I 
111TH CONGRESS 
2D SESSION 
H. R. 5678 
To amend the Public Health Service Act to provide grants for treatment 
of methamphetamine abuse, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 1, 2010 
Mr. CARNAHAN (for himself, Ms. BERKLEY, Mr. BOREN, Mr. DAVIS of Ten-
nessee, Mr. FOSTER, Ms. HIRONO, Mr. MICHAUD, Mr. MOORE of Kansas, 
Mr. RADANOVICH, and Mr. ROTHMAN of New Jersey) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend the Public Health Service Act to provide grants 
for treatment of methamphetamine abuse, and for other 
purposes. 
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 ‘‘Universal Access to 
Methamphetamine Treatment Act of 2010’’. 
SEC. 2. PURPOSE. 
It is the purpose of this Act to— 
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(1) reduce crime and improve public safety by 
making treatment for methamphetamine abuse avail-
able to every American who needs it; 
(2) keep families together by encouraging alter-
natives to incarceration for nonviolent drug law of-
fenses; and 
(3) expand research on the root causes of meth-
amphetamine abuse and the most effective ways to 
treat it. 
SEC. 3. METHAMPHETAMINE TREATMENT AND WRAP- 
AROUND PROGRAMS. 
Subpart 1 of part B of title V of the Public Health 
Service Act is amended— 
(1) redesignating the second section 514 (relat-
ing to methamphetamine and amphetamine treat-
ment) as section 514B; and 
(2) adding at the end the following new sec-
tions: 
‘‘SEC. 514C. INITIATIVE TO INCREASE METHAMPHETAMINE 
TREATMENT CAPACITY. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to State, local, and tribal governments for the purpose of 
increasing the availability of treatment for methamphet-
amine abuse. 
‘‘(b) REQUIREMENTS.— 
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‘‘(1) IN GENERAL.—To seek a grant under sub-
section (a), a State, local, or tribal government shall 
submit an application to the Secretary at such time, 
in such manner, and containing such information 
and assurances as the Secretary may require. 
‘‘(2) USE OF GRANT FUNDS.—The grants made 
under subsection (a) may only be used to— 
‘‘(A) build treatment centers; 
‘‘(B) expand existing treatment centers; 
‘‘(C) hire treatment professionals; 
‘‘(D) provide training and education to 
substance abuse professionals, medical profes-
sionals, and educators related to the treatment 
of methamphetamine abuse; and 
‘‘(E) engage in other activities that the 
Secretary has determined are relevant to the 
purpose of the grants under subsection (a). 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section for fiscal years 2011 
through 2015. 
‘‘SEC. 514D. METHAMPHETAMINE TREATMENT VOUCHERS 
FOR UNDERSERVED POPULATIONS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to State, local, and tribal governments and nonprofit enti-
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ties to provide vouchers to individuals in underserved pop-
ulations for authorized services related to the treatment 
of such individuals for methamphetamine abuse. 
‘‘(b) REQUIREMENTS.— 
‘‘(1) APPLICATION.—To seek a grant under 
subsection (a), a State, local, or tribal government 
or a nonprofit entity shall submit an application to 
the Secretary at such time, in such manner, and 
containing such information and assurances as the 
Secretary may require, including a description of the 
method that such State, government, or entity will 
use— 
‘‘(A) to identify individuals who would ben-
efit from treatment for methamphetamine 
abuse; 
‘‘(B) to identify if such individuals are in 
underserved populations; and 
‘‘(C) to provide vouchers to such individ-
uals in such populations. 
‘‘(2) PRESERVATION OF CHOICE.—A recipient 
of a grant under this section may not restrict the 
ability of an individual receiving a voucher under 
this section to use the voucher to pay for authorized 
services furnished by any provider of authorized 
services, so long as the provider of such services 
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meets all applicable State licensure or certification 
requirements regarding the provision of such serv-
ices. 
‘‘(3) DURATION OF AWARD.—With respect to a 
grant under this section, the period during which 
payments under such grant are made to the grant 
recipient may not exceed five years. 
‘‘(4) MATCHING
FUNDS.—The Secretary may 
require that State, local, and tribal governments and 
nonprofit entities that apply for grants under this 
section provide non-Federal matching funds, as de-
termined appropriate by the Secretary, to ensure the 
commitment of the government or entity to the pro-
vision of vouchers for treatment to individuals who 
use methamphetamine. Such non-Federal matching 
funds may be provided directly or through donations 
from public or private entities and may be in cash 
or in kind, fairly evaluated, including plant, equip-
ment, or services. 
‘‘(5) MAINTENANCE
OF
EFFORT.—The Sec-
retary may require that grant recipients under this 
section agree to maintain expenditures of non-Fed-
eral amounts for authorized services related to the 
treatment of methamphetamine abuse at a level that 
is not less than the level of such expenditures main-
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tained by the recipient for the fiscal year preceding 
the fiscal year for which the entity receives such a 
grant. 
‘‘(c) REPORT.— 
‘‘(1) IN GENERAL.—Not later than December 1, 
2010, and annually thereafter, the Secretary shall 
submit a report to the Congress on the grants under 
subsection (a). 
‘‘(2) CONTENTS OF REPORT.—The report under 
paragraph (1) shall contain an evaluation of the ef-
fectiveness of the grants made under subsection (a) 
in improving access to methamphetamine treatment 
for underserved populations. 
‘‘(d) DEFINITIONS.—For purposes of this section, the 
following definitions apply: 
‘‘(1) AUTHORIZED SERVICES.—The term ‘au-
thorized services’ means— 
‘‘(A) 
treatment 
for 
methamphetamine 
abuse, including individual, group, and family 
counseling regarding such abuse; 
‘‘(B) follow-up services to prevent an indi-
vidual from relapsing into such abuse; 
‘‘(C) wrap-around services, as such term is 
defined in section 514E(e)(4); and 
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‘‘(D) any additional services specified by 
the Secretary. 
‘‘(2) UNDERSERVED
POPULATION.—The term 
‘underserved population’ means a population of indi-
viduals who cannot to access appropriate substance 
abuse treatment (including comprehensive substance 
abuse treatment) due to financial, geographical, lan-
guage, socio-economic, or cultural barriers. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section for fiscal years 2011 
through 2015. 
‘‘SEC. 
514E. 
COMPREHENSIVE 
WRAP-AROUND 
METH-
AMPHETAMINE TREATMENT SERVICES. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to public, private, and nonprofit entities, Indian tribes, 
and tribal organizations to establish programs to provide 
for and coordinate the provision of wrap-around services 
to methamphetamine-affected individuals. 
‘‘(b) MINIMUM QUALIFICATIONS FOR RECEIPT OF 
AWARD.—To seek a grant under subsection (a), public, 
private, or nonprofit entity, Indian tribe, or tribal organi-
zations shall submit an application to the Secretary at 
such time, in such manner, and containing such informa-
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tion and assurances as the Secretary may require, includ-
ing assurances to the satisfaction of the Secretary that— 
‘‘(1) the applicant has the capacity to carry out 
a program described in subsection (a); 
‘‘(2) the applicant has entered into agreements 
with entities in the community involved, through 
which the applicant will provide services defined in 
subsection (e)(4); and 
‘‘(3) the applicant, or any entity through which 
the applicant will provide such services, meets all ap-
plicable State licensure or certification requirements 
regarding the provision of such services. 
‘‘(c) PRIORITY FOR GRANT DISTRIBUTION.—In mak-
ing grants under this section, the Secretary shall give pri-
ority to applications for programs that serve communities 
with a high or increasing rate of methamphetamine abuse 
or addiction, as specified by the Secretary. 
‘‘(d) REPORTS.—For each year that a public, private, 
or nonprofit entity, Indian tribe, or tribal organization re-
ceives a grant under subsection (a) for a program, such 
entity, tribe, or organization shall submit to the Secretary 
a report on the results and effectiveness of the program. 
‘‘(e) DEFINITIONS.—For purposes of this section: 
‘‘(1) INTENSIVE OUTPATIENT TREATMENT FA-
CILITY.—The term ‘intensive outpatient treatment 
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facility’ means a facility that provides treatment for 
substance abuse and that, with respect to an indi-
vidual receiving such treatment— 
‘‘(A) provides a minimum of nine hours of 
treatment for substance abuse during a week; 
‘‘(B) provides regularly scheduled treat-
ment sessions within a structured program; and 
‘‘(C) the treatment sessions are led by 
health professionals or clinicians. 
‘‘(2) 
METHAMPHETAMINE-AFFECTED
INDI-
VIDUAL.—The term ‘methamphetamine-affected in-
dividual’ means an individual who— 
‘‘(A)(i) resided in a residential inpatient 
treatment facility for the treatment of meth-
amphetamine abuse or addiction; or 
‘‘(ii) received treatment for methamphet-
amine abuse or addiction from an intensive out-
patient treatment facility; and 
‘‘(B) after successful completion of such 
treatment reenters the community. 
‘‘(3) RESIDENTIAL INPATIENT TREATMENT FA-
CILITY.—The term ‘residential inpatient treatment 
facility’ means a facility that provides treatment for 
substance abuse and in which health professionals 
and clinicians provide a planned regimen of 24-hour 
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professionally directed evaluation, care, and treat-
ment for such substance abuse in an inpatient set-
ting, including 24-hour observation and monitoring. 
‘‘(4) 
WRAP-AROUND
SERVICES.—The 
term 
‘wrap-around services’ means, with respect to a 
methamphetamine-affected individual, the following 
services: 
‘‘(A) Medical services. 
‘‘(B) Dental services. 
‘‘(C) Mental health services. 
‘‘(D) Child care services. 
‘‘(E) Job training services. 
‘‘(F) Housing assistance. 
‘‘(G) Training in parenting. 
‘‘(H) Prevention services for family mem-
bers, with respect to methamphetamine abuse 
or addiction. 
‘‘(I) Transportation assistance services for 
purposes of participation in the services listed 
in subparagraphs (A) through (H). 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated such sums as may be nec-
essary to carry out this section for fiscal years 2011 
through 2015.’’. 
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(3) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘, In-
dian tribes, or tribal organizations’’ after ‘‘non-
profit private entities’’; and 
(B) in paragraph (2)— 
(i) by striking ‘‘the services’’ and in-
serting ‘‘such services’’; and 
(ii) by striking ‘‘ woman’’ and insert-
ing ‘‘care giver parent’’; 
(4) in subsection (c)— 
(A) in paragraph (1) by striking ‘‘eligible 
woman’’ and inserting ‘‘eligible care giver par-
ent’’; and 
(B) by striking ‘‘the women’’ each place it 
appears and inserting ‘‘such parent’’; 
(5) in subsection (d)— 
(A) in the matter proceeding paragraph 
(1), by striking ‘‘woman’’ and inserting ‘‘care 
giver parent’’; 
(B) in paragraphs (3) and (4), by striking 
‘‘the woman’’ and inserting ‘‘such parent’’ each 
place it appears; 
(C) in paragraph (9)— 
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(i) by striking ‘‘the women’’ and in-
serting ‘‘such parent’’ each place it ap-
pears; 
(ii) by striking ‘‘units’’ and inserting 
‘‘unit’’; and 
(iii) by striking ‘‘of parents’’ and in-
serting ‘‘of the parents of such parent’’; 
(D) in paragraph (10), by inserting ‘‘, In-
dian tribes, or tribal organizations’’ after ‘‘enti-
ties’’; and 
(E) in paragraph (11)— 
(i) by striking ‘‘the women’’ and in-
serting ‘‘such parent’’; and 
(ii) by striking ‘‘their children’’ and 
inserting ‘‘the children of such parent’’; 
(6) in subsection (f)(1), in the matter pro-
ceeding subparagraph (A) by inserting ‘‘, Indian 
tribes, or tribal organizations’’ after ‘‘public or pri-
vate entities’’; 
(7) in subsection (g)— 
(A) by striking ‘‘identify women’’ and in-
serting ‘‘identify care giver parents’’; and 
(B) by striking ‘‘the women’’ and inserting 
‘‘such parents’’; 
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(8) in subsection (h)(1) by striking ‘‘pregnant 
and postpartum women’’ and inserting ‘‘care giver 
parents’’; 
(9) in subsection (j)— 
(A) in the matter proceeding paragraph 
(1)— 
(i) by striking ‘‘to on behalf’’ and in-
serting ‘‘to or on behalf’’; and 
(ii) by striking ‘‘woman’’ and insert-
ing ‘‘care giver parent’’; 
(B) in paragraph (2), by striking ‘‘the 
woman’’ and inserting ‘‘such parent’’; and 
(C) in paragraph (3), by striking ‘‘woman’’ 
and inserting ‘‘parent’’; 
(10) in subsection (k)(2) by striking ‘‘women’’ 
and inserting ‘‘care giver parents’’— 
(11) in subsection (l), by striking ‘‘such agree-
ments’’ and inserting ‘‘the funding agreements 
under this section’’; 
(12) by amending subsection (m) to read as fol-
lows: 
‘‘(m) USE
OF FUNDS; PRIORITY
FOR CERTAIN 
AREAS SERVED.— 
‘‘(1) USE OF FUNDS.—A funding agreement for 
an award under subsection (a) for an applicant is 
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that funds awarded under subsection (a) to such ap-
plicant shall be used for programs according to the 
following order of priority: 
‘‘(A) For a program that provides services 
to care giver parents who are pregnant and 
postpartum women. 
‘‘(B) For a program that provides services 
to care giver parents who are single parents 
and the sole care givers with respect to their 
children. 
‘‘(C) For a program that provides services 
to any care giver parents. 
‘‘(2) PRIORITY FOR CERTAIN AREAS SERVED.— 
In making awards under subsection (a), the Director 
shall give priority to any entity, tribe, or organiza-
tion that agrees to use the award for a program 
serving an area that— 
‘‘(A) is a rural area; 
‘‘(B) is an area determined by the Director 
to have a shortage of family-based substance 
abuse treatment options; or 
‘‘(C) is determined by the Director to have 
high rates of addiction to methamphetamine.’’; 
(13) in subsection (p)— 
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(A) by striking ‘‘October 1, 1994’’ and in-
serting ‘‘October 1, 2010’’; and 
(B) by striking the third sentence; 
(14) in subsection (q)— 
(A) by redesignating paragraphs (2), (3), 
(4), and (5) as paragraphs (3), (4), (5), and 
(6), respectively; 
(B) by inserting after paragraph (1) the 
following new paragraph: 
‘‘(2) The term ‘care giver parent’ means, with 
respect to a child, a parent or legal guardian with 
whom the child resides, and includes a pregnant 
woman.’’; and 
(C) by amending paragraph (3), as redes-
ignated by subparagraph (A) of this paragraph, 
to read as follows: 
‘‘(3) The term ‘eligible care giver parent’ means 
a care giver parent who has been admitted to a pro-
gram operated pursuant to subsection (a).’’; and 
(15) in subsection (r), by striking ‘‘to fiscal 
years 2001 through 2003’’ and inserting ‘‘for fiscal 
years 2011 through 2015’’. 
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SEC. 5. EFFECTIVENESS OF METHAMPHETAMINE TREAT-
MENT METHODS. 
(a) RESEARCH.—The Director of the National Insti-
tute on Drug Abuse shall conduct research, directly or 
through contract with another entity, on the effectiveness 
of the use of agonist and antagonist drugs to reduce the 
problems associated with stimulant abuse, including meth-
amphetamine abuse. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated such sums as may be nec-
essary to carry out this section for fiscal years 2011 
through 2015. 
SEC. 6. IOM STUDY ON DRUG TREATMENTS FOR STIMU-
LANT ABUSE. 
(a) REPORT.—The Secretary of Health and Human 
Services shall seek to enter into a contract with the Insti-
tute of Medicine of the National Academies to complete 
a literature review and submit a report to Congress on 
the effectiveness of agonist and antagonist drugs for the 
treatment of stimulant abuse, including methamphetamine 
abuse. 
(b) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated such sums as may be nec-
essary to carry out this section for fiscal years 2011 
through 2015. 
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SEC. 7. GAO EVALUATION OF THE IMPACT OF THIS LEGIS-
LATION. 
(a) STUDY ON THE LEVEL OF FUNDING FOR METH-
AMPHETAMINE TREATMENT.—The Comptroller General 
of the United States shall conduct a study on— 
(1) the impact of the programs authorized by 
this Act (including the amendments made by this 
Act) on the effectiveness and availability of treat-
ment for methamphetamine abuse; 
(2) whether the level of Federal funding avail-
able for the treatment of methamphetamine abuse 
meets, exceeds, or is less than the amount necessary 
to provide adequate treatment for methamphetamine 
abuse; and 
(3) the impact of effective treatment of meth-
amphetamine abuse on cost savings due to the re-
duced need for criminal justice and other services. 
(b) REPORTS.— 
(1) INTERIM REPORT.—Not later than the last 
day of the two-year period beginning on the date of 
enactment of this Act, the Comptroller General shall 
submit to Congress a report on the interim findings 
of the study under subsection (a). 
(2) FINAL REPORT.—Not later than 3 years 
after the date of that the report under paragraph 
(1) is submitted to Congress, the Comptroller Gen-
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eral shall submit to Congress a report on the find-
ings of the study under subsection (a). 
Æ 
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