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Union Calendar No. 428 

114TH CONGRESS 

2D SESSION H. R. 3691 

[Report No. 114–554] 

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 

MAY 10, 2016 

Additional sponsors: Mr. PASCRELL, Mr. RYAN of Ohio, Mr. RANGEL, Mr. 

HASTINGS, Ms. MCCOLLUM, Ms. MICHELLE LUJAN GRISHAM of New 

Mexico, Ms. KELLY of Illinois, Ms. SCHAKOWSKY, Ms. NORTON, Mr. 

LANGEVIN, Mrs. WATSON COLEMAN, Mr. KENNEDY, Mr. TAKANO, Mr. 

HIGGINS, Ms. PINGREE, Mr. POCAN, Ms. SLAUGHTER, Mr. YOUNG of 

Alaska, Mr. WALZ, Mr. CARTWRIGHT, Ms. BONAMICI, Mr. PAYNE, Mr. 

TAKAI, Mr. FATTAH, Mr. LARSON of Connecticut, Mr. CARSON of Indiana, Mr. COHEN, Mr. GRAYSON, Mr. KIND, Mr. HUFFMAN, Mrs. NOEM, 

Mr. BRADY of Pennsylvania, Mr. KILMER, and Mr. TURNER

MAY 10, 2016 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on October 6, 2015] 


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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. 


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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 2016’’. 

6 SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT 

7 PROGRAMS FOR PREGNANT AND 

8 POSTPARTUM WOMEN. 

9 Section 508 of the Public Health Service Act (42 

10 U.S.C. 290bb–1) is amended— 

11 (1) in subsection (p), in the first sentence, by in12 serting ‘‘(other than subsection (r))’’ after ‘‘section’’; 

13 and 

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

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

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

17 2021’’. 

18 SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 

19 ABUSE AGENCIES. 

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

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

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

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

24 (2) by inserting after subsection (q) the following 

25 new subsection: 


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1 ‘‘(r) PILOT PROGRAM FOR STATE SUBSTANCE ABUSE

2 AGENCIES.— 

3 ‘‘(1) IN GENERAL.—From amounts made avail4 able under subsection (s), the Director of the Center 

5 for Substance Abuse Treatment shall carry out a pilot 

6 program under which competitive grants are made by 

7 the Director to State substance abuse agencies to— 

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

9 designed to support family-based services for 

10 pregnant and postpartum women with a pri11 mary diagnosis of a substance use disorder, in12 cluding opioid use disorders; 

13 ‘‘(B) help State substance abuse agencies 

14 address identified gaps in services furnished to 

15 such women along the continuum of care, includ16 ing services provided to women in nonresidential 

17 based settings; and 

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

19 efficient State system managed by State sub20 stance abuse agencies by encouraging new ap21 proaches and models of service delivery. 

22 ‘‘(2) REQUIREMENTS.—In carrying out the pilot 

23 program under this subsection, the Director shall— 

24 ‘‘(A) require State substance abuse agencies 

25 to submit to the Director applications, in such 


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1 form and manner and containing such informa2 tion as specified by the Director, to be eligible to 

3 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 under 

17 the program make available through use of the 

18 grant all services described in subsection (d); and 

19 ‘‘(F) consider not applying requirements de20 scribed in paragraphs (1) and (2) of subsection 

21 (f) to applicants, depending on the circumstances 

22 of the applicant. 

23 ‘‘(3) REQUIRED SERVICES.— 

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

25 specify a minimum set of services required to be 


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1 made available to eligible women through a 

2 grant awarded under the pilot program under 

3 this subsection. Such minimum set— 

4 ‘‘(i) shall include requirements de5 scribed in subsection (c) and be based on the 

6 recommendations submitted under subpara7 graph (B); and 

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

9 services described in subsection (d) and in10 clude other services as appropriate. 

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

12 shall convene and solicit recommendations from 

13 stakeholders, including State substance abuse 

14 agencies, health care providers, persons in recov15 ery from substance abuse, and other appropriate 

16 individuals, for the minimum set of services de17 scribed in subparagraph (A). 

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

19 subsection shall not exceed 5 years. 

20 ‘‘(5) EVALUATION AND REPORT TO CONGRESS.— 

21 The Director of the Center for Behavioral Health Sta22 tistics and Quality shall fund an evaluation of the 

23 pilot program at the conclusion of the first grant 

24 cycle funded by the pilot program. The Director of the 

25 Center for Behavioral Health Statistics and Quality, 


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1 in coordination with the Director of the Center for 

2 Substance Abuse Treatment shall submit to the rel3 evant committees of jurisdiction of the House of Rep4 resentatives and the Senate a report on such evalua5 tion. The report shall include at a minimum out6 comes information from the pilot program, including 

7 any resulting reductions in the use of alcohol and 

8 other drugs; engagement in treatment services; reten9 tion in the appropriate level and duration of services; 

10 increased access to the use of medications approved by 

11 the Food and Drug Administration for the treatment 

12 of substance use disorders in combination with coun13 seling; and other appropriate measures. 

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

16 ‘State substance abuse agency’ means, with respect to 

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

18 Substance Abuse Prevention and Treatment Block 

19 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 amended 

22 by section 2 and redesignated by subsection (a), is further 

23 amended by adding at the end the following new sentence: 

24 ‘‘Of the amounts made available for a year pursuant to the 

25 previous sentence to carry out this section, not more than 


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1 25 percent of such amounts shall be made available for such 

2 year to carry out subsection (r), other than paragraph (5) 

3 of such subsection. Notwithstanding the preceding sentence, 

4 no funds shall be made available to carry out subsection 

5 (r) for a fiscal year unless the amount made available to 

6 carry out this section for such fiscal year is more than the 

7 amount made available to carry out this section for fiscal 

8 year 2016.’’. 

9 SEC. 4. CUT-GO COMPLIANCE. 

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

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

12 ‘‘through 2018’’ and inserting ‘‘through 2016, $133,300,000 

13 for fiscal year 2017, and $138,300,000 for fiscal year 2018’’. 


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Union Calendar No. 428 

114TH CONGRESS 

2D SESSION H. R. 3691 

[Report No. 114–554] 

A BILL 

To amend the Public Health Service Act to reauice delivery models for such women. stance abuse agencies to promote innovative serv- a pilot program to provide grants to State sub- pregnant and postpartum women and to establish thorize the residential treatment programs for 

MAY 10, 2016 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


SSpencer on DSK4SPTVN1PROD with BILLS