text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Indian Youth Telemental Health 
  Demonstration Project Act of 2006''.
  
  SEC. 2. FINDINGS AND PURPOSE.
  
      (a) Findings.--Congress finds that--
              (1) suicide for Indians and Alaska Natives is 2\1/2\ times 
          higher than the national average and the highest for all ethnic 
          groups in the United States, at a rate of more than 16 per 
          100,000 males of all age groups, and 27.9 per 100,000 for males 
          aged 15 through 24, according to data for 2002;
              (2) according to national data for 2002, suicide was the 
          second-leading cause of death for Indians and Alaska Natives 
          aged 15 through 34 and the fourth-leading cause of death for 
          Indians and Alaska Natives aged 10 through 14;
              (3) the suicide rates of Indian and Alaska Native males 
          aged 15 through 24 are nearly 4 times greater than suicide 
          rates of Indian and Alaska Native females of that age group;
              (4)(A) 90 percent of all teens who die by suicide suffer 
          from a diagnosable mental illness at the time of death; and
              (B) more than \1/2\ of the people who commit suicide in 
          Indian Country have never been seen by a mental health 
          provider;
              (5) death rates for Indians and Alaska Natives are 
          statistically underestimated;
              (6) suicide clustering in Indian Country affects entire 
          tribal communities; and
              (7) since 2003, the Indian Health Service has carried out a 
          National Suicide Prevention Initiative to work with Service, 
          tribal, and urban Indian health programs.
      (b) Purpose.--The purpose of this Act is to authorize the Secretary 
  to carry out a demonstration project to test the use of telemental 
  health services in suicide prevention, intervention, and treatment of 
  Indian youth, including through--
              (1) the use of psychotherapy, psychiatric assessments, 
          diagnostic interviews, therapies for mental health conditions 
          predisposing to suicide, and alcohol and substance abuse 
          treatment;
              (2) the provision of clinical expertise to, consultation 
          services with, and medical advice and training for frontline 
          health care providers working with Indian youth;
              (3) training and related support for community leaders, 
          family members and health and education workers who work with 
          Indian youth;
              (4) the development of culturally-relevant educational 
          materials on suicide; and
              (5) data collection and reporting.
  
  SEC. 3. DEFINITIONS.
  
      In this Act:
              (1) Demonstration project.--The term ``demonstration 
          project'' means the Indian youth telemental health 
          demonstration project authorized under section 4(a).
              (2) Department.--The term ``Department'' means the 
          Department of Health and Human Services.
              (3) Indian.--The term ``Indian'' means any individual who 
          is a member of an Indian tribe or is eligible for health 
          services under the Indian Health Care Improvement Act (25 
          U.S.C. 1601 et seq.).
              (4) Indian tribe.--The term ``Indian tribe'' has the 
          meaning given the term in section 4 of the Indian Self-
          Determination and Education Assistance Act (25 U.S.C. 450b).
              (5) Secretary.--The term ``Secretary'' means the Secretary 
          of Health and Human Services.
              (6) Service.--The term ``Service'' means the Indian Health 
          Service.
              (7) Telemental health.--The term ``telemental health'' 
          means the use of electronic information and telecommunications 
          technologies to support long distance mental health care, 
          patient and professional-related education, public health, and 
          health administration.
              (8) Traditional health care practices.--The term 
          ``traditional health care practices'' means the application by 
          Native healing practitioners of the Native healing sciences (as 
          opposed or in contradistinction to Western healing sciences) 
          that--
                      (A) embody the influences or forces of innate 
                  Tribal discovery, history, description, explanation and 
                  knowledge of the states of wellness and illness; and
                      (B) call upon those influences or forces in the 
                  promotion, restoration, preservation, and maintenance 
                  of health, well-being, and life's harmony.
              (9) Tribal organization.--The term ``tribal organization'' 
          has the meaning given the term in section 4 of the Indian Self-
          Determination and Education Assistance Act (25 U.S.C. 450b).
  
  SEC. 4. INDIAN YOUTH TELEMENTAL HEALTH DEMONSTRATION PROJECT.
  
      (a) Authorization.--
              (1) In general.--The Secretary is authorized to carry out a 
          demonstration project to award grants for the provision of 
          telemental health services to Indian youth who--
                      (A) have expressed suicidal ideas;
                      (B) have attempted suicide; or
                      (C) have mental health conditions that increase or 
                  could increase the risk of suicide.
              (2) Eligibility for grants.--Grants described in paragraph 
          (1) shall be awarded to Indian tribes and tribal organizations 
          that operate 1 or more facilities--
                      (A) located in Alaska and part of the Alaska 
                  Federal Health Care Access Network;
                      (B) reporting active clinical telehealth 
                  capabilities; or
                      (C) offering school-based telemental health 
                  services relating to psychiatry to Indian youth.
              (3) Grant period.--The Secretary shall award grants under 
          this section for a period of up to 4 years.
              (4) Maximum number of grants.--Not more than 5 grants shall 
          be provided under paragraph (1), with priority consideration 
          given to Indian tribes and tribal organizations that--
                      (A) serve a particular community or geographic area 
                  in which there is a demonstrated need to address Indian 
                  youth suicide;
                      (B) enter into collaborative partnerships with 
                  Service or other tribal health programs or facilities 
                  to provide services under this demonstration project;
                      (C) serve an isolated community or geographic area 
                  which has limited or no access to behavioral health 
                  services; or
                      (D) operate a detention facility at which Indian 
                  youth are detained.
      (b) Use of Funds.--An Indian tribe or tribal organization shall use 
  a grant received under subsection (a) for the following purposes:
              (1) To provide telemental health services to Indian youth, 
          including the provision of--
                      (A) psychotherapy;
                      (B) psychiatric assessments and diagnostic 
                  interviews, therapies for mental health conditions 
                  predisposing to suicide, and treatment; and
                      (C) alcohol and substance abuse treatment.
              (2) To provide clinician-interactive medical advice, 
          guidance and training, assistance in diagnosis and 
          interpretation, crisis counseling and intervention, and related 
          assistance to Service or tribal clinicians and health services 
          providers working with youth being served under the 
          demonstration project.
              (3) To assist, educate, and train community leaders, health 
          education professionals and paraprofessionals, tribal outreach 
          workers, and family members who work with the youth receiving 
          telemental health services under the demonstration project, 
          including with identification of suicidal tendencies, crisis 
          intervention and suicide prevention, emergency skill 
          development, and building and expanding networks among those 
          individuals and with State and local health services providers.
              (4) To develop and distribute culturally-appropriate 
          community educational materials on--
                      (A) suicide prevention;
                      (B) suicide education;
                      (C) suicide screening;
                      (D) suicide intervention; and
                      (E) ways to mobilize communities with respect to 
                  the identification of risk factors for suicide.
              (5) To conduct data collection and reporting relating to 
          Indian youth suicide prevention efforts.
      (c) Applications.--To be eligible to receive a grant under 
  subsection (a), an Indian tribe or tribal organization shall prepare 
  and submit to the Secretary an application, at such time, in such 
  manner, and containing such information as the Secretary may require, 
  including--
              (1) a description of the project that the Indian tribe or 
          tribal organization will carry out using the funds provided 
          under the grant;
              (2) a description of the manner in which the project funded 
          under the grant would--
                      (A) meet the telemental health care needs of the 
                  Indian youth population to be served by the project; or
                      (B) improve the access of the Indian youth 
                  population to be served to suicide prevention and 
                  treatment services;
              (3) evidence of support for the project from the local 
          community to be served by the project;
              (4) a description of how the families and leadership of the 
          communities or populations to be served by the project would be 
          involved in the development and ongoing operations of the 
          project;
              (5) a plan to involve the tribal community of the youth who 
          are provided services by the project in planning and evaluating 
          the mental health care and suicide prevention efforts provided, 
          in order to ensure the integration of community, clinical, 
          environmental, and cultural components of the treatment; and
              (6) a plan for sustaining the project after Federal 
          assistance for the demonstration project has terminated.
      (d) Traditional Health Care Practices.--The Secretary, acting 
  through the Service, shall ensure that the demonstration project 
  involves the use and promotion of the traditional health care practices 
  of the Indian tribes of the youth to be served.
      (e) Collaboration.--The Secretary, acting through the Service, 
  shall encourage Indian tribes and tribal organizations receiving grants 
  under this section to collaborate to enable comparisons about best 
  practices across projects.
      (f) Annual Report.--Each grant recipient shall submit to the 
  Secretary an annual report that--
              (1) describes the number of telemental health services 
          provided; and
              (2) includes any other information that the Secretary may 
          require.
      (g) Report to Congress.--Not later than 270 days after the date of 
  termination of the demonstration project, the Secretary shall submit to 
  the Committee on Indian Affairs of the Senate and the Committee on 
  Resources and the Committee on Energy and Commerce of the House of 
  Representatives a final report that--
              (1) describes the results of the projects funded by grants 
          awarded under this section, including any data available that 
          indicate the number of attempted suicides;
              (2) evaluates the impact of the telemental health services 
          funded by the grants in reducing the number of completed 
          suicides among Indian youth;
              (3) evaluates whether the demonstration project should be--
                      (A) expanded to provide more than 5 grants; and
                      (B) designated a permanent program; and
              (4) evaluates the benefits of expanding the demonstration 
          project to include urban Indian organizations.
      (h) Authorization of Appropriations.--There is authorized to be 
  appropriated to carry out this section $1,500,000 for each of fiscal 
  years 2007 through 2010.
  
              Passed the Senate May 11, 2006.
  
              Attest:
  
                                               EMILY J. REYNOLDS,
  
                                                               Secretary.
target: Indian Youth Telemental Health Demonstration Project Act of 2006 - Authorizes the Secretary of Health and Human Services to carry out a demonstration project to award up to five grants, of up to four years each, for the provision of telemental health services to Indian youth who have expressed suicidal ideas, have attempted suicide, or have mental health conditions that increase or could increase the risk of suicide.
  
  Makes eligible for such grants any Indian tribes and tribal organizations that operate one or more facilities: (1) located in Alaska and part of the Alaska Federal Health Care Access Network; (2) reporting active clinical telehealth capabilities; or (3) offering school-based telemental health services relating to psychiatry to Indian youth.
feat_title: A bill to establish an Indian youth telemental health demonstration project.