II

106TH CONGRESS

1ST SESSION S. 971

To amend the Public Health Service Act to revise and extend the grant

program for services for children of substance abusers.

IN THE SENATE OF THE UNITED STATES

MAY 6, 1999

Mr. DODD (for himself and Mr. JEFFORDS) introduced the following bill;

which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

A BILL

To amend the Public Health Service Act to revise and extend

the grant program for services for children of substance

abusers.

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

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Services for Children

5 of Substance Abusers Reauthorization Act’’.

6 SEC. 2. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

7 (a) ADMINISTRATION AND ACTIVITIES.—
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1 (1) ADMINISTRATION.—Section 399D(a) of the

2 Public Health Service Act (42 U.S.C. 280d(a)(1)) is

3 amended—

4 (A) in paragraph (1), by striking ‘‘Admin5 istrator’’ and all that follows through ‘‘Adminis6 tration’’ and insert ‘‘Administrator of the Sub7 stance Abuse and Mental Health Services Ad8 ministration’’; and

9 (B) in paragraph (2), by striking ‘‘Admin10 istrator of the Substance Abuse and Mental

11 Health Services Administration’’ and inserting

12 ‘‘Administrator of the Health Resources and

13 Services Administration’’.

14 (2) ACTIVITIES.—Section 399D(a)(1) of the

15 Public Health Service Act (42 U.S.C. 280d(a)(1)) is

16 amended—

17 (A) in subparagraph (B), by striking

18 ‘‘and’’ at the end;

19 (B) in subparagraph (C), by striking the

20 period and inserting the following: ‘‘through

21 youth service agencies, family social services,

22 child care providers, Head Start, schools and

23 after-school programs, early childhood develop24 ment programs, community-based family re25 source and support centers, the criminal justice
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1 system, health, substance abuse and mental

2 health providers through screenings conducted

3 during regular childhood examinations and

4 other examinations, self and family member re5 ferrals, substance abuse treatment services, and

6 other providers of services to children and fami7 lies; and’’; and

8 (C) by adding at the end the following:

9 ‘‘(D) to provide education and training to

10 health, substance abuse and mental health pro11 fessionals, and other providers of services to

12 children and families through youth service

13 agencies, family social services, child care, Head

14 Start, schools and after-school programs, early

15 childhood development programs, community16 based family resource and support centers, the

17 criminal justice system, and other providers of

18 services to children and families.’’.

19 (3) IDENTIFICATION OF CERTAIN CHILDREN.—

20 Section 399D(a)(3)(A) of the Public Health Service

21 Act (42 U.S.C. 280d(a)(3)(A)) is amended—

22 (A) in clause (i), by striking ‘‘(i) the enti23 ty’’ and inserting ‘‘(i)(I) the entity’’;

24 (B) in clause (ii)—
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1 (i) by striking ‘‘(ii) the entity’’ and in2 serting ‘‘(II) the entity’’; and

3 (ii) by striking the period and insert4 ing ‘‘; and’’; and

5 (C) by adding at the end the following:

6 ‘‘(ii) the entity will identify children

7 who may be eligible for medical assistance

8 under a State program under title XIX or

9 XXI of the Social Security Act.’’.

10 (b) SERVICES FOR CHILDREN.—Section 399D(b) of

11 the Public Health Service Act (42 U.S.C. 280d(b)) is

12 amended—

13 (1) in paragraph (1), by inserting ‘‘alcohol and

14 drug,’’ after ‘‘psychological,’’;

15 (2) by striking paragraph (5) and inserting the

16 following:

17 ‘‘(5) Developmentally and age-appropriate drug

18 and alcohol early intervention, treatment and pre19 vention services.’’; and

20 (3) by inserting after paragraph (8), the fol21 lowing:

22 ‘‘Services shall be provided under paragraphs (2) through

23 (8) by a public health nurse, social worker, or similar pro24 fessional, or by a trained worker from the community who

25 is supervised by a professional, or by an entity, where the
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1 professional or entity provides assurances that the profes2 sional or entity is licensed or certified by the State if re3 quired and is complying with applicable licensure or cer4 tification requirements.’’.

5 (c) SERVICES FOR AFFECTED FAMILIES.—Section

6 399D(c) of the Public Health Service Act (42 U.S.C.

7 280d(c)) is amended—

8 (1) in paragraph (1)—

9 (A) in the matter preceding subparagraph

10 (A), by inserting before the colon the following:

11 ‘‘, or by an entity, where the professional or en12 tity provides assurances that the professional or

13 entity is licensed or certified by the State if re14 quired and is complying with applicable licen15 sure or certification requirements’’; and

16 (B) by adding at the end the following:

17 ‘‘(D) Aggressive outreach to family mem18 bers with substance abuse problems.

19 ‘‘(E) Inclusion of consumer in the develop20 ment, implementation, and monitoring of Fam21 ily Services Plan.’’;

22 (2) in paragraph (2)—

23 (A) by striking subparagraph (A) and in24 serting the following:
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1 ‘‘(A) Alcohol and drug treatment services,

2 including screening and assessment, diagnosis,

3 detoxification, individual, group and family

4 counseling, relapse prevention, pharmaco5 therapy treatment, after-care services, and case

6 management.’’;

7 (B) in subparagraph (C), by striking ‘‘, in8 cluding educational and career planning’’ and

9 inserting ‘‘and counseling on the human im10 munodeficiency virus and acquired immune de11 ficiency syndrome’’;

12 (C) in subparagraph (D), by striking ‘‘con13 flict and’’; and

14 (D) in subparagraph (E), by striking ‘‘Re15 medial’’ and inserting ‘‘Career planning and’’;

16 and

17 (3) in paragraph (3)(D), by inserting ‘‘which

18 include child abuse and neglect prevention tech19 niques’’ before the period.

20 (d) ELIGIBLE ENTITIES.—Section 399D(d) of the

21 Public Health Service Act (42 U.S.C. 280d(d)) is

22 amended—

23 (1) by striking the matter preceding paragraph

24 (1) and inserting:
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1 ‘‘(d) ELIGIBLE ENTITIES.—The Secretary shall dis2 tribute the grants through the following types of entities:’’;

3 (2) in paragraph (1), by striking ‘‘drug treat4 ment’’ and inserting ‘‘drug early intervention, pre5 vention or treatment’’; and

6 (3) in paragraph (2)—

7 (A) in subparagraph (A), by striking ‘‘;

8 and’’ and inserting ‘‘; or’’; and

9 (B) in subparagraph (B), by inserting ‘‘or

10 pediatric health or mental health providers and

11 family mental health providers’’ before the pe12 riod.

13 (e) SUBMISSION OF INFORMATION.—Section

14 399D(h) of the Public Health Service Act (42 U.S.C.

15 280d(h)) is amended—

16 (1) in paragraph (2)—

17 (A) by inserting ‘‘including maternal and

18 child health’’ before ‘‘mental’’;

19 (B) by striking ‘‘treatment programs’’; and

20 (C) by striking ‘‘and the State agency re21 sponsible for administering public maternal and

22 child health services’’ and inserting ‘‘, the State

23 agency responsible for administering alcohol

24 and drug programs, the State lead agency, and

25 the State Interagency Coordinating Council
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1 under part H of the Individuals with Disabil2 ities Education Act; and’’; and

3 (2) by striking paragraph (3) and redesignating

4 paragraph (4) as paragraph (3).

5 (f) REPORTS TO THE SECRETARY.—Section

6 399D(i)(6) of the Public Health Service Act (42 U.S.C.

7 280d(i)(6)) is amended—

8 (1) in subparagraph (B), by adding ‘‘and’’ at

9 the end; and

10 (2) by striking subparagraphs (C), (D), and (E)

11 and inserting the following:

12 ‘‘(C) the number of case workers or other

13 professionals trained to identify and address

14 substance abuse issues.’’.

15 (g) EVALUATIONS.—Section 399D(l) of the Public

16 Health Service Act (42 U.S.C. 280d(l)) is amended—

17 (1) in paragraph (3), by adding ‘‘and’’ at the

18 end;

19 (2) in paragraph (4), by striking the semicolon

20 and inserting the following: ‘‘, including increased

21 participation in work or employment-related activi22 ties and decreased participation in welfare pro23 grams.’’; and

24 (3) by striking paragraphs (5) and (6).
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1 (h) REPORT TO CONGRESS.—Section 399D(m) of the

2 Public Health Service Act (42 U.S.C. 280d(m)) is

3 amended—

4 (1) in paragraph (2), by adding ‘‘and’’ at the

5 end;

6 (2) in paragraph (3)—

7 (A) in subparagraph (A), by adding ‘‘and’’

8 at the end;

9 (B) in subparagraph (B), by striking the

10 semicolon and inserting a period; and

11 (C) by striking subparagraphs (C), (D),

12 and (E); and

13 (3) by striking paragraphs (4) and (5).

14 (i) DATA COLLECTION.—Section 399D(n) of the

15 Public Health Service Act (42 U.S.C. 280d(n)) is amend16 ed by adding at the end the following: ‘‘The periodic report

17 shall include a quantitative estimate of the prevalence of

18 alcohol and drug problems in families involved in the child

19 welfare system, the barriers to treatment and prevention

20 services facing these families, and policy recommendations

21 for removing the identified barriers, including training for

22 child welfare workers.’’.

23 (j) DEFINITION.—Section 399D(o)(2)(B) of the Pub24 lic Health Service Act (42 U.S.C. 280d(o)(2)(B)) is

25 amended by striking ‘‘dangerous’’.
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1 (k) AUTHORIZATION OF APPROPRIATIONS.—Section

2 399D(p) of the Public Health Service Act (42 U.S.C.

3 280d(p)) is amended to read as follows:

4 ‘‘(p) AUTHORIZATION OF APPROPRIATIONS.—For the

5 purpose of carrying out this section, there are authorized

6 to be appropriated $50,000,000 for fiscal year 2000, and

7 such sums as may be necessary for fiscal year 2001.’’.

8 (l) GRANTS FOR TRAINING AND CONFORMING

9 AMENDMENTS.—Section 399D of the Public Health Serv10 ice Act (42 U.S.C. 280d) is amended—

11 (1) by striking subsection (f);

12 (2) by striking subsection (k);

13 (3) by redesignating subsections (d), (e), (g),

14 (h), (i), (j), (l), (m), (n), (o), and (p) as subsections

15 (e) through (o), respectively;

16 (4) by inserting after subsection (c), the fol17 lowing:

18 ‘‘(d) TRAINING FOR PROVIDERS OF SERVICES TO

19 CHILDREN AND FAMILIES.—The Secretary may make a

20 grant under subsection (a) for the training of health, sub21 stance abuse and mental health professionals and other

22 providers of services to children and families through

23 youth service agencies, family social services, child care

24 providers, Head Start, schools and after-school programs,

25 early childhood development programs, community-based
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1 family resource centers, the criminal justice system, and

2 other providers of services to children and families. Such

3 training shall be to assist professionals in recognizing the

4 drug and alcohol problems of their clients and to enhance

5 their skills in identifying and understanding the nature of

6 substance abuse, and obtaining substance abuse early

7 intervention, prevention and treatment resources.’’;

8 (5) in subsection (k)(2) (as so redesignated), by

9 striking ‘‘(h)’’ and inserting ‘‘(i)’’; and

10 (6) in paragraphs (3)(E) and (5) of subsection

11 (m) (as so redesignated), by striking ‘‘(d)’’ and in12 serting ‘‘(e)’’.

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