I 

114TH CONGRESS 

1ST SESSION H. R. 3691 

To amend the Public Health Service Act to reauthorize the residential treatment programs for pregnant and postpartum women and to establish 

a pilot program to provide grants to State substance abuse agencies 

to promote innovative service delivery models for such women. 

IN THE HOUSE OF REPRESENTATIVES 

OCTOBER 6, 2015 

Mr. BEN RAY LUJA ́N of New Mexico (for himself, Mr. TONKO, Ms. CLARKE

of New York, Ms. MATSUI, and Mr. CA ́RDENAS) introduced the following 

bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to reauthorize the 

residential treatment programs for pregnant and 

postpartum women and to establish a pilot program to 

provide grants to State substance abuse agencies to promote innovative service delivery models for such women. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Improving Treatment 

5 for Pregnant and Postpartum Women Act of 2015’’. 


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1 SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT 

2 PROGRAMS FOR PREGNANT AND 

3 POSTPARTUM WOMEN. 

4 Section 508 of the Public Health Service Act (42 

5 U.S.C. 290bb–1) is amended— 

6 (1) in subsection (p), by inserting ‘‘(other than 

7 subsection (r))’’ after ‘‘section’’; and 

8 (2) in subsection (r), by striking ‘‘such sums’’ 

9 and all that follows through ‘‘2003’’ and inserting 

10 ‘‘$40,000,000 for each of fiscal years 2016 through 

11 2020’’. 

12 SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 

13 ABUSE AGENCIES. 

14 (a) IN GENERAL.—Section 508 of the Public Health 

15 Service Act (42 U.S.C. 290bb–1) is amended— 

16 (1) by redesignating subsection (r), as amended 

17 by section 2, as subsection (s); and 

18 (2) by inserting after subsection (q) the fol19 lowing new subsection: 

20 ‘‘(r) PILOT PROGRAM FOR STATE SUBSTANCE

21 ABUSE AGENCIES.— 

22 ‘‘(1) IN GENERAL.—From amounts made avail23 able under subsection (s), the Director of the Center 

24 for Substance Abuse Treatment shall carry out a 

25 pilot program under which competitive grants are 


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1 made by the Director to State substance abuse agen2 cies to— 

3 ‘‘(A) enhance flexibility in the use of funds 

4 designed to support family-based services for 

5 pregnant and postpartum women with a pri6 mary diagnosis of a substance use disorder, in7 cluding opioid use disorders; 

8 ‘‘(B) help State substance abuse agencies 

9 address identified gaps in services furnished to 

10 such women along the continuum of care, in11 cluding services provided to women in non-resi12 dential based settings; and 

13 ‘‘(C) promote a coordinated, effective, and 

14 efficient State system managed by State sub15 stance abuse agencies by encouraging new ap16 proaches and models of service delivery. 

17 ‘‘(2) REQUIREMENTS.—In carrying out the 

18 pilot program under this subsection, the Director 

19 shall— 

20 ‘‘(A) require State substance abuse agen21 cies to submit to the Director applications, in 

22 such form and manner and containing such in23 formation as specified by the Director, to be eli24 gible to receive a grant under the program; 


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1 ‘‘(B) identify, based on such submitted ap2 plications, State substance abuse agencies that 

3 are eligible for such grants; 

4 ‘‘(C) require services proposed to be fur5 nished through such a grant to support family 

6 based treatment and other services for pregnant 

7 and postpartum women with a primary diag8 nosis of a substance use disorder, including 

9 opioid use disorders; 

10 ‘‘(D) not require that services furnished 

11 through such a grant be provided solely to 

12 women that reside in facilities; 

13 ‘‘(E) not require that grant recipients 

14 under the program make available through use 

15 of the grant all services described in subsection 

16 (d); and 

17 ‘‘(F) consider not applying requirements 

18 described in paragraphs (1) and (2) of sub19 section (f) to applicants, depending on the cir20 cumstances of the applicant. 

21 ‘‘(3) REQUIRED SERVICES.— 

22 ‘‘(A) IN GENERAL.—The Director shall 

23 specify a minimum set of services required to be 

24 made available to eligible women through a 


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1 grant awarded under the pilot program under 

2 this subsection. Such minimum set— 

3 ‘‘(i) shall include requirements de4 scribed in subsection (c) and be based on 

5 the recommendations submitted under sub6 paragraph (B); and 

7 ‘‘(ii) may be selected from among the 

8 services described in subsection (d) and in9 clude other services as appropriate. 

10 ‘‘(B) STAKEHOLDER INPUT.—The Director 

11 shall convene and solicit recommendations from 

12 stakeholders, including State substance abuse 

13 agencies, health care providers, persons in re14 covery from substance abuse, and other appro15 priate individuals, for the minimum set of serv16 ices described in subparagraph (A). 

17 ‘‘(4) DURATION.—The pilot program under this 

18 subsection shall not exceed 5 years. 

19 ‘‘(5) EVALUATION AND REPORT TO CON20 GRESS.—The Director of the Center for Behavioral 

21 Health Statistics and Quality shall fund an evalua22 tion of the pilot program at the conclusion of the 

23 first grant cycle funded by the pilot program. The 

24 Director of the Center for Behavioral Health Statis25 tics and Quality, in coordination with the Director of 


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1 the Center for Substance Abuse Treatment shall 

2 submit to the relevant Committees of jurisdiction of 

3 the House of Representatives and the Senate a re4 port on such evaluation. The report shall include at 

5 a minimum outcomes information from the pilot pro6 gram, including any resulting reductions in the use 

7 of alcohol and other drugs; engagement in treatment 

8 services; retention in the appropriate level and dura9 tion of services; increased access to the use of medi10 cations approved by the Food and Drug Administra11 tion for the treatment of substance use disorders in 

12 combination with counseling; and other appropriate 

13 measures. 

14 ‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE15 FINED.—For purposes of this subsection, the term 

16 ‘State substance abuse agency’ means, with respect 

17 to a State, the agency in such State that manages 

18 the Substance Abuse Prevention and Treatment 

19 Block Grant under part B of title XIX.’’. 

20 (b) FUNDING.—Subsection (s) of section 508 of the 

21 Public Health Service Act (42 U.S.C. 290bb–1), as 

22 amended by section 2 and redesignated by subsection (a), 

23 is further amended by adding at the end the following new 

24 sentence: ‘‘Of the amounts made available for a year pur25 suant to the previous sentence to carry out this section, 


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1 not more than 25 percent of such amounts shall be made 

2 available for such year to carry out subsection (r), other 

3 than paragraph (5) of such subsection.’’. 

Æ 


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