In the Senate of the United States,
December 6, 2006.
Resolved, That the bill from the House of Representa-
tives (H.R. 864) entitled ‘‘An Act to provide for programs
and activities with respect to the prevention of underage
drinking.’’, do pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Sober Truth on Pre-
venting Underage Drinking Act’’ or the ‘‘STOP Act’’.
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SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.
Section 519B of the Public Health Service Act (42
U.S.C. 290bb–25b) is amended by striking subsections (a)
through (f) and inserting the following:
‘‘(a) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘alcohol beverage industry’ means
the brewers, vintners, distillers, importers, distribu-
tors, and retail or online outlets that sell or serve
beer, wine, and distilled spirits.
‘‘(2) The term ‘school-based prevention’ means
programs, which are institutionalized, and run by
staff members or school-designated persons or organi-
zations in any grade of school, kindergarten through
12th grade.
‘‘(3) The term ‘youth’ means persons under the
age of 21.
‘‘(4) The term ‘IOM report’ means the report re-
leased in September 2003 by the National Research
Council, Institute of Medicine, and entitled ‘Reducing
Underage Drinking: A Collective Responsibility’.
‘‘(b) SENSE OF CONGRESS.—It is the sense of the Con-
gress that:
‘‘(1) A multi-faceted effort is needed to more suc-
cessfully address the problem of underage drinking in
the United States. A coordinated approach to preven-
tion, intervention, treatment, enforcement, and re-
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search is key to making progress. This Act recognizes
the need for a focused national effort, and addresses
particulars of the Federal portion of that effort, as
well as Federal support for State activities.
‘‘(2) The Secretary of Health and Human Serv-
ices shall continue to conduct research and collect
data on the short and long-range impact of alcohol
use and abuse upon adolescent brain development and
other organ systems.
‘‘(3) States and communities, including colleges
and universities, are encouraged to adopt comprehen-
sive prevention approaches, including—
‘‘(A) evidence-based screening, programs
and curricula;
‘‘(B) brief intervention strategies;
‘‘(C) consistent policy enforcement; and
‘‘(D) environmental changes that limit un-
derage access to alcohol.
‘‘(4) Public health groups, consumer groups, and
the alcohol beverage industry should continue and ex-
pand evidence-based efforts to prevent and reduce un-
derage drinking.
‘‘(5) The entertainment industries have a power-
ful impact on youth, and they should use rating sys-
tems and marketing codes to reduce the likelihood that
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underage audiences will be exposed to movies, record-
ings, or television programs with unsuitable alcohol
content.
‘‘(6) The National Collegiate Athletic Associa-
tion, its member colleges and universities, and ath-
letic conferences should affirm a commitment to a
policy of discouraging alcohol use among underage
students and other young fans.
‘‘(7) Alcohol is a unique product and should be
regulated differently than other products by the States
and Federal Government. States have primary au-
thority to regulate alcohol distribution and sale, and
the Federal Government should support and supple-
ment these State efforts. States also have a responsi-
bility to fight youth access to alcohol and reduce un-
derage drinking. Continued State regulation and li-
censing of the manufacture, importation, sale, dis-
tribution, transportation and storage of alcoholic bev-
erages are clearly in the public interest and are crit-
ical to promoting responsible consumption, preventing
illegal access to alcohol by persons under 21 years of
age from commercial and non-commercial sources,
maintaining industry integrity and an orderly mar-
ketplace, and furthering effective State tax collection.
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‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.—
‘‘(1) INTERAGENCY
COORDINATING
COMMITTEE
ON THE PREVENTION OF UNDERAGE DRINKING.—
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in
subparagraph (B), shall formally establish and
enhance the efforts of the interagency coordi-
nating committee, that began operating in 2004,
focusing on underage drinking (referred to in
this subsection as the ‘Committee’).
‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in paragraph (1) are the Secretary of
Education, the Attorney General, the Secretary
of Transportation, the Secretary of the Treasury,
the Secretary of Defense, the Surgeon General,
the Director of the Centers for Disease Control
and Prevention, the Director of the National In-
stitute on Alcohol Abuse and Alcoholism, the Ad-
ministrator of the Substance Abuse and Mental
Health Services Administration, the Director of
the National Institute on Drug Abuse, the Assist-
ant Secretary for Children and Families, the Di-
rector of the Office of National Drug Control
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Policy, the Administrator of the National High-
way Traffic Safety Administration, the Admin-
istrator of the Office of Juvenile Justice and De-
linquency Prevention, the Chairman of the Fed-
eral Trade Commission, and such other Federal
officials as the Secretary of Health and Human
Services determines to be appropriate.
‘‘(C) CHAIR.—The Secretary of Health and
Human Services shall serve as the chair of the
Committee.
‘‘(D) DUTIES.—The Committee shall guide
policy and program development across the Fed-
eral Government with respect to underage drink-
ing, provided, however, that nothing in this sec-
tion shall be construed as transferring regulatory
or program authority from an Agency to the Co-
ordinating Committee.
‘‘(E) 
CONSULTATIONS.—The 
Committee
shall actively seek the input of and shall consult
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage in-
dustry trade associations and companies.
‘‘(F) ANNUAL REPORT.—
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‘‘(i) IN GENERAL.—The Secretary, on
behalf of the Committee, shall annually sub-
mit 
to 
the 
Congress 
a 
report 
that
summarizes—
‘‘(I) all programs and policies of
Federal agencies designed to prevent
and reduce underage drinking;
‘‘(II) the extent of progress in pre-
venting and reducing underage drink-
ing nationally;
‘‘(III) data that the Secretary
shall collect with respect to the infor-
mation specified in clause (ii); and
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate.
‘‘(ii) CERTAIN INFORMATION.—The re-
port under clause (i) shall include informa-
tion on the following:
‘‘(I) Patterns and consequences of
underage drinking as reported in re-
search and surveys such as, but not
limited to Monitoring the Future,
Youth Risk Behavior Surveillance Sys-
tem, the National Survey on Drug Use
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and Health, and the Fatality Analysis
Reporting System.
‘‘(II) Measures of the availability
of alcohol from commercial and non-
commercial sources to underage popu-
lations.
‘‘(III) Measures of the exposure of
underage populations to messages re-
garding alcohol in advertising and the
entertainment media as reported by the
Federal Trade Commission.
‘‘(IV) Surveillance data, including
information on the onset and preva-
lence of underage drinking, consump-
tion patterns and the means of under-
age access. The Secretary shall develop
a plan to improve the collection, meas-
urement and consistency of reporting
Federal underage alcohol data.
‘‘(V) Any additional findings re-
sulting from research conducted or sup-
ported under subsection (f).
‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage
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drinking and provide treatment serv-
ices to those youth who need them.
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE
DRINKING
PREVENTION
AND
ENFORCEMENT
ACTIVI-
TIES.—
‘‘(A) IN
GENERAL.—The Secretary shall,
with input and collaboration from other appro-
priate Federal agencies, States, Indian tribes,
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue a
report on each State’s performance in enacting,
enforcing, and creating laws, regulations, and
programs to prevent or reduce underage drink-
ing.
‘‘(B) STATE PERFORMANCE MEASURES.—
‘‘(i) IN GENERAL.—The Secretary shall
develop, in consultation with the Com-
mittee, a set of measures to be used in pre-
paring the report on best practices.
‘‘(ii) 
CATEGORIES.—In 
developing
these measures, the Secretary shall consider
categories including, but not limited to:
‘‘(I) Whether or not the State has
comprehensive anti-underage drinking
laws such as for the illegal sale, pur-
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chase, attempt to purchase, consump-
tion, or possession of alcohol; illegal
use of fraudulent ID; illegal furnishing
or obtaining of alcohol for an indi-
vidual under 21 years; the degree of
strictness of the penalties for such of-
fenses; and the prevalence of the en-
forcement of each of these infractions.
‘‘(II) Whether or not the State has
comprehensive liability statutes per-
taining to underage access to alcohol
such as dram shop, social host, and
house party laws, and the prevalence of
enforcement of each of these laws.
‘‘(III) Whether or not the State
encourages and conducts comprehensive
enforcement efforts to prevent underage
access to alcohol at retail outlets, such
as random compliance checks and
shoulder tap programs, and the num-
ber of compliance checks within alcohol
retail outlets measured against the
number of total alcohol retail outlets in
each State, and the result of such
checks.
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‘‘(IV) Whether or not the State en-
courages training on the proper selling
and serving of alcohol for all sellers
and servers of alcohol as a condition of
employment.
‘‘(V) Whether or not the State has
policies and regulations with regard to
direct sales to consumers and home de-
livery of alcoholic beverages.
‘‘(VI) Whether or not the State
has programs or laws to deter adults
from purchasing alcohol for minors;
and the number of adults targeted by
these programs.
‘‘(VII) Whether or not the State
has programs targeted to youths, par-
ents, and caregivers to deter underage
drinking; and the number of individ-
uals served by these programs.
‘‘(VIII) Whether or not the State
has enacted graduated drivers licenses
and the extent of those provisions.
‘‘(IX) The amount that the State
invests, per youth capita, on the pre-
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vention of underage drinking, further
broken down by the amount spent on—
‘‘(aa) compliance check pro-
grams in retail outlets, including
providing technology to prevent
and detect the use of false identi-
fication by minors to make alco-
hol purchases;
‘‘(bb) checkpoints and satura-
tion patrols that include the goal
of reducing and deterring under-
age drinking;
‘‘(cc) 
community-based,
school-based, 
and 
higher-edu-
cation-based programs to prevent
underage drinking;
‘‘(dd) underage drinking pre-
vention 
programs 
that 
target
youth within the juvenile justice
and child welfare systems; and
‘‘(ee) other State efforts or
programs as deemed appropriate.
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection $1,000,000 for fiscal year 2007, and
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$1,000,000 for each of the fiscal years 2008 through
2010.
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.—
‘‘(1) SCOPE OF THE CAMPAIGN.—The Secretary
shall continue to fund and oversee the production,
broadcasting, and evaluation of the national adult-
oriented media public service campaign if the Sec-
retary determines that such campaign is effective in
achieving the media campaign’s measurable objec-
tives.
‘‘(2) REPORT.—The Secretary shall provide a re-
port to the Congress annually detailing the produc-
tion, broadcasting, and evaluation of the campaign
referred to in paragraph (1), and to detail in the re-
port the effectiveness of the campaign in reducing un-
derage drinking, the need for and likely effectiveness
of an expanded adult-oriented media campaign, and
the feasibility and the likely effectiveness of a national
youth-focused media campaign to combat underage
drinking.
‘‘(3) CONSULTATION
REQUIREMENT.—In car-
rying out the media campaign, the Secretary shall di-
rect the entity carrying out the national adult-ori-
ented media public service campaign to consult with
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interested parties including both the alcohol beverage
industry and public health and consumer groups. The
progress of this consultative process is to be covered
in the report under paragraph (2).
‘‘(4) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection, $1,000,000 for fiscal year 2007 and
$1,000,000 for each of the fiscal years 2008 through
2010.
‘‘(e) INTERVENTIONS.—
‘‘(1) COMMUNITY-BASED
COALITION
ENHANCE-
MENT GRANTS TO PREVENT UNDERAGE DRINKING.—
‘‘(A) AUTHORIZATION
OF
PROGRAM.—The
Administrator of the Substance Abuse and Men-
tal Health Services Administration, in consulta-
tion with the Director of the Office of National
Drug Control Policy, shall award, if the Admin-
istrator determines that the Department of
Health and Human Services is not currently
conducting activities that duplicate activities of
the type described in this subsection, ‘enhance-
ment grants’ to eligible entities to design, test,
evaluate and disseminate effective strategies to
maximize the effectiveness of community-wide
approaches to preventing and reducing underage
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drinking. This subsection is subject to the avail-
ability of appropriations.
‘‘(B) PURPOSES.—The purposes of this
paragraph are to—
‘‘(i) prevent and reduce alcohol use
among youth in communities throughout
the United States;
‘‘(ii) strengthen collaboration among
communities, the Federal Government, and
State, local, and tribal governments;
‘‘(iii) enhance intergovernmental co-
operation and coordination on the issue of
alcohol use among youth;
‘‘(iv) serve as a catalyst for increased
citizen participation and greater collabora-
tion among all sectors and organizations of
a community that first demonstrates a long-
term commitment to reducing alcohol use
among youth;
‘‘(v) disseminate to communities time-
ly information regarding state-of-the-art
practices and initiatives that have proven
to be effective in preventing and reducing
alcohol use among youth; and
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‘‘(vi) enhance, not supplant, effective
local community initiatives for preventing
and reducing alcohol use among youth.
‘‘(C) APPLICATION.—An eligible entity de-
siring an enhancement grant under this para-
graph shall submit an application to the Admin-
istrator at such time, and in such manner, and
accompanied by such information as the Admin-
istrator may require. Each application shall
include—
‘‘(i) a complete description of the enti-
ty’s current underage alcohol use prevention
initiatives and how the grant will appro-
priately enhance the focus on underage
drinking issues; or
‘‘(ii) a complete description of the enti-
ty’s current initiatives, and how it will use
this grant to enhance those initiatives by
adding a focus on underage drinking pre-
vention.
‘‘(D) USES OF FUNDS.—Each eligible entity
that receives a grant under this paragraph shall
use the grant funds to carry out the activities de-
scribed in such entity’s application submitted
pursuant to subparagraph (C). Grants under
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this paragraph shall not exceed $50,000 per year
and may not exceed four years.
‘‘(E) SUPPLEMENT NOT SUPPLANT.—Grant
funds provided under this paragraph shall be
used to supplement, not supplant, Federal and
non-Federal funds available for carrying out the
activities described in this paragraph.
‘‘(F) 
EVALUATION.—Grants 
under 
this
paragraph shall be subject to the same evaluation
requirements and procedures as the evaluation
requirements and procedures imposed on recipi-
ents of drug free community grants.
‘‘(G) DEFINITIONS.—For purposes of this
paragraph, the term ‘eligible entity’ means an
organization that is currently receiving or has
received grant funds under the Drug-Free Com-
munities Act of 1997 (21 U.S.C. 1521 et seq.).
‘‘(H) 
ADMINISTRATIVE
EXPENSES.—Not
more than 6 percent of a grant under this para-
graph may be expended for administrative ex-
penses.
‘‘(I) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appropriated
to carry out this paragraph $5,000,000 for fiscal
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year 2007, and $5,000,000 for each of the fiscal
years 2008 through 2010.
‘‘(2) GRANTS DIRECTED AT PREVENTING AND RE-
DUCING ALCOHOL ABUSE AT INSTITUTIONS OF HIGH-
ER EDUCATION.—
‘‘(A) AUTHORIZATION
OF
PROGRAM.—The
Secretary shall award grants to eligible entities
to enable the entities to prevent and reduce the
rate of underage alcohol consumption including
binge drinking among students at institutions of
higher education.
‘‘(B) APPLICATIONS.—An eligible entity
that desires to receive a grant under this para-
graph shall submit an application to the Sec-
retary at such time, in such manner, and accom-
panied by such information as the Secretary
may require. Each application shall include—
‘‘(i) a description of how the eligible
entity will work to enhance an existing, or
where none exists to build a, statewide coa-
lition;
‘‘(ii) a description of how the eligible
entity will target underage students in the
State;
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‘‘(iii) a description of how the eligible
entity intends to ensure that the statewide
coalition is actually implementing the pur-
pose of this section and moving toward in-
dicators described in subparagraph (D);
‘‘(iv) a list of the members of the state-
wide coalition or interested parties involved
in the work of the eligible entity;
‘‘(v) a description of how the eligible
entity intends to work with State agencies
on substance abuse prevention and edu-
cation;
‘‘(vi) the anticipated impact of funds
provided under this paragraph in pre-
venting and reducing the rates of underage
alcohol use;
‘‘(vii) outreach strategies, including
ways in which the eligible entity proposes
to—
‘‘(I) reach out to students and
community stakeholders;
‘‘(II) promote the purpose of this
paragraph;
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‘‘(III) address the range of needs
of the students and the surrounding
communities; and
‘‘(IV) address community norms
for underage students regarding alcohol
use; and
‘‘(viii) such additional information as
required by the Secretary.
‘‘(C) USES OF FUNDS.—Each eligible entity
that receives a grant under this paragraph shall
use the grant funds to carry out the activities de-
scribed in such entity’s application submitted
pursuant to subparagraph (B).
‘‘(D) ACCOUNTABILITY.—On the date on
which the Secretary first publishes a notice in
the Federal Register soliciting applications for
grants under this paragraph, the Secretary shall
include in the notice achievement indicators for
the program authorized under this paragraph.
The achievement indicators shall be designed—
‘‘(i) to measure the impact that the
statewide coalitions assisted under this
paragraph are having on the institutions of
higher education and the surrounding com-
munities, including changes in the number
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of incidents of any kind in which students
have abused alcohol or consumed alcohol
while under the age of 21 (including viola-
tions, physical assaults, sexual assaults, re-
ports of intimidation, disruptions of school
functions, disruptions of student studies,
mental health referrals, illnesses, or deaths);
‘‘(ii) to measure the quality and acces-
sibility of the programs or information of-
fered by the eligible entity; and
‘‘(iii) to provide such other measures of
program impact as the Secretary deter-
mines appropriate.
‘‘(E) SUPPLEMENT NOT SUPPLANT.—Grant
funds provided under this paragraph shall be
used to supplement, and not supplant, Federal
and non-Federal funds available for carrying out
the activities described in this paragraph.
‘‘(F) DEFINITIONS.—For purposes of this
paragraph:
‘‘(i) ELIGIBLE ENTITY.—The term ‘eli-
gible entity’ means a State, institution of
higher education, or nonprofit entity.
‘‘(ii) INSTITUTION
OF
HIGHER
EDU-
CATION.—The term ‘institution of higher
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education’ has the meaning given the term
in section 101(a) of the Higher Education
Act of 1965 (20 U.S.C. 1001(a)).
‘‘(iii) SECRETARY.—The term ‘Sec-
retary’ means the Secretary of Education.
‘‘(iv) STATE.—The term ‘State’ means
each of the 50 States, the District of Colum-
bia, and the Commonwealth of Puerto Rico.
‘‘(v) 
STATEWIDE
COALITION.—The
term ‘statewide coalition’ means a coalition
that—
‘‘(I) includes, but is not limited
to—
‘‘(aa) institutions of higher
education within a State; and
‘‘(bb) a nonprofit group, a
community 
underage 
drinking
prevention coalition, or another
substance abuse prevention group
within a State; and
‘‘(II) works toward lowering the
alcohol abuse rate by targeting under-
age students at institutions of higher
education throughout the State and in
the surrounding communities.
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‘‘(vi) SURROUNDING COMMUNITY.—The
term ‘surrounding community’ means the
community—
‘‘(I) that surrounds an institution
of higher education participating in a
statewide coalition;
‘‘(II) where the students from the
institution of higher education take
part in the community; and
‘‘(III) where students from the in-
stitution of higher education live in
off-campus housing.
‘‘(G) 
ADMINISTRATIVE
EXPENSES.—Not
more than 5 percent of a grant under this para-
graph may be expended for administrative ex-
penses.
‘‘(H) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There are authorized to be appropriated
to carry out this paragraph $5,000,000 for fiscal
year 2007, and $5,000,000 for each of the fiscal
years 2008 through 2010.
‘‘(f) ADDITIONAL RESEARCH.—
‘‘(1) ADDITIONAL
RESEARCH
ON
UNDERAGE
DRINKING.—
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‘‘(A) IN
GENERAL.—The Secretary shall,
subject to the availability of appropriations, col-
lect data, and conduct or support research that
is not duplicative of research currently being
conducted or supported by the Department of
Health and Human Services, on underage drink-
ing, with respect to the following:
‘‘(i) Comprehensive community-based
programs or strategies and statewide sys-
tems to prevent and reduce underage drink-
ing, across the underage years from early
childhood to age 21, including programs
funded and implemented by government en-
tities, public health interest groups and
foundations, and alcohol beverage compa-
nies and trade associations.
‘‘(ii) Annually obtain and report more
precise information than is currently col-
lected on the scope of the underage drinking
problem and patterns of underage alcohol
consumption, including improved knowledge
about the problem and progress in pre-
venting, reducing and treating underage
drinking; as well as information on the rate
of exposure of youth to advertising and
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other media messages encouraging and dis-
couraging alcohol consumption.
‘‘(iii) Compiling information on the
involvement of alcohol in unnatural deaths
of persons ages 12 to 20 in the United
States, including suicides, homicides, and
unintentional 
injuries 
such 
as 
falls,
drownings, burns, poisonings, and motor
vehicle crash deaths.
‘‘(B) CERTAIN
MATTERS.—The Secretary
shall carry out activities toward the following
objectives with respect to underage drinking:
‘‘(i) Obtaining new epidemiological
data within the national or targeted surveys
that identify alcohol use and attitudes about
alcohol use during pre- and early adoles-
cence, including harm caused to self or oth-
ers as a result of adolescent alcohol use such
as violence, date rape, risky sexual behavior,
and prenatal alcohol exposure.
‘‘(ii) Developing or identifying success-
ful clinical treatments for youth with alco-
hol problems.
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‘‘(C) PEER REVIEW.—Research under sub-
paragraph (A) shall meet current Federal stand-
ards for scientific peer review.
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection $6,000,000 for fiscal year 2007, and
$6,000,000 for each of the fiscal years 2008 through
2010.’’.
Attest:
Secretary.