IIB 

114TH CONGRESS 

2D SESSION H. R. 3691 

IN THE SENATE OF THE UNITED STATES 

MAY 12, 2016 

Received; read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

AN ACT 

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, 


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1 SECTION 1. SHORT TITLE. 

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

3 for Pregnant and Postpartum Women Act of 2016’’. 

4 SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT 

5 PROGRAMS FOR PREGNANT AND 

6 POSTPARTUM WOMEN. 

7 Section 508 of the Public Health Service Act (42 

8 U.S.C. 290bb–1) is amended— 

9 (1) in subsection (p), in the first sentence, by 

10 inserting ‘‘(other than subsection (r))’’ after ‘‘sec11 tion’’; and 

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

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

14 ‘‘$16,900,000 for each of fiscal years 2017 through 

15 2021’’. 

16 SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 

17 ABUSE AGENCIES. 

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

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

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

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

22 (2) by inserting after subsection (q) the fol23 lowing new subsection: 

24 ‘‘(r) PILOT PROGRAM FOR STATE SUBSTANCE

25 ABUSE AGENCIES.— 


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1 ‘‘(1) IN GENERAL.—From amounts made avail2 able under subsection (s), the Director of the Center 

3 for Substance Abuse Treatment shall carry out a 

4 pilot program under which competitive grants are 

5 made by the Director to State substance abuse agen6 cies to— 

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

8 designed to support family-based services for 

9 pregnant and postpartum women with a pri10 mary diagnosis of a substance use disorder, in11 cluding opioid use disorders; 

12 ‘‘(B) help State substance abuse agencies 

13 address identified gaps in services furnished to 

14 such women along the continuum of care, in15 cluding services provided to women in nonresi16 dential based settings; and 

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

18 efficient State system managed by State sub19 stance abuse agencies by encouraging new ap20 proaches and models of service delivery. 

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

22 pilot program under this subsection, the Director 

23 shall— 

24 ‘‘(A) require State substance abuse agen25 cies to submit to the Director applications, in 


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1 such form and manner and containing such in2 formation as specified by the Director, to be eli3 gible to receive a grant under the program; 

4 ‘‘(B) identify, based on such submitted ap5 plications, State substance abuse agencies that 

6 are eligible for such grants; 

7 ‘‘(C) require services proposed to be fur8 nished through such a grant to support family9 based treatment and other services for pregnant 

10 and postpartum women with a primary diag11 nosis of a substance use disorder, including 

12 opioid use disorders; 

13 ‘‘(D) not require that services furnished 

14 through such a grant be provided solely to 

15 women that reside in facilities; 

16 ‘‘(E) not require that grant recipients 

17 under the program make available through use 

18 of the grant all services described in subsection 

19 (d); and 

20 ‘‘(F) consider not applying requirements 

21 described in paragraphs (1) and (2) of sub22 section (f) to applicants, depending on the cir23 cumstances of the applicant. 

24 ‘‘(3) REQUIRED SERVICES.— 


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

2 specify a minimum set of services required to be 

3 made available to eligible women through a 

4 grant awarded under the pilot program under 

5 this subsection. Such minimum set— 

6 ‘‘(i) shall include requirements de7 scribed in subsection (c) and be based on 

8 the recommendations submitted under sub9 paragraph (B); and 

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

11 services described in subsection (d) and in12 clude other services as appropriate. 

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

14 shall convene and solicit recommendations from 

15 stakeholders, including State substance abuse 

16 agencies, health care providers, persons in re17 covery from substance abuse, and other appro18 priate individuals, for the minimum set of serv19 ices described in subparagraph (A). 

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

21 subsection shall not exceed 5 years. 

22 ‘‘(5) EVALUATION AND REPORT TO CON23 GRESS.—The Director of the Center for Behavioral 

24 Health Statistics and Quality shall fund an evalua25 tion of the pilot program at the conclusion of the 


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1 first grant cycle funded by the pilot program. The 

2 Director of the Center for Behavioral Health Statis3 tics and Quality, in coordination with the Director of 

4 the Center for Substance Abuse Treatment shall 

5 submit to the relevant committees of jurisdiction of 

6 the House of Representatives and the Senate a re7 port on such evaluation. The report shall include at 

8 a minimum outcomes information from the pilot pro9 gram, including any resulting reductions in the use 

10 of alcohol and other drugs; engagement in treatment 

11 services; retention in the appropriate level and dura12 tion of services; increased access to the use of medi13 cations approved by the Food and Drug Administra14 tion for the treatment of substance use disorders in 

15 combination with counseling; and other appropriate 

16 measures. 

17 ‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE18 FINED.—For purposes of this subsection, the term 

19 ‘State substance abuse agency’ means, with respect 

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

21 the Substance Abuse Prevention and Treatment 

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

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

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

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


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

2 sentence: ‘‘Of the amounts made available for a year pur3 suant to the previous sentence to carry out this section, 

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

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

6 than paragraph (5) of such subsection. Notwithstanding 

7 the preceding sentence, no funds shall be made available 

8 to carry out subsection (r) for a fiscal year unless the 

9 amount made available to carry out this section for such 

10 fiscal year is more than the amount made available to 

11 carry out this section for fiscal year 2016.’’. 

12 SEC. 4. CUT-GO COMPLIANCE. 

13 Subsection (f) of section 319D of the Public Health 

14 Service Act (42 U.S.C. 247d–4) is amended by striking 

15 ‘‘through 2018’’ and inserting ‘‘through 2016, 

16 $133,300,000 for fiscal year 2017, and $138,300,000 for 

17 fiscal year 2018’’. 

Passed the House of Representatives May 11, 2016. 

Attest: KAREN L. HAAS, 

Clerk. 


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