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[106th Congress Public Law 310]
[From the U.S. Government Printing Office]

<DOC>
[DOCID: f:publ310.106]

[[Page 114 STAT. 1101]]

Public Law 106-310
106th Congress

                                 An Act

 
   To amend the Public Health Service Act with respect to children's 
             health. <<NOTE: Oct. 17, 2000 -  [H.R. 4365]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress <<NOTE: Children's Health Act of 
2000.>> assembled,

SECTION 1. <<NOTE: 42 USC 201 note.>> SHORT TITLE.

    This Act may be cited as the ``Children's Health Act of 2000''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents for this Act is as follows:

Sec.1.Short title.
Sec.2.Table of contents.

                      DIVISION A--CHILDREN'S HEALTH

                             TITLE I--AUTISM

Sec.101.Expansion, intensification, and coordination of activities of 
           National Institutes of Health with respect to research on 
           autism.
Sec.102.Developmental disabilities surveillance and research programs.
Sec.103.Information and education.
Sec.104.Inter-agency Autism Coordinating Committee.
Sec.105.Report to Congress.

         TITLE II--RESEARCH AND DEVELOPMENT REGARDING FRAGILE X

Sec.201.National Institute of Child Health and Human Development; 
           research on fragile X.

          TITLE III--JUVENILE ARTHRITIS AND RELATED CONDITIONS

Sec.301.National Institute of Arthritis and Musculoskeletal and Skin 
           Diseases; 
           research on juvenile arthritis and related conditions.
Sec.302.Information clearinghouse.

     TITLE IV--REDUCING BURDEN OF DIABETES AMONG CHILDREN AND YOUTH

Sec.401.Programs of Centers for Disease Control and Prevention.
Sec.402.Programs of National Institutes of Health.

                  TITLE V--ASTHMA SERVICES FOR CHILDREN

                       Subtitle A--Asthma Services

Sec.501.Grants for children's asthma relief.
Sec.502.Technical and conforming amendments.

                    Subtitle B--Prevention Activities

Sec.511.Preventive health and health services block grant; systems for 
           reducing asthma-related illnesses through integrated pest 
           management.

             Subtitle C--Coordination of Federal Activities

Sec.521.Coordination through National Institutes of Health.

                     Subtitle D--Compilation of Data

Sec.531.Compilation of data by Centers for Disease Control and 
           Prevention.

[[Page 114 STAT. 1102]]

              TITLE VI--BIRTH DEFECTS PREVENTION ACTIVITIES

                    Subtitle A--Folic Acid Promotion

Sec.601.Program regarding effects of folic acid in prevention of birth 
           defects.

     Subtitle B--National Center on Birth Defects and Developmental 
                              Disabilities

Sec.611.National Center on Birth Defects and Developmental Disabilities.

 TITLE VII--EARLY DETECTION, DIAGNOSIS, AND TREATMENT REGARDING HEARING 
                             LOSS IN INFANTS

Sec.701.Purposes.
Sec.702.Programs of Health Resources and Services Administration, 
           Centers for Disease Control and Prevention, and National 
           Institutes of Health.

                    TITLE VIII--CHILDREN AND EPILEPSY

Sec.801.National public health campaign on epilepsy; seizure disorder 
           demonstration projects in medically underserved areas.

           TITLE IX--SAFE MOTHERHOOD; INFANT HEALTH PROMOTION

             Subtitle A--Safe Motherhood Prevention Research

Sec.901.Prevention research and other activities.

         Subtitle B--Pregnant Women and Infants Health Promotion

Sec.911.Programs regarding prenatal and postnatal health.

                 TITLE X--PEDIATRIC RESEARCH INITIATIVE

Sec.1001.Establishment of pediatric research initiative.
Sec.1002.Investment in tomorrow's pediatric researchers.
Sec.1003.Review of regulations.
Sec.1004.Long-term child development study.

                    TITLE XI--CHILDHOOD MALIGNANCIES

Sec.1101.Programs of Centers for Disease Control and Prevention and 
           National Institutes of Health.

                      TITLE XII--ADOPTION AWARENESS

                  Subtitle A--Infant Adoption Awareness

Sec.1201.Grants regarding infant adoption awareness.

              Subtitle B--Special Needs Adoption Awareness

Sec.1211.Special needs adoption programs; public awareness campaign and 
           other activities.

                   TITLE XIII--TRAUMATIC BRAIN INJURY

Sec.1301.Programs of Centers for Disease Control and Prevention.
Sec.1302.Study and monitor incidence and prevalence.
Sec.1303.Programs of National Institutes of Health.
Sec.1304.Programs of Health Resources and Services Administration.
Sec.1305.State grants for protection and advocacy services.
Sec.1306.Authorization of appropriations for certain programs.

             TITLE XIV--CHILD CARE SAFETY AND HEALTH GRANTS

Sec.1401.Definitions.
Sec.1402.Authorization of appropriations.
Sec.1403.Programs.
Sec.1404.Amounts reserved; allotments.
Sec.1405.State applications.
Sec.1406.Use of funds.
Sec.1407.Reports.

                   TITLE XV--HEALTHY START INITIATIVE

Sec.1501.Continuation of healthy start program.

         TITLE XVI--ORAL HEALTH PROMOTION AND DISEASE PREVENTION

Sec.1601.Identification of interventions that reduce the burden and 
           transmission of oral, dental, and craniofacial diseases in 
           high risk populations; development of approaches for 
           pediatric oral and craniofacial assessment.

[[Page 114 STAT. 1103]]

Sec.1602.Oral health promotion and disease prevention.
Sec.1603.Coordinated program to improve pediatric oral health.

                  TITLE XVII--VACCINE-RELATED PROGRAMS

                Subtitle A--Vaccine Compensation Program

Sec.1701.Content of petitions.

                   Subtitle B--Childhood Immunizations

Sec.1711.Childhood immunizations.

                        TITLE XVIII--HEPATITIS C

Sec.1801.Surveillance and education regarding hepatitis C.

            TITLE XIX--NIH INITIATIVE ON AUTOIMMUNE DISEASES

Sec.1901.Autoimmune diseases; initiative through Director of National 
           Institutes of Health.

  TITLE XX--GRADUATE MEDICAL EDUCATION PROGRAMS IN CHILDREN'S HOSPITALS

Sec.2001.Provisions to revise and extend program.

  TITLE XXI--SPECIAL NEEDS OF CHILDREN REGARDING ORGAN TRANSPLANTATION

Sec.2101.Organ Procurement and Transplantation Network; amendments 
           regarding needs of children.

                 TITLE XXII--MUSCULAR DYSTROPHY RESEARCH

Sec.2201.Muscular dystrophy research.

          TITLE XXIII--CHILDREN AND TOURETTE SYNDROME AWARENESS

Sec.2301.Grants regarding Tourette Syndrome.

                TITLE XXIV--CHILDHOOD OBESITY PREVENTION

Sec.2401.Programs operated through the Centers for Disease Control and 
           Prevention.

   TITLE XXV--EARLY DETECTION AND TREATMENT REGARDING CHILDHOOD LEAD 
                                POISONING

Sec.2501.Centers for Disease Control and Prevention efforts to combat 
           childhood lead poisoning.
Sec.2502.Grants for lead poisoning related activities.
Sec.2503.Training and reports by the Health Resources and Services 
           Administration.
Sec.2504.Screenings, referrals, and education regarding lead poisoning.

              TITLE XXVI--SCREENING FOR HERITABLE DISORDERS

Sec.2601.Program to improve the ability of States to provide newborn and 
           child screening for heritable disorders.

               TITLE XXVII--PEDIATRIC RESEARCH PROTECTIONS

Sec.2701.Requirement for additional protections for children involved in 
           research.

                 TITLE XXVIII--MISCELLANEOUS PROVISIONS

Sec.2801.Report regarding research on rare diseases in children.
Sec.2802.Study on metabolic disorders.

                       TITLE XXIX--EFFECTIVE DATE

Sec.2901.Effective date.

            DIVISION B--YOUTH DRUG AND MENTAL HEALTH SERVICES

Sec.3001.Short title.

TITLE XXXI--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

Sec.3101.Children and violence.
Sec.3102.Emergency response.

[[Page 114 STAT. 1104]]

Sec.3103.High risk youth reauthorization.
Sec.3104.Substance abuse treatment services for children and 
           adolescents.
Sec.3105.Comprehensive community services for children with serious 
           emotional disturbance.
Sec.3106.Services for children of substance abusers.
Sec.3107.Services for youth offenders.
Sec.3108.Grants for strengthening families through community 
           partnerships.
Sec.3109.Programs to reduce underage drinking.
Sec.3110.Services for individuals with fetal alcohol syndrome.
Sec.3111.Suicide prevention.
Sec.3112.General provisions.

            TITLE XXXII--PROVISIONS RELATING TO MENTAL HEALTH

Sec.3201.Priority mental health needs of regional and national 
           significance.
Sec.3202.Grants for the benefit of homeless individuals.
Sec.3203.Projects for assistance in transition from homelessness.
Sec.3204.Community mental health services performance partnership block 
           grant.
Sec.3205.Determination of allotment.
Sec.3206.Protection and Advocacy for Mentally Ill Individuals Act of 
           1986.
Sec.3207.Requirement relating to the rights of residents of certain 
           facilities.
Sec.3208.Requirement relating to the rights of residents of certain non-
           medical, community-based facilities for children and youth.
Sec.3209.Emergency mental health centers.
Sec.3210.Grants for jail diversion programs.
Sec.3211.Improving outcomes for children and adolescents through 
           services integration between child welfare and mental health 
           services.
Sec.3212.Grants for the integrated treatment of serious mental illness 
           and 
           co-occurring substance abuse.
Sec.3213.Training grants.

          TITLE XXXIII--PROVISIONS RELATING TO SUBSTANCE ABUSE

Sec.3301.Priority substance abuse treatment needs of regional and 
           national 
           significance.
Sec.3302.Priority substance abuse prevention needs of regional and 
           national 
           significance.
Sec.3303.Substance abuse prevention and treatment performance 
           partnership block grant.
Sec.3304.Determination of allotments.
Sec.3305.Nondiscrimination and institutional safeguards for religious 
           providers.
Sec.3306.Alcohol and drug prevention or treatment services for Indians 
           and 
           Native Alaskans.
Sec.3307.Establishment of commission.

   TITLE XXXIV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

Sec.3401.General authorities and peer review.
Sec.3402.Advisory councils.
Sec.3403.General provisions for the performance partnership block 
           grants.
Sec.3404.Data infrastructure projects.
Sec.3405.Repeal of obsolete addict referral provisions.
Sec.3406.Individuals with co-occurring disorders.
Sec.3407.Services for individuals with co-occurring disorders.

 TITLE XXXV--WAIVER AUTHORITY FOR PHYSICIANS WHO DISPENSE OR PRESCRIBE 
                 CERTAIN NARCOTIC DRUGS FOR MAINTENANCE 
                  TREATMENT OR DETOXIFICATION TREATMENT

Sec.3501.Short title.
Sec.3502.Amendment to Controlled Substances Act.

      TITLE XXXVI--METHAMPHETAMINE AND OTHER CONTROLLED SUBSTANCES

Sec.3601.Short title.

     Subtitle A--Methamphetamine Production, Trafficking, and Abuse

                       Part I--Criminal Penalties

Sec.3611.Enhanced punishment of amphetamine laboratory operators.
Sec.3612.Enhanced punishment of amphetamine or methamphetamine 
           laboratory operators.

[[Page 114 STAT. 1105]]

Sec.3613.Mandatory restitution for violations of Controlled Substances 
           Act and Controlled Substances Import and Export Act relating 
           to amphetamine and methamphetamine.
Sec.3614.Methamphetamine paraphernalia.

                    Part II--Enhanced Law Enforcement

Sec.3621.Environmental hazards associated with illegal manufacture of 
           amphetamine and methamphetamine.
Sec.3622.Reduction in retail sales transaction threshold for non-safe 
           harbor 
           products containing pseudoephedrine or phenylpropanolamine.
Sec.3623.Training for Drug Enforcement Administration and State and 
           local law enforcement personnel relating to clandestine 
           laboratories.
Sec.3624.Combating methamphetamine and amphetamine in high intensity 
           drug trafficking areas.
Sec.3625.Combating amphetamine and methamphetamine manufacturing and 
           trafficking.

                Part III--Abuse Prevention and Treatment

Sec.3631.Expansion of methamphetamine research.
Sec.3632.Methamphetamine and amphetamine treatment initiative by Center 
           for Substance Abuse Treatment.
Sec.3633.Study of methamphetamine treatment.

                            Part IV--Reports

Sec.3641.Reports on consumption of methamphetamine and other illicit 
           drugs in rural areas, metropolitan areas, and consolidated 
           metropolitan areas.
Sec.3642.Report on diversion of ordinary, over-the-counter 
           pseudoephedrine and phenylpropanolamine products.

               Subtitle B--Controlled Substances Generally

Sec.3651.Enhanced punishment for trafficking in list I chemicals.
Sec.3652.Mail order requirements.
Sec.3653.Theft and transportation of anhydrous ammonia for purposes of 
           illicit production of controlled substances.

           Subtitle C--Ecstasy Anti-Proliferation Act of 2000

Sec.3661.Short title.
Sec.3662.Findings.
Sec.3663.Enhanced punishment of Ecstasy traffickers.
Sec.3664.Emergency authority to United States Sentencing Commission.
Sec.3665.Expansion of Ecstasy and club drugs abuse prevention efforts.

                        Subtitle D--Miscellaneous

Sec.3671.Antidrug messages on Federal Government Internet websites.
Sec.3672.Reimbursement by Drug Enforcement Administration of expenses 
           incurred to remediate methamphetamine laboratories.
Sec.3673.Severability.

                      DIVISION A--CHILDREN'S HEALTH

                             TITLE I--AUTISM

SEC. 101. EXPANSION, INTENSIFICATION, AND COORDINATION OF ACTIVITIES OF 
            NATIONAL INSTITUTES OF HEALTH WITH RESPECT TO RESEARCH ON 
            AUTISM.

    Part B of title IV of the Public Health Service Act (42 U.S.C. 284 
et seq.) is amended by adding at the end the following section:

``expansion, intensification, and coordination of activities of national 
         institutes of health with respect to research on autism

    ``Sec. <<NOTE: 42 USC 284g.>> 409C. (a) In General.--
            ``(1) Expansion of activities.--The Director of NIH (in this 
        section referred to as the `Director') shall expand, intensify,

[[Page 114 STAT. 1106]]

        and coordinate the activities of the National Institutes of 
        Health with respect to research on autism.
            ``(2) Administration of program; collaboration among 
        agencies.--The Director shall carry out this section acting 
        through the Director of the National Institute of Mental Health 
        and in collaboration with any other agencies that the Director 
        determines appropriate.

    ``(b) Centers of Excellence.--
            ``(1) In <<NOTE: Grants. Contracts.>> general.--The Director 
        shall under subsection (a)(1) make awards of grants and 
        contracts to public or nonprofit private entities to pay all or 
        part of the cost of planning, establishing, improving, and 
        providing basic operating support for centers of excellence 
        regarding research on autism.
            ``(2) Research.--Each center under paragraph (1) shall 
        conduct basic and clinical research into autism. Such research 
        should include investigations into the cause, diagnosis, early 
        detection, prevention, control, and treatment of autism. The 
        centers, as a group, shall conduct research including the fields 
        of developmental neurobiology, genetics, and psychopharmacology.
            ``(3) Services for patients.--
                    ``(A) In general.--A center under paragraph (1) may 
                expend amounts provided under such paragraph to carry 
                out a program to make individuals aware of opportunities 
                to participate as subjects in research conducted by the 
                centers.
                    ``(B) Referrals and costs.--A program under 
                subparagraph (A) may, in accordance with such criteria 
                as the Director may establish, provide to the subjects 
                described in such subparagraph, referrals for health and 
                other services, and such patient care costs as are 
                required for research.
                    ``(C) Availability and access.--The extent to which 
                a center can demonstrate availability and access to 
                clinical services shall be considered by the Director in 
                decisions about awarding grants to applicants which meet 
                the scientific criteria for funding under this section.
            ``(4) Coordination of centers; reports.--The Director shall, 
        as appropriate, provide for the coordination of information 
        among centers under paragraph (1) and ensure regular 
        communication between such centers, and may require the periodic 
        preparation of reports on the activities of the centers and the 
        submission of the reports to the Director.
            ``(5) Organization of centers.--Each center under paragraph 
        (1) shall use the facilities of a single institution, or be 
        formed from a consortium of cooperating institutions, meeting 
        such requirements as may be prescribed by the Director.
            ``(6) Number of centers; duration of support.--
                    ``(A) In general.--The Director shall provide for 
                the establishment of not less than five centers under 
                paragraph (1).
                    ``(B) Duration.--Support for a center established 
                under paragraph (1) may be provided under this section 
                for a period of not to exceed 5 years. Such period may 
                be extended for one or more additional periods not 
                exceeding 5 years if the operations of such center have

[[Page 114 STAT. 1107]]

                been reviewed by an appropriate technical and scientific 
                peer review group established by the Director and if 
                such group has recommended to the Director that such 
                period should be extended.

    ``(c) Facilitation of Research.--The Director shall under subsection 
(a)(1) provide for a program under which samples of tissues and genetic 
materials that are of use in research on autism are donated, collected, 
preserved, and made available for such research. The program shall be 
carried out in accordance with accepted scientific and medical standards 
for the donation, collection, and preservation of such samples.
    ``(d) Public Input.--The Director shall under subsection (a)(1) 
provide for means through which the public can obtain information on the 
existing and planned programs and activities of the National Institutes 
of Health with respect to autism and through which the Director can 
receive comments from the public regarding such programs and activities.
    ``(e) Funding.--There <<NOTE: Appropriation authorization.>> are 
authorized to be appropriated such sums as may be necessary to carry out 
this section. Amounts appropriated under this subsection are in addition 
to any other amounts appropriated for such purpose.''.

SEC. 102. <<NOTE: 42 USC 247b-4b.>> DEVELOPMENTAL DISABILITIES 
            SURVEILLANCE AND RESEARCH PROGRAMS.

    (a) National Autism and Pervasive Developmental Disabilities 
Surveillance Program.--
            (1) In general.--The Secretary of Health and Human Services 
        (in this section referred to as the ``Secretary''), acting 
        through the Director of the Centers for Disease Control and 
        Prevention, may make awards of grants and cooperative agreements 
        for the collection, analysis, and reporting of data on autism 
        and pervasive developmental disabilities. In making such awards, 
        the Secretary may provide direct technical assistance in lieu of 
        cash.
            (2) Eligibility.--To be eligible to receive an award under 
        paragraph (1) an entity shall be a public or nonprofit private 
        entity (including health departments of States and political 
        subdivisions of States, and including universities and other 
        educational entities).

    (b) Centers of Excellence in Autism and Pervasive Developmental 
Disabilities Epidemiology.--
            (1) In general.--The Secretary, acting through the Director 
        of the Centers for Disease Control and Prevention, shall 
        establish not less than three regional centers of excellence in 
        autism and pervasive developmental disabilities epidemiology for 
        the purpose of collecting and analyzing information on the 
        number, incidence, correlates, and causes of autism and related 
        developmental disabilities.
            (2) Recipients of awards for establishment of centers.--
        Centers under paragraph (1) shall be established and operated 
        through the awarding of grants or cooperative agreements to 
        public or nonprofit private entities that conduct research, 
        including health departments of States and political 
        subdivisions of States, and including universities and other 
        educational entities.
            (3) Certain requirements.--An award for a center under 
        paragraph (1) may be made only if the entity involved submits

[[Page 114 STAT. 1108]]

        to the Secretary an application containing such agreements and 
        information as the Secretary may require, including an agreement 
        that the center involved will operate in accordance with the 
        following:
                    (A) The center will collect, analyze, and report 
                autism and pervasive developmental disabilities data 
                according to guidelines prescribed by the Director, 
                after consultation with relevant State and local public 
                health officials, private sector developmental 
                disability researchers, and advocates for those with 
                developmental disabilities.
                    (B) The center will assist with the development and 
                coordination of State autism and pervasive developmental 
                disabilities surveillance efforts within a region.
                    (C) The center will identify eligible cases and 
                controls through its surveillance systems and conduct 
                research into factors which may cause autism and related 
                developmental disabilities.
                    (D) The center will develop or extend an area of 
                special research expertise (including genetics, 
                environmental exposure to contaminants, immunology, and 
                other relevant research specialty areas).

    (c) Clearinghouse.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall carry out the 
following:
            (1) The Secretary shall establish a clearinghouse within the 
        Centers for Disease Control and Prevention for the collection 
        and storage of data generated from the monitoring programs 
        established by this title. Through the clearinghouse, such 
        Centers shall serve as the coordinating agency for autism and 
        pervasive developmental disabilities surveillance activities. 
        The functions of such a clearinghouse shall include facilitating 
        the coordination of research and policy development relating to 
        the epidemiology of autism and other pervasive developmental 
        disabilities.
            (2) The Secretary shall coordinate the Federal response to 
        requests for assistance from State health department officials 
        regarding potential or alleged autism or developmental 
        disability clusters.

    (d) Definition.--In this title, the term ``State'' means each of the 
several States, the District of Columbia, the Commonwealth of Puerto 
Rico, American Samoa, Guam, the Commonwealth of the Northern Mariana 
Islands, the Virgin Islands, and the Trust Territory of the Pacific 
Islands.
    (e) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to carry out this section.

SEC. 103. <<NOTE: 42 USC 247b-4c.>> INFORMATION AND EDUCATION.

    (a) In General.--The Secretary shall establish and implement a 
program to provide information and education on autism to health 
professionals and the general public, including information and 
education on advances in the diagnosis and treatment of autism and 
training and continuing education through programs for scientists, 
physicians, and other health professionals who provide care for patients 
with autism.

[[Page 114 STAT. 1109]]

    (b) Stipends.--The Secretary may use amounts made available under 
this section to provide stipends for health professionals who are 
enrolled in training programs under this section.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to carry out this section.

SEC. 104. <<NOTE: 42 USC 247b-4d.>> INTER-AGENCY AUTISM COORDINATING 
            COMMITTEE.

    (a) Establishment.--The Secretary shall establish a committee to be 
known as the ``Autism Coordinating Committee'' (in this section referred 
to as the ``Committee'') to coordinate all efforts within the Department 
of Health and Human Services concerning autism, including activities 
carried out through the National Institutes of Health and the Centers 
for Disease Control and Prevention under this title (and the amendment 
made by this title).
    (b) Membership.--
            (1) In general.--The Committee shall be composed of the 
        Directors of such national research institutes, of the Centers 
        for Disease Control and Prevention, and of such other agencies 
        and such other officials as the Secretary determines 
        appropriate.
            (2) Additional members.--If determined appropriate by the 
        Secretary, the Secretary may appoint to the Committee--
                    (A) parents or legal guardians of individuals with 
                autism or other pervasive developmental disorders; and
                    (B) representatives of other governmental agencies 
                that serve children with autism such as the Department 
                of Education.

    (c) Administrative Support; Terms of Service; Other Provisions.--The 
following shall apply with respect to the Committee:
            (1) The Committee shall receive necessary and appropriate 
        administrative support from the Department of Health and Human 
        Services.
            (2) Members of the Committee appointed under subsection 
        (b)(2)(A) shall serve for a term of 3 years, and may serve for 
        an unlimited number of terms if reappointed.
            (3) The Committee shall meet not less than two times each 
        year.

SEC. 105. <<NOTE: 42 USC 247b-4e.>> REPORT TO CONGRESS.

    Not <<NOTE: Deadline.>> later than January 1, 2001, and each January 
1 thereafter, the Secretary shall prepare and submit to the appropriate 
committees of Congress, a report concerning the implementation of this 
title and the amendments made by this title.

         TITLE II--RESEARCH AND DEVELOPMENT REGARDING FRAGILE X

SEC. 201. NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT; 
            RESEARCH ON FRAGILE X.

    Subpart 7 of part C of title IV of the Public Health Service Act is 
amended by adding at the end the following section:

[[Page 114 STAT. 1110]]

                               ``fragile x

    ``Sec. <<NOTE: 42 USC 285g-9.>> 452E. (a) Expansion and Coordination 
of Research Activities.--The Director of the Institute, after 
consultation with the advisory council for the Institute, shall expand, 
intensify, and coordinate the activities of the Institute with respect 
to research on the disease known as fragile X.

    ``(b) Research Centers.--
            ``(1) In <<NOTE: Grants. Contracts.>> general.--The Director 
        of the Institute shall make grants or enter into contracts for 
        the development and operation of centers to conduct research for 
        the purposes of improving the diagnosis and treatment of, and 
        finding the cure for, fragile X.
            ``(2) Number of centers.--
                    ``(A) In general.--In carrying out paragraph (1), 
                the Director of the Institute shall, to the extent that 
                amounts are appropriated, and subject to subparagraph 
                (B), provide for the establishment of at least three 
                fragile X research centers.
                    ``(B) Peer review requirement.--The Director of the 
                Institute shall make a grant to, or enter into a 
                contract with, an entity for purposes of establishing a 
                center under paragraph (1) only if the grant or contract 
                has been recommended after technical and scientific peer 
                review required by regulations under section 492.
            ``(3) Activities.--The Director of the Institute, with the 
        assistance of centers established under paragraph (1), shall 
        conduct and support basic and biomedical research into the 
        detection and treatment of fragile X.
            ``(4) Coordination among centers.--The Director of the 
        Institute shall, as appropriate, provide for the coordination of 
        the activities of the centers assisted under this section, 
        including providing for the exchange of information among the 
        centers.
            ``(5) Certain administrative requirements.--Each center 
        assisted under paragraph (1) shall use the facilities of a 
        single institution, or be formed from a consortium of 
        cooperating institutions, meeting such requirements as may be 
        prescribed by the Director of the Institute.
            ``(6) Duration of support.--Support may be provided to a 
        center under paragraph (1) for a period not exceeding 5 years. 
        Such period may be extended for one or more additional periods, 
        each of which may not exceed 5 years, if the operations of such 
        center have been reviewed by an appropriate technical and 
        scientific peer review group established by the Director and if 
        such group has recommended to the Director that such period be 
        extended.
            ``(7) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated such sums as may be necessary for each of the 
        fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1111]]

          TITLE III--JUVENILE ARTHRITIS AND RELATED CONDITIONS

SEC. 301. NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN 
            DISEASES; RESEARCH ON JUVENILE ARTHRITIS AND RELATED 
            CONDITIONS.

    (a) In General.--Subpart 4 of part C of title IV of the Public 
Health Service Act (42 U.S.C. 285d et seq.) is amended by inserting 
after section 442 the following section:

               ``juvenile arthritis and related conditions

    ``Sec. <<NOTE: 42 USC 285d-8.>> 442A. (a) Expansion and Coordination 
of Activities.--The Director of the Institute, in coordination with the 
Director of the National Institute of Allergy and Infectious Diseases, 
shall expand and intensify the programs of such Institutes with respect 
to research and related activities concerning juvenile arthritis and 
related conditions.

    ``(b) Coordination.--The Directors referred to in subsection (a) 
shall jointly coordinate the programs referred to in such subsection and 
consult with the Arthritis and Musculoskeletal Diseases Interagency 
Coordinating Committee.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.
    (b) Pediatric Rheumatology.--Subpart 1 of part E of title VII of the 
Public Health Service Act (42 U.S.C. 294n et seq.) is amended by adding 
at the end the following:

``SEC. 763. <<NOTE: 42 USC 294p.>> PEDIATRIC RHEUMATOLOGY.

    ``(a) In General.--The Secretary, acting through the appropriate 
agencies, shall evaluate whether the number of pediatric rheumatologists 
is sufficient to address the health care needs of children with 
arthritis and related conditions, and if the Secretary determines that 
the number is not sufficient, shall develop strategies to help address 
the shortfall.
    ``(b) Report <<NOTE: Deadline.>> to Congress.--Not later than 
October 1, 2001, the Secretary shall submit to the Congress a report 
describing the results of the evaluation under subsection (a), and as 
applicable, the strategies developed under such subsection.

    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

SEC. 302. INFORMATION CLEARINGHOUSE.

    Section 438(b) of the Public Health Service Act (42 U.S.C. 285d-
3(b)) is amended by inserting ``, including juvenile arthritis and 
related conditions,'' after ``diseases''.

[[Page 114 STAT. 1112]]

     TITLE IV--REDUCING BURDEN OF DIABETES AMONG CHILDREN AND YOUTH

SEC. 401. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317G the following 
section:

                    ``diabetes in children and youth

    ``Sec. 317H. <<NOTE: 42 USC 247b-9.>> (a) Surveillance on Juvenile 
Diabetes.--The Secretary, acting through the Director of the Centers for 
Disease Control and Prevention, shall develop a sentinel system to 
collect data on juvenile diabetes, including with respect to incidence 
and prevalence, and shall establish a national database for such data.

    ``(b) Type 2 Diabetes in Youth.--The Secretary shall implement a 
national public health effort to address type 2 diabetes in youth, 
including--
            ``(1) enhancing surveillance systems and expanding research 
        to better assess the prevalence and incidence of type 2 diabetes 
        in youth and determine the extent to which type 2 diabetes is 
        incorrectly diagnosed as type 1 diabetes among children; and
            ``(2) developing and improving laboratory methods to assist 
        in diagnosis, treatment, and prevention of diabetes including, 
        but not limited to, developing noninvasive ways to monitor blood 
        glucose to prevent hypoglycemia and improving existing 
        glucometers that measure blood glucose.

    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

SEC. 402. PROGRAMS OF NATIONAL INSTITUTES OF HEALTH.

    Subpart 3 of part C of title IV of the Public Health Service Act (42 
U.S.C. 285c et seq.) is amended by inserting after section 434 the 
following section:

                           ``juvenile diabetes

    ``Sec. <<NOTE: 42 USC 285c-9.>> 434A. (a) Long-Term Epidemiology 
Studies.--The Director of the Institute shall conduct or support long-
term epidemiology studies in which individuals with or at risk for type 
1, or juvenile, diabetes are followed for 10 years or more. Such studies 
shall investigate the causes and characteristics of the disease and its 
complications.

    ``(b) Clinical Trial Infrastructure/Innovative Treatments for 
Juvenile Diabetes.--The Secretary, acting through the Director of the 
National Institutes of Health, shall support regional clinical research 
centers for the prevention, detection, treatment, and cure of juvenile 
diabetes.
    ``(c) Prevention of Type 1 Diabetes.--The Secretary, acting through 
the appropriate agencies, shall provide for a national effort to prevent 
type 1 diabetes. Such effort shall provide for a combination of 
increased efforts in research and development of prevention strategies, 
including consideration of vaccine development, coupled

[[Page 114 STAT. 1113]]

with appropriate ability to test the effectiveness of such strategies in 
large clinical trials of children and young adults.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

                  TITLE V--ASTHMA SERVICES FOR CHILDREN

                       Subtitle A--Asthma Services

SEC. 501. GRANTS FOR CHILDREN'S ASTHMA RELIEF.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) 
is amended by adding at the end the following part:

                      ``PART P--ADDITIONAL PROGRAMS

``SEC. 399L. <<NOTE: 42 USC 280g.>> CHILDREN'S ASTHMA TREATMENT GRANTS 
            PROGRAM.

    ``(a) Authority To Make Grants.--
            ``(1) In general.--In addition to any other payments made 
        under this Act or title V of the Social Security Act, the 
        Secretary shall award grants to eligible entities to carry out 
        the following purposes:
                    ``(A) To provide access to quality medical care for 
                children who live in areas that have a high prevalence 
                of asthma and who lack access to medical care.
                    ``(B) To provide on-site education to parents, 
                children, health care providers, and medical teams to 
                recognize the signs and symptoms of asthma, and to train 
                them in the use of medications to treat asthma and 
                prevent its exacerbations.
                    ``(C) To decrease preventable trips to the emergency 
                room by making medication available to individuals who 
                have not previously had access to treatment or education 
                in the management of asthma.
                    ``(D) To provide other services, such as smoking 
                cessation programs, home modification, and other direct 
                and support services that ameliorate conditions that 
                exacerbate or induce asthma.
            ``(2) Certain projects.--In making grants under paragraph 
        (1), the Secretary may make grants designed to develop and 
        expand the following projects:
                    ``(A) Projects to provide comprehensive asthma 
                services to children in accordance with the guidelines 
                of the National Asthma Education and Prevention Program 
                (through the National Heart, Lung and Blood Institute), 
                including access to care and treatment for asthma in a 
                community-based setting.
                    ``(B) Projects to fully equip mobile health care 
                clinics that provide preventive asthma care including 
                diagnosis, physical examinations, pharmacological 
                therapy, skin testing, peak flow meter testing, and 
                other asthma-related health care services.

[[Page 114 STAT. 1114]]

                    ``(C) Projects to conduct validated asthma 
                management education programs for patients with asthma 
                and their families, including patient education 
                regarding asthma management, family education on asthma 
                management, and the distribution of materials, including 
                displays and videos, to reinforce concepts presented by 
                medical teams.
            ``(2) Award of grants.--
                    ``(A) Application.--
                          ``(i) In general.--An eligible entity shall 
                      submit an application to the Secretary for a grant 
                      under this section in such form and manner as the 
                      Secretary may require.
                          ``(ii) Required information.--An application 
                      submitted under this subparagraph shall include a 
                      plan for the use of funds awarded under the grant 
                      and such other information as the Secretary may 
                      require.
                    ``(B) Requirement.--In awarding grants under this 
                section, the Secretary shall give preference to eligible 
                entities that demonstrate that the activities to be 
                carried out under this section shall be in localities 
                within areas of known or suspected high prevalence of 
                childhood asthma or high asthma-related mortality or 
                high rate of hospitalization or emergency room visits 
                for asthma (relative to the average asthma prevalence 
                rates and associated mortality rates in the United 
                States). Acceptable data sets to demonstrate a high 
                prevalence of childhood asthma or high asthma-related 
                mortality may include data from Federal, State, or local 
                vital statistics, claims data under title XIX or XXI of 
                the Social Security Act, other public health statistics 
                or surveys, or other data that the Secretary, in 
                consultation with the Director of the Centers for 
                Disease Control and Prevention, deems appropriate.
            ``(3) Definition of eligible entity.--For purposes of this 
        section, the term `eligible entity' means a public or nonprofit 
        private entity (including a State or political subdivision of a 
        State), or a consortium of any of such entities.

    ``(b) Coordination With Other Children's Programs.--An eligible 
entity shall identify in the plan submitted as part of an application 
for a grant under this section how the entity will coordinate operations 
and activities under the grant with--
            ``(1) other programs operated in the State that serve 
        children with asthma, including any such programs operated under 
        title V, XIX, or XXI of the Social Security Act; and
            ``(2) one or more of the following--
                    ``(A) the child welfare and foster care and adoption 
                assistance programs under parts B and E of title IV of 
                such Act;
                    ``(B) the head start program established under the 
                Head Start Act (42 U.S.C. 9831 et seq.);
                    ``(C) the program of assistance under the special 
                supplemental nutrition program for women, infants and 
                children (WIC) under section 17 of the Child Nutrition 
                Act of 1966 (42 U.S.C. 1786);
                    ``(D) local public and private elementary or 
                secondary schools; or
                    ``(E) public housing agencies, as defined in section 
                3 of the United States Housing Act of 1937 (42 U.S.C. 
                1437a).

[[Page 114 STAT. 1115]]

    ``(c) Evaluation.--An eligible entity that receives a grant under 
this section shall submit to the Secretary an evaluation of the 
operations and activities carried out under the grant that includes--
            ``(1) a description of the health status outcomes of 
        children assisted under the grant;
            ``(2) an assessment of the utilization of asthma-related 
        health care services as a result of activities carried out under 
        the grant;
            ``(3) the collection, analysis, and reporting of asthma data 
        according to guidelines prescribed by the Director of the 
        Centers for Disease Control and Prevention; and
            ``(4) such other information as the Secretary may require.

    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

SEC. 502. TECHNICAL AND CONFORMING AMENDMENTS.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.) 
is amended--
            (1) <<NOTE: 42 USC 280d.>> in part L, by redesignating 
        section 399D as section 399A;
            (2) in part M--
                    (A) <<NOTE: 42 USC 280e-280e-4.>> by redesignating 
                sections 399H through 399L as sections 399B through 
                399F, respectively;
                    (B) <<NOTE: 42 USC 280e.>> in section 399B (as so 
                redesignated), in subsection (e)--
                          (i) by striking ``section 399K(b)'' and 
                      inserting ``subsection (b) of section 399E''; and
                          (ii) by striking ``section 399C'' and 
                      inserting ``such section'';
                    (C) <<NOTE: 42 USC 280e-3.>> in section 399E (as so 
                redesignated), in subsection (c), by striking ``section 
                399H(a)'' and inserting ``section 399B(a)''; and
                    (D) <<NOTE: 42 USC 280e-4.>> in section 399F (as so 
                redesignated)--
                          (i) in subsection (a), by striking ``section 
                      399I'' and inserting ``section 399C'';
                          (ii) in subsection (a), by striking 
                      ``subsection 399J'' and inserting ``section 
                      399D''; and
                          (iii) in subsection (b), by striking 
                      ``subsection 399K'' and inserting ``section 
                      399E'';
            (3) <<NOTE: 42 USC 280d-11, 280e-11.>> in part N, by 
        redesignating section 399F as section 399G; and
            (4) in part O--
                    (A) <<NOTE: 42 USC 280f-280f-3.>> by redesignating 
                sections 399G through 399J as sections 399H through 
                399K, respectively;
                    (B) <<NOTE: 42 USC 280f.>> in section 399H (as so 
                redesignated), in subsection (b), by striking ``section 
                399H'' and inserting ``section 399I'';
                    (C) <<NOTE: 42 USC 280f-2.>> in section 399J (as so 
                redesignated), in subsection (b), by striking ``section 
                399G(d)'' and inserting ``section 399H(d)''; and
                    (D) <<NOTE: 42 USC 280f-3.>> in section 399K (as so 
                redesignated), by striking ``section 399G(d)(1)'' and 
                inserting ``section 399H(d)(1)''.

[[Page 114 STAT. 1116]]

                    Subtitle B--Prevention Activities

SEC. 511. PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT; SYSTEMS FOR 
            REDUCING ASTHMA-RELATED ILLNESSES THROUGH INTEGRATED PEST 
            MANAGEMENT.

    Section 1904(a)(1) of the Public Health Service Act (42 U.S.C. 300w-
3(a)(1)) is amended--
            (1) by redesignating subparagraphs (E) and (F) as 
        subparagraphs (F) and (G), respectively;
            (2) by adding a period at the end of subparagraph (G) (as so 
        redesignated);
            (3) by inserting after subparagraph (D), the following:
            ``(E) The establishment, operation, and coordination of 
        effective and cost-efficient systems to reduce the prevalence of 
        illness due to asthma and asthma-related illnesses, especially 
        among children, by reducing the level of exposure to cockroach 
        allergen or other known asthma triggers through the use of 
        integrated pest management, as applied to cockroaches or other 
        known allergens. Amounts expended for such systems may include 
        the costs of building maintenance and the costs of programs to 
        promote community participation in the carrying out at such 
        sites of integrated pest management, as applied to cockroaches 
        or other known allergens. For purposes of this subparagraph, the 
        term `integrated pest management' means an approach to the 
        management of pests in public facilities that combines 
        biological, cultural, physical, and chemical tools in a way that 
        minimizes economic, health, and environmental risks.'';
            (4) in subparagraph (F) (as so redesignated), by striking 
        ``subparagraphs (A) through (D)'' and inserting ``subparagraphs 
        (A) through (E)''; and
            (5) in subparagraph (G) (as so redesignated), by striking 
        ``subparagraphs (A) through (E)'' and inserting ``subparagraphs 
        (A) through (F)''.

             Subtitle C--Coordination of Federal Activities

SEC. 521. COORDINATION THROUGH NATIONAL INSTITUTES OF HEALTH.

    Subpart 2 of part C of title IV of the Public Health Service Act (42 
U.S.C. 285b et seq.) is amended by inserting after section 424A the 
following section:

               ``coordination of federal asthma activities

    ``Sec. <<NOTE: 42 USC 285b-7b.>> 424B (a) In General.--The Director 
of Institute shall, through the National Asthma Education Prevention 
Program Coordinating Committee--
            ``(1) identify all Federal programs that carry out asthma-
        related activities;
            ``(2) develop, in consultation with appropriate Federal 
        agencies and professional and voluntary health organizations, a 
        Federal plan for responding to asthma; and

[[Page 114 STAT. 1117]]

            ``(3) not later than 12 months after the date of the 
        enactment of the Children's Health Act of 2000, submit 
        recommendations to the appropriate committees of the Congress on 
        ways to strengthen and improve the coordination of asthma-
        related activities of the Federal Government.

    ``(b) Representation of the Department of Housing and Urban 
Development.--A representative of the Department of Housing and Urban 
Development shall be included on the National Asthma Education 
Prevention Program Coordinating Committee for the purpose of performing 
the tasks described in subsection (a).
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

                     Subtitle D--Compilation of Data

SEC. 531. COMPILATION OF DATA BY CENTERS FOR DISEASE CONTROL AND 
            PREVENTION.

    Part B of title III of the Public Health Service Act, as amended by 
section 401 of this Act, is amended by inserting after section 317H the 
following section:

                     ``compilation of data on asthma

    ``Sec. <<NOTE: 42 USC 247b-10.>> 317I. (a) In General.--The 
Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, shall--
            ``(1) conduct local asthma surveillance activities to 
        collect data on the prevalence and severity of asthma and the 
        quality of asthma management;
            ``(2) compile and annually publish data on the prevalence of 
        children suffering from asthma in each State; and
            ``(3) to the extent practicable, compile and publish data on 
        the childhood mortality rate associated with asthma nationally.

    ``(b) Surveillance Activities.--The Director of the Centers for 
Disease Control and Prevention, acting through the representative of the 
Director on the National Asthma Education Prevention Program 
Coordinating Committee, shall, in carrying out subsection (a), provide 
an update on surveillance activities at each Committee meeting.
    ``(c) Collaborative Efforts.--The activities described in subsection 
(a)(1) may be conducted in collaboration with eligible entities awarded 
a grant under section 399L.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1118]]

              TITLE VI--BIRTH DEFECTS PREVENTION ACTIVITIES

                    Subtitle A--Folic Acid Promotion

SEC. 601. PROGRAM REGARDING EFFECTS OF FOLIC ACID IN PREVENTION OF BIRTH 
            DEFECTS.

    Part B of title III of the Public Health Service Act, as amended by 
section 531 of this Act, is amended by inserting after section 317I the 
following section:

         ``effects of folic acid in prevention of birth defects

    ``Sec. <<NOTE: Grants. Contracts. 42 USC 247b-11.>> 317J. (a) In 
General.--The Secretary, acting through the Director of the Centers for 
Disease Control and Prevention, shall expand and intensify programs 
(directly or through grants or contracts) for the following purposes:
            ``(1) To provide education and training for health 
        professionals and the general public for purposes of explaining 
        the effects of folic acid in preventing birth defects and for 
        purposes of encouraging each woman of reproductive capacity 
        (whether or not planning a pregnancy) to consume on a daily 
        basis a dietary supplement that provides an appropriate level of 
        folic acid.
            ``(2) To conduct research with respect to such education and 
        training, including identifying effective strategies for 
        increasing the rate of consumption of folic acid by women of 
        reproductive capacity.
            ``(3) To conduct research to increase the understanding of 
        the effects of folic acid in preventing birth defects, including 
        understanding with respect to cleft lip, cleft palate, and heart 
        defects.
            ``(4) To provide for appropriate epidemiological activities 
        regarding folic acid and birth defects, including 
        epidemiological activities regarding neural tube defects.

    ``(b) Consultations With States and Private Entities.--In carrying 
out subsection (a), the Secretary shall consult with the States and with 
other appropriate public or private entities, including national 
nonprofit private organizations, health professionals, and providers of 
health insurance and health plans.
    ``(c) Technical Assistance.--The Secretary may (directly or through 
grants or contracts) provide technical assistance to public and 
nonprofit private entities in carrying out the activities described in 
subsection (a).
    ``(d) Evaluations.--The Secretary shall (directly or through grants 
or contracts) provide for the evaluation of activities under subsection 
(a) in order to determine the extent to which such activities have been 
effective in carrying out the purposes of the program under such 
subsection, including the effects on various demographic populations. 
Methods of evaluation under the preceding sentence may include surveys 
of knowledge and attitudes on the consumption of folic acid and on blood 
folate levels. Such methods may include complete and timely monitoring 
of infants who are born with neural tube defects.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated

[[Page 114 STAT. 1119]]

such sums as may be necessary for each of the fiscal years 2001 through 
2005.''.

     Subtitle B--National Center on Birth Defects and Developmental 
                              Disabilities

SEC. 611. NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL 
            DISABILITIES.

    Section 317C of the Public Health Service Act (42 U.S.C. 247b-4) is 
amended--
            (1) by striking the heading for the section and inserting 
        the following:

  ``national center on birth defects and developmental disabilities'';

            (2) by striking ``Sec. 317C. (a)'' and all that follows 
        through the end of subsection (a) and inserting the following:

    ``Sec. 317C. (a) In General.--
            ``(1) National <<NOTE: Establishment.>> center.--There is 
        established within the Centers for Disease Control and 
        Prevention a center to be known as the National Center on Birth 
        Defects and Developmental Disabilities (referred to in this 
        section as the `Center'), which shall be headed by a director 
        appointed by the Director of the Centers for Disease Control and 
        Prevention.
            ``(2) General duties.--The Secretary shall carry out 
        programs--
                    ``(A) to collect, analyze, and make available data 
                on birth defects and developmental disabilities (in a 
                manner that facilitates compliance with subsection 
                (d)(2)), including data on the causes of such defects 
                and disabilities and on the incidence and prevalence of 
                such defects and disabilities;
                    ``(B) to operate regional centers for the conduct of 
                applied epidemiological research on the prevention of 
                such defects and disabilities; and
                    ``(C) to provide information and education to the 
                public on the prevention of such defects and 
                disabilities.
            ``(3) Folic acid.--The Secretary shall carry out section 
        317J through the Center.
            ``(4) Certain programs.--
                    ``(A) Transfers.--All programs and functions 
                described in subparagraph (B) are transferred to the 
                Center, effective upon the expiration of the 180-day 
                period beginning on the date of the enactment of the 
                Children's Health Act of 2000.
                    ``(B) Relevant programs.--The programs and functions 
                described in this subparagraph are all programs and 
                functions that--
                          ``(i) relate to birth defects; folic acid; 
                      cerebral palsy; mental retardation; child 
                      development; newborn screening; autism; fragile X 
                      syndrome; fetal alcohol syndrome; pediatric 
                      genetic disorders; disability prevention; or other 
                      relevant diseases, disorders, or conditions as 
                      determined the Secretary; and

[[Page 114 STAT. 1120]]

                          ``(ii) were carried out through the National 
                      Center for Environmental Health as of the day 
                      before the date of the enactment of the Act 
                      referred to in subparagraph (A).
                    ``(C) Related transfers.--Personnel employed in 
                connection with the programs and functions specified in 
                subparagraph (B), and amounts available for carrying out 
                the programs and functions, are transferred to the 
                Center, effective upon the expiration of the 180-day 
                period beginning on the date of the enactment of the Act 
                referred to in subparagraph (A). Such transfer of 
                amounts does not affect the period of availability of 
                the amounts, or the availability of the amounts with 
                respect to the purposes for which the amounts may be 
                expended.''; and
            (3) in subsection (b)(1), in the matter preceding 
        subparagraph (A), by striking ``(a)(1)'' and inserting 
        ``(a)(2)(A)''.

 TITLE VII--EARLY DETECTION, DIAGNOSIS, AND TREATMENT REGARDING HEARING 
                             LOSS IN INFANTS

SEC. 701. <<NOTE: 42 USC 280g-1 note.>> PURPOSES.

    The purposes of this title are to clarify the authority within the 
Public Health Service Act to authorize statewide newborn and infant 
hearing screening, evaluation and intervention programs and systems, 
technical assistance, a national applied research program, and 
interagency and private sector collaboration for policy development, in 
order to assist the States in making progress toward the following 
goals:
            (1) All babies born in hospitals in the United States and 
        its territories should have a hearing screening before leaving 
        the birthing facility. Babies born in other countries and 
        residing in the United States via immigration or adoption should 
        have a hearing screening as early as possible.
            (2) All babies who are not born in hospitals in the United 
        States and its territories should have a hearing screening 
        within the first 3 months of life.
            (3) Appropriate audiologic and medical evaluations should be 
        conducted by 3 months for all newborns and infants suspected of 
        having hearing loss to allow appropriate referral and provisions 
        for audiologic rehabilitation, medical and early intervention 
        before the age of 6 months.
            (4) All newborn and infant hearing screening programs and 
        systems should include a component for audiologic 
        rehabilitation, medical and early intervention options that 
        ensures linkage to any new and existing state-wide systems of 
        intervention and rehabilitative services for newborns and 
        infants with hearing loss.
            (5) Public policy in regard to newborn and infant hearing 
        screening and intervention should be based on applied research 
        and the recognition that newborns, infants, toddlers, and 
        children who are deaf or hard-of-hearing have unique language, 
        learning, and communication needs, and should be the result of 
        consultation with pertinent public and private sectors.

[[Page 114 STAT. 1121]]

SEC. 702. PROGRAMS OF HEALTH RESOURCES AND SERVICES ADMINISTRATION, 
            CENTERS FOR DISEASE CONTROL AND PREVENTION, AND NATIONAL 
            INSTITUTES OF HEALTH.

    Part P of title III of the Public Health Service Act, as added by 
section 501 of this Act, is amended by adding at the end the following 
section:

``SEC. 399M. <<NOTE: 42 USC 280g-1.>> EARLY DETECTION, DIAGNOSIS, AND 
            TREATMENT REGARDING HEARING LOSS IN INFANTS.

    ``(a) Statewide Newborn and Infant Hearing Screening, Evaluation and 
Intervention Programs and Systems.--The Secretary, acting through the 
Administrator of the Health Resources and Services Administration, shall 
make awards of grants or cooperative agreements to develop statewide 
newborn and infant hearing screening, evaluation and intervention 
programs and systems for the following purposes:
            ``(1) To develop and monitor the efficacy of state-wide 
        newborn and infant hearing screening, evaluation and 
        intervention programs and systems. Early intervention includes 
        referral to schools and agencies, including community, consumer, 
        and parent-based agencies and organizations and other programs 
        mandated by part C of the Individuals with Disabilities 
        Education Act, which offer programs specifically designed to 
        meet the unique language and communication needs of deaf and 
        hard of hearing newborns, infants, toddlers, and children.
            ``(2) To collect data on statewide newborn and infant 
        hearing screening, evaluation and intervention programs and 
        systems that can be used for applied research, program 
        evaluation and policy development.

    ``(b) Technical Assistance, Data Management, and Applied Research.--
            ``(1) Centers for disease control and prevention.--The 
        Secretary, acting through the Director of the Centers for 
        Disease Control and Prevention, shall make awards of grants or 
        cooperative agreements to provide technical assistance to State 
        agencies to complement an intramural program and to conduct 
        applied research related to newborn and infant hearing 
        screening, evaluation and intervention programs and systems. The 
        program shall develop standardized procedures for data 
        management and program effectiveness and costs, such as--
                    ``(A) to ensure quality monitoring of newborn and 
                infant hearing loss screening, evaluation, and 
                intervention programs and systems;
                    ``(B) to provide technical assistance on data 
                collection and management;
                    ``(C) to study the costs and effectiveness of 
                newborn and infant hearing screening, evaluation and 
                intervention programs and systems conducted by State-
                based programs in order to answer issues of importance 
                to State and national policymakers;
                    ``(D) to identify the causes and risk factors for 
                congenital hearing loss;
                    ``(E) to study the effectiveness of newborn and 
                infant hearing screening, audiologic and medical 
                evaluations and intervention programs and systems by 
                assessing the health, intellectual and social 
                developmental, cognitive, and language status of these 
                children at school age; and

[[Page 114 STAT. 1122]]

                    ``(F) to promote the sharing of data regarding early 
                hearing loss with State-based birth defects and 
                developmental disabilities monitoring programs for the 
                purpose of identifying previously unknown causes of 
                hearing loss.
            ``(2) National institutes of health.--The Director of the 
        National Institutes of Health, acting through the Director of 
        the National Institute on Deafness and Other Communication 
        Disorders, shall for purposes of this section, continue a 
        program of research and development on the efficacy of new 
        screening techniques and technology, including clinical studies 
        of screening methods, studies on efficacy of intervention, and 
        related research.

    ``(c) Coordination and Collaboration.--
            ``(1) In general.--In carrying out programs under this 
        section, the Administrator of the Health Resources and Services 
        Administration, the Director of the Centers for Disease Control 
        and Prevention, and the Director of the National Institutes of 
        Health shall collaborate and consult with other Federal 
        agencies; State and local agencies, including those responsible 
        for early intervention services pursuant to title XIX of the 
        Social Security Act (Medicaid Early and Periodic Screening, 
        Diagnosis and Treatment Program); title XXI of the Social 
        Security Act (State Children's Health Insurance Program); title 
        V of the Social Security Act (Maternal and Child Health Block 
        Grant Program); and part C of the Individuals with Disabilities 
        Education Act; consumer groups of and that serve individuals who 
        are deaf and hard-of-hearing and their families; appropriate 
        national medical and other health and education specialty 
        organizations; persons who are deaf and hard-of-hearing and 
        their families; other qualified professional personnel who are 
        proficient in deaf or hard-of-hearing children's language and 
        who possess the specialized knowledge, skills, and attributes 
        needed to serve deaf and hard-of-hearing newborns, infants, 
        toddlers, children, and their families; third-party payers and 
        managed care organizations; and related commercial industries.
            ``(2) Policy development.--The Administrator of the Health 
        Resources and Services Administration, the Director of the 
        Centers for Disease Control and Prevention, and the Director of 
        the National Institutes of Health shall coordinate and 
        collaborate on recommendations for policy development at the 
        Federal and State levels and with the private sector, including 
        consumer, medical and other health and education professional-
        based organizations, with respect to newborn and infant hearing 
        screening, evaluation and intervention programs and systems.
            ``(3) State early detection, diagnosis, and intervention 
        programs and systems; data collection.--The Administrator of the 
        Health Resources and Services Administration and the Director of 
        the Centers for Disease Control and Prevention shall coordinate 
        and collaborate in assisting States to establish newborn and 
        infant hearing screening, evaluation and intervention programs 
        and systems under subsection (a) and to develop a data 
        collection system under subsection (b).

    ``(d) Rule of Construction; Religious Accommodation.--Nothing in 
this section shall be construed to preempt or prohibit any State law, 
including State laws which do not require the

[[Page 114 STAT. 1123]]

screening for hearing loss of newborn infants or young children of 
parents who object to the screening on the grounds that such screening 
conflicts with the parents' religious beliefs.
    ``(e) Definitions.--For purposes of this section:
            ``(1) The term `audiologic evaluation' refers to procedures 
        to assess the status of the auditory system; to establish the 
        site of the auditory disorder; the type and degree of hearing 
        loss, and the potential effects of hearing loss on 
        communication; and to identify appropriate treatment and 
        referral options. Referral options should include linkage to 
        State coordinating agencies under part C of the Individuals with 
        Disabilities Education Act or other appropriate agencies, 
        medical evaluation, hearing aid /sensory aid assessment, 
        audiologic rehabilitation treatment, national and local 
        consumer, self-help, parent, and education organizations, and 
        other family-centered services.
            ``(2) The terms `audiologic rehabilitation' and `audiologic 
        intervention' refer to procedures, techniques, and technologies 
        to facilitate the receptive and expressive communication 
        abilities of a child with hearing loss.
            ``(3) The term `early intervention' refers to providing 
        appropriate services for the child with hearing loss, including 
        nonmedical services, and ensuring that families of the child are 
        provided comprehensive, consumer-oriented information about the 
        full range of family support, training, information services, 
        communication options and are given the opportunity to consider 
        the full range of educational and program placements and options 
        for their child.
            ``(4) The term `medical evaluation by a physician' refers to 
        key components including history, examination, and medical 
        decision making focused on symptomatic and related body systems 
        for the purpose of diagnosing the etiology of hearing loss and 
        related physical conditions, and for identifying appropriate 
        treatment and referral options.
            ``(5) The term `medical intervention' refers to the process 
        by which a physician provides medical diagnosis and direction 
        for medical and /or surgical treatment options of hearing loss 
        and /or related medical disorder associated with hearing loss.
            ``(6) The term `newborn and infant hearing screening' refers 
        to objective physiologic procedures to detect possible hearing 
        loss and to identify newborns and infants who, after 
        rescreening, require further audiologic and medical evaluations.

    ``(f ) Authorization of Appropriations.--
            ``(1) Statewide newborn and infant hearing screening, 
        evaluation and intervention programs and systems.--For the 
        purpose of carrying out subsection (a), there are authorized to 
        be appropriated to the Health Resources and Services 
        Administration such sums as may be necessary for fiscal year 
        2002.
            ``(2) Technical assistance, data management, and applied 
        research; centers for disease control and prevention.--For the 
        purpose of carrying out subsection (b)(1), there are authorized 
        to be appropriated to the Centers for Disease Control and 
        Prevention such sums as may be necessary for fiscal year 2002.
            ``(3) Technical assistance, data management, and applied 
        research; national institute on deafness and

[[Page 114 STAT. 1124]]

        other communication disorders.--For the purpose of carrying out 
        subsection (b)(2), there are authorized to be appropriated to 
        the National Institute on Deafness and Other Communication 
        Disorders such sums as may be necessary for fiscal year 2002.''.

                    TITLE VIII--CHILDREN AND EPILEPSY

SEC. 801. NATIONAL PUBLIC HEALTH CAMPAIGN ON EPILEPSY; SEIZURE DISORDER 
            DEMONSTRATION PROJECTS IN MEDICALLY UNDERSERVED AREAS.

    Subpart I of part D of title III of the Public Health Service Act 
(42 U.S.C. 254b) is amended by adding at the end the following section:

``SEC. 330E. <<NOTE: 42 USC 254c-5.>> EPILEPSY; SEIZURE DISORDER.

    ``(a) National Public Health Campaign.--
            ``(1) In general.--The Secretary shall develop and implement 
        public health surveillance, education, research, and 
        intervention strategies to improve the lives of persons with 
        epilepsy, with a particular emphasis on children. Such projects 
        may be carried out by the Secretary directly and through awards 
        of grants or contracts to public or nonprofit private entities. 
        The Secretary may directly or through such awards provide 
        technical assistance with respect to the planning, development, 
        and operation of such projects.
            ``(2) Certain activities.--Activities under paragraph (1) 
        shall include--
                    ``(A) expanding current surveillance activities 
                through existing monitoring systems and improving 
                registries that maintain data on individuals with 
                epilepsy, including children;
                    ``(B) enhancing research activities on the 
                diagnosis, treatment, and management of epilepsy;
                    ``(C) implementing public and professional 
                information and education programs regarding epilepsy, 
                including initiatives which promote effective management 
                of the disease through children's programs which are 
                targeted to parents, schools, daycare providers, 
                patients;
                    ``(D) undertaking educational efforts with the 
                media, providers of health care, schools and others 
                regarding stigmas and secondary disabilities related to 
                epilepsy and seizures, and its effects on youth;
                    ``(E) utilizing and expanding partnerships with 
                organizations with experience addressing the health and 
                related needs of people with disabilities; and
                    ``(F) other activities the Secretary deems 
                appropriate.
            ``(3) Coordination of activities.--The Secretary shall 
        ensure that activities under this subsection are coordinated as 
        appropriate with other agencies of the Public Health Service 
        that carry out activities regarding epilepsy and seizure.

    ``(b) Seizure Disorder; Demonstration Projects in Medically 
Underserved Areas.--

[[Page 114 STAT. 1125]]

            ``(1) In general.--The Secretary, acting through the 
        Administrator of the Health Resources and Services 
        Administration, may make grants for the purpose of carrying out 
        demonstration projects to improve access to health and other 
        services regarding seizures to encourage early detection and 
        treatment in children and others residing in medically 
        underserved areas.
            ``(2) Application for grant.--A grant may not be awarded 
        under paragraph (1) unless an application therefore is submitted 
        to the Secretary and the Secretary approves such application. 
        Such application shall be submitted in such form and manner and 
        shall contain such information as the Secretary may prescribe.

    ``(c) Definitions.--For purposes of this section:
            ``(1) The term `epilepsy' refers to a chronic and serious 
        neurological condition characterized by excessive electrical 
        discharges in the brain causing recurring seizures affecting all 
        life activities. The Secretary may revise the definition of such 
        term to the extent the Secretary determines necessary.
            ``(2) The term `medically underserved' has the meaning 
        applicable under section 799B(6).

    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

           TITLE IX--SAFE MOTHERHOOD; INFANT HEALTH PROMOTION

             Subtitle A--Safe Motherhood Prevention Research

SEC. 901. PREVENTION RESEARCH AND OTHER ACTIVITIES.

    Part B of title III of the Public Health Service Act, as amended by 
section 601 of this Act, is amended by inserting after section 317J the 
following section:

                            ``safe motherhood

    ``Sec. <<NOTE: 42 USC 247b-12.>> 317K. (a) Surveillance.--
            ``(1) Purpose.--The purpose of this subsection is to develop 
        surveillance systems at the local, State, and national level to 
        better understand the burden of maternal complications and 
        mortality and to decrease the disparities among population at 
        risk of death and complications from pregnancy.
            ``(2) Activities.--For the purpose described in paragraph 
        (1), the Secretary, acting through the Director of the Centers 
        for Disease Control and Prevention, may carry out the following 
        activities:
                    ``(A) The Secretary may establish and implement a 
                national surveillance program to identify and promote 
                the investigation of deaths and severe complications 
                that occur during pregnancy.

[[Page 114 STAT. 1126]]

                    ``(B) The Secretary may expand the Pregnancy Risk 
                Assessment Monitoring System to provide surveillance and 
                collect data in each State.
                    ``(C) The Secretary may expand the Maternal and 
                Child Health Epidemiology Program to provide technical 
                support, financial assistance, or the time-limited 
                assignment of senior epidemiologists to maternal and 
                child health programs in each State.

    ``(b) Prevention Research.--
            ``(1) Purpose.--The purpose of this subsection is to provide 
        the Secretary with the authority to further expand research 
        concerning risk factors, prevention strategies, and the roles of 
        the family, health care providers and the community in safe 
        motherhood.
            ``(2) Research.--The Secretary may carry out activities to 
        expand research relating to--
                    ``(A) encouraging preconception counseling, 
                especially for at risk populations such as diabetics;
                    ``(B) the identification of critical components of 
                prenatal delivery and postpartum care;
                    ``(C) the identification of outreach and support 
                services, such as folic acid education, that are 
                available for pregnant women;
                    ``(D) the identification of women who are at high 
                risk for complications;
                    ``(E) preventing preterm delivery;
                    ``(F) preventing urinary tract infections;
                    ``(G) preventing unnecessary caesarean sections;
                    ``(H) an examination of the higher rates of maternal 
                mortality among African American women;
                    ``(I) an examination of the relationship between 
                domestic violence and maternal complications and 
                mortality;
                    ``(J) preventing and reducing adverse health 
                consequences that may result from smoking, alcohol and 
                illegal drug use before, during and after pregnancy;
                    ``(K) preventing infections that cause maternal and 
                infant complications; and
                    ``(L) other areas determined appropriate by the 
                Secretary.

    ``(c) Prevention Programs.--
            ``(1) In general.--The Secretary may carry out activities to 
        promote safe motherhood, including--
                    ``(A) public education campaigns on healthy 
                pregnancies and the building of partnerships with 
                outside organizations concerned about safe motherhood;
                    ``(B) education programs for physicians, nurses and 
                other health care providers; and
                    ``(C) activities to promote community support 
                services for pregnant women.

    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1127]]

         Subtitle B--Pregnant Women and Infants Health Promotion

SEC. 911. PROGRAMS REGARDING PRENATAL AND POSTNATAL HEALTH.

    Part B of title III of the Public Health Service Act, as amended by 
section 901 of this Act, is amended by inserting after section 317K the 
following section:

                     ``prenatal and postnatal health

    ``Sec. <<NOTE: 42 USC 247b-13.>> 317L. (a) In General.--The 
Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, shall carry out programs--
            ``(1) to collect, analyze, and make available data on 
        prenatal smoking, alcohol and illegal drug use, including data 
        on the implications of such activities and on the incidence and 
        prevalence of such activities and their implications;
            ``(2) to conduct applied epidemiological research on the 
        prevention of prenatal and postnatal smoking, alcohol and 
        illegal drug use;
            ``(3) to support, conduct, and evaluate the effectiveness of 
        educational and cessation programs; and
            ``(4) to provide information and education to the public on 
        the prevention and implications of prenatal and postnatal 
        smoking, alcohol and illegal drug use.

    ``(b) Grants.--In carrying out subsection (a), the Secretary may 
award grants to and enter into contracts with States, local governments, 
scientific and academic institutions, federally qualified health 
centers, and other public and nonprofit entities, and may provide 
technical and consultative assistance to such entities.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

                 TITLE X-- PEDIATRIC RESEARCH INITIATIVE

SEC. 1001. ESTABLISHMENT OF PEDIATRIC RESEARCH INITIATIVE.

    Part B of title IV of the Public Health Service Act, as amended by 
section 101 of this Act, is amended by adding at the end the following:

                     ``pediatric research initiative

    ``Sec. <<NOTE: 42 USC 284h.>> 409D. (a) Establishment.--The 
Secretary shall establish within the Office of the Director of NIH a 
Pediatric Research Initiative (referred to in this section as the 
`Initiative') to conduct and support research that is directly related 
to diseases, disorders, and other conditions in children. The Initiative 
shall be headed by the Director of NIH.

    ``(b) Purpose.--The purpose of the Initiative is to provide funds to 
enable the Director of NIH--

[[Page 114 STAT. 1128]]

            ``(1) to increase support for pediatric biomedical research 
        within the National Institutes of Health to realize the 
        expanding opportunities for advancement in scientific 
        investigations and care for children;
            ``(2) to enhance collaborative efforts among the Institutes 
        to conduct and support multidisciplinary research in the areas 
        that the Director deems most promising; and
            ``(3) in coordination with the Food and Drug Administration, 
        to increase the development of adequate pediatric clinical 
        trials and pediatric use information to promote the safer and 
        more effective use of prescription drugs in the pediatric 
        population.

    ``(c) Duties.--In carrying out subsection (b), the Director of NIH 
shall--
            ``(1) consult with the Director of the National Institute of 
        Child Health and Human Development and the other national 
        research institutes, in considering their requests for new or 
        expanded pediatric research efforts, and consult with the 
        Administrator of the Health Resources and Services 
        Administration and other advisors as the Director determines to 
        be appropriate;
            ``(2) have broad discretion in the allocation of any 
        Initiative assistance among the Institutes, among types of 
        grants, and between basic and clinical research so long as the 
        assistance is directly related to the illnesses and conditions 
        of children; and
            ``(3) <<NOTE: Reports.>> be responsible for the oversight of 
        any newly appropriated Initiative funds and annually report to 
        Congress and the public on the extent of the total funds 
        obligated to conduct or support pediatric research across the 
        National Institutes of Health, including the specific support 
        and research awards allocated through the Initiative.

    ``(d) Authorization.--For the purpose of carrying out this section, 
there are authorized to be appropriated $50,000,000 for fiscal year 
2001, and such sums as may be necessary for each of the fiscal years 
2002 through 2005.
    ``(e) Transfer of Funds.--The Director of NIH may transfer amounts 
appropriated under this section to any of the Institutes for a fiscal 
year to carry out the purposes of the Initiative under this section.''.

SEC. 1002. INVESTMENT IN TOMORROW'S PEDIATRIC RESEARCHERS.

    (a) In General.--Subpart 7 of part C of title IV of the Public 
Health Service Act, as amended by section 921 of this Act, is amended by 
adding at the end the following:

            ``investment in tomorrow's pediatric researchers

    ``Sec. <<NOTE: 42 USC 285g-10.>> 452G. (a) Enhanced Support.--In 
order to ensure the future supply of researchers dedicated to the care 
and research needs of children, the Director of the Institute, after 
consultation with the Administrator of the Health Resources and Services 
Administration, shall support activities to provide for--
            ``(1) an increase in the number and size of institutional 
        training grants to institutions supporting pediatric training; 
        and

[[Page 114 STAT. 1129]]

            ``(2) an increase in the number of career development awards 
        for health professionals who intend to build careers in 
        pediatric basic and clinical research.

    ``(b) Authorization.--For the purpose of carrying out subsection 
(a), there are authorized to be appropriated such sums as may be 
necessary for each of the fiscal years 2001 through 2005.''.
    (b) Pediatric Research Loan Repayment Program.--Part G of title IV 
of the Public Health Service Act (42 U.S.C. 288 et seq.) is amended by 
inserting after section 487E the following section:

               ``pediatric research loan repayment program

    ``Sec. <<NOTE: 42 USC 288-6.>> 487F. (a) In General.--The Secretary, 
in consultation with the Director of NIH, may establish a pediatric 
research loan repayment program. Through such program--
            ``(1) <<NOTE: Contracts.>> the Secretary shall enter into 
        contracts with qualified health professionals under which such 
        professionals will agree to conduct pediatric research, in 
        consideration of the Federal Government agreeing to repay, for 
        each year of such service, not more than $35,000 of the 
        principal and interest of the educational loans of such 
        professionals; and
            ``(2) the Secretary shall, for the purpose of providing 
        reimbursements for tax liability resulting from payments made 
        under paragraph (1) on behalf of an individual, make payments, 
        in addition to payments under such paragraph, to the individual 
        in an amount equal to 39 percent of the total amount of loan 
        repayments made for the taxable year involved.

    ``(b) Application of Other Provisions.--The provisions of sections 
338B, 338C, and 338E shall, except as inconsistent with paragraph (1), 
apply to the program established under such paragraph to the same extent 
and in the same manner as such provisions apply to the National Health 
Service Corps Loan Repayment Program established under subpart III of 
part D of title III.
    ``(c) Funding.--
            ``(1) In general.--For the purpose of carrying out this 
        section with respect to a national research institute the 
        Secretary may reserve, from amounts appropriated for such 
        institute for the fiscal year involved, such amounts as the 
        Secretary determines to be appropriate.
            ``(2) Availability of funds.--Amounts made available to 
        carry out this section shall remain available until the 
        expiration of the second fiscal year beginning after the fiscal 
        year for which such amounts were made available.''.

SEC. 1003. REVIEW OF REGULATIONS.

    (a) Review.--By <<NOTE: Deadline.>> not later than 6 months after 
the date of the enactment of this Act, the Secretary of Health and Human 
Services shall conduct a review of the regulations under subpart D of 
part 46 of title 45, Code of Federal Regulations, consider any 
modifications necessary to ensure the adequate and appropriate 
protection of children participating in research, and report the 
findings of the Secretary to Congress.

    (b) Areas of Review.--In conducting the review under subsection (a), 
the Secretary of Health and Human Services shall consider--

[[Page 114 STAT. 1130]]

            (1) the appropriateness of the regulations for children of 
        differing ages and maturity levels, including legal status;
            (2) the definition of ``minimal risk'' for a healthy child 
        or for a child with an illness;
            (3) the definitions of ``assent'' and ``permission'' for 
        child clinical research participants and their parents or 
        guardians and of ``adequate provisions'' for soliciting assent 
        or permission in research as such definitions relate to the 
        process of obtaining the agreement of children participating in 
        research and the parents or guardians of such children;
            (4) the definitions of ``direct benefit to the individual 
        subjects'' and ``generalizable knowledge about the subject's 
        disorder or condition'';
            (5) whether payment (financial or otherwise) may be provided 
        to a child or his or her parent or guardian for the 
        participation of the child in research, and if so, the amount 
        and type given;
            (6) the expectations of child research participants and 
        their parent or guardian for the direct benefits of the child's 
        research involvement;
            (7) safeguards for research involving children conducted in 
        emergency situations with a waiver of informed assent;
            (8) parent and child notification in instances in which the 
        regulations have not been complied with;
            (9) compliance with the regulations in effect on the date of 
        the enactment of this Act, the monitoring of such compliance, 
        and enforcement actions for violations of such regulations; and
            (10) the appropriateness of current practices for recruiting 
        children for participation in research.

    (c) Consultation.--In conducting the review under subsection (a), 
the Secretary of Health and Human Services shall consult broadly with 
experts in the field, including pediatric pharmacologists, 
pediatricians, pediatric professional societies, bioethics experts, 
clinical investigators, institutional review boards, industry experts, 
appropriate Federal agencies, and children who have participated in 
research studies and the parents, guardians, or families of such 
children.
    (d) Consideration of Additional Provisions.--In conducting the 
review under subsection (a), the Secretary of Health and Human Services 
shall consider and, not later than 6 months after the date of the 
enactment of this Act, report to Congress concerning--
            (1) whether the Secretary should establish data and safety 
        monitoring boards or other mechanisms to review adverse events 
        associated with research involving children; and
            (2) whether the institutional review board oversight of 
        clinical trials involving children is adequate to protect 
        children.

SEC. 1004. <<NOTE: 42 USC 285g note.>> LONG-TERM CHILD DEVELOPMENT 
            STUDY.

    (a) Purpose.--It is the purpose of this section to authorize the 
National Institute of Child Health and Human Development to conduct a 
national longitudinal study of environmental influences (including 
physical, chemical, biological, and psychosocial) on children's health 
and development.
    (b) In <<NOTE: Establishment.>> General.--The Director of the 
National Institute of Child Health and Human Development shall establish 
a consortium of representatives from appropriate Federal agencies 
(including the

[[Page 114 STAT. 1131]]

Centers for Disease Control and Prevention, the Environmental Protection 
Agency) to--
            (1) plan, develop, and implement a prospective cohort study, 
        from birth to adulthood, to evaluate the effects of both chronic 
        and intermittent exposures on child health and human 
        development; and
            (2) investigate basic mechanisms of developmental disorders 
        and environmental factors, both risk and protective, that 
        influence health and developmental processes.

    (c) Requirement.--The study under subsection (b) shall--
            (1) incorporate behavioral, emotional, educational, and 
        contextual consequences to enable a complete assessment of the 
        physical, chemical, biological and psychosocial environmental 
        influences on children's well-being;
            (2) gather data on environmental influences and outcomes on 
        diverse populations of children, which may include the 
        consideration of prenatal exposures; and
            (3) consider health disparities among children which may 
        include the consideration of prenatal exposures.

    (d) Report.--Beginning <<NOTE: Deadline.>> not later than 3 years 
after the date of the enactment of this Act, and periodically thereafter 
for the duration of the study under this section, the Director of the 
National Institute of Child Health and Human Development shall prepare 
and submit to the appropriate committees of Congress a report on the 
implementation and findings made under the planning and feasibility 
study conducted under this section.

    (e) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $18,000,000 for fiscal year 2001, 
and such sums as may be necessary for each the fiscal years 2002 through 
2005.

                    TITLE XI--CHILDHOOD MALIGNANCIES

SEC. 1101. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION AND 
            NATIONAL INSTITUTES OF HEALTH.

    Part P of title III of the Public Health Service Act, as amended by 
section 702 of this Act, is amended by adding at the end the following 
section:

``SEC. 399N. <<NOTE: 42 USC 280g-2.>> CHILDHOOD MALIGNANCIES.

    ``(a) In General.--The Secretary, acting as appropriate through the 
Director of the Centers for Disease Control and Prevention and the 
Director of the National Institutes of Health, shall study environmental 
and other risk factors for childhood cancers (including skeletal 
malignancies, leukemias, malignant tumors of the central nervous system, 
lymphomas, soft tissue sarcomas, and other malignant neoplasms) and 
carry out projects to improve outcomes among children with childhood 
cancers and resultant secondary conditions, including limb loss, anemia, 
rehabilitation, and palliative care. Such projects shall be carried out 
by the Secretary directly and through awards of grants or contracts.
    ``(b) Certain Activities.--Activities under subsection (a) include--
            ``(1) the expansion of current demographic data collection 
        and population surveillance efforts to include childhood cancers 
        nationally;

[[Page 114 STAT. 1132]]

            ``(2) the development of a uniform reporting system under 
        which treating physicians, hospitals, clinics, and States report 
        the diagnosis of childhood cancers, including relevant 
        associated epidemiological data; and
            ``(3) support for the National Limb Loss Information Center 
        to address, in part, the primary and secondary needs of persons 
        who experience childhood cancers in order to prevent or minimize 
        the disabling nature of these cancers.

    ``(c) Coordination of Activities.--The Secretary shall assure that 
activities under this section are coordinated as appropriate with other 
agencies of the Public Health Service that carry out activities focused 
on childhood cancers and limb loss.
    ``(d) Definition.--For purposes of this section, the term `childhood 
cancer' refers to a spectrum of different malignancies that vary by 
histology, site of disease, origin, race, sex, and age. The Secretary 
may for purposes of this section revise the definition of such term to 
the extent determined by the Secretary to be appropriate.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

                      TITLE XII--ADOPTION AWARENESS

                  Subtitle A--Infant Adoption Awareness

SEC. 1201. GRANTS REGARDING INFANT ADOPTION AWARENESS.

    Subpart I of part D of title III of the Public Health Service Act, 
as amended by section 801 of this Act, is amended by adding at the end 
the following section:

``SEC. 330F. <<NOTE: 42 USC 254c-6.>> CERTAIN SERVICES FOR PREGNANT 
            WOMEN.

    ``(a) Infant Adoption Awareness.--
            ``(1) In general.--The Secretary shall make grants to 
        national, regional, or local adoption organizations for the 
        purpose of developing and implementing programs to train the 
        designated staff of eligible health centers in providing 
        adoption information and referrals to pregnant women on an equal 
        basis with all other courses of action included in nondirective 
        counseling to pregnant women.
            ``(2) Best-practices guidelines.--
                    ``(A) In general.--A condition for the receipt of a 
                grant under paragraph (1) is that the adoption 
                organization involved agree that, in providing training 
                under such paragraph, the organization will follow the 
                guidelines developed under subparagraph (B).
                    ``(B) Process for development of guidelines.--
                          ``(i) In general.--The Secretary shall 
                      establish and supervise a process described in 
                      clause (ii) in which the participants are--
                                    ``(I) an appropriate number and 
                                variety of adoption organizations that, 
                                as a group, have expertise in all models 
                                of adoption practice and that represent 
                                all members of the adoption triad (birth 
                                mother, infant, and adoptive parent); 
                                and

[[Page 114 STAT. 1133]]

                                    ``(II) affected public health 
                                entities.
                          ``(ii) Description of process.--The process 
                      referred to in clause (i) is a process in which 
                      the participants described in such clause 
                      collaborate to develop best-practices guidelines 
                      on the provision of adoption information and 
                      referrals to pregnant women on an equal basis with 
                      all other courses of action included in 
                      nondirective counseling to pregnant women.
                          ``(iii) Date <<NOTE: Deadline.>> certain for 
                      development.--The Secretary shall ensure that the 
                      guidelines described in clause (ii) are developed 
                      not later than 180 days after the date of the 
                      enactment of the Children's Health Act of 2000.
                    ``(C) Relation to authority for grants.--The 
                Secretary may not make any grant under paragraph (1) 
                before the date on which the guidelines under 
                subparagraph (B) are developed.
            ``(3) Use of grant.--
                    ``(A) In general.--With respect to a grant under 
                paragraph (1)--
                          ``(i) an adoption organization may expend the 
                      grant to carry out the programs directly or 
                      through grants to or contracts with other adoption 
                      organizations;
                          ``(ii) the purposes for which the adoption 
                      organization expends the grant may include the 
                      development of a training curriculum, consistent 
                      with the guidelines developed under paragraph 
                      (2)(B); and
                          ``(iii) a condition for the receipt of the 
                      grant is that the adoption organization agree 
                      that, in providing training for the designated 
                      staff of eligible health centers, such 
                      organization will make reasonable efforts to 
                      ensure that the individuals who provide the 
                      training are individuals who are knowledgeable in 
                      all elements of the adoption process and are 
                      experienced in providing adoption information and 
                      referrals in the geographic areas in which the 
                      eligible health centers are located, and that the 
                      designated staff receive the training in such 
                      areas.
                    ``(B) Rule of construction regarding training of 
                trainers.--With respect to individuals who under a grant 
                under paragraph (1) provide training for the designated 
                staff of eligible health centers (referred to in this 
                subparagraph as `trainers'), subparagraph (A)(iii) may 
                not be construed as establishing any limitation 
                regarding the geographic area in which the trainers 
                receive instruction in being such trainers. A trainer 
                may receive such instruction in a different geographic 
                area than the area in which the trainer trains (or will 
                train) the designated staff of eligible health centers.
            ``(4) Adoption organizations; eligible health centers; other 
        definitions.--For purposes of this section:
                    ``(A) The term `adoption organization' means a 
                national, regional, or local organization--
                          ``(i) among whose primary purposes are 
                      adoption;

[[Page 114 STAT. 1134]]

                          ``(ii) that is knowledgeable in all elements 
                      of the adoption process and on providing adoption 
                      information and referrals to pregnant women; and
                          ``(iii) that is a nonprofit private entity.
                    ``(B) The term `designated staff', with respect to 
                an eligible health center, means staff of the center who 
                provide pregnancy or adoption information and referrals 
                (or will provide such information and referrals after 
                receiving training under a grant under paragraph (1)).
                    ``(C) The term `eligible health centers' means 
                public and nonprofit private entities that provide 
                health services to pregnant women.
            ``(5) Training for certain eligible health centers.--A 
        condition for the receipt of a grant under paragraph (1) is that 
        the adoption organization involved agree to make reasonable 
        efforts to ensure that the eligible health centers with respect 
        to which training under the grant is provided include--
                    ``(A) eligible health centers that receive grants 
                under section 1001 (relating to voluntary family 
                planning projects);
                    ``(B) eligible health centers that receive grants 
                under section 330 (relating to community health centers, 
                migrant health centers, and centers regarding homeless 
                individuals and residents of public housing); and
                    ``(C) eligible health centers that receive grants 
                under this Act for the provision of services in schools.
            ``(6) Participation of certain eligible health clinics.--In 
        the case of eligible health centers that receive grants under 
        section 330 or 1001:
                    ``(A) Within a reasonable period after the Secretary 
                begins making grants under paragraph (1), the Secretary 
                shall provide eligible health centers with complete 
                information about the training available from 
                organizations receiving grants under such paragraph. The 
                Secretary shall make reasonable efforts to encourage 
                eligible health centers to arrange for designated staff 
                to participate in such training. Such efforts shall 
                affirm Federal requirements, if any, that the eligible 
                health center provide nondirective counseling to 
                pregnant women.
                    ``(B) All costs of such centers in obtaining the 
                training shall be reimbursed by the organization that 
                provides the training, using grants under paragraph (1).
                    ``(C) <<NOTE: Deadline. Reports.>> Not later than 1 
                year after the date of the enactment of the Children's 
                Health Act of 2000, the Secretary shall submit to the 
                appropriate committees of the Congress a report 
                evaluating the extent to which adoption information and 
                referral, upon request, are provided by eligible health 
                centers. <<NOTE: Reports.>> Within a reasonable time 
                after training under this section is initiated, the 
                Secretary shall submit to the appropriate committees of 
                the Congress a report evaluating the extent to which 
                adoption information and referral, upon request, are 
                provided by eligible health centers in order to 
                determine the effectiveness of such training and the 
                extent to which such training complies with subsection 
                (a)(1). In preparing the reports required by this 
                subparagraph, the Secretary shall in no respect 
                interpret the provisions of this section to allow any 
                interference

[[Page 114 STAT. 1135]]

                in the provider-patient relationship, any breach of 
                patient confidentiality, or any monitoring or auditing 
                of the counseling process or patient records which 
                breaches patient confidentiality or reveals patient 
                identity. The reports required by this subparagraph 
                shall be conducted by the Secretary acting through the 
                Administrator of the Health Resources and Services 
                Administration and in collaboration with the Director of 
                the Agency for Healthcare Research and Quality.

    ``(b) Application for Grant.--The Secretary may make a grant under 
subsection (a) only if an application for the grant is submitted to the 
Secretary and the application is in such form, is made in such manner, 
and contains such agreements, assurances, and information as the 
Secretary determines to be necessary to carry out this section.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

              Subtitle B--Special Needs Adoption Awareness

SEC. 1211. SPECIAL NEEDS ADOPTION PROGRAMS; PUBLIC AWARENESS CAMPAIGN 
            AND OTHER ACTIVITIES.

    Subpart I of part D of title III of the Public Health Service Act, 
as amended by section 1201 of this Act, is amended by adding at the end 
the following section:

``SEC. 330G. <<NOTE: 42 USC 254c-7.>> SPECIAL NEEDS ADOPTION PROGRAMS; 
            PUBLIC AWARENESS CAMPAIGN AND OTHER ACTIVITIES.

    ``(a) Special Needs Adoption Awareness Campaign.--
            ``(1) In <<NOTE: Grants.>> general.--The Secretary shall, 
        through making grants to nonprofit private entities, provide for 
        the planning, development, and carrying out of a national 
        campaign to provide information to the public regarding the 
        adoption of children with special needs.
            ``(2) Input on planning and development.--In providing for 
        the planning and development of the national campaign under 
        paragraph (1), the Secretary shall provide for input from a 
        number and variety of adoption organizations throughout the 
        States in order that the full national diversity of interests 
        among adoption organizations is represented in the planning and 
        development of the campaign.
            ``(3) Certain features.--With respect to the national 
        campaign under paragraph (1):
                    ``(A) The campaign shall be directed at various 
                populations, taking into account as appropriate 
                differences among geographic regions, and shall be 
                carried out in the language and cultural context that is 
                most appropriate to the population involved.
                    ``(B) The means through which the campaign may be 
                carried out include--
                          ``(i) placing public service announcements on 
                      television, radio, and billboards; and

[[Page 114 STAT. 1136]]

                          ``(ii) providing information through means 
                      that the Secretary determines will reach 
                      individuals who are most likely to adopt children 
                      with special needs.
                    ``(C) The campaign shall provide information on the 
                subsidies and supports that are available to individuals 
                regarding the adoption of children with special needs.
                    ``(D) The Secretary may provide that the placement 
                of public service announcements, and the dissemination 
                of brochures and other materials, is subject to review 
                by the Secretary.
            ``(4) Matching Requirement.--
                    ``(A) In general.--With respect to the costs of the 
                activities to be carried out by an entity pursuant to 
                paragraph (1), a condition for the receipt of a grant 
                under such paragraph is that the entity agree to make 
                available (directly or through donations from public or 
                private entities) non-Federal contributions toward such 
                costs in an amount that is not less than 25 percent of 
                such costs.
                    ``(B) Determination of amount contributed.--Non-
                Federal contributions under subparagraph (A) may be in 
                cash or in kind, fairly evaluated, including plant, 
                equipment, or services. Amounts provided by the Federal 
                Government, or services assisted or subsidized to any 
                significant extent by the Federal Government, may not be 
                included in determining the amount of such 
                contributions.

    ``(b) National <<NOTE: Grants. Contracts.>> Resources Program.--The 
Secretary shall (directly or through grant or contract) carry out a 
program that, through toll-free telecommunications, makes available to 
the public information regarding the adoption of children with special 
needs. Such information shall include the following:
            ``(1) A list of national, State, and regional organizations 
        that provide services regarding such adoptions, including 
        exchanges and other information on communicating with the 
        organizations. The list shall represent the full national 
        diversity of adoption organizations.
            ``(2) Information beneficial to individuals who adopt such 
        children, including lists of support groups for adoptive parents 
        and other postadoptive services.

    ``(c) Other <<NOTE: Grants.>> Programs.--With respect to the 
adoption of children with special needs, the Secretary shall make 
grants--
            ``(1) to provide assistance to support groups for adoptive 
        parents, adopted children, and siblings of adopted children; and
            ``(2) to carry out studies to identify--
                    ``(A) the barriers to completion of the adoption 
                process; and
                    ``(B) those components that lead to favorable long-
                term outcomes for families that adopt children with 
                special needs.

    ``(d) Application for Grant.--The Secretary may make an award of a 
grant or contract under this section only if an application for the 
award is submitted to the Secretary and the application is in such form, 
is made in such manner, and contains such agreements, assurances, and 
information as the Secretary determines to be necessary to carry out 
this section.

[[Page 114 STAT. 1137]]

    ``(e) Funding.--For the purpose of carrying out this section, there 
are authorized to be appropriated such sums as may be necessary for each 
of the fiscal years 2001 through 2005.''.

                   TITLE XIII--TRAUMATIC BRAIN INJURY

SEC. 1301. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION.

    (a) In General.--Section 393A of the Public Health Service Act (42 
U.S.C. 280b-1b) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by striking ``and'' at the 
                end;
                    (B) in paragraph (2), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
            ``(3) the implementation of a national education and 
        awareness campaign regarding such injury (in conjunction with 
        the program of the Secretary regarding health-status goals for 
        2010, commonly referred to as Healthy People 2010), including--
                    ``(A) the national dissemination of information on--
                          ``(i) incidence and prevalence; and
                          ``(ii) information relating to traumatic brain 
                      injury and the sequelae of secondary conditions 
                      arising from traumatic brain injury upon discharge 
                      from hospitals and trauma centers; and
                    ``(B) the provision of information in primary care 
                settings, including emergency rooms and trauma centers, 
                concerning the availability of State level services and 
                resources.'';
            (2) in subsection (d)--
                    (A) in the second sentence, by striking ``anoxia due 
                to near drowning.'' and inserting ``anoxia due to 
                trauma.''; and
                    (B) in the third sentence, by inserting before the 
                period the following: ``, after consultation with States 
                and other appropriate public or nonprofit private 
                entities''.

    (b) National Registry.--Part J of title III of the Public Health 
Service Act (42 U.S.C. 280b et seq.) is amended by inserting after 
section 393A the following section:

        ``national program for traumatic brain injury registries

    ``Sec. <<NOTE: 42 USC 280b-1c.>> 393B. (a) In General.--The 
Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, may make grants to States or their designees to 
operate the State's traumatic brain injury registry, and to academic 
institutions to conduct applied research that will support the 
development of such registries, to collect data concerning--
            ``(1) demographic information about each traumatic brain 
        injury;
            ``(2) information about the circumstances surrounding the 
        injury event associated with each traumatic brain injury;
            ``(3) administrative information about the source of the 
        collected information, dates of hospitalization and treatment, 
        and the date of injury; and
            ``(4) information characterizing the clinical aspects of the 
        traumatic brain injury, including the severity of the injury,

[[Page 114 STAT. 1138]]

        outcomes of the injury, the types of treatments received, and 
        the types of services utilized.''.

SEC. 1302. STUDY AND MONITOR INCIDENCE AND PREVALENCE.

    Section 4 of Public Law 104-166 (42 U.S.C. 300d-61 note) is 
amended--
            (1) in subsection (a)(1)(A)--
                    (A) by striking clause (i) and inserting the 
                following:
                          ``(i)(I) determine the incidence and 
                      prevalence of traumatic brain injury in all age 
                      groups in the general population of the United 
                      States, including institutional settings; and
                          ``(II) determine appropriate methodological 
                      strategies to obtain data on the incidence and 
                      prevalence of mild traumatic brain injury and 
                      report to Congress concerning such within 18 
                      months of the date of the enactment of the 
                      Children's Health Act of 2000; and''; and
                    (B) in clause (ii), by striking ``, if the Secretary 
                determines that such a system is appropriate'';
            (2) in subsection (a)(1)(B)(i), by inserting ``, including 
        return to work or school and community participation,'' after 
        ``functioning''; and
            (3) in subsection (d), to read as follows:

    ``(d) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.''.

SEC. 1303. PROGRAMS OF NATIONAL INSTITUTES OF HEALTH.

    (a) Interagency Program.--Section 1261(d)(4) of the Public Health 
Service Act (42 U.S.C. 300d-61(d)(4)) is amended--
            (1) in subparagraph (A), by striking ``degree of injury'' 
        and inserting ``degree of brain injury'';
            (2) in subparagraph (B), by striking ``acute injury'' and 
        inserting ``acute brain injury''; and
            (3) in subparagraph (D), by striking ``injury treatment'' 
        and inserting ``brain injury treatment''.

    (b) Definition.--Section 1261(h)(4) of the Public Health Service Act 
(42 U.S.C. 300d-61(h)(4)) is amended--
            (1) in the second sentence, by striking ``anoxia due to near 
        drowning.'' and inserting ``anoxia due to trauma.''; and
            (2) in the third sentence, by inserting before the period 
        the following: ``, after consultation with States and other 
        appropriate public or nonprofit private entities''.

    (c) Research on Cognitive and Neurobehavioral Disorders Arising From 
Traumatic Brain Injury.--Section 1261(d)(4) of the Public Health Service 
Act (42 U.S.C. 300d-61(d)(4)) is amended--
            (1) in subparagraph (C), by striking ``and'' after the 
        semicolon at the end;
            (2) in subparagraph (D), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(E) carrying out subparagraphs (A) through (D) 
                with respect to cognitive disorders and neurobehavioral 
                consequences arising from traumatic brain injury, 
                including the development, modification, and evaluation 
                of therapies and programs of rehabilitation toward 
                reaching or restoring

[[Page 114 STAT. 1139]]

                normal capabilities in areas such as reading, 
                comprehension, speech, reasoning, and deduction.''.

    (d) Authorization of Appropriations.--Section 1261 of the Public 
Health Service Act (42 U.S.C. 300d-61) is amended by adding at the end 
the following:
    ``(i) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

SEC. 1304. PROGRAMS OF HEALTH RESOURCES AND SERVICES ADMINISTRATION.

    Section 1252 of the Public Health Service Act (42 U.S.C. 300d-
51) <<NOTE: 42 USC 300d-52.>> is amended--
            (1) in the section heading by striking ``demonstration'';
            (2) in subsection (a), by striking ``demonstration'';
            (3) in subsection (b)(3)--
                    (A) in subparagraph (A)(iv), by striking 
                ``representing traumatic brain injury survivors'' and 
                inserting ``representing individuals with traumatic 
                brain injury''; and
                    (B) in subparagraph (B), by striking ``who are 
                survivors of'' and inserting ``with'';
            (4) in subsection (c)--
                    (A) in paragraph (1), by striking ``, in cash,''; 
                and
                    (B) in paragraph (2), by amending the paragraph to 
                read as follows:
            ``(2) Determination of amount contributed.--Non-Federal 
        contributions under paragraph (1) may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services. 
        Amounts provided by the Federal Government, or services assisted 
        or subsidized to any significant extent by the Federal 
        Government, may not be included in determining the amount of 
        such contributions.'';
            (5) by redesignating subsections (e) through (h) as 
        subsections (g) through ( j), respectively;
            (6) by inserting after subsection (d) the following 
        subsections:

    ``(e) Continuation of Previously Awarded Demonstration Projects.--A 
State that received a grant under this section prior to the date of the 
enactment of the Children's Health Act of 2000 may compete for new 
project grants under this section after such date of the enactment.
    ``(f ) Use of State Grants.--
            ``(1) Community services and supports.--A State shall 
        (directly or through awards of contracts to nonprofit private 
        entities) use amounts received under a grant under this section 
        for the following:
                    ``(A) To develop, change, or enhance community-based 
                service delivery systems that include timely access to 
                comprehensive appropriate services and supports. Such 
                service and supports--
                          ``(i) shall promote full participation by 
                      individuals with brain injury and their families 
                      in decision making regarding the services and 
                      supports; and
                          ``(ii) shall be designed for children and 
                      other individuals with traumatic brain injury.

[[Page 114 STAT. 1140]]

                    ``(B) To focus on outreach to underserved and 
                inappropriately served individuals, such as individuals 
                in institutional settings, individuals with low 
                socioeconomic resources, individuals in rural 
                communities, and individuals in culturally and 
                linguistically diverse communities.
                    ``(C) To award contracts to nonprofit entities for 
                consumer or family service access training, consumer 
                support, peer mentoring, and parent to parent programs.
                    ``(D) To develop individual and family service 
                coordination or case management systems.
                    ``(E) To support other needs identified by the 
                advisory board under subsection (b) for the State 
                involved.
            ``(2) Best practices.--
                    ``(A) In general.--State services and supports 
                provided under a grant under this section shall reflect 
                the best practices in the field of traumatic brain 
                injury, shall be in compliance with title II of the 
                Americans with Disabilities Act of 1990, and shall be 
                supported by quality assurance measures as well as 
                state-of-the-art health care and integrated community 
                supports, regardless of the severity of injury.
                    ``(B) Demonstration by state agency.--The State 
                agency responsible for administering amounts received 
                under a grant under this section shall demonstrate that 
                it has obtained knowledge and expertise of traumatic 
                brain injury and the unique needs associated with 
                traumatic brain injury.
            ``(3) State capacity building.--A State may use amounts 
        received under a grant under this section to--
                    ``(A) educate consumers and families;
                    ``(B) train professionals in public and private 
                sector financing (such as third party payers, State 
                agencies, community-based providers, schools, and 
                educators);
                    ``(C) develop or improve case management or service 
                coordination systems;
                    ``(D) develop best practices in areas such as family 
                or consumer support, return to work, housing or 
                supportive living personal assistance services, 
                assistive technology and devices, behavioral health 
                services, substance abuse services, and traumatic brain 
                injury treatment and rehabilitation;
                    ``(E) tailor existing State systems to provide 
                accommodations to the needs of individuals with brain 
                injury (including systems administered by the State 
                departments responsible for health, mental health, 
                labor/employment, education, mental retardation /
                developmental disorders, transportation, and 
                correctional systems);
                    ``(F) improve data sets coordinated across systems 
                and other needs identified by a State plan supported by 
                its advisory council; and
                    ``(G) develop capacity within targeted 
                communities.'';
            (7) in subsection (g) (as so redesignated), by striking 
        ``agencies of the Public Health Service'' and inserting 
        ``Federal agencies'';
            (8) in subsection (i) (as redesignated by paragraph (3))--

[[Page 114 STAT. 1141]]

                    (A) in the second sentence, by striking ``anoxia due 
                to near drowning.'' and inserting ``anoxia due to 
                trauma.''; and
                    (B) in the third sentence, by inserting before the 
                period the following: ``, after consultation with States 
                and other appropriate public or nonprofit private 
                entities''; and
            (9) in subsection ( j) (as so redesignated), by amending the 
        subsection to read as follows:

    ``( j) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

SEC. 1305. STATE GRANTS FOR PROTECTION AND ADVOCACY SERVICES.

    Part E of title XII of the Public Health Service Act (42 U.S.C. 
300d-51 et seq.) is amended by adding at the end the following:

``SEC. 1253. <<NOTE: 42 USC 300d-53.>> STATE GRANTS FOR PROTECTION AND 
            ADVOCACY SERVICES.

    ``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration (referred to in this 
section as the `Administrator'), shall make grants to protection and 
advocacy systems for the purpose of enabling such systems to provide 
services to individuals with traumatic brain injury.
    ``(b) Services Provided.--Services provided under this section may 
include the provision of--
            ``(1) information, referrals, and advice;
            ``(2) individual and family advocacy;
            ``(3) legal representation; and
            ``(4) specific assistance in self-advocacy.

    ``(c) Application.--To be eligible to receive a grant under this 
section, a protection and advocacy system shall submit an application to 
the Administrator at such time, in such form and manner, and accompanied 
by such information and assurances as the Administrator may require.
    ``(d) Appropriations Less Than $2,700,000.--
            ``(1) In general.--With respect to any fiscal year in which 
        the amount appropriated under subsection (i) to carry out this 
        section is less than $2,700,000, the Administrator shall make 
        grants from such amount to individual protection and advocacy 
        systems within States to enable such systems to plan for, 
        develop outreach strategies for, and carry out services 
        authorized under this section for individuals with traumatic 
        brain injury.
            ``(2) Amount.--The amount of each grant provided under 
        paragraph (1) shall be determined as set forth in paragraphs (2) 
        and (3) of subsection (e).

    ``(e) Appropriations of $2,700,000 or More.--
            ``(1) Population basis.--Except as provided in paragraph 
        (2), with respect to each fiscal year in which the amount 
        appropriated under subsection (i) to carry out this section is 
        $2,700,000 or more, the Administrator shall make a grant to a 
        protection and advocacy system within each State.
            ``(2) Amount.--The amount of a grant provided to a system 
        under paragraph (1) shall be equal to an amount bearing the same 
        ratio to the total amount appropriated for the fiscal

[[Page 114 STAT. 1142]]

        year involved under subsection (i) as the population of the 
        State in which the grantee is located bears to the population of 
        all States.
            ``(3) Minimums.--Subject to the availability of 
        appropriations, the amount of a grant a protection and advocacy 
        system under paragraph (1) for a fiscal year shall--
                    ``(A) in the case of a protection and advocacy 
                system located in American Samoa, Guam, the United 
                States Virgin Islands, or the Commonwealth of the 
                Northern Mariana Islands, and the protection and 
                advocacy system serving the American Indian consortium, 
                not be less than $20,000; and
                    ``(B) in the case of a protection and advocacy 
                system in a State not described in subparagraph (A), not 
                be less than $50,000.
            ``(4) Inflation adjustment.--For each fiscal year in which 
        the total amount appropriated under subsection (i) to carry out 
        this section is $5,000,000 or more, and such appropriated amount 
        exceeds the total amount appropriated to carry out this section 
        in the preceding fiscal year, the Administrator shall increase 
        each of the minimum grants amount described in subparagraphs (A) 
        and (B) of paragraph (3) by a percentage equal to the percentage 
        increase in the total amount appropriated under subsection (i) 
        to carry out this section between the preceding fiscal year and 
        the fiscal year involved.

    ``(f ) Carryover.--Any amount paid to a protection and advocacy 
system that serves a State or the American Indian consortium for a 
fiscal year under this section that remains unobligated at the end of 
such fiscal year shall remain available to such system for obligation 
during the next fiscal year for the purposes for which such amount was 
originally provided.
    ``(g) Direct Payment.--Notwithstanding any other provision of law, 
the Administrator shall pay directly to any protection and advocacy 
system that complies with the provisions of this section, the total 
amount of the grant for such system, unless the system provides 
otherwise for such payment.
    ``(h) Annual Report.--Each protection and advocacy system that 
receives a payment under this section shall submit an annual report to 
the Administrator concerning the services provided to individuals with 
traumatic brain injury by such system.
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $5,000,000 for fiscal year 2001, 
and such sums as may be necessary for each the fiscal years 2002 through 
2005.
    ``( j) Definitions.--In this section:
            ``(1) American indian consortium.--The term `American Indian 
        consortium' means a consortium established under part C of the 
        Developmental Disabilities Assistance Bill of Rights Act (42 
        U.S.C. 6042 et seq.).
            ``(2) Protection and advocacy system.--The term `protection 
        and advocacy system' means a protection and advocacy system 
        established under part C of the Developmental Disabilities 
        Assistance and Bill of Rights Act (42 U.S.C. 6042 et seq.).
            ``(3) State.--The term `State', unless otherwise specified, 
        means the several States of the United States, the District of 
        Columbia, the Commonwealth of Puerto Rico, the United

[[Page 114 STAT. 1143]]

        States Virgin Islands, Guam, American Samoa, and the 
        Commonwealth of the Northern Mariana Islands.''.

SEC. 1306. AUTHORIZATION OF APPROPRIATIONS FOR CERTAIN PROGRAMS.

    Section 394A of the Public Health Service Act (42 U.S.C. 280b-3) is 
amended by striking ``and'' after ``1994'' and by inserting before the 
period the following: ``, and such sums as may be necessary for each of 
the fiscal years 2001 through 2005.''.

             TITLE XIV--CHILD CARE SAFETY AND HEALTH GRANTS

SEC. 1401. <<NOTE: 42 USC 9859.>> DEFINITIONS.

    In this title:
            (1) Child with a disability; infant or toddler with a 
        disability.--The terms ``child with a disability'' and ``infant 
        or toddler with a disability'' have the meanings given the terms 
        in sections 602 and 632 of the Individuals with Disabilities 
        Education Act (20 U.S.C. 1401 and 1431).
            (2) Eligible child care provider.--The term ``eligible child 
        care provider'' means a provider of child care services for 
        compensation, including a provider of care for a school-age 
        child during non-school hours, that--
                    (A) is licensed, regulated, registered, or otherwise 
                legally operating, under State and local law; and
                    (B) satisfies the State and local requirements,
        applicable to the child care services the provider provides.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Health and Human Services.
            (4) State.--The term ``State'' means any of the several 
        States of the United States, the District of Columbia, the 
        Commonwealth of Puerto Rico, the United States Virgin Islands, 
        Guam, American Samoa, and the Commonwealth of the Northern 
        Mariana Islands.

SEC. 1402. <<NOTE: 42 USC 9859a.>> AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to carry out this title 
$200,000,000 for fiscal year 2001, and such sums as may be necessary for 
each subsequent fiscal year.

SEC. 1403. <<NOTE: 42 USC 9859b.>> PROGRAMS.

    The Secretary shall make allotments to eligible States under section 
1404. The Secretary shall make the allotments to enable the States to 
establish programs to improve the health and safety of children 
receiving child care outside the home, by preventing illnesses and 
injuries associated with that care and promoting the health and well-
being of children receiving that care.

SEC. 1404. <<NOTE: 42 USC 9859c.>> AMOUNTS RESERVED; ALLOTMENTS.

    (a) Amounts Reserved.--The Secretary shall reserve not more than 
one-half of 1 percent of the amount appropriated under section 1402 for 
each fiscal year to make allotments to Guam, American Samoa, the United 
States Virgin Islands, and the Commonwealth of the Northern Mariana 
Islands to be allotted in accordance with their respective needs.
    (b) State Allotments.--

[[Page 114 STAT. 1144]]

            (1) General rule.--From the amounts appropriated under 
        section 1402 for each fiscal year and remaining after 
        reservations are made under subsection (a), the Secretary shall 
        allot to each State an amount equal to the sum of--
                    (A) an amount that bears the same ratio to 50 
                percent of such remainder as the product of the young 
                child factor of the State and the allotment percentage 
                of the State bears to the sum of the corresponding 
                products for all States; and
                    (B) an amount that bears the same ratio to 50 
                percent of such remainder as the product of the school 
                lunch factor of the State and the allotment percentage 
                of the State bears to the sum of the corresponding 
                products for all States.
            (2) Young child factor.--In this subsection, the term 
        ``young child factor'' means the ratio of the number of children 
        under 5 years of age in a State to the number of such children 
        in all States, as provided by the most recent annual estimates 
        of population in the States by the Census Bureau of the 
        Department of Commerce.
            (3) School lunch factor.--In this subsection, the term 
        ``school lunch factor'' means the ratio of the number of 
        children who are receiving free or reduced price lunches under 
        the school lunch program established under the National School 
        Lunch Act (42 U.S.C. 1751 et seq.) in the State to the number of 
        such children in all States, as determined annually by the 
        Department of Agriculture.
            (4) Allotment percentage.--
                    (A) In general.--For purposes of this subsection, 
                the allotment percentage for a State shall be determined 
                by dividing the per capita income of all individuals in 
                the United States, by the per capita income of all 
                individuals in the State.
                    (B) Limitations.--If an allotment percentage 
                determined under subparagraph (A) for a State--
                          (i) is more than 1.2 percent, the allotment 
                      percentage of the State shall be considered to be 
                      1.2 percent; and
                          (ii) is less than 0.8 percent, the allotment 
                      percentage of the State shall be considered to be 
                      0.8 percent.
                    (C) Per capita income.--For purposes of subparagraph 
                (A), per capita income shall be--
                          (i) determined at 2-year intervals;
                          (ii) applied for the 2-year period beginning 
                      on October 1 of the first fiscal year beginning 
                      after the date such determination is made; and
                          (iii) equal to the average of the annual per 
                      capita incomes for the most recent period of 3 
                      consecutive years for which satisfactory data are 
                      available from the Department of Commerce on the 
                      date such determination is made.

    (c) Data and Information.--The Secretary shall obtain from each 
appropriate Federal agency, the most recent data and information 
necessary to determine the allotments provided for in subsection (b).

[[Page 114 STAT. 1145]]

    (d) Definition.--In this section, the term ``State'' includes only 
the several States of the United States, the District of Columbia, and 
the Commonwealth of Puerto Rico.

SEC. 1405. <<NOTE: 42 USC 9859d.>> STATE APPLICATIONS.

    To be eligible to receive an allotment under section 1404, a State 
shall submit an application to the Secretary at such time, in such 
manner, and containing such information as the Secretary may require. 
The application shall contain information assessing the needs of the 
State with regard to child care health and safety, the goals to be 
achieved through the program carried out by the State under this title, 
and the measures to be used to assess the progress made by the State 
toward achieving the goals.

SEC. 1406. <<NOTE: 42 USC 9859e.>> USE OF FUNDS.

    (a) In General.--A State that receives an allotment under section 
1404 shall use the funds made available through the allotment to carry 
out two or more activities consisting of--
            (1) providing training and education to eligible child care 
        providers on preventing injuries and illnesses in children, and 
        promoting health-related practices;
            (2) strengthening licensing, regulation, or registration 
        standards for eligible child care providers;
            (3) assisting eligible child care providers in meeting 
        licensing, regulation, or registration standards, including 
        rehabilitating the facilities of the providers, in order to 
        bring the facilities into compliance with the standards;
            (4) enforcing licensing, regulation, or registration 
        standards for eligible child care providers, including holding 
        increased unannounced inspections of the facilities of those 
        providers;
            (5) providing health consultants to provide advice to 
        eligible child care providers;
            (6) assisting eligible child care providers in enhancing the 
        ability of the providers to serve children with disabilities and 
        infants and toddlers with disabilities;
            (7) conducting criminal background checks for eligible child 
        care providers and other individuals who have contact with 
        children in the facilities of the providers;
            (8) providing information to parents on what factors to 
        consider in choosing a safe and healthy child care setting; or
            (9) assisting in improving the safety of transportation 
        practices for children enrolled in child care programs with 
        eligible child care providers.

    (b) Supplement, Not Supplant.--Funds appropriated pursuant to the 
authority of this title shall be used to supplement and not supplant 
other Federal, State, and local public funds expended to provide 
services for eligible individuals.

SEC. 1407. <<NOTE: 42 USC 9859f.>> REPORTS.

    Each State that receives an allotment under section 1404 shall 
annually prepare and submit to the Secretary a report that describes--
            (1) the activities carried out with funds made available 
        through the allotment; and
            (2) the progress made by the State toward achieving the 
        goals described in the application submitted by the State under 
        section 1405.

[[Page 114 STAT. 1146]]

                   TITLE XV--HEALTHY START INITIATIVE

SEC. 1501. CONTINUATION OF HEALTHY START PROGRAM.

    Subpart I of part D of title III of the Public Health Service Act, 
as amended by section 1211 of this Act, is amended by adding at the end 
the following section:

``SEC. 330H. <<NOTE: 42 USC 254c-8.>> HEALTHY START FOR INFANTS.

    ``(a) In General.--
            ``(1) Continuation and expansion of program.--The Secretary, 
        acting through the Administrator of the Health Resources and 
        Services Administration, Maternal and Child Health Bureau, shall 
        under authority of this section continue in effect the Healthy 
        Start Initiative and may, during fiscal year 2001 and subsequent 
        years, carry out such program on a national basis.
            ``(2) Definition.--For purposes of paragraph (1), the term 
        `Healthy Start Initiative' is a reference to the program that, 
        as an initiative to reduce the rate of infant mortality and 
        improve perinatal outcomes, makes grants for project areas with 
        high annual rates of infant mortality and that, prior to the 
        effective date of this section, was a demonstration program 
        carried out under section 301.
            ``(3) Additional grants.--Effective upon increased funding 
        beyond fiscal year 1999 for such Initiative, additional grants 
        may be made to States to assist communities with technical 
        assistance, replication of successful projects, and State policy 
        formation to reduce infant and maternal mortality and morbidity.

    ``(b) Requirements for Making Grants.--In making grants under 
subsection (a), the Secretary shall require that applicants (in addition 
to meeting all eligibility criteria established by the Secretary) 
establish, for project areas under such subsection, community-based 
consortia of individuals and organizations (including agencies 
responsible for administering block grant programs under title V of the 
Social Security Act, consumers of project services, public health 
departments, hospitals, health centers under section 330, and other 
significant sources of health care services) that are appropriate for 
participation in projects under subsection (a).
    ``(c) Coordination.--Recipients of grants under subsection (a) shall 
coordinate their services and activities with the State agency or 
agencies that administer block grant programs under title V of the 
Social Security Act in order to promote cooperation, integration, and 
dissemination of information with Statewide systems and with other 
community services funded under the Maternal and Child Health Block 
Grant.
    ``(d) Rule of Construction.--Except to the extent inconsistent with 
this section, this section may not be construed as affecting the 
authority of the Secretary to make modifications in the program carried 
out under subsection (a).
    ``(e) Additional Services for At-Risk Pregnant Women and Infants.--
            ``(1) In general.--The Secretary may make grants to conduct 
        and support research and to provide additional health care 
        services for pregnant women and infants, including grants

[[Page 114 STAT. 1147]]

        to increase access to prenatal care, genetic counseling, 
        ultrasound services, and fetal or other surgery.
            ``(2) Eligible project area.--The Secretary may make a grant 
        under paragraph (1) only if the geographic area in which 
        services under the grant will be provided is a geographic area 
        in which a project under subsection (a) is being carried out, 
        and if the Secretary determines that the grant will add to or 
        expand the level of health services available in such area to 
        pregnant women and infants.
            ``(3) Evaluation by general accounting office.--
                    ``(A) In general.--During fiscal year 2004, the 
                Comptroller General of the United States shall conduct 
                an evaluation of activities under grants under paragraph 
                (1) in order to determine whether the activities have 
                been effective in serving the needs of pregnant women 
                with respect to services described in such paragraph. 
                The evaluation shall include an analysis of whether such 
                activities have been effective in reducing the disparity 
                in health status between the general population and 
                individuals who are members of racial or ethnic minority 
                groups. <<NOTE: Deadline.>> Not later than January 10, 
                2004, the Comptroller General shall submit to the 
                Committee on Commerce in the House of Representatives, 
                and to the Committee on Health, Education, Labor, and 
                Pensions in the Senate, a report describing the findings 
                of the evaluation.
                    ``(B) Relation to grants regarding additional 
                services for at-risk pregnant women and infants.--Before 
                the date on which the evaluation under subparagraph (A) 
                is submitted in accordance with such subparagraph--
                          ``(i) the Secretary shall ensure that there 
                      are not more than five grantees under paragraph 
                      (1); and
                          ``(ii) an entity is not eligible to receive 
                      grants under such paragraph unless the entity has 
                      substantial experience in providing the health 
                      services described in such paragraph.

    ``(f ) Funding.--
            ``(1) General program.--
                    ``(A) Authorization of appropriations.--For the 
                purpose of carrying out this section (other than 
                subsection (e)), there are authorized to be appropriated 
                such sums as may be necessary for each of the fiscal 
                years 2001 through 2005.
                    ``(B) Allocations.--
                          ``(i) Program administration.--Of the amounts 
                      appropriated under subparagraph (A) for a fiscal 
                      year, the Secretary may reserve up to 5 percent 
                      for coordination, dissemination, technical 
                      assistance, and data activities that are 
                      determined by the Secretary to be appropriate for 
                      carrying out the program under this section.
                          ``(ii) Evaluation.--Of the amounts 
                      appropriated under subparagraph (A) for a fiscal 
                      year, the Secretary may reserve up to 1 percent 
                      for evaluations of projects carried out under 
                      subsection (a). Each such evaluation shall include 
                      a determination of whether such projects have been 
                      effective in reducing the disparity in health

[[Page 114 STAT. 1148]]

                      status between the general population and 
                      individuals who are members of racial or ethnic 
                      minority groups.
            ``(2) Additional services for at-risk pregnant women and 
        infants.--
                    ``(A) Authorization of appropriations.--For the 
                purpose of carrying out subsection (e), there are 
                authorized to be appropriated such sums as may be 
                necessary for each of the fiscal years 2001 through 
                2005.
                    ``(B) Allocation for community-based mobile health 
                units.--Of the amounts appropriated under subparagraph 
                (A) for a fiscal year, the Secretary shall make 
                available not less than 10 percent for providing 
                services under subsection (e) (including ultrasound 
                services) through visits by mobile units to communities 
                that are eligible for services under subsection (a).''.

         TITLE XVI--ORAL HEALTH PROMOTION AND DISEASE PREVENTION

SEC. 1601. <<NOTE: 42 USC 247b-14a.>> IDENTIFICATION OF INTERVENTIONS 
            THAT REDUCE THE BURDEN AND TRANSMISSION OF ORAL, DENTAL, AND 
            CRANIOFACIAL DISEASES IN HIGH RISK POPULATIONS; DEVELOPMENT 
            OF APPROACHES FOR PEDIATRIC ORAL AND CRANIOFACIAL 
            ASSESSMENT.

    (a) In General.--The Secretary of Health and Human Services, through 
the Maternal and Child Health Bureau, the Indian Health Service, and in 
consultation with the National Institutes of Health and the Centers for 
Disease Control and Prevention, shall--
            (1) support community-based research that is designed to 
        improve understanding of the etiology, pathogenesis, diagnosis, 
        prevention, and treatment of pediatric oral, dental, 
        craniofacial diseases and conditions and their sequelae in high 
        risk populations;
            (2) support demonstrations of preventive interventions in 
        high risk populations including nutrition, parenting, and 
        feeding techniques; and
            (3) develop clinical approaches to assess individual 
        patients for the risk of pediatric dental disease.

    (b) Compliance With State Practice Laws.--Treatment and other 
services shall be provided pursuant to this section by licensed dental 
health professionals in accordance with State practice and licensing 
laws.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to carry out this section for 
each the fiscal years 2001 through 2005.

SEC. 1602. ORAL HEALTH PROMOTION AND DISEASE PREVENTION.

    Part B of title III of the Public Health Service Act, as amended by 
section 911 of this Act, is amended by inserting after section 317L the 
following section:

             ``oral health promotion and disease prevention

    ``Sec. <<NOTE: 42 USC 247b-14.>> 317M. (a) Grants to Increase 
Resources for Community Water Fluoridation.--

[[Page 114 STAT. 1149]]

            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention, may 
        make grants to States and Indian tribes for the purpose of 
        increasing the resources available for community water 
        fluoridation.
            ``(2) Use of funds.--A State shall use amounts provided 
        under a grant under paragraph (1)--
                    ``(A) to purchase fluoridation equipment;
                    ``(B) to train fluoridation engineers;
                    ``(C) to develop educational materials on the 
                benefits of fluoridation; or
                    ``(D) to support the infrastructure necessary to 
                monitor and maintain the quality of water fluoridation.

    ``(b) Community Water Fluoridation.--
            ``(1) In <<NOTE: Establishment.>> general.--The Secretary, 
        acting through the Director of the Centers for Disease Control 
        and Prevention and in collaboration with the Director of the 
        Indian Health Service, shall establish a demonstration project 
        that is designed to assist rural water systems in successfully 
        implementing the water fluoridation guidelines of the Centers 
        for Disease Control and Prevention that are entitled 
        `Engineering and Administrative Recommendations for Water 
        Fluoridation, 1995' (referred to in this subsection as the 
        `EARWF').
            ``(2) Requirements.--
                    ``(A) Collaboration.--In collaborating under 
                paragraph (1), the Directors referred to in such 
                paragraph shall ensure that technical assistance and 
                training are provided to tribal programs located in each 
                of the 12 areas of the Indian Health Service. The 
                Director of the Indian Health Service shall provide 
                coordination and administrative support to tribes under 
                this section.
                    ``(B) General use of funds.--Amounts made available 
                under paragraph (1) shall be used to assist small water 
                systems in improving the effectiveness of water 
                fluoridation and to meet the recommendations of the 
                EARWF.
                    ``(C) Fluoridation specialists.--
                          ``(i) In general.--In carrying out this 
                      subsection, the Secretary shall provide for the 
                      establishment of fluoridation specialist 
                      engineering positions in each of the Dental 
                      Clinical and Preventive Support Centers through 
                      which technical assistance and training will be 
                      provided to tribal water operators, tribal utility 
                      operators and other Indian Health Service 
                      personnel working directly with fluoridation 
                      projects.
                          ``(ii) Liaison.--A fluoridation specialist 
                      shall serve as the principal technical liaison 
                      between the Indian Health Service and the Centers 
                      for Disease Control and Prevention with respect to 
                      engineering and fluoridation issues.
                          ``(iii) CDC.--The Director of the Centers for 
                      Disease Control and Prevention shall appoint 
                      individuals to serve as the fluoridation 
                      specialists.
                    ``(D) Implementation.--The project established under 
                this subsection shall be planned, implemented and 
                evaluated over the 5-year period beginning on the date 
                on which funds are appropriated under this section and 
                shall be

[[Page 114 STAT. 1150]]

                designed to serve as a model for improving the 
                effectiveness of water fluoridation systems of small 
                rural communities.
            ``(3) Evaluation.--In conducting the ongoing evaluation as 
        provided for in paragraph (2)(D), the Secretary shall ensure 
        that such evaluation includes--
                    ``(A) the measurement of changes in water 
                fluoridation compliance levels resulting from assistance 
                provided under this section;
                    ``(B) the identification of the administrative, 
                technical and operational challenges that are unique to 
                the fluoridation of small water systems;
                    ``(C) the development of a practical model that may 
                be easily utilized by other tribal, State, county or 
                local governments in improving the quality of water 
                fluoridation with emphasis on small water systems; and
                    ``(D) the measurement of any increased percentage of 
                Native Americans or Alaskan Natives who receive the 
                benefits of optimally fluoridated water.

    ``(c) School-Based Dental Sealant Program.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the Centers for Disease Control and Prevention and 
        in collaboration with the Administrator of the Health Resources 
        and Services Administration, may award grants to States and 
        Indian tribes to provide for the development of school-based 
        dental sealant programs to improve the access of children to 
        sealants.
            ``(2) Use of funds.--A State shall use amounts received 
        under a grant under paragraph (1) to provide funds to eligible 
        school-based entities or to public elementary or secondary 
        schools to enable such entities or schools to provide children 
        with access to dental care and dental sealant services. Such 
        services shall be provided by licensed dental health 
        professionals in accordance with State practice licensing laws.
            ``(3) Eligibility.--To be eligible to receive funds under 
        paragraph (1), an entity shall--
                    ``(A) prepare and submit to the State an application 
                at such time, in such manner and containing such 
                information as the State may require; and
                    ``(B) be a public elementary or secondary school--
                          ``(i) that is located in an urban area in 
                      which and more than 50 percent of the student 
                      population is participating in Federal or State 
                      free or reduced meal programs; or
                          ``(ii) that is located in a rural area and, 
                      with respect to the school district in which the 
                      school is located, the district involved has a 
                      median income that is at or below 235 percent of 
                      the poverty line, as defined in section 673(2) of 
                      the Community Services Block Grant Act (42 U.S.C. 
                      9902(2)).

    ``(d) Definitions.--For purposes of this section, the term `Indian 
tribe' means an Indian tribe or tribal organization as defined in 
section 4(b) and section 4(c) of the Indian Self-Determination and 
Education Assistance Act.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1151]]

SEC. 1603. COORDINATED PROGRAM TO IMPROVE PEDIATRIC ORAL HEALTH.

    Part B of the Public Health Service Act (42 U.S.C. 243 et seq.) is 
amended by adding at the end the following:

         ``coordinated program to improve pediatric oral health

    ``Sec. <<NOTE: 42 USC 247d-1.>> 320A. (a) In General.--The 
Secretary, acting through the Administrator of the Health Resources and 
Services Administration, shall establish a program to fund innovative 
oral health activities that improve the oral health of children under 6 
years of age who are eligible for services provided under a Federal 
health program, to increase the utilization of dental services by such 
children, and to decrease the incidence of early childhood and baby 
bottle tooth decay.

    ``(b) Grants.--The <<NOTE: Contracts.>> Secretary shall award grants 
to or enter into contracts with public or private nonprofit schools of 
dentistry or accredited dental training institutions or programs, 
community dental programs, and programs operated by the Indian Health 
Service (including federally recognized Indian tribes that receive 
medical services from the Indian Health Service, urban Indian health 
programs funded under title V of the Indian Health Care Improvement Act, 
and tribes that contract with the Indian Health Service pursuant to the 
Indian Self-Determination and Education Assistance Act) to enable such 
schools, institutions, and programs to develop programs of oral health 
promotion, to increase training of oral health services providers in 
accordance with State practice laws, or to increase the utilization of 
dental services by eligible children.

    ``(c) Distribution.--In awarding grants under this section, the 
Secretary shall, to the extent practicable, ensure an equitable national 
geographic distribution of the grants, including areas of the United 
States where the incidence of early childhood caries is highest.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $10,000,000 for each the fiscal 
years 2001 through 2005.''.

                  TITLE XVII--VACCINE-RELATED PROGRAMS

                Subtitle A--Vaccine Compensation Program

SEC. 1701. CONTENT OF PETITIONS.

    (a) In General.--Section 2111(c)(1)(D) of the Public Health Service 
Act (42 U.S.C. 300aa-11(c)(1)(D)) is amended by striking ``and'' at the 
end and inserting ``or (iii) suffered such illness, disability, injury, 
or condition from the vaccine which resulted in inpatient 
hospitalization and surgical intervention, and''.
    (b) Effective <<NOTE: 42 USC 300aa-11 note.>> Date.--The amendment 
made by subsection (a) takes effect upon the date of the enactment of 
this Act, including with respect to petitions under section 2111 of the 
Public Health Service Act that are pending on such date.

[[Page 114 STAT. 1152]]

                   Subtitle B--Childhood Immunizations

SEC. 1711. CHILDHOOD IMMUNIZATIONS.

    Section 317( j)(1) of the Public Health Service Act (42 U.S.C. 247b( 
j)(1)) is amended in the first sentence by striking ``1998'' and all 
that follows and inserting ``1998 through 2005.''.

                        TITLE XVIII--HEPATITIS C

SEC. 1801. SURVEILLANCE AND EDUCATION REGARDING HEPATITIS C.

    Part B of title III of the Public Health Service Act, as amended by 
section 1602 of this Act, is amended by inserting after section 317M the 
following section:

        ``surveillance and education regarding hepatitis c virus

    ``Sec. <<NOTE: 42 USC 247b-15.>> 317N. (a) In General.--The 
Secretary, acting through the Director of the Centers for Disease 
Control and Prevention, may (directly and through grants to public and 
nonprofit private entities) provide for programs to carry out the 
following:
            ``(1) To cooperate with the States in implementing a 
        national system to determine the incidence of hepatitis C virus 
        infection (in this section referred to as `HCV infection') and 
        to assist the States in determining the prevalence of such 
        infection, including the reporting of chronic HCV cases.
            ``(2) To identify, counsel, and offer testing to individuals 
        who are at risk of HCV infection as a result of receiving blood 
        transfusions prior to July 1992, or as a result of other risk 
        factors.
            ``(3) To provide appropriate referrals for counseling, 
        testing, and medical treatment of individuals identified under 
        paragraph (2) and to ensure, to the extent practicable, the 
        provision of appropriate follow-up services.
            ``(4) To develop and disseminate public information and 
        education programs for the detection and control of HCV 
        infection, with priority given to high risk populations as 
        determined by the Secretary.
            ``(5) To improve the education, training, and skills of 
        health professionals in the detection and control of HCV 
        infection, with priority given to pediatricians and other 
        primary care physicians, and obstetricians and gynecologists.

    ``(b) Laboratory Procedures.--The Secretary may (directly and 
through grants to public and nonprofit private entities) carry out 
programs to provide for improvements in the quality of clinical-
laboratory procedures regarding hepatitis C, including reducing 
variability in laboratory results on hepatitis C antibody and PCR 
testing.
    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1153]]

            TITLE XIX--NIH INITIATIVE ON AUTOIMMUNE DISEASES

SEC. 1901. AUTOIMMUNE DISEASES; INITIATIVE THROUGH DIRECTOR OF NATIONAL 
            INSTITUTES OF HEALTH.

    Part B of title IV of the Public Health Service Act (42 U.S.C. 284 
et seq.), as amended by section 1001 of this Act, is amended by adding 
at the end the following:

``SEC. 409E. <<NOTE: 42 USC 284i.>> AUTOIMMUNE DISEASES.

    ``(a) Expansion, Intensification, and Coordination of Activities.--
            ``(1) In general.--The Director of NIH shall expand, 
        intensify, and coordinate research and other activities of the 
        National Institutes of Health with respect to autoimmune 
        diseases.
            ``(2) Allocations by director of nih.--With respect to 
        amounts appropriated to carry out this section for a fiscal 
        year, the Director of NIH shall allocate the amounts among the 
        national research institutes that are carrying out paragraph 
        (1).
            ``(3) Definition.--The term `autoimmune disease' includes, 
        for purposes of this section such diseases or disorders with 
        evidence of autoimmune pathogensis as the Secretary determines 
        to be appropriate.

    ``(b) Coordinating Committee.--
            ``(1) In general.--The Secretary shall ensure that the 
        Autoimmune Diseases Coordinating Committee (referred to in this 
        section as the `Coordinating Committee') coordinates activities 
        across the National Institutes and with other Federal health 
        programs and activities relating to such diseases.
            ``(2) Composition.--The Coordinating Committee shall be 
        composed of the directors or their designees of each of the 
        national research institutes involved in research with respect 
        to autoimmune diseases and representatives of all other Federal 
        departments and agencies whose programs involve health functions 
        or responsibilities relevant to such diseases, including the 
        Centers for Disease Control and Prevention and the Food and Drug 
        Administration.
            ``(3) Chair.--
                    ``(A) In general.--With respect to autoimmune 
                diseases, the Chair of the Committee shall serve as the 
                principal advisor to the Secretary, the Assistant 
                Secretary for Health, and the Director of NIH, and shall 
                provide advice to the Director of the Centers for 
                Disease Control and Prevention, the Commissioner of Food 
                and Drugs, and other relevant agencies.
                    ``(B) Director of nih.--The Chair of the Committee 
                shall be directly responsible to the Director of NIH.

    ``(c) Plan for NIH Activities.--
            ``(1) In <<NOTE: Deadline.>> general.--Not later than 1 year 
        after the date of the enactment of this section, the 
        Coordinating Committee shall develop a plan for conducting and 
        supporting research and education on autoimmune diseases through 
        the national research institutes and shall periodically review 
        and revise the plan. The plan shall--

[[Page 114 STAT. 1154]]

                    ``(A) provide for a broad range of research and 
                education activities relating to biomedical, 
                psychosocial, and rehabilitative issues, including 
                studies of the disproportionate impact of such diseases 
                on women;
                    ``(B) identify priorities among the programs and 
                activities of the National Institutes of Health 
                regarding such diseases; and
                    ``(C) reflect input from a broad range of 
                scientists, patients, and advocacy groups.
            ``(2) Certain elements of plan.--The plan under paragraph 
        (1) shall, with respect to autoimmune diseases, provide for the 
        following as appropriate:
                    ``(A) Research to determine the reasons underlying 
                the incidence and prevalence of the diseases.
                    ``(B) Basic research concerning the etiology and 
                causes of the diseases.
                    ``(C) Epidemiological studies to address the 
                frequency and natural history of the diseases, including 
                any differences among the sexes and among racial and 
                ethnic groups.
                    ``(D) The development of improved screening 
                techniques.
                    ``(E) Clinical research for the development and 
                evaluation of new treatments, including new biological 
                agents.
                    ``(F) Information and education programs for health 
                care professionals and the public.
            ``(3) Implementation of plan.--The Director of NIH shall 
        ensure that programs and activities of the National Institutes 
        of Health regarding autoimmune diseases are implemented in 
        accordance with the plan under paragraph (1).

    ``(d) Reports to Congress.--The Coordinating Committee under 
subsection (b)(1) shall biennially submit to the Committee on Commerce 
of the House of Representatives, and the Committee on Health, Education, 
Labor and Pensions of the Senate, a report that describes the research, 
education, and other activities on autoimmune diseases being conducted 
or supported through the national research institutes, and that in 
addition includes the following:
            ``(1) The plan under subsection (c)(1) (or revisions to the 
        plan, as the case may be).
            ``(2) Provisions specifying the amounts expended by the 
        National Institutes of Health with respect to each of the 
        autoimmune diseases included in the plan.
            ``(3) Provisions identifying particular projects or types of 
        projects that should in the future be considered by the national 
        research institutes or other entities in the field of research 
        on autoimmune diseases.

    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005. The 
authorization of appropriations established in the preceding sentence is 
in addition to any other authorization of appropriations that is 
available for conducting or supporting through the National Institutes 
of Health research and other activities with respect to autoimmune 
diseases.''.

[[Page 114 STAT. 1155]]

  TITLE XX--GRADUATE MEDICAL EDUCATION PROGRAMS IN CHILDREN'S HOSPITALS

SEC. 2001. PROVISIONS TO REVISE AND EXTEND PROGRAM.

    (a) Payments.--Section 340E(a) of the Public Health Service Act (42 
U.S.C. 256e(a)) is amended--
            (1) by striking ``and 2001'' and inserting ``through 2005''; 
        and
            (2) <<NOTE: Regulations.>> by adding at the end the 
        following: ``The Secretary shall promulgate regulations pursuant 
        to the rulemaking requirements of title 5, United States Code, 
        which shall govern payments made under this subpart.''.

    (b) Updating Rates.--Section 340E(c)(2)(F) of the Public Health 
Service Act (42 U.S.C. 256e(c)(2)(F)) is amended by striking 
``hospital's cost reporting period that begins during fiscal year 2000'' 
and inserting ``Federal fiscal year for which payments are made''.
    (c) Resident Count for Interim Payments.--Section 340E(e)(1) of the 
Public Health Service Act (42 U.S.C. 256e(e)(1)) is amended by adding at 
the end the following: ``Such interim payments to each individual 
hospital shall be based on the number of residents reported in the 
hospital's most recently filed Medicare cost report prior to the 
application date for the Federal fiscal year for which the interim 
payment amounts are established. In the case of a hospital that does not 
report residents on a Medicare cost report, such interim payments shall 
be based on the number of residents trained during the hospital's most 
recently completed Medicare cost report filing period.''.
    (d) Withholding.--Section 340E(e)(2) of the Public Health Service 
Act (42 U.S.C. 256e(e)(2)) is amended--
            (1) by adding ``and indirect'' after ``direct''; and
            (2) by adding at the end the following: ``The Secretary 
        shall withhold up to 25 percent from each interim installment 
        for direct and indirect graduate medical education paid under 
        paragraph (1) as necessary to ensure a hospital will not be 
        overpaid on an interim basis.''.

    (e) Reconciliation.--Section 340E(e)(3) of the Public Health Service 
Act (42 U.S.C. 256e(e)(3)) is amended to read as follows:
            ``(3) Reconciliation.--Prior to the end of each fiscal year, 
        the Secretary shall determine any changes to the number of 
        residents reported by a hospital in the application of the 
        hospital for the current fiscal year to determine the final 
        amount payable to the hospital for the current fiscal year for 
        both direct expense and indirect expense amounts. Based on such 
        determination, the Secretary shall recoup any overpayments made 
        to pay any balance due to the extent possible. The final amount 
        so determined shall be considered a final intermediary 
        determination for the purposes of section 1878 of the Social 
        Security Act and shall be subject to administrative and judicial 
        review under that section in the same manner as the amount of 
        payment under section 1186(d) of such Act is subject to review 
        under such section.''.

    (f ) Authorization of Appropriations.--Section 340E(f ) of the 
Public Health Service Act (42 U.S.C. 256e(f )) is amended--
            (1) in paragraph (1)(A)--

[[Page 114 STAT. 1156]]

                    (A) in clause (i), by striking ``and'' at the end;
                    (B) in clause (ii), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                          ``(iii) for each of the fiscal years 2002 
                      through 2005, such sums as may be necessary.''; 
                      and
            (2) in paragraph (2)--
                    (A) in subparagraph (A), by striking ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking the period and 
                inserting ``; and''; and
                    (C) by adding at the end the following:
                    ``(C) for each of the fiscal years 2002 through 
                2005, such sums as may be necessary.''.

    (g) Definition of Children's Hospital.--Section 340E(g)(2) of the 
Public Health Service Act (42 U.S.C. 256e(g)(2)) is amended by striking 
``described in'' and all that follows and inserting the following: 
``with a Medicare payment agreement and which is excluded from the 
Medicare inpatient prospective payment system pursuant to section 
1886(d)(1)(B)(iii) of the Social Security Act and its accompanying 
regulations.''.

  TITLE XXI--SPECIAL NEEDS OF CHILDREN REGARDING ORGAN TRANSPLANTATION

SEC. 2101. ORGAN PROCUREMENT AND TRANSPLANTATION NETWORK; AMENDMENTS 
            REGARDING NEEDS OF CHILDREN.

    (a) In General.--Section 372(b)(2) of the Public Health Service Act 
(42 U.S.C. 274(b)(2)) is amended--
            (1) in subparagraph (J), by striking ``and'' at the end;
            (2) in each of subparagraphs (K) and (L), by striking the 
        period and inserting a comma; and
            (3) by adding at the end the following subparagraphs:
                    ``(M) recognize the differences in health and in 
                organ transplantation issues between children and adults 
                throughout the system and adopt criteria, polices, and 
                procedures that address the unique health care needs of 
                children,
                    ``(N) carry out studies and demonstration projects 
                for the purpose of improving procedures for organ 
                donation procurement and allocation, including but not 
                limited to projects to examine and attempt to increase 
                transplantation among populations with special needs, 
                including children and individuals who are members of 
                racial or ethnic minority groups, and among populations 
                with limited access to transportation, and
                    ``(O) provide that for purposes of this paragraph, 
                the term `children' refers to individuals who are under 
                the age of 18.''.

    (b) Study <<NOTE: 42 USC 273 note.>> Regarding Immunosuppressive 
Drugs.--
            (1) In general.--The Secretary of Health and Human Services 
        (referred to in this subsection as the ``Secretary'') shall 
        provide for a study to determine the costs of immunosuppressive 
        drugs that are provided to children pursuant to organ 
        transplants and to determine the extent to which health plans 
        and

[[Page 114 STAT. 1157]]

        health insurance cover such costs. The Secretary may carry out 
        the study directly or through a grant to the Institute of 
        Medicine (or other public or nonprofit private entity).
            (2) Recommendations regarding certain issues.--The Secretary 
        shall ensure that, in addition to making determinations under 
        paragraph (1), the study under such paragraph makes 
        recommendations regarding the following issues:
                    (A) The costs of immunosuppressive drugs that are 
                provided to children pursuant to organ transplants and 
                to determine the extent to which health plans, health 
                insurance and government programs cover such costs.
                    (B) The extent of denial of organs to be released 
                for transplant by coroners and medical examiners.
                    (C) The special growth and developmental issues that 
                children have pre- and post-organ transplantation.
                    (D) Other issues that are particular to the special 
                health and transplantation needs of children.
            (3) Report.--The <<NOTE: Deadline.>> Secretary shall ensure 
        that, not later than December 31, 2001, the study under 
        paragraph (1) is completed and a report describing the findings 
        of the study is submitted to the Congress.

                 TITLE XXII--MUSCULAR DYSTROPHY RESEARCH

SEC. 2201. MUSCULAR DYSTROPHY RESEARCH.

    Part B of title IV of the Public Health Service Act, as amended by 
section 1901 of this Act, is amended by adding at the end the following:

                      ``muscular dystrophy research

    ``Sec. <<NOTE: 42 USC 284j.>> 409F. (a) Coordination of 
Activities.--The Director of NIH shall expand and increase coordination 
in the activities of the National Institutes of Health with respect to 
research on muscular dystrophies, including Duchenne muscular dystrophy.

    ``(b) Administration of Program; Collaboration Among Agencies.--The 
Director of NIH shall carry out this section through the appropriate 
institutes, including the National Institute of Neurological Disorders 
and Stroke and in collaboration with any other agencies that the 
Director determines appropriate.
    ``(c) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary to carry out this section for 
each of the fiscal years 2001 through 2005. Amounts appropriated under 
this subsection shall be in addition to any other amounts appropriated 
for such purpose.''.

          TITLE XXIII--CHILDREN AND TOURETTE SYNDROME AWARENESS

SEC. 2301. GRANTS REGARDING TOURETTE SYNDROME.

    Part A of title XI of the Public Health Service Act is amended by 
adding at the end the following section:

[[Page 114 STAT. 1158]]

                           ``tourette syndrome

    ``Sec. <<NOTE: 42 USC 300b-7.>> 1108. (a) In General.--The Secretary 
shall develop and implement outreach programs to educate the public, 
health care providers, educators and community based organizations about 
the etiology, symptoms, diagnosis and treatment of Tourette Syndrome, 
with a particular emphasis on children with Tourette Syndrome. Such 
programs may be carried out by the Secretary directly and through awards 
of grants or contracts to public or nonprofit private entities.

    ``(b) Certain Activities.--Activities under subsection (a) shall 
include--
            ``(1) the production and translation of educational 
        materials, including public service announcements;
            ``(2) the development of training material for health care 
        providers, educators and community based organizations; and
            ``(3) outreach efforts directed at the misdiagnosis and 
        underdiagnosis of Tourette Syndrome in children and in minority 
        groups.

    ``(c) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2005.''.

                TITLE XXIV--CHILDHOOD OBESITY PREVENTION

SEC. 2401. PROGRAMS OPERATED THROUGH THE CENTERS FOR DISEASE CONTROL AND 
            PREVENTION.

    Title III of the Public Health Service Act (42 U.S.C. 241 et seq.), 
as amended by section 1101 of this Act, is amended by adding at the end 
the following part:

          ``PART Q--PROGRAMS TO IMPROVE THE HEALTH OF CHILDREN

``SEC. 399W. <<NOTE: 42 USC 280h.>> GRANTS TO PROMOTE CHILDHOOD 
            NUTRITION AND PHYSICAL ACTIVITY.

    ``(a) In General.--The Secretary, acting though the Director of the 
Centers for Disease Control and Prevention, shall award competitive 
grants to States and political subdivisions of States for the 
development and implementation of State and community-based intervention 
programs to promote good nutrition and physical activity in children and 
adolescents.
    ``(b) Eligibility.--To be eligible to receive a grant under this 
section a State or political subdivision of a State shall prepare and 
submit to the Secretary an application at such time, in such manner, and 
containing such information as the Secretary may require, including a 
plan that describes--
            ``(1) how the applicant proposes to develop a comprehensive 
        program of school- and community-based approaches to encourage 
        and promote good nutrition and appropriate levels of physical 
        activity with respect to children or adolescents in local 
        communities;

[[Page 114 STAT. 1159]]

            ``(2) the manner in which the applicant shall coordinate 
        with appropriate State and local authorities, such as State and 
        local school departments, State departments of health, chronic 
        disease directors, State directors of programs under section 17 
        of the Child Nutrition Act of 1966, 5-a-day coordinators, 
        governors councils for physical activity and good nutrition, and 
        State and local parks and recreation departments; and
            ``(3) the manner in which the applicant will evaluate the 
        effectiveness of the program carried out under this section.

    ``(c) Use of Funds.--A State or political subdivision of a State 
shall use amount received under a grant under this section to--
            ``(1) develop, implement, disseminate, and evaluate school- 
        and community-based strategies in States to reduce inactivity 
        and improve dietary choices among children and adolescents;
            ``(2) expand opportunities for physical activity programs in 
        school- and community-based settings; and
            ``(3) develop, implement, and evaluate programs that promote 
        good eating habits and physical activity including opportunities 
        for children with cognitive and physical disabilities.

    ``(d) Technical Assistance.--The Secretary may set-aside an amount 
not to exceed 10 percent of the amount appropriated for a fiscal year 
under subsection (h) to permit the Director of the Centers for Disease 
Control and Prevention to--
            ``(1) provide States and political subdivisions of States 
        with technical support in the development and implementation of 
        programs under this section; and
            ``(2) disseminate information about effective strategies and 
        interventions in preventing and treating obesity through the 
        promotion of good nutrition and physical activity.

    ``(e) Limitation on Administrative Costs.--Not to exceed 10 percent 
of the amount of a grant awarded to the State or political subdivision 
under subsection (a) for a fiscal year may be used by the State or 
political subdivision for administrative expenses.
    ``(f ) Term.--A grant awarded under subsection (a) shall be for a 
term of 3 years.
    ``(g) Definition.--In this section, the term `children and 
adolescents' means individuals who do not exceed 18 years of age.
    ``(h) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.

``SEC. 399X. <<NOTE: 42 USC 280h-1.>> APPLIED RESEARCH PROGRAM.

    ``(a) In General.--The Secretary, acting through the Centers for 
Disease Control and Prevention and in consultation with the Director of 
the National Institutes of Health, shall--
            ``(1) conduct research to better understand the relationship 
        between physical activity, diet, and health and factors that 
        influence health-related behaviors;
            ``(2) develop and evaluate strategies for the prevention and 
        treatment of obesity to be used in community-based interventions 
        and by health professionals;
            ``(3) develop and evaluate strategies for the prevention and 
        treatment of eating disorders, such as anorexia and bulimia;
            ``(4) conduct research to establish the prevalence, 
        consequences, and costs of childhood obesity and its effects in 
        adulthood;

[[Page 114 STAT. 1160]]

            ``(5) identify behaviors and risk factors that contribute to 
        obesity;
            ``(6) evaluate materials and programs to provide nutrition 
        education to parents and teachers of children in child care or 
        pre-school and the food service staff of such child care and 
        pre-school entities; and
            ``(7) evaluate materials and programs that are designed to 
        educate and encourage physical activity in child care and pre-
        school facilities.

    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.

``SEC. 399Y. <<NOTE: 42 USC 280h-2.>> EDUCATION CAMPAIGN.

    ``(a) In General.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, and in collaboration with 
national, State, and local partners, physical activity organizations, 
nutrition experts, and health professional organizations, shall develop 
a national public campaign to promote and educate children and their 
parents concerning--
            ``(1) the health risks associated with obesity, inactivity, 
        and poor nutrition;
            ``(2) ways in which to incorporate physical activity into 
        daily living; and
            ``(3) the benefits of good nutrition and strategies to 
        improve eating habits.

    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.

``SEC. 399Z. <<NOTE: 42 USC 280h-3.>> HEALTH PROFESSIONAL EDUCATION AND 
            TRAINING.

    ``(a) In General.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, in collaboration with the 
Administrator of the Health Resources and Services Administration and 
the heads of other agencies, and in consultation with appropriate health 
professional associations, shall develop and carry out a program to 
educate and train health professionals in effective strategies to--
            ``(1) better identify and assess patients with obesity or an 
        eating disorder or patients at-risk of becoming obese or 
        developing an eating disorder;
            ``(2) counsel, refer, or treat patients with obesity or an 
        eating disorder; and
            ``(3) educate patients and their families about effective 
        strategies to improve dietary habits and establish appropriate 
        levels of physical activity.

    ``(b) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.''.

[[Page 114 STAT. 1161]]

   TITLE XXV--EARLY DETECTION AND TREATMENT REGARDING CHILDHOOD LEAD 
                                POISONING

SEC. 2501. CENTERS FOR DISEASE CONTROL AND PREVENTION EFFORTS TO COMBAT 
            CHILDHOOD LEAD POISONING.

    (a) Requirements for Lead Poisoning Prevention Grantees.--Section 
317A of the Public Health Service Act (42 U.S.C. 247b-1) is amended--
            (1) in subsection (d)--
                    (A) by redesignating paragraph (7) as paragraph (8); 
                and
                    (B) by inserting after paragraph (6) the following:
            ``(7) Assurances satisfactory to the Secretary that the 
        applicant will ensure complete and consistent reporting of all 
        blood lead test results from laboratories and health care 
        providers to State and local health departments in accordance 
        with guidelines of the Centers for Disease Control and 
        Prevention for standardized reporting as described in subsection 
        (m).''; and
            (2) in subsection ( j)(2)--
                    (A) in subparagraph (F) by striking ``(E)'' and 
                inserting ``(F)'';
                    (B) by redesignating subparagraph (F) as 
                subparagraph (G); and
                    (C) by inserting after subparagraph (E) the 
                following:
                    ``(F) The number of grantees that have established 
                systems to ensure mandatory reporting of all blood lead 
                tests from laboratories and health care providers to 
                State and local health departments.''.

    (b) Guidelines for Standardized Reporting.--Section 317A of the 
Public Health Service Act (42 U.S.C. 247b-1) is amended by adding at the 
end the following:
    ``(m) Guidelines for Standardized Reporting.--The Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
shall develop national guidelines for the uniform reporting of all blood 
lead test results to State and local health departments.''.
    (c) Development <<NOTE: 42 USC 247b-1 note.>> and Implementation of 
Effective Data Management by the Centers for Disease Control and 
Prevention.--
            (1) In general.--The Director of the Centers for Disease 
        Control and Prevention shall--
                    (A) assist with the improvement of data linkages 
                between State and local health departments and between 
                State health departments and the Centers for Disease 
                Control and Prevention;
                    (B) assist States with the development of flexible, 
                comprehensive State-based data management systems for 
                the surveillance of children with lead poisoning that 
                have the capacity to contribute to a national data set;
                    (C) assist with the improvement of the ability of 
                State-based data management systems and federally-funded 
                means-tested public benefit programs (including the 
                special supplemental food program for women, infants and 
                children

[[Page 114 STAT. 1162]]

                (WIC) under section 17 of the Child Nutrition Act of 
                1966 (42 U.S.C. 1786) and the early head start program 
                under section 645A of the Head Start Act (42 U.S.C. 
                9840a(h)) to respond to ad hoc inquiries and generate 
                progress reports regarding the lead blood level 
                screening of children enrolled in those programs;
                    (D) assist States with the establishment of a 
                capacity for assessing how many children enrolled in the 
                Medicaid, WIC, early head start, and other federally-
                funded means-tested public benefit programs are being 
                screened for lead poisoning at age-appropriate 
                intervals;
                    (E) use data obtained as result of activities under 
                this section to formulate or revise existing lead blood 
                screening and case management policies; and
                    (F) establish performance measures for evaluating 
                State and local implementation of the requirements and 
                improvements described in subparagraphs (A) through (E).
            (2) Authorization of appropriations.--There are authorized 
        to be appropriated to carry out this subsection such sums as may 
        be necessary for each the fiscal years 2001 through 2005.
            (3) Effective date.--This subsection takes effect on the 
        date of the enactment of this Act.

SEC. 2502. GRANTS FOR LEAD POISONING RELATED ACTIVITIES.

    (a) In General.--Part B of title III of the Public Health Service 
Act (42 U.S.C. 243 et seq.), as amended by section 1801 of this Act, is 
amended by inserting after section 317N the following section:

             ``grants for lead poisoning related activities

    ``Sec. <<NOTE: 42 USC 247b-16.>> 317O. (a) Authority To Make 
Grants.--
            ``(1) In general.--The Secretary shall make grants to States 
        to support public health activities in States and localities 
        where data suggests that at least 5 percent of preschool-age 
        children have an elevated blood lead level through--
                    ``(A) effective, ongoing outreach and community 
                education targeted to families most likely to be at risk 
                for lead poisoning;
                    ``(B) individual family education activities that 
                are designed to reduce ongoing exposures to lead for 
                children with elevated blood lead levels, including 
                through home visits and coordination with other programs 
                designed to identify and treat children at risk for lead 
                poisoning; and
                    ``(C) the development, coordination and 
                implementation of community-based approaches for 
                comprehensive lead poisoning prevention from 
                surveillance to lead hazard control.
            ``(2) State match.--A State is not eligible for a grant 
        under this section unless the State agrees to expend (through 
        State or local funds) $1 for every $2 provided under the grant 
        to carry out the activities described in paragraph (1).
            ``(3) Application.--To be eligible to receive a grant under 
        this section, a State shall submit an application to the 
        Secretary in such form and manner and containing such 
        information as the Secretary may require.

    ``(b) Coordination With Other Children's Programs.--A State shall 
identify in the application for a grant under this section

[[Page 114 STAT. 1163]]

how the State will coordinate operations and activities under the grant 
with--
            ``(1) other programs operated in the State that serve 
        children with elevated blood lead levels, including any such 
        programs operated under title V, XIX, or XXI of the Social 
        Security Act; and
            ``(2) one or more of the following--
                    ``(A) the child welfare and foster care and adoption 
                assistance programs under parts B and E of title IV of 
                such Act;
                    ``(B) the head start program established under the 
                Head Start Act (42 U.S.C. 9831 et seq.);
                    ``(C) the program of assistance under the special 
                supplemental nutrition program for women, infants and 
                children (WIC) under section 17 of the Child Nutrition 
                Act of 1966 (42 U.S.C. 1786);
                    ``(D) local public and private elementary or 
                secondary schools; or
                    ``(E) public housing agencies, as defined in section 
                3 of the United States Housing Act of 1937 (42 U.S.C. 
                1437a).

    ``(c) Performance Measures.--The Secretary shall establish needs 
indicators and performance measures to evaluate the activities carried 
out under grants awarded under this section. Such indicators shall be 
commensurate with national measures of maternal and child health 
programs and shall be developed in consultation with the Director of the 
Centers for Disease Control and Prevention.
    ``(d) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.''.
    (b) Conforming Amendment.--Section 340D(c)(1) of the Public Health 
Service Act (42 U.S.C. 256d(c)(1)) is amended by striking ``317E'' and 
inserting ``317F''.

SEC. 2503. <<NOTE: 42 USC 247b-3a.>> TRAINING AND REPORTS BY THE HEALTH 
            RESOURCES AND SERVICES ADMINISTRATION.

    (a) Training.--The Secretary of Health and Human Services, acting 
through the Administrator of the Health Resources and Services 
Administration and in collaboration with the Administrator of the Health 
Care Financing Administration and the Director of the Centers for 
Disease Control and Prevention, shall conduct education and training 
programs for physicians and other health care providers regarding 
childhood lead poisoning, current screening and treatment 
recommendations and requirements, and the scientific, medical, and 
public health basis for those policies.
    (b) Report.--The Secretary of Health and Human Services, acting 
through the Administrator of the Health Resources and Services 
Administration, annually shall report to Congress on the number of 
children who received services through health centers established under 
section 330 of the Public Health Service Act (42 U.S.C. 254b) and 
received a blood lead screening test during the prior fiscal year, 
noting the percentage that such children represent as compared to all 
children who received services through such health centers.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each the fiscal years 2001 through 2005.

[[Page 114 STAT. 1164]]

SEC. 2504. SCREENINGS, REFERRALS, AND EDUCATION REGARDING LEAD 
            POISONING.

    Section 317A(l)(1) of the Public Health Service Act (42 U.S.C. 247b-
1(l)(1)) is amended by striking ``1994'' and all that follows and 
inserting ``1994 through 2005.''.

              TITLE XXVI--SCREENING FOR HERITABLE DISORDERS

SEC. 2601. PROGRAM TO IMPROVE THE ABILITY OF STATES TO PROVIDE NEWBORN 
            AND CHILD SCREENING FOR HERITABLE DISORDERS.

    Part A of title XI of the Public Health Service Act, as amended by 
section 2301 of this Act, is amended by adding at the end the following:

``SEC. 1109. <<NOTE: 42 USC 300b-8.>> IMPROVED NEWBORN AND CHILD 
            SCREENING FOR HERITABLE DISORDERS.

    ``(a) In <<NOTE: Grants.>> General.--The Secretary shall award 
grants to eligible entities to enhance, improve or expand the ability of 
State and local public health agencies to provide screening, counseling 
or health care services to newborns and children having or at risk for 
heritable disorders.

    ``(b) Use of Funds.--Amounts provided under a grant awarded under 
subsection (a) shall be used to--
            ``(1) establish, expand, or improve systems or programs to 
        provide screening, counseling, testing or specialty services for 
        newborns and children at risk for heritable disorders;
            ``(2) establish, expand, or improve programs or services to 
        reduce mortality or morbidity from heritable disorders;
            ``(3) establish, expand, or improve systems or programs to 
        provide information and counseling on available therapies for 
        newborns and children with heritable disorders;
            ``(4) improve the access of medically underserved 
        populations to screening, counseling, testing and specialty 
        services for newborns and children having or at risk for 
        heritable disorders; or
            ``(5) conduct such other activities as may be necessary to 
        enable newborns and children having or at risk for heritable 
        disorders to receive screening, counseling, testing or specialty 
        services, regardless of income, race, color, religion, sex, 
        national origin, age, or disability.

    ``(c) Eligible Entities.--To be eligible to receive a grant under 
subsection (a) an entity shall--
            ``(1) be a State or political subdivision of a State, or a 
        consortium of two or more States or political subdivisions of 
        States; and
            ``(2) prepare and submit to the Secretary an application 
        that includes--
                    ``(A) a plan to use amounts awarded under the grant 
                to meet specific health status goals and objectives 
                relative to heritable disorders, including attention to 
                needs of medically underserved populations;
                    ``(B) a plan for the collection of outcome data or 
                other methods of evaluating the degree to which amounts

[[Page 114 STAT. 1165]]

                awarded under this grant will be used to achieve the 
                goals and objectives identified under subparagraph (A);
                    ``(C) a plan for monitoring and ensuring the quality 
                of services provided under the grant;
                    ``(D) an assurance that amounts awarded under the 
                grant will be used only to implement the approved plan 
                for the State;
                    ``(E) an assurance that the provision of services 
                under the plan is coordinated with services provided 
                under programs implemented in the State under title V, 
                XVIII, XIX, XX, or XXI of the Social Security Act 
                (subject to Federal regulations applicable to such 
                programs) so that the coverage of services under such 
                titles is not substantially diminished by the use of 
                granted funds; and
                    ``(F) such other information determined by the 
                Secretary to be necessary.

    ``(d) Limitation.--An eligible entity may not use amounts received 
under this section to--
            ``(1) provide cash payments to or on behalf of affected 
        individuals;
            ``(2) provide inpatient services;
            ``(3) purchase land or make capital improvements to 
        property; or
            ``(4) provide for proprietary research or training.

    ``(e) Voluntary Participation.--The participation by any individual 
in any program or portion thereof established or operated with funds 
received under this section shall be wholly voluntary and shall not be a 
prerequisite to eligibility for or receipt of any other service or 
assistance from, or to participation in, another Federal or State 
program.
    ``(f ) Supplement Not Supplant.--Funds appropriated under this 
section shall be used to supplement and not supplant other Federal, 
State, and local public funds provided for activities of the type 
described in this section.
    ``(g) Publication.--
            ``(1) In general.--An application submitted under subsection 
        (c)(2) shall be made public by the State in such a manner as to 
        facilitate comment from any person, including through hearings 
        and other methods used to facilitate comments from the public.
            ``(2) Comments.--Comments received by the State after the 
        publication described in paragraph (1) shall be addressed in the 
        application submitted under subsection (c)(2).

    ``(h) Technical Assistance.--The Secretary shall provide to entities 
receiving grants under subsection (a) such technical assistance as may 
be necessary to ensure the quality of programs conducted under this 
section.
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2005.

``SEC. 1110. <<NOTE: 42 USC 300b-9.>> EVALUATING THE EFFECTIVENESS OF 
            NEWBORN AND CHILD SCREENING PROGRAMS.

    ``(a) In General.--The Secretary shall award grants to eligible 
entities to provide for the conduct of demonstration programs to 
evaluate the effectiveness of screening, counseling or health care

[[Page 114 STAT. 1166]]

services in reducing the morbidity and mortality caused by heritable 
disorders in newborns and children.
    ``(b) Demonstration Programs.--A demonstration program conducted 
under a grant under this section shall be designed to evaluate and 
assess, within the jurisdiction of the entity receiving such grant--
            ``(1) the effectiveness of screening, counseling, testing or 
        specialty services for newborns and children at risk for 
        heritable disorders in reducing the morbidity and mortality 
        associated with such disorders;
            ``(2) the effectiveness of screening, counseling, testing or 
        specialty services in accurately and reliably diagnosing 
        heritable disorders in newborns and children; or
            ``(3) the availability of screening, counseling, testing or 
        specialty services for newborns and children at risk for 
        heritable disorders.

    ``(c) Eligible Entities.--To be eligible to receive a grant under 
subsection (a) an entity shall be a State or political subdivision of a 
State, or a consortium of two or more States or political subdivisions 
of States.

``SEC. 1111. <<NOTE: 42 USC 300b-10.>> ADVISORY COMMITTEE ON HERITABLE 
            DISORDERS IN NEWBORNS AND CHILDREN.

    ``(a) Establishment.--The Secretary shall establish an advisory 
committee to be known as the `Advisory Committee on Heritable Disorders 
in Newborns and Children' (referred to in this section as the `Advisory 
Committee').
    ``(b) Duties.--The Advisory Committee shall--
            ``(1) provide advice and recommendations to the Secretary 
        concerning grants and projects awarded or funded under section 
        1109;
            ``(2) provide technical information to the Secretary for the 
        development of policies and priorities for the administration of 
        grants under section 1109; and
            ``(3) provide such recommendations, advice or information as 
        may be necessary to enhance, expand or improve the ability of 
        the Secretary to reduce the mortality or morbidity from 
        heritable disorders.

    ``(c) Membership.--
            ``(1) In general.--The Secretary shall appoint not to exceed 
        15 members to the Advisory Committee. In appointing such 
        members, the Secretary shall ensure that the total membership of 
        the Advisory Committee is an odd number.
            ``(2) Required members.--The Secretary shall appoint to the 
        Advisory Committee under paragraph (1)--
                    ``(A) the Administrator of the Health Resources and 
                Services Administration;
                    ``(B) the Director of the Centers for Disease 
                Control and Prevention;
                    ``(C) the Director of the National Institutes of 
                Health;
                    ``(D) the Director of the Agency for Healthcare 
                Research and Quality;
                    ``(E) medical, technical, or scientific 
                professionals with special expertise in heritable 
                disorders, or in providing screening, counseling, 
                testing or specialty services for newborns and children 
                at risk for heritable disorders;

[[Page 114 STAT. 1167]]

                    ``(F) members of the public having special expertise 
                about or concern with heritable disorders; and
                    ``(G) representatives from such Federal agencies, 
                public health constituencies, and medical professional 
                societies as determined to be necessary by the 
                Secretary, to fulfill the duties of the Advisory 
                Committee, as established under subsection (b).''.

               TITLE XXVII--PEDIATRIC RESEARCH PROTECTIONS

SEC. 2701. <<NOTE: 42 USC 289 note.>> REQUIREMENT FOR ADDITIONAL 
            PROTECTIONS FOR CHILDREN INVOLVED IN RESEARCH.

    Notwithstanding any other provision of law, not later than 6 months 
after the date of the enactment of this Act, the Secretary of Health and 
Human Services shall require that all research involving children that 
is conducted, supported, or regulated by the Department of Health and 
Human Services be in compliance with subpart D of part 46 of title 45, 
Code of Federal Regulations.

                 TITLE XXVIII--MISCELLANEOUS PROVISIONS

SEC. 2801. <<NOTE: Deadline.>> REPORT REGARDING RESEARCH ON RARE 
            DISEASES IN CHILDREN.

    Not later than 180 days after the date of the enactment of this Act, 
the Director of the National Institutes of Health shall submit to the 
Congress a report on--
            (1) the activities that, during fiscal year 2000, were 
        conducted and supported by such Institutes with respect to rare 
        diseases in children, including Friedreich's ataxia and 
        Hutchinson-Gilford progeria syndrome; and
            (2) the activities that are planned to be conducted and 
        supported by such Institutes with respect to such diseases 
        during the fiscal years 2001 through 2005.

SEC. 2802. <<NOTE: 42 USC 285c note.>> STUDY ON METABOLIC DISORDERS.

    (a) In General.--The Secretary of Health and Human Services (in this 
section referred to as the ``Secretary'') shall, in consultation with 
relevant experts or through the Institute of Medicine, study issues 
related to treatment of PKU and other metabolic disorders for children, 
adolescents, and adults, and mechanisms to assure access to effective 
treatment, including special diets, for children and others with PKU and 
other metabolic disorders. Such mechanisms shall be evidence-based and 
reflect the best scientific knowledge regarding effective treatment and 
prevention of disease progression.
    (b) Dissemination of Results.--Upon completion of the study referred 
to in subsection (a), the Secretary shall disseminate and otherwise make 
available the results of the study to interested groups and 
organizations, including insurance commissioners, employers, private 
insurers, health care professionals, State and local public health 
agencies, and State agencies that carry out the Medicaid program under 
title XIX of the Social Security Act

[[Page 114 STAT. 1168]]

or the State children's health insurance program under title XXI of such 
Act.
    (c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section such sums as may be necessary for 
each of the fiscal years 2001 through 2003.

                       TITLE XXIX--EFFECTIVE DATE

SEC. 2901. <<NOTE: 42 USC 201 note.>> EFFECTIVE DATE.

    This division and the amendments made by this division take effect 
October 1, 2000, or upon the date of the enactment of this Act, 
whichever occurs later.

 DIVISION <<NOTE: Youth Drug and Mental Health Services Act.>> B--YOUTH 
DRUG AND MENTAL HEALTH SERVICES

SEC. 3001. <<NOTE: 42 USC 201 note.>> SHORT TITLE.

    This division may be cited as the ``Youth Drug and Mental Health 
Services Act''.

TITLE XXXI--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

SEC. 3101. CHILDREN AND VIOLENCE.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by adding at the end the following:

              ``Part G--Projects for Children and Violence

``SEC. 581. <<NOTE: 42 USC 290hh.>> CHILDREN AND VIOLENCE.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary, in 
consultation with the Secretary of Education and the Attorney General, 
shall carry out directly or through grants, contracts or cooperative 
agreements with public entities a program to assist local communities in 
developing ways to assist children in dealing with violence.

    ``(b) Activities.--Under the program under subsection (a), the 
Secretary may--
            ``(1) provide financial support to enable local communities 
        to implement programs to foster the health and development of 
        children;
            ``(2) provide technical assistance to local communities with 
        respect to the development of programs described in paragraph 
        (1);
            ``(3) provide assistance to local communities in the 
        development of policies to address violence when and if it 
        occurs;
            ``(4) assist in the creation of community partnerships among 
        law enforcement, education systems and mental health and 
        substance abuse service systems; and
            ``(5) establish mechanisms for children and adolescents to 
        report incidents of violence or plans by other children or 
        adolescents to commit violence.

[[Page 114 STAT. 1169]]

    ``(c) Requirements.--An application for a grant, contract or 
cooperative agreement under subsection (a) shall demonstrate that--
            ``(1) the applicant will use amounts received to create a 
        partnership described in subsection (b)(4) to address issues of 
        violence in schools;
            ``(2) the activities carried out by the applicant will 
        provide a comprehensive method for addressing violence, that 
        will include--
                    ``(A) security;
                    ``(B) educational reform;
                    ``(C) the review and updating of school policies;
                    ``(D) alcohol and drug abuse prevention and early 
                intervention services;
                    ``(E) mental health prevention and treatment 
                services; and
                    ``(F) early childhood development and psychosocial 
                services; and
            ``(3) the applicant will use amounts received only for the 
        services described in subparagraphs (D), (E), and (F) of 
        paragraph (2).

    ``(d) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts or cooperative agreements under subsection (a) will be 
distributed equitably among the regions of the country and among urban 
and rural areas.
    ``(e) Duration of Awards.--With respect to a grant, contract or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient may not 
exceed 5 years.
    ``(f ) Evaluation.--The Secretary shall conduct an evaluation of 
each project carried out under this section and shall disseminate the 
results of such evaluations to appropriate public and private entities.
    ``(g) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this section 
to the general public and to health care professionals.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $100,000,000 for fiscal year 
2001, and such sums as may be necessary for each of fiscal years 2002 
and 2003.

``SEC. 582. <<NOTE: 42 USC 290hh-1.>> GRANTS TO ADDRESS THE PROBLEMS OF 
            PERSONS WHO EXPERIENCE VIOLENCE RELATED STRESS.

    ``(a) In <<NOTE: Contracts.>> General.--The Secretary shall award 
grants, contracts or cooperative agreements to public and nonprofit 
private entities, as well as to Indian tribes and tribal organizations, 
for the purpose of developing programs focusing on the behavioral and 
biological aspects of psychological trauma response and for developing 
knowledge with regard to evidence-based practices for treating 
psychiatric disorders of children and youth resulting from witnessing or 
experiencing a traumatic event.

    ``(b) Priorities.--In awarding grants, contracts or cooperative 
agreements under subsection (a) related to the development of knowledge 
on evidence-based practices for treating disorders associated with 
psychological trauma, the Secretary shall give priority

[[Page 114 STAT. 1170]]

to mental health agencies and programs that have established clinical 
and basic research experience in the field of trauma-related mental 
disorders.
    ``(c) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts or cooperative agreements under subsection (a) with 
respect to centers of excellence are distributed equitably among the 
regions of the country and among urban and rural areas.
    ``(d) Evaluation.--The Secretary, as part of the application 
process, shall require that each applicant for a grant, contract or 
cooperative agreement under subsection (a) submit a plan for the 
rigorous evaluation of the activities funded under the grant, contract 
or agreement, including both process and outcomes evaluation, and the 
submission of an evaluation at the end of the project period.
    ``(e) Duration of Awards.--With respect to a grant, contract or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient may not 
exceed 5 years. Such grants, contracts or agreements may be renewed.
    ``(f ) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2001, and such sums as may be necessary for each of fiscal years 2002 
and 2003.''.

SEC. 3102. EMERGENCY RESPONSE.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa) is 
amended--
            (1) by redesignating subsection (m) as subsection (o);
            (2) by inserting after subsection (l) the following:

    ``(m) Emergency Response.--
            ``(1) In general.--Notwithstanding section 504 and except as 
        provided in paragraph (2), the Secretary may use not to exceed 
        2.5 percent of all amounts appropriated under this title for a 
        fiscal year to make noncompetitive grants, contracts or 
        cooperative agreements to public entities to enable such 
        entities to address emergency substance abuse or mental health 
        needs in local communities.
            ``(2) Exceptions.--Amounts appropriated under part C shall 
        not be subject to paragraph (1).
            ``(3) Emergencies.--The <<NOTE: Federal Register, 
        publication.>> Secretary shall establish criteria for 
        determining that a substance abuse or mental health emergency 
        exists and publish such criteria in the Federal Register prior 
        to providing funds under this subsection.

    ``(n) Limitation on the Use of Certain Information.--No information, 
if an establishment or person supplying the information or described in 
it is identifiable, obtained in the course of activities undertaken or 
supported under section 505 may be used for any purpose other than the 
purpose for which it was supplied unless such establishment or person 
has consented (as determined under regulations of the Secretary) to its 
use for such other purpose. Such information may not be published or 
released in other form if the person who supplied the information or who 
is described in it is identifiable unless such person has consented (as 
determined under regulations of the Secretary) to its publication or 
release in other form.''; and

[[Page 114 STAT. 1171]]

            (3) in subsection (o) (as so redesignated), by striking 
        ``1993'' and all that follows through the period and inserting 
        ``2001, and such sums as may be necessary for each of the fiscal 
        years 2002 and 2003.''.

SEC. 3103. HIGH RISK YOUTH REAUTHORIZATION.

    Section 517(h) of the Public Health Service Act (42 U.S.C. 290bb-
23(h)) is amended by striking ``$70,000,000'' and all that follows 
through ``1994'' and inserting ``such sums as may be necessary for each 
of the fiscal years 2001 through 2003''.

SEC. 3104. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN AND 
            ADOLESCENTS.

    (a) Substance Abuse Treatment Services.--Subpart 1 of part B of 
title V of the Public Health Service Act (42 U.S.C. 290bb et seq.) is 
amended by adding at the end the following:

``SEC. 514. <<NOTE: 42 USC 290bb-7.>> SUBSTANCE ABUSE TREATMENT SERVICES 
            FOR CHILDREN AND ADOLESCENTS.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
award grants, contracts, or cooperative agreements to public and private 
nonprofit entities, including Native Alaskan entities and Indian tribes 
and tribal organizations, for the purpose of providing substance abuse 
treatment services for children and adolescents.

    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants who propose to--
            ``(1) apply evidenced-based and cost effective methods for 
        the treatment of substance abuse among children and adolescents;
            ``(2) coordinate the provision of treatment services with 
        other social service agencies in the community, including 
        educational, juvenile justice, child welfare, and mental health 
        agencies;
            ``(3) provide a continuum of integrated treatment services, 
        including case management, for children and adolescents with 
        substance abuse disorders and their families;
            ``(4) provide treatment that is gender-specific and 
        culturally appropriate;
            ``(5) involve and work with families of children and 
        adolescents receiving treatment;
            ``(6) provide aftercare services for children and 
        adolescents and their families after completion of substance 
        abuse treatment; and
            ``(7) address the relationship between substance abuse and 
        violence.

    ``(c) Duration of Grants.--The Secretary shall award grants, 
contracts, or cooperative agreements under subsection (a) for periods 
not to exceed 5 fiscal years.
    ``(d) Application.--An entity desiring a grant, contract, or 
cooperative agreement under subsection (a) shall submit an application 
to the Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonably require.
    ``(e) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, contract, or cooperative agreement, a plan 
for the evaluation of any project undertaken with funds provided under 
this section. Such entity shall provide the Secretary

[[Page 114 STAT. 1172]]

with periodic evaluations of the progress of such project and such 
evaluation at the completion of such project as the Secretary determines 
to be appropriate.
    ``(f ) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $40,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 and 2003.

``SEC. 514A. <<NOTE: 42 USC 290bb-8.>> EARLY INTERVENTION SERVICES FOR 
            CHILDREN AND ADOLESCENTS.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
award grants, contracts, or cooperative agreements to public and private 
nonprofit entities, including local educational agencies (as defined in 
section 14101 of the Elementary and Secondary Education Act of 1965 (20 
U.S.C. 8801)), for the purpose of providing early intervention substance 
abuse services for children and adolescents.

    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants who demonstrate an ability to--
            ``(1) screen for and assess substance use and abuse by 
        children and adolescents;
            ``(2) make appropriate referrals for children and 
        adolescents who are in need of treatment for substance abuse;
            ``(3) provide early intervention services, including 
        counseling and ancillary services, that are designed to meet the 
        developmental needs of children and adolescents who are at risk 
        for substance abuse; and
            ``(4) develop networks with the educational, juvenile 
        justice, social services, and other agencies and organizations 
        in the State or local community involved that will work to 
        identify children and adolescents who are in need of substance 
        abuse treatment services.

    ``(c) Condition.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall ensure that such 
grants, contracts, or cooperative agreements are allocated, subject to 
the availability of qualified applicants, among the principal geographic 
regions of the United States, to Indian tribes and tribal organizations, 
and to urban and rural areas.
    ``(d) Duration of Grants.--The Secretary shall award grants, 
contracts, or cooperative agreements under subsection (a) for periods 
not to exceed 5 fiscal years.
    ``(e) Application.--An entity desiring a grant, contract, or 
cooperative agreement under subsection (a) shall submit an application 
to the Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonably require.
    ``(f ) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, contract, or cooperative agreement, a plan 
for the evaluation of any project undertaken with funds provided under 
this section. Such entity shall provide the Secretary with periodic 
evaluations of the progress of such project and such evaluation at the 
completion of such project as the Secretary determines to be 
appropriate.
    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $20,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 and 
2003.''.

[[Page 114 STAT. 1173]]

    (b) Youth Interagency Centers.--Subpart 3 of part B of title V of 
the Public Health Service Act (42 U.S.C. 290bb-31 et seq.) is amended by 
adding the following:

``SEC. 520C. <<NOTE: 42 USC 290bb-34.>> YOUTH INTERAGENCY RESEARCH, 
            TRAINING, AND TECHNICAL ASSISTANCE CENTERS.

    ``(a) Program <<NOTE: Grants. Contracts.>> Authorized.--The 
Secretary, acting through the Administrator of the Substance Abuse and 
Mental Health Services Administration, and in consultation with the 
Administrator of the Office of Juvenile Justice and Delinquency 
Prevention, the Director of the Bureau of Justice Assistance and the 
Director of the National Institutes of Health, shall award grants or 
contracts to public or nonprofit private entities to establish not more 
than four research, training, and technical assistance centers to carry 
out the activities described in subsection (c).

    ``(b) Application.--A public or private nonprofit entity desiring a 
grant or contract under subsection (a) shall prepare and submit an 
application to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require.
    ``(c) Authorized Activities.--A center established under a grant or 
contract under subsection (a) shall--
            ``(1) provide training with respect to state-of-the-art 
        mental health and justice-related services and successful mental 
        health and substance abuse-justice collaborations that focus on 
        children and adolescents, to public policymakers, law 
        enforcement administrators, public defenders, police, probation 
        officers, judges, parole officials, jail administrators and 
        mental health and substance abuse providers and administrators;
            ``(2) engage in research and evaluations concerning State 
        and local justice and mental health systems, including system 
        redesign initiatives, and disseminate information concerning the 
        results of such evaluations;
            ``(3) provide direct technical assistance, including 
        assistance provided through toll-free telephone numbers, 
        concerning issues such as how to accommodate individuals who are 
        being processed through the courts under the Americans with 
        Disabilities Act of 1990 (42 U.S.C. 12101 et seq.), what types 
        of mental health or substance abuse service approaches are 
        effective within the judicial system, and how community-based 
        mental health or substance abuse services can be more effective, 
        including relevant regional, ethnic, and gender-related 
        considerations; and
            ``(4) provide information, training, and technical 
        assistance to State and local governmental officials to enhance 
        the capacity of such officials to provide appropriate services 
        relating to mental health or substance abuse.

    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there is authorized to be appropriated $4,000,000 for 
fiscal year 2001, and such sums as may be necessary for fiscal years 
2002 and 2003.''.
    (c) Prevention of Abuse and Addiction.--Subpart 2 of part B of title 
V of the Public Health Service Act (42 U.S.C. 290bb-21 et seq.) is 
amended by adding the following:

``SEC. 519E. <<NOTE: 42 USC 290bb-25e.>> PREVENTION OF METHAMPHETAMINE 
            AND INHALANT ABUSE AND ADDICTION.

    ``(a) Grants.--The Director of the Center for Substance Abuse 
Prevention (referred to in this section as the `Director') may make

[[Page 114 STAT. 1174]]

grants to and enter into contracts and cooperative agreements with 
public and nonprofit private entities to enable such entities--
            ``(1) to carry out school-based programs concerning the 
        dangers of methamphetamine or inhalant abuse and addiction, 
        using methods that are effective and evidence-based, including 
        initiatives that give students the responsibility to create 
        their own anti-drug abuse education programs for their schools; 
        and
            ``(2) to carry out community-based methamphetamine or 
        inhalant abuse and addiction prevention programs that are 
        effective and evidence-based.

    ``(b) Use of Funds.--Amounts made available under a grant, contract 
or cooperative agreement under subsection (a) shall be used for 
planning, establishing, or administering methamphetamine or inhalant 
prevention programs in accordance with subsection (c).
    ``(c) Prevention Programs and Activities.--
            ``(1) In general.--Amounts provided under this section may 
        be used--
                    ``(A) to carry out school-based programs that are 
                focused on those districts with high or increasing rates 
                of methamphetamine or inhalant abuse and addiction and 
                targeted at populations which are most at risk to start 
                methamphetamine or inhalant abuse;
                    ``(B) to carry out community-based prevention 
                programs that are focused on those populations within 
                the community that are most at-risk for methamphetamine 
                or inhalant abuse and addiction;
                    ``(C) to assist local government entities to conduct 
                appropriate methamphetamine or inhalant prevention 
                activities;
                    ``(D) to train and educate State and local law 
                enforcement officials, prevention and education 
                officials, members of community anti-drug coalitions and 
                parents on the signs of methamphetamine or inhalant 
                abuse and addiction and the options for treatment and 
                prevention;
                    ``(E) for planning, administration, and educational 
                activities related to the prevention of methamphetamine 
                or inhalant abuse and addiction;
                    ``(F) for the monitoring and evaluation of 
                methamphetamine or inhalant prevention activities, and 
                reporting and disseminating resulting information to the 
                public; and
                    ``(G) for targeted pilot programs with evaluation 
                components to encourage innovation and experimentation 
                with new methodologies.
            ``(2) Priority.--The Director shall give priority in making 
        grants under this section to rural and urban areas that are 
        experiencing a high rate or rapid increases in methamphetamine 
        or inhalant abuse and addiction.

    ``(d) Analyses and Evaluation.--
            ``(1) In general.--Up to $500,000 of the amount available in 
        each fiscal year to carry out this section shall be made 
        available to the Director, acting in consultation with other 
        Federal agencies, to support and conduct periodic analyses and 
        evaluations of effective prevention programs for methamphetamine 
        or inhalant abuse and addiction and the development of 
        appropriate strategies for disseminating information about and 
        implementing these programs.

[[Page 114 STAT. 1175]]

            ``(2) Annual reports.--The Director shall submit to the 
        Committee on Health, Education, Labor, and Pensions and the 
        Committee on Appropriations of the Senate and the Committee on 
        Commerce and Committee on Appropriations of the House of 
        Representatives, an annual report with the results of the 
        analyses and evaluation under paragraph (1).

    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out subsection (a), $10,000,000 for fiscal year 
2001, and such sums as may be necessary for each of fiscal years 2002 
and 2003.''.

SEC. 3105. COMPREHENSIVE COMMUNITY SERVICES FOR CHILDREN WITH SERIOUS 
            EMOTIONAL DISTURBANCE.

    (a) Matching Funds.--Section 561(c)(1)(D) of the Public Health 
Service Act (42 U.S.C. 290ff(c)(1)(D)) is amended by striking ``fifth'' 
and inserting ``fifth and sixth''.
    (b) Flexibility for Indian Tribes and Territories.--Section 562 of 
the Public Health Service Act (42 U.S.C. 290ff-1) is amended by adding 
at the end the following:
    ``(g) Waivers.--The Secretary may waive one or more of the 
requirements of subsection (c) for a public entity that is an Indian 
Tribe or tribal organization, or American Samoa, Guam, the Marshall 
Islands, the Federated States of Micronesia, the Commonwealth of the 
Northern Mariana Islands, the Republic of Palau, or the United States 
Virgin Islands if the Secretary determines, after peer review, that the 
system of care is family-centered and uses the least restrictive 
environment that is clinically appropriate.''.
    (c) Duration of Grants.--Section 565(a) of the Public Health Service 
Act (42 U.S.C. 290ff-4(a)) is amended by striking ``5 fiscal'' and 
inserting ``6 fiscal''.
    (d) Authorization of Appropriations.--Section 565(f )(1) of the 
Public Health Service Act (42 U.S.C. 290ff-4(f )(1)) is amended by 
striking ``1993'' and all that follows and inserting ``2001, and such 
sums as may be necessary for each of the fiscal years 2002 and 2003.''.
    (e) Current <<NOTE: 42 USC 290ff note.>> Grantees.--
            (1) In general.--Entities with active grants under section 
        561 of the Public Health Service Act (42 U.S.C. 290ff) on the 
        date of the enactment of this Act shall be eligible to receive a 
        sixth year of funding under the grant in an amount not to exceed 
        the amount that such grantee received in the fifth year of 
        funding under such grant. Such sixth year may be funded without 
        requiring peer and Advisory Council review as required under 
        section 504 of such Act (42 U.S.C. 290aa-3).
            (2) Limitation.--Paragraph (1) shall apply with respect to a 
        grantee only if the grantee agrees to comply with the provisions 
        of section 561 as amended by subsection (a).

SEC. 3106. SERVICES FOR CHILDREN OF SUBSTANCE ABUSERS.

    (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 
                inserting ``Administrator of the Substance Abuse and 
                Mental Health Services Administration''; and

[[Page 114 STAT. 1176]]

                    (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.''.

[[Page 114 STAT. 1177]]

    (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, pharmacotherapy 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,

[[Page 114 STAT. 1178]]

                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 2001, and such sums as may be necessary for each of 
fiscal years 2002 and 2003.''.
    (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:

[[Page 114 STAT. 1179]]

    ``(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)''.

    (m) Transfer and Redesignation.--Section 399D of the Public Health 
Service Act (42 U.S.C. 280d), as amended by this section--
            (1) is transferred to title V;
            (2) <<NOTE: 42 USC 290bb-25.>> is redesignated as section 
        519; and
            (3) is inserted after section 518.

    (n) Conforming Amendment.--Title III of the Public Health Service 
Act (42 U.S.C. 241 et seq.) is amended by striking the heading of part 
L.

SEC. 3107. SERVICES FOR YOUTH OFFENDERS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3104(b), is further 
amended by adding at the end the following:

``SEC. 520D. <<NOTE: 42 USC 290bb-35.>> SERVICES FOR YOUTH OFFENDERS.

    ``(a) In General.--The Secretary, acting through the Director of the 
Center for Mental Health Services, and in consultation with the Director 
of the Center for Substance Abuse Treatment, the Administrator of the 
Office of Juvenile Justice and Delinquency Prevention, and the Director 
of the Special Education Programs, shall award grants on a competitive 
basis to State or local juvenile justice agencies to enable such 
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 
such disturbances.
    ``(b) Use of Funds.--A State or local juvenile justice agency 
receiving a grant under subsection (a) shall use the amounts provided 
under the grant--
            ``(1) to develop a plan describing the manner in which the 
        agency will provide services for each youth offender who has a 
        serious emotional disturbance and has been detained or 
        incarcerated in facilities within the juvenile or criminal 
        justice system;
            ``(2) to provide a network of core or aftercare services or 
        access to such services for each youth offender, including 
        diagnostic and evaluation services, substance abuse treatment 
        services, outpatient mental health care services, medication 
        management services, intensive home-based therapy, intensive day 
        treatment services, respite care, and therapeutic foster care;

[[Page 114 STAT. 1180]]

            ``(3) to establish a program that coordinates with other 
        State and local agencies providing recreational, social, 
        educational, vocational, or operational services for youth, to 
        enable the agency receiving a grant under this section to 
        provide community-based system of care services for each youth 
        offender that addresses the special needs of the youth and helps 
        the youth access all of the aforementioned services; and
            ``(4) using not more than 20 percent of funds received, to 
        provide planning and transition services as described in 
        paragraph (3) for youth offenders while such youth are 
        incarcerated or detained.

    ``(c) Application.--A State or local juvenile justice agency that 
desires a grant under subsection (a) shall submit an application to the 
Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonably require.
    ``(d) Report.--Not <<NOTE: Deadline.>> later than 3 years after the 
date of the enactment of this section and annually thereafter, the 
Secretary shall prepare and submit, to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Commerce of the House of Representatives, a report that describes the 
services provided pursuant to this section.

    ``(e) Definitions.--In this section:
            ``(1) Serious emotional disturbance.--The term `serious 
        emotional disturbance' with respect to a youth offender means an 
        offender who currently, or at any time within the 1-year period 
        ending on the day on which services are sought under this 
        section, has a diagnosable mental, behavioral, or emotional 
        disorder that functionally impairs the offender's life by 
        substantially limiting the offender's role in family, school, or 
        community activities, and interfering with the offender's 
        ability to achieve or maintain one or more developmentally-
        appropriate social, behavior, cognitive, communicative, or 
        adaptive skills.
            ``(2) Community-based system of care.--The term `community-
        based system of care' means the provision of services for the 
        youth offender by various State or local agencies that in an 
        interagency fashion or operating as a network addresses the 
        recreational, social, educational, vocational, mental health, 
        substance abuse, and operational needs of the youth offender.
            ``(3) Youth offender.--The term `youth offender' means an 
        individual who is 21 years of age or younger who has been 
        discharged from a State or local juvenile or criminal justice 
        system, except that if the individual is between the ages of 18 
        and 21 years, such individual has had contact with the State or 
        local juvenile or criminal justice system prior to attaining 18 
        years of age and is under the jurisdiction of such a system at 
        the time services are sought.

    ``(f ) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $40,000,000 for fiscal year 2001, 
and such sums as may be necessary for each of fiscal years 2002 and 
2003.''.

SEC. 3108. GRANTS FOR STRENGTHENING FAMILIES THROUGH COMMUNITY 
            PARTNERSHIPS.

    Subpart 2 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-21 et seq.) is amended by adding at the end the following:

[[Page 114 STAT. 1181]]

``SEC. 519A. <<NOTE: 42 USC 290bb-25a.>> GRANTS FOR STRENGTHENING 
            FAMILIES.

    ``(a) Program Authorized.--The Secretary, acting through the 
Director of the Prevention Center, may 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 the 
communities in which such individuals reside.
    ``(b) Priority.--In awarding grants under subsection (a), the 
Secretary shall give priority to applicants that--
            ``(1) have proven experience in preventing substance abuse 
        by individuals of high-risk families and reducing substance 
        abuse in communities of such individuals;
            ``(2) have demonstrated the capacity to implement community-
        based partnership initiatives that are sensitive to the diverse 
        backgrounds of individuals of high-risk families and the 
        communities of such individuals;
            ``(3) have experience in providing technical assistance to 
        support substance abuse prevention programs that are community-
        based;
            ``(4) have demonstrated the capacity to implement research-
        based substance abuse prevention strategies; and
            ``(5) have implemented programs that involve families, 
        residents, community agencies, and institutions in the 
        implementation and design of such programs.

    ``(c) Duration of Grants.--The Secretary shall award grants under 
subsection (a) for a period not to exceed 5 years.
    ``(d) Use of Funds.--An applicant that is awarded a grant under 
subsection (a) shall--
            ``(1) in the first fiscal year that such funds are received 
        under the grant, use such funds to develop a model substance 
        abuse prevention program; and
            ``(2) in the fiscal year following the first fiscal year 
        that such funds are received, use such funds to implement the 
        program developed under paragraph (1) to provide early 
        intervention and substance abuse prevention services to--
                    ``(A) strengthen the environment of children of high 
                risk families by targeting interventions at the families 
                of such children and the communities in which such 
                children reside;
                    ``(B) strengthen protective factors, such as--
                          ``(i) positive adult role models;
                          ``(ii) messages that oppose substance abuse;
                          ``(iii) community actions designed to reduce 
                      accessibility to and use of illegal substances; 
                      and
                          ``(iv) willingness of individuals of families 
                      in which substance abuse occurs to seek treatment 
                      for substance abuse;
                    ``(C) reduce family and community risks, such as 
                family violence, alcohol or drug abuse, crime, and other 
                behaviors that may effect healthy child development and 
                increase the likelihood of substance abuse; and
                    ``(D) build collaborative and formal partnerships 
                between community agencies, institutions, and businesses 
                to ensure that comprehensive high quality services are 
                provided, such as early childhood education, health 
                care, family support programs, parent education 
                programs, and home visits for infants.

[[Page 114 STAT. 1182]]

    ``(e) Application.--To be eligible to receive a grant under 
subsection (a), an applicant shall prepare and submit to the Secretary 
an application that--
            ``(1) describes a model substance abuse prevention program 
        that such applicant will establish;
            ``(2) describes the manner in which the services described 
        in subsection (d)(2) will be provided; and
            ``(3) describe in as much detail as possible the results 
        that the entity expects to achieve in implementing such a 
        program.

    ``(f ) Matching Funding.--The Secretary may not make a grant to a 
entity under subsection (a) unless that entity agrees that, with respect 
to the costs to be incurred by the entity in carrying out the program 
for which the grant was awarded, the entity will make available non-
Federal contributions in an amount that is not less than 40 percent of 
the amount provided under the grant.
    ``(g) Report to Secretary.--An applicant that is awarded a grant 
under subsection (a) shall prepare and submit to the Secretary a report 
in such form and containing such information as the Secretary may 
require, including an assessment of the efficacy of the model substance 
abuse prevention program implemented by the applicant and the short, 
intermediate, and long term results of such program.
    ``(h) Evaluations.--The Secretary shall conduct evaluations, based 
in part on the reports submitted under subsection (g), to determine the 
effectiveness of the programs funded under subsection (a) in reducing 
substance use in high-risk families and in making communities in which 
such families reside in stronger. The Secretary shall submit such 
evaluations to the appropriate committees of Congress.
    ``(i) High-Risk Families.--In this section, the term `high-risk 
family' means a family in which the individuals of such family are at a 
significant risk of using or abusing alcohol or any illegal substance.
    ``( j) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $3,000,000 for fiscal year 2001, 
and such sums as may be necessary for each of the fiscal years 2002 and 
2003.''.

SEC. 3109. PROGRAMS TO REDUCE UNDERAGE DRINKING.

    Subpart 2 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-21 et seq.), as amended by section 3108, is further amended 
by adding at the end the following:

``SEC. 519B. <<NOTE: 42 USC 290bb-25b.>> PROGRAMS TO REDUCE UNDERAGE 
            DRINKING.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
make awards of grants, cooperative agreements, or contracts to public 
and nonprofit private entities, including Indian tribes and tribal 
organizations, to enable such entities to develop plans for and to carry 
out school-based (including institutions of higher education) and 
community-based programs for the prevention of alcoholic-beverage 
consumption by individuals who have not attained the legal drinking age.

    ``(b) Eligibility Requirements.--To be eligible to receive an award 
under subsection (a), an entity shall provide any assurances to the 
Secretary which the Secretary may require, including that the entity 
will--

[[Page 114 STAT. 1183]]

            ``(1) annually report to the Secretary on the effectiveness 
        of the prevention approaches implemented by the entity;
            ``(2) use science based and age appropriate approaches; and
            ``(3) involve local public health officials and community 
        prevention program staff in the planning and implementation of 
        the program.

    ``(c) Evaluation.--The Secretary shall evaluate each project under 
subsection (a) and shall disseminate the findings with respect to each 
such evaluation to appropriate public and private entities.
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
awards will be distributed equitably among the regions of the country 
and among urban and rural areas.
    ``(e) Duration of Award.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 5 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(f ) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $25,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 3110. SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYNDROME.

    Subpart 2 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-21 et seq.), as amended by sections 3108 and 3109, is 
further amended by adding at the end the following:

``SEC. 519C. <<NOTE: 42 USC 290bb-25c.>> SERVICES FOR INDIVIDUALS WITH 
            FETAL ALCOHOL SYNDROME.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
make awards of grants, cooperative agreements, or contracts to public 
and nonprofit private entities, including Indian tribes and tribal 
organizations, to provide services to individuals diagnosed with fetal 
alcohol syndrome or alcohol-related birth defects.

    ``(b) Use of Funds.--An award under subsection (a) may, subject to 
subsection (d), be used to--
            ``(1) screen and test individuals to determine the type and 
        level of services needed;
            ``(2) develop a comprehensive plan for providing services to 
        the individual;
            ``(3) provide mental health counseling;
            ``(4) provide substance abuse prevention services and 
        treatment, if needed;
            ``(5) coordinate services with other social programs 
        including social services, justice system, educational services, 
        health services, mental health and substance abuse services, 
        financial assistance programs, vocational services and housing 
        assistance programs;
            ``(6) provide vocational services;
            ``(7) provide health counseling;
            ``(8) provide housing assistance;
            ``(9) parenting skills training;
            ``(10) overall case management;
            ``(11) supportive services for families of individuals with 
        Fetal Alcohol Syndrome; and

[[Page 114 STAT. 1184]]

            ``(12) provide other services and programs, to the extent 
        authorized by the Secretary after consideration of 
        recommendations made by the National Task Force on Fetal Alcohol 
        Syndrome.

    ``(c) Requirements.--To be eligible to receive an award under 
subsection (a), an applicant shall--
            ``(1) demonstrate that the program will be part of a 
        coordinated, comprehensive system of care for such individuals;
            ``(2) demonstrate an established communication with other 
        social programs in the community including social services, 
        justice system, financial assistance programs, health services, 
        educational services, mental health and substance abuse 
        services, vocational services and housing assistance services;
            ``(3) show a history of working with individuals with fetal 
        alcohol syndrome or alcohol-related birth defects;
            ``(4) provide assurance that the services will be provided 
        in a culturally and linguistically appropriate manner; and
            ``(5) provide assurance that at the end of the 5-year award 
        period, other mechanisms will be identified to meet the needs of 
        the individuals and families served under such award.

    ``(d) Relationship to Payments Under Other Programs.--An award may 
be made under subsection (a) only if the applicant involved agrees that 
the award will not be expended to pay the expenses of providing any 
service under this section to an individual to the extent that payment 
has been made, or can reasonably be expected to be made, with respect to 
such expenses--
            ``(1) under any State compensation program, under an 
        insurance policy, or under any Federal or State health benefits 
        program; or
            ``(2) by an entity that provides health services on a 
        prepaid basis.

    ``(e) Duration of Awards.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 5 years.
    ``(f ) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (a) and shall disseminate the findings with 
respect to each such evaluation to appropriate public and private 
entities.
    ``(g) Funding.--
            ``(1) Authorization of appropriations.--For the purpose of 
        carrying out this section, there are authorized to be 
        appropriated $25,000,000 for fiscal year 2001, and such sums as 
        may be necessary for each of the fiscal years 2002 and 2003.
            ``(2) Allocation.--Of the amounts appropriated under 
        paragraph (1) for a fiscal year, not less than $300,000 shall, 
        for purposes relating to fetal alcohol syndrome and alcohol-
        related birth defects, be made available for collaborative, 
        coordinated interagency efforts with the National Institute on 
        Alcohol Abuse and Alcoholism, the National Institute on Child 
        Health and Human Development, the Health Resources and Services 
        Administration, the Agency for Healthcare Research and Quality, 
        the Centers for Disease Control and Prevention, the Department 
        of Education, and the Department of Justice.

[[Page 114 STAT. 1185]]

``SEC. 519D. <<NOTE: 42 USC 290bb-25d.>> CENTERS OF EXCELLENCE ON 
            SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYNDROME AND 
            ALCOHOL-RELATED BIRTH DEFECTS AND TREATMENT FOR INDIVIDUALS 
            WITH SUCH CONDITIONS AND THEIR FAMILIES.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
make awards of grants, cooperative agreements, or contracts to public or 
nonprofit private entities for the purposes of establishing not more 
than four centers of excellence to study techniques for the prevention 
of fetal alcohol syndrome and alcohol-related birth defects and 
adaptations of innovative clinical interventions and service delivery 
improvements for the provision of comprehensive services to individuals 
with fetal alcohol syndrome or alcohol-related birth defects and their 
families and for providing training on such conditions.

    ``(b) Use of Funds.--An award under subsection (a) may be used to--
            ``(1) study adaptations of innovative clinical interventions 
        and service delivery improvements strategies for children and 
        adults with fetal alcohol syndrome or alcohol-related birth 
        defects and their families;
            ``(2) identify communities which have an exemplary 
        comprehensive system of care for such individuals so that they 
        can provide technical assistance to other communities attempting 
        to set up such a system of care;
            ``(3) provide technical assistance to communities who do not 
        have a comprehensive system of care for such individuals and 
        their families;
            ``(4) train community leaders, mental health and substance 
        abuse professionals, families, law enforcement personnel, 
        judges, health professionals, persons working in financial 
        assistance programs, social service personnel, child welfare 
        professionals, and other service providers on the implications 
        of fetal alcohol syndrome and alcohol-related birth defects, the 
        early identification of and referral for such conditions;
            ``(5) develop innovative techniques for preventing alcohol 
        use by women in child bearing years;
            ``(6) perform other functions, to the extent authorized by 
        the Secretary after consideration of recommendations made by the 
        National Task Force on Fetal Alcohol Syndrome.

    ``(c) Report.--
            ``(1) In general.--A recipient of an award under subsection 
        (a) shall at the end of the period of funding report to the 
        Secretary on any innovative techniques that have been discovered 
        for preventing alcohol use among women of child bearing years.
            ``(2) Dissemination of findings.--The Secretary shall upon 
        receiving a report under paragraph (1) disseminate the findings 
        to appropriate public and private entities.

    ``(d) Duration of Awards.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 5 years.
    ``(e) Evaluation.--The Secretary shall evaluate each project carried 
out under subsection (a) and shall disseminate the findings with respect 
to each such evaluation to appropriate public and private entities.
    ``(f ) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated

[[Page 114 STAT. 1186]]

$5,000,000 for fiscal year 2001, and such sums as may be necessary for 
each of the fiscal years 2002 and 2003.''.

SEC. 3111. SUICIDE PREVENTION.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3107, is further amended 
by adding at the end the following:

``SEC. 520E. <<NOTE: 42 USC 290bb-36.>> SUICIDE PREVENTION FOR CHILDREN 
            AND ADOLESCENTS.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
award grants, contracts, or cooperative agreements to States, political 
subdivisions of States, Indian tribes, tribal organizations, public 
organizations, or private nonprofit organizations to establish programs 
to reduce suicide deaths in the United States among children and 
adolescents.

    ``(b) Collaboration.--In carrying out subsection (a), the Secretary 
shall ensure that activities under this section are coordinated among 
the Substance Abuse and Mental Health Services Administration, the 
relevant institutes at the National Institutes of Health, the Centers 
for Disease Control and Prevention, the Health Resources and Services 
Administration, and the Administration on Children and Families.
    ``(c) Requirements.--A State, political subdivision of a State, 
Indian tribe, tribal organization, public organization, or private 
nonprofit organization desiring a grant, contract, or cooperative 
agreement under this section shall demonstrate that the suicide 
prevention program such entity proposes will--
            ``(1) provide for the timely assessment, treatment, or 
        referral for mental health or substance abuse services of 
        children and adolescents at risk for suicide;
            ``(2) be based on best evidence-based, suicide prevention 
        practices and strategies that are adapted to the local 
        community;
            ``(3) integrate its suicide prevention program into the 
        existing health care system in the community including primary 
        health care, mental health services, and substance abuse 
        services;
            ``(4) be integrated into other systems in the community that 
        address the needs of children and adolescents including the 
        educational system, juvenile justice system, welfare and child 
        protection systems, and community youth support organizations;
            ``(5) use primary prevention methods to educate and raise 
        awareness in the local community by disseminating evidence-based 
        information about suicide prevention;
            ``(6) include suicide prevention, mental health, and related 
        information and services for the families and friends of those 
        who completed suicide, as needed;
            ``(7) provide linguistically appropriate and culturally 
        competent services, as needed;
            ``(8) provide a plan for the evaluation of outcomes and 
        activities at the local level, according to standards 
        established by the Secretary, and agree to participate in a 
        national evaluation; and
            ``(9) ensure that staff used in the program are trained in 
        suicide prevention and that professionals involved in the system 
        of care have received training in identifying persons at risk of 
        suicide.

[[Page 114 STAT. 1187]]

    ``(d) Use of Funds.--Amounts provided under grants, contracts, or 
cooperative agreements under subsection (a) shall be used to supplement 
and not supplant other Federal, State, and local public funds that are 
expended to provide services for eligible individuals.
    ``(e) Condition.--An applicant for a grant, contract, or cooperative 
agreement under subsection (a) shall demonstrate to the Secretary that 
the applicant has the support of the local community and relevant public 
health officials.
    ``(f ) Special Populations.--In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Secretary shall ensure 
that such awards are made in a manner that will focus on the needs of 
communities or groups that experience high or rapidly rising rates of 
suicide.
    ``(g) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, public organization, or private 
nonprofit organization receiving a grant, contract, or cooperative 
agreement under subsection (a) shall prepare and submit an application 
to the Secretary at such time, in such manner, and containing such 
information as the Secretary may reasonably require. Such application 
shall include a plan for the rigorous evaluation of activities funded 
under the grant, contract, or cooperative agreement, including a process 
and outcome evaluation.
    ``(h) Distribution of Awards.--In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Secretary shall ensure 
that such awards are distributed among the geographical regions of the 
United States and between urban and rural settings.
    ``(i) Evaluation.--A State, political subdivision of a State, Indian 
tribe, tribal organization, public organization, or private nonprofit 
organization receiving a grant, contract, or cooperative agreement under 
subsection (a) shall prepare and submit to the Secretary at the end of 
the program period, an evaluation of all activities funded under this 
section.
    ``( j) Dissemination and Education.--The Secretary shall ensure that 
findings derived from activities carried out under this section are 
disseminated to State, county and local governmental agencies and public 
and private nonprofit organizations active in promoting suicide 
prevention and family support activities.
    ``(k) Duration of Projects.--With respect to a grant, contract, or 
cooperative agreement awarded under this section, the period during 
which payments under such award may be made to the recipient may not 
exceed 5 years.
    ``(l) Study.--Within <<NOTE: Deadline.>> 1 year after the date of 
the enactment of this section, the Secretary shall, directly or by grant 
or contract, initiate a study to assemble and analyze data to identify--
            ``(1) unique profiles of children under 13 who attempt or 
        complete suicide;
            ``(2) unique profiles of youths between ages 13 and 21 who 
        attempt or complete suicide; and
            ``(3) a profile of services which might have been available 
        to these groups and the use of these services by children and 
        youths from paragraphs (1) and (2).

    ``(m) Authorization of Appropriation.--
            ``(1) In general.--For purposes of carrying out this 
        section, there is authorized to be appropriated $75,000,000 for 
        fiscal year 2001 and such sums as may be necessary for each of 
        the fiscal years 2002 through 2003.

[[Page 114 STAT. 1188]]

            ``(2) Program management.--In carrying out this section, the 
        Secretary shall use 1 percent of the amount appropriated under 
        paragraph (1) for each fiscal year for managing programs under 
        this section.''.

SEC. 3112. GENERAL PROVISIONS.

    (a) Duties of the Center for Substance Abuse Treatment.--Section 
507(b) of the Public Health Service Act (42 U.S.C. 290bb(b)) is 
amended--
            (1) by redesignating paragraphs (2) through (12) as 
        paragraphs (4) through (14), respectively;
            (2) by inserting after paragraph (1), the following:
            ``(2) ensure that emphasis is placed on children and 
        adolescents in the development of treatment programs;
            ``(3) 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;'';
            (3) in paragraph (7) (as so redesignated), by striking 
        ``services, and monitor'' and all that follows through ``1925'' 
        and inserting ``services'';
            (4) in paragraph (13) (as so redesignated), by striking 
        ``treatment, including'' and all that follows through ``which 
        shall'' and inserting ``treatment, which shall''; and
            (5) in paragraph 14 (as so redesignated), by striking 
        ``paragraph (11)'' and inserting ``paragraph (13)''.

    (b) Office for Substance Abuse Prevention.--Section 515(b) of the 
Public Health Service Act (42 U.S.C. 290bb-21(b)) is amended--
            (1) by redesignating paragraphs (9) and (10) as (10) and 
        (11);
            (2) by inserting after paragraph (8), the following:
            ``(9) collaborate with the Attorney General of the 
        Department of Justice to develop programs to prevent drug abuse 
        among high risk youth;''; and
            (3) in paragraph (10) (as so redesignated), by striking 
        ``public concerning'' and inserting ``public, especially 
        adolescent audiences, concerning''.

    (c) Duties of the Center for Mental Health Services.--Section 520(b) 
of the Public Health Service Act <<NOTE: 42 USC 290bb-31.>> (42 U.S.C. 
290bb-3(b)) is amended--
            (1) by redesignating paragraphs (3) through (14) as 
        paragraphs (4) through (15), respectively;
            (2) by inserting after paragraph (2), the following:
            ``(3) collaborate with the Department of Education and the 
        Department of Justice to develop programs to assist local 
        communities in addressing violence among children and 
        adolescents;'';
            (3) in paragraph (8) (as so redesignated), by striking 
        ``programs authorized'' and all that follows through 
        ``Programs'' and inserting ``programs under part C''; and
            (4) in paragraph (9) (as so redesignated), by striking 
        ``program and programs'' and all that follows through ``303'' 
        and inserting ``programs''.

[[Page 114 STAT. 1189]]

            TITLE XXXII--PROVISIONS RELATING TO MENTAL HEALTH

SEC. 3201. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
            SIGNIFICANCE.

    (a) In General.--Section 520A of the Public Health Service Act (42 
U.S.C. 290bb-32) is amended to read as follows:

``SEC. 520A. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
            SIGNIFICANCE.

    ``(a) Projects.--The Secretary shall address priority mental health 
needs of regional and national significance (as determined under 
subsection (b)) through the provision of or through assistance for--
            ``(1) knowledge development and application projects for 
        prevention, treatment, and rehabilitation, and the conduct or 
        support of evaluations of such projects;
            ``(2) training and technical assistance programs;
            ``(3) targeted capacity response programs; and
            ``(4) systems change grants including statewide family 
        network grants and client-oriented and consumer run self-help 
        activities.

The <<NOTE: Grants. Contracts.>> Secretary may carry out the activities 
described in this subsection directly or through grants or cooperative 
agreements with States, political subdivisions of States, Indian tribes 
and tribal organizations, other public or private nonprofit entities.

    ``(b) Priority Mental Health Needs.--
            ``(1) Determination of needs.--Priority mental health needs 
        of regional and national significance shall be determined by the 
        Secretary in consultation with States and other interested 
        groups. The Secretary shall meet with the States and interested 
        groups on an annual basis to discuss program priorities.
            ``(2) Special consideration.--In developing program 
        priorities described in paragraph (1), the Secretary shall give 
        special consideration to promoting the integration of mental 
        health services into primary health care systems.

    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, and 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, contract, 
        or cooperative agreement awarded under this section, the period 
        during which payments under such award are made to the recipient 
        may not exceed 5 years.
            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        this section provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the grant, 
        contract, or cooperative agreement. Such non-Federal matching 
        funds may be provided directly or through donations from public 
        or private entities and may be in cash or in kind, fairly 
        evaluated, including plant, equipment, or services.

[[Page 114 STAT. 1190]]

            ``(4) Maintenance of effort.--With respect to activities for 
        which a grant, contract or cooperative agreement is awarded 
        under this section, the Secretary may require that recipients 
        for specific projects under subsection (a) agree to maintain 
        expenditures of non-Federal amounts for such activities at a 
        level that is not less than the level of such expenditures 
        maintained by the entity for the fiscal year preceding the 
        fiscal year for which the entity receives such a grant, 
        contract, or cooperative agreement.

    ``(d) Evaluation.--The Secretary shall evaluate each project carried 
out under subsection (a)(1) and shall disseminate the findings with 
respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--
            ``(1) In general.--The Secretary shall establish information 
        and education programs to disseminate and apply the findings of 
        the knowledge development and application, training, and 
        technical assistance programs, and targeted capacity response 
        programs, under this section to the general public, to health 
        care professionals, and to interested groups. The Secretary 
        shall make every effort to provide linkages between the findings 
        of supported projects and State agencies responsible for 
        carrying out mental health services.
            ``(2) Rural and underserved areas.--In disseminating 
        information on evidence-based practices in the provision of 
        children's mental health services under this subsection, the 
        Secretary shall ensure that such information is distributed to 
        rural and medically underserved areas.

    ``(f ) Authorization of Appropriation.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this section, $300,000,000 for fiscal year 2001, 
        and such sums as may be necessary for each of the fiscal years 
        2002 and 2003.
            ``(2) Data infrastructure.--If amounts are not appropriated 
        for a fiscal year to carry out section 1971 with respect to 
        mental health, then the Secretary shall make available, from the 
        amounts appropriated for such fiscal year under paragraph (1), 
        an amount equal to the sum of $6,000,000 and 10 percent of all 
        amounts appropriated for such fiscal year under such paragraph 
        in excess of $100,000,000, to carry out such section 1971.''.

    (b) Conforming Amendments.--
            (1) Section 303 of the Public Health Service Act (42 U.S.C. 
        242a) is repealed.
            (2) Section 520B of the Public Health Service Act (42 U.S.C. 
        290bb-33) is repealed.
            (3) Section 612 of the Stewart B. McKinney Homeless 
        Assistance Act <<NOTE: 42 USC 290bb-32 note.>> (42 U.S.C. 290aa-
        3 note) is repealed.

SEC. 3202. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    Section 506 of the Public Health Service Act (42 U.S.C. 290aa-5) is 
amended to read as follows:

``SEC. 506. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    ``(a) In General.--The Secretary shall award grants, contracts and 
cooperative agreements to community-based public and private nonprofit 
entities for the purposes of providing mental health and substance abuse 
services for homeless individuals. In carrying out

[[Page 114 STAT. 1191]]

this section, the Secretary shall consult with the Interagency Council 
on the Homeless, established under section 201 of the Stewart B. 
McKinney Homeless Assistance Act (42 U.S.C. 11311).
    ``(b) Preferences.--In awarding grants, contracts, and cooperative 
agreements under subsection (a), the Secretary shall give a preference 
to--
            ``(1) entities that provide integrated primary health, 
        substance abuse, and mental health services to homeless 
        individuals;
            ``(2) entities that demonstrate effectiveness in serving 
        runaway, homeless, and street youth;
            ``(3) entities that have experience in providing substance 
        abuse and mental health services to homeless individuals;
            ``(4) entities that demonstrate experience in providing 
        housing for individuals in treatment for or in recovery from 
        mental illness or substance abuse; and
            ``(5) entities that demonstrate effectiveness in serving 
        homeless veterans.

    ``(c) Services for Certain Individuals.--In awarding grants, 
contracts, and cooperative agreements under subsection (a), the 
Secretary shall not--
            ``(1) prohibit the provision of services under such 
        subsection to homeless individuals who are suffering from a 
        substance abuse disorder and are not suffering from a mental 
        health disorder; and
            ``(2) make payments under subsection (a) to any entity that 
        has a policy of--
                    ``(A) excluding individuals from mental health 
                services due to the existence or suspicion of substance 
                abuse; or
                    ``(B) has a policy of excluding individuals from 
                substance abuse services due to the existence or 
                suspicion of mental illness.

    ``(d) Term of the Awards.--No entity may receive a grant, contract, 
or cooperative agreement under subsection (a) for more than 5 years.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2001, and such sums as may be necessary for each of the fiscal years 
2002 and 2003.''.

SEC. 3203. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    (a) Waivers for Territories.--Section 522 of the Public Health 
Service Act (42 U.S.C. 290cc-22) is amended by adding at the end the 
following:
    ``(i) Waiver for Territories.--With respect to the United States 
Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and 
the Commonwealth of the Northern Mariana Islands, the Secretary may 
waive the provisions of this part that the Secretary determines to be 
appropriate.''.
    (b) Authorization of Appropriation.--Section 535(a) of the Public 
Health Service Act (42 U.S.C. 290cc-35(a)) is amended by striking ``1991 
through 1994'' and inserting ``2001 through 2003''.

[[Page 114 STAT. 1192]]

SEC. 3204. COMMUNITY MENTAL HEALTH SERVICES PERFORMANCE PARTNERSHIP 
            BLOCK GRANT.

    (a) Criteria for Plan.--Section 1912(b) of the Public Health Service 
Act <<NOTE: 42 USC 300x-1.>> (42 U.S.C. 300x-2(b)) is amended by 
striking paragraphs (1) through (12) and inserting the following:
            ``(1) Comprehensive community-based mental health systems.--
        The plan provides for an organized community-based system of 
        care for individuals with mental illness and describes available 
        services and resources in a comprehensive system of care, 
        including services for dually diagnosed individuals. The 
        description of the system of care shall include health and 
        mental health services, rehabilitation services, employment 
        services, housing services, educational services, substance 
        abuse services, medical and dental care, and other support 
        services to be provided to individuals with Federal, State and 
        local public and private resources to enable such individuals to 
        function outside of inpatient or residential institutions to the 
        maximum extent of their capabilities, including services to be 
        provided by local school systems under the Individuals with 
        Disabilities Education Act. The plan shall include a separate 
        description of case management services and provide for 
        activities leading to reduction of hospitalization.
            ``(2) Mental health system data and epidemiology.--The plan 
        contains an estimate of the incidence and prevalence in the 
        State of serious mental illness among adults and serious 
        emotional disturbance among children and presents quantitative 
        targets to be achieved in the implementation of the system 
        described in paragraph (1).
            ``(3) Children's services.--In the case of children with 
        serious emotional disturbance, the plan--
                    ``(A) subject to subparagraph (B), provides for a 
                system of integrated social services, educational 
                services, juvenile services, and substance abuse 
                services that, together with health and mental health 
                services, will be provided in order for such children to 
                receive care appropriate for their multiple needs (such 
                system to include services provided under the 
                Individuals with Disabilities Education Act);
                    ``(B) provides that the grant under section 1911 for 
                the fiscal year involved will not be expended to provide 
                any service under such system other than comprehensive 
                community mental health services; and
                    ``(C) provides for the establishment of a defined 
                geographic area for the provision of the services of 
                such system.
            ``(4) Targeted services to rural and homeless populations.--
        The plan describes the State's outreach to and services for 
        individuals who are homeless and how community-based services 
        will be provided to individuals residing in rural areas.
            ``(5) Management systems.--The plan describes the financial 
        resources, staffing and training for mental health providers 
        that is necessary to implement the plan, and provides for the 
        training of providers of emergency health services regarding 
        mental health. The plan further describes the manner in which 
        the State intends to expend the grant under section 1911 for the 
        fiscal year involved.

[[Page 114 STAT. 1193]]

Except as provided for in paragraph (3), the State plan shall contain 
the information required under this subsection with respect to both 
adults with serious mental illness and children with serious emotional 
disturbance.''.
    (b) Review of Planning Council of State's Report.--Section 1915(a) 
of the Public Health Service Act (42 U.S.C. 300x-4(a)) is amended--
            (1) in paragraph (1), by inserting ``and the report of the 
        State under section 1942(a) concerning the preceding fiscal 
        year'' after ``to the grant''; and
            (2) in paragraph (2), by inserting before the period ``and 
        any comments concerning the annual report''.

    (c) Maintenance of Effort.--Section 1915(b) of the Public Health 
Service Act (42 U.S.C. 300x-4(b)) is amended--
            (1) by redesignating paragraphs (2) and (3) as paragraphs 
        (3) and (4), respectively; and
            (2) by inserting after paragraph (1), the following:
            ``(2) Exclusion of certain funds.--The Secretary may exclude 
        from the aggregate State expenditures under subsection (a), 
        funds appropriated to the principle agency for authorized 
        activities which are of a non-recurring nature and for a 
        specific purpose.''.

    (d) Application for Grants.--Section 1917(a)(1) of the Public Health 
Service Act (42 U.S.C. 300x-6(a)(1)) is amended to read as follows:
            ``(1) the plan is received by the Secretary not later than 
        September 1 of the fiscal year prior to the fiscal year for 
        which a State is seeking funds, and the report from the previous 
        fiscal year as required under section 1941 is received by 
        December 1 of the fiscal year of the grant;''.

    (e) Waivers for Territories.--Section 1917(b) of the Public Health 
Service Act (42 U.S.C. 300x-6(b)) is amended by striking ``whose 
allotment under section 1911 for the fiscal year is the amount specified 
in section 1918(c)(2)(B)'' and inserting in its place ``except Puerto 
Rico''.
    (f ) Authorization of Appropriation.--Section 1920 of the Public 
Health Service Act (42 U.S.C. 300x-9) is amended--
            (1) in subsection (a), by striking ``$450,000,000'' and all 
        that follows through the end and inserting ``$450,000,000 for 
        fiscal year 2001, and such sums as may be necessary for each of 
        the fiscal years 2002 and 2003.''; and
            (2) in subsection (b)(2), by striking ``section 505'' and 
        inserting ``sections 505 and 1971''.

SEC. 3205. DETERMINATION OF ALLOTMENT.

    Section 1918(b) of the Public Health Service Act (42 U.S.C. 300x-
7(b)) is amended to read as follows:
    ``(b) Minimum Allotments for States.--With respect to fiscal year 
2000, and subsequent fiscal years, the amount of the allotment of a 
State under section 1911 shall not be less than the amount the State 
received under such section for fiscal year 1998.''.

SEC. 3206. PROTECTION AND ADVOCACY FOR MENTALLY ILL INDIVIDUALS ACT OF 
            1986.

    (a) Short Title.--The first section of the Protection and Advocacy 
for Mentally Ill Individuals Act of 1986 (Public Law 99-319) is amended 
to read as follows:

[[Page 114 STAT. 1194]]

``SECTION 1. <<NOTE: 42 USC 10801 note.>> SHORT TITLE.

    ``This Act may be cited as the `Protection and Advocacy for 
Individuals with Mental Illness Act'.''.
    (b) Definitions.--Section 102 of the Protection and Advocacy for 
Individuals with Mental Illness Act (as amended by subsection (a)) (42 
U.S.C. 10802) is amended--
            (1) in paragraph (4)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting ``, except as provided in section 104(d),'' 
                after ``means'';
                    (B) in subparagraph (B)--
                          (i) by striking ``(i)'' who'' and inserting 
                      ``(i)(I) who'';
                          (ii) by redesignating clauses (ii) and (iii) 
                      as subclauses (II) and (III);
                          (iii) in subclause (III) (as so redesignated), 
                      by striking the period and inserting ``; or''; and
                          (iv) by adding at the end the following:
                    ``(ii) who satisfies the requirements of 
                subparagraph (A) and lives in a community setting, 
                including their own home.''; and
            (2) by adding at the end the following:
            ``(8) The term `American Indian consortium' means a 
        consortium established under part C of the Developmental 
        Disabilities Assistance and Bill of Rights Act (42 U.S.C. 6042 
        et seq.).''.

    (c) Use of Allotments.--Section 104 of the Protection and Advocacy 
for Individuals with Mental Illness Act (as amended by subsection (a)) 
(42 U.S.C. 10804) is amended by adding at the end the following:
    ``(d) The definition of `individual with a mental illness' contained 
in section 102(4)(B)(iii) shall apply, and thus an eligible system may 
use its allotment under this title to provide representation to such 
individuals, only if the total allotment under this title for any fiscal 
year is $30,000,000 or more, and in such case, an eligible system must 
give priority to representing persons with mental illness as defined in 
subparagraphs (A) and (B)(i) of section 102(4).''.
    (d) Minimum Amount.--Paragraph (2) of section 112(a) of the 
Protection and Advocacy for Individuals with Mental Illness Act (as 
amended by subsection (a)) (42 U.S.C. 10822(a)(2)) is amended to read as 
follows:
            ``(2)(A) The minimum amount of the allotment of an eligible 
        system shall be the product (rounded to the nearest $100) of the 
        appropriate base amount determined under subparagraph (B) and 
        the factor specified in subparagraph (C).
            ``(B) For purposes of subparagraph (A), the appropriate base 
        amount--
                    ``(i) for American Samoa, Guam, the Marshall 
                Islands, the Federated States of Micronesia, the 
                Commonwealth of the Northern Mariana Islands, the 
                Republic of Palau, and the Virgin Islands, is $139,300; 
                and
                    ``(ii) for any other State, is $260,000.
            ``(C) The factor specified in this subparagraph is the ratio 
        of the amount appropriated under section 117 for the fiscal year 
        for which the allotment is being made to the amount appropriated 
        under such section for fiscal year 1995.

[[Page 114 STAT. 1195]]

            ``(D) If the total amount appropriated for a fiscal year is 
        at least $25,000,000, the Secretary shall make an allotment in 
        accordance with subparagraph (A) to the eligible system serving 
        the American Indian consortium.''.

    (e) Technical Amendments.--Section 112(a) of the Protection and 
Advocacy for Individuals with Mental Illness Act (as amended by 
subsection (a)) (42 U.S.C. 10822(a)) is amended--
            (1) in paragraph (1)(B), by striking ``Trust Territory of 
        the Pacific Islands'' and inserting ``Marshall Islands, the 
        Federated States of Micronesia, the Republic of Palau''; and
            (2) by striking paragraph (3).

    (f ) Reauthorization.--Section 117 of the Protection and Advocacy 
for Individuals with Mental Illness Act (as amended by subsection (a)) 
(42 U.S.C. 10827) is amended by striking ``1995'' and inserting 
``2003''.

SEC. 3207. REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
            FACILITIES.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by adding at the end the following:

  ``PART H--REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
                               FACILITIES

``SEC. 591. <<NOTE: 42 USC 290ii.>> REQUIREMENT RELATING TO THE RIGHTS 
            OF RESIDENTS OF CERTAIN FACILITIES.

    ``(a) In General.--A public or private general hospital, nursing 
facility, intermediate care facility, or other health care facility, 
that receives support in any form from any program supported in whole or 
in part with funds appropriated to any Federal department or agency 
shall protect and promote the rights of each resident of the facility, 
including the right to be free from physical or mental abuse, corporal 
punishment, and any restraints or involuntary seclusions imposed for 
purposes of discipline or convenience.
    ``(b) Requirements.--Restraints and seclusion may only be imposed on 
a resident of a facility described in subsection (a) if--
            ``(1) the restraints or seclusion are imposed to ensure the 
        physical safety of the resident, a staff member, or others; and
            ``(2) the restraints or seclusion are imposed only upon the 
        written order of a physician, or other licensed practitioner 
        permitted by the State and the facility to order such restraint 
        or seclusion, that specifies the duration and circumstances 
        under which the restraints are to be used (except in emergency 
        circumstances specified by the Secretary until such an order 
        could reasonably be obtained).

    ``(c) Current Law.--This part shall not be construed to affect or 
impede any Federal or State law or regulations that provide greater 
protections than this part regarding seclusion and restraint.
    ``(d) Definitions.--In this section:
            ``(1) Restraints.--The term `restraints' means--
                    ``(A) any physical restraint that is a mechanical or 
                personal restriction that immobilizes or reduces the 
                ability of an individual to move his or her arms, legs, 
                or head

[[Page 114 STAT. 1196]]

                freely, not including devices, such as orthopedically 
                prescribed devices, surgical dressings or bandages, 
                protective helmets, or any other methods that involves 
                the physical holding of a resident for the purpose of 
                conducting routine physical examinations or tests or to 
                protect the resident from falling out of bed or to 
                permit the resident to participate in activities without 
                the risk of physical harm to the resident (such term 
                does not include a physical escort); and
                    ``(B) a drug or medication that is used as a 
                restraint to control behavior or restrict the resident's 
                freedom of movement that is not a standard treatment for 
                the resident's medical or psychiatric condition.
            ``(2) Seclusion.--The term `seclusion' means a behavior 
        control technique involving locked isolation. Such term does not 
        include a time out.
            ``(3) Physical escort.--The term `physical escort' means the 
        temporary touching or holding of the hand, wrist, arm, shoulder 
        or back for the purpose of inducing a resident who is acting out 
        to walk to a safe location.
            ``(4) Time out.--The term `time out' means a behavior 
        management technique that is part of an approved treatment 
        program and may involve the separation of the resident from the 
        group, in a non-locked setting, for the purpose of calming. Time 
        out is not seclusion.

``SEC. 592. <<NOTE: 42 USC 290ii-1.>> REPORTING REQUIREMENT.

    ``(a) In General.--Each facility to which the Protection and 
Advocacy for Mentally Ill Individuals Act of 1986 applies shall notify 
the appropriate agency, as determined by the Secretary, of each death 
that occurs at each such facility while a patient is restrained or in 
seclusion, of each death occurring within 24 hours after the patient has 
been removed from restraints and seclusion, or where it is reasonable to 
assume that a patient's death is a result of such seclusion or 
restraint. A notification under this section shall include the name of 
the resident and shall be provided not later than 7 days after the date 
of the death of the individual involved.
    ``(b) Facility.--In this section, the term `facility' has the 
meaning given the term `facilities' in section 102(3) of the Protection 
and Advocacy for Mentally Ill Individuals Act of 1986 (42 U.S.C. 
10802(3)).''.

``SEC. 593. <<NOTE: 42 USC 290ii-2.>> REGULATIONS AND ENFORCEMENT.

    ``(a) Training.--Not <<NOTE: Deadline.>> later than 1 year after the 
date of the enactment of this part, the Secretary, after consultation 
with appropriate State and local protection and advocacy organizations, 
physicians, facilities, and other health care professionals and 
patients, shall promulgate regulations that require facilities to which 
the Protection and Advocacy for Mentally Ill Individuals Act of 1986 (42 
U.S.C. 10801 et seq.) applies, to meet the requirements of subsection 
(b).

    ``(b) Requirements.--The regulations promulgated under subsection 
(a) shall require that--
            ``(1) facilities described in subsection (a) ensure that 
        there is an adequate number of qualified professional and 
        supportive staff to evaluate patients, formulate written 
        individualized,

[[Page 114 STAT. 1197]]

        comprehensive treatment plans, and to provide active treatment 
        measures;
            ``(2) appropriate training be provided for the staff of such 
        facilities in the use of restraints and any alternatives to the 
        use of restraints; and
            ``(3) such facilities provide complete and accurate 
        notification of deaths, as required under section 592(a).

    ``(c) Enforcement.--A facility to which this part applies that fails 
to comply with any requirement of this part, including a failure to 
provide appropriate training, shall not be eligible for participation in 
any program supported in whole or in part by funds appropriated to any 
Federal department or agency.''.

SEC. 3208. REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
            NON-MEDICAL, COMMUNITY-BASED FACILITIES FOR CHILDREN AND 
            YOUTH.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.), 
as amended by section 3207, is further amended by adding at the end the 
following:

  ``PART I--REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
     NON-MEDICAL, COMMUNITY-BASED FACILITIES FOR CHILDREN AND YOUTH

``SEC. 595. <<NOTE: 42 USC 290jj.>> REQUIREMENT RELATING TO THE RIGHTS 
            OF RESIDENTS OF CERTAIN NON-MEDICAL, COMMUNITY-BASED 
            FACILITIES FOR CHILDREN AND YOUTH.

    ``(a) Protection of Rights.--
            ``(1) In general.--A public or private non-medical, 
        community-based facility for children and youth (as defined in 
        regulations to be promulgated by the Secretary) that receives 
        support in any form from any program supported in whole or in 
        part with funds appropriated under this Act shall protect and 
        promote the rights of each resident of the facility, including 
        the right to be free from physical or mental abuse, corporal 
        punishment, and any restraints or involuntary seclusions imposed 
        for purposes of discipline or convenience.
            ``(2) Nonapplicability.--Notwithstanding this part, a 
        facility that provides inpatient psychiatric treatment services 
        for individuals under the age of 21, as authorized and defined 
        in subsections (a)(16) and (h) of section 1905 of the Social 
        Security Act, shall comply with the requirements of part H.
            ``(3) Applicability of medicaid provisions.--A non-medical, 
        community-based facility for children and youth funded under the 
        Medicaid program under title XIX of the Social Security Act 
        shall continue to meet all existing requirements for 
        participation in such program that are not affected by this 
        part.

    ``(b) Requirements.--
            ``(1) In general.--Physical restraints and seclusion may 
        only be imposed on a resident of a facility described in 
        subsection (a) if--
                    ``(A) the restraints or seclusion are imposed only 
                in emergency circumstances and only to ensure the 
                immediate physical safety of the resident, a staff 
                member, or others

[[Page 114 STAT. 1198]]

                and less restrictive interventions have been determined 
                to be ineffective; and
                    ``(B) the restraints or seclusion are imposed only 
                by an individual trained and certified, by a State-
                recognized body (as defined in regulation promulgated by 
                the Secretary) and pursuant to a process determined 
                appropriate by the State and approved by the Secretary, 
                in the prevention and use of physical restraint and 
                seclusion, including the needs and behaviors of the 
                population served, relationship building, alternatives 
                to restraint and seclusion, de-escalation methods, 
                avoiding power struggles, thresholds for restraints and 
                seclusion, the physiological and psychological impact of 
                restraint and seclusion, monitoring physical signs of 
                distress and obtaining medical assistance, legal issues, 
                position asphyxia, escape and evasion techniques, time 
                limits, the process for obtaining approval for continued 
                restraints, procedures to address problematic 
                restraints, documentation, processing with children, and 
                follow-up with staff, and investigation of injuries and 
                complaints.
            ``(2) Interim procedures relating to training and 
        certification.--
                    ``(A) In general.--Until such time as the State 
                develops a process to assure the proper training and 
                certification of facility personnel in the skills and 
                competencies referred in paragraph (1)(B), the facility 
                involved shall develop and implement an interim 
                procedure that meets the requirements of subparagraph 
                (B).
                    ``(B) Requirements.--A procedure developed under 
                subparagraph (A) shall--
                          ``(i) ensure that a supervisory or senior 
                      staff person with training in restraint and 
                      seclusion who is competent to conduct a face-to-
                      face assessment (as defined in regulations 
                      promulgated by the Secretary), will assess the 
                      mental and physical well-being of the child or 
                      youth being restrained or secluded and assure that 
                      the restraint or seclusion is being done in a safe 
                      manner;
                          ``(ii) ensure that the assessment required 
                      under clause (i) take place as soon as 
                      practicable, but in no case later than 1 hour 
                      after the initiation of the restraint or 
                      seclusion; and
                          ``(iii) ensure that the supervisory or senior 
                      staff person continues to monitor the situation 
                      for the duration of the restraint and seclusion.
            ``(3) Limitations.--
                    ``(A) In general.--The use of a drug or medication 
                that is used as a restraint to control behavior or 
                restrict the resident's freedom of movement that is not 
                a standard treatment for the resident's medical or 
                psychiatric condition in nonmedical community-based 
                facilities for children and youth described in 
                subsection (a)(1) is prohibited.
                    ``(B) Prohibition.--The use of mechanical restraints 
                in non-medical, community-based facilities for children 
                and youth described in subsection (a)(1) is prohibited.
                    ``(C) Limitation.--A non-medical, community-based 
                facility for children and youth described in subsection 
                (a)(1)

[[Page 114 STAT. 1199]]

                may only use seclusion when a staff member is 
                continuously face-to-face monitoring the resident and 
                when strong licensing or accreditation and internal 
                controls are in place.

    ``(c) Rule of Construction.--
            ``(1) In general.--Nothing in this section shall be 
        construed as prohibiting the use of restraints for medical 
        immobilization, adaptive support, or medical protection.
            ``(2) Current law.--This part shall not be construed to 
        affect or impede any Federal or State law or regulations that 
        provide greater protections than this part regarding seclusion 
        and restraint.

    ``(d) Definitions.--In this section:
            ``(1) Mechanical restraint.--The term `mechanical restraint' 
        means the use of devices as a means of restricting a resident's 
        freedom of movement.
            ``(2) Physical escort.--The term `physical escort' means the 
        temporary touching or holding of the hand, wrist, arm, shoulder 
        or back for the purpose of inducing a resident who is acting out 
        to walk to a safe location.
            ``(3) Physical restraint.--The term `physical restraint' 
        means a personal restriction that immobilizes or reduces the 
        ability of an individual to move his or her arms, legs, or head 
        freely. Such term does not include a physical escort.
            ``(4) Seclusion.--The term `seclusion' means a behavior 
        control technique involving locked isolation. Such term does not 
        include a time out.
            ``(5) Time out.--The term `time out' means a behavior 
        management technique that is part of an approved treatment 
        program and may involve the separation of the resident from the 
        group, in a non-locked setting, for the purpose of calming. Time 
        out is not seclusion.

``SEC. 595A. <<NOTE: 42 USC 290jj-1.>> REPORTING REQUIREMENT.

    ``Each facility to which this part applies shall notify the 
appropriate State licensing or regulatory agency, as determined by the 
Secretary--
            ``(1) of each death that occurs at each such facility. A 
        notification under this section shall include the name of the 
        resident and shall be provided not later than 24 hours after the 
        time of the individuals death; and
            ``(2) of the use of seclusion or restraints in accordance 
        with regulations promulgated by the Secretary, in consultation 
        with the States.

``SEC. 595B. <<NOTE: 42 USC 290jj-2.>> REGULATIONS AND ENFORCEMENT.

    ``(a) Training.--Not <<NOTE: Deadline.>> later than 6 months after 
the date of the enactment of this part, the Secretary, after 
consultation with appropriate State, local, public and private 
protection and advocacy organizations, health care professionals, social 
workers, facilities, and patients, shall promulgate regulations that--
            ``(1) require States that license non-medical, community-
        based residential facilities for children and youth to develop 
        licensing rules and monitoring requirements concerning behavior 
        management practice that will ensure compliance with Federal 
        regulations and to meet the requirements of subsection (b);
            ``(2) require States to develop and implement such licensing 
        rules and monitoring requirements within 1 year after the

[[Page 114 STAT. 1200]]

        promulgation of the regulations referred to in the matter 
        preceding paragraph (1); and
            ``(3) support the development of national guidelines and 
        standards on the quality, quantity, orientation and training, 
        required under this part, as well as the certification or 
        licensure of those staff responsible for the implementation of 
        behavioral intervention concepts and techniques.

    ``(b) Requirements.--The regulations promulgated under subsection 
(a) shall require--
            ``(1) that facilities described in subsection (a) ensure 
        that there is an adequate number of qualified professional and 
        supportive staff to evaluate residents, formulate written 
        individualized, comprehensive treatment plans, and to provide 
        active treatment measures;
            ``(2) the provision of appropriate training and 
        certification of the staff of such facilities in the prevention 
        and use of physical restraint and seclusion, including the needs 
        and behaviors of the population served, relationship building, 
        alternatives to restraint, de-escalation methods, avoiding power 
        struggles, thresholds for restraints, the physiological impact 
        of restraint and seclusion, monitoring physical signs of 
        distress and obtaining medical assistance, legal issues, 
        position asphyxia, escape and evasion techniques, time limits 
        for the use of restraint and seclusion, the process for 
        obtaining approval for continued restraints and seclusion, 
        procedures to address problematic restraints, documentation, 
        processing with children, and follow-up with staff, and 
        investigation of injuries and complaints; and
            ``(3) that such facilities provide complete and accurate 
        notification of deaths, as required under section 595A(1).

    ``(c) Enforcement.--A State to which this part applies that fails to 
comply with any requirement of this part, including a failure to provide 
appropriate training and certification, shall not be eligible for 
participation in any program supported in whole or in part by funds 
appropriated under this Act.''.

SEC. 3209. EMERGENCY MENTAL HEALTH CENTERS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3111, is further amended 
by adding at the end the following:

``SEC. 520F. <<NOTE: 42 USC 290bb-37.>> GRANTS FOR EMERGENCY MENTAL 
            HEALTH CENTERS.

    ``(a) Program Authorized.--The Secretary shall award grants to 
States, political subdivisions of States, Indian tribes, and tribal 
organizations to support the designation of hospitals and health centers 
as Emergency Mental Health Centers.
    ``(b) Health Center.--In this section, the term `health center' has 
the meaning given such term in section 330, and includes community 
health centers and community mental health centers.
    ``(c) Distribution of Awards.--The Secretary shall ensure that such 
grants awarded under subsection (a) are equitably distributed among the 
geographical regions of the United States, between urban and rural 
populations, and between different settings of care including health 
centers, mental health centers, hospitals, and other psychiatric units 
or facilities.
    ``(d) Application.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that desires a grant under 
subsection (a) shall submit an application to the Secretary at such

[[Page 114 STAT. 1201]]

time, in such manner, and containing such information as the Secretary 
may require, including a plan for the rigorous evaluation of activities 
carried out with funds received under this section.
    ``(e) Use of Funds.--
            ``(1) In general.--A State, political subdivision of a 
        State, Indian tribe, or tribal organization receiving a grant 
        under subsection (a) shall use funds from such grant to 
        establish or designate hospitals and health centers as Emergency 
        Mental Health Centers.
            ``(2) Emergency mental health centers.--Such Emergency 
        Mental Health Centers described in paragraph (1)--
                    ``(A) shall--
                          ``(i) serve as a central receiving point in 
                      the community for individuals who may be in need 
                      of emergency mental health services;
                          ``(ii) purchase, if needed, any equipment 
                      necessary to evaluate, diagnose and stabilize an 
                      individual with a mental illness;
                          ``(iii) provide training, if needed, to the 
                      medical personnel staffing the Emergency Mental 
                      Health Center to evaluate, diagnose, stabilize, 
                      and treat an individual with a mental illness; and
                          ``(iv) provide any treatment that is necessary 
                      for an individual with a mental illness or a 
                      referral for such individual to another facility 
                      where such treatment may be received; and
                    ``(B) may establish and train a mobile crisis 
                intervention team to respond to mental health 
                emergencies within the community.

    ``(f ) Evaluation.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under 
subsection (a) shall prepare and submit an evaluation to the Secretary 
at such time, in such manner, and containing such information as the 
Secretary may reasonably require, including an evaluation of activities 
carried out with funds received under this section and a process and 
outcomes evaluation.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $25,000,000 for fiscal year 2001 
and such sums as may be necessary for each of the fiscal years 2002 
through 2003.''.

SEC. 3210. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3209, is further amended 
by adding at the end the following:

``SEC. 520G. <<NOTE: 42 USC 290bb-38.>> GRANTS FOR JAIL DIVERSION 
            PROGRAMS.

    ``(a) Program Authorized.--The Secretary shall make up to 125 grants 
to States, political subdivisions of States, Indian tribes, and tribal 
organizations, acting directly or through agreements with other public 
or nonprofit entities, to develop and implement programs to divert 
individuals with a mental illness from the criminal justice system to 
community-based services.
    ``(b) Administration.--
            ``(1) Consultation.--The Secretary shall consult with the 
        Attorney General and any other appropriate officials in carrying 
        out this section.

[[Page 114 STAT. 1202]]

            ``(2) Regulatory authority.--The Secretary shall issue 
        regulations and guidelines necessary to carry out this section, 
        including methodologies and outcome measures for evaluating 
        programs carried out by States, political subdivisions of 
        States, Indian tribes, and tribal organizations receiving grants 
        under subsection (a).

    ``(c) Applications.--
            ``(1) In general.--To receive a grant under subsection (a), 
        the chief executive of a State, chief executive of a subdivision 
        of a State, Indian tribe or tribal organization shall prepare 
        and submit an application to the Secretary at such time, in such 
        manner, and containing such information as the Secretary shall 
        reasonably require.
            ``(2) Content.--Such application shall--
                    ``(A) contain an assurance that--
                          ``(i) community-based mental health services 
                      will be available for the individuals who are 
                      diverted from the criminal justice system, and 
                      that such services are based on the best known 
                      practices, reflect current research findings, 
                      include case management, assertive community 
                      treatment, medication management and access, 
                      integrated mental health and co-occurring 
                      substance abuse treatment, and psychiatric 
                      rehabilitation, and will be coordinated with 
                      social services, including life skills training, 
                      housing placement, vocational training, education 
                      job placement, and health care;
                          ``(ii) there has been relevant interagency 
                      collaboration between the appropriate criminal 
                      justice, mental health, and substance abuse 
                      systems; and
                          ``(iii) the Federal support provided will be 
                      used to supplement, and not supplant, State, 
                      local, Indian tribe, or tribal organization 
                      sources of funding that would otherwise be 
                      available;
                    ``(B) demonstrate that the diversion program will be 
                integrated with an existing system of care for those 
                with mental illness;
                    ``(C) explain the applicant's inability to fund the 
                program adequately without Federal assistance;
                    ``(D) specify plans for obtaining necessary support 
                and continuing the proposed program following the 
                conclusion of Federal support; and
                    ``(E) describe methodology and outcome measures that 
                will be used in evaluating the program.

    ``(d) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant under 
subsection (a) may use funds received under such grant to--
            ``(1) integrate the diversion program into the existing 
        system of care;
            ``(2) create or expand community-based mental health and co-
        occurring mental illness and substance abuse services to 
        accommodate the diversion program;
            ``(3) train professionals involved in the system of care, 
        and law enforcement officers, attorneys, and judges; and
            ``(4) provide community outreach and crisis intervention.

    ``(e) Federal Share.--
            ``(1) In general.--The Secretary shall pay to a State, 
        political subdivision of a State, Indian tribe, or tribal 
        organization

[[Page 114 STAT. 1203]]

        receiving a grant under subsection (a) the Federal share of the 
        cost of activities described in the application.
            ``(2) Federal share.--The Federal share of a grant made 
        under this section shall not exceed 75 percent of the total cost 
        of the program carried out by the State, political subdivision 
        of a State, Indian tribe, or tribal organization. Such share 
        shall be used for new expenses of the program carried out by 
        such State, political subdivision of a State, Indian tribe, or 
        tribal organization.
            ``(3) Non-federal share.--The non-Federal share of payments 
        made under this section may be made in cash or in kind fairly 
        evaluated, including planned equipment or services. The 
        Secretary may waive the requirement of matching contributions.

    ``(f ) Geographic Distribution.--The Secretary shall ensure that 
such grants awarded under subsection (a) are equitably distributed among 
the geographical regions of the United States and between urban and 
rural populations.
    ``(g) Training and Technical Assistance.--Training and technical 
assistance may be provided by the Secretary to assist a State, political 
subdivision of a State, Indian tribe, or tribal organization receiving a 
grant under subsection (a) in establishing and operating a diversion 
program.
    ``(h) Evaluations.--The programs described in subsection (a) shall 
be evaluated not less than one time in every 12-month period using the 
methodology and outcome measures identified in the grant application.
    ``(i) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section $10,000,000 for fiscal year 2001, 
and such sums as may be necessary for fiscal years 2002 through 2003.''.

SEC. 3211. IMPROVING OUTCOMES FOR CHILDREN AND ADOLESCENTS THROUGH 
            SERVICES INTEGRATION BETWEEN CHILD WELFARE AND MENTAL HEALTH 
            SERVICES.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3210, is further amended 
by adding at the end the following:

``SEC. 520H. <<NOTE: 42 USC 290bb-39.>> IMPROVING OUTCOMES FOR CHILDREN 
            AND ADOLESCENTS THROUGH SERVICES INTEGRATION BETWEEN CHILD 
            WELFARE AND MENTAL HEALTH SERVICES.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
award grants, contracts or cooperative agreements to States, political 
subdivisions of States, Indian tribes, and tribal organizations to 
provide integrated child welfare and mental health services for children 
and adolescents under 19 years of age in the child welfare system or at 
risk for becoming part of the system, and parents or caregivers with a 
mental illness or a mental illness and a co-occurring substance abuse 
disorder.

    ``(b) Duration.--With respect to a grant, contract or cooperative 
agreement awarded under this section, the period during which payments 
under such award are made to the recipient may not exceed 5 years.
    ``(c) Application.--
            ``(1) In general.--To be eligible to receive an award under 
        subsection (a), a State, political subdivision of a State, 
        Indian tribe, or tribal organization shall submit an application 
        to the

[[Page 114 STAT. 1204]]

        Secretary at such time, in such manner, and accompanied by such 
        information as the Secretary may reasonably require.
            ``(2) Content.--An application submitted under paragraph (1) 
        shall--
                    ``(A) describe the program to be funded under the 
                grant, contract or cooperative agreement;
                    ``(B) explain how such program reflects best 
                practices in the provision of child welfare and mental 
                health services; and
                    ``(C) provide assurances that--
                          ``(i) persons providing services under the 
                      grant, contract or cooperative agreement are 
                      adequately trained to provide such services; and
                          ``(ii) the services will be provided in 
                      accordance with subsection (d).

    ``(d) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, or tribal organization that receives a grant, contract, or 
cooperative agreement under subsection (a) shall use amounts made 
available through such grant, contract or cooperative agreement to--
            ``(1) provide family-centered, comprehensive, and 
        coordinated child welfare and mental health services, including 
        prevention, early intervention and treatment services for 
        children and adolescents, and for their parents or caregivers;
            ``(2) ensure a single point of access for such coordinated 
        services;
            ``(3) provide integrated mental health and substance abuse 
        treatment for children, adolescents, and parents or caregivers 
        with a mental illness and a co-occurring substance abuse 
        disorder;
            ``(4) provide training for the child welfare, mental health 
        and substance abuse professionals who will participate in the 
        program carried out under this section;
            ``(5) provide technical assistance to child welfare and 
        mental health agencies;
            ``(6) develop cooperative efforts with other service 
        entities in the community, including education, social services, 
        juvenile justice, and primary health care agencies;
            ``(7) coordinate services with services provided under the 
        Medicaid program and the State Children's Health Insurance 
        Program under titles XIX and XXI of the Social Security Act;
            ``(8) provide linguistically appropriate and culturally 
        competent services; and
            ``(9) evaluate the effectiveness and cost-efficiency of the 
        integrated services that measure the level of coordination, 
        outcome measures for parents or caregivers with a mental illness 
        or a mental illness and a co-occurring substance abuse disorder, 
        and outcome measures for children.

    ``(e) Distribution of Awards.--The Secretary shall ensure that 
grants, contracts, and cooperative agreements awarded under subsection 
(a) are equitably distributed among the geographical regions of the 
United States and between urban and rural populations.
    ``(f ) Evaluation.--The Secretary shall evaluate each program 
carried out by a State, political subdivision of a State, Indian tribe, 
or tribal organization under subsection (a) and shall disseminate the 
findings with respect to each such evaluation to appropriate public and 
private entities.

[[Page 114 STAT. 1205]]

    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for fiscal year 
2001, and such sums as may be necessary for each of fiscal years 2002 
and 2003.''.

SEC. 3212. GRANTS FOR THE INTEGRATED TREATMENT OF SERIOUS MENTAL ILLNESS 
            AND CO-OCCURRING SUBSTANCE ABUSE.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3211, is further amended 
by adding at the end the following:

``SEC. 520I. <<NOTE: 42 USC 290bb-40.>> GRANTS FOR THE INTEGRATED 
            TREATMENT OF SERIOUS MENTAL ILLNESS AND CO-OCCURRING 
            SUBSTANCE ABUSE.

    ``(a) In <<NOTE: Contracts.>> General.--The Secretary shall award 
grants, contracts, or cooperative agreements to States, political 
subdivisions of States, Indian tribes, tribal organizations, and private 
nonprofit organizations for the development or expansion of programs to 
provide integrated treatment services for individuals with a serious 
mental illness and a co-occurring substance abuse disorder.

    ``(b) Priority.--In awarding grants, contracts, and cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants that emphasize the provision of services for individuals with 
a serious mental illness and a co-occurring substance abuse disorder 
who--
            ``(1) have a history of interactions with law enforcement or 
        the criminal justice system;
            ``(2) have recently been released from incarceration;
            ``(3) have a history of unsuccessful treatment in either an 
        inpatient or outpatient setting;
            ``(4) have never followed through with outpatient services 
        despite repeated referrals; or
            ``(5) are homeless.

    ``(c) Use of Funds.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
that receives a grant, contract, or cooperative agreement under 
subsection (a) shall use funds received under such grant--
            ``(1) to provide fully integrated services rather than 
        serial or parallel services;
            ``(2) to employ staff that are cross-trained in the 
        diagnosis and treatment of both serious mental illness and 
        substance abuse;
            ``(3) to provide integrated mental health and substance 
        abuse services at the same location;
            ``(4) to provide services that are linguistically 
        appropriate and culturally competent;
            ``(5) to provide at least 10 programs for integrated 
        treatment of both mental illness and substance abuse at sites 
        that previously provided only mental health services or only 
        substance abuse services; and
            ``(6) to provide services in coordination with other 
        existing public and private community programs.

    ``(d) Condition.--The Secretary shall ensure that a State, political 
subdivision of a State, Indian tribe, tribal organization, or private 
nonprofit organization that receives a grant, contract, or cooperative 
agreement under subsection (a) maintains the level of effort necessary 
to sustain existing mental health and substance

[[Page 114 STAT. 1206]]

abuse programs for other populations served by mental health systems in 
the community.
    ``(e) Distribution of Awards.--The Secretary shall ensure that 
grants, contracts, or cooperative agreements awarded under subsection 
(a) are equitably distributed among the geographical regions of the 
United States and between urban and rural populations.
    ``(f ) Duration.--The Secretary shall award grants, contract, or 
cooperative agreements under this subsection for a period of not more 
than 5 years.
    ``(g) Application.--A State, political subdivision of a State, 
Indian tribe, tribal organization, or private nonprofit organization 
that desires a grant, contract, or cooperative agreement under this 
subsection shall prepare and submit an application to the Secretary at 
such time, in such manner, and containing such information as the 
Secretary may require. Such application shall include a plan for the 
rigorous evaluation of activities funded with an award under such 
subsection, including a process and outcomes evaluation.
    ``(h) Evaluation.--A State, political subdivision of a State, Indian 
tribe, tribal organization, or private nonprofit organization that 
receives a grant, contract, or cooperative agreement under this 
subsection shall prepare and submit a plan for the rigorous evaluation 
of the program funded under such grant, contract, or agreement, 
including both process and outcomes evaluation, and the submission of an 
evaluation at the end of the project period.
    ``(i) Authorization of Appropriation.--There is authorized to be 
appropriated to carry out this subsection $40,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 through 
2003.''.

SEC. 3213. TRAINING GRANTS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.), as amended by section 3212, is further amended 
by adding at the end the following:

``SEC. 520J. <<NOTE: 42 USC 290bb-41.>> TRAINING GRANTS.

    ``(a) In General.--The Secretary shall award grants in accordance 
with the provisions of this section.
    ``(b) Mental Illness Awareness Training Grants.--
            ``(1) In general.--The Secretary shall award grants to 
        States, political subdivisions of States, Indian tribes, tribal 
        organizations, and nonprofit private entities to train teachers 
        and other relevant school personnel to recognize symptoms of 
        childhood and adolescent mental disorders, to refer family 
        members to the appropriate mental health services if necessary, 
        to train emergency services personnel to identify and 
        appropriately respond to persons with a mental illness, and to 
        provide education to such teachers and personnel regarding 
        resources that are available in the community for individuals 
        with a mental illness.
            ``(2) Emergency Services Personnel.--In this subsection, the 
        term `emergency services personnel' includes paramedics, 
        firefighters, and emergency medical technicians.
            ``(3) Distribution of Awards.--The Secretary shall ensure 
        that such grants awarded under this subsection are equitably 
        distributed among the geographical regions of the United States 
        and between urban and rural populations.
            ``(4) Application.--A State, political subdivision of a 
        State, Indian tribe, tribal organization, or nonprofit private 
        entity

[[Page 114 STAT. 1207]]

        that desires a grant under this subsection shall submit an 
        application to the Secretary at such time, in such manner, and 
        containing such information as the Secretary may require, 
        including a plan for the rigorous evaluation of activities that 
        are carried out with funds received under a grant under this 
        subsection.
            ``(5) Use of Funds.--A State, political subdivision of a 
        State, Indian tribe, tribal organization, or nonprofit private 
        entity receiving a grant under this subsection shall use funds 
        from such grant to--
                    ``(A) train teachers and other relevant school 
                personnel to recognize symptoms of childhood and 
                adolescent mental disorders and appropriately respond;
                    ``(B) train emergency services personnel to identify 
                and appropriately respond to persons with a mental 
                illness; and
                    ``(C) provide education to such teachers and 
                personnel regarding resources that are available in the 
                community for individuals with a mental illness.
            ``(6) Evaluation.--A State, political subdivision of a 
        State, Indian tribe, tribal organization, or nonprofit private 
        entity that receives a grant under this subsection shall prepare 
        and submit an evaluation to the Secretary at such time, in such 
        manner, and containing such information as the Secretary may 
        reasonably require, including an evaluation of activities 
        carried out with funds received under the grant under this 
        subsection and a process and outcome evaluation.
            ``(7) Authorization of Appropriations.--There is authorized 
        to be appropriated to carry out this subsection, $25,000,000 for 
        fiscal year 2001 and such sums as may be necessary for each of 
        fiscal years 2002 through 2003.''.

          TITLE XXXIII--PROVISIONS RELATING TO SUBSTANCE ABUSE

SEC. 3301. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
            NATIONAL SIGNIFICANCE.

    (a) Residential Treatment Programs for Pregnant and Postpartum 
Women.--Section 508(r) of the Public Health Service Act (42 U.S.C. 
290bb-1(r)) is amended to read as follows:
    ``(r) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary to fiscal years 2001 through 2003.''.
    (b) Priority Substance Abuse Treatment.--Section 509 of the Public 
Health Service Act (42 U.S.C. 290bb-1) is amended to read as follows:

``SEC. 509. <<NOTE: 42 USC 290bb-2.>> PRIORITY SUBSTANCE ABUSE TREATMENT 
            NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE.

    ``(a) Projects.--The Secretary shall address priority substance 
abuse treatment needs of regional and national significance (as 
determined under subsection (b)) through the provision of or through 
assistance for--
            ``(1) knowledge development and application projects for 
        treatment and rehabilitation and the conduct or support of 
        evaluations of such projects;

[[Page 114 STAT. 1208]]

            ``(2) training and technical assistance; and
            ``(3) targeted capacity response programs.

The Secretary may carry out the activities described in this section 
directly or through grants or cooperative agreements with States, 
political subdivisions of States, Indian tribes and tribal 
organizations, other public or nonprofit private entities.
    ``(b) Priority Substance Abuse Treatment Needs.--
            ``(1) In general.--Priority substance abuse treatment needs 
        of regional and national significance shall be determined by the 
        Secretary after consultation with States and other interested 
        groups. The Secretary shall meet with the States and interested 
        groups on an annual basis to discuss program priorities.
            ``(2) Special consideration.--In developing program 
        priorities under paragraph (1), the Secretary shall give special 
        consideration to promoting the integration of substance abuse 
        treatment services into primary health care systems.

    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, or 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, contract, 
        or cooperative agreement awarded under this section, the period 
        during which payments under such award are made to the recipient 
        may not exceed 5 years.
            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        that project provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the grant, 
        contract, or cooperative agreement. Such non-Federal matching 
        funds may be provided directly or through donations from public 
        or private entities and may be in cash or in kind, fairly 
        evaluated, including plant, equipment, or services.
            ``(4) Maintenance of effort.--With respect to activities for 
        which a grant, contract, or cooperative agreement is awarded 
        under this section, the Secretary may require that recipients 
        for specific projects under subsection (a) agree to maintain 
        expenditures of non-Federal amounts for such activities at a 
        level that is not less than the level of such expenditures 
        maintained by the entity for the fiscal year preceding the 
        fiscal year for which the entity receives such a grant, 
        contract, or cooperative agreement.

    ``(d) Evaluation.--The Secretary shall evaluate each project carried 
out under subsection (a)(1) and shall disseminate the findings with 
respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate and 
apply the findings of the knowledge development and application, 
training and technical assistance programs, and targeted capacity 
response programs under this section to the general public, to health 
professionals and other interested groups. The Secretary shall make 
every effort to provide linkages between the

[[Page 114 STAT. 1209]]

findings of supported projects and State agencies responsible for 
carrying out substance abuse prevention and treatment programs.
    ``(f ) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section, $300,000,000 for fiscal year 
2001 and such sums as may be necessary for each of the fiscal years 2002 
and 2003.''.
    (c) Conforming Amendments.--The following sections of the Public 
Health Service Act are repealed:
            (1) Section 510 (42 U.S.C. 290bb-3).
            (2) Section 511 (42 U.S.C. 290bb-4).
            (3) Section 512 (42 U.S.C. 290bb-5).
            (4) Section 571 (42 U.S.C. 290gg).

SEC. 3302. PRIORITY SUBSTANCE ABUSE PREVENTION NEEDS OF REGIONAL AND 
            NATIONAL SIGNIFICANCE.

    (a) In General.--Section 516 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended to read as follows:

``SEC. 516. <<NOTE: 42 USC 290bb-22.>> PRIORITY SUBSTANCE ABUSE 
            PREVENTION NEEDS OF REGIONAL AND NATIONAL SIGNIFICANCE.

    ``(a) Projects.--The Secretary shall address priority substance 
abuse prevention needs of regional and national significance (as 
determined under subsection (b)) through the provision of or through 
assistance for--
            ``(1) knowledge development and application projects for 
        prevention and the conduct or support of evaluations of such 
        projects;
            ``(2) training and technical assistance; and
            ``(3) targeted capacity response programs.

The Secretary may carry out the activities described in this section 
directly or through grants or cooperative agreements with States, 
political subdivisions of States, Indian tribes and tribal 
organizations, or other public or nonprofit private entities.
    ``(b) Priority Substance Abuse Prevention Needs.--
            ``(1) In general.--Priority substance abuse prevention needs 
        of regional and national significance shall be determined by the 
        Secretary in consultation with the States and other interested 
        groups. The Secretary shall meet with the States and interested 
        groups on an annual basis to discuss program priorities.
            ``(2) Special consideration.--In developing program 
        priorities under paragraph (1), the Secretary shall give special 
        consideration to--
                    ``(A) applying the most promising strategies and 
                research-based primary prevention approaches; and
                    ``(B) promoting the integration of substance abuse 
                prevention information and activities into primary 
                health care systems.

    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, and 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, contract, 
        or cooperative agreement awarded under this section, the period 
        during which payments under such award are made to the recipient 
        may not exceed 5 years.

[[Page 114 STAT. 1210]]

            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        that project provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the grant, 
        contract, or cooperative agreement. Such non-Federal matching 
        funds may be provided directly or through donations from public 
        or private entities and may be in cash or in kind, fairly 
        evaluated, including plant, equipment, or services.
            ``(4) Maintenance of effort.--With respect to activities for 
        which a grant, contract, or cooperative agreement is awarded 
        under this section, the Secretary may require that recipients 
        for specific projects under subsection (a) agree to maintain 
        expenditures of non-Federal amounts for such activities at a 
        level that is not less than the level of such expenditures 
        maintained by the entity for the fiscal year preceding the 
        fiscal year for which the entity receives such a grant, 
        contract, or cooperative agreement.

    ``(d) Evaluation.--The Secretary shall evaluate each project carried 
out under subsection (a)(1) and shall disseminate the findings with 
respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application, training and 
technical assistance programs, and targeted capacity response programs 
under this section to the general public and to health professionals. 
The Secretary shall make every effort to provide linkages between the 
findings of supported projects and State agencies responsible for 
carrying out substance abuse prevention and treatment programs.
    ``(f ) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section, $300,000,000 for fiscal year 
2001, and such sums as may be necessary for each of the fiscal years 
2002 and 2003.''.
    (b) Conforming Amendments.--Section 518 of the Public Health Service 
Act (42 U.S.C. 290bb-24) is repealed.

SEC. 3303. SUBSTANCE ABUSE PREVENTION AND TREATMENT PERFORMANCE 
            PARTNERSHIP BLOCK GRANT.

    (a) Allocation Regarding Alcohol and Other Drugs.--Section 1922 of 
the Public Health Service Act (42 U.S.C. 300x-22) is amended by--
            (1) striking subsection (a); and
            (2) redesignating subsections (b) and (c) as subsections (a) 
        and (b).

    (b) Group Homes for Recovering Substance Abusers.--Section 1925(a) 
of the Public Health Service Act (42 U.S.C. 300x-25(a)) is amended by 
striking ``For fiscal year 1993'' and all that follows through the colon 
and inserting the following: ``A State, using funds available under 
section 1921, may establish and maintain the ongoing operation of a 
revolving fund in accordance with this section to support group homes 
for recovering substance abusers as follows:''.
    (c) Maintenance of Effort.--Section 1930 of the Public Health 
Service Act (42 U.S.C. 300x-30) is amended--

[[Page 114 STAT. 1211]]

            (1) by redesignating subsections (b) and (c) as subsections 
        (c) and (d) respectively; and
            (2) by inserting after subsection (a), the following:

    ``(b) Exclusion of Certain Funds.--The Secretary may exclude from 
the aggregate State expenditures under subsection (a), funds 
appropriated to the principle agency for authorized activities which are 
of a non-recurring nature and for a specific purpose.''.
    (d) Applications for Grants.--Section 1932(a)(1) of the Public 
Health Service Act (42 U.S.C. 300x-32(a)(1)) is amended to read as 
follows:
            ``(1) the application is received by the Secretary not later 
        than October 1 of the fiscal year for which the State is seeking 
        funds;''.

    (e) Waiver for Territories.--Section 1932(c) of the Public Health 
Service Act (42 U.S.C. 300x-32(c)) is amended by striking ``whose 
allotment under section 1921 for the fiscal year is the amount specified 
in section 1933(c)(2)(B)'' and inserting ``except Puerto Rico''.
    (f ) Waiver Authority for Certain Requirements.--
            (1) In general.--Section 1932 of the Public Health Service 
        Act (42 U.S.C. 300x-32) is amended by adding at the end the 
        following:

    ``(e) Waiver Authority for Certain Requirements.--
            ``(1) In general.--Upon the request of a State, the 
        Secretary may waive the requirements of all or part of the 
        sections described in paragraph (2) using objective criteria 
        established by the Secretary by regulation after consultation 
        with the States and other interested parties including consumers 
        and providers.
            ``(2) Sections.--The sections described in paragraph (1) are 
        sections 1922(c), 1923, 1924 and 1928.
            ``(3) Date certain for acting upon request.--The Secretary 
        shall approve or deny a request for a waiver under paragraph (1) 
        and inform the State of that decision not later than 120 days 
        after the date on which the request and all the information 
        needed to support the request are submitted.
            ``(4) Annual reporting requirement.--The Secretary shall 
        annually report to the general public on the States that receive 
        a waiver under this subsection.''.
            (2) Conforming <<NOTE: Effective date. 42 USC 300x-22 
        note.>> amendments.--Effective upon the publication of the 
        regulations developed in accordance with section 1932(e)(1) of 
        the Public Health Service Act (42 U.S.C. 300x-32(d))--
                    (A) section 1922(c) of the Public Health Service Act 
                (42 U.S.C. 300x-22(c)) is amended by--
                          (i) striking paragraph (2); and
                          (ii) redesignating paragraph (3) as paragraph 
                      (2); and
                    (B) section 1928(d) of the Public Health Service Act 
                (42 U.S.C. 300x-28(d)) is repealed.

    (g) Authorization of Appropriation.--Section 1935 of the Public 
Health Service Act (42 U.S.C. 300x-35) is amended--
            (1) in subsection (a), by striking ``$1,500,000,000'' and 
        all that follows through the end and inserting ``$2,000,000,000 
        for fiscal year 2001, and such sums as may be necessary for each 
        of the fiscal years 2002 and 2003.'';

[[Page 114 STAT. 1212]]

            (2) in subsection (b)(1), by striking ``section 505'' and 
        inserting ``sections 505 and 1971'';
            (3) in subsection (b)(2), by striking ``1949(a)'' and 
        inserting ``1948(a)''; and
            (4) in subsection (b), by adding at the end the following:
            ``(3) Core data set.--A State that receives a new grant, 
        contract, or cooperative agreement from amounts available to the 
        Secretary under paragraph (1), for the purposes of improving the 
        data collection, analysis and reporting capabilities of the 
        State, shall be required, as a condition of receipt of funds, to 
        collect, analyze, and report to the Secretary for each fiscal 
        year subsequent to receiving such funds a core data set to be 
        determined by the Secretary in conjunction with the States.''.

SEC. 3304. DETERMINATION OF ALLOTMENTS.

    Section 1933(b) of the Public Health Service Act (42 U.S.C. 300x-
33(b)) is amended to read as follows:
    ``(b) Minimum Allotments for States.--
            ``(1) In general.--With respect to fiscal year 2000, and 
        each subsequent fiscal year, the amount of the allotment of a 
        State under section 1921 shall not be less than the amount the 
        State received under such section for the previous fiscal year 
        increased by an amount equal to 30.65 percent of the percentage 
        by which the aggregate amount allotted to all States for such 
        fiscal year exceeds the aggregate amount allotted to all States 
        for the previous fiscal year.
            ``(2) Limitations.--
                    ``(A) In general.--Except as provided in 
                subparagraph (B), a State shall not receive an allotment 
                under section 1921 for a fiscal year in an amount that 
                is less than an amount equal to 0.375 percent of the 
                amount appropriated under section 1935(a) for such 
                fiscal year.
                    ``(B) Exception.--In applying subparagraph (A), the 
                Secretary shall ensure that no State receives an 
                increase in its allotment under section 1921 for a 
                fiscal year (as compared to the amount allotted to the 
                State in the prior fiscal year) that is in excess of an 
                amount equal to 300 percent of the percentage by which 
                the amount appropriated under section 1935(a) for such 
                fiscal year exceeds the amount appropriated for the 
                prior fiscal year.
            ``(3) Decrease in or equal appropriations.--If the amount 
        appropriated under section 1935(a) for a fiscal year is equal to 
        or less than the amount appropriated under such section for the 
        prior fiscal year, the amount of the State allotment under 
        section 1921 shall be equal to the amount that the State 
        received under section 1921 in the prior fiscal year decreased 
        by the percentage by which the amount appropriated for such 
        fiscal year is less than the amount appropriated or such section 
        for the prior fiscal year.''.

SEC. 3305. NONDISCRIMINATION AND INSTITUTIONAL SAFEGUARDS FOR RELIGIOUS 
            PROVIDERS.

    Subpart III of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x-51 et seq.) is amended by adding at the end the 
following:

[[Page 114 STAT. 1213]]

``SEC. 1955. <<NOTE: 42 USC 300x-65.>> SERVICES PROVIDED BY 
            NONGOVERNMENTAL ORGANIZATIONS.

    ``(a) Purposes.--The purposes of this section are--
            ``(1) to prohibit discrimination against nongovernmental 
        organizations and certain individuals on the basis of religion 
        in the distribution of government funds to provide substance 
        abuse services under this title and title V, and the receipt of 
        services under such titles; and
            ``(2) to allow the organizations to accept the funds to 
        provide the services to the individuals without impairing the 
        religious character of the organizations or the religious 
        freedom of the individuals.

    ``(b) Religious Organizations Included as Nongovernmental 
Providers.--
            ``(1) In general.--A State may administer and provide 
        substance abuse services under any program under this title or 
        title V through grants, contracts, or cooperative agreements to 
        provide assistance to beneficiaries under such titles with 
        nongovernmental organizations.
            ``(2) Requirement.--A State that elects to utilize 
        nongovernmental organizations as provided for under paragraph 
        (1) shall consider, on the same basis as other nongovernmental 
        organizations, religious organizations to provide services under 
        substance abuse programs under this title or title V, so long as 
        the programs under such titles are implemented in a manner 
        consistent with the Establishment Clause of the first amendment 
        to the Constitution. Neither the Federal Government nor a State 
        or local government receiving funds under such programs shall 
        discriminate against an organization that provides services 
        under, or applies to provide services under, such programs, on 
        the basis that the organization has a religious character.

    ``(c) Religious Character and Independence.--
            ``(1) In general.--A religious organization that provides 
        services under any substance abuse program under this title or 
        title V shall retain its independence from Federal, State, and 
        local governments, including such organization's control over 
        the definition, development, practice, and expression of its 
        religious beliefs.
            ``(2) Additional safeguards.--Neither the Federal Government 
        nor a State or local government shall require a religious 
        organization--
                    ``(A) to alter its form of internal governance; or
                    ``(B) to remove religious art, icons, scripture, or 
                other symbols,
        in order to be eligible to provide services under any substance 
        abuse program under this title or title V.

    ``(d) Employment Practices.--
            ``(1) Substance abuse.--A religious organization that 
        provides services under any substance abuse program under this 
        title or title V may require that its employees providing 
        services under such program adhere to rules forbidding the use 
        of drugs or alcohol.
            ``(2) Title vii exemption.--The exemption of a religious 
        organization provided under section 702 or 703(e)(2) of the 
        Civil Rights Act of 1964 (42 U.S.C. 2000e-1, 2000e-2(e)(2)) 
        regarding employment practices shall not be affected by the

[[Page 114 STAT. 1214]]

        religious organization's provision of services under, or receipt 
        of funds from, any substance abuse program under this title or 
        title V.

    ``(e) Rights of Beneficiaries of Assistance.--
            ``(1) In general.--If an individual described in paragraph 
        (3) has an objection to the religious character of the 
        organization from which the individual receives, or would 
        receive, services funded under any substance abuse program under 
        this title or title V, the appropriate Federal, State, or local 
        governmental entity shall provide to such individual (if 
        otherwise eligible for such services) within a reasonable period 
        of time after the date of such objection, services that--
                    ``(A) are from an alternative provider that is 
                accessible to the individual; and
                    ``(B) have a value that is not less than the value 
                of the services that the individual would have received 
                from such organization.
            ``(2) Notice.--The appropriate Federal, State, or local 
        governmental entity shall ensure that notice is provided to 
        individuals described in paragraph (3) of the rights of such 
        individuals under this section.
            ``(3) Individual described.--An individual described in this 
        paragraph is an individual who receives or applies for services 
        under any substance abuse program under this title or title V.

    ``(f ) Nondiscrimination Against Beneficiaries.--A religious 
organization providing services through a grant, contract, or 
cooperative agreement under any substance abuse program under this title 
or title V shall not discriminate, in carrying out such program, against 
an individual described in subsection (e)(3) on the basis of religion, a 
religious belief, a refusal to hold a religious belief, or a refusal to 
actively participate in a religious practice.
    ``(g) Fiscal Accountability.--
            ``(1) In general.--Except as provided in paragraph (2), any 
        religious organization providing services under any substance 
        abuse program under this title or title V shall be subject to 
        the same regulations as other nongovernmental organizations to 
        account in accord with generally accepted accounting principles 
        for the use of such funds provided under such program.
            ``(2) Limited audit.--Such organization shall segregate 
        government funds provided under such substance abuse program 
        into a separate account. Only the government funds shall be 
        subject to audit by the government.

    ``(h) Compliance.--Any party that seeks to enforce such party's 
rights under this section may assert a civil action for injunctive 
relief exclusively in an appropriate Federal or State court against the 
entity, agency or official that allegedly commits such violation.
    ``(i) Limitations on Use of Funds for Certain Purposes.--No funds 
provided through a grant or contract to a religious organization to 
provide services under any substance abuse program under this title or 
title V shall be expended for sectarian worship, instruction, or 
proselytization.
    ``( j) Effect on State and Local Funds.--If a State or local 
government contributes State or local funds to carry out any substance 
abuse program under this title or title V, the State or local government 
may segregate the State or local funds from the

[[Page 114 STAT. 1215]]

Federal funds provided to carry out the program or may commingle the 
State or local funds with the Federal funds. If the State or local 
government commingles the State or local funds, the provisions of this 
section shall apply to the commingled funds in the same manner, and to 
the same extent, as the provisions apply to the Federal funds.
    ``(k) Treatment of Intermediate Contractors.--If a nongovernmental 
organization (referred to in this subsection as an `intermediate 
organization'), acting under a contract or other agreement with the 
Federal Government or a State or local government, is given the 
authority under the contract or agreement to select nongovernmental 
organizations to provide services under any substance abuse program 
under this title or title V, the intermediate organization shall have 
the same duties under this section as the government but shall retain 
all other rights of a nongovernmental organization under this 
section.''.

SEC. 3306. ALCOHOL AND DRUG PREVENTION OR TREATMENT SERVICES FOR INDIANS 
            AND NATIVE ALASKANS.

    Part A of title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by adding at the end the following:

``SEC. 506A. <<NOTE: 42 USC 290aa-5a.>> ALCOHOL AND DRUG PREVENTION OR 
            TREATMENT SERVICES FOR INDIANS AND NATIVE ALASKANS.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary shall 
award grants, contracts, or cooperative agreements to public and private 
nonprofit entities, including Native Alaskan entities and Indian tribes 
and tribal organizations, for the purpose of providing alcohol and drug 
prevention or treatment services for Indians and Native Alaskans.

    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants that--
            ``(1) propose to provide alcohol and drug prevention or 
        treatment services on reservations;
            ``(2) propose to employ culturally-appropriate approaches, 
        as determined by the Secretary, in providing such services; and
            ``(3) have provided prevention or treatment services to 
        Native Alaskan entities and Indian tribes and tribal 
        organizations for at least 1 year prior to applying for a grant 
        under this section.

    ``(c) Duration.--The Secretary shall award grants, contracts, or 
cooperative agreements under subsection (a) for a period not to exceed 5 
years.
    ``(d) Application.--An entity desiring a grant, contract, or 
cooperative agreement under subsection (a) shall submit an application 
to the Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonably require.
    ``(e) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, a plan for the evaluation of any project 
undertaken with funds provided under this section. Such entity shall 
provide the Secretary with periodic evaluations of the progress of such 
project and such evaluation at the completion of such project as the 
Secretary determines to be appropriate. The final evaluation submitted 
by such entity shall include a recommendation as to whether such project 
shall continue.

[[Page 114 STAT. 1216]]

    ``(f ) Report.--Not <<NOTE: Deadline.>> later than 3 years after the 
date of the enactment of this section and annually thereafter, the 
Secretary shall prepare and submit, to the Committee on Health, 
Education, Labor, and Pensions of the Senate, a report describing the 
services provided pursuant to this section.

    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $15,000,000 for fiscal year 
2001, and such sums as may be necessary for fiscal years 2002 and 
2003.''.

SEC. 3307. <<NOTE: 25 USC 1671 note.>> ESTABLISHMENT OF COMMISSION.

    (a) In General.--There is established a commission to be known as 
the Commission on Indian and Native Alaskan Health Care that shall 
examine the health concerns of Indians and Native Alaskans who reside on 
reservations and tribal lands (hereafter in this section referred to as 
the ``Commission'').
    (b) Membership.--
            (1) In general.--The Commission established under subsection 
        (a) shall consist of--
                    (A) the Secretary;
                    (B) 15 members who are experts in the health care 
                field and issues that the Commission is established to 
                examine; and
                    (C) the Director of the Indian Health Service and 
                the Commissioner of Indian Affairs, who shall be 
                nonvoting members.
            (2) Appointing authority.--Of the 15 members of the 
        Commission described in paragraph (1)(B)--
                    (A) two shall be appointed by the Speaker of the 
                House of Representatives;
                    (B) two shall be appointed by the Minority Leader of 
                the House of Representatives;
                    (C) two shall be appointed by the Majority Leader of 
                the Senate;
                    (D) two shall be appointed by the Minority Leader of 
                the Senate; and
                    (E) seven shall be appointed by the Secretary.
            (3) Limitation.--Not fewer than 10 of the members appointed 
        to the Commission shall be Indians or Native Alaskans.
            (4) Chairperson.--The Secretary shall serve as the 
        Chairperson of the Commission.
            (5) Experts.--The Commission may seek the expertise of any 
        expert in the health care field to carry out its duties.

    (c) Period of Appointment.--Members shall be appointed for the life 
of the Commission. Any vacancy in the Commission shall not affect its 
powers, but shall be filed in the same manner as the original 
appointment.
    (d) Duties of the Commission.--The Commission shall--
            (1) study the health concerns of Indians and Native 
        Alaskans; and
            (2) prepare the reports described in subsection (i).

    (e) Powers of the Commission.--
            (1) Hearings.--The Commission may hold such hearings, 
        including hearings on reservations, sit and act at such times 
        and places, take such testimony, and receive such information

[[Page 114 STAT. 1217]]

        as the Commission considers advisable to carry out the purpose 
        for which the Commission was established.
            (2) Information from federal agencies.--The Commission may 
        secure directly from any Federal department or agency such 
        information as the Commission considers necessary to carry out 
        the purpose for which the Commission was established. Upon 
        request of the Chairperson of the Commission, the head of such 
        department or agency shall furnish such information to the 
        Commission.

    (f ) Compensation of Members.--
            (1) In general.--Except as provided in subparagraph (B), 
        each member of the Commission may be compensated at a rate not 
        to exceed the daily equivalent of the annual rate of basic pay 
        prescribed for level IV of the Executive Schedule under section 
        5315 of title 5, United States Code, for each day (including 
        travel time), during which that member is engaged in the actual 
        performance of the duties of the Commission.
            (2) Limitation.--Members of the Commission who are officers 
        or employees of the United States shall receive no additional 
        pay on account of their service on the Commission.

    (g) Travel Expenses of Members.--The members of the Commission shall 
be allowed travel expenses, including per diem in lieu of subsistence, 
at rates authorized for employees of agencies under section 5703 of 
title 5, United States Code, while away from their homes or regular 
places of business in the performance of services for the Commission.
    (h) Commission Personnel Matters.--
            (1) In general.--The Secretary, in accordance with rules 
        established by the Commission, may select and appoint a staff 
        director and other personnel necessary to enable the Commission 
        to carry out its duties.
            (2) Compensation of personnel.--The Secretary, in accordance 
        with rules established by the Commission, may set the amount of 
        compensation to be paid to the staff director and any other 
        personnel that serve the Commission.
            (3) Detail of government employees.--Any Federal Government 
        employee may be detailed to the Commission without 
        reimbursement, and the detail shall be without interruption or 
        loss of civil service status or privilege.
            (4) Consultant services.--The Chairperson of the Commission 
        is authorized to procure the temporary and intermittent services 
        of experts and consultants in accordance with section 3109 of 
        title 5, United States Code, at rates not to exceed the daily 
        equivalent of the annual rate of basic pay prescribed for level 
        IV of the Executive Schedule under section 5315 of such title.

    (i) Report.--
            (1) In <<NOTE: Deadline.>> general.--Not later than 3 years 
        after the date of the enactment of the Youth Drug and Mental 
        Health Services Act, the Secretary shall prepare and submit, to 
        the Committee on Health, Education, Labor, and Pensions of the 
        Senate, a report that shall--
                    (A) detail the health problems faced by Indians and 
                Native Alaskans who reside on reservations;
                    (B) examine and explain the causes of such problems;

[[Page 114 STAT. 1218]]

                    (C) describe the health care services available to 
                Indians and Native Alaskans who reside on reservations 
                and the adequacy of such services;
                    (D) identify the reasons for the provision of 
                inadequate health care services for Indians and Native 
                Alaskans who reside on reservations, including the 
                availability of resources;
                    (E) develop measures for tracking the health status 
                of Indians and Native Americans who reside on 
                reservations; and
                    (F) make recommendations for improvements in the 
                health care services provided for Indians and Native 
                Alaskans who reside on reservations, including 
                recommendations for legislative change.
            (2) Exception.--In addition to the report required under 
        paragraph (1), not later than 2 years after the date of the 
        enactment of the Youth Drug and Mental Health Services Act, the 
        Secretary shall prepare and submit, to the Committee on Health, 
        Education, Labor, and Pensions of the Senate, a report that 
        describes any alcohol and drug abuse among Indians and Native 
        Alaskans who reside on reservations.

    ( j) Permanent Commission.--Section 14 of the Federal Advisory 
Committee Act (5 U.S.C. App.) shall not apply to the Commission.
    (k) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for fiscal year 2001, 
and such sums as may be necessary for fiscal years 2002 and 2003.

   TITLE XXXIV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

SEC. 3401. GENERAL AUTHORITIES AND PEER REVIEW.

    (a) General Authorities.--Paragraph (1) of section 501(e) of the 
Public Health Service Act (42 U.S.C. 290aa(e)) is amended to read as 
follows:
            ``(1) In general.--There may be in the Administration an 
        Associate Administrator for Alcohol Prevention and Treatment 
        Policy to whom the Administrator may delegate the functions of 
        promoting, monitoring, and evaluating service programs for the 
        prevention and treatment of alcoholism and alcohol abuse within 
        the Center for Substance Abuse Prevention, the Center for 
        Substance Abuse Treatment and the Center for Mental Health 
        Services, and coordinating such programs among the Centers, and 
        among the Centers and other public and private entities. The 
        Associate Administrator also may ensure that alcohol prevention, 
        education, and policy strategies are integrated into all 
        programs of the Centers that address substance abuse prevention, 
        education, and policy, and that the Center for Substance Abuse 
        Prevention addresses the Healthy People 2010 goals and the 
        National Dietary Guidelines of the Department of Health and 
        Human Services and the Department of Agriculture related to 
        alcohol consumption.''.

    (b) Peer Review.--Section 504 of the Public Health Service (42 
U.S.C. 290aa-3) is amended as follows:

[[Page 114 STAT. 1219]]

``SEC. 504. PEER REVIEW.

    ``(a) In <<NOTE: Grants. Contracts.>> General.--The Secretary, after 
consultation with the Administrator, shall require appropriate peer 
review of grants, cooperative agreements, and contracts to be 
administered through the agency which exceed the simple acquisition 
threshold as defined in section 4(11) of the Office of Federal 
Procurement Policy Act.

    ``(b) Members.--The members of any peer review group established 
under subsection (a) shall be individuals who by virtue of their 
training or experience are eminently qualified to perform the review 
functions of the group. Not more than one-fourth of the members of any 
such peer review group shall be officers or employees of the United 
States.
    ``(c) Advisory Council Review.--If the direct cost of a grant or 
cooperative agreement (described in subsection (a)) exceeds the simple 
acquisition threshold as defined by section 4(11) of the Office of 
Federal Procurement Policy Act, the Secretary may make such a grant or 
cooperative agreement only if such grant or cooperative agreement is 
recommended--
            ``(1) after peer review required under subsection (a); and
            ``(2) by the appropriate advisory council.

    ``(d) Conditions.--The Secretary may establish limited exceptions to 
the limitations contained in this section regarding participation of 
Federal employees and advisory council approval. The circumstances under 
which the Secretary may make such an exception shall be made public.''.

SEC. 3402. ADVISORY COUNCILS.

    Section 502(e) of the Public Health Service Act (42 U.S.C. 290aa-
1(e)) is amended in the first sentence by striking ``3 times'' and 
inserting ``2 times''.

SEC. 3403. GENERAL PROVISIONS FOR THE PERFORMANCE PARTNERSHIP BLOCK 
            GRANTS.

    (a) Plans for Performance Partnerships.--Section 1949 of the Public 
Health Service Act (42 U.S.C. 300x-59) is amended as follows:

``SEC. 1949. PLANS FOR PERFORMANCE PARTNERSHIPS.

    ``(a) Development.--The Secretary in conjunction with States and 
other interested groups shall develop separate plans for the programs 
authorized under subparts I and II for creating more flexibility for 
States and accountability based on outcome and other performance 
measures. The plans shall each include--
            ``(1) a description of the flexibility that would be given 
        to the States under the plan;
            ``(2) the common set of performance measures that would be 
        used for accountability, including measures that would be used 
        for the program under subpart II for pregnant addicts, HIV 
        transmission, tuberculosis, and those with a co-occurring 
        substance abuse and mental disorders, and for programs under 
        subpart I for children with serious emotional disturbance and 
        adults with serious mental illness and for individuals with co-
        occurring mental health and substance abuse disorders;
            ``(3) the definitions for the data elements to be used under 
        the plan;
            ``(4) the obstacles to implementation of the plan and the 
        manner in which such obstacles would be resolved;

[[Page 114 STAT. 1220]]

            ``(5) the resources needed to implement the performance 
        partnerships under the plan; and
            ``(6) an implementation strategy complete with 
        recommendations for any necessary legislation.

    ``(b) Submission.--Not <<NOTE: Deadline.>> later than 2 years after 
the date of the enactment of this Act, the plans developed under 
subsection (a) shall be submitted to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Commerce of the 
House of Representatives.

    ``(c) Information.--As the elements of the plans described in 
subsection (a) are developed, States are encouraged to provide 
information to the Secretary on a voluntary basis.
    ``(d) Participants.--The Secretary shall include among those 
interested groups that participate in the development of the plan 
consumers of mental health or substance abuse services, providers, 
representatives of political divisions of States, and representatives of 
racial and ethnic groups including Native Americans.''.
    (b) Availability to States of Grant Programs.--Section 1952 of the 
Public Health Service Act (42 U.S.C. 300x-62) is amended as follows:

``SEC. 1952. AVAILABILITY TO STATES OF GRANT PAYMENTS.

    ``Any amounts paid to a State for a fiscal year under section 1911 
or 1921 shall be available for obligation and expenditure until the end 
of the fiscal year following the fiscal year for which the amounts were 
paid.''.

SEC. 3404. DATA INFRASTRUCTURE PROJECTS.

    Part C of title XIX of the Public Health Service Act (42 U.S.C. 300y 
et seq.) is amended--
            (1) by striking the headings for part C and subpart I and 
        inserting the following:

 ``PART C--CERTAIN PROGRAMS REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE

             ``Subpart I--Data Infrastructure Development'';

            (2) by striking section 1971 (42 U.S.C. 300y) and inserting 
        the following:

``SEC. 1971. DATA INFRASTRUCTURE DEVELOPMENT.

    ``(a) In General.--The Secretary may make grants to, and enter into 
contracts or cooperative agreements with States for the purpose of 
developing and operating mental health or substance abuse data 
collection, analysis, and reporting systems with regard to performance 
measures including capacity, process, and outcomes measures.
    ``(b) Projects.--The Secretary shall establish criteria to ensure 
that services will be available under this section to States that have a 
fundamental basis for the collection, analysis, and reporting of mental 
health and substance abuse performance measures and States that do not 
have such basis. The Secretary will establish criteria for determining 
whether a State has a fundamental basis for the collection, analysis, 
and reporting of data.
    ``(c) Condition of Receipt of Funds.--As a condition of the receipt 
of an award under this section a State shall agree to collect, analyze, 
and report to the Secretary within 2 years of the date

[[Page 114 STAT. 1221]]

of the award on a core set of performance measures to be determined by 
the Secretary in conjunction with the States.
    ``(d) Matching Requirement.--
            ``(1) In general.--With respect to the costs of the program 
        to be carried out under subsection (a) by a State, the Secretary 
        may make an award under such subsection only if the applicant 
        agrees to make available (directly or through donations from 
        public or private entities) non-Federal contributions toward 
        such costs in an amount that is not less than 50 percent of such 
        costs.
            ``(2) Determination of amount contributed.--Non-Federal 
        contributions under paragraph (1) may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services. 
        Amounts provided by the Federal Government, or services assisted 
        or subsidized to any significant extent by the Federal 
        Government, may not be included in determining the amount of 
        such contributions.

    ``(e) Duration of Support.--The period during which payments may be 
made for a project under subsection (a) may be not less than 3 years nor 
more than 5 years.
    ``(f ) Authorization of Appropriation.--
            ``(1) In general.--For the purpose of carrying out this 
        section, there are authorized to be appropriated such sums as 
        may be necessary for each of the fiscal years 2001, 2002 and 
        2003.
            ``(2) Allocation.--Of the amounts appropriated under 
        paragraph (1) for a fiscal year, 50 percent shall be expended to 
        support data infrastructure development for mental health and 50 
        percent shall be expended to support data infrastructure 
        development for substance abuse.''.

SEC. 3405. REPEAL OF OBSOLETE ADDICT REFERRAL PROVISIONS.

    (a) Repeal of Obsolete Public Health Service Act Authorities.--Part 
E of title III (42 U.S.C. 257 et seq.) is repealed.
    (b) Repeal <<NOTE: 42 USC 3411-3426, 3441.>> of Obsolete NARA 
Authorities.--Titles III and IV of the Narcotic Addict Rehabilitation 
Act of 1966 (Public Law 89-793) are repealed.

    (c) Repeal of Obsolete Title 28 Authorities.--
            (1) In <<NOTE: 28 USC 2901-2906.>> general.--Chapter 175 of 
        title 28, United States Code, is repealed.
            (2) Table of contents.--The table of contents to part VI of 
        title 28, United States Code, is amended by striking the items 
        relating to chapter 175.

SEC. 3406. INDIVIDUALS WITH CO-OCCURRING DISORDERS.

    The Public Health Service Act is amended by inserting after section 
503 (42 U.S.C. 290aa-2) the following:

``SEC. 503A. <<NOTE: 42 USC 290aa-2a.>> REPORT ON INDIVIDUALS WITH CO-
            OCCURRING MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS.

    ``(a) In <<NOTE: Deadline.>> General.--Not later than 2 years after 
the date of the enactment of this section, the Secretary shall, after 
consultation with organizations representing States, mental health and 
substance abuse treatment providers, prevention specialists, individuals 
receiving treatment services, and family members of such individuals, 
prepare and submit to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Commerce of the House of 
Representatives, a report on prevention

[[Page 114 STAT. 1222]]

and treatment services for individuals who have co-occurring mental 
illness and substance abuse disorders.

    ``(b) Report Content.--The report under subsection (a) shall be 
based on data collected from existing Federal and State surveys 
regarding the treatment of co-occurring mental illness and substance 
abuse disorders and shall include--
            ``(1) a summary of the manner in which individuals with co-
        occurring disorders are receiving treatment, including the most 
        up-to-date information available regarding the number of 
        children and adults with co-occurring mental illness and 
        substance abuse disorders and the manner in which funds provided 
        under sections 1911 and 1921 are being utilized, including the 
        number of such children and adults served with such funds;
            ``(2) a summary of improvements necessary to ensure that 
        individuals with co-occurring mental illness and substance abuse 
        disorders receive the services they need;
            ``(3) a summary of practices for preventing substance abuse 
        among individuals who have a mental illness and are at risk of 
        having or acquiring a substance abuse disorder; and
            ``(4) a summary of evidenced-based practices for treating 
        individuals with co-occurring mental illness and substance abuse 
        disorders and recommendations for implementing such practices.

    ``(c) Funds for Report.--The Secretary may obligate funds to carry 
out this section with such appropriations as are available.''.

SEC. 3407. SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS.

    Subpart III of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x-51 et seq.) (as amended by section 3305) is further 
amended by adding at the end the following:

``SEC. 1956. <<NOTE: 42 USC 300x-66.>> SERVICES FOR INDIVIDUALS WITH CO-
            OCCURRING DISORDERS.

    ``States may use funds available for treatment under sections 1911 
and 1921 to treat persons with co-occurring substance abuse and mental 
disorders as long as funds available under such sections are used for 
the purposes for which they were authorized by law and can be tracked 
for accounting purposes.''.

   TITLE <<NOTE: Drug Addiction Treatment Act of 2000.>> XXXV--WAIVER 
  AUTHORITY FOR PHYSICIANS WHO DISPENSE OR PRESCRIBE CERTAIN NARCOTIC 
DRUGS FOR MAINTENANCE TREATMENT OR DETOXIFICATION TREATMENT

SEC. 3501. <<NOTE: 21 USC 801 note.>> SHORT TITLE.

    This title may be cited as the ``Drug Addiction Treatment Act of 
2000''.

SEC. 3502. AMENDMENT TO CONTROLLED SUBSTANCES ACT.

    (a) In General.--Section 303(g) of the Controlled Substances Act (21 
U.S.C. 823(g)) is amended--

[[Page 114 STAT. 1223]]

            (1) in paragraph (2), by striking ``(A) security'' and 
        inserting ``(i) security'', and by striking ``(B) the 
        maintenance'' and inserting ``(ii) the maintenance'';
            (2) by redesignating paragraphs (1) through (3) as 
        subparagraphs (A) through (C), respectively;
            (3) by inserting ``(1)'' after ``(g)'';
            (4) by striking ``Practitioners who dispense'' and inserting 
        ``Except as provided in paragraph (2), practitioners who 
        dispense''; and
            (5) by adding at the end the following paragraph:

    ``(2)(A) Subject to subparagraphs (D) and (J), the requirements of 
paragraph (1) are waived in the case of the dispensing (including the 
prescribing), by a practitioner, of narcotic drugs in schedule III, IV, 
or V or combinations of such drugs if the practitioner meets the 
conditions specified in subparagraph (B) and the narcotic drugs or 
combinations of such drugs meet the conditions specified in subparagraph 
(C).
    ``(B) For purposes of subparagraph (A), the conditions specified in 
this subparagraph with respect to a practitioner are that, before the 
initial dispensing of narcotic drugs in schedule III, IV, or V or 
combinations of such drugs to patients for maintenance or detoxification 
treatment, the practitioner submit to the Secretary a notification of 
the intent of the practitioner to begin dispensing the drugs or 
combinations for such purpose, and that the notification contain the 
following certifications by the practitioner:
            ``(i) The practitioner is a qualifying physician (as defined 
        in subparagraph (G)).
            ``(ii) With respect to patients to whom the practitioner 
        will provide such drugs or combinations of drugs, the 
        practitioner has the capacity to refer the patients for 
        appropriate counseling and other appropriate ancillary services.
            ``(iii) In any case in which the practitioner is not in a 
        group practice, the total number of such patients of the 
        practitioner at any one time will not exceed the applicable 
        number. For purposes of this clause, the applicable number is 
        30, except that the Secretary may by regulation change such 
        total number.
            ``(iv) In any case in which the practitioner is in a group 
        practice, the total number of such patients of the group 
        practice at any one time will not exceed the applicable number. 
        For purposes of this clause, the applicable number is 30, except 
        that the Secretary may by regulation change such total number, 
        and the Secretary for such purposes may by regulation establish 
        different categories on the basis of the number of practitioners 
        in a group practice and establish for the various categories 
        different numerical limitations on the number of such patients 
        that the group practice may have.

    ``(C) For purposes of subparagraph (A), the conditions specified in 
this subparagraph with respect to narcotic drugs in schedule III, IV, or 
V or combinations of such drugs are as follows:
            ``(i) The drugs or combinations of drugs have, under the 
        Federal Food, Drug, and Cosmetic Act or section 351 of the 
        Public Health Service Act, been approved for use in maintenance 
        or detoxification treatment.
            ``(ii) The drugs or combinations of drugs have not been the 
        subject of an adverse determination. <<NOTE: Federal Register, 
        publication.>> For purposes of this clause, an adverse 
        determination is a determination published

[[Page 114 STAT. 1224]]

        in the Federal Register and made by the Secretary, after 
        consultation with the Attorney General, that the use of the 
        drugs or combinations of drugs for maintenance or detoxification 
        treatment requires additional standards respecting the 
        qualifications of practitioners to provide such treatment, or 
        requires standards respecting the quantities of the drugs that 
        may be provided for unsupervised use.

    ``(D)(i) A waiver under subparagraph (A) with respect to a 
practitioner is not in effect unless (in addition to conditions under 
subparagraphs (B) and (C)) the following conditions are met:
            ``(I) The notification under subparagraph (B) is in writing 
        and states the name of the practitioner.
            ``(II) The notification identifies the registration issued 
        for the practitioner pursuant to subsection (f ).
            ``(III) If the practitioner is a member of a group practice, 
        the notification states the names of the other practitioners in 
        the practice and identifies the registrations issued for the 
        other practitioners pursuant to subsection (f ).

    ``(ii) Upon receiving a notification under subparagraph (B), the 
Attorney General shall assign the practitioner involved an 
identification number under this paragraph for inclusion with the 
registration issued for the practitioner pursuant to subsection (f ). 
The identification number so assigned shall be appropriate to preserve 
the confidentiality of patients for whom the practitioner has dispensed 
narcotic drugs under a waiver under subparagraph (A).
    ``(iii) <<NOTE: Deadline.>> Not later than 45 days after the date on 
which the Secretary receives a notification under subparagraph (B), the 
Secretary shall make a determination of whether the practitioner 
involved meets all requirements for a waiver under subparagraph (B). If 
the Secretary fails to make such determination by the end of the such 
45-day period, the Attorney General shall assign the physician an 
identification number described in clause (ii) at the end of such 
period.

    ``(E)(i) If a practitioner is not registered under paragraph (1) 
and, in violation of the conditions specified in subparagraphs (B) 
through (D), dispenses narcotic drugs in schedule III, IV, or V or 
combinations of such drugs for maintenance treatment or detoxification 
treatment, the Attorney General may, for purposes of section 304(a)(4), 
consider the practitioner to have committed an act that renders the 
registration of the practitioner pursuant to subsection (f ) to be 
inconsistent with the public interest.
    ``(ii)(I) <<NOTE: Expiration date.>> Upon the expiration of 45 days 
from the date on which the Secretary receives a notification under 
subparagraph (B), a practitioner who in good faith submits a 
notification under subparagraph (B) and reasonably believes that the 
conditions specified in subparagraphs (B) through (D) have been met 
shall, in dispensing narcotic drugs in schedule III, IV, or V or 
combinations of such drugs for maintenance treatment or detoxification 
treatment, be considered to have a waiver under subparagraph (A) until 
notified otherwise by the Secretary, except that such a practitioner may 
commence to prescribe or dispense such narcotic drugs for such purposes 
prior to the expiration of such 45-day period if it facilitates the 
treatment of an individual patient and both the Secretary and the 
Attorney General are notified by the practitioner of the intent to 
commence prescribing or dispensing such narcotic drugs.

    ``(II) <<NOTE: Federal Register, publication.>> For purposes of 
subclause (I), the publication in the Federal Register of an adverse 
determination by the Secretary pursuant

[[Page 114 STAT. 1225]]

to subparagraph (C)(ii) shall (with respect to the narcotic drug or 
combination involved) be considered to be a notification provided by the 
Secretary to practitioners, effective upon the expiration of the 30-day 
period beginning on the date on which the adverse determination is so 
published.

    ``(F)(i) With respect to the dispensing of narcotic drugs in 
schedule III, IV, or V or combinations of such drugs to patients for 
maintenance or detoxification treatment, a practitioner may, in his or 
her discretion, dispense such drugs or combinations for such treatment 
under a registration under paragraph (1) or a waiver under subparagraph 
(A) (subject to meeting the applicable conditions).
    ``(ii) This paragraph may not be construed as having any legal 
effect on the conditions for obtaining a registration under paragraph 
(1), including with respect to the number of patients who may be served 
under such a registration.
    ``(G) For purposes of this paragraph:
            ``(i) The term `group practice' has the meaning given such 
        term in section 1877(h)(4) of the Social Security Act.
            ``(ii) The term `qualifying physician' means a physician who 
        is licensed under State law and who meets one or more of the 
        following conditions:
                    ``(I) The physician holds a subspecialty board 
                certification in addiction psychiatry from the American 
                Board of Medical Specialties.
                    ``(II) The physician holds an addiction 
                certification from the American Society of Addiction 
                Medicine.
                    ``(III) The physician holds a subspecialty board 
                certification in addiction medicine from the American 
                Osteopathic Association.
                    ``(IV) The physician has, with respect to the 
                treatment and management of opiate-dependent patients, 
                completed not less than eight hours of training (through 
                classroom situations, seminars at professional society 
                meetings, electronic communications, or otherwise) that 
                is provided by the American Society of Addiction 
                Medicine, the American Academy of Addiction Psychiatry, 
                the American Medical Association, the American 
                Osteopathic Association, the American Psychiatric 
                Association, or any other organization that the 
                Secretary determines is appropriate for purposes of this 
                subclause.
                    ``(V) The physician has participated as an 
                investigator in one or more clinical trials leading to 
                the approval of a narcotic drug in schedule III, IV, or 
                V for maintenance or detoxification treatment, as 
                demonstrated by a statement submitted to the Secretary 
                by the sponsor of such approved drug.
                    ``(VI) The physician has such other training or 
                experience as the State medical licensing board (of the 
                State in which the physician will provide maintenance or 
                detoxification treatment) considers to demonstrate the 
                ability of the physician to treat and manage opiate-
                dependent patients.
                    ``(VII) The physician has such other training or 
                experience as the Secretary considers to demonstrate the 
                ability of the physician to treat and manage opiate-
                dependent patients. Any criteria of the Secretary under 
                this subclause

[[Page 114 STAT. 1226]]

                shall be established by regulation. Any such criteria 
                are effective only for 3 years after the date on which 
                the criteria are promulgated, but may be extended for 
                such additional discrete 3-year periods as the Secretary 
                considers appropriate for purposes of this 
                subclause. <<NOTE: Federal Register, publication.>> Such 
                an extension of criteria may only be effectuated through 
                a statement published in the Federal Register by the 
                Secretary during the 30-day period preceding the end of 
                the 3-year period involved.

    ``(H)(i) In consultation with the Administrator of the Drug 
Enforcement Administration, the Administrator of the Substance Abuse and 
Mental Health Services Administration, the Director of the National 
Institute on Drug Abuse, and the Commissioner of Food and Drugs, the 
Secretary shall issue regulations (through notice and comment 
rulemaking) or issue practice guidelines to address the following:
            ``(I) Approval of additional credentialing bodies and the 
        responsibilities of additional credentialing bodies.
            ``(II) Additional exemptions from the requirements of this 
        paragraph and any regulations under this paragraph.

Nothing in such regulations or practice guidelines may authorize any 
Federal official or employee to exercise supervision or control over the 
practice of medicine or the manner in which medical services are 
provided.
    ``(ii) <<NOTE: Deadline.>> Not later than 120 days after the date of 
the enactment of the Drug Addiction Treatment Act of 2000, the Secretary 
shall issue a treatment improvement protocol containing best practice 
guidelines for the treatment and maintenance of opiate-dependent 
patients. The Secretary shall develop the protocol in consultation with 
the Director of the National Institute on Drug Abuse, the Administrator 
of the Drug Enforcement Administration, the Commissioner of Food and 
Drugs, the Administrator of the Substance Abuse and Mental Health 
Services Administration and other substance abuse disorder 
professionals. The protocol shall be guided by science.

    ``(I) During the 3-year period beginning on the date of the 
enactment of the Drug Addiction Treatment Act of 2000, a State may not 
preclude a practitioner from dispensing or prescribing drugs in schedule 
III, IV, or V, or combinations of such drugs, to patients for 
maintenance or detoxification treatment in accordance with this 
paragraph unless, before the expiration of that 3-year period, the State 
enacts a law prohibiting a practitioner from dispensing such drugs or 
combinations of drug.
    ``(J)(i) <<NOTE: Effective date.>> This paragraph takes effect on 
the date of the enactment of the Drug Addiction Treatment Act of 2000, 
and remains in effect thereafter except as provided in clause (iii) 
(relating to a decision by the Secretary or the Attorney General that 
this paragraph should not remain in effect).

    ``(ii) For purposes relating to clause (iii), the Secretary and the 
Attorney General may, during the 3-year period beginning on the date of 
the enactment of the Drug Addiction Treatment Act of 2000, make 
determinations in accordance with the following:
            ``(I) The Secretary may make a determination of whether 
        treatments provided under waivers under subparagraph (A)

[[Page 114 STAT. 1227]]

        have been effective forms of maintenance treatment and 
        detoxification treatment in clinical settings; may make a 
        determination of whether such waivers have significantly 
        increased (relative to the beginning of such period) the 
        availability of maintenance treatment and detoxification 
        treatment; and may make a determination of whether such waivers 
        have adverse consequences for the public health.
            ``(II) The Attorney General may make a determination of the 
        extent to which there have been violations of the numerical 
        limitations established under subparagraph (B) for the number of 
        individuals to whom a practitioner may provide treatment; may 
        make a determination of whether waivers under subparagraph (A) 
        have increased (relative to the beginning of such period) the 
        extent to which narcotic drugs in schedule III, IV, or V or 
        combinations of such drugs are being dispensed or possessed in 
        violation of this Act; and may make a determination of whether 
        such waivers have adverse consequences for the public health.

    ``(iii) <<NOTE: Federal Register, publication. Effective date.>> If, 
before the expiration of the period specified in clause (ii), the 
Secretary or the Attorney General publishes in the Federal Register a 
decision, made on the basis of determinations under such clause, that 
this paragraph should not remain in effect, this paragraph ceases to be 
in effect 60 days after the date on which the decision is so published. 
The Secretary shall in making any such decision consult with the 
Attorney General, and shall in publishing the decision in the Federal 
Register include any comments received from the Attorney General for 
inclusion in the publication. The Attorney General shall in making any 
such decision consult with the Secretary, and shall in publishing the 
decision in the Federal Register include any comments received from the 
Secretary for inclusion in the publication.''.

    (b) Conforming Amendments.--Section 304 of the Controlled Substances 
Act (21 U.S.C. 824) is amended--
            (1) in subsection (a), in the matter after and below 
        paragraph (5), by striking ``section 303(g)'' each place such 
        term appears and inserting ``section 303(g)(1)''; and
            (2) in subsection (d), by striking ``section 303(g)'' and 
        inserting ``section 303(g)(1)''.

    (c) Additional Authorization of Appropriations.--For the purpose of 
assisting the Secretary of Health and Human Services with the additional 
duties established for the Secretary pursuant to the amendments made by 
this section, there are authorized to be appropriated, in addition to 
other authorizations of appropriations that are available for such 
purpose, such sums as may be necessary for each of fiscal years 2001 
through 2003.

       TITLE <<NOTE: Methampheta- mine Anti-Proliferation Act of 
2000.>> XXXVI--METHAMPHETAMINE AND OTHER CONTROLLED SUBSTANCES

SEC. 3601. <<NOTE: 21 USC 801 note.>> SHORT TITLE.

    This title may be cited as the ``Methamphetamine Anti-Proliferation 
Act of 2000''.

[[Page 114 STAT. 1228]]

     Subtitle A--Methamphetamine Production, Trafficking, and Abuse

                       PART I--CRIMINAL PENALTIES

SEC. 3611. <<NOTE: 28 USC 994 note.>> ENHANCED PUNISHMENT OF AMPHETAMINE 
            LABORATORY OPERATORS.

    (a) Amendment to Federal Sentencing Guidelines.--Pursuant to its 
authority under section 994(p) of title 28, United States Code, the 
United States Sentencing Commission shall amend the Federal sentencing 
guidelines in accordance with this section with respect to any offense 
relating to the manufacture, importation, exportation, or trafficking in 
amphetamine (including an attempt or conspiracy to do any of the 
foregoing) in violation of--
            (1) the Controlled Substances Act (21 U.S.C. 801 et seq.);
            (2) the Controlled Substances Import and Export Act (21 
        U.S.C. 951 et seq.); or
            (3) the Maritime Drug Law Enforcement Act (46 U.S.C. App. 
        1901 et seq.).

    (b) General Requirement.--In carrying out this section, the United 
States Sentencing Commission shall, with respect to each offense 
described in subsection (a) relating to amphetamine--
            (1) review and amend its guidelines to provide for increased 
        penalties such that those penalties are comparable to the base 
        offense level for methamphetamine; and
            (2) take any other action the Commission considers necessary 
        to carry out this subsection.

    (c) Additional Requirements.--In carrying out this section, the 
United States Sentencing Commission shall ensure that the sentencing 
guidelines for offenders convicted of offenses described in subsection 
(a) reflect the heinous nature of such offenses, the need for aggressive 
law enforcement action to fight such offenses, and the extreme dangers 
associated with unlawful activity involving amphetamines, including--
            (1) the rapidly growing incidence of amphetamine abuse and 
        the threat to public safety that such abuse poses;
            (2) the high risk of amphetamine addiction;
            (3) the increased risk of violence associated with 
        amphetamine trafficking and abuse; and
            (4) the recent increase in the illegal importation of 
        amphetamine and precursor chemicals.

    (d) Emergency Authority to Sentencing Commission.--The United States 
Sentencing Commission shall promulgate amendments pursuant to this 
section as soon as practicable after the date of the enactment of this 
Act in accordance with the procedure set forth in section 21(a) of the 
Sentencing Act of 1987 (Public Law 100-182), as though the authority 
under that Act had not expired.

SEC. <<NOTE: 28 USC 994 note.>> 3612. ENHANCED PUNISHMENT OF AMPHETAMINE 
            OR METHAMPHETAMINE LABORATORY OPERATORS.

    (a) Federal Sentencing Guidelines.--
            (1) In general.--Pursuant to its authority under section 
        994(p) of title 28, United States Code, the United States 
        Sentencing Commission shall amend the Federal sentencing 
        guidelines in accordance with paragraph (2) with respect to any

[[Page 114 STAT. 1229]]

        offense relating to the manufacture, attempt to manufacture, or 
        conspiracy to manufacture amphetamine or methamphetamine in 
        violation of--
                    (A) the Controlled Substances Act (21 U.S.C. 801 et 
                seq.);
                    (B) the Controlled Substances Import and Export Act 
                (21 U.S.C. 951 et seq.); or
                    (C) the Maritime Drug Law Enforcement Act (46 U.S.C. 
                App. 1901 et seq.).
            (2) Requirements.--In carrying out this paragraph, the 
        United States Sentencing Commission shall--
                    (A) if the offense created a substantial risk of 
                harm to human life (other than a life described in 
                subparagraph (B)) or the environment, increase the base 
                offense level for the offense--
                          (i) by not less than 3 offense levels above 
                      the applicable level in effect on the date of the 
                      enactment of this Act; or
                          (ii) if the resulting base offense level after 
                      an increase under clause (i) would be less than 
                      level 27, to not less than level 27; or
                    (B) if the offense created a substantial risk of 
                harm to the life of a minor or incompetent, increase the 
                base offense level for the offense--
                          (i) by not less than 6 offense levels above 
                      the applicable level in effect on the date of the 
                      enactment of this Act; or
                          (ii) if the resulting base offense level after 
                      an increase under clause (i) would be less than 
                      level 30, to not less than level 30.
            (3) Emergency authority to sentencing commission.--The 
        United States Sentencing Commission shall promulgate amendments 
        pursuant to this subsection as soon as practicable after the 
        date of the enactment of this Act in accordance with the 
        procedure set forth in section 21(a) of the Sentencing Act of 
        1987 (Public Law 100-182), as though the authority under that 
        Act had not expired.

    (b) Effective Date.--The amendments made pursuant to this section 
shall apply with respect to any offense occurring on or after the date 
that is 60 days after the date of the enactment of this Act.

SEC. 3613. MANDATORY RESTITUTION FOR VIOLATIONS OF CONTROLLED SUBSTANCES 
            ACT AND CONTROLLED SUBSTANCES IMPORT AND EXPORT ACT RELATING 
            TO AMPHETAMINE AND METHAMPHETAMINE.

    (a) Mandatory Restitution.--Section 413(q) of the Controlled 
Substances Act (21 U.S.C. 853(q)) is amended--
            (1) in the matter preceding paragraph (1), by striking 
        ``may'' and inserting ``shall'';
            (2) by inserting ``amphetamine or'' before 
        ``methamphetamine'' each place it appears;
            (3) in paragraph (2)--
                    (A) by inserting ``, the State or local government 
                concerned, or both the United States and the State or 
                local government concerned'' after ``United States'' the 
                first place it appears; and

[[Page 114 STAT. 1230]]

                    (B) by inserting ``or the State or local government 
                concerned, as the case may be,'' after ``United States'' 
                the second place it appears; and
            (4) in paragraph (3), by striking ``section 3663 of title 
        18, United States Code'' and inserting ``section 3663A of title 
        18, United States Code''.

    (b) Deposit of Amounts in Department of Justice Assets Forfeiture 
Fund.--Section 524(c)(4) of title 28, United States Code, is amended--
            (1) by striking ``and'' at the end of subparagraph (B);
            (2) by striking the period at the end of subparagraph (C) 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(D) all amounts collected--
                    ``(i) by the United States pursuant to a 
                reimbursement order under paragraph (2) of section 
                413(q) of the Controlled Substances Act (21 U.S.C. 
                853(q)); and
                    ``(ii) pursuant to a restitution order under 
                paragraph (1) or (3) of section 413(q) of the Controlled 
                Substances Act for injuries to the United States.''.

    (c) Clarification of Certain Orders of Restitution.--Section 
3663(c)(2)(B) of title 18, United States Code, is amended by inserting 
``which may be'' after ``the fine''.
    (d) Expansion of Applicability of Mandatory Restitution.--Section 
3663A(c)(1)(A)(ii) of title 18, United States Code, is amended by 
inserting ``or under section 416(a) of the Controlled Substances Act (21 
U.S.C. 856(a)),'' after ``under this title,''.
    (e) Treatment of Illicit Substance Manufacturing Operations as 
Crimes Against Property.--Section 416 of the Controlled Substances Act 
(21 U.S.C. 856) is amended by adding at the end the following new 
subsection:
    ``(c) A violation of subsection (a) shall be considered an offense 
against property for purposes of section 3663A(c)(1)(A)(ii) of title 18, 
United States Code.''.

SEC. 3614. METHAMPHETAMINE PARAPHERNALIA.

    Section 422(d) of the Controlled Substances Act (21 U.S.C. 863(d)) 
is amended in the matter preceding paragraph (1) by inserting 
``methamphetamine,'' after ``PCP,''.

                    PART II--ENHANCED LAW ENFORCEMENT

SEC. 3621. ENVIRONMENTAL HAZARDS ASSOCIATED WITH ILLEGAL MANUFACTURE OF 
            AMPHETAMINE AND METHAMPHETAMINE.

    (a) Use of Amounts or Department of Justice Assets Forfeiture 
Fund.--Section 524(c)(1)(E) of title 28, United States Code, is 
amended--
            (1) by inserting ``(i) for'' before ``disbursements'';
            (2) by inserting ``and'' after the semicolon; and
            (3) by adding at the end the following:
            ``(ii) for payment for--
                    ``(I) costs incurred by or on behalf of the 
                Department of Justice in connection with the removal, 
                for purposes of Federal forfeiture and disposition, of 
                any hazardous substance or pollutant or contaminant 
                associated with the

[[Page 114 STAT. 1231]]

                illegal manufacture of amphetamine or methamphetamine; 
                and
                    ``(II) costs incurred by or on behalf of a State or 
                local government in connection with such removal in any 
                case in which such State or local government has 
                assisted in a Federal prosecution relating to 
                amphetamine or methamphetamine, to the extent such costs 
                exceed equitable sharing payments made to such State or 
                local government in such case;''.

    (b) Grants Under Drug Control and System Improvement Grant 
Program.--Section 501(b)(3) of the Omnibus Crime Control and Safe 
Streets Act of 1968 (42 U.S.C. 3751(b)(3)) is amended by inserting 
before the semicolon the following: ``and to remove any hazardous 
substance or pollutant or contaminant associated with the illegal 
manufacture of amphetamine or methamphetamine''.
    (c) Amounts <<NOTE: 28 USC 524 note.>> Supplement and Not 
Supplant.--
            (1) Assets forfeiture fund.--Any amounts made available from 
        the Department of Justice Assets Forfeiture Fund in a fiscal 
        year by reason of the amendment made by subsection (a) shall 
        supplement, and not supplant, any other amounts made available 
        to the Department of Justice in such fiscal year from other 
        sources for payment of costs described in section 
        524(c)(1)(E)(ii) of title 28, United States Code, as so amended.
            (2) Grant <<NOTE: 42 USC 3751 note.>> program.--Any amounts 
        made available in a fiscal year under the grant program under 
        section 501(b)(3) of the Omnibus Crime Control and Safe Streets 
        Act of 1968 (42 U.S.C. 3751(b)(3)) for the removal of hazardous 
        substances or pollutants or contaminants associated with the 
        illegal manufacture of amphetamine or methamphetamine by reason 
        of the amendment made by subsection (b) shall supplement, and 
        not supplant, any other amounts made available in such fiscal 
        year from other sources for such removal.

SEC. 3622. REDUCTION IN RETAIL SALES TRANSACTION THRESHOLD FOR NON-SAFE 
            HARBOR PRODUCTS CONTAINING PSEUDOEPHEDRINE OR 
            PHENYLPROPANOLAMINE.

    (a) Reduction in Transaction Threshold.--Section 102(39)(A)(iv)(II) 
of the Controlled Substances Act (21 U.S.C. 802(39)(A)(iv)(II)) is 
amended--
            (1) by striking ``24 grams'' both places it appears and 
        inserting ``9 grams''; and
            (2) by inserting before the semicolon at the end the 
        following: ``and sold in package sizes of not more than 3 grams 
        of pseudoephedrine base or 3 grams of phenylpropanolamine 
        base''.

    (b) Effective <<NOTE: 21 USC 802 note.>> Date.--The amendments made 
by subsection (a) shall take effect 1 year after the date of the 
enactment of this Act.

SEC. 3623. <<NOTE: 21 USC 872 note.>> TRAINING FOR DRUG ENFORCEMENT 
            ADMINISTRATION AND STATE AND LOCAL LAW ENFORCEMENT PERSONNEL 
            RELATING TO CLANDESTINE LABORATORIES.

    (a) In General.--
            (1) Requirement.--The Administrator of the Drug Enforcement 
        Administration shall carry out the programs described in 
        subsection (b) with respect to the law enforcement personnel of 
        States and localities determined by the Administrator to

[[Page 114 STAT. 1232]]

        have significant levels of methamphetamine-related or 
        amphetamine-related crime or projected by the Administrator to 
        have the potential for such levels of crime in the future.
            (2) Duration.--The duration of any program under that 
        subsection may not exceed 3 years.

    (b) Covered Programs.--The programs described in this subsection are 
as follows:
            (1) Advanced mobile clandestine laboratory training teams.--
        A program of advanced mobile clandestine laboratory training 
        teams, which shall provide information and training to State and 
        local law enforcement personnel in techniques utilized in 
        conducting undercover investigations and conspiracy cases, and 
        other information designed to assist in the investigation of the 
        illegal manufacturing and trafficking of amphetamine and 
        methamphetamine.
            (2) Basic clandestine laboratory certification training.--A 
        program of basic clandestine laboratory certification training, 
        which shall provide information and training--
                    (A) to Drug Enforcement Administration personnel and 
                State and local law enforcement personnel for purposes 
                of enabling such personnel to meet any certification 
                requirements under law with respect to the handling of 
                wastes created by illegal amphetamine and 
                methamphetamine laboratories; and
                    (B) to State and local law enforcement personnel for 
                purposes of enabling such personnel to provide the 
                information and training covered by subparagraph (A) to 
                other State and local law enforcement personnel.
            (3) Clandestine laboratory recertification and awareness 
        training.--A program of clandestine laboratory recertification 
        and awareness training, which shall provide information and 
        training to State and local law enforcement personnel for 
        purposes of enabling such personnel to provide recertification 
        and awareness training relating to clandestine laboratories to 
        additional State and local law enforcement personnel.

    (c) Authorization of Appropriations.--There are authorized to be 
appropriated for each of fiscal years 2000, 2001, and 2002 amounts as 
follows:
            (1) $1,500,000 to carry out the program described in 
        subsection (b)(1).
            (2) $3,000,000 to carry out the program described in 
        subsection (b)(2).
            (3) $1,000,000 to carry out the program described in 
        subsection (b)(3).

SEC. 3624. <<NOTE: 21 USC 1706 note.>> COMBATING METHAMPHETAMINE AND 
            AMPHETAMINE IN HIGH INTENSITY DRUG TRAFFICKING AREAS.

    (a) In General.--
            (1) In general.--The Director of National Drug Control 
        Policy shall use amounts available under this section to combat 
        the trafficking of methamphetamine and amphetamine in areas 
        designated by the Director as high intensity drug trafficking 
        areas.
            (2) Activities.--In meeting the requirement in paragraph 
        (1), the Director shall transfer funds to appropriate Federal, 
        State, and local governmental agencies for employing additional

[[Page 114 STAT. 1233]]

        Federal law enforcement personnel, or facilitating the 
        employment of additional State and local law enforcement 
        personnel, including agents, investigators, prosecutors, 
        laboratory technicians, chemists, investigative assistants, and 
        drug-prevention specialists.

    (b) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section--
            (1) $15,000,000 for fiscal year 2000; and
            (2) such sums as may be necessary for each of fiscal years 
        2001 through 2004.

    (c) Apportionment of Funds.--
            (1) Factors in apportionment.--The Director shall apportion 
        amounts appropriated for a fiscal year pursuant to the 
        authorization of appropriations in subsection (b) for activities 
        under subsection (a) among and within areas designated by the 
        Director as high intensity drug trafficking areas based on the 
        following factors:
                    (A) The number of methamphetamine manufacturing 
                facilities and amphetamine manufacturing facilities 
                discovered by Federal, State, or local law enforcement 
                officials in the previous fiscal year.
                    (B) The number of methamphetamine prosecutions and 
                amphetamine prosecutions in Federal, State, or local 
                courts in the previous fiscal year.
                    (C) The number of methamphetamine arrests and 
                amphetamine arrests by Federal, State, or local law 
                enforcement officials in the previous fiscal year.
                    (D) The amounts of methamphetamine, amphetamine, or 
                listed chemicals (as that term is defined in section 
                102(33) of the Controlled Substances Act (21 U.S.C. 
                802(33)) seized by Federal, State, or local law 
                enforcement officials in the previous fiscal year.
                    (E) Intelligence and predictive data from the Drug 
                Enforcement Administration and the Department of Health 
                and Human Services showing patterns and trends in abuse, 
                trafficking, and transportation in methamphetamine, 
                amphetamine, and listed chemicals (as that term is so 
                defined).
            (2) Certification.--Before the Director apportions any funds 
        under this subsection to a high intensity drug trafficking area, 
        the Director shall certify that the law enforcement entities 
        responsible for clandestine methamphetamine and amphetamine 
        laboratory seizures in that area are providing laboratory 
        seizure data to the national clandestine laboratory database at 
        the El Paso Intelligence Center.

    (d) Limitation on Administrative Costs.--Not more than 5 percent of 
the amount appropriated in a fiscal year pursuant to the authorization 
of appropriations for that fiscal year in subsection (b) may be 
available in that fiscal year for administrative costs associated with 
activities under subsection (a).

SEC. 3625. <<NOTE: 21 USC 873 note.>> COMBATING AMPHETAMINE AND 
            METHAMPHETAMINE MANUFACTURING AND TRAFFICKING.

    (a) Activities.--In order to combat the illegal manufacturing and 
trafficking in amphetamine and methamphetamine, the Administrator of the 
Drug Enforcement Administration may--

[[Page 114 STAT. 1234]]

            (1) assist State and local law enforcement in small and mid-
        sized communities in all phases of investigations related to 
        such manufacturing and trafficking, including assistance with 
        foreign-language interpretation;
            (2) staff additional regional enforcement and mobile 
        enforcement teams related to such manufacturing and trafficking;
            (3) establish additional resident offices and posts of duty 
        to assist State and local law enforcement in rural areas in 
        combating such manufacturing and trafficking;
            (4) provide the Special Operations Division of the 
        Administration with additional agents and staff to collect, 
        evaluate, interpret, and disseminate critical intelligence 
        targeting the command and control operations of major 
        amphetamine and methamphetamine manufacturing and trafficking 
        organizations;
            (5) enhance the investigative and related functions of the 
        Chemical Control Program of the Administration to implement more 
        fully the provisions of the Comprehensive Methamphetamine 
        Control Act of 1996 (Public Law 104-237);
            (6) design an effective means of requiring an accurate 
        accounting of the import and export of list I chemicals, and 
        coordinate investigations relating to the diversion of such 
        chemicals;
            (7) develop a computer infrastructure sufficient to receive, 
        process, analyze, and redistribute time-sensitive enforcement 
        information from suspicious order reporting to field offices of 
        the Administration and other law enforcement and regulatory 
        agencies, including the continuing development of the Suspicious 
        Order Reporting and Tracking System (SORTS) and the Chemical 
        Transaction Database (CTRANS) of the Administration;
            (8) establish an education, training, and communication 
        process in order to alert the industry to current trends and 
        emerging patterns in the illegal manufacturing of amphetamine 
        and methamphetamine; and
            (9) carry out such other activities as the Administrator 
        considers appropriate.

    (b) Additional Positions and Personnel.--
            (1) In general.--In carrying out activities under subsection 
        (a), the Administrator may establish in the Administration not 
        more than 50 full-time positions, including not more than 31 
        special-agent positions, and may appoint personnel to such 
        positions.
            (2) Particular positions.--In carrying out activities under 
        paragraphs (5) through (8) of subsection (a), the Administrator 
        may establish in the Administration not more than 15 full-time 
        positions, including not more than 10 diversion investigator 
        positions, and may appoint personnel to such positions. Any 
        positions established under this paragraph are in addition to 
        any positions established under paragraph (1).

    (c) Authorization of Appropriations.--There are authorized to be 
appropriated for the Drug Enforcement Administration for each fiscal 
year after fiscal year 1999, $9,500,000 for purposes of carrying out the 
activities authorized by subsection (a) and employing personnel in 
positions established under subsection (b),

[[Page 114 STAT. 1235]]

of which $3,000,000 shall be available for activities under paragraphs 
(5) through (8) of subsection (a) and for employing personnel in 
positions established under subsection (b)(2).

                PART III--ABUSE PREVENTION AND TREATMENT

SEC. 3631. EXPANSION OF METHAMPHETAMINE RESEARCH.

    Section 464N of the Public Health Service Act (42 U.S.C. 285o-2) is 
amended by adding at the end the following:
    ``(c) Methamphetamine Research.--
            ``(1) Grants or cooperative agreements.--The Director of the 
        Institute may make grants or enter into cooperative agreements 
        to expand the current and on-going interdisciplinary research 
        and clinical trials with treatment centers of the National Drug 
        Abuse Treatment Clinical Trials Network relating to 
        methamphetamine abuse and addiction and other biomedical, 
        behavioral, and social issues related to methamphetamine abuse 
        and addiction.
            ``(2) Use of funds.--Amounts made available under a grant or 
        cooperative agreement under paragraph (1) for methamphetamine 
        abuse and addiction may be used for research and clinical trials 
        relating to--
                    ``(A) the effects of methamphetamine abuse on the 
                human body, including the brain;
                    ``(B) the addictive nature of methamphetamine and 
                how such effects differ with respect to different 
                individuals;
                    ``(C) the connection between methamphetamine abuse 
                and mental health;
                    ``(D) the identification and evaluation of the most 
                effective methods of prevention of methamphetamine abuse 
                and addiction;
                    ``(E) the identification and development of the most 
                effective methods of treatment of methamphetamine 
                addiction, including pharmacological treatments;
                    ``(F) risk factors for methamphetamine abuse;
                    ``(G) effects of methamphetamine abuse and addiction 
                on pregnant women and their fetuses; and
                    ``(H) cultural, social, behavioral, neurological and 
                psychological reasons that individuals abuse 
                methamphetamine, or refrain from abusing 
                methamphetamine.
            ``(3) Research results.--The Director shall promptly 
        disseminate research results under this subsection to Federal, 
        State and local entities involved in combating methamphetamine 
        abuse and addiction.
            ``(4) Authorization of appropriations.--
                    ``(A) Authorization of appropriations.--There is 
                authorized to be appropriated to carry out paragraph 
                (1), such sums as may be necessary for each fiscal year.
                    ``(B) Supplement not supplant.--Amounts appropriated 
                pursuant to the authorization of appropriations in 
                subparagraph (A) for a fiscal year shall supplement and 
                not supplant any other amounts appropriated in such 
                fiscal year for research on methamphetamine abuse and 
                addiction.''.

[[Page 114 STAT. 1236]]

SEC. 3632. METHAMPHETAMINE AND AMPHETAMINE TREATMENT INITIATIVE BY 
            CENTER FOR SUBSTANCE ABUSE TREATMENT.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.) is amended by adding at the end the following new 
section:

         ``methamphetamine and amphetamine treatment initiative

    ``Sec. 514. <<NOTE: 42 USC 290bb-9.>> (a) Grants.--
            ``(1) Authority to make grants.--The Director of the Center 
        for Substance Abuse Treatment may make grants to States and 
        Indian tribes recognized by the United States that have a high 
        rate, or have had a rapid increase, in methamphetamine or 
        amphetamine abuse or addiction in order to permit such States 
        and Indian tribes to expand activities in connection with the 
        treatment of methamphetamine or amphetamine abuser or addiction 
        in the specific geographical areas of such States or Indian 
        tribes, as the case may be, where there is such a rate or has 
        been such an increase.
            ``(2) Recipients.--Any grants under paragraph (1) shall be 
        directed to the substance abuse directors of the States, and of 
        the appropriate tribal government authorities of the Indian 
        tribes, selected by the Director to receive such grants.
            ``(3) Nature of activities.--Any activities under a grant 
        under paragraph (1) shall be based on reliable scientific 
        evidence of their efficacy in the treatment of methamphetamine 
        or amphetamine abuse or addiction.

    ``(b) Geographic Distribution.--The Director shall ensure that 
grants under subsection (a) are distributed equitably among the various 
regions of the country and among rural, urban, and suburban areas that 
are affected by methamphetamine or amphetamine abuse or addiction.
    ``(c) Additional Activities.--The Director shall--
            ``(1) evaluate the activities supported by grants under 
        subsection (a);
            ``(2) disseminate widely such significant information 
        derived from the evaluation as the Director considers 
        appropriate to assist States, Indian tribes, and private 
        providers of treatment services for methamphetamine or 
        amphetamine abuser or addiction in the treatment of 
        methamphetamine or amphetamine abuse or addiction; and
            ``(3) provide States, Indian tribes, and such providers with 
        technical assistance in connection with the provision of such 
        treatment.

    ``(d) Authorization of Appropriations.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this section $10,000,000 for fiscal year 2000 and 
        such sums as may be necessary for each of fiscal years 2001 and 
        2002.
            ``(2) Use of certain funds.--Of the funds appropriated to 
        carry out this section in any fiscal year, the lesser of 5 
        percent of such funds or $1,000,000 shall be available to the 
        Director for purposes of carrying out subsection (c).''.

SEC. 3633. STUDY OF METHAMPHETAMINE TREATMENT.

    (a) Study.--

[[Page 114 STAT. 1237]]

            (1) Requirement.--The Secretary of Health and Human Services 
        shall, in consultation with the Institute of Medicine of the 
        National Academy of Sciences, conduct a study on the development 
        of medications for the treatment of addiction to amphetamine and 
        methamphetamine.
            (2) Report.--Not <<NOTE: Deadline.>> later than 9 months 
        after the date of the enactment of this Act, the Secretary shall 
        submit to the Committees on the Judiciary of the Senate and 
        House of Representatives a report on the results of the study 
        conducted under paragraph (1).

    (b) Authorization of Appropriations.--There are hereby authorized to 
be appropriated for the Department of Health and Human Services for 
fiscal year 2000 such sums as may be necessary to meet the requirements 
of subsection (a).

                            PART IV--REPORTS

SEC. 3641. <<NOTE: 42 USC 290aa-4 note.>> REPORTS ON CONSUMPTION OF 
            METHAMPHETAMINE AND OTHER ILLICIT DRUGS IN RURAL AREAS, 
            METROPOLITAN AREAS, AND CONSOLIDATED METROPOLITAN AREAS.

    The Secretary of Health and Human Services shall include in each 
National Household Survey on Drug Abuse appropriate prevalence data and 
information on the consumption of methamphetamine and other illicit 
drugs in rural areas, metropolitan areas, and consolidated metropolitan 
areas.

SEC. 3642. <<NOTE: 21 USC 802 note.>> REPORT ON DIVERSION OF ORDINARY, 
            OVER-THE-COUNTER PSEUDOEPHEDRINE AND PHENYLPROPANOLAMINE 
            PRODUCTS.

    (a) Study.--The Attorney General shall conduct a study of the use of 
ordinary, over-the-counter pseudoephedrine and phenylpropanolamine 
products in the clandestine production of illicit drugs. Sources of data 
for the study shall include the following:
            (1) Information from Federal, State, and local clandestine 
        laboratory seizures and related investigations identifying the 
        source, type, or brand of drug products being utilized and how 
        they were obtained for the illicit production of methamphetamine 
        and amphetamine.
            (2) Information submitted voluntarily from the 
        pharmaceutical and retail industries involved in the 
        manufacture, distribution, and sale of drug products containing 
        ephedrine, pseudoephedrine, and phenylpropanolamine, including 
        information on changes in the pattern, volume, or both, of sales 
        of ordinary, over-the-counter pseudoephedrine and 
        phenylpropanolamine products.

    (b) Report.--
            (1) Requirement.--Not <<NOTE: Deadline.>> later than 1 year 
        after the date of the enactment of this Act, the Attorney 
        General shall submit to Congress a report on the study conducted 
        under subsection (a).
            (2) Elements.--The report shall include--
                    (A) the findings of the Attorney General as a result 
                of the study; and
                    (B) such recommendations on the need to establish 
                additional measures to prevent diversion of ordinary, 
                over-the-counter pseudoephedrine and phenylpropanolamine 
                (such as a threshold on ordinary, over-the-counter

[[Page 114 STAT. 1238]]

                pseudoephedrine and phenylpropanolamine products) as the 
                Attorney General considers appropriate.
            (3) Matters considered.--In preparing the report, the 
        Attorney General shall consider the comments and recommendations 
        including the comments on the Attorney General's proposed 
        findings and recommendations, of State and local law enforcement 
        and regulatory officials and of representatives of the industry 
        described in subsection (a)(2).

    (c) Regulation of Retail Sales.--
            (1) In general.--Notwithstanding section 401(d) of the 
        Comprehensive Methamphetamine Control Act of 1996 (21 U.S.C. 802 
        note) and subject to paragraph (2), the Attorney General shall 
        establish by regulation a single-transaction limit of not less 
        than 24 grams of ordinary, over-the-counter pseudoephedrine or 
        phenylpropanolamine (as the case may be) for retail 
        distributors, if the Attorney General finds, in the report under 
        subsection (b), that--
                    (A) there is a significant number of instances (as 
                set forth in paragraph (3)(A) of such section 401(d) for 
                purposes of such section) where ordinary, over-the-
                counter pseudoephedrine products, phenylpropanolamine 
                products, or both such products that were purchased from 
                retail distributors were widely used in the clandestine 
                production of illicit drugs; and
                    (B) the best practical method of preventing such use 
                is the establishment of single-transaction limits for 
                retail distributors of either or both of such products.
            (2) Due process.--The Attorney General shall establish the 
        single-transaction limit under paragraph (1) only after notice, 
        comment, and an informal hearing.

               Subtitle B--Controlled Substances Generally

SEC. 3651. <<NOTE: 28 USC 994 note.>> ENHANCED PUNISHMENT FOR 
            TRAFFICKING IN LIST I CHEMICALS.

    (a) Amendments to Federal Sentencing Guidelines.--Pursuant to its 
authority under section 994(p) of title 28, United States Code, the 
United States Sentencing Commission shall amend the Federal sentencing 
guidelines in accordance with this section with respect to any violation 
of paragraph (1) or (2) of section 401(d) of the Controlled Substances 
Act (21 U.S.C. 841(d)) involving a list I chemical and any violation of 
paragraph (1) or (3) of section 1010(d) of the Controlled Substance 
Import and Export Act (21 U.S.C. 960(d)) involving a list I chemical.
    (b) Ephedrine, Phenylpropanolamine, and Pseudoephedrine.--
            (1) In general.--In carrying this section, the United States 
        Sentencing Commission shall, with respect to each offense 
        described in subsection (a) involving ephedrine, 
        phenylpropanolamine, or pseudoephedrine (including their salts, 
        optical isomers, and salts of optical isomers), review and amend 
        its guidelines to provide for increased penalties such that 
        those penalties corresponded to the quantity of controlled 
        substance that could reasonably have been manufactured using the

[[Page 114 STAT. 1239]]

        quantity of ephedrine, phenylpropanolamine, or pseudoephedrine 
        possessed or distributed.
            (2) Conversion ratios.--For the purposes of the amendments 
        made by this subsection, the quantity of controlled substance 
        that could reasonably have been manufactured shall be determined 
        by using a table of manufacturing conversion ratios for 
        ephedrine, phenylpropanolamine, and pseudoephedrine, which table 
        shall be established by the Sentencing Commission based on 
        scientific, law enforcement, and other data the Sentencing 
        Commission considers appropriate.

    (c) Other List I Chemicals.--In carrying this section, the United 
States Sentencing Commission shall, with respect to each offense 
described in subsection (a) involving any list I chemical other than 
ephedrine, phenylpropanolamine, or pseudoephedrine, review and amend its 
guidelines to provide for increased penalties such that those penalties 
reflect the dangerous nature of such offenses, the need for aggressive 
law enforcement action to fight such offenses, and the extreme dangers 
associated with unlawful activity involving methamphetamine and 
amphetamine, including--
            (1) the rapidly growing incidence of controlled substance 
        manufacturing;
            (2) the extreme danger inherent in manufacturing controlled 
        substances;
            (3) the threat to public safety posed by manufacturing 
        controlled substances; and
            (4) the recent increase in the importation, possession, and 
        distribution of list I chemicals for the purpose of 
        manufacturing controlled substances.

    (d) Emergency Authority to Sentencing Commission.--The United States 
Sentencing Commission shall promulgate amendments pursuant to this 
section as soon as practicable after the date of the enactment of this 
Act in accordance with the procedure set forth in section 21(a) of the 
Sentencing Act of 1987 (Public Law 100-182), as though the authority 
under that Act had not expired.

SEC. 3652. MAIL ORDER REQUIREMENTS.

    Section 310(b)(3) of the Controlled Substances Act (21 U.S.C. 
830(b)(3)) is amended--
            (1) by redesignating subparagraphs (A) and (B) as 
        subparagraphs (B) and (C), respectively;
            (2) by inserting before subparagraph (B), as so 
        redesignated, the following new subparagraph (A):
                    ``(A) As used in this paragraph:
                          ``(i) The term `drug product' means an active 
                      ingredient in dosage form that has been approved 
                      or otherwise may be lawfully marketed under the 
                      Food, Drug, and Cosmetic Act for distribution in 
                      the United States.
                          ``(ii) The term `valid prescription' means a 
                      prescription which is issued for a legitimate 
                      medical purpose by an individual practitioner 
                      licensed by law to administer and prescribe the 
                      drugs concerned and acting in the usual course of 
                      the practitioner's professional practice.'';
            (3) in subparagraph (B), as so redesignated, by inserting 
        ``or who engages in an export transaction'' after ``nonregulated 
        person''; and

[[Page 114 STAT. 1240]]

            (4) adding at the end the following:
                    ``(D) Except as provided in subparagraph (E), the 
                following distributions to a nonregulated person, and 
                the following export transactions, shall not be subject 
                to the reporting requirement in subparagraph (B):
                          ``(i) Distributions of sample packages of drug 
                      products when such packages contain not more than 
                      two solid dosage units or the equivalent of two 
                      dosage units in liquid form, not to exceed 10 
                      milliliters of liquid per package, and not more 
                      than one package is distributed to an individual 
                      or residential address in any 30-day period.
                          ``(ii) Distributions of drug products by 
                      retail distributors that may not include face-to-
                      face transactions to the extent that such 
                      distributions are consistent with the activities 
                      authorized for a retail distributor as specified 
                      in section 102(46).
                          ``(iii) Distributions of drug products to a 
                      resident of a long term care facility (as that 
                      term is defined in regulations prescribed by the 
                      Attorney General) or distributions of drug 
                      products to a long term care facility for 
                      dispensing to or for use by a resident of that 
                      facility.
                          ``(iv) Distributions of drug products pursuant 
                      to a valid prescription.
                          ``(v) Exports which have been reported to the 
                      Attorney General pursuant to section 1004 or 1018 
                      or which are subject to a waiver granted under 
                      section 1018(e)(2).
                          ``(vi) Any quantity, method, or type of 
                      distribution or any quantity, method, or type of 
                      distribution of a specific listed chemical 
                      (including specific formulations or drug products) 
                      or of a group of listed chemicals (including 
                      specific formulations or drug products) which the 
                      Attorney General has excluded by regulation from 
                      such reporting requirement on the basis that such 
                      reporting is not necessary for the enforcement of 
                      this title or title III.
                    ``(E) The Attorney General may revoke any or all of 
                the exemptions listed in subparagraph (D) for an 
                individual regulated person if he finds that drug 
                products distributed by the regulated person are being 
                used in violation of this title or title III. The 
                regulated person shall be notified of the revocation, 
                which will be effective upon receipt by the person of 
                such notice, as provided in section 1018(c)(1), and 
                shall have the right to an expedited hearing as provided 
                in section 1018(c)(2).''.

SEC. 3653. THEFT AND TRANSPORTATION OF ANHYDROUS AMMONIA FOR PURPOSES OF 
            ILLICIT PRODUCTION OF CONTROLLED SUBSTANCES.

    (a) In General.--Part D of the Controlled Substances Act (21 U.S.C. 
841 et seq.) is amended by adding at the end the following:

                           ``anhydrous ammonia

    ``Sec. <<NOTE: 21 USC 864.>> 423. (a) It is unlawful for any 
person--

[[Page 114 STAT. 1241]]

            ``(1) to steal anhydrous ammonia, or
            ``(2) to transport stolen anhydrous ammonia across State 
        lines,

knowing, intending, or having reasonable cause to believe that such 
anhydrous ammonia will be used to manufacture a controlled substance in 
violation of this part.
    ``(b) Any person who violates subsection (a) shall be imprisoned or 
fined, or both, in accordance with section 403(d) as if such violation 
were a violation of a provision of section 403.''.
    (b) Clerical Amendment.--The table of contents for that Act is 
amended by inserting after the item relating to section 421 the 
following new items:

``Sec. 422. Drug paraphernalia.
``Sec. 423. Anhydrous ammonia.''.

    (c) Assistance for Certain Research.--
            (1) Agreement.--The Administrator of the Drug Enforcement 
        Administration shall seek to enter into an agreement with Iowa 
        State University in order to permit the University to continue 
        and expand its current research into the development of inert 
        agents that, when added to anhydrous ammonia, eliminate the 
        usefulness of anhydrous ammonia as an ingredient in the 
        production of methamphetamine.
            (2) Reimbursable provision of funds.--The agreement under 
        paragraph (1) may provide for the provision to Iowa State 
        University, on a reimbursable basis, of $500,000 for purposes 
        the activities specified in that paragraph.
            (3) Authorization of appropriations.--There is hereby 
        authorized to be appropriated for the Drug Enforcement 
        Administration for fiscal year 2000, $500,000 for purposes of 
        carrying out the agreement under this subsection.

 Subtitle <<NOTE: Ecstasy Anti- Proliferation Act of 2000.>> C--Ecstasy 
AntiProliferationAct of 2000

SEC. 3661. <<NOTE: 42 USC 201 note.>> SHORT TITLE.

    This subtitle may be cited as the ``Ecstasy Anti-Proliferation Act 
of 2000''.

 SEC. 3662. <<NOTE: 42 USC 290aa-5b note.>> FINDINGS.

    Congress makes the following findings:
            (1) The illegal importation of 3,4-methylenedioxy 
        methamphetamine, commonly referred to as ``MDMA'' or ``Ecstasy'' 
        (referred to in this subtitle as ``Ecstasy''), has increased in 
        recent years, as evidenced by the fact that Ecstasy seizures by 
        the United States Customs Service have increased from less than 
        500,000 tablets during fiscal year 1997 to more than 9,000,000 
        tablets during the first 9 months of fiscal year 2000.
            (2) Use of Ecstasy can cause long-lasting, and perhaps 
        permanent, damage to the serotonin system of the brain, which is 
        fundamental to the integration of information and emotion, and 
        this damage can cause long-term problems with learning and 
        memory.
            (3) Due to the popularity and marketability of Ecstasy, 
        there are numerous Internet websites with information on the 
        effects of Ecstasy, the production of Ecstasy, and the locations 
        of Ecstasy use (often referred to as ``raves''). The 
        availability

[[Page 114 STAT. 1242]]

        of this information targets the primary users of Ecstasy, who 
        are most often college students, young professionals, and other 
        young people from middle- to high-income families.
            (4) Greater emphasis needs to be placed on--
                    (A) penalties associated with the manufacture, 
                distribution, and use of Ecstasy;
                    (B) the education of young people on the negative 
                health effects of Ecstasy, since the reputation of 
                Ecstasy as a ``safe'' drug is the most dangerous 
                component of Ecstasy;
                    (C) the education of State and local law enforcement 
                agencies regarding the growing problem of Ecstasy 
                trafficking across the United States;
                    (D) reducing the number of deaths caused by Ecstasy 
                use and the combined use of Ecstasy with other ``club'' 
                drugs and alcohol; and
                    (E) adequate funding for research by the National 
                Institute on Drug Abuse to--
                          (i) identify those most vulnerable to using 
                      Ecstasy and develop science-based prevention 
                      approaches tailored to the specific needs of 
                      individuals at high risk;
                          (ii) understand how Ecstasy produces its toxic 
                      effects and how to reverse neurotoxic damage;
                          (iii) develop treatments, including new 
                      medications and behavioral treatment approaches;
                          (iv) better understand the effects that 
                      Ecstasy has on the developing children and 
                      adolescents; and
                          (v) translate research findings into useful 
                      tools and ensure their effective dissemination.

SEC. 3663. <<NOTE: 28 USC 994 note.>> ENHANCED PUNISHMENT OF ECSTASY 
            TRAFFICKERS.

    (a) Amendment to Federal Sentencing Guidelines.--Pursuant to its 
authority under section 994(p) of title 28, United States Code, the 
United States Sentencing Commission (referred to in this section as the 
``Commission'') shall amend the Federal sentencing guidelines regarding 
any offense relating to the manufacture, importation, or exportation of, 
or trafficking in--
            (1) 3,4-methylenedioxy methamphetamine;
            (2) 3,4-methylenedioxy amphetamine;
            (3) 3,4-methylenedioxy-N-ethylamphetamine;
            (4) paramethoxymethamphetamine (PMA); or
            (5) any other controlled substance, as determined by the 
        Commission in consultation with the Attorney General, that is 
        marketed as Ecstasy and that has either a chemical structure 
        substantially similar to that of 3,4-methylenedioxy 
        methamphetamine or an effect on the central nervous system 
        substantially similar to or greater than that of 3,4-
        methylenedioxy methamphetamine,

including an attempt or conspiracy to commit an offense described in 
paragraph (1), (2), (3), (4), or (5) in violation of the Controlled 
Substances Act (21 U.S.C. 801 et seq.), the Controlled Substances Import 
and Export Act (21 U.S.C. 951 et seq.), or the Maritime Drug Law 
Enforcement Act (46 U.S.C. 1901 et seq.).
    (b) General Requirements.--In carrying out this section, the 
Commission shall, with respect to each offense described in subsection 
(a)--

[[Page 114 STAT. 1243]]

            (1) review and amend the Federal sentencing guidelines to 
        provide for increased penalties such that those penalties 
        reflect the seriousness of these offenses and the need to deter 
        them; and
            (2) take any other action the Commission considers to be 
        necessary to carry out this section.

    (c) Additional Requirements.--In carrying out this section, the 
Commission shall ensure that the Federal sentencing guidelines for 
offenders convicted of offenses described in subsection (a) reflect--
            (1) the need for aggressive law enforcement action with 
        respect to offenses involving the controlled substances 
        described in subsection (a); and
            (2) the dangers associated with unlawful activity involving 
        such substances, including--
                    (A) the rapidly growing incidence of abuse of the 
                controlled substances described in subsection (a) and 
                the threat to public safety that such abuse poses;
                    (B) the recent increase in the illegal importation 
                of the controlled substances described in subsection 
                (a);
                    (C) the young age at which children are beginning to 
                use the controlled substances described in subsection 
                (a);
                    (D) the fact that the controlled substances 
                described in subsection (a) are frequently marketed to 
                youth;
                    (E) the large number of doses per gram of the 
                controlled substances described in subsection (a); and
                    (F) any other factor that the Commission determines 
                to be appropriate.

    (d) Sense of the Congress.--It is the sense of the Congress that--
            (1) the base offense levels for Ecstasy are too low, 
        particularly for high-level traffickers, and should be 
        increased, such that they are comparable to penalties for other 
        drugs of abuse; and
            (2) based on the fact that importation of Ecstasy has surged 
        in the past few years, the traffickers are targeting the 
        Nation's youth, and the use of Ecstasy among youth in the United 
        States is increasing even as other drug use among this 
        population appears to be leveling off, the base offense levels 
        for importing and trafficking the controlled substances 
        described in subsection (a) should be increased.

    (e) Report.--Not <<NOTE: Deadline.>> later than 60 days after the 
amendments pursuant to this section have been promulgated, the 
Commission shall--
            (1) prepare a report describing the factors and information 
        considered by the Commission in promulgating amendments pursuant 
        to this section; and
            (2) submit the report to--
                    (A) the Committee on the Judiciary, the Committee on 
                Health, Education, Labor, and Pensions, and the 
                Committee on Appropriations of the Senate; and
                    (B) the Committee on the Judiciary, the Committee on 
                Commerce, and the Committee on Appropriations of the 
                House of Representatives.

[[Page 114 STAT. 1244]]

SEC. 3664. <<NOTE: 28 USC 994 note.>> EMERGENCY AUTHORITY TO UNITED 
            STATES SENTENCING COMMISSION.

    The United States Sentencing Commission shall promulgate amendments 
under this subtitle as soon as practicable after the date of the 
enactment of this Act in accordance with the procedure set forth in 
section 21(a) of the Sentencing Act of 1987 (Public Law 100-182), as 
though the authority under that Act had not expired.

SEC. 3665. EXPANSION OF ECSTASY AND CLUB DRUGS ABUSE PREVENTION EFFORTS.

    (a) Public Health Service Act.--Part A of title V of the Public 
Health Service Act (42 U.S.C. 290aa et seq.), as amended by section 
3306, is further amended by adding at the end the following:

``SEC. 506B. <<NOTE: 42 USC 290aa-5b.>> GRANTS FOR ECSTASY AND OTHER 
            CLUB DRUGS ABUSE PREVENTION.

    ``(a) Authority.--The Administrator may make grants to, and enter 
into contracts and cooperative agreements with, public and nonprofit 
private entities to enable such entities--
            ``(1) to carry out school-based programs concerning the 
        dangers of the abuse of and addiction to 3,4-methylenedioxy 
        methamphetamine, related drugs, and other drugs commonly 
        referred to as `club drugs' using methods that are effective and 
        science-based, including initiatives that give students the 
        responsibility to create their own anti-drug abuse education 
        programs for their schools; and
            ``(2) to carry out community-based abuse and addiction 
        prevention programs relating to 3,4-methylenedioxy 
        methamphetamine, related drugs, and other club drugs that are 
        effective and science-based.

    ``(b) Use of Funds.--Amounts made available under a grant, contract 
or cooperative agreement under subsection (a) shall be used for 
planning, establishing, or administering prevention programs relating to 
3,4-methylenedioxy methamphetamine, related drugs, and other club drugs.
    ``(c) Use of Funds.--
            ``(1) Discretionary functions.--Amounts provided to an 
        entity under this section may be used--
                    ``(A) to carry out school-based programs that are 
                focused on those districts with high or increasing rates 
                of abuse and addiction to 3,4-methylenedioxy 
                methamphetamine, related drugs, and other club drugs and 
                targeted at populations that are most at risk to start 
                abusing these drugs;
                    ``(B) to carry out community-based prevention 
                programs that are focused on those populations within 
                the community that are most at-risk for abuse of and 
                addiction to 3,4-methylenedioxy methamphetamine, related 
                drugs, and other club drugs;
                    ``(C) to assist local government entities to conduct 
                appropriate prevention activities relating to 3,4-
                methylenedioxy methamphetamine, related drugs, and other 
                club drugs;
                    ``(D) to train and educate State and local law 
                enforcement officials, prevention and education 
                officials, health

[[Page 114 STAT. 1245]]

                professionals, members of community anti-drug coalitions 
                and parents on the signs of abuse of and addiction to 
                3,4-methylenedioxy methamphetamine, related drugs, and 
                other club drugs and the options for treatment and 
                prevention;
                    ``(E) for planning, administration, and educational 
                activities related to the prevention of abuse of and 
                addiction to 3,4-methylenedioxy methamphetamine, related 
                drugs, and other club drugs;
                    ``(F) for the monitoring and evaluation of 
                prevention activities relating to 3,4-methylenedioxy 
                methamphetamine, related drugs, and other club drugs and 
                reporting and disseminating resulting information to the 
                public; and
                    ``(G) for targeted pilot programs with evaluation 
                components to encourage innovation and experimentation 
                with new methodologies.
            ``(2) Priority.--The Administrator shall give priority in 
        awarding grants under this section to rural and urban areas that 
        are experiencing a high rate or rapid increases in abuse and 
        addiction to 3,4-methylenedioxy methamphetamine, related drugs, 
        and other club drugs.

    ``(d) Allocation and Report.--
            ``(1) Prevention program allocation.--Not less than $500,000 
        of the amount appropriated in each fiscal year to carry out this 
        section shall be made available to the Administrator, acting in 
        consultation with other Federal agencies, to support and conduct 
        periodic analyses and evaluations of effective prevention 
        programs for abuse of and addiction to 3,4-methylenedioxy 
        methamphetamine, related drugs, and other club drugs and the 
        development of appropriate strategies for disseminating 
        information about and implementing such programs.
            ``(2) Report.--The Administrator shall annually prepare and 
        submit to the Committee on Health, Education, Labor, and 
        Pensions, the Committee on the Judiciary, and the Committee on 
        Appropriations of the Senate, and the Committee on Commerce, the 
        Committee on the Judiciary, and the Committee on Appropriations 
        of the House of Representatives, a report containing the results 
        of the analyses and evaluations conducted under paragraph (1).

    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section--
            ``(1) $10,000,000 for fiscal year 2001; and
            ``(2) such sums as may be necessary for each succeeding 
        fiscal year.''.

                        Subtitle D--Miscellaneous

SEC. 3671. <<NOTE: 21 USC 801 note.>> ANTIDRUG MESSAGES ON FEDERAL 
            GOVERNMENT INTERNET WEBSITES.

    Not <<NOTE: Deadline.>> later than 90 days after the date of the 
enactment of this Act, the head of each department, agency, and 
establishment of the Federal Government shall, in consultation with the 
Director

[[Page 114 STAT. 1246]]

of the Office of National Drug Control Policy, place antidrug messages 
on appropriate Internet websites controlled by such department, agency, 
or establishment which messages shall, where appropriate, contain an 
electronic hyperlink to the Internet website, if any, of the Office.

SEC. 3672. <<NOTE: 21 USC 886 note.>> REIMBURSEMENT BY DRUG ENFORCEMENT 
            ADMINISTRATION OF EXPENSES INCURRED TO REMEDIATE 
            METHAMPHETAMINE LABORATORIES.

    (a) Reimbursement Authorized.--The Attorney General, acting through 
the Administrator of the Drug Enforcement Administration, may reimburse 
States, units of local government, Indian tribal governments, other 
public entities, and multi-jurisdictional or regional consortia thereof 
for expenses incurred to clean up and safely dispose of substances 
associated with clandestine methamphetamine laboratories which may 
present a danger to public health or the environment.
    (b) Additional DEA Personnel.--From amounts appropriated or 
otherwise made available to carry out this section, the Attorney General 
may hire not more than five additional Drug Enforcement Administration 
personnel to administer this section.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated to the Attorney General to carry out this section 
$20,000,000 for fiscal year 2001.

SEC. 3673. <<NOTE: 21 USC 801 note.>> SEVERABILITY.

    Any provision of this title held to be invalid or unenforceable by 
its terms, or as applied to any person or circumstance, shall be 
construed as to give the maximum effect permitted by law, unless such 
provision is held to be utterly invalid or unenforceable, in which event 
such provision shall be severed from this title and shall not affect the 
applicability of the remainder of this title, or of such provision, to 
other persons not similarly situated or to other, dissimilar 
circumstances.

    Approved October 17, 2000.

LEGISLATIVE HISTORY--H.R. 4365:
---------------------------------------------------------------------------

CONGRESSIONAL RECORD, Vol. 146 (2000):
            May 9, considered and passed House.
            Sept. 22, considered and passed Senate, amended.
            Sept. 27, House concurred in Senate amendment.
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 36 (2000):
            Oct. 17, Presidential statements.

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