A bill to amend title V of the Public Health Service Act to focus the authority of the Substance Abuse and Mental Health Services Administration on community-based services children and adolescents, to enhance flexibility and accountability, to establish programs for youth treatment, and to respond to crises, especially those related to children and violence.
(Sec. 101) Directs the Secretary of Health and Human Services to award grants to public and non-profit private entities for: (1) establishing a national as well as regional centers of excellence on psychological trauma response; and (2) developing knowledge with regard to evidence-based practices for treating psychiatric disorders resulting from witnessing or experiencing such stress. Authorizes appropriations through FY 2002.
(Sec. 102) Authorizes the Secretary to make noncompetitive grants to, or contracts or cooperative agreements with, public entities to address emergency substance abuse or mental health needs in local communities. Prohibits the use (including publication or release in other form) for any new purpose of certain information obtained in the course of activities undertaken or supported with regard to substance abuse and mental health services, except with the consent to such new purpose of the establishment or person supplying such information.
Reauthorizes and extends through FY 2002 appropriations for Administration grants, cooperative agreements, and contracts.
(Sec. 103) Reauthorizes and extends prevention, treatment, and rehabilitation model projects for high risk youth through FY 2002.
(Sec. 104) Directs the Secretary to award grants or contracts (or in certain cases cooperative agreements) to public or private nonprofit entities for: (1) providing substance abuse treatment services for children and adolescents; (2) providing early intervention substance abuse services for children and adolescents; and (3) establishing up to four research, training, and technical assistance centers to carry out specified activities, providing training, technical assistance, and information with regard to mental health and substance abuse services. Authorizes appropriations through FY 2002.
Authorizes the Director of the Center for Substance Abuse Prevention to make grants to, and enter into contracts and cooperative agreements with, public and nonprofit private entities to carry out: (1) school-based programs on the dangers of methamphetamine or inhalant abuse and addiction; and (2) community-based methamphetamine or inhalant abuse and addiction prevention programs. Authorizes appropriations through FY 2002.
(Sec. 105) Reauthorizes and extends the grant program for comprehensive community mental health services to children with serious emotional disturbances, with an increase in maximum grant duration from five to six fiscal years through FY 2002.
(Sec. 106) Reauthorizes and extends through FY 2002 the grant program for providing services to children of substance abusers. Transfers responsibility for the program from the Health Resources and Services Administration to the Substance Abuse and Mental Health Services Administration. Authorizes the Secretary to make grants for training health, substance abuse, and mental health professionals and other specified providers of services to children and families. Requires grant recipients which are Medicaid providers to identify children who may be eligible for medical assistance under Medicaid or the State's Children's Health Insurance Program (CHIP). Requires a grant recipient to make available to such children drug and alcohol early intervention, treatment, and prevention services. Requires services for affected families to include: (1) aggressive outreach to family members with substance abuse problems; and (2) consumers in the development, implementation, and monitoring of the Family Services Plan. Repeals the mandate for peer review of grant applications.
(Sec. 107) Directs the Secretary to award competitive grants to State or local juvenile justice agencies to provide aftercare services for youth offenders who have been discharged from facilities in the juvenile or criminal justice system and have serious emotional disturbances or are at risk of developing them. Authorizes appropriations through FY 2002.
(Sec. 108) Authorizes the Secretary to make grants to public and nonprofit private entities to develop and implement model substance abuse prevention programs to provide early intervention and substance abuse prevention services for individuals of high-risk families and their resident communities. Sets out a matching fund requirement. Authorizes appropriations through FY 2002.
(Sec. 109) Requires the Center for Substance Abuse Treatment to: (1) ensure that emphasis is placed on children and adolescents in the development of treatment programs; and (2) collaborate with the Attorney General to develop programs to provide substance abuse treatment services to individuals who have had contact with the justice system, especially adolescents.
Requires the Office for Substance Abuse Prevention to collaborate with the Attorney General to develop programs to prevent drug abuse among high risk youth. Requires the Center for Mental Health Services to collaborate with the Attorney General and Department of Justice to develop programs to assist local communities in addressing youth violence.
Title II: Provisions Relating to Mental Health - Replaces grant programs for demonstration projects with projects for priority mental health needs of regional and national significance. Directs the Secretary to establish related information dissemination and education programs. Authorizes appropriations through 2002.
(Sec. 202) Directs the Secretary to award grants, contracts, and cooperative agreements to community-based public and private nonprofit entities for providing mental health and substance abuse services for homeless individuals. Authorizes appropriations through FY 2002.
(Sec. 203) Authorizes the Secretary to waive requirements for projects for assistance in transition from homelessness with respect to the Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands.
Reauthorizes and extends through FY 2000 formula grants to States for programs for individuals suffering from serious mental illness or substance abuse and for the homeless.
(Sec. 204) Revises the criteria for State plans for grants for comprehensive community mental health services for certain individuals, as well as application deadlines.
Reauthorizes and extends the program of formula block grants for community mental health services and treatment of mental illness and substance abuse through FY 2000.
(Sec. 205) Makes permanent at the level it received for FY 1998 the minimum formula grant allotment of any State for its plan for comprehensive community mental health services for certain individuals. (Currently, such level applies only with respect to FY 1999.)
(Sec. 206) Renames the Protection and Advocacy for Mentally Ill Individuals Act of 1986 as the Protection and Advocacy for Individuals with Mental Illness Act. Includes as an individual with mental illness one who otherwise meets certain current criteria but lives in a community setting or at home. Authorizes an eligible system (established in a State to protect and advocate the rights of persons with developmental disabilities) to represent an individual with a mental illness only if: (1) its total allotment is $30 million or more; and (2) it gives priority to representing such individuals. Revises an eligible system's minimum allotment, with different specified base amounts for States and for certain territories. Specifies a trigger level of total appropriations at which the Secretary must make an allotment to the eligible system serving the American Indian consortium.
Reauthorizes and extends allotments for use in eligible protection and advocacy systems for mentally ill individuals through FY 2002.
(Sec. 207) Requires any health care facility receiving Federal funds to protect and promote the rights of its residents, including the right to be free from physical or mental abuse, corporal punishment, and the imposition of restraints or seclusion. Specifies circumstances for the imposition of such restraints or seclusion.
Requires each facility to which the Protection and Advocacy for Mentally Ill Individuals Act of 1986 applies to notify the appropriate agency of each death that occurs at the facility while a patient is restrained or is in seclusion, or within 24 hours after removal from restraints and seclusion, or where it is reasonable to assume that the death is a result of restraint or seclusion. Requires the Secretary to impose certain requirements on such facilities, including training of staff in the use of restraints and any alternatives to such use.
Title III: Provisions Relating to Substance Abuse - Reauthorizes and extends residential treatment programs for pregnant and postpartum women through FY 2002. Replaces provisions on outpatient treatment programs for pregnant and postpartum women with provisions on priority substance abuse treatment needs of regional and national significance. Authorizes appropriations through FY 2002.
(Sec. 303) Repeals the requirement that funding agreements specify certain minimum State expenditures for prevention and treatment activities regarding alcohol and other drugs.
Changes from mandatory to discretionary a State's authority to establish a revolving fund to support group homes for recovering substance abusers.
Authorizes the Secretary, upon a State's request, to waive requirements with regard to substance abuse prevention and treatment block grant allocations regarding pregnant women and women with dependent children, treatment of intravenous substance abuse, tuberculosis services and HIV early intervention services, and specified kinds of additional agreements.
Reauthorizes and extends appropriations through FY 2002.
(Sec. 304) Revises the formula for minimum State allotments of block grants for preventing and treating substance abuse, and makes it permanent.
(Sec. 305) Includes religious organizations as non-Governmental organizations to which the State may make grants, or with which to enter into contracts or cooperative agreements, to provide substance abuse services. Prohibits discrimination against religious organization providers or by such providers against individuals receiving such services from them. Outlines the rights of service recipients. Prohibits the use of grant or contract funds for sectarian worship, instruction, or proselytization.
(Sec. 306) Provides for alcohol and drug prevention or treatment services for Indians and Alaska Natives. Authorizes appropriations through FY 2002.
Establishes the Commission on Indian and Native Alaskan Health Care to study and report to Congress on the health concerns of Indians and Native Alaskans, particularly the reasons for the provision of inadequate health care services on reservations. Authorizes appropriations through 2002.
Title IV: Provisions Relating to Flexibility and Accountability - Changes the mandate for an Associate Director for Alcohol Prevention and Treatment Policy to an option. Revises peer review requirements, eliminating those for regulations promulgated pursuant to peer review provisions.
(Sec. 402) Reduces from three times a year to twice a year the minimum number of times each fiscal year that specified advisory councils on mental health services and substance abuse treatment must meet.
(Sec. 403) Directs the Secretary in conjunction with States and other interested groups to develop separate plans for performance partnerships for creating more flexibility among the States and outcome-based accountability for programs for pregnant addicts and for programs for emotionally disturbed children and mentally ill adults.
Makes grant payments to States available for obligation and expenditure through the fiscal year following the one for which the payments were made. Repeals the special treatment of grant amounts in the case of a State which has terminated or reduced financial assistance to noncompliant subgrantees.
(Sec. 404) Authorizes the Secretary to make grants to, or contracts or cooperative agreements with, States to develop and operate mental health or substance abuse data collection analysis and reporting systems (data infrastructure development) with regard to performance measures including capacity, process, and outcomes measures. Authorizes appropriations through FY 2002.
(Sec. 406) Directs the Secretary to report to specified congressional committees on prevention and treatment services for individuals with co-occurring mental illness and substance abuse disorders.
(Sec. 407) Permits States to use funds available for treatment under block grants for community mental health services and block grants for prevention and treatment of substance abuse to treat persons with co-occurring substance abuse and mental disorders, as long as such block grant funds are used for the purposes for which they were legally authorized and can be tracked for accounting purposes.
Introduced in Senate
Sponsor introductory remarks on measure. (CR S4892-4895)
Read twice and referred to the Committee on HELP.
Committee on HELP. Ordered to be reported with an amendment in the nature of a substitute favorably.
Committee on HELP. Reported to Senate by Senator Jeffords with an amendment in the nature of a substitute. With written report No. 106-196. Additional views filed.
Committee on HELP. Reported to Senate by Senator Jeffords with an amendment in the nature of a substitute. With written report No. 106-196. Additional views filed.
Placed on Senate Legislative Calendar under General Orders. Calendar No. 332.
Measure laid before Senate by unanimous consent. (consideration: CR S13845-13861)
The committee substitute as amended agreed to by Unanimous Consent.
Passed/agreed to in Senate: Passed Senate with an amendment by Unanimous Consent.
Passed Senate with an amendment by Unanimous Consent.
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Received in the House.
Message on Senate action sent to the House.
Referred to the House Committee on Commerce.
Referred to the Subcommittee on Health and Environment.