Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Treatment 
for Pregnant and Postpartum Women Act of 2016’’. 
SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT 
PROGRAMS 
FOR 
PREGNANT 
AND 
POSTPARTUM WOMEN. 
Section 508 of the Public Health Service Act (42 
U.S.C. 290bb–1) is amended— 
(1) in subsection (p), in the first sentence, by in-
serting ‘‘(other than subsection (r))’’ after ‘‘section’’; 
and 
(2) in subsection (r), by striking ‘‘such sums’’ 
and all that follows through ‘‘2003’’ and inserting 
‘‘$16,900,000 for each of fiscal years 2017 through 
2021’’. 
SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 
ABUSE AGENCIES. 
(a) IN GENERAL.—Section 508 of the Public Health 
Service Act (42 U.S.C. 290bb–1) is amended— 
(1) by redesignating subsection (r), as amended 
by section 2, as subsection (s); and 
(2) by inserting after subsection (q) the following 
new subsection: 
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‘‘(r) PILOT PROGRAM FOR STATE SUBSTANCE ABUSE 
AGENCIES.— 
‘‘(1) IN GENERAL.—From amounts made avail-
able under subsection (s), the Director of the Center 
for Substance Abuse Treatment shall carry out a pilot 
program under which competitive grants are made by 
the Director to State substance abuse agencies to— 
‘‘(A) enhance flexibility in the use of funds 
designed to support family-based services for 
pregnant and postpartum women with a pri-
mary diagnosis of a substance use disorder, in-
cluding opioid use disorders; 
‘‘(B) help State substance abuse agencies 
address identified gaps in services furnished to 
such women along the continuum of care, includ-
ing services provided to women in nonresidential 
based settings; and 
‘‘(C) promote a coordinated, effective, and 
efficient State system managed by State sub-
stance abuse agencies by encouraging new ap-
proaches and models of service delivery. 
‘‘(2) REQUIREMENTS.—In carrying out the pilot 
program under this subsection, the Director shall— 
‘‘(A) require State substance abuse agencies 
to submit to the Director applications, in such 
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form and manner and containing such informa-
tion as specified by the Director, to be eligible to 
receive a grant under the program; 
‘‘(B) identify, based on such submitted ap-
plications, State substance abuse agencies that 
are eligible for such grants; 
‘‘(C) require services proposed to be fur-
nished through such a grant to support family- 
based treatment and other services for pregnant 
and postpartum women with a primary diag-
nosis of a substance use disorder, including 
opioid use disorders; 
‘‘(D) not require that services furnished 
through such a grant be provided solely to 
women that reside in facilities; 
‘‘(E) not require that grant recipients under 
the program make available through use of the 
grant all services described in subsection (d); and 
‘‘(F) consider not applying requirements de-
scribed in paragraphs (1) and (2) of subsection 
(f) to applicants, depending on the circumstances 
of the applicant. 
‘‘(3) REQUIRED SERVICES.— 
‘‘(A) IN
GENERAL.—The Director shall 
specify a minimum set of services required to be 
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made available to eligible women through a 
grant awarded under the pilot program under 
this subsection. Such minimum set— 
‘‘(i) shall include requirements de-
scribed in subsection (c) and be based on the 
recommendations submitted under subpara-
graph (B); and 
‘‘(ii) may be selected from among the 
services described in subsection (d) and in-
clude other services as appropriate. 
‘‘(B) STAKEHOLDER INPUT.—The Director 
shall convene and solicit recommendations from 
stakeholders, including State substance abuse 
agencies, health care providers, persons in recov-
ery from substance abuse, and other appropriate 
individuals, for the minimum set of services de-
scribed in subparagraph (A). 
‘‘(4) DURATION.—The pilot program under this 
subsection shall not exceed 5 years. 
‘‘(5) EVALUATION AND REPORT TO CONGRESS.— 
The Director of the Center for Behavioral Health Sta-
tistics and Quality shall fund an evaluation of the 
pilot program at the conclusion of the first grant 
cycle funded by the pilot program. The Director of the 
Center for Behavioral Health Statistics and Quality, 
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in coordination with the Director of the Center for 
Substance Abuse Treatment shall submit to the rel-
evant committees of jurisdiction of the House of Rep-
resentatives and the Senate a report on such evalua-
tion. The report shall include at a minimum out-
comes information from the pilot program, including 
any resulting reductions in the use of alcohol and 
other drugs; engagement in treatment services; reten-
tion in the appropriate level and duration of services; 
increased access to the use of medications approved by 
the Food and Drug Administration for the treatment 
of substance use disorders in combination with coun-
seling; and other appropriate measures. 
‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE-
FINED.—For purposes of this subsection, the term 
‘State substance abuse agency’ means, with respect to 
a State, the agency in such State that manages the 
Substance Abuse Prevention and Treatment Block 
Grant under part B of title XIX.’’. 
(b) FUNDING.—Subsection (s) of section 508 of the 
Public Health Service Act (42 U.S.C. 290bb–1), as amended 
by section 2 and redesignated by subsection (a), is further 
amended by adding at the end the following new sentence: 
‘‘Of the amounts made available for a year pursuant to the 
previous sentence to carry out this section, not more than 
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25 percent of such amounts shall be made available for such 
year to carry out subsection (r), other than paragraph (5) 
of such subsection. Notwithstanding the preceding sentence, 
no funds shall be made available to carry out subsection 
(r) for a fiscal year unless the amount made available to 
carry out this section for such fiscal year is more than the 
amount made available to carry out this section for fiscal 
year 2016.’’. 
SEC. 4. CUT-GO COMPLIANCE. 
Subsection (f) of section 319D of the Public Health 
Service Act (42 U.S.C. 247d–4) is amended by striking 
‘‘through 2018’’ and inserting ‘‘through 2016, $133,300,000 
for fiscal year 2017, and $138,300,000 for fiscal year 2018’’. 
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Union Calendar No. 428 
114TH CONGRESS 
2D SESSION 
H. R. 3691 
[Report No. 114–554] 
A BILL 
To amend the Public Health Service Act to reau-
thorize the residential treatment programs for 
pregnant and postpartum women and to establish 
a pilot program to provide grants to State sub-
stance abuse agencies to promote innovative serv-
ice delivery models for such women. 
MAY 10, 2016 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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