176 
individuals who are not State employees or providers 
of substance abuse services. 
‘‘(d) DEFINITION.—For purposes of this section, the 
term ‘Council’ means a State substance abuse planning 
council. 
‘‘(e) ADDITIONAL PROVISION.—The Secretary may 
make a grant under Section 1921 to a State only if— 
‘‘(1) the plan submitted under section 1932 
with respect to the grant and the report of the State 
under section 1942(a) concerning the preceding fis-
cal year has been reviewed by the State substance 
abuse planning council established under this sec-
tion; and 
‘‘(2) the State submits to the Secretary any 
recommendations received by the State from such 
council for modifications to the plan (without regard 
to whether the State has made the recommended 
modifications) and any comments concerning the an-
nual report.’’. 
SEC. 522. DOCUMENTATION OF NEEDS OF AND ESTAB-
LISHING PRIORITIES FOR HOMELESS POPU-
LATION. 
Section 1932(b) of the Public Health Service Act (42 
U.S.C. 300x–32(b)) is amended—
177 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN
GENERAL.—A plan submitted by a 
State under subsection (a)(6) is in accordance with 
this subsection if— 
‘‘(A) the plan contains detailed provisions 
for complying with each funding agreement for 
a grant under section 1921 that is applicable to 
the State, including a description of the manner 
in which the State intends to expend the grant; 
and 
‘‘(B) the plan meets the criteria specified 
in subsection (b)(4).’’; and 
(2) by adding at the end the following para-
graph: 
‘‘(4) CRITERIA FOR PLAN.—With respect to the 
provision of services under Section 1921, the criteria 
referred to in subsection (b)(1) are as follows: 
‘‘(A) COMPREHENSIVE COMMUNITY-BASED 
SUBSTANCE ABUSE PREVENTION AND TREAT-
MENT SYSTEMS.—The plan provides for a co-
ordinated community-based system of care for 
individuals with substance abuse or at-risk of 
substance abuse and describes available services 
and resources in a comprehensive system of
178 
care, including services for dually-diagnosed in-
dividuals. The description of the system of care 
shall include substance abuse prevention serv-
ices, substance abuse treatment services, pri-
mary health services, mental health services, re-
habilitation services, employment services, hous-
ing services, educational services, medical and 
dental care, and other support services to be 
provided to individuals with Federal, State, and 
local public and private resources. The plan 
shall include a separate description of case 
management services and provide for activities 
leading to reduction in need for hospitalization. 
‘‘(B) SUBSTANCE ABUSE PREVENTION AND 
TREATMENT
SYSTEM
DATA
AND
EPIDEMI-
OLOGY.—The plan contains an estimate of the 
incidence and prevalence in the State of sub-
stance abuse among adults and children, includ-
ing individuals who are homeless, and presents 
quantitative targets to be achieved in the imple-
mentation of the system described in subpara-
graph (B). 
‘‘(C) TARGETED SERVICES TO RURAL AND 
HOMELESS POPULATIONS.—The plan describes 
the State’s outreach to and services for individ-
179 
uals who are homeless and how community- 
based services will be provided to individuals re-
siding in rural areas, including individuals who 
are homeless. 
‘‘(D) MANAGEMENT SYSTEMS.—The plan 
describes the financial resources, staffing, and 
training for substance abuse prevention and 
treatment providers that is necessary to imple-
ment the plan, and provides for the training of 
providers of emergency health services regard-
ing substance abuse. The plan further describes 
the manner in which the State intends to ex-
pend the grant under Section 1921 for the fis-
cal year involved.’’. 
Subpart D—Designation of Persons Experiencing 
Homelessness as Priority Population 
SEC. 526. REQUIRING GRANTEES TO DIRECT FUNDS TO 
PERSONS EXPERIENCING HOMELESSNESS. 
(a) TREATMENT SERVICES REGARDING SUBSTANCE 
ABUSE.—Subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), as 
amended by section 521 of this Act, is further amended 
by inserting before section 1927B the following section:
180 
‘‘SEC. 1927A. TREATMENT SERVICES FOR PERSONS EXPERI-
ENCING HOMELESSNESS. 
‘‘(a) IN GENERAL.—A funding agreement for a grant 
under section 1921 is that the State involved— 
‘‘(1) will ensure that each person experiencing 
homelessness in the State who seeks or is referred 
for and would benefit from such services is given 
preference in admission to treatment facilities receiv-
ing funds pursuant to the grant; and 
‘‘(2) will, in carrying out paragraph (1), pub-
licize to persons experiencing homelessness the avail-
ability of services from the facilities and the fact 
that the persons receive such preferences. 
‘‘(b) REFERRALS REGARDING STATES.—A funding 
agreement for a grant under section 1921 is that, in car-
rying out subsection (a)(1)— 
‘‘(1) the State involved will require, that in the 
event that a treatment facility has insufficient ca-
pacity to provide treatment services to any person 
experiencing homelessness described in such sub-
section who seeks the services from the facility, the 
facility refer the person to the State; and 
‘‘(2) the State, in the case of each person expe-
riencing homelessness for whom a referral under 
paragraph (1) is made to the State—
181 
‘‘(A) will refer the person to a treatment 
facility that has the capacity to provide treat-
ment services to the person; or 
‘‘(B) will, if no treatment facility has the 
capacity to admit the person, make interim 
services available to the person at the time the 
person seeks the treatment services.’’. 
(b) PREFERENCE REGARDING MENTAL HEALTH 
SERVICES.—Section 1912(b) of the Public Health Service 
Act (42 U.S.C. 300x–2(b)), as amended by section 516(a) 
of this Act, is further amended by inserting after para-
graph (5) the following: 
‘‘(6) HOMELESS INDIVIDUALS.—The plan pro-
vides that homeless individuals are to receive pref-
erence in the provision of services provided under 
grants under section 1911.’’. 
SEC. 527. PRIORITIZATION OF SERVICES FOR RUNAWAY, 
HOMELESS, AND STREET YOUTH. 
Section 517(b) of the Public Health Service Act (42 
U.S.C. 290bb–23(b)) is amended— 
(1) in paragraph (1), by inserting ‘‘runaway, 
homeless, and street children and youth,’’ after ‘‘ad-
olescent parents,’’; and 
(2) in paragraph (2), by inserting ‘‘homeless-
ness,’’ after ‘‘suicide,’’.
182 
SEC. 528. DEFINITION OF RUNAWAY, HOMELESS, AND 
STREET YOUTH AS HIGH RISK. 
Section 517(g) of the Public Health Service Act (42 
U.S.C. 290bb–23(g)) is amended— 
(1) in paragraph (9), by striking ‘‘or’’ after the 
semicolon; 
(2) in paragraph (10), by striking the period 
and inserting ‘‘; or’’; and 
(3) by adding at the end the following para-
graph: 
‘‘(11) is a runaway, homeless, or street youth.’’. 
Subpart E—Federal Program Management 
SEC. 531. ESTABLISHMENT OF FEDERAL PLAN ON ADDIC-
TION, MENTAL ILLNESS, AND HOMELESS-
NESS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by section 511 of 
this Act, is further amended by adding at the end the fol-
lowing section: 
‘‘SEC. 545. FEDERAL PLAN ON ADDICTION, MENTAL ILL-
NESS, AND HOMELESSNESS. 
‘‘(a) PLAN ELEMENTS.—Within one year after the 
date of the enactment of this section, the Secretary shall 
prepare and submit to the Committee on Energy and 
Commerce of the House of Representatives and the Com-
183 
mittee on Health, Education, Labor, and Pensions of the 
Senate a plan that describes— 
‘‘(1) current federal, state, and local public poli-
cies and practices regarding homelessness and addic-
tion and mental illness prevention, early interven-
tion, treatment, and rehabilitation; 
‘‘(2) identifies administrative and statutory ac-
cess and care barriers and opportunities for persons 
experiencing homelessness with addictive and mental 
disorders; and 
‘‘(3) recommends administrative and legislative 
actions that would increase homeless persons’ access 
to addiction and mental health services and improves 
the appropriateness and quality of care they receive 
through such systems and programs. 
‘‘(b) PLAN SUB-ELEMENTS.—The plan should de-
scribe the elements as provided in subsection (a) for the 
following topics: 
‘‘(1) Grantee planning, reporting, and capacity- 
building. 
‘‘(2) Consumer involvement. 
‘‘(3) Designation of priority populations. 
‘‘(4) Outreach and enrollment. 
‘‘(5) Participant tracking.
184 
‘‘(6) Elimination of regulatory and administra-
tive impediments. 
‘‘(7) Provision of appropriate services. 
‘‘(8) Discharge planning. 
‘‘(9) Outcome measurement. 
‘‘(c) CONSULTATION.—In establishing the plan re-
quired under subsection (a), the Secretary shall consult 
with homeless children, youth, families, and individuals 
with addictive and mental disorders, nonprofit organiza-
tions advocating for persons experiencing homelessness, 
homeless health, housing, and support service providers, 
and public agency representatives. 
‘‘(d) PLAN
IMPLEMENTATION.—Within one year 
after the date of enactment of this section, the Secretary 
shall implement administrative recommendations identi-
fied in subsection (a)(3).’’. 
PART 2—TARGETED HOMELESS ADDICTION AND 
MENTAL HEALTH SERVICES PROGRAMS 
Subpart A—Reauthorize, Rename, and Strengthen 
the Grants for the Benefit of Homeless Individ-
uals Program 
SEC. 541. TREATMENT AND RECOVERY INITIATIVE FOR 
PERSONS EXPERIENCING HOMELESSNESS. 
Section 506 of the Public Health Service Act (42 
U.S.C. 290aa–5) is amended by striking the section des-
185 
ignation and heading and all that follows through sub-
section (c) and inserting the following: 
‘‘SEC. 506. GRANTS FOR TREATMENT AND RECOVERY INI-
TIATIVE 
FOR 
PERSONS 
EXPERIENCING 
HOMELESSNESS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator and the Administrator of the Health 
Resources and Services Administration, shall make grants 
to, and enter into contracts and cooperative agreements 
with, community based public and private nonprofit enti-
ties for the purpose of developing and expanding the serv-
ices specified in section 552(b) for homeless individuals 
and families who (1)(A) are suffering from substance 
abuse; (B) are suffering from mental illness; or (C) are 
suffering from substance abuse and from mental illness; 
and (2) are homeless or at imminent risk of becoming 
homeless. In carrying out this subsection, the adminis-
trator shall consult with the Directors of the national re-
search institutes of the National Institutes of Health, the 
Assistant Secretary of the Administration, the Adminis-
trator of the Social Security Administration, the Secretary 
of Agriculture, the Secretary of Education, the Secretary 
of Housing and Urban Development, the Secretary of 
Labor, the Secretary of Transportation, and the Secretary 
of Veterans Affairs.
186 
‘‘(b) PREFERENCE.—In awarding grants under sub-
section (a), the Secretary shall give preference to— 
‘‘(1) entities that provide integrated primary 
health care, substance abuse and mental health serv-
ices to homeless individuals, including health centers 
receiving grants under section 330(h); 
‘‘(2) entities that demonstrate experience in 
providing substance abuse and mental health service 
to homeless persons; and 
‘‘(3) entities that demonstrate experience in 
providing supportive housing or permanent housing 
to persons experiencing homelessness in treatment 
for or in recovery from substance abuse or mental 
illness. 
‘‘(c) SERVICES
FOR
INDIVIDUALS.—In making 
awards under subsection (a), the Secretary may not— 
‘‘(1) prohibit the provision of services under 
such subsection to individuals experiencing homeless-
ness who are suffering from substance abuse and are 
not suffering from mental illness; 
‘‘(2) make payments under subsection (a) to 
any entity that has a policy of (A) excluding individ-
uals from mental health services due to the existence 
of suspicion of substance abuse; or (B) has a policy 
of excluding individuals from substance abuse serv-
187 
ices due to the existence or suspicion of mental ill-
ness.’’. 
Subpart B—Reauthorize and Strengthen the Projects 
for Assistance in Transition From Homelessness 
(PATH) Program 
SEC. 551. EXPANSION OF REQUIRED SCOPE OF SERVICES 
OF PATH PROVIDERS. 
Section 522(b) of the Public Health Service Act (42 
U.S.C. 290cc–22(b)) is amended— 
(1) by striking paragraphs (4) and (5) and in-
serting the following: 
‘‘(4) community mental health treatment and 
support services; 
‘‘(5) alcohol or drug treatment and support 
services;’’; 
(2) in paragraph (7), by striking subparagraphs 
(A) through (D) and inserting the following: 
‘‘(A) preparing a plan for the provision of 
community mental health services or substance 
abuse services to the eligible homeless individual 
involved, and reviewing such plan not less than 
once every three months to evaluate its effec-
tiveness in assuring long-term stability; 
‘‘(B) providing assistance in obtaining and 
coordinating social and maintenance services for
188 
the eligible homeless individuals, including serv-
ices relating to daily living activities, personal 
financial planning, transportation services, ha-
bilitation 
and 
rehabilitation 
services, 
prevocational and vocational services, and hous-
ing services; 
‘‘(C) providing assistance to the eligible 
homeless individual in obtaining income and 
medical support services, including housing as-
sistance, food stamps, supplemental security in-
come, Medicaid, Medicare, and veterans affairs 
assistance, and employment and training pro-
grams; 
‘‘(D) referring the eligible homeless indi-
vidual for such other services as may be appro-
priate and assuring that the service is delivered 
in a timely manner for as long as needed to as-
sure long-term stability; and’’; and 
(3) in paragraph (10), by striking subpara-
graph (B) and inserting the following: 
‘‘(B) planning of housing needs at different 
stages of recovery and stability;’’.