I 

111TH CONGRESS 

2D SESSION H. R. 5678 

To amend the Public Health Service Act to provide grants for treatment 

of methamphetamine abuse, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 1, 2010 

Mr. CARNAHAN (for himself, Ms. BERKLEY, Mr. BOREN, Mr. DAVIS of Tennessee, Mr. FOSTER, Ms. HIRONO, Mr. MICHAUD, Mr. MOORE of Kansas, 

Mr. RADANOVICH, and Mr. ROTHMAN of New Jersey) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to provide grants 

for treatment of methamphetamine abuse, 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. SHORT TITLE. 

4 This Act may be cited as the ‘‘Universal Access to 

5 Methamphetamine Treatment Act of 2010’’. 

6 SEC. 2. PURPOSE. 

7 It is the purpose of this Act to— 


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1 (1) reduce crime and improve public safety by 

2 making treatment for methamphetamine abuse avail3 able to every American who needs it; 

4 (2) keep families together by encouraging alter5 natives to incarceration for nonviolent drug law of6 fenses; and 

7 (3) expand research on the root causes of meth8 amphetamine abuse and the most effective ways to 

9 treat it. 

10 SEC. 3. METHAMPHETAMINE TREATMENT AND WRAP11 AROUND PROGRAMS. 

12 Subpart 1 of part B of title V of the Public Health 

13 Service Act is amended— 

14 (1) redesignating the second section 514 (relat15 ing to methamphetamine and amphetamine treat16 ment) as section 514B; and 

17 (2) adding at the end the following new sec18 tions: 

19 ‘‘SEC. 514C. INITIATIVE TO INCREASE METHAMPHETAMINE 

20 TREATMENT CAPACITY. 

21 ‘‘(a) IN GENERAL.—The Secretary may make grants 

22 to State, local, and tribal governments for the purpose of 

23 increasing the availability of treatment for methamphet24 amine abuse. 

25 ‘‘(b) REQUIREMENTS.— 


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1 ‘‘(1) IN GENERAL.—To seek a grant under sub2 section (a), a State, local, or tribal government shall 

3 submit an application to the Secretary at such time, 

4 in such manner, and containing such information 

5 and assurances as the Secretary may require. 

6 ‘‘(2) USE OF GRANT FUNDS.—The grants made 

7 under subsection (a) may only be used to— 

8 ‘‘(A) build treatment centers; 

9 ‘‘(B) expand existing treatment centers; 

10 ‘‘(C) hire treatment professionals; 

11 ‘‘(D) provide training and education to 

12 substance abuse professionals, medical profes13 sionals, and educators related to the treatment 

14 of methamphetamine abuse; and 

15 ‘‘(E) engage in other activities that the 

16 Secretary has determined are relevant to the 

17 purpose of the grants under subsection (a). 

18 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

19 is authorized to be appropriated such sums as may be nec20 essary to carry out this section for fiscal years 2011 

21 through 2015. 

22 ‘‘SEC. 514D. METHAMPHETAMINE TREATMENT VOUCHERS 

23 FOR UNDERSERVED POPULATIONS. 

24 ‘‘(a) IN GENERAL.—The Secretary may make grants 

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1 ties to provide vouchers to individuals in underserved pop2 ulations for authorized services related to the treatment 

3 of such individuals for methamphetamine abuse. 

4 ‘‘(b) REQUIREMENTS.— 

5 ‘‘(1) APPLICATION.—To seek a grant under 

6 subsection (a), a State, local, or tribal government 

7 or a nonprofit entity shall submit an application to 

8 the Secretary at such time, in such manner, and 

9 containing such information and assurances as the 

10 Secretary may require, including a description of the 

11 method that such State, government, or entity will 

12 use— 

13 ‘‘(A) to identify individuals who would ben14 efit from treatment for methamphetamine 

15 abuse; 

16 ‘‘(B) to identify if such individuals are in 

17 underserved populations; and 

18 ‘‘(C) to provide vouchers to such individ19 uals in such populations. 

20 ‘‘(2) PRESERVATION OF CHOICE.—A recipient 

21 of a grant under this section may not restrict the 

22 ability of an individual receiving a voucher under 

23 this section to use the voucher to pay for authorized 

24 services furnished by any provider of authorized 

25 services, so long as the provider of such services 


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1 meets all applicable State licensure or certification 

2 requirements regarding the provision of such serv3 ices. 

4 ‘‘(3) DURATION OF AWARD.—With respect to a 

5 grant under this section, the period during which 

6 payments under such grant are made to the grant 

7 recipient may not exceed five years. 

8 ‘‘(4) MATCHING FUNDS.—The Secretary may 

9 require that State, local, and tribal governments and 

10 nonprofit entities that apply for grants under this 

11 section provide non-Federal matching funds, as de12 termined appropriate by the Secretary, to ensure the 

13 commitment of the government or entity to the pro14 vision of vouchers for treatment to individuals who 

15 use methamphetamine. Such non-Federal matching 

16 funds may be provided directly or through donations 

17 from public or private entities and may be in cash 

18 or in kind, fairly evaluated, including plant, equip19 ment, or services. 

20 ‘‘(5) MAINTENANCE OF EFFORT.—The Sec21 retary may require that grant recipients under this 

22 section agree to maintain expenditures of non-Fed23 eral amounts for authorized services related to the 

24 treatment of methamphetamine abuse at a level that 

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1 tained by the recipient for the fiscal year preceding 

2 the fiscal year for which the entity receives such a 

3 grant. 

4 ‘‘(c) REPORT.— 

5 ‘‘(1) IN GENERAL.—Not later than December 1, 

6 2010, and annually thereafter, the Secretary shall 

7 submit a report to the Congress on the grants under 

8 subsection (a). 

9 ‘‘(2) CONTENTS OF REPORT.—The report under 

10 paragraph (1) shall contain an evaluation of the ef11 fectiveness of the grants made under subsection (a) 

12 in improving access to methamphetamine treatment 

13 for underserved populations. 

14 ‘‘(d) DEFINITIONS.—For purposes of this section, the 

15 following definitions apply: 

16 ‘‘(1) AUTHORIZED SERVICES.—The term ‘au17 thorized services’ means— 

18 ‘‘(A) treatment for methamphetamine 

19 abuse, including individual, group, and family 

20 counseling regarding such abuse; 

21 ‘‘(B) follow-up services to prevent an indi22 vidual from relapsing into such abuse; 

23 ‘‘(C) wrap-around services, as such term is 

24 defined in section 514E(e)(4); and 


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1 ‘‘(D) any additional services specified by 

2 the Secretary. 

3 ‘‘(2) UNDERSERVED POPULATION.—The term 

4 ‘underserved population’ means a population of indi5 viduals who cannot to access appropriate substance 

6 abuse treatment (including comprehensive substance 

7 abuse treatment) due to financial, geographical, lan8 guage, socio-economic, or cultural barriers. 

9 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

10 is authorized to be appropriated such sums as may be nec11 essary to carry out this section for fiscal years 2011 

12 through 2015. 

13 ‘‘SEC. 514E. COMPREHENSIVE WRAP-AROUND METH14 AMPHETAMINE TREATMENT SERVICES. 

15 ‘‘(a) IN GENERAL.—The Secretary may make grants 

16 to public, private, and nonprofit entities, Indian tribes, 

17 and tribal organizations to establish programs to provide 

18 for and coordinate the provision of wrap-around services 

19 to methamphetamine-affected individuals. 

20 ‘‘(b) MINIMUM QUALIFICATIONS FOR RECEIPT OF

21 AWARD.—To seek a grant under subsection (a), public, 

22 private, or nonprofit entity, Indian tribe, or tribal organi23 zations shall submit an application to the Secretary at 

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1 tion and assurances as the Secretary may require, includ2 ing assurances to the satisfaction of the Secretary that— 

3 ‘‘(1) the applicant has the capacity to carry out 

4 a program described in subsection (a); 

5 ‘‘(2) the applicant has entered into agreements 

6 with entities in the community involved, through 

7 which the applicant will provide services defined in 

8 subsection (e)(4); and 

9 ‘‘(3) the applicant, or any entity through which 

10 the applicant will provide such services, meets all ap11 plicable State licensure or certification requirements 

12 regarding the provision of such services. 

13 ‘‘(c) PRIORITY FOR GRANT DISTRIBUTION.—In mak14 ing grants under this section, the Secretary shall give pri15 ority to applications for programs that serve communities 

16 with a high or increasing rate of methamphetamine abuse 

17 or addiction, as specified by the Secretary. 

18 ‘‘(d) REPORTS.—For each year that a public, private, 

19 or nonprofit entity, Indian tribe, or tribal organization re20 ceives a grant under subsection (a) for a program, such 

21 entity, tribe, or organization shall submit to the Secretary 

22 a report on the results and effectiveness of the program. 

23 ‘‘(e) DEFINITIONS.—For purposes of this section: 

24 ‘‘(1) INTENSIVE OUTPATIENT TREATMENT FA25 CILITY.—The term ‘intensive outpatient treatment 


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1 facility’ means a facility that provides treatment for 

2 substance abuse and that, with respect to an indi3 vidual receiving such treatment— 

4 ‘‘(A) provides a minimum of nine hours of 

5 treatment for substance abuse during a week; 

6 ‘‘(B) provides regularly scheduled treat7 ment sessions within a structured program; and 

8 ‘‘(C) the treatment sessions are led by 

9 health professionals or clinicians. 

10 ‘‘(2) METHAMPHETAMINE-AFFECTED INDI11 VIDUAL.—The term ‘methamphetamine-affected in12 dividual’ means an individual who— 

13 ‘‘(A)(i) resided in a residential inpatient 

14 treatment facility for the treatment of meth15 amphetamine abuse or addiction; or 

16 ‘‘(ii) received treatment for methamphet17 amine abuse or addiction from an intensive out18 patient treatment facility; and 

19 ‘‘(B) after successful completion of such 

20 treatment reenters the community. 

21 ‘‘(3) RESIDENTIAL INPATIENT TREATMENT FA22 CILITY.—The term ‘residential inpatient treatment 

23 facility’ means a facility that provides treatment for 

24 substance abuse and in which health professionals 

25 and clinicians provide a planned regimen of 24-hour 


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1 professionally directed evaluation, care, and treat2 ment for such substance abuse in an inpatient set3 ting, including 24-hour observation and monitoring. 

4 ‘‘(4) WRAP-AROUND SERVICES.—The term 

5 ‘wrap-around services’ means, with respect to a 

6 methamphetamine-affected individual, the following 

7 services: 

8 ‘‘(A) Medical services. 

9 ‘‘(B) Dental services. 

10 ‘‘(C) Mental health services. 

11 ‘‘(D) Child care services. 

12 ‘‘(E) Job training services. 

13 ‘‘(F) Housing assistance. 

14 ‘‘(G) Training in parenting. 

15 ‘‘(H) Prevention services for family mem16 bers, with respect to methamphetamine abuse 

17 or addiction. 

18 ‘‘(I) Transportation assistance services for 

19 purposes of participation in the services listed 

20 in subparagraphs (A) through (H). 

21 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated such sums as may be nec23 essary to carry out this section for fiscal years 2011 

24 through 2015.’’. 


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1 SEC. 4. EXTENSION AND EXPANSION OF RESIDENTIAL 

2 TREATMENT PROGRAM FOR PREGNANT AND 

3 POSTPARTUM WOMEN TO INCLUDE CARE 

4 GIVER PARENTS. 

5 Section 508 of the Public Health Service Act (42 

6 U.S.C. 290bb–1) is amended— 

7 (1) in the heading, by striking ‘‘PREGNANT AND

8 POSTPARTUM WOMEN’’ and inserting ‘‘CARE GIVER

9 PARENTS, INCLUDING PREGNANT WOMEN’’; 

10 (2) in subsection (a)— 

11 (A) in the matter preceding paragraph 

12 (1)— 

13 (i) by inserting ‘‘, Indian tribes, and 

14 tribal organizations’’ after ‘‘private enti15 ties’’; and 

16 (ii) by striking ‘‘pregnant and 

17 postpartum women treatment for sub18 stance abuse’’ and inserting ‘‘care giver 

19 parents, including pregnant women, treat20 ment for substance abuse (including treat21 ment for addiction to methamphetamine)’’; 

22 (B) in each of paragraphs (1), (2), and 

23 (3), by striking ‘‘the women’’ and inserting 

24 ‘‘such parents’’ each place it appears; and 

25 (C) in paragraph (3), by inserting ‘‘supple26 mental’’ before ‘‘services’’; 


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1 (3) in subsection (b)— 

2 (A) in paragraph (1), by inserting ‘‘, In3 dian tribes, or tribal organizations’’ after ‘‘non4 profit private entities’’; and 

5 (B) in paragraph (2)— 

6 (i) by striking ‘‘the services’’ and in7 serting ‘‘such services’’; and 

8 (ii) by striking ‘‘ woman’’ and insert9 ing ‘‘care giver parent’’; 

10 (4) in subsection (c)— 

11 (A) in paragraph (1) by striking ‘‘eligible 

12 woman’’ and inserting ‘‘eligible care giver par13 ent’’; and 

14 (B) by striking ‘‘the women’’ each place it 

15 appears and inserting ‘‘such parent’’; 

16 (5) in subsection (d)— 

17 (A) in the matter proceeding paragraph 

18 (1), by striking ‘‘woman’’ and inserting ‘‘care 

19 giver parent’’; 

20 (B) in paragraphs (3) and (4), by striking 

21 ‘‘the woman’’ and inserting ‘‘such parent’’ each 

22 place it appears; 

23 (C) in paragraph (9)— 


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1 (i) by striking ‘‘the women’’ and in2 serting ‘‘such parent’’ each place it ap3 pears; 

4 (ii) by striking ‘‘units’’ and inserting 

5 ‘‘unit’’; and 

6 (iii) by striking ‘‘of parents’’ and in7 serting ‘‘of the parents of such parent’’; 

8 (D) in paragraph (10), by inserting ‘‘, In9 dian tribes, or tribal organizations’’ after ‘‘enti10 ties’’; and 

11 (E) in paragraph (11)— 

12 (i) by striking ‘‘the women’’ and in13 serting ‘‘such parent’’; and 

14 (ii) by striking ‘‘their children’’ and 

15 inserting ‘‘the children of such parent’’; 

16 (6) in subsection (f)(1), in the matter pro17 ceeding subparagraph (A) by inserting ‘‘, Indian 

18 tribes, or tribal organizations’’ after ‘‘public or pri19 vate entities’’; 

20 (7) in subsection (g)— 

21 (A) by striking ‘‘identify women’’ and in22 serting ‘‘identify care giver parents’’; and 

23 (B) by striking ‘‘the women’’ and inserting 

24 ‘‘such parents’’; 


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1 (8) in subsection (h)(1) by striking ‘‘pregnant 

2 and postpartum women’’ and inserting ‘‘care giver 

3 parents’’; 

4 (9) in subsection (j)— 

5 (A) in the matter proceeding paragraph 

6 (1)— 

7 (i) by striking ‘‘to on behalf’’ and in8 serting ‘‘to or on behalf’’; and 

9 (ii) by striking ‘‘woman’’ and insert10 ing ‘‘care giver parent’’; 

11 (B) in paragraph (2), by striking ‘‘the 

12 woman’’ and inserting ‘‘such parent’’; and 

13 (C) in paragraph (3), by striking ‘‘woman’’ 

14 and inserting ‘‘parent’’; 

15 (10) in subsection (k)(2) by striking ‘‘women’’ 

16 and inserting ‘‘care giver parents’’— 

17 (11) in subsection (l), by striking ‘‘such agree18 ments’’ and inserting ‘‘the funding agreements 

19 under this section’’; 

20 (12) by amending subsection (m) to read as fol21 lows: 

22 ‘‘(m) USE OF FUNDS; PRIORITY FOR CERTAIN

23 AREAS SERVED.— 

24 ‘‘(1) USE OF FUNDS.—A funding agreement for 

25 an award under subsection (a) for an applicant is 


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1 that funds awarded under subsection (a) to such ap2 plicant shall be used for programs according to the 

3 following order of priority: 

4 ‘‘(A) For a program that provides services 

5 to care giver parents who are pregnant and 

6 postpartum women. 

7 ‘‘(B) For a program that provides services 

8 to care giver parents who are single parents 

9 and the sole care givers with respect to their 

10 children. 

11 ‘‘(C) For a program that provides services 

12 to any care giver parents. 

13 ‘‘(2) PRIORITY FOR CERTAIN AREAS SERVED.— 

14 In making awards under subsection (a), the Director 

15 shall give priority to any entity, tribe, or organiza16 tion that agrees to use the award for a program 

17 serving an area that— 

18 ‘‘(A) is a rural area; 

19 ‘‘(B) is an area determined by the Director 

20 to have a shortage of family-based substance 

21 abuse treatment options; or 

22 ‘‘(C) is determined by the Director to have 

23 high rates of addiction to methamphetamine.’’; 

24 (13) in subsection (p)— 


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1 (A) by striking ‘‘October 1, 1994’’ and in2 serting ‘‘October 1, 2010’’; and 

3 (B) by striking the third sentence; 

4 (14) in subsection (q)— 

5 (A) by redesignating paragraphs (2), (3), 

6 (4), and (5) as paragraphs (3), (4), (5), and 

7 (6), respectively; 

8 (B) by inserting after paragraph (1) the 

9 following new paragraph: 

10 ‘‘(2) The term ‘care giver parent’ means, with 

11 respect to a child, a parent or legal guardian with 

12 whom the child resides, and includes a pregnant 

13 woman.’’; and 

14 (C) by amending paragraph (3), as redes15 ignated by subparagraph (A) of this paragraph, 

16 to read as follows: 

17 ‘‘(3) The term ‘eligible care giver parent’ means 

18 a care giver parent who has been admitted to a pro19 gram operated pursuant to subsection (a).’’; and 

20 (15) in subsection (r), by striking ‘‘to fiscal 

21 years 2001 through 2003’’ and inserting ‘‘for fiscal 

22 years 2011 through 2015’’. 


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1 SEC. 5. EFFECTIVENESS OF METHAMPHETAMINE TREAT2 MENT METHODS. 

3 (a) RESEARCH.—The Director of the National Insti4 tute on Drug Abuse shall conduct research, directly or 

5 through contract with another entity, on the effectiveness 

6 of the use of agonist and antagonist drugs to reduce the 

7 problems associated with stimulant abuse, including meth8 amphetamine abuse. 

9 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

10 authorized to be appropriated such sums as may be nec11 essary to carry out this section for fiscal years 2011 

12 through 2015. 

13 SEC. 6. IOM STUDY ON DRUG TREATMENTS FOR STIMU14 LANT ABUSE. 

15 (a) REPORT.—The Secretary of Health and Human 

16 Services shall seek to enter into a contract with the Insti17 tute of Medicine of the National Academies to complete 

18 a literature review and submit a report to Congress on 

19 the effectiveness of agonist and antagonist drugs for the 

20 treatment of stimulant abuse, including methamphetamine 

21 abuse. 

22 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

23 authorized to be appropriated such sums as may be nec24 essary to carry out this section for fiscal years 2011 

25 through 2015. 


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1 SEC. 7. GAO EVALUATION OF THE IMPACT OF THIS LEGIS2 LATION. 

3 (a) STUDY ON THE LEVEL OF FUNDING FOR METH4 AMPHETAMINE TREATMENT.—The Comptroller General 

5 of the United States shall conduct a study on— 

6 (1) the impact of the programs authorized by 

7 this Act (including the amendments made by this 

8 Act) on the effectiveness and availability of treat9 ment for methamphetamine abuse; 

10 (2) whether the level of Federal funding avail11 able for the treatment of methamphetamine abuse 

12 meets, exceeds, or is less than the amount necessary 

13 to provide adequate treatment for methamphetamine 

14 abuse; and 

15 (3) the impact of effective treatment of meth16 amphetamine abuse on cost savings due to the re17 duced need for criminal justice and other services. 

18 (b) REPORTS.— 

19 (1) INTERIM REPORT.—Not later than the last 

20 day of the two-year period beginning on the date of 

21 enactment of this Act, the Comptroller General shall 

22 submit to Congress a report on the interim findings 

23 of the study under subsection (a). 

24 (2) FINAL REPORT.—Not later than 3 years 

25 after the date of that the report under paragraph 

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1 eral shall submit to Congress a report on the find2 ings of the study under subsection (a). 

Æ 


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