US SB2050

Increases the Federal Medical Assistance Percentage (FMAP) to 90% for state Medicaid expenditures on behavioral health services provided by mental health and substance use disorder care providers in schools and school-based health centers, effective 12 months after enactment

Establishes a grant program requiring the Secretary of Health and Human Services to award grants, contracts, or cooperative agreements within 12 months to local educational agencies, institutions of higher education, Bureau of Indian Affairs schools, and school-based health centers to increase mental health and substance use disorder care providers

Defines eligible mental health and substance use disorder care providers to include school counselors, school psychologists, child/adolescent psychiatrists, school social workers, peer support specialists, licensed clinical social workers, and addiction medicine specialists

Prohibits grant funds from being used for threat assessment teams and requires grant recipients to ensure services are culturally competent and linguistically appropriate for their student populations

Requires annual reporting from grant recipients on provider numbers, service types and efficacy, and retention rates, with the Secretary submitting effectiveness reports to Congress every 5 years starting 18 months after enactment