The Pride In Mental Health Act of 2025 proposes to amend Title V of the Public Health Service Act by establishing a new grant program. This program aims to enable eligible entities to assess and improve the mental health and substance abuse outcomes for lesbian, gay, bisexual, transgender, queer or questioning, nonbinary, intersex, and Two Spirit (LGBTQ+) youth . Grant funds are designated for various uses, including providing mental and behavioral health resources, offering trauma-informed care, and delivering cultural competency training for caregivers. They also support the development of evidence-based practices, data collection on LGBTQ+ youth mental health, and the integration of mental health services within school systems. A critical provision of the bill is the strict prohibition against using any grant funds for conversion therapy , including its provision, advertising, or promotion. The bill explicitly defines conversion therapy and clarifies that it does not encompass practices like assisting gender transition or providing general acceptance and support. Furthermore, the legislation mandates the Secretary to review and update existing reports and publications from the Substance Abuse and Mental Health Administration concerning LGBTQ+ individuals, ensuring no promotion of conversion therapy. It also requires the development and conduct of a Federal survey to measure psychological distress and mental health care among LGBTQ+ youth, with robust confidentiality protections for collected data. The bill authorizes an appropriation of $20,000,000 annually for fiscal years 2026 through 2030 to carry out these provisions.