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Dr. Lorna Breen Health Care Provider Protection Act

Summary

This is House Report 117-213 of the 117th Congress, 1st Session, titled Dr. Lorna Breen Health Care Provider Protection Act, from the Committee on Energy and Commerce, committed to the Committee of the Whole House on the State of the Union and ordered to be printed December 8, 2021. Mr. Pallone reports on H.R. 1667, to address behavioral health and well-being among health care professionals, which the Committee reports favorably with an amendment and recommends that the bill as amended do pass. The amendment text provides for dissemination of best practices for preventing suicide and improving mental health among health care professionals and an education and awareness initiative, with $10,000,000 authorized for each of fiscal years 2022 through 2024.

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Crpt Crpt 117Hrpt213 Crpt 117Hrpt213

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“Dr. Lorna Breen Health Care Provider Protection Act.” Original at www.govinfo.gov. Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/crpt-crpt-117hrpt213-crpt-117hrpt213/, SHA-256 b795ec5053d70da1f0123a1457e1d3310e4db4263b48854ae938a1364f8f9655.

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                                      117TH CONGRESS                                                                                      REPORT
                                                     " HOUSE OF REPRESENTATIVES                                                    !
                                         1st Session                                                                                      117–213




                                                    DR. LORNA BREEN HEALTH CARE PROVIDER
                                                               PROTECTION ACT



                                      DECEMBER 8, 2021.—Committed to the Committee of the Whole House on the State
                                                         of the Union and ordered to be printed




                                            Mr. PALLONE, from the Committee on Energy and Commerce,
                                                             submitted the following


                                                                                   R E P O R T
                                                                                [To accompany H.R. 1667]

                                        The Committee on Energy and Commerce, to whom was referred
                                      the bill (H.R. 1667) to address behavioral health and well-being
                                      among health care professionals, having considered the same, re-
                                      ports favorably thereon with an amendment and recommends that
                                      the bill as amended do pass.
                                                                                          CONTENTS
                                                                                                                                                           Page
                                          I. Purpose and Summary ..................................................................................          3
                                         II. Background and Need for the Legislation ...................................................                     4
                                       III. Committee Hearings ......................................................................................        5
                                        IV. Committee Consideration ..............................................................................           5
                                         V. Committee Votes ............................................................................................     5
                                        VI. Oversight Findings ........................................................................................      6
                                       VII. New Budget Authority, Entitlement Authority, and Tax Expenditures                                                6
                                      VIII. Federal Mandates Statement .......................................................................               6
                                        IX. Statement of General Performance Goals and Objectives ..........................                                 6
                                         X. Duplication of Federal Programs ..................................................................               6
                                        XI. Committee Cost Estimate .............................................................................            6
                                       XII. Earmarks, Limited Tax Benefits, and Limited Tariff Benefits ..................                                   6
                                      XIII. Advisory Committee Statement ....................................................................                7
                                      XIV. Applicability to Legislative Branch ..............................................................                7
                                       XV. Section-by-Section Analysis of the Legislation ............................................                       7
                                      XVI. Changes in Existing Law Made by the Bill, as Reported ...........................                                 9
                                           The amendment is as follows:
                                           Strike all after the enacting clause and insert the following:
                                      SECTION 1. SHORT TITLE.
                                        This Act may be cited as the ‘‘Dr. Lorna Breen Health Care Provider Protection
                                      Act’’.

                                            29–006




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                                      SEC. 2. DISSEMINATION OF BEST PRACTICES.
                                         Not later than 2 years after the date of the enactment of this Act, the Secretary
                                      of Health and Human Services (referred to in this Act as the ‘‘Secretary’’) shall iden-
                                      tify and disseminate evidence-based or evidence-informed best practices for pre-
                                      venting suicide and improving mental health and resiliency among health care pro-
                                      fessionals, and for training health care professionals in appropriate strategies to
                                      promote their mental health. Such best practices shall include recommendations re-
                                      lated to preventing suicide and improving mental health and resiliency among
                                      health care professionals.
                                      SEC. 3. EDUCATION AND AWARENESS INITIATIVE ENCOURAGING USE OF MENTAL HEALTH
                                                AND SUBSTANCE USE DISORDER SERVICES BY HEALTH CARE PROFESSIONALS.
                                        (a) IN GENERAL.—The Secretary, in consultation with relevant stakeholders, in-
                                      cluding medical professional associations, shall establish a national evidence-based
                                      or evidence-informed education and awareness initiative—
                                             (1) to encourage health care professionals to seek support and care for their
                                           mental health or substance use concerns, to help such professionals identify risk
                                           factors associated with suicide and mental health conditions, and to help such
                                           professionals learn how best to respond to such risks, with the goal of pre-
                                           venting suicide, mental health conditions, and substance use disorders; and
                                             (2) to address stigma associated with seeking mental health and substance
                                           use disorder services.
                                        (b) REPORTING.—Not later than 2 years after the date of enactment of this Act,
                                      the Secretary shall provide to the Committee on Health, Education, Labor, and Pen-
                                      sions of the Senate and the Committee on Energy and Commerce of the House of
                                      Representatives an update on the activities and outcomes of the initiative under
                                      subsection (a), including a description of quantitative and qualitative metrics used
                                      to evaluate such activities and outcomes.
                                        (c) AUTHORIZATION OF APPROPRIATIONS.—To carry out this section, there are au-
                                      thorized to be appropriated $10,000,000 for each of fiscal years 2022 through 2024.
                                      SEC. 4. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH PROFESSIONAL
                                                WORKFORCE.
                                        Subpart I of part E of title VII of the Public Health Service Act (42 U.S.C.. 294n
                                      et seq.) is amended by adding at the end the following:
                                      ‘‘SEC. 764. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE HEALTH PROFESSIONAL
                                                  WORKFORCE.
                                        ‘‘(a) PROGRAMS TO PROMOTE MENTAL HEALTH AMONG HEALTH CARE PROFES-
                                      SIONALS.—
                                              ‘‘(1) IN GENERAL.—The Secretary shall award grants or contracts to health
                                           care entities, including entities that provide health care services, such as hos-
                                           pitals, community health centers, and rural health clinics, or to medical profes-
                                           sional associations, to establish or enhance evidence-based or evidence-informed
                                           programs dedicated to improving mental health and resiliency for health care
                                           professionals.
                                              ‘‘(2) USE OF FUNDS.—An eligible entity receiving a grant or contract under
                                           this subsection shall use funds received through the grant or contract to imple-
                                           ment a new program or enhance an existing program to promote mental health
                                           among health care professionals, which may include—
                                                    ‘‘(A) improving awareness among health care professionals about risk fac-
                                                 tors for, and signs of, suicide and mental health or substance use disorders,
                                                 in accordance with evidence-based or evidence-informed practices;
                                                    ‘‘(B) establishing new, or enhancing existing, evidence-based or evidence-
                                                 informed programs for preventing suicide and improving mental health and
                                                 resiliency among health care professionals;
                                                    ‘‘(C) establishing new, or enhancing existing, peer-support programs
                                                 among health care professionals; or
                                                    ‘‘(D) providing mental health care, follow-up services and care, or referral
                                                 for such services and care, as appropriate.
                                              ‘‘(3) PRIORITY.—In awarding grants and contracts under this subsection, the
                                           Secretary shall give priority to eligible entities in health professional shortage
                                           areas or rural areas.
                                        ‘‘(b) TRAINING GRANTS.—The Secretary may establish a program to award grants
                                      to health professions schools, academic health centers, State or local governments,
                                      Indian Tribes or Tribal organizations, or other appropriate public or private non-
                                      profit entities (or consortia of entities, including entities promoting multidisciplinary
                                      approaches) to support the training of health care students, residents, or health care
                                      professionals in evidence-based or evidence-informed strategies to address mental
                                      and substance use disorders and improve mental health and resiliency among
                                      health care professionals.




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                                        ‘‘(c) GRANT TERMS.—A grant or contract awarded under subsection (a) or (b) shall
                                      be for a period of 3 years.
                                        ‘‘(d) APPLICATION SUBMISSION.—An entity seeking a grant or contract under sub-
                                      section (a) or (b) shall submit an application to the Secretary at such time, in such
                                      manner, and accompanied by such information as the Secretary may require.
                                        ‘‘(e) REPORTING.—An entity awarded a grant or contract under subsection (a) or
                                      (b) shall periodically submit to the Secretary a report evaluating the activities sup-
                                      ported by the grant or contract.
                                        ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—To carry out this section and section 5
                                      of the Dr. Lorna Breen Health Care Provider Protection Act, there are authorized
                                      to be appropriated $35,000,000 for each of fiscal years 2022 through 2024.’’.
                                      SEC. 5. REVIEW WITH RESPECT TO HEALTH CARE PROFESSIONAL MENTAL HEALTH AND RE-
                                                SILIENCY.
                                        (a) IN GENERAL.—Not later than 3 years after the date of enactment of this Act,
                                      the Secretary, in consultation with relevant stakeholders, shall—
                                              (1) conduct a review on improving health care professional mental health and
                                           the outcomes of programs authorized under this Act; and
                                              (2) submit a report to the Congress on the results of such review.
                                        (b) CONSIDERATIONS.—The review under subsection (a) shall take into account—
                                              (1) the prevalence and severity of mental health conditions among health pro-
                                           fessionals, and factors that contribute to those mental health conditions;
                                              (2) barriers to seeking and accessing mental health care for health care pro-
                                           fessionals, which may include consideration of stigma and licensing concerns,
                                           and actions taken by State licensing boards, schools for health professionals,
                                           health care professional training associations, hospital associations, or other or-
                                           ganizations, as appropriate, to address such barriers;
                                              (3) the impact of the COVID–19 public health emergency on the mental
                                           health of health care professionals and lessons learned for future public health
                                           emergencies;
                                              (4) factors that promote mental health and resiliency among health care pro-
                                           fessionals, including programs or strategies to strengthen mental health and re-
                                           siliency among health care professionals; and
                                              (5) the efficacy of health professional training programs that promote resil-
                                           iency and improve mental health.
                                        (c) RECOMMENDATIONS.—The review under subsection (a), as appropriate, shall
                                      identify best practices related to, and make recommendations to address—
                                              (1) improving mental health and resiliency among health care professionals;
                                              (2) removing barriers to mental health care for health care professionals; and
                                              (3) strategies to promote resiliency among health care professionals in health
                                           care settings.
                                      SEC. 6. GAO REPORT.
                                        Not later than 4 years after the date of enactment of this Act, the Comptroller
                                      General of the United States shall submit to the Congress a report on the extent
                                      to which Federal substance use disorder and mental health grant programs address
                                      the prevalence and severity of mental health conditions and substance use disorders
                                      among health professionals. Such report shall—
                                             (1) include an analysis of available evidence and data related to such condi-
                                          tions and programs; and
                                             (2) assess whether there are duplicative goals and objectives among such
                                          grant programs.

                                                                     I. PURPOSE AND SUMMARY
                                        H.R. 1667, the ‘‘Dr. Lorna Breen Health Care Provider Protection
                                      Act,’’ requires the Department of Health and Human Services
                                      (HHS) to establish grant programs and conduct activities intended
                                      to address the behavioral health and well-being among health care
                                      professionals. Among other things, HHS would be required to
                                      award grants for relevant mental and behavioral health training
                                      for health care students, residents, or professionals and to support
                                      mental health and behavioral health needs among health care pro-
                                      viders; conduct a campaign to encourage health care providers to
                                      seek support and treatment for mental and behavioral health con-
                                      cerns; and disseminate best practices to prevent suicide and im-
                                      prove mental health and resiliency among health care providers.




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                                      The legislation also requires HHS to study, develop, and submit
                                      policy recommendations to Congress on policies to improve health
                                      care professional mental health and prevent burnout. Finally, the
                                      legislation requires a Government Accountability Office (GAO)
                                      study on how federal substance use disorder (SUD) and mental
                                      health grant programs address mental health conditions and SUDs
                                      among health care professionals and identify any duplication of
                                      work amongst agencies.
                                                        II. BACKGROUND AND NEED FOR LEGISLATION
                                        The coronavirus disease of 2019 (COVID–19) pandemic has com-
                                      pounded the stress and burnout experienced by health care work-
                                      ers working in an already emotionally demanding field.1 A recent
                                      American Medical Association survey of over 20,000 medical profes-
                                      sionals found that 38 percent of respondents were experiencing
                                      anxiety and depression, and 49 percent had burnout.2 Another sur-
                                      vey from the Kaiser Family Foundation and the Washington Post
                                      found that a majority of frontline health care workers (62 percent)
                                      say that worry or stress related to COVID–19 had a negative im-
                                      pact on their mental health.3 The same survey found that only 13
                                      percent of health care workers reported receiving mental health
                                      services. An additional 18 percent surveyed said that although they
                                      thought they needed them, they did not seek out these services, cit-
                                      ing busy schedules, embarrassment or fear, professional repercus-
                                      sions and financial concerns.4
                                        The American Rescue Plan (ARP) which included funding for
                                      grants to medical providers to promote mental health among their
                                      health professional workforce as well as for an education and
                                      awareness campaign encouraging healthy work conditions and
                                      greater use of mental health and SUD services by health care pro-
                                      viders.5 H.R. 1667 would authorize the funding provided in ARP in
                                      order to provide sustained and predictable programming to support
                                      the behavioral health and well-being among health care providers
                                      through the establishment of programs that offer behavioral health
                                      services for front-line health care workers, the authorization of
                                      studies and recommendations about strategies to address provider
                                      burnout and facilitate resiliency, and the creation of a public
                                      awareness campaign encouraging health care workers to seek as-
                                      sistance when needed. This legislation is named for Dr. Lorna M.
                                      Breen, the medical director of the emergency department at New
                                      York-Presbyterian Allen Hospital, who died of suicide in April
                                      2020.
                                        1 Gemma Seda-Gombau et al., Impact of the COVID–19 Pandemic on Burnout in Primary Care
                                      Physicians in Catalonia, U.S. National Library of Medicine, National Institutes of Health
                                      (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431168/) (Sep. 2021).
                                        2 American Medical Association, Half of health workers report burnout amid COVID–19
                                      (www.ama-assn.org/practice-management/physician-health/half-health-workers-report-burnout-
                                      amid-covid-19) (July 20, 2021).
                                        3 Kaiser Family Foundation, KFF/The Washington Post Frontline Health Care Workers Survey
                                      (www.kff.org/report-section/kff-the-washington-post-frontline-health-care-workers-survey-toll-of-
                                      the-pandemic/?utm_campaign=KFF–2021-polling-surveys&utm_medium=email&_hsmi=2&_
                                      hsenc=p2ANqtz-_O1wzC3EysCZIKW0kCMDZpbV6oLd5xwx4CIkuyY3sw3HY_IWeElYAKCkK_
                                      a7ODLB801Vx8g9u2oXcvko8YvTVJhgmDoQ&utm_content=2&utm_source=hs_email) (Apr. 6,
                                      2021).
                                        4 Id.
                                        5 American Rescue Plan Act of 2021, Pub. L. No 117–2.




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                                                                     III. COMMITTEE HEARINGS
                                        For the purposes of section 3(c) of rule XIII of the Rules of the
                                      House of Representatives, the following hearing was used to de-
                                      velop or consider H.R. 1667:
                                        The Subcommittee on Health held a legislative hearing on Octo-
                                      ber 26, 2021, entitled ‘‘Caring for America: Legislation to Support
                                      Patients, Caregivers, and Providers.’’ The Subcommittee received
                                      testimony from the following witnesses:
                                              Corey Feist, Founder, Dr. Lorna Breen Foundation;
                                              Lisa Macon Harrison, M.P.H., President, National Associa-
                                           tion of County and City Health Officials (NACCHO);
                                              Brooks A. Keel, Ph.D., President, Augusta University;
                                              Alan Levine, Executive Chairman, President, and CEO, Bal-
                                           lad Health;
                                              Jeanne Marrazzo, M.D., Board Member, Infectious Disease
                                           Society of America (IDSA), Infectious Disease Division Chief,
                                           University of Alabama at Birmingham;
                                              Stephanie Monroe, J.D., Director, Equity and Access,
                                           UsAgainstAlzheimer’s, Executive Director, AfricanAmericans
                                           AgainstAlzheimer’s; and
                                              Victoria Garcia Wilburn, D.H.Sc., O.T.R., F.A.O.T.A., Assist-
                                           ant Professor, Occupational Therapy, IUPUI School of Health
                                           & Human Sciences.
                                                                   IV. COMMITTEE CONSIDERATION
                                        H.R. 1667, the ‘‘Dr. Lorna Breen Health Care Provider Protection
                                      Act,’’ was introduced on March 8, 2021, by Representative Susan
                                      Wild (D–PA) and 14 original cosponsors and referred to the Com-
                                      mittee on Energy and Commerce. Subsequently, on March 9, 2021,
                                      the bill was referred to the Subcommittee on Health.
                                        On November 4, 2021, the Subcommittee on Health met in open
                                      markup session, pursuant to notice, to consider H.R. 1667 and
                                      eight other bills. During consideration of the bill, an amendment in
                                      the nature of a substitute (AINS) offered by Representative Griffith
                                      (R–VA) was agreed to by a voice vote. Upon conclusion of consider-
                                      ation of the bill, the Subcommittee on Health agreed to report the
                                      bill favorably to the full Committee, amended, by a voice vote.
                                        On November 17, 2021, the full Committee met in open markup
                                      session, pursuant to notice, to consider H.R. 1193 and 11 other
                                      bills. No amendments were offered during consideration of the bill.
                                      Upon conclusion of consideration of the bill, the full Committee
                                      agreed to a motion on final passage offered by Representative Pal-
                                      lone (D–NJ), Chairman of the Committee, to order H.R. 1193 re-
                                      ported favorably to the House, as amended, by a voice vote.
                                                                        V. COMMITTEE VOTES
                                         Clause 3(b) of rule XIII of the Rules of the House of Representa-
                                      tives requires the Committee to list each record vote on the motion
                                      to report legislation and amendments thereto. The Committee ad-
                                      vises that there were no record votes taken on H.R. 1667, including
                                      a motion by Mr. Pallone ordering H.R. 1667 favorably reported to
                                      the House, as amended.




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                                                                      VI. OVERSIGHT FINDINGS
                                        Pursuant to clause 3(c)(1) of rule XIII and clause 2(b)(1) of rule
                                      X of the Rules of the House of Representatives, the oversight find-
                                      ings and recommendations of the Committee are reflected in the
                                      descriptive portion of the report.
                                           VII. NEW BUDGET AUTHORITY, ENTITLEMENT AUTHORITY, AND
                                                             TAX EXPENDITURES
                                        Pursuant to 3(c)(2) of rule XIII of the Rules of the House of Rep-
                                      resentatives, the Committee adopts as its own the estimate of new
                                      budget authority, entitlement authority, or tax expenditures or rev-
                                      enues contained in the cost estimate prepared by the Director of
                                      the Congressional Budget Office pursuant to section 402 of the
                                      Congressional Budget Act of 1974.
                                        The Committee has requested but not received from the Director
                                      of the Congressional Budget Office a statement as to whether this
                                      bill contains any new budget authority, spending authority, credit
                                      authority, or an increase or decrease in revenues or tax expendi-
                                      tures.
                                                             VIII. FEDERAL MANDATES STATEMENT
                                        The Committee adopts as its own the estimate of Federal man-
                                      dates prepared by the Director of the Congressional Budget Office
                                      pursuant to section 423 of the Unfunded Mandates Reform Act.
                                      IX. STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES
                                        Pursuant to clause 3(c)(4) of rule XIII, the general performance
                                      goal or objective of this legislation is to reduce and prevent suicide,
                                      burnout, and mental and behavioral health conditions among
                                      health care professionals and to provide resources to support health
                                      care entities to offer assistance to address these needs.
                                                           X. DUPLICATION OF FEDERAL PROGRAMS
                                        Pursuant to clause 3(c)(5) of rule XIII, no provision of H.R. 1667
                                      is known to be duplicative of another Federal program, including
                                      any program that was included in a report to Congress pursuant
                                      to section 21 of Public Law 111–139 or the most recent Catalog of
                                      Federal Domestic Assistance.
                                                                   XI. COMMITTEE COST ESTIMATE
                                         Pursuant to clause 3(d)(1) of rule XIII, the Committee adopts as
                                      its own the cost estimate prepared by the Director of the Congres-
                                      sional Budget Office pursuant to section 402 of the Congressional
                                      Budget Act of 1974.
                                                 XII. EARMARKS, LIMITED TAX BENEFITS, AND LIMITED
                                                                  TARIFF BENEFITS
                                         Pursuant to clause 9(e), 9(f), and 9(g) of rule XXI, the Committee
                                      finds that H.R. 1667 contains no earmarks, limited tax benefits, or
                                      limited tariff benefits.




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                                                            XIII. ADVISORY COMMITTEE STATEMENT
                                        No advisory committee within the meaning of section 5(b) of the
                                      Federal Advisory Committee Act was created by this legislation.
                                                        XIV. APPLICABILITY TO LEGISLATIVE BRANCH
                                        The Committee finds that the legislation does not relate to the
                                      terms and conditions of employment or access to public services or
                                      accommodations within the meaning of section 102(b)(3) of the Con-
                                      gressional Accountability Act.
                                               XV. SECTION-BY-SECTION ANALYSIS OF THE LEGISLATION
                                      Section 1. Short title
                                        Section 1 designates that the short title may be cited as the ‘‘Dr.
                                      Lorna Breen Health Care Provider Protection Act.’’
                                      Sec. 2. Dissemination of best practices
                                        Section 2 requires the Secretary of HHS, two years after enact-
                                      ment of the legislation, to identify and disseminate evidence-based
                                      or evidence-informed best practices and recommendations for pre-
                                      venting suicide and improving mental health and resiliency among
                                      health care professionals, and for training health care professionals
                                      in appropriate strategies to promote their mental health.
                                      Sec. 3. Education and awareness initiative encouraging use of men-
                                           tal health and substance use disorder services by health care
                                           professionals
                                        Section 3 requires the Secretary of HHS, in consultation with rel-
                                      evant stakeholders, to establish a national evidence-based or evi-
                                      dence-informed awareness initiative. The initiative shall (1) encour-
                                      age health care professionals to seek support and care for their
                                      mental health or substance use concerns, to help such professionals
                                      identify risk factors associated with suicide and mental health con-
                                      ditions, and to help such professionals learn how best to respond
                                      to such risks, with the goal of preventing suicide, mental health
                                      conditions, and SUDs, and (2) to address stigma associated with
                                      seeking mental health and SUD services. Section 3 also requires
                                      the Secretary of HHS to provide an update on the activities and
                                      outcomes of the initiative to the Senate Committee on Health, Edu-
                                      cation, Labor, and Pensions and the House Committee on Energy
                                      and Commerce no later than two years after enactment. Section 3
                                      authorizes $10 million for each of fiscal years 2022 through 2024
                                      to carry out the activities outlined in this section.
                                      Sec. 4. Programs to promote mental health among the heath profes-
                                           sional workforce
                                         Section 4 amends the Public Health Service Act to establish pro-
                                      gramming to promote mental health among the health professional
                                      workforce, by authorizing $35 million for each of fiscal years 2022
                                      through 2024 for the Secretary of HHS to award grants or con-
                                      tracts to health care entities such as hospitals, community health
                                      centers, and rural health clinics, or to medical professional associa-
                                      tions, to establish or enhance evidence-based or evidence-informed
                                      programs dedicated to improving mental health and resiliency for




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                                      health care professionals. Eligible entities receiving a grant or con-
                                      tract shall use funds to implement a new program or enhance an
                                      existing program to promote mental health among health care pro-
                                      fessionals, which may include improving awareness among health
                                      professionals about risk factors and signs of suicide and mental
                                      health or SUD; establishing new or enhancing existing peer-sup-
                                      port programs; and, providing mental health care, follow-up serv-
                                      ices and care, or referrals for such services or care. The Secretary
                                      of HHS must also prioritize eligible entities in areas with health
                                      professional shortages or rural areas. The Secretary may also es-
                                      tablish a program to award grants to health professions schools,
                                      academic health centers, state or local governments, Indian Tribes
                                      or tribal organizations or other appropriate public or private non-
                                      profit entities to support training for health care students, resi-
                                      dents, or health care professionals to address mental health and
                                      SUD and improve mental health and resiliency among health care
                                      professionals. Grants or contracts shall be for a period of three
                                      years, and entities receiving grants or contracts shall submit a re-
                                      port evaluating the activities supported by the grant or contract.
                                      Sec. 5. Review with respect to health care professional mental health
                                           and resiliency
                                         Section 5 directs the Secretary of HHS, in consultation with
                                      stakeholders, to conduct a review on improving health care profes-
                                      sional mental health and the outcomes of programs authorized
                                      under this legislation, and submit a report to Congress on the re-
                                      sults of this review no later than three years after enactment. This
                                      review should take into account (1) the prevalence and severity of
                                      mental health conditions for health care professionals and factors
                                      that contribute to those conditions, (2) barriers to seeking and ac-
                                      cessing mental health care for health care professionals, which may
                                      include consideration of stigma and licensing concerns, and actions
                                      taken by State licensing boards, schools for health professionals,
                                      health care professional training associations, hospital associations,
                                      or other organizations, as appropriate, to address such barriers, (3)
                                      the impact of the COVID–19 public health emergency on the men-
                                      tal health of health care professionals and lessons learned for fu-
                                      ture public health emergencies, (4) factors that promote mental
                                      health resiliency among health care professionals, including pro-
                                      grams or strategies to strengthen mental health and resiliency
                                      among health care professionals and (5) the efficacy of health pro-
                                      fessional training programs that promote resiliency and improve
                                      mental health. This review, as appropriate, shall identify best prac-
                                      tices and make recommendations to address (1) improving mental
                                      health and resiliency among health care professionals, (2) removing
                                      barriers to mental health care for health care professionals, and (3)
                                      strategies to promote resiliency among health care professionals in
                                      health care settings.
                                      Sec 6. GAO report
                                        Section 6 requires GAO, no later than four years after enact-
                                      ment, to submit a report to Congress on the extent to which federal
                                      SUD and mental health programs address the prevalence and se-
                                      verity of mental health conditions and SUDs among health care
                                      professionals. The report shall include an analysis of available evi-




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                                                                                          9

                                      dence and data related to such conditions and programs and assess
                                      whether there are duplicative goals and objective among such grant
                                      programs.
                                       XVI. CHANGES IN EXISTING LAW MADE BY THE BILL, AS REPORTED
                                        In compliance with clause 3(e) of rule XIII of the Rules of the
                                      House of Representatives, changes in existing law made by the bill,
                                      as reported, are shown as follows (new matter is printed in italics
                                      and existing law in which no change is proposed is shown in
                                      roman):

                                                             PUBLIC HEALTH SERVICE ACT

                                                 *            *           *               *           *         *           *
                                      SEC. 764. PROGRAMS TO PROMOTE MENTAL HEALTH AMONG THE
                                                 HEALTH PROFESSIONAL WORKFORCE.
                                        (a) PROGRAMS TO PROMOTE MENTAL HEALTH AMONG HEALTH
                                      CARE PROFESSIONALS.—
                                            (1) IN GENERAL.—The Secretary shall award grants or con-
                                           tracts to health care entities, including entities that provide
                                           health care services, such as hospitals, community health cen-
                                           ters, and rural health clinics, or to medical professional asso-
                                           ciations, to establish or enhance evidence-based or evidence-in-
                                           formed programs dedicated to improving mental health and re-
                                           siliency for health care professionals.
                                              (2) USE OF FUNDS.—An eligible entity receiving a grant or
                                           contract under this subsection shall use funds received through
                                           the grant or contract to implement a new program or enhance
                                           an existing program to promote mental health among health
                                           care professionals, which may include—
                                                  (A) improving awareness among health care professionals
                                                about risk factors for, and signs of, suicide and mental
                                                health or substance use disorders, in accordance with evi-
                                                dence-based or evidence-informed practices;
                                                  (B) establishing new, or enhancing existing, evidence-
                                                based or evidence-informed programs for preventing suicide
                                                and improving mental health and resiliency among health
                                                care professionals;
                                                  (C) establishing new, or enhancing existing, peer-support
                                                programs among health care professionals; or
                                                  (D) providing mental health care, follow-up services and
                                                care, or referral for such services and care, as appropriate.
                                              (3) PRIORITY.—In awarding grants and contracts under this
                                           subsection, the Secretary shall give priority to eligible entities in
                                           health professional shortage areas or rural areas.
                                        (b) TRAINING GRANTS.—The Secretary may establish a program to
                                      award grants to health professions schools, academic health centers,
                                      State or local governments, Indian Tribes or Tribal organizations,
                                      or other appropriate public or private nonprofit entities (or consortia
                                      of entities, including entities promoting multidisciplinary ap-
                                      proaches) to support the training of health care students, residents,
                                      or health care professionals in evidence-based or evidence-informed
                                      strategies to address mental and substance use disorders and im-
                                      prove mental health and resiliency among health care professionals.




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                                         (c) GRANT TERMS.—A grant or contract awarded under subsection
                                      (a) or (b) shall be for a period of 3 years.
                                         (d) APPLICATION SUBMISSION.—An entity seeking a grant or con-
                                      tract under subsection (a) or (b) shall submit an application to the
                                      Secretary at such time, in such manner, and accompanied by such
                                      information as the Secretary may require.
                                         (e) REPORTING.—An entity awarded a grant or contract under
                                      subsection (a) or (b) shall periodically submit to the Secretary a re-
                                      port evaluating the activities supported by the grant or contract.
                                         (f) AUTHORIZATION OF APPROPRIATIONS.—To carry out this section
                                      and section 5 of the Dr. Lorna Breen Health Care Provider Protec-
                                      tion Act, there are authorized to be appropriated $35,000,000 for
                                      each of fiscal years 2022 through 2024.
                                                 *            *           *               *           *         *           *

                                                                                          Æ




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