trator or Director shall provide orientation and training 
for new members of the advisory council to provide for 
their effective participation in the functions of the advisory 
council. 
‘‘SEC. 503. PEER REVIEW. 
‘‘(a) IN GENERAL.—The Secretary, after consulta-
tion with the Administrator, shall require appropriate peer 
review of grants, cooperative agreements, and contracts to 
be administered through the agency which exceed the sim-
ple 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) CONDITIONS.—The Secretary may establish lim-
ited exceptions to the limitations contained in this section 
regarding participation of Federal employees. The cir-
cumstances under which the Secretary may make such an 
exception shall be made public. 
‘‘SEC. 504. DATA COLLECTION. 
‘‘(a) DATA.— 
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‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Administrator, shall, at a minimum, col-
lect data each year— 
‘‘(A) with respect to mental health, con-
cerning— 
‘‘(i) the national incidence and preva-
lence of the various forms of mental illness 
and, in particular, the national incidence 
and prevalence of adults with serious men-
tal illness and children with serious emo-
tional disturbance (as such terms are de-
fined for purposes of section 1912); 
‘‘(ii) the number and variety of public 
and nonprofit private treatment programs; 
‘‘(iii) the number and demographic 
characteristics 
of 
individuals 
receiving 
treatment through such programs; 
‘‘(iv) the type of care received by such 
individuals; 
‘‘(v) the relationship between mental 
illness and physical diseases; and 
‘‘(vi) such other issues as may be ap-
propriate; and 
‘‘(B) with respect to substance use, con-
cerning— 
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‘‘(i) the national incidence and preva-
lence of the various forms of substance 
use; 
‘‘(ii) the incidence and prevalence of 
such various forms of substance use in 
major metropolitan areas selected by the 
Secretary; 
‘‘(iii) the number of individuals admit-
ted to the emergency rooms of hospitals as 
a result of the abuse of alcohol or other 
drugs; 
‘‘(iv) the number of deaths occurring 
as a result of substance use disorders, as 
indicated in reports by coroners; 
‘‘(v) the number and variety of public 
and private nonprofit treatment programs, 
including their capacity and type of patient 
services available; 
‘‘(vi) the number of individuals seek-
ing treatment through such programs, the 
number and demographic characteristics of 
individuals receiving such treatment, the 
percentage of individuals who complete 
such programs, and, with respect to indi-
viduals receiving such treatment, the 
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length of time between an individual’s re-
quest for treatment and the commence-
ment of treatment; 
‘‘(vii) the number of such individuals 
who return for treatment after the comple-
tion of a prior treatment in such programs 
and the method of treatment utilized dur-
ing the prior treatment; 
‘‘(viii) the number of individuals re-
ceiving public assistance for such treat-
ment programs; 
‘‘(ix) the costs and effectiveness of the 
different types of treatment modalities for 
drug and alcohol abuse and the aggregate 
relative costs of each such treatment mo-
dality provided within a State in each fis-
cal year; 
‘‘(x) to the extent information is avail-
able, the number of individuals receiving 
treatment for alcohol or drug abuse who 
have private insurance coverage for the 
costs of such treatment; 
‘‘(xi) the extent of alcohol and drug 
abuse among high school students and 
among the general population; and 
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‘‘(xii) the number of alcohol and drug 
abuse counselors and other substance use 
disorder treatment personnel employed in 
public and private treatment facilities. 
‘‘(2) ANNUAL SURVEYS.—The Secretary shall 
carry out annual surveys with respect to the collec-
tion of data under this subsection. Summaries and 
analyses of such data shall be made available to the 
public. 
‘‘(b) NATIONAL OUTCOME MEASURES.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with States and other stakeholders, shall estab-
lish national outcome measures (including client and 
community measures) for substance abuse and men-
tal health programs to be used by recipients of as-
sistance through programs authorized under this 
title and part B of title XIX, as appropriate. 
‘‘(2) EVALUATION.—The Secretary shall be re-
sponsible for evaluating the effect of the implemen-
tation of the outcome measures developed under 
paragraph (1) and whether such outcome measures 
continue to be important for measuring program 
success and for recommending additional measures 
or modification to current measures. 
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‘‘(3) MODIFICATIONS.—Any modifications made 
as a result of an evaluation under paragraph (2) 
shall be made only after the Secretary has consulted 
with States and other stakeholders and after such 
modification are published in the Federal Register. 
‘‘(4) DEEMED
PUBLICATION.—National out-
come measures agreed to by the States and other 
stakeholders prior to the date of enactment of the 
SAMHSA Modernization Act of 2010 are deemed to 
have been published in the Federal Register for the 
purposes of paragraph (3). 
‘‘(c) STATE INFRASTRUCTURE GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to, and enter into contracts or cooperative 
agreements with, States for the purpose of devel-
oping and operating mental health or substance use 
disorder data collection, analysis, and reporting sys-
tems in accordance with the outcome measures de-
veloped under subsection (b). 
‘‘(2) MATCHING REQUIREMENT.— 
‘‘(A) IN GENERAL.—With respect to the 
costs of the program to be carried out under a 
grant under paragraph (1) by a State, the Sec-
retary may make an award under such para-
graph only if the applicant agrees to make 
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available (directly or through donations from 
public or private entities) non-Federal contribu-
tions toward such costs in an amount that is 
not less than 50 percent of such costs. 
‘‘(B) DETERMINATION
OF
AMOUNT
CON-
TRIBUTED.—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 Gov-
ernment, or services assisted or subsidized to 
any significant extent by the Federal Govern-
ment, may not be included in determining the 
amount of such contributions. 
‘‘(3) DURATION OF SUPPORT.—The period dur-
ing which payments may be made for a program 
under paragraph (1) may be not less than 3 years 
nor more than 5 years. 
‘‘(d) UNIFORM CRITERIA.—After consultation with 
the States and with appropriate national organizations, 
the Administrator shall develop uniform criteria for the 
collection of data, using the best available technology, pur-
suant to this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
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to be appropriated such sums as may be necessary for 
each of fiscal years 2011 through 2015. 
‘‘SEC. 505. SUPPORTIVE SERVICES FOR HOMELESS INDIVID-
UALS. 
‘‘(a) GRANTS FOR TREATMENT AND RECOVERY FOR 
HOMELESS INDIVIDUALS.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants, contracts and cooperative agreements to 
community-based public and private nonprofit enti-
ties for the purposes of providing mental health and 
substance use disorder services for homeless individ-
uals. In carrying out this section, the Secretary shall 
consult with the Interagency Council on the Home-
less, established under section 201 of the Stewart B. 
McKinney Homeless Assistance Act (42 U.S.C. 
11311). 
‘‘(2) PREFERENCES.—In awarding grants, con-
tracts, and cooperative agreements under paragraph 
(1), the Secretary shall give a preference to— 
‘‘(A) entities that provide integrated pri-
mary health, substance use disorder, and men-
tal health services to homeless individuals; 
‘‘(B) entities that demonstrate effective-
ness in serving runaway, homeless, and street 
youth; 
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‘‘(C) entities that have experience in pro-
viding substance use disorder and mental health 
services to homeless individuals; 
‘‘(D) entities that demonstrate experience 
in providing housing for individuals in treat-
ment for or in recovery from mental illness or 
substance use disorders; and 
‘‘(E) entities that demonstrate effective-
ness in serving homeless veterans. 
‘‘(3) SERVICES FOR CERTAIN INDIVIDUALS.—In 
awarding grants, contracts, and cooperative agree-
ments under paragraph (1), the Secretary shall 
not— 
‘‘(A) prohibit the provision of services 
under such subsection to homeless individuals 
who are suffering from a substance use disorder 
and are not suffering from a mental health dis-
order; and 
‘‘(B) make payments under such para-
graph to any entity that has a policy of— 
‘‘(i) excluding individuals from mental 
health services due to the existence or sus-
picion of substance use disorder; or 
‘‘(ii) has a policy of excluding individ-
uals from substance use disorder services 
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due to the existence or suspicion of mental 
illness. 
‘‘(b) GRANTS FOR SERVICES TO END LONG-TERM 
HOMELESSNESS.— 
‘‘(1) IN GENERAL.— 
‘‘(A) GRANTS.—The Secretary shall make 
grants to entities described in subparagraph 
(B) for the purpose of carrying out projects to 
provide the services described in paragraph (4) 
to chronically homeless individuals in perma-
nent supportive housing. 
‘‘(B) ELIGIBLE ENTITIES.—For purposes 
of subparagraph (A), an entity described in this 
subparagraph is— 
‘‘(i) a State or political subdivision of 
a State, an American Indian and Alaska 
Native tribe, tribal organization, a health 
facility or program operated by or pursu-
ant to a contract or grant with the Indian 
Health Service, or a public or nonprofit 
private entity, including a community- 
based provider of homelessness services, 
health care, housing, or other services im-
portant to individuals experiencing chronic 
homelessness; or 
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‘‘(ii) a consortium composed of enti-
ties described in clause (i), which consor-
tium includes a public or nonprofit private 
entity that serves as the lead applicant and 
has responsibility for fiscal management, 
program management, and coordinating 
the activities of the consortium. 
‘‘(2) PRIORITIES.—In making grants under 
paragraph (1), the Secretary shall give priority to 
applicants demonstrating that the applicants— 
‘‘(A) target the services described in para-
graph (4) to individuals or families who— 
‘‘(i) have been homeless for longer pe-
riods of time or have experienced more epi-
sodes of homelessness than are required to 
meet the definition of chronic homelessness 
under this section; 
‘‘(ii) have high rates of utilization of 
emergency public systems of care; or 
‘‘(iii) have a history of interactions 
with law enforcement and the criminal jus-
tice system; 
‘‘(B) have greater funding commitments 
from State or local government agencies respon-
sible for overseeing mental health treatment, 
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substance use disorder treatment, medical care, 
and employment (including commitments to 
provide Federal funds in accordance with para-
graph (5)(B)(ii)(II)); 
‘‘(C) will provide for an increase in the 
number of units of permanent supportive hous-
ing that would serve chronically homeless indi-
viduals in the community as a result of an 
award of a grant under paragraph (1); and 
‘‘(D) have demonstrated experience pro-
viding services to address the mental health and 
substance use disorder problems of chronically 
homeless individuals living in permanent sup-
portive housing settings. 
‘‘(3) GEOGRAPHIC
DISTRIBUTION.—The Sec-
retary shall ensure that consideration is given to ge-
ographic distribution (such as urban and rural 
areas) in the awarding of grants under paragraph 
(1). 
‘‘(4) SERVICES.—The services referred to in 
paragraph (1) are the following: 
‘‘(A) Services provided by the grantee or 
by qualified subcontractors that promote recov-
ery, resiliency, and self-sufficiency and address 
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barriers to housing stability, including the fol-
lowing: 
‘‘(i) Mental health services, including 
treatment services and recovery support 
services and services that promote resil-
iency. 
‘‘(ii) Substance use disorder treatment 
and recovery support services, including 
counseling, treatment planning, recovery 
coaching, and relapse prevention. 
‘‘(iii) Integrated, coordinated treat-
ment and recovery support services for co- 
occurring disorders. 
‘‘(iv) Health education, including re-
ferrals for medical and dental care. 
‘‘(v) Services designed to help individ-
uals make progress toward self-sufficiency 
and recovery, including benefits advocacy, 
money management, life-skills training, 
self-help programs, and engagement and 
motivational interventions. 
‘‘(vi) Parental skills and family sup-
port. 
‘‘(vii) Case management. 
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‘‘(viii) Other supportive services that 
promote an end to chronic homelessness. 
‘‘(ix) Coordination or partnership with 
other agencies, programs, or mainstream 
benefits to maximize the availability of 
services and resources to meet the needs of 
chronically homeless persons living in sup-
portive housing using cost-effective ap-
proaches that avoid duplication. 
‘‘(x) Data collection and measuring 
performance outcomes as specified in para-
graph (11). 
‘‘(B) Services, as described in subpara-
graph (A), that are delivered to individuals and 
families who are chronically homeless and who 
are scheduled to become residents of permanent 
supportive housing within 90 days pending the 
location or development of an appropriate unit 
of housing. 
‘‘(C) For individuals and families who are 
otherwise eligible, and who have voluntarily cho-
sen to seek other housing opportunities after a 
period of tenancy in supportive housing, serv-
ices, as described in subparagraph (A), that are 
delivered, for a period of 90 days after exiting 
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permanent supportive housing or until the indi-
viduals have transitioned to comprehensive serv-
ices adequate to meet their current needs, pro-
vided that the purpose of the services is to sup-
port the individuals in their choice to transition 
into housing that is responsive to their indi-
vidual needs and preferences. 
‘‘(5) MATCHING FUNDS.— 
‘‘(A) IN GENERAL.—A condition for the re-
ceipt of a grant under paragraph (1) is that, 
with respect to the cost of the project to be car-
ried out by an applicant pursuant to such sub-
section, the applicant agrees as follows: 
‘‘(i) In the case of the initial grant 
pursuant to paragraph (10)(A)(i), the ap-
plicant will, in accordance with subpara-
graphs (B) and (C), make available con-
tributions toward such costs in an amount 
that is not less than $1 for each $3 of 
Federal funds provided in the grant. 
‘‘(ii) In the case of a renewal grant 
pursuant to paragraph (10)(A)(ii), the ap-
plicant will, in accordance with subpara-
graphs (B) and (C), make available con-
tributions toward such costs in an amount 
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that is not less than $1 for each $1 of 
Federal funds provided in the grant. 
‘‘(B) SOURCE
OF
CONTRIBUTION.—For 
purposes of subparagraph (A), contributions 
made by an applicant are in accordance with 
this paragraph if made as follows: 
‘‘(i) The contribution is made from 
funds of the applicant or from donations 
from public or private entities. 
‘‘(ii) Of the contribution— 
‘‘(I) not less than 80 percent is 
from non-Federal funds; and 
‘‘(II) not more than 20 percent is 
from Federal funds provided under 
programs that— 
‘‘(aa) are not expressly di-
rected at services for homeless 
individuals, but whose purposes 
are broad enough to include the 
provision of a service or services 
described in paragraph (4) as au-
thorized expenditures under such 
program; and 
‘‘(bb) do not prohibit Fed-
eral funds under the program 
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from being used to provide a con-
tribution that is required as a 
condition for obtaining Federal 
funds. 
‘‘(C) DETERMINATION
OF
AMOUNT
CON-
TRIBUTED.—Contributions required in subpara-
graph (A) may be in cash or in kind, fairly 
evaluated, including plant, equipment, or serv-
ices. Amounts provided by the Federal Govern-
ment, or services assisted or subsidized to any 
significant extent by the Federal Government, 
may not be included in determining the amount 
of non-Federal contributions required in sub-
paragraph (B)(ii)(I). 
‘‘(6) ADMINISTRATIVE EXPENSES.—A condition 
for the receipt of a grant under paragraph (1) is 
that the applicant involved agree that not more than 
10 percent of the grant will be expended for admin-
istrative expenses with respect to the grant. Ex-
penses for data collection and measuring perform-
ance outcomes as specified in paragraph (11) shall 
not be considered as administrative expenses subject 
to the limitation in this paragraph. 
‘‘(7) CERTAIN
USES
OF
FUNDS.—Notwith-
standing other provisions of this section, not more 
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than 20 percent of the individuals served by a grant-
ee under paragraph (1) may be homeless individuals 
who are not chronically homeless. 
‘‘(8) APPLICATION FOR GRANT.—A grant may 
be made under paragraph (1) 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 in-
formation as the Secretary determines to be nec-
essary to carry out this subsection. 
‘‘(9) CERTAIN
REQUIREMENTS.—A condition 
for the receipt of a grant under paragraph (1) is 
that the applicant involved demonstrate the fol-
lowing: 
‘‘(A) The applicant and all direct providers 
of services have the experience, infrastructure, 
and expertise needed to ensure the quality and 
effectiveness of services, which may be dem-
onstrated by any of the following: 
‘‘(i) Compliance with all local, city, 
county, or State requirements for licensing, 
accreditation, or certification (if any) 
which are applicable to the proposed 
project. 
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‘‘(ii) A minimum of 2 years experience 
providing comparable services that do not 
require licensing, accreditation, or certifi-
cation. 
‘‘(iii) Certification as a Medicaid serv-
ice provider, including health care for the 
homeless programs and community health 
centers. 
‘‘(iv) An executed agreement with a 
relevant State or local government agency 
that will provide oversight over the mental 
health, substance use disorder, or other 
services that will be delivered by the 
project. 
‘‘(B) There is a mechanism for deter-
mining whether residents are chronically home-
less. Such a mechanism may rely on local data 
systems or records of shelter admission. If there 
are no sources of data regarding the duration 
or number of homeless episodes, or if such data 
are unreliable for the purposes of this para-
graph, an applicant must demonstrate that the 
project will implement appropriate procedures, 
taking into consideration the capacity of local 
homeless service providers to document episodes 
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of homelessness and the challenges of engaging 
persons who have been chronically homeless, to 
verify that an individual or family meets the 
definition for being chronically homeless under 
this subsection. 
‘‘(C) The applicant participates in a local, 
regional, or statewide homeless management in-
formation system. 
‘‘(10) DURATION
OF
INITIAL
AND
RENEWAL 
GRANTS; ADDITIONAL PROVISIONS REGARDING RE-
NEWAL GRANTS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graphs (B) and (C), the period during which 
payments are made to a grantee under para-
graph (1) shall be in accordance with the fol-
lowing: 
‘‘(i) In the case of the initial grant, 
the period of payments shall be not less 
than 3 years and not more than 5 years. 
‘‘(ii) In the case of a subsequent grant 
(referred to in this subsection as a ‘re-
newal grant’), the period of payments shall 
be not more than 5 years. 
‘‘(B) ANNUAL
APPROVAL; AVAILABILITY 
OF
APPROPRIATIONS; NUMBER
OF
GRANTS.— 
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The provision of payments under an initial or 
renewal grant is subject to annual approval by 
the Secretary of the payments and to the avail-
ability of appropriations for the fiscal year in-
volved to make the payments. This paragraph 
may not be construed as establishing a limita-
tion on the number of grants under paragraph 
(1) that may be made to an entity. 
‘‘(C) ADDITIONAL PROVISIONS REGARDING 
RENEWAL GRANTS.— 
‘‘(i) COMPLIANCE
WITH
MINIMUM 
STANDARDS.—A renewal grant may be 
made by the Secretary only if the Sec-
retary determines that the applicant in-
volved has, in the project carried out with 
the grant, maintained compliance with 
minimum standards for quality and suc-
cessful outcomes for housing retention, as 
determined by the Secretary. 
‘‘(ii) 
AMOUNT.—The 
maximum 
amount of a renewal grant under this 
paragraph shall not exceed an amount 
equal to 75 percent of the amount of the 
grant awarded in the final year of the ini-
tial grant period. 
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‘‘(11) STRATEGIC
PERFORMANCE
OUTCOMES 
AND REPORTS.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
as a condition of the receipt of grants under 
paragraph (1), require grantees to provide data 
regarding the performance outcomes of the 
projects carried out under the grants. Con-
sistent with the requirements and procedures 
established by the Secretary, each grantee shall 
measure and report specific performance out-
comes related to the long-term goals of increas-
ing stability within the community for people 
who have been chronically homeless, and de-
creasing the recurrence of periods of homeless-
ness. 
‘‘(B) 
PERFORMANCE
OUTCOMES.—The 
performance outcomes described under subpara-
graph (A) shall include, with respect to individ-
uals who have been chronically homeless— 
‘‘(i) improvements in housing sta-
bility; 
‘‘(ii) improvements in employment 
and education; 
‘‘(iii) reductions in problems related to 
substance use disorders; 
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‘‘(iv) reductions in problems related to 
mental health disorders; and 
‘‘(v) other areas as the Secretary de-
termines appropriate. 
‘‘(C) COORDINATION
AND
CONSISTENCY 
WITH
OTHER
HOMELESS
ASSISTANCE
PRO-
GRAMS.— 
‘‘(i) PROCEDURES.—In establishing 
strategic performance outcomes and re-
porting requirements under subparagraph 
(A), the Secretary shall develop and imple-
ment procedures that minimize the costs 
and burdens to grantees and program par-
ticipants, and that are practical, stream-
lined, and designed for consistency with 
the requirements of the homeless assist-
ance programs administered by the Sec-
retary of Housing and Urban Develop-
ment. 
‘‘(ii) APPLICANT
COORDINATION.— 
Applicants under this subsection shall co-
ordinate with community stakeholders, in-
cluding participants in the local homeless 
management 
information 
system, 
con-
cerning the development of systems to 
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measure performance outcomes and with 
the Secretary for assistance with data col-
lection and measurements activities. 
‘‘(D) REPORT.—A grantee shall submit an 
annual report to the Secretary that— 
‘‘(i) identifies the grantee’s progress 
toward achieving its strategic performance 
outcomes; and 
‘‘(ii) describes other activities con-
ducted by the grantee to increase the par-
ticipation, housing stability, and other im-
provements in outcomes for individuals 
who have been chronically homeless. 
‘‘(12) TRAINING
AND
TECHNICAL
ASSIST-
ANCE.—The Secretary, directly or through awards of 
grants or contracts to public or nonprofit private en-
tities, shall provide training and technical assistance 
regarding the planning, development, and provision 
of services in projects under paragraph (1). 
‘‘(c) DEFINITIONS.—For purposes of this section: 
‘‘(1) CHRONICALLY HOMELESS.— 
‘‘(A) IN GENERAL.—The term ‘chronically 
homeless’, used with respect to an individual or 
family, means an individual or family who— 
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‘‘(i) is homeless and lives or resides in 
a place not meant for human habitation, a 
safe haven, or in an emergency shelter; 
‘‘(ii) has been homeless and living or 
residing in a place not meant for human 
habitation, a safe haven, or in an emer-
gency shelter continuously for at least 1 
year or on at least 4 separate occasions in 
the last 3 years; and 
‘‘(iii) has an adult head of household 
(or a minor head of household if no adult 
is present in the household) with a 
diagnosable substance use disorder, serious 
mental illness, developmental disability (as 
defined in section 102 of the Develop-
mental Disabilities Assistance and Bill of 
Rights Act of 2000 (42 U.S.C. 15002)), 
post traumatic stress disorder, cognitive 
impairments resulting from a brain injury, 
or chronic physical illness or disability, in-
cluding the co-occurrence of 2 or more of 
those conditions. 
‘‘(B) RULE OF CONSTRUCTION.—A person 
who currently lives or resides in an institutional 
care facility, including a jail, substance use dis-
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order or mental health treatment facility, hos-
pital or other similar facility, and has resided 
there for fewer than 90 days shall be considered 
chronically homeless if such person met all of 
the requirements described in subparagraph (A) 
prior to entering that facility. 
‘‘(2) HOMELESS.—The term ‘homeless’ means 
sleeping in a place not meant for human habitation 
or in an emergency homeless shelter. 
‘‘(3) 
HOMELESS
INDIVIDUAL.—The 
term 
‘homeless individual’ has the meaning given such 
term in section 330(h)(5)(A). 
‘‘(4) PERMANENT SUPPORTIVE HOUSING.— 
‘‘(A) IN GENERAL.—The term ‘permanent 
supportive housing’ means permanent, afford-
able housing with flexible support services that 
are available and designed to help the tenants 
stay housed and build the necessary skills to 
live as independently as possible. Such term 
does not include housing that is time-limited. 
Supportive housing offers residents assistance 
in reaching their full potential, which may in-
clude opportunities to secure other housing that 
meets their needs and preferences, based on in-
dividual choice instead of the requirements of 
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time-limited transitional programs. Under this 
section, permanent affordable housing includes 
permanent housing funded or assisted through 
title IV of the McKinney-Vento Homeless As-
sistance Act and section (8) of the United 
States Housing Act of 1937. 
‘‘(B) AFFORDABLE.—For purposes of sub-
paragraph (A), the term ‘affordable’ means 
within the financial means of individuals who 
are extremely low income, as defined by the 
Secretary of Housing and Urban Development. 
‘‘(5) SUBSTANCE USE DISORDER SERVICES.— 
The term ‘substance use disorder services’ has the 
meaning given the term ‘substance abuse services’ in 
section 330(h)(5)(C). 
‘‘(d) TERM OF THE AWARDS.—No entity may receive 
a grant, contract, or cooperative agreement under this sec-
tion for more than 5 years. 
‘‘(e) REPORT.—Not later than 2 years after the date 
of enactment of the SAMHSA Modernization Act of 2010, 
and once every 2 years thereafter, the Secretary shall sub-
mit to the appropriate committees of Congress a report 
concerning the programs and services provided under this 
section. Such report shall include— 
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‘‘(1) a summary of the information received by 
the Secretary under paragraph (11) of subsection 
(b); 
‘‘(2) a description of how the services provided 
under each such program are coordinated with State 
and local social service programs and homelessness 
assistance programs and Department of Veterans 
Affairs services programs; and 
‘‘(3) an evaluation of the manner in which 
funds are used under such programs and the effec-
tiveness of such programs in ending chronic home-
lessness and improving outcomes for individuals with 
mental illness and substance use disorder problems. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section, $100,000,000 
for fiscal year 2011, and such sums as may be nec-
essary for each of the fiscal years 2012 through 
2015. 
‘‘(2) 
CONTINUING
GRANTS.—Of 
the 
total 
amount appropriated to carry out this section, 
amounts shall first be allocated for continuing 
grants awarded under section 505(a) (as such sec-
tion existed on the day before the date of enactment 
of the SAMHSA Modernization Act of 2010. 
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‘‘(3) REMAINING
FUNDS.—Upon complying 
with paragraph (2), any remaining funds shall be al-
located equally between subsections (a) and (b). 
‘‘SEC. 506. AMERICAN INDIANS AND ALASKA NATIVES. 
‘‘(a) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to American Indian and Alas-
ka Native tribes and tribal organizations in submitting ap-
plications for any program of grants under this title. 
‘‘(b) SAMHSA TRIBAL
TECHNICAL
ADVISORY 
GROUP.— 
‘‘(1) IN GENERAL.—The Secretary shall estab-
lish and maintain a Tribal Technical Advisory Group 
(referred to in this section as the ‘Group’) that shall 
be composed of— 
‘‘(A) Indian representation, as selected by 
the tribes, from each of the 12 administrative 
units (Area Offices) of the Indian Health Serv-
ice; 
‘‘(B) a representative of the Indian Health 
Service; 
‘‘(C) representatives of National Indian 
Organizations with general interests in Indian 
health care; 
‘‘(D) a representative of the Administra-
tion; and 
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