II

103D CONGRESS

1ST SESSION S. 1133

To amend the Public Health Service Act to provide for the establishment

of a residential support service program for special high-risk populations

of pregnant women and their children, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JUNE 17 (legislative day, JUNE 15), 1993

Mr. BRADLEY (for himself, Mr. HATCH, Mr. BIDEN, Mrs. BOXER, Mr.

BRYAN, Mrs. FEINSTEIN, Mr. HOLLINGS, Mr. KERREY, Ms. MIKULSKI,

Ms. MOSELEY-BRAUN, Mr. REID, Mr. ROBB, Mr. ROCKEFELLER, Mr.

SIMON, Mr. WELLSTONE, Mrs. MURRAY, and Mr. CAMPBELL) introduced

the following bill; which was read twice and referred to the Committee

on Labor and Human Resources

A BILL

To amend the Public Health Service Act to provide for

the establishment of a residential support service program for special high-risk populations of pregnant

women and their children, and for other purposes.

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

3 SECTION 1. FINDINGS AND PURPOSE.

4 (a) FINDINGS.—Congress finds that—

5 (1) there has been substantial work done to

6 identify infants and children—
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1 (A) who are born to young single mothers,

2 substance abusing women, homeless women,

3 women who are economically and educationally

4 disadvantaged, and women in unstable domestic

5 situations; and

6 (B) born, in many instances, to women

7 who are involved, or at risk of becoming in8 volved, with the foster care or child justice

9 system;

10 (2) numerous nonresidential programs have

11 been established to improve infant and child out12 comes for children born to poor, young, and gen13 erally single mothers, and many of these programs

14 have been successful; and

15 (3) residential programs have been dem16 onstrated to be very effective for, and are critically

17 important to, special populations of high-risk and

18 disadvantaged pregnant women, including—

19 (A) those who are addicted or at-risk for

20 substance abuse;

21 (B) those who are homeless;

22 (C) those in unstable domestic situations;

23 and
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1 (D) women with other high-risk character2 istics, such as previous or current involvement

3 with the foster care or child justice system.

4 (b) PURPOSE.—It is the purpose of this Act to estab5 lish residential programs for special populations of high6 risk and disadvantaged pregnant women and their chil7 dren that will provide comprehensive support services to

8 protect and enhance the first year of life of the children

9 of such women and provide the mothers of such children

10 with an opportunity for a proper maternal beginning. Such

11 programs will target the women described in subsection

12 (a)(3) and provide a more intensive array of the many

13 services that are part of nonresidential programs, together

14 with vocational, home management, and transitional hous15 ing assistance.

16 SEC. 2. RESIDENTIAL PROGRAMS FOR PREGNANT WOMEN

17 AND CHILDREN.

18 Part B of the Public Health Service Act (42 U.S.C.

19 243 et seq.) is amended by adding at the end thereof the

20 following new section:

21 ‘‘SEC. 320A. RESIDENTIAL PROGRAMS FOR PREGNANT

22 WOMEN AND CHILDREN.

23 ‘‘(a) ESTABLISHMENT.—The Secretary shall estab24 lish a program under which grants shall be awarded to

25 eligible entities to enable such entities to establish residen-
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1 tial programs for special populations of high-risk and dis2 advantaged pregnant women and their children to provide

3 the services described in subsection (d) to such women.

4 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive

5 a grant under subsection (a), an entity shall be a—

6 ‘‘(1) nonprofit transitional, homeless shelter or

7 a permanent housing program;

8 ‘‘(2) federally funded public housing organiza9 tion;

10 ‘‘(3) housing organization that serves tenants

11 living in housing assisted under section 8 of the

12 United States Housing Act of 1937 (42 U.S.C.

13 1437f); and

14 ‘‘(4) community-based drug treatment center,

15 domestic violence shelter, or other health center; or

16 ‘‘(5) any other entity determined appropriate by

17 the Secretary.

18 ‘‘(c) APPLICATION.—To be eligible to receive a grant

19 under subsection (a), an eligible entity shall prepare and

20 submit to the Secretary an application at such time, in

21 such manner, and containing such information as the Sec22 retary may require, including—

23 ‘‘(1) a description of the manner in which the

24 services required under subsection (d) will be pro25 vided using amounts made available under the grant;
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1 ‘‘(2) information sufficient to demonstrate that

2 the applicant will assure the provision of the full

3 array of services described in subsection (d);

4 ‘‘(3) information sufficient to demonstrate that

5 the applicant has access to a suitable housing facil6 ity, as described in subsection (f);

7 ‘‘(4) a description of the applicants plan for as8 suring housing for all program participants and

9 their children after such participants complete the

10 program;

11 ‘‘(5) information sufficient to demonstrate that

12 the applicant has linkages with public and other

13 community agencies that can assist in locating and

14 facilitating appropriate housing;

15 ‘‘(6) information demonstrating that the appli16 cant has established a relationship with child welfare

17 agencies and child protective services that will enable

18 the applicant, where appropriate, to—

19 ‘‘(A) provide advocacy on behalf of sub20 stance abusers and the children of substance

21 abusers in child protective services cases;

22 ‘‘(B) provide services to help prevent the

23 unnecessary placement of children in substitute

24 care; and
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1 ‘‘(C) promote reunification of families or

2 permanent plans for the placement of the child;

3 and

4 ‘‘(7) any other information determined appro5 priate by the Secretary.

6 ‘‘(d) SERVICES.—A residential program established

7 under this section shall provide the following comprehen8 sive services (which should be provided in the language

9 and cultural context appropriate for the mother and her

10 family):

11 ‘‘(1) MEDICAL SERVICES.—Medical services

12 which shall include—

13 ‘‘(A) assessment and screening to deter14 mine the medical needs of the mother and her

15 family;

16 ‘‘(B) referrals and linkages to—

17 ‘‘(i) appropriate prenatal, obstetric

18 and pediatric medical service providers in

19 the community or referral to other provid20 ers as needed;

21 ‘‘(ii) community health clinics; and

22 ‘‘(iii) other public health service and

23 community-based providers that would be

24 likely to provide similar services;
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1 ‘‘(C) on-site provision of or referral to ap2 propriate community-based agencies for addic3 tion and substance abuse education, counseling,

4 treatment, and referral (to outpatient counsel5 ing upon discharge) services as needed; and

6 ‘‘(D) psychological services for mothers

7 and children, as needed.

8 ‘‘(2) PARENTING, JOB COUNSELING, AND

9 OTHER SERVICES.—Other services which shall in10 clude—

11 ‘‘(A) assessment and screening to deter12 mine parenting, job counseling, and social serv13 ice needs of the mother and her family;

14 ‘‘(B) parenting skills counseling and edu15 cation, specifically focusing on techniques to

16 stimulate cognitive development in infants;

17 ‘‘(C) access to schools for children and

18 mothers where appropriate;

19 ‘‘(D) day care for children when their

20 mothers are attending other programs, as

21 needed;

22 ‘‘(E) job counseling and referral to existing

23 job training programs;
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1 ‘‘(F) structured re-entry counseling and

2 other related activities, including follow-up serv3 ices;

4 ‘‘(G) referrals and linkages to other needed

5 services;

6 ‘‘(H) transitional housing assistance, as

7 needed;

8 ‘‘(I) transportation services with respect to

9 an educational institution or a job training site,

10 as needed; and

11 ‘‘(J) case management throughout the du12 ration of the program, including assistance with

13 applications for assistance under titles IV and

14 XIX of the Social Security Act, the Food

15 Stamp Act of 1977, after care programs, and

16 other service programs described in this section.

17 ‘‘(e) ELIGIBLE WOMEN.—

18 ‘‘(1) IN GENERAL.—To be eligible to receive

19 services provided under a residential program estab20 lished under this section, an individual shall be a

21 pregnant woman who is a member of a special popu22 lation of disadvantaged pregnant women, includ23 ing—

24 ‘‘(A) women who are addicted or at-risk

25 for substance abuse;
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1 ‘‘(B) women who are homeless;

2 ‘‘(C) women who are in unstable domestic

3 situations; and

4 ‘‘(D) women who are referred to the pro5 gram due to other high-risk characteristics.

6 ‘‘(2) ADMITTANCE INTO PROGRAM.—Women

7 shall be admitted into a residential program under

8 this section upon a determination of eligibility and

9 may remain in such program until their infant

10 reaches 1 year of age. All children of eligible preg11 nant women shall be admitted into the program and

12 shall be permitted to remain in the program so long

13 as their mother also remains in the program.

14 ‘‘(f) SUITABLE HOUSING FACILITIES.—

15 ‘‘(1) IN GENERAL.—In meeting the requirement

16 of subsection (c)(3), an entity receiving a grant

17 under this section shall secure access to and the use

18 of an appropriate facility, as determined by the Sec19 retary, for the housing of pregnant women and their

20 children in a home-like setting.

21 ‘‘(2) LIMITATION.—Amounts made available

22 under a grant awarded under this section may not

23 be used for the rehabilitation, construction, pur24 chase, or leasing of property. Such amounts may be

25 used for residential support services, including fur-
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1 niture, supplies, security, maintenance, utilities, and

2 administrative services.

3 ‘‘(g) PEER REVIEW.—The Secretary shall provide for

4 the establishment of a peer review panel to perform the

5 initial review of applications submitted for assistance

6 under this section and to make recommendations to the

7 Secretary with respect to such applications.

8 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There

9 are authorized to be appropriated to carry out this section,

10 $250,000,000 for each of the fiscal years 1994 through

11 1996.’’.

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