Sec. 1111. Screening and treatment for maternal mental health and substance use disorders
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Section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— in the section heading, by striking and inserting maternal depression ; and maternal mental health and substance use disorders in subsection (a)— by inserting , Indian Tribes and Tribal organizations (as such terms are defined in section 4 of the Indian Self-Determination and Education Assistance Act) after States ; and by striking for women who are pregnant, or who have given birth within the preceding 12 months, for maternal depression and inserting for women who are postpartum, pregnant, or have given birth within the preceding 12 months, for maternal mental health and substance use disorders . Subsection
(b)of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— by striking a State shall submit and inserting an entity listed in subsection
(a)shall submit ; and in paragraphs
(1)and (2), by striking maternal depression each place it appears and inserting maternal mental health and substance use disorders . Subsection
(c)of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— by striking may give priority to States proposing to improve or enhance access to screening and inserting the following: shall, as appropriate, give priority to entities listed in subsection
(a)that— are proposing to create, improve, or enhance screening, prevention, and treatment ; by striking maternal depression and inserting maternal mental health and substance use disorders ; by striking the period at the end of paragraph (1), as so designated, and inserting a semicolon; and by inserting after such paragraph
(1)the following: are currently partnered with, or will partner with, one or more community-based organizations to address maternal mental health and substance use disorders; are located in, or provide services under this section in, an area with disproportionately high rates of maternal mental health or substance use disorders or other related disparities; and operate in a health professional shortage area designated under section 332, including maternity care health professional target areas . . Subsection
(d)of section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— in paragraph (1)— in subparagraph (A), by striking to health care providers; and and inserting on maternal mental health and substance use disorder screening, brief intervention, treatment (as applicable for health care providers), and referrals for treatment to health care providers in the primary care setting and, as applicable, relevant health paraprofessionals; ; in subparagraph (B), by striking to health care providers, including information on maternal depression screening, treatment, and followup support services, and linkages to community-based resources; and and inserting on maternal mental health and substance use disorder screening, brief intervention, treatment (as applicable for health care providers) and referrals for treatment, follow-up support services, and linkages to community-based resources to health care providers in the primary care setting and, as applicable, relevant health paraprofessionals; and ; and by adding at the end the following: to the extent practicable and appropriate, enabling health care providers (such as obstetrician-gynecologists, nurse practitioners, nurse midwives, pediatricians, psychiatrists, mental and other behavioral health care providers, and adult primary care clinicians) to provide or receive real-time psychiatric consultation (in-person or remotely), including through the use of technology-enabled collaborative learning and capacity building models (as defined in section 330N), to aid in the treatment of pregnant and postpartum women; and ; and in paragraph (2)— by striking subparagraph (A); by redesignating subparagraphs
(B)and
(C)as subparagraphs
(A)and (B), respectively; in subparagraph (A), as so redesignated, by striking and at the end; in subparagraph (B), as so redesignated— by inserting , including before for rural areas ; and by striking the period at the end and inserting a semicolon; and by inserting after subparagraph (B), as so redesignated, the following: providing assistance to pregnant and postpartum women to receive maternal mental health and substance use disorder treatment, including patient consultation, care coordination, and navigation for such treatment; coordinating, as appropriate, with maternal and child health programs of State, local, and Tribal governments, including child psychiatric access programs; conducting public outreach and awareness regarding grants under subsection (a); creating multistate consortia to carry out the activities required or authorized under this subsection; and training health care providers in the primary care setting and relevant health paraprofessionals on trauma-informed care, culturally and linguistically appropriate services, and best practices related to training to improve the provision of maternal mental health and substance use disorder care for racial and ethnic minority populations and reduce related disparities in the delivery of such care. . Section 317L–1 of the Public Health Service Act ( 42 U.S.C. 247b–13a ) is amended— by redesignating subsection
(e)as subsection (h); and by inserting after subsection
(d)the following: The Secretary shall provide technical assistance to grantees and entities listed in subsection
(a)for carrying out activities pursuant to this section. The Secretary, based on evaluation of the activities funded pursuant to this section, shall identify and disseminate evidence-based or evidence-informed practices for screening, assessment, treatment, and referral to treatment services for maternal mental health and substance use disorders, including culturally and linguistically appropriate services, for women during pregnancy and 12 months following pregnancy. The Federal share of the cost of the activities for which a grant is made to an entity under subsection
(a)shall not exceed 90 percent of the total cost of such activities. . Subsection
(h)of section 317L–1 ( 42 U.S.C. 247b–13a ) of the Public Health Service Act, as redesignated by subsection (e), is amended— by striking $5,000,000 and inserting $24,000,000 ; and by striking 2018 through 2022 and inserting 2023 through 2027 .
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- 42 USC 247b–13a
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Sec. 1111
Screening and treatment for maternal mental health and substance use disorders
Cite42 USC 247b–13a
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