Services for Children of Substance Abusers Reauthorization Act

Services for Children of Substance Abusers Reauthorization Act - Amends the Public Health Service Act to require that the Administrator of the Substance Abuse and Mental Health Services Administration (currently, the Administrator of the Health Resources and Services administration) make grants for: (1) services for children and families of substance abusers; (2) identification of such children and families; and (3) education and training of providers of such services. Requires grantees to identify children who may be eligible for medical assistance under titles XIX (Medicare) or XXI (Children's Health Insurance) of the Social Security Act. Adds developmentally and age-appropriate alcohol and drug evaluation, early intervention, treatment, and prevention to the services to be provided to children (replacing provisions mandating preventive counseling services). Requires that certain services be provided by a public health nurse, social worker, or similar professional, or by a trained worker from the community supervised by a professional. Allows services to be delivered to families through an entity that meets State licensure or certification requirements for that service. Mandates aggressive outreach to family members with substance abuse problems. Modifies requirements regarding: (1) mandated services for substance abusers and other people involved in abusers' lives; (2) grant eligibility; and (3) information submitted by grant applicants.

Modifies reporting and evaluation requirements.

Authorizes appropriations.

Removes provisions mandating: (1) coordination with the State lead agency and the State Interagency Coordinating Council under the Individuals with Disabilities Education Act; and (2) peer review as part of the grant awarding process.

Authorizes grants for the training of personnel who provide services to children and families to assist the professionals in recognizing drug and alcohol problems and to enhance their skills in identifying substance abuse and obtaining early intervention, prevention, and treatment resources.

[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[S. 971 Introduced in Senate (IS)]







106th CONGRESS
  1st Session
                                 S. 971

 To amend the Public Health Service Act to revise and extend the grant 
        program for services for children of substance abusers.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 6, 1999

Mr. Dodd (for himself and Mr. Jeffords) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to revise and extend the grant 
        program for services for children of substance abusers.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Services for Children of Substance 
Abusers Reauthorization Act''.

SEC. 2. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

    (a) Administration and Activities.--
            (1) Administration.--Section 399D(a) of the Public Health 
        Service Act (42 U.S.C. 280d(a)(1)) is amended--
                    (A) in paragraph (1), by striking ``Administrator'' 
                and all that follows through ``Administration'' and 
                insert ``Administrator of the Substance Abuse and 
                Mental Health Services Administration''; and
                    (B) in paragraph (2), by striking ``Administrator 
                of the Substance Abuse and Mental Health Services 
                Administration'' and inserting ``Administrator of the 
                Health Resources and Services Administration''.
            (2) Activities.--Section 399D(a)(1) of the Public Health 
        Service Act (42 U.S.C. 280d(a)(1)) is amended--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by striking the period and 
                inserting the following: ``through youth service 
                agencies, family social services, child care providers, 
                Head Start, schools and after-school programs, early 
                childhood development programs, community-based family 
                resource and support centers, the criminal justice 
                system, health, substance abuse and mental health 
                providers through screenings conducted during regular 
                childhood examinations and other examinations, self and 
                family member referrals, substance abuse treatment 
                services, and other providers of services to children 
                and families; and''; and
                    (C) by adding at the end the following:
                    ``(D) to provide education and training to health, 
                substance abuse and mental health professionals, and 
                other providers of services to children and families 
                through youth service agencies, family social services, 
                child care, Head Start, schools and after-school 
                programs, early childhood development programs, 
                community-based family resource and support centers, 
                the criminal justice system, and other providers of 
                services to children and families.''.
            (3) Identification of certain children.--Section 
        399D(a)(3)(A) of the Public Health Service Act (42 U.S.C. 
        280d(a)(3)(A)) is amended--
                    (A) in clause (i), by striking ``(i) the entity'' 
                and inserting ``(i)(I) the entity'';
                    (B) in clause (ii)--
                            (i) by striking ``(ii) the entity'' and 
                        inserting ``(II) the entity''; and
                            (ii) by striking the period and inserting 
                        ``; and''; and
                    (C) by adding at the end the following:
                            ``(ii) the entity will identify children 
                        who may be eligible for medical assistance 
                        under a State program under title XIX or XXI of 
                        the Social Security Act.''.
    (b) Services for Children.--Section 399D(b) of the Public Health 
Service Act (42 U.S.C. 280d(b)) is amended--
            (1) in paragraph (1), by inserting ``alcohol and drug,'' 
        after ``psychological,'';
            (2) by striking paragraph (5) and inserting the following:
            ``(5) Developmentally and age-appropriate drug and alcohol 
        early intervention, treatment and prevention services.''; and
            (3) by inserting after paragraph (8), the following:
``Services shall be provided under paragraphs (2) through (8) by a 
public health nurse, social worker, or similar professional, or by a 
trained worker from the community who is supervised by a professional, 
or by an entity, where the professional or entity provides assurances 
that the professional or entity is licensed or certified by the State 
if required and is complying with applicable licensure or certification 
requirements.''.
    (c) Services for Affected Families.--Section 399D(c) of the Public 
Health Service Act (42 U.S.C. 280d(c)) is amended--
            (1) in paragraph (1)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting before the colon the following: ``, or by an 
                entity, where the professional or entity provides 
                assurances that the professional or entity is licensed 
                or certified by the State if required and is complying 
                with applicable licensure or certification 
                requirements''; and
                    (B) by adding at the end the following:
                    ``(D) Aggressive outreach to family members with 
                substance abuse problems.
                    ``(E) Inclusion of consumer in the development, 
                implementation, and monitoring of Family Services 
                Plan.'';
            (2) in paragraph (2)--
                    (A) by striking subparagraph (A) and inserting the 
                following:
                    ``(A) Alcohol and drug treatment services, 
                including screening and assessment, diagnosis, 
                detoxification, individual, group and family 
                counseling, relapse prevention, pharmaco- therapy 
                treatment, after-care services, and case management.'';
                    (B) in subparagraph (C), by striking ``, including 
                educational and career planning'' and inserting ``and 
                counseling on the human immunodeficiency virus and 
                acquired immune deficiency syndrome'';
                    (C) in subparagraph (D), by striking ``conflict 
                and''; and
                    (D) in subparagraph (E), by striking ``Remedial'' 
                and inserting ``Career planning and''; and
            (3) in paragraph (3)(D), by inserting ``which include child 
        abuse and neglect prevention techniques'' before the period.
    (d) Eligible Entities.--Section 399D(d) of the Public Health 
Service Act (42 U.S.C. 280d(d)) is amended--
            (1) by striking the matter preceding paragraph (1) and 
        inserting:
    ``(d) Eligible Entities.--The Secretary shall distribute the grants 
through the following types of entities:'';
            (2) in paragraph (1), by striking ``drug treatment'' and 
        inserting ``drug early intervention, prevention or treatment''; 
        and
            (3) in paragraph (2)--
                    (A) in subparagraph (A), by striking ``; and'' and 
                inserting ``; or''; and
                    (B) in subparagraph (B), by inserting ``or 
                pediatric health or mental health providers and family 
                mental health providers'' before the period.
    (e) Submission of Information.--Section 399D(h) of the Public 
Health Service Act (42 U.S.C. 280d(h)) is amended--
            (1) in paragraph (2)--
                    (A) by inserting ``including maternal and child 
                health'' before ``mental'';
                    (B) by striking ``treatment programs''; and
                    (C) by striking ``and the State agency responsible 
                for administering public maternal and child health 
                services'' and inserting ``, the State agency 
                responsible for administering alcohol and drug 
                programs, the State lead agency, and the State 
                Interagency Coordinating Council under part H of the 
                Individuals with Disabilities Education Act; and''; and
            (2) by striking paragraph (3) and redesignating paragraph 
        (4) as paragraph (3).
    (f) Reports to the Secretary.--Section 399D(i)(6) of the Public 
Health Service Act (42 U.S.C. 280d(i)(6)) is amended--
            (1) in subparagraph (B), by adding ``and'' at the end; and
            (2) by striking subparagraphs (C), (D), and (E) and 
        inserting the following:
                    ``(C) the number of case workers or other 
                professionals trained to identify and address substance 
                abuse issues.''.
    (g) Evaluations.--Section 399D(l) of the Public Health Service Act 
(42 U.S.C. 280d(l)) is amended--
            (1) in paragraph (3), by adding ``and'' at the end;
            (2) in paragraph (4), by striking the semicolon and 
        inserting the following: ``, including increased participation 
        in work or employment-related activities and decreased 
        participation in welfare programs.''; and
            (3) by striking paragraphs (5) and (6).
    (h) Report to Congress.--Section 399D(m) of the Public Health 
Service Act (42 U.S.C. 280d(m)) is amended--
            (1) in paragraph (2), by adding ``and'' at the end;
            (2) in paragraph (3)--
                    (A) in subparagraph (A), by adding ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking the semicolon 
                and inserting a period; and
                    (C) by striking subparagraphs (C), (D), and (E); 
                and
            (3) by striking paragraphs (4) and (5).
    (i) Data Collection.--Section 399D(n) of the Public Health Service 
Act (42 U.S.C. 280d(n)) is amended by adding at the end the following: 
``The periodic report shall include a quantitative estimate of the 
prevalence of alcohol and drug problems in families involved in the 
child welfare system, the barriers to treatment and prevention services 
facing these families, and policy recommendations for removing the 
identified barriers, including training for child welfare workers.''.
    (j) Definition.--Section 399D(o)(2)(B) of the Public Health Service 
Act (42 U.S.C. 280d(o)(2)(B)) is amended by striking ``dangerous''.
    (k) Authorization of Appropriations.--Section 399D(p) of the Public 
Health Service Act (42 U.S.C. 280d(p)) is amended to read as follows:
    ``(p) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 2000, and such sums as may be necessary for fiscal year 
2001.''.
    (l) Grants for Training and Conforming Amendments.--Section 399D of 
the Public Health Service Act (42 U.S.C. 280d) is amended--
            (1) by striking subsection (f);
            (2) by striking subsection (k);
            (3) by redesignating subsections (d), (e), (g), (h), (i), 
        (j), (l), (m), (n), (o), and (p) as subsections (e) through 
        (o), respectively;
            (4) by inserting after subsection (c), the following:
    ``(d) Training for Providers of Services to Children and 
Families.--The Secretary may make a grant under subsection (a) for the 
training of health, substance abuse and mental health professionals and 
other providers of services to children and families through youth 
service agencies, family social services, child care providers, Head 
Start, schools and after-school programs, early childhood development 
programs, community-based family resource centers, the criminal justice 
system, and other providers of services to children and families. Such 
training shall be to assist professionals in recognizing the drug and 
alcohol problems of their clients and to enhance their skills in 
identifying and understanding the nature of substance abuse, and 
obtaining substance abuse early intervention, prevention and treatment 
resources.'';
            (5) in subsection (k)(2) (as so redesignated), by striking 
        ``(h)'' and inserting ``(i)''; and
            (6) in paragraphs (3)(E) and (5) of subsection (m) (as so 
        redesignated), by striking ``(d)'' and inserting ``(e)''.
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