II 

115TH CONGRESS 

2D SESSION S. 2924 

To encourage the use of family-focused residential treatment programs for 

substance use disorder treatment. 

IN THE SENATE OF THE UNITED STATES 

MAY 22, 2018 

Mr. SCOTT (for himself and Mr. MENENDEZ) introduced the following bill; 

which was read twice and referred to the Committee on Finance 

A BILL 

To encourage the use of family-focused residential treatment 

programs for substance use disorder treatment. 

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 ‘‘Supporting Family5 Focused Residential Treatment Act’’. 

6 SEC. 2. DEFINITIONS. 

7 In this Act: 

8 (1) FAMILY-FOCUSED RESIDENTIAL TREAT9 MENT PROGRAM.—The term ‘‘family-focused resi10 dential treatment program’’ means a trauma-inVerDate Sep 11 2014 00:12 May 30, 2018 Jkt 079200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S2924.IS S2924

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1 formed residential program primarily for substance 

2 use disorder treatment for pregnant and postpartum 

3 women and parents and guardians that allows chil4 dren to reside with such women or their parents or 

5 guardians during treatment to the extent appro6 priate and applicable. 

7 (2) MEDICAID PROGRAM.—The term ‘‘Medicaid 

8 program’’ means the program established under title 

9 XIX of the Social Security Act (42 U.S.C. 1396 et 

10 seq.). 

11 (3) SECRETARY.—The term ‘‘Secretary’’ means 

12 the Secretary of Health and Human Services. 

13 (4) TITLE IV–E PROGRAM.—The term ‘‘title 

14 IV–E program’’ means the program for foster care, 

15 prevention, and permanency established under part 

16 E of title IV of the Social Security Act (42 U.S.C. 

17 670 et seq.). 

18 SEC. 3. GUIDANCE ON FAMILY-FOCUSED RESIDENTIAL 

19 TREATMENT PROGRAMS. 

20 (a) IN GENERAL.—Not later than 180 days after the 

21 date of enactment of this Act, the Secretary, in consulta22 tion with divisions of the Department of Health and 

23 Human Services administering substance use disorder or 

24 child welfare programs, shall develop and issue guidance 

25 to States identifying opportunities to support family-foVerDate Sep 11 2014 00:12 May 30, 2018 Jkt 079200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\S2924.IS S2924

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1 cused residential treatment programs for the provision of 

2 substance use disorder treatment. Before issuing such 

3 guidance, the Secretary shall solicit input from representa4 tives of States, health care providers with expertise in ad5 diction medicine, obstetrics and gynecology, neonatology, 

6 child trauma, and child development, recipients of family7 focused treatment services, and other relevant stake8 holders. 

9 (b) ADDITIONAL REQUIREMENTS.—The guidance re10 quired under subsection (a) shall include descriptions of 

11 the following: 

12 (1) Existing opportunities and flexibilities 

13 under the Medicaid program, including under waiv14 ers authorized under section 1115 or 1915 of the 

15 Social Security Act (42 U.S.C. 1315, 1396n), for 

16 States to receive Federal Medicaid funding for the 

17 provision of substance use disorder treatment for 

18 pregnant and postpartum women and parents and 

19 guardians and, to the extent applicable, their chil20 dren, in family-focused residential treatment pro21 grams. 

22 (2) How States can employ and coordinate 

23 funding provided under the Medicaid program, the 

24 title IV-E program, and other programs adminis25 tered by the Secretary to support the provision of 


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1 treatment and services provided by a family-focused 

2 residential treatment facility such as substance use 

3 disorder treatment and services, including medica4 tion-assisted treatment, family, group, and indi5 vidual counseling, case management, parenting edu6 cation and skills development, the provision, assess7 ment, or coordination of care and services for chil8 dren, including necessary assessments and appro9 priate interventions, non-emergency transportation 

10 for necessary care provided at or away from a pro11 gram site, transitional services and supports for 

12 families leaving treatment, and other services. 

13 (3) How States can employ and coordinate 

14 funding provided under the Medicaid program and 

15 the title IV–E program (including as amended by 

16 the Family First Prevention Services Act enacted 

17 under title VII of division E of Public Law 115–123, 

18 and particularly with respect to the authority under 

19 subsections (a)(2)(C) and (j) of section 472 and sec20 tion 474(a)(1) of the Social Security Act (42 U.S.C. 

21 672, 674(a)(1)) (as amended by section 50712 of 

22 Public Law 115–123) to provide foster care mainte23 nance payments for a child placed with a parent who 

24 is receiving treatment in a licensed residential fam25 ily-based treatment facility for a substance use disVerDate Sep 11 2014 00:12 May 30, 2018 Jkt 079200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\S2924.IS S2924

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1 order) to support placing children with their parents 

2 in family-focused residential treatment programs. 

Æ 


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