MN-1); Mary Sattler Peltola (D-AK-AL); Patrick Ryan (D-NY-19); Joseph Sempolinski (R-NY-23); Rudy Yakym III (R-IN-2); Don Young (R-AK-AL); Alcee L. Hastings (D-FL-20); Devin Nunes (R-CA-22); Jeff Fortenberry (R-NE-1); Marcia L. Fudge (D-OH-11); Tom Reed (R-NY-23); Steve Stivers (R-OH-15); Cedric L. Richmond (D-LA-2); Filemon Vela (D-TX-34); Antonio Delgado (D-NY-19); Jim Hagedorn (R-MN-1); Debra A. Haaland (D-NM-1); Ron Wright (R-TX-6).

Summary

Main subject: Reauthorizes and amends federal programs for mental health, suicide prevention, substance use disorder prevention, treatment and recovery, and children's behavioral health, and changes related Medicaid, CHIP, insurance and controlled substances requirements. Sec. 1, Title I, Title II, Title III, Title IV, Title V, Title VI

Its core areas: Crisis care services and the National Suicide Prevention Lifeline; Maternal mental health and substance use disorders; Community mental health and substance use block grants; Opioid treatment and overdose response programs; Recovery housing; Children and youth mental health and suicide prevention; Mental health parity and pharmacy benefit manager reporting; Medicaid and CHIP services for juveniles in public institutions.

Unexpected Items: 19 provisions

These provisions fall outside the bill’s main subject or apply narrowly. This describes the text; it is not a judgment.

Not related to the bill’s main subject (10)

Sec. 311: Reauthorization and provision of certain programs to strengthen the health care workforce: Extends liability protections for health professional volunteers from October 1, 2022 to October 1, 2027, and adds general health workforce training authorizations, including $31,700,000 for each of fiscal years 2023 through 2027 for a training demonstration program.
Sec. 351: Report on Law Enforcement Mental Health and Wellness: Requires the Attorney General to report to Congress on mental health and stress responses and available resources for law enforcement officers.
Sec. 432: Research on the health and development effects of media on infants, children, and adolescents: Directs the National Institutes of Health to conduct and fund research on the cognitive, physical, and socio-emotional effects of media use on infants, children, and adolescents, and to report to Congress within 1 year.
Sec. 502: Guidance on reducing administrative barriers to providing health care services in schools: Requires the Secretary of Health and Human Services to issue guidance within 12 months on reducing administrative barriers for schools and school-based health centers to furnish and obtain Medicaid and CHIP payment for medical assistance.
Sec. 504: Ensuring children receive timely access to care: Requires guidance on pediatric behavioral health crisis flexibilities, and adds a requirement that the Secretary review State implementation of Medicaid early and periodic screening, diagnostic, and treatment requirements by January 1, 2025 and every 5 years after.
Sec. 505: Strategies to increase access to telehealth under Medicaid and CHIP: Requires the Secretary to update Medicaid and CHIP telehealth guidance within 1 year, and every five years thereafter if updates are available, on strategies to increase access to telehealth services generally.
Sec. 601: Determination of budgetary effects: Provides that the budgetary effects of the Act under the Statutory Pay-As-You-Go Act of 2010 are determined by reference to a statement printed in the Congressional Record by the House Budget Committee Chairman.
Sec. 603: Medicare Improvement Fund: Raises the amount in the Medicare Improvement Fund provision of the Social Security Act from $5,000,000 to $1,029,000,000. ($1,029,000,000)
Sec. 131: Maintaining education and training on eating disorders: Requires the Secretary to maintain a Center of Excellence for Eating Disorders for training and technical assistance on eating disorders, and authorizes $1,000,000 for each of fiscal years 2023 through 2027. ($1,000,000)
Sec. 161: Pilot program on pre-programming of suicide prevention resources into smart devices issued to members of the Armed Forces: Directs the Secretary of Defense to run a two-year pilot that pre-loads a named Defense Health Agency application and suicide hotline numbers onto smart devices issued to members of the Armed Forces.

Applies only to a specific place or group (1)

Sec. 341: Helping emergency responders overcome: Creates a public safety officer suicide data system and authorizes grants for peer-support wellness programs in fire and emergency medical services agencies, limited to nonprofit organizations with expertise in the health and life safety of members of those agencies.

Funds a specific named project or event (3)

Sec. 201: Behavioral health and substance use disorder services for Native Americans: Directs formula funds to Indian Tribes, Tribal organizations, Urban Indian organizations and a Native Hawaiian health organization defined as 'Papa Ola Lokahi', with the formula weighted toward entities with higher overdose or suicide rates; authorizes $40,000,000 per year for fiscal years 2023 through 2027. ($40,000,000)
Sec. 215: Sober Truth on Preventing (STOP) Underage Drinking Reauthorization: Within the underage drinking program, directs the Secretary to contract with the National Academy of Sciences to study underage drinking research and authorizes $500,000 for fiscal year 2023 for that study. ($500,000)
Sec. 234: NAS study and report: Directs HHS to contract with the National Academies of Sciences, Engineering, and Medicine to study recovery housing and authorizes $1,500,000 for fiscal year 2023. ($1,500,000)

Different amount for specific places or groups (2)

Sec. 273: Grant program for State and Tribal response to opioid and stimulant use and misuse: Sets a grant minimum of $4,000,000 for each State, reserves 5 percent for Tribal and Urban Indian organizations, and sets aside up to 15 percent for States with the highest age-adjusted drug overdose death rates; authorizes $1,750,000,000 per year for fiscal years 2023 through 2027. ($4,000,000)
Sec. 301: Increasing uptake of the collaborative care model: Sets a target grant amount of $2,000,000 per year for eligible entities collaborating with community programs or health centers and $100,000 or less for those collaborating with primary health care practices.

Exception or delay for a subset (2)

Sec. 243: Requirements relating to certain infectious diseases and human immunodeficiency virus: Adds viral hepatitis service requirements to block grant funding agreements and defines 'designated States' by a formula based on case rates per 100,000 individuals, with continued status for States that fall below the threshold for fewer than three consecutive years.
Sec. 321: Eliminating the opt-out for nonfederal governmental health plans: Ends the option for nonfederal governmental health plans to opt out of the parity requirements, but lets certain collectively bargained plans keep an existing election until the last agreement's term expires.

Changes a government process (1)

Sec. 604: Limitations on authority: Bars the Secretary from allocating or requiring award recipients to allocate Substance Abuse and Mental Health Services Administration program funding without considering incidence, prevalence, or determinants of mental health or substance use issues, unless consistent with law.

What it does

Sec. 103: Requires the Secretary to develop and implement a plan with quality standards for the suicide prevention hotline and authorizes $101,621,000 for each of fiscal years 2023 through 2027.
Sec. 141: Sets the Community Mental Health Services Block Grant authorization at $857,571,000 for each of fiscal years 2023 through 2027 and requires each State to spend at least 5 percent of its grant on crisis care programs, with an option to spend 10 percent over two fiscal years.
Sec. 246: Authorizes $1,908,079,000 for each of fiscal years 2023 through 2027 for block grants for substance use prevention, treatment, and recovery services.
Sec. 273: Authorizes $1,750,000,000 for each of fiscal years 2023 through 2027 for grants to States, Indian Tribes, Tribal organizations, and Urban Indian organizations to address opioid and stimulant use and misuse, with each State to receive not less than $4,000,000.
Sec. 252: Requires the Secretary of Health and Human Services, within 18 months, to revise the federal regulation so an opioid treatment program no longer admits only individuals addicted to opioids for at least 1 year.
Sec. 263: Requires practitioners registering to dispense controlled substances in schedule II, III, IV, or V to meet board certification or 8-hour training conditions on treating patients with substance use disorders, with the training required only once.
Sec. 112: Requires the Secretary to maintain a national maternal mental health hotline offering voice and text support 24 hours a day, and authorizes $10,000,000 for each of fiscal years 2023 through 2027.
Sec. 403: Provides for grants for school-based mental health services and supports, of not more than $2,000,000 each, and authorizes $130,000,000 for each of fiscal years 2023 through 2027.
Sec. 501: Requires State Medicaid plans to provide screenings, referrals, and at least 30 days of targeted case management for eligible juveniles around release from a public institution, beginning in the first calendar quarter that begins two years after enactment.
Sec. 602: Requires group health plans, issuers, and pharmacy benefit management entities to give plan sponsors drug spending and rebate reports at least every 6 months for plan years beginning on or after January 1, 2024, with a civil monetary penalty of $10,000 for each day of a violation.

Written automatically from the official text by Claude Sonnet 5.5, an AI model. Written 15 Oct 2026 and published after the automatic checks, without a person reading it first. Every line names the section it came from.