I
106TH CONGRESS
2D SESSION
H. R. 4867
To revise and extend the programs of the Substance Abuse and Mental
Health Services Administration, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JULY 17, 2000
Mrs. CAPPS (for herself, Mr. RANGEL, Mr. DINGELL, Mr. BROWN of Ohio,
Mr. WAXMAN, Ms. DEGETTE, Mr. STRICKLAND, Mr. BARRETT of Wis-
consin, Mr. STUPAK, and Mr. DEUTSCH) introduced the following bill;
which was referred to the Committee on Commerce
A BILL
To revise and extend the programs of the Substance Abuse
and Mental Health Services Administration, 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; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Youth Drug and Mental Health Services Act’’.
(b) TABLE OF CONTENTS.—The table of contents for
this Act is as follows:
Sec. 1. Short title; table of contents.
TITLE I—SUBSTANCE ABUSE PREVENTION
Sec. 101. Priority substance abuse prevention needs of regional and national
significance.
Sec. 102. Substance abuse prevention among children and youth.
Sec. 103. Strengthening families.
Sec. 104. Services for children of substance abusers.
Sec. 105. Programs to reduce underage drinking.
Sec. 106. Prevention of methamphetamine and inhalant abuse and addiction.
TITLE II—SUBSTANCE ABUSE TREATMENT
Sec. 201. Priority substance abuse treatment needs of regional and national
significance.
Sec. 202. Residential treatment programs for pregnant and postpartum women.
Sec. 203. Substance abuse treatment for youth.
Sec. 204. Early intervention services for youth.
Sec. 205. Alcohol and drug treatment and prevention services for Indian tribes
and tribal organizations.
Sec. 206. Services for individuals with fetal alcohol syndrome.
Sec. 207. Substance abuse prevention and treatment block grant.
Sec. 208. Establishment of Commission on Indian and Native Alaskan Health
Care.
TITLE III—MENTAL HEALTH SERVICES
Sec. 301. Community mental health services performance partnership block
grant.
Sec. 302. Priority mental health needs of regional and national significance.
Sec. 303. Children and violence.
Sec. 304. Centers for excellence.
Sec. 305. Grants to address the problems of persons who experience violence re-
lated stress.
Sec. 306. Comprehensive mental heath services for children with serious emo-
tional disturbance.
Sec. 307. Projects for assistance in transition from homelessness.
Sec. 308. Protection and Advocacy for Mentally Ill Individuals Act of 1986.
Sec. 309. Wrap around services for youth.
TITLE IV—PERFORMANCE PARTNERSHIPS
Sec. 401. Performance partnerships.
Sec. 402. Data infrastructure.
TITLE V—CROSS-CUTTING ISSUES REGARDING MENTAL HEALTH
AND SUBSTANCE ABUSE
Subtitle A—Co-Occurring Substance Abuse and Mental Health Disorders
Sec. 501. Treatment for individuals with a co-occurring substance abuse and
mental health disorder.
Sec. 502. Services for individuals with co-occurring substance abuse and mental
health disorders.
Sec. 503. Report on individuals with co-occurring substance abuse and mental
health disorders.
Subtitle B—Prevention of Sexual Abuse
Sec. 511. Prevention of sexual abuse.
TITLE VI—GENERAL PROVISIONS
Sec. 601. Confidentiality and emergency response.
Sec. 602. Peer review.
Sec. 603. Availability to States of grant payments.
Sec. 604. Repeal of obsolete addict referral provisions.
Sec. 605. Seclusion and restraint.
Sec. 606. Advisory councils.
Sec. 607. Alcohol prevention and treatment policy.
Sec. 608. Expansion of authorities.
TITLE I—SUBSTANCE ABUSE
PREVENTION
SEC. 
101. 
PRIORITY 
SUBSTANCE 
ABUSE 
PREVENTION
NEEDS OF REGIONAL AND NATIONAL SIG-
NIFICANCE.
Section 516 of the Public Health Service Act (42
U.S.C. 290bb–1) is amended to read as follows:
‘‘SEC. 516. PRIORITY SUBSTANCE ABUSE PREVENTION
NEEDS OF REGIONAL AND NATIONAL SIG-
NIFICANCE.
‘‘(a) PROJECTS.—In order to address priority sub-
stance abuse prevention needs of regional and national sig-
nificance, the Secretary shall, directly or through awards
of grants, cooperative agreements, or contracts, provide
for—
‘‘(1) knowledge development and application
projects for prevention and the conduct or support
of evaluations of such projects;
‘‘(2) training; and
‘‘(3) targeted capacity expansion.
The Secretary may make such awards to States, political
subdivisions of States, Indian tribes and tribal organiza-
tions, and other public or nonprofit private entities.
‘‘(b) PRIORITY SUBSTANCE ABUSE PREVENTION
NEEDS.—For purposes of subsection (a), priority sub-
stance abuse prevention needs of regional and national sig-
nificance shall be determined by the Secretary after con-
sultation with the States and other interested parties. The
Secretary shall consult with States and other interested
parties on at least a yearly basis to determine the agenda
for this program.
‘‘(c) REQUIREMENTS.—
‘‘(1) IN GENERAL.—Recipients of awards under
subsection (a) shall comply with information and ap-
plication requirements determined appropriate by
the Secretary.
‘‘(2) DURATION OF AWARD.—With respect to
an award under subsection (a), the period during
which payments under such award are made to the
recipient may not exceed 5 years. The preceding sen-
tence may not be construed as establishing a limita-
tion on the number of awards under such subsection
that may be made to the recipient.
‘‘(3) MATCHING FUNDS.—
‘‘(A) AUTHORITY
OF
SECRETARY.—The
Secretary may, as a condition of making awards
under subsection (a), require that recipients of
such awards make available (directly or through
donations from public or private entities) non-
Federal contributions toward the costs of the
projects to be carried out by the recipients pur-
suant to such subsection. The amount of any
such required contributions shall be the amount
determined by the Secretary to be appropriate
to ensure the institutional commitment of the
recipients to such projects.
‘‘(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.
‘‘(4) MAINTENANCE OF EFFORT.—With respect
to activities for which an award under subsection (a)
is authorized to be expended, the Secretary, as a
condition of making such an award for a fiscal year,
may require, for specific projects, that the recipient
agree to maintain expenditures of non-Federal
amounts for such activities at a level that is not less
than the level of such expenditures maintained by
the recipient for the fiscal year preceding the fiscal
year for which the recipient receives the award.
‘‘(d) EVALUATION.—The Secretary shall evaluate
each project carried out under section (a)(1) and shall dis-
seminate the findings with respect to each such evaluation
to appropriate public and private entities.
‘‘(e) INFORMATION AND EDUCATION.—The Secretary
shall establish comprehensive information and education
programs to disseminate the findings of the knowledge de-
velopment and application and training programs under
this section to the general public and to health profes-
sionals.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $300,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 102. SUBSTANCE ABUSE PREVENTION AMONG CHIL-
DREN AND YOUTH.
Section 517 of the Public Health Service Act (42
U.S.C. 290bb–23) is amended to read as follows:
‘‘SEC. 517. PREVENTION OF SUBSTANCE ABUSE AMONG
CHILDREN AND YOUTH.
‘‘(a) IN GENERAL.—The Secretary shall, directly or
through awards of grants, cooperative agreements, or con-
tracts, provide for projects for the replication and imple-
mentation of best practices in providing comprehensive
substance abuse prevention services to children and youth.
The Secretary may make such awards to public and non-
profit private entities, including Indian tribes and tribal
organizations.
‘‘(b) PRIORITY.—The Secretary shall give priority to
projects under subsection (a) that—
(1) provide a comprehensive approach to pre-
vention;
(2) use youth program designs that include the
most current science based prevention strategies;
and
(3) include strategies for reducing the use of al-
coholic beverages and tobacco products by individ-
uals to whom it is unlawful to sell or distribute such
beverages or products.
‘‘(c) GEOGRAPHICAL DISTRIBUTION.—To the extent
feasible the Secretary shall make awards under subsection
(a) in all regions of the United States and shall ensure
the distribution of grants among urban and rural areas.
‘‘(d) EVALUATION.—The Secretary shall evaluate
each project under subsection (a) and shall disseminate
the findings with respect to each such evaluation to appro-
priate public and private entities.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $40,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 103. STRENGTHENING FAMILIES.
Section 518 of the Public Health Service Act (42
U.S.C. 290bb–24) is amended to read as follows:
‘‘SEC. 518. STRENGTHENING FAMILIES.
‘‘(a) IN GENERAL.—The Secretary shall, directly or
through awards of grants, cooperative agreements, or con-
tracts, provide for projects to strengthen families by facili-
tating the development of supportive parent-child relation-
ships, by encouraging the use of positive discipline meth-
ods, by monitoring and supervision practices, by carrying
out family advocacy on behalf of children, and by pro-
viding information for the benefit of the children. The Sec-
retary may make such awards to public and nonprofit pri-
vate entities, including Indian tribes and tribal organiza-
tions.
‘‘(b) PRIORITY.—The Secretary shall give priority to
projects under subsection (a) that use 1 or a combination
of the following family focused approaches:
‘‘(1) Behavioral parent training.
‘‘(2) Family skills training (which combines
parent training, children’s skills training, and family
relationship enhancement and communication prac-
tice sessions.
‘‘(3) Structural or behavioral family therapy.
‘‘(4) In-home family support.
‘‘(5) Any other priority that the Secretary may
determine.
‘‘(c) EVALUATION.—The Secretary shall evaluate
each project under subsection (a) and shall disseminate
the findings with respect to each such evaluation to appro-
priate public and private entities.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $20,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 104. SERVICES FOR CHILDREN OF SUBSTANCE ABUS-
ERS.
(a) ADMINISTRATION AND ACTIVITIES.—
(1) ADMINISTRATION.—Section 399D(a) of the
Public Health Service Act (42 U.S.C. 280d(a)(1)) is
amended—
(A) in paragraph (1), by striking ‘‘Admin-
istrator’’ and all that follows through ‘‘Adminis-
tration’’ and insert ‘‘Administrator of the Sub-
stance Abuse and Mental Health Services Ad-
ministration’’; and
(B) in paragraph (2), by striking ‘‘Admin-
istrator of the Substance Abuse and Mental
Health Services Administration’’ and inserting
‘‘Administrator of the Health Resources and
Services Administration’’.
(2) ACTIVITIES.—Section 399D(a)(1) of the
Public Health Service Act (42 U.S.C. 280d(a)(1)) is
amended—
(A) in subparagraph (B), by striking
‘‘and’’ at the end;
(B) in subparagraph (C), by striking the
period and inserting the following: ‘‘through
youth service agencies, family social services,
child care providers, Head Start, schools and
after-school programs, early childhood develop-
ment programs, community-based family re-
source and support centers, the criminal justice
system, health, substance abuse and mental
health providers through screenings conducted
during regular childhood examinations and
other examinations, self and family member re-
ferrals, substance abuse treatment services, and
other providers of services to children and fami-
lies; and’’; and
(C) by adding at the end the following:
‘‘(D) to provide prevention, education and
training to health, substance abuse and mental
health professionals, and other providers of
services to children and families through youth
service agencies, family social services, child
care, Head Start, schools and after school pro-
grams, early childhood development programs,
community based family resource and support
centers, the criminal justice system, and other
providers of services to children and families.’’.
(3) IDENTIFICATION OF CERTAIN CHILDREN.—
Section 399D(a)(3)(A) of the Public Health Service
Act (42 U.S.C. 280d(a)(3)(A)) is amended—
(A) in clause (i), by striking ‘‘(i) the enti-
ty’’ and inserting ‘‘(i)(I) the entity’’;
(B) in clause (ii)—
(i) by striking ‘‘(ii) the entity’’ and in-
serting ‘‘(II) the entity’’; and
(ii) by striking the period and insert-
ing ‘‘; and’’; and
(C) by adding at the end the following:
‘‘(ii) the entity will identify children
who may be eligible for medical assistance
under a State program under title XIX or
XXI of the Social Security Act.’’.
(b) SERVICES FOR CHILDREN.—Section 399D(b) of
the Public Health Service Act (42 U.S.C. 280d(b)) is
amended—
(1) in paragraph (1), by inserting ‘‘alcohol and
drug,’’ after ‘‘psychological,’’;
(2) by striking paragraph (5) and inserting the
following:
‘‘(5) Developmentally and age-appropriate drug
and alcohol prevention, early intervention, treatment
and prevention services.’’; and
(3) by inserting after paragraph (8) the fol-
lowing:
‘‘Services shall be provided under paragraphs (2)
through (8) by a public health nurse, social worker, or
similar professional, or by a trained worker from the com-
munity who is supervised by a professional, or by an enti-
ty, where the professional or entity provides assurances
that the professional or entity is licensed or certified by
the State if required and is complying with applicable li-
censure or certification requirements.’’.
(c) SERVICES FOR AFFECTED FAMILIES.—Section
399D(c) of the Public Health Service Act (42 U.S.C.
280d(c)) is amended—
(1) in paragraph (1)—
(A) in the matter preceding subparagraph
(A), by inserting before the colon the following:
‘‘, or by an entity, where the professional or en-
tity provides assurances that the professional or
entity is licensed or certified by the State if re-
quired and is complying with applicable licenser
certification requirements’’; and
(B) by adding at the end the following:
‘‘(D) Aggressive outreach to family mem-
bers with substance abuse problems.
‘‘(E) Inclusion of consumer in the develop-
ment, implementation, and monitoring of family
services plan.’’;
(2) in paragraph (2)—
(A) by striking subparagraph (A) and in-
serting the following:
‘‘(A) Alcohol and drug treatment services,
including screening and assessment, diagnosis,
detoxification, individual, group and family
counseling, 
relapse 
prevention, 
pharmaco-
therapy treatment, after-care services, and case
management.’’;
(B) in subparagraph (C), by striking ‘‘, in-
cluding educational and career planning’’ and
inserting ‘‘and counseling on the human im-
munodeficiency virus and acquired immune de-
ficiency syndrome’’;
(C) in subparagraph (D), by striking ‘‘con-
flict and’’; and
(D) in subparagraph (E), by striking ‘‘Re-
medial’’ and inserting ‘‘Career planning and’’;
and
(3) in paragraph (3)(D), by inserting ‘‘which
include child abuse and neglect prevention tech-
niques’’ before the period.
(d) ELIGIBLE ENTITIES.—Section 399D(d) of the
Public Health Service Act (42 U.S.C. 280d(d)) is
amended—
(1) by striking the matter preceding paragraph
(1) and inserting:
‘‘(d) ELIGIBLE ENTITIES.—The Secretary shall dis-
tribute the grants through the following types of entities:’’;
(2) in paragraph (1), by striking ‘‘drug treat-
ment’’ and inserting ‘‘drug early intervention, pre-
vention or treatment’’; and
(3) in paragraph (2)—
(A) in subparagraph (A), by striking ‘‘;
and’’ and inserting ‘‘; or’’; and
(B) in subparagraph (B), by inserting ‘‘or
pediatric health or mental health providers and
family mental health providers’’ before the pe-
riod.
(e) 
SUBMISSION
OF
INFORMATION.—Section
399D(h) of the Public Health Service Act (42 U.S.C.
280d(h)) is amended—
(1) in paragraph (2)—
(A) by inserting ‘‘including maternal and
child health’’ before ‘‘mental’’;
(B) by striking ‘‘treatment programs’’; and
(C) by striking ‘‘and the State agency re-
sponsible for administering public maternal and
child health services’’ and inserting ‘‘, the State
agency responsible for administering alcohol
and drug programs, the State lead agency, and
the State Interagency Coordinating Council
under part H of the Individuals with Disabil-
ities Education Act; and’’; and
(2) by striking paragraph (3) and redesignating
paragraph (4) as paragraph (3).
(f) 
REPORTS
TO
THE
SECRETARY.—Section
399D(i)(6) of the Public Health Service Act (42 U.S.C.
280d(i)(6)) is amended—
(1) in subparagraph (B), by adding ‘‘and’’ at
the end; and
(2) by striking subparagraphs (C), (D), and (E)
and inserting the following:
‘‘(C) the number of case workers or other
professionals trained to identify and address
substance abuse issues.’’.
(g) EVALUATIONS.—Section 399D(1) of the Public
Health Service Act (42 U.S.C. 280d(1)) is amended—
(1) in paragraph (3), by adding ‘‘and’’ at the
end;
(2) in paragraph (4), by striking the semicolon
and inserting the following: ‘‘, including increased
participation in work or employment related activi-
ties and decreased participation in welfare pro-
grams.’’; and
(3) by striking paragraphs (5) and (6).
(h) REPORT TO CONGRESS.—Section 399D(m) of the
Public Health Service Act (42 U.S.C. 280d(m)) is
amended—
(1) in paragraph (2), by adding ‘‘and’’ at the
end;
(2) in paragraph (3)—
(A) in subparagraph (A), by adding ‘‘and’’
at the end;
(B) in subparagraph (B), by striking the
semicolon and inserting a period; and
(C) by striking subparagraphs (C), (D),
and (E); and
(3) by striking paragraphs (4) and (5).
(i) DATA COLLECTION.—Section 399D(n) of the
Public Health Service Act (42 U.S.C. 280d(n)) is amend-
ed by adding at the end the following: ‘‘The periodic report
shall include a quantitative estimate of the prevalence of
alcohol and drug problems in families involved in the child
welfare system, the barriers to treatment and prevention
services facing these families, and policy recommendations
for removing the identified barriers, including training for
child welfare workers.’’.
(j) DEFINITION.—Section 399D(o)(2)(B) of the Pub-
lic Health Service Act (42 U.S.C. 280d(o)(2)(B)) is
amended by striking ‘‘dangerous’’.
(k) AUTHORIZATION OF APPROPRIATIONS.—Section
399D(p) of the Public Health Service Act (42 U.S.C.
280d(p)) is amended to read as follows:
‘‘(p) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $50,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
(l) GRANTS
FOR
TRAINING
AND
CONFORMING
AMENDMENTS.—Section 399D of the Public Health Serv-
ice Act (42 U.S.C. 280d) is amended—
(1) by striking subsection (f);
(2) by redesignating subsections (d) and (e) as
subsections (e) and (f), respectively;
(3) by inserting after subsection (c) the fol-
lowing subsection:
‘‘(d) TRAINING FOR PROVIDERS OF SERVICES TO
CHILDREN AND FAMILIES.—The Secretary may make a
grant under subsection (a) for the training of health, sub-
stance abuse and mental health professionals and other
providers of services to children and families through
youth service agencies, family social services, child care
providers, Head Start, schools and after-school programs,
early childhood development programs, community-based
family resource centers, the criminal justice system, and
other providers of services to children and families. Such
training shall be to assist professionals in recognizing the
drug and alcohol problems of their clients and to enhance
their skills in identifying and understanding the nature of
substance abuse, and obtaining substance abuse early
intervention, prevention and treatment resources.’’;
(4) by striking subsection (k);
(5) by redesignating subsections (l) through (p)
as subsections (k) through (o), respectively;
(6) in subsection (k)(2) (as so redesignated), by
striking ‘‘(h)’’ and inserting ‘‘(i)’’; and
(7) in paragraphs (3)(E) and (5) of subsection
(m) (as so redesignated), by striking ‘‘(d)’’ and in-
serting ‘‘(e)’’.
(m) TRANSFER AND REDESIGNATION.—The Public
Health Service Act (42 U.S.C. 201 et seq.) is amended—
(1) by transferring section 399D to title V;
(2) by redesignating such section as section
519;
(3) by inserting such section after section 518;
and
(4) in title III, by striking the heading and part
designation for part L.
SEC. 105. PROGRAMS TO REDUCE UNDERAGE DRINKING.
Title V of the Public Health Service Act (42 U.S.C.
290aa et seq.), as amended by section 104(m) of this Act,
is amended by inserting after section 519 the following
section:
‘‘SEC. 519A. PROGRAMS TO REDUCE UNDERAGE DRINKING.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, or contracts to
public and nonprofit private entities, including Indian
tribes and tribal organizations, to enable such entities to
develop plans for and to carry out school-based (including
institutions of higher education) and community-based
programs for the prevention of alcoholic-beverage con-
sumption by individuals who have not having attained the
legal drinking age.
‘‘(b) ELIGIBILITY REQUIREMENTS.—To be eligible to
receive an award under subsection (a), an entity shall pro-
vide any assurances to the Secretary which the Secretary
may require, including that the entity will—
‘‘(1) annually report to the Secretary on the ef-
fectiveness of the prevention approaches imple-
mented by the entity;
‘‘(2) use science based and age appropriate ap-
proaches; and
‘‘(3) involve local public health officials and
community prevention program staff in the planning
and implementation of the program.
‘‘(c) EVALUATION.—The Secretary shall evaluate
each project under subsection (a) and shall disseminate
the findings with respect to each such evaluation to appro-
priate public and private entities.
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary
shall ensure that awards will be distributed equitably
among the regions of the country and among urban and
rural areas.
‘‘(e) DURATION
OF AWARD.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may
not exceed 5 years. The preceding sentence may not be
construed as establishing a limitation on the number of
awards under such subsection that may be made to the
recipient.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $25,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 106. PREVENTION OF METHAMPHETAMINE AND IN-
HALANT ABUSE AND ADDICTION.
Title V of the Public Health Service Act (42 U.S.C.
290aa et seq.), as amended by section 105 of this Act,
is amended by inserting after section 519A the following
section:
‘‘SEC. 519B. PREVENTION OF METHAMPHETAMINE AND IN-
HALANT ABUSE AND ADDICTION.
‘‘(a) AWARDS.—The Secretary may make awards of
grants, cooperative agreements, or contracts to public and
nonprofit private entities to enable such entities—
‘‘(1) to carry out school-based programs con-
cerning the dangers of methamphetamine or inhal-
ant abuse and addiction, using methods that are ef-
fective and evidence-based, including initiatives that
give students the responsibility to create their own
anti-drug abuse education programs for their
schools; and
‘‘(2) to carry out community-based meth-
amphetamine or inhalant abuse and addiction pre-
vention programs that are effective and evidence-
based.
‘‘(b) USE OF FUNDS.—An award under subsection
(a) shall be used for planning, establishing, or admin-
istering methamphetamine or inhalant prevention pro-
grams in accordance with subsection (c).
‘‘(c) PREVENTION PROGRAMS AND ACTIVITIES.—
‘‘(1) IN GENERAL.—An award under subsection
(a) may be used—
‘‘(A) to carry out school-based programs
that are focused on those districts with high or
increasing rates of methamphetamine or inhal-
ant abuse and addiction and targeted at popu-
lations which are most at risk to start meth-
amphetamine or inhalant abuse;
‘‘(B) to carry out community-based preven-
tion programs that are focused on those popu-
lations within the community that are most at-
risk for methamphetamine or inhalant abuse
and addiction;
‘‘(C) to assist local government entities to
conduct appropriate methamphetamine or inhal-
ant prevention activities;
‘‘(D) to train and educate State and local
law enforcement officials, prevention and edu-
cation officials, members of community anti-
drug coalitions and parents on the signs of
methamphetamine or inhalant abuse and addic-
tion and the options for treatment and preven-
tion;
‘‘(E) for planning, administration, and
educational activities related to the prevention
of methamphetamine or inhalant abuse and ad-
diction;
‘‘(F) for the monitoring and evaluation of
methamphetamine or inhalant prevention activi-
ties, and reporting and disseminating resulting
information to the public; and
‘‘(G) for targeted pilot programs with eval-
uation components to encourage innovation and
experimentation with new methodologies.
‘‘(2) PRIORITY.—In making awards under sub-
section (a), the Secretary shall give priority to
awards to serve rural and urban areas that are expe-
riencing a high rate of or rapid increases in meth-
amphetamine or inhalant abuse and addiction.
‘‘(d) ANALYSES AND EVALUATION.—
‘‘(1) IN
GENERAL.—Up to $500,000 of the
amount available in each fiscal year to carry out this
section shall be made available to the Director, act-
ing in consultation with other Federal agencies, to
support and conduct periodic analyses and evalua-
tions of effective prevention programs for meth-
amphetamine or inhalant abuse and addiction and
the development of appropriate strategies for dis-
seminating information about and implementing
these programs.
‘‘(2) ANNUAL
REPORTS.—The Director shall
submit to the Committee on Commerce and the
Committee on Appropriations in the House of Rep-
resentatives, and to the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee on
Appropriations in the Senate, an annual report with
the results of the analyses and evaluation under
paragraph (1).
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out subsection (a), there are author-
ized to be appropriated $10,000,000 for fiscal year 2001,
and such sums as may be necessary for each of the fiscal
years 2002 and 2003.’’.
TITLE II—SUBSTANCE ABUSE
TREATMENT
SEC. 201. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS
OF REGIONAL AND NATIONAL SIGNIFICANCE.
(a) SUBSTANCE ABUSE TREATMENT GRANTS.—Sec-
tion 509 of the Public Health Service Act (42 U.S.C.
290bb–2) is amended to read as follows:
‘‘SEC. 509. PRIORITY SUBSTANCE ABUSE TREATMENT
NEEDS OF REGIONAL AND NATIONAL SIG-
NIFICANCE.
‘‘(a) PROJECTS.—In order to address priority sub-
stance abuse treatment needs of regional and national sig-
nificance, the Secretary shall, directly or through awards
of grants, cooperative agreements, or contracts, provide
for—
‘‘(1) knowledge development and application
projects for treatment and rehabilitation services
and the conduct or support of evaluations of such
projects;
‘‘(2) training; and
‘‘(3) targeted capacity expansion.
The Secretary may make such awards to States, political
subdivisions of States, Indian tribes and tribal organiza-
tions, and other public or nonprofit private entities.
‘‘(b) PRIORITY
SUBSTANCE
ABUSE
TREATMENT
NEEDS.—For purposes of subsection (a), priority sub-
stance abuse treatment needs of regional and national sig-
nificance shall be determined by the Secretary after con-
sultation with the States and other interested groups. The
Secretary shall meet with States and other interested
groups on at least a yearly basis to determine the agenda
for this program.
‘‘(c) REQUIREMENTS.—
‘‘(1) IN GENERAL.—Recipients of awards under
subsection (a) shall comply with information and ap-
plication requirements determined appropriate by
the Secretary.
‘‘(2) DURATION OF AWARD.—With respect to
an award under subsection (a), the period during
which payments under such award are made to the
recipient may not exceed 5 years. The preceding sen-
tence may not be construed as establishing a limita-
tion on the number of awards under such subsection
that may be made to the recipient.
‘‘(3) MATCHING FUNDS.—
‘‘(A) AUTHORITY
OF
SECRETARY.—The
Secretary may, as a condition of making awards
under subsection (a), require that recipients of
such awards make available (directly or through
donations from public or private entities) non-
Federal contributions toward the costs of the
projects to be carried out by the recipients pur-
suant to such subsection. The amount of any
such required contributions shall be the amount
determined by the Secretary to be appropriate
to ensure the institutional commitment of the
recipients to such projects.
‘‘(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.
‘‘(4) MAINTENANCE OF EFFORT.—With respect
to activities for which an award under subsection (a)
is authorized to be expended, the Secretary, as a
condition of making such an award for a fiscal year,
may require, for specific projects, that the recipient
agree to maintain expenditures of non-Federal
amounts for such activities at a level that is not less
than the level of such expenditures maintained by
the recipient for the fiscal year preceding the fiscal
year for which the recipient receives the award.
‘‘(d) EVALUATION.—The Secretary shall evaluate
each project carried out under section (a)(1) and shall dis-
seminate the findings with respect to each such evaluation
to appropriate public and private entities.
‘‘(e) INFORMATION AND EDUCATION.—The Secretary
shall establish comprehensive information and education
programs to disseminate and apply the findings of the
knowledge development and application and training pro-
grams under this section to the general public and to other
interested parties.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $300,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
(b) CONFORMING AMENDMENTS.—Section 571 of the
Public Health Service Act (42 U.S.C. 290gg) is repealed.
SEC. 
202. 
RESIDENTIAL 
TREATMENT 
PROGRAMS 
FOR
PREGNANT AND POSTPARTUM WOMEN.
Section 508(r) of the Public Health Service Act (42
U.S.C. 290bb–1(r)) is amended to read as follows:
‘‘(r) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated such sums as may be necessary for
each of the fiscal years 2001 through 2003.’’.
SEC. 203. SUBSTANCE ABUSE TREATMENT FOR YOUTH.
Section 510 of the Public Health Service Act (42
U.S.C. 290bb–3) is amended to read as follows:
‘‘SEC. 510. SUBSTANCE ABUSE TREATMENT FOR YOUTH.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, and contracts
to public and nonprofit private entities, including Indian
tribes and tribal organizations, for the purposes of pro-
viding substance abuse treatment to individuals under the
age of 22.
‘‘(b) PRIORITY.—In making awards under subsection
(a), the Secretary shall give priority to applicants that—
‘‘(1) will apply the most successful, evidenced
based and cost-effective methods for the treatment
of substance abuse among youth;
‘‘(2) will coordinate services with other social
service systems in the community including edu-
cation, juveniles justice, child welfare and mental
health; and
‘‘(3) will provide treatment that is gender spe-
cific and culturally appropriate.
‘‘(c) CONDITION.—In making awards under sub-
section (a), the Secretary shall ensure that the awards are
allocated among the principal geographic regions of the
country, to urban and rural areas and to Indian tribes
and tribal organizations subject to the availability of qual-
ity applications for awards.
‘‘(d) DURATION OF GRANTS.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may
not exceed 5 years. The preceding sentence may not be
construed as establishing a limitation on the number of
awards under such subsection that may be made to the
recipient.
‘‘(e) EVALUATION.—The Secretary shall require as
part of an application under subsection (a) a plan for the
rigorous evaluation of the project under such subsection,
including both process and outcome evaluation, and peri-
odic updates with the submission of a complete evaluation
at the end of the project period.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $50,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 204. EARLY INTERVENTION SERVICES FOR YOUTH.
Section 511 of the Public Health Services Act (42
U.S.C. 290bb–4) is amended to read as follows:
‘‘SEC. 511. EARLY INTERVENTION SERVICES FOR YOUTH.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, and contracts
to public and nonprofit private entities, including local
educational agencies, for the purposes of providing early
intervention substance abuse services for individuals under
the age of 22.
‘‘(b) PRIORITY.—In making awards under subsection
(a), the Secretary shall give priority to applicants that
demonstrate an ability to—
‘‘(1) screen and assess for substance use and
abuse;
‘‘(2) make appropriate referral for those who
are in need of treatment;
‘‘(3) provide early intervention services includ-
ing counseling and ancillary services that are de-
signed to meet the developmental needs of youth;
and
‘‘(4) develop links with the educational, juvenile
justice, social services and other agencies and orga-
nizations within the State or local communities to
identify youth in need of services.
‘‘(c) CONDITION.—In making awards under sub-
section (a), the Secretary shall ensure that the awards are
allocated among the principal geographic regions of the
country, to urban and rural areas and to Indian tribes
and tribal organizations, subject to the availability of
qualified applicants for the awards.
‘‘(d) EVALUATION.—The Secretary shall require as
part of an application under subsection (a) a plan for the
rigorous evaluation of the project under such subsection,
including both process and outcome evaluation, and peri-
odic updates with the submission of a complete evaluation
at the end of the project period.
‘‘(e) DURATION OF AWARD.—With respect to a grant
under subsection (a), the period during which payments
under such grant are made to the recipient may not exceed
5 years. The preceding sentence may not be construed as
establishing a limitation on the number of awards under
such subsection that may be made to the recipient.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $20,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 205. ALCOHOL AND DRUG TREATMENT AND PREVEN-
TION SERVICES FOR INDIAN TRIBES AND
TRIBAL ORGANIZATIONS.
Section 512 of the Public Health Service Act (42
U.S.C. 290bb–5) is amended to read as follows:
‘‘SEC. 512. ALCOHOL AND DRUG TREATMENT AND PREVEN-
TION SERVICES FOR INDIAN TRIBES AND
TRIBAL ORGANIZATIONS.
‘‘(a) IN GENERAL.—The Secretary shall make grants
to nonprofit private entities and to Indian tribes and tribal
organizations to provide treatment services to members of
such tribes and organizations.
‘‘(b) PRIORITY.—In making grants under subsection
(a), the Secretary shall give priority to applicants that—
‘‘(1) will provide services on reservations and
who use culturally appropriate prevention and treat-
ment approaches; and
‘‘(2) have provided substance abuse services to
this population for at least one year prior to apply-
ing for a grant.
‘‘(c) DURATION OF AWARD.—With respect to a grant
under subsection (a), the period during which payments
under such grant are made to the recipient may not exceed
5 years. The preceding sentence may not be construed as
establishing a limitation on the number of awards under
such subsection that may be made to the recipient.
‘‘(d) EVALUATION.—The Secretary shall require as
part of an application under subsection (a) a plan for the
rigorous evaluation of the project under such subsection,
including both process and outcome evaluation, and peri-
odic updates with the submission of a complete evaluation
at the end of the project period. The final report shall
include a determination on whether the program should
continue.
‘‘(e) REPORT.—Not later than 3 years after the date
of enactment of this section and annually thereafter, the
Secretary shall submit to the Committee on Commerce in
the House of Representatives and the Committee on
Health, Education, Labor and Pensions in the Senate a
report describing the services provided pursuant to this
section.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $15,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 206. SERVICES FOR INDIVIDUALS WITH FETAL ALCO-
HOL SYNDROME.
Subpart 1 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb et seq.) is amended by add-
ing at the end the following:
‘‘SEC. 514. SERVICES FOR INDIVIDUALS WITH FETAL ALCO-
HOL SYNDROME.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, or contracts to
public and nonprofit private entities, including Indian
tribes and tribal organizations, to provide services to indi-
viduals diagnosed with fetal alcohol syndrome or alcohol-
related birth defects.
‘‘(b) USE OF FUNDS.—An award under subsection
(a) may, subject to subsection (d), be used to—
‘‘(1) screen and test individuals to determine
the type and level of services needed;
‘‘(2) develop a comprehensive plan for providing
services to the individual;
‘‘(3) provide mental health counseling;
‘‘(4) provide substance abuse prevention serv-
ices and treatment, if needed;
‘‘(5) coordinate services with other social pro-
grams including social services, justice system, edu-
cational services, health services, mental health and
substance abuse services, financial assistance pro-
grams, vocational services and housing assistance
programs;
‘‘(6) provide vocational services;
‘‘(7) provide family planning counseling;
‘‘(8) provide housing assistance;
‘‘(9) parenting skills training;
‘‘(10) overall case management;
‘‘(11) supportive services for families of individ-
uals with Fetal Alcohol Syndrome; and
‘‘(12) provide other services and programs, to
the extent authorized by the Secretary after consid-
eration of recommendations made by the National
Task Force on Fetal Alcohol Syndrome.
‘‘(c) REQUIREMENTS.—To be eligible to receive an
award under subsection (a), an applicant shall—
‘‘(1) demonstrate that the program will be part
of a coordinated, comprehensive system of care for
such individuals;
‘‘(2) demonstrate an established communication
with other social programs in the community includ-
ing social services, justice system, financial assist-
ance programs, health services, educational services,
mental health and substance abuse services, voca-
tional services and housing assistance services;
‘‘(3) show a history of working with individuals
with fetal alcohol syndrome or alcohol-related birth
defects;
‘‘(4) provide assurance that the services will be
provided in a culturally and linguistically appro-
priate manner; and
‘‘(5) provide assurance that at the end of the
5-year award period, other mechanisms will be iden-
tified to meet the needs of the individuals and fami-
lies served under such award.
‘‘(d) RELATIONSHIP TO PAYMENTS UNDER OTHER
PROGRAMS.—An award may be made under subsection (a)
only if the applicant involved agrees that the award will
not be expended to pay the expenses of providing any serv-
ice under this section to an individual to the extent that
payment has been made, or can reasonably be expected
to be made, with respect to such expenses—
‘‘(1) under any State compensation program,
under an insurance policy, or under any Federal or
State health benefits program; or
‘‘(2) by an entity that provides health services
on a prepaid basis.
‘‘(e) DURATION OF AWARDS.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may
not exceed 5 years.
‘‘(f) EVALUATION.—The Secretary shall evaluate
each project carried out under subsection (a) and shall dis-
seminate the findings with respect to each such evaluation
to appropriate public and private entities.
‘‘(g) FUNDING.—
‘‘(1) AUTHORIZATION
OF
APPROPRIATIONS.—
For the purpose of carrying out this section, there
are authorized to be appropriated $50,000,000 for
fiscal year 2001, and such sums as may be nec-
essary for each of the fiscal years 2002 and 2003.
‘‘(2) ALLOCATION.—Of the amounts appro-
priated under paragraph (1) for a fiscal year, not
less than $300,000 shall, for purposes relating to
fetal alcohol syndrome and alcohol-related birth de-
fects, be made available for collaborative, coordi-
nated interagency efforts with the National Institute
on Alcohol Abuse and Alcoholism, the National In-
stitute on Child Health and Human Development,
the Health Resources and Services Administration,
the Agency for Healthcare Research and Quality,
the Centers for Disease Control and Prevention, the
Department of Education, and the Department of
Justice.
‘‘SEC. 514A. CENTERS OF EXCELLENCE ON SERVICES FOR
INDIVIDUALS WITH FETAL ALCOHOL SYN-
DROME AND ALCOHOL-RELATED BIRTH DE-
FECTS AND TREATMENT FOR INDIVIDUALS
WITH SUCH CONDITIONS AND THEIR FAMI-
LIES.
‘‘(a) IN
GENERAL.—The Secretary shall make
awards of grants, cooperative agreements, or contracts to
public or nonprofit private entities for the purposes of es-
tablishing not more than 4 centers of excellence to study
techniques for the prevention of fetal alcohol syndrome
and alcohol-related birth defects and adaptations of inno-
vative clinical interventions and service delivery improve-
ments for the provision of comprehensive services to indi-
viduals with fetal alcohol syndrome or alcohol-related birth
defects and their families and for providing training on
such conditions.
‘‘(b) USE OF FUNDS.—An award under subsection
(a) may be used to—
‘‘(1) study adaptations of innovative clinical
interventions and service delivery improvements
strategies for children and adults with fetal alcohol
syndrome or alcohol-related birth defects and their
families;
‘‘(2) identify communities which have an exem-
plary comprehensive system of care for such individ-
uals so that they can provide technical assistance to
other communities attempting to set up such a sys-
tem of care;
‘‘(3) provide technical assistance to commu-
nities who do not have a comprehensive system of
care for such individuals and their families;
‘‘(4) train community leaders, mental health
and substance abuse professionals, families, law en-
forcement personnel, judges, health professionals,
persons working in financial assistance programs,
social service personnel, child welfare professionals,
and other service providers on the implications of
fetal alcohol syndrome and alcohol-related birth de-
fects, the early identification of and referral for such
conditions;
‘‘(5) develop innovative techniques for pre-
venting alcohol use by women in child bearing years;
‘‘(6) perform other functions, to the extent au-
thorized by the Secretary after consideration of rec-
ommendations made by the National Task Force on
Fetal Alcohol Syndrome.
‘‘(c) REPORT.—
‘‘(1) IN GENERAL.—A recipient of an award
under subsection (a) shall at the end of the period
of funding report to the Secretary on any innovative
techniques that have been discovered for preventing
alcohol use among women of child bearing years.
‘‘(2) DISSEMINATION OF FINDINGS.—The Sec-
retary shall upon receiving a report under paragraph
(1) disseminate the findings to appropriate public
and private entities.
‘‘(d) DURATION OF AWARDS.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may
not exceed 5 years.
‘‘(e) EVALUATION.—The Secretary shall evaluate
each project carried out under subsection (a) and shall dis-
seminate the findings with respect to each such evaluation
to appropriate public and private entities.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $5,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 207. SUBSTANCE ABUSE PREVENTION AND TREAT-
MENT BLOCK GRANT.
(a) ALLOCATION REGARDING ALCOHOL AND OTHER
DRUGS.—Section 1922 of the Public Health Service Act
(42 U.S.C. 300x–22) is amended by—
(1) striking subsection (a); and
(2) redesignating subsections (b) and (c) as (a)
and (b).
(b) GROUP HOMES FOR RECOVERING SUBSTANCE
ABUSERS.—Section 1925(a) of the Public Health Service
Act (42 U.S.C. 300x–25(a)) is amended in the matter pre-
ceding paragraph (1) by striking ‘‘For fiscal year 1993’’
and all that follows through the colon and inserting the
following: ‘‘A State, using funds available under section
1921, may establish and maintain the ongoing operation
of a revolving fund in accordance with this section to sup-
port group homes for recovering substance abusers as fol-
lows:’’.
(c) PLANNING COUNCILS.—Subpart II of Part B of
title XIX of the Public Health Service Act is amended by
inserting after section 1927 (42 U.S.C. 300x–27) the fol-
lowing new section:
‘‘SEC. 1927A. STATE SUBSTANCE ABUSE PREVENTION AND
TREATMENT PLANNING COUNCILS.
‘‘(a) IN GENERAL.—A funding agreement for a grant
under section 1921 is that the State involved will establish
and maintain a State substance abuse prevention and
treatment planning council in accordance with the condi-
tions described in this section.
‘‘(b) DUTIES.—A condition under subsection (a) for
a council is that the duties of the council are—
‘‘(1) to review applications including reports re-
quired under section 1932 of this subpart prior to
their submission to the Secretary and to submit to
the State any recommendations of the council for
modifications;
‘‘(2) to advise the State on how best to provide
substance abuse prevention and treatment services
in the State;
‘‘(3) to serve as an advocate for individuals
with substance abuse disorders; and
‘‘(4) to monitor, review, and evaluate, not less
than once each year, the allocation and adequacy of
substance abuse prevention and treatment services
within the State.
‘‘(c) MEMBERSHIP.—
(1) IN GENERAL.—A condition under subsection
(a) for a council is that the council be composed of
residents of the State; including representatives of—
‘‘(A) the principal State agencies with re-
spect to substance abuse prevention and treat-
ment, 
education, 
vocational 
rehabilitation,
criminal justice, housing, and social services;
‘‘(B) public and private entities concerned
with the need, planning, operation, funding, and
use of substance abuse prevention and treat-
ment services and related support services;
‘‘(C) individuals who are receiving (or have
received) substance abuse prevention and treat-
ment services;
‘‘(D) the families of such individuals; and
‘‘(E) providers of substance abuse preven-
tion and treatment services.
‘‘(2) LIMITATION ON STATE EMPLOYEES AND
PROVIDERS.—A condition under subsection (a) for a
council is that not less that 50 percent of the mem-
bers of the council are individuals who are not State
employees or providers of substance abuse preven-
tion and treatment services.
‘‘(d) REVIEW OF STATE APPLICATIONS.—The Sec-
retary may make a grant under this subpart only if—
‘‘(1) the application including the report under
this subpart with respect to the grant has been re-
viewed by the council; and
‘‘(2) the State submits to the Secretary any
recommendations or comments received by the State
from the council for modifications to the application
without regard to whether the State has made the
recommended modifications.’’.
(d) MAINTENANCE OF EFFORT.—Section 1930 of the
Public Health Service Act (42 U.S.C. 300x–30) is
amended—
(1) by redesignating subsections (b) and (c) as
subsections (c) and (d) respectively; and
(2) by inserting after subsection (a), the fol-
lowing:
‘‘(b) EXCLUSION
OF CERTAIN FUNDS.—The Sec-
retary may exclude from the aggregate State expenditures
under subsection (a), funds appropriated to the principle
agency for authorized activities which are of a non-recur-
ring nature and for a specific purpose.’’.
(e) APPLICATIONS
FOR
GRANTS.—Section 1932
(a)(1) of the Public Health Service Act (42 U.S.C.
300x(a)(1)) is amended to read as follows:
‘‘(1) the application is received by the Secretary
no later than October 1 of the fiscal year for which
a State is seeking funds.’’.
(f) WAIVER FOR TERRITORIES.—Section 1932(c) of
the Public Health Service Act (42 U.S.C. 300x–32(c)) is
amended by striking ‘‘whose allotment under section 1921
for the fiscal year is the amount specified in section
1933(c)(2)(B)’’ and inserting ‘‘except Puerto Rico’’.
(g) WAIVER AUTHORITY FOR CERTAIN REQUIRE-
MENTS.—(1) Section 1932 of the Public Health Service
Act (42 U.S.C. 300x–32) is amended by adding the fol-
lowing subsection:
‘‘(e) WAIVER AUTHORITY FOR CERTAIN REQUIRE-
MENTS.—(1) Upon the request of a State, the Secretary
may waive the requirements of all or any of the sections
listed in paragraph (2) using criteria established by the
Secretary in accordance with paragraph (3).
‘‘(2) The requirements which may be waived under
paragraph (1) are sections 1922(c), 1923, 1924, 1928 and
1929.
‘‘(3) The criteria referred to in paragraph (1) shall
be performance measures including capacity, process and
outcomes related to the specific requirements for which
a State is seeking a waiver and be developed by a nego-
tiated regulatory process involving the States and other
interested groups.’’.
(2) CONFORMING AMENDMENTS.—Upon publication
of the regulation developed in accordance with subsection
(e) as added by paragraph (1)—
(A) section 1922(c) of the Public Health Serv-
ice Act (42 U.S.C. 330x–22(c)) is amended by—
(i) repealing paragraph (2); and
(ii) redesignating paragraph (3) as (2).
(B) section 1928(d) of the Public Health Serv-
ice Act (42 U.S.C. 300x–28(d)) is repealed.
(h) 
DETERMINATION
OF
ALLOTMENT.—Section
1933(b) of the Public Health Service Act (42 U.S.C.
300x–33(b)) is amended to read as follows:
‘‘(b) MINIMUM ALLOTMENTS FOR STATES.—
(1) IN GENERAL.—With respect to fiscal year
2001 and all subsequent fiscal years, the amount of
the allotment of a State under section 1921 shall
not be less than the amount the State received
under section 1921 for the previous fiscal year in-
creased by 30.65 percent of the percentage by which
the amount allotted to the States for the fiscal year
exceeds the amount allotted to the States for the
previous fiscal year.
‘‘(2) LIMITATIONS.—
(A) IN GENERAL.—Except as provided in
subparagraph (B), a State shall not receive an
allotment under section 1921 for a fiscal year
in an amount that is less than an amount equal
to 0.375 percent of the amount appropriated
under section 1935(a) for such fiscal year.
‘‘(B) EXCEPTION.—In applying subpara-
graph (A), the Secretary shall ensure that no
State receives an increase in its allotment under
section 1921 for a fiscal year (as compared to
the amount allotted to the State in the prior
fiscal year) that is in excess of an amount equal
to 300 percent of the percentage by which the
amount appropriated under section 1935(a) for
such fiscal year exceeds the amount appro-
priated for the prior fiscal year.
‘‘(3) DECREASE
IN
OR
EQUAL
APPROPRIA-
TIONS.—If the amount appropriated under section
1935(a) is equal to or less than the amount appro-
priated under such section for the prior fiscal year,
the amount of the State allotment under section
1921 shall be equal to the amount the State received
under section 1921 in the prior fiscal year decreased
by the percentage by which the amount appropriated
for such fiscal year is less than the amount appro-
priated for such section for the prior fiscal year.’’.
(i) AUTHORIZATION OF APPROPRIATIONS.—Section
1935(a) of the Public Health Service Act is amended as
follows:
(1) 
in 
subsection 
(a) 
by 
striking
‘‘$1,500,000,000’’ and all that follows and inserting
‘‘$2,000,000,000 for fiscal year 2001, and such
sums as may be necessary for each of the fiscal
years 2002 and 2003.’’;
(2) in subsection (b)(2) by striking ‘‘1949(a)’’
and inserting ‘‘1948(a)’’; and
(3) in subsection (b) as follows—
(A) in paragraph (1)(B) by striking ‘‘sec-
tion 505’’ and inserting in its place ‘‘sections
505 and 1971’’; and
(B) by adding the following paragraph—
‘‘(3) CORE DATA SET.—Any State that receives
a new grant, contract or cooperative agreement from
those funds available to the Secretary under para-
graph (1) for the purposes of improving their data
collection, analysis and reporting capabilities shall be
required to collect, analyze and report on to the Sec-
retary for each and every fiscal year subsequent to
receiving those funds a core/minimum data set to be
determined by the Secretary in conjunction with the
States.’’.
SEC. 208. ESTABLISHMENT OF COMMISSION ON INDIAN
AND NATIVE ALASKAN HEALTH CARE.
Part D of title V of the Public Health Service Act
(42 U.S.C. 290dd et seq.) is amended by adding at the
end the following section:
‘‘SEC. 544. COMMISSION ON INDIAN AND NATIVE ALASKAN
HEALTH CARE.
‘‘(a) IN GENERAL.—There is established a commis-
sion to be known as the Commission on Indian and Native
Alaskan Health Care that shall examine the health con-
cerns of Indians and Native Alaskans who reside on res-
ervations and tribal lands (hereafter in this section re-
ferred to as the ‘Commission’).
‘‘(b) MEMBERSHIP.—
‘‘(1) IN
GENERAL.—The Commission estab-
lished under subsection (a) shall consist of—
‘‘(A) the Secretary;
‘‘(B) 15 members who are experts in the
health care field and issues that the Commis-
sion is established to examine; and
‘‘(C) the Director of the Indian Health
Service and the Commissioner of Indian Affairs,
who shall be nonvoting members.
‘‘(2) APPOINTING
AUTHORITY.—Of the 15
members of the Commission described in paragraph
(1)(B)—
‘‘(A) 2 shall be appointed by the Speaker
of the House of Representatives;
‘‘(B) 2 shall be appointed by the Minority
Leader of the House of Representatives;
‘‘(C) 2 shall be appointed by the Majority
Leader of the Senate;
‘‘(D) 2 shall be appointed by the Minority
Leader of the Senate; and
‘‘(E) 7 shall be appointed by the Secretary.
‘‘(3) LIMITATION.—Not fewer than 10 of the
members appointed to the Commission shall be Indi-
ans or Native Alaskans.
‘‘(4) CHAIRPERSON.—The Secretary shall serve
as the Chairperson of the Commission.
‘‘(5) EXPERTS.—The Commission may seek the
expertise of any expert in the health care field to
carry out its duties.
‘‘(c) PERIOD OF APPOINTMENT.—Members shall be
appointed for the life of the Commission. Any vacancy in
the Commission shall not affect its powers, but shall be
filed in the same manner as the original appointment.
‘‘(d) DUTIES OF THE COMMISSION.—The Commis-
sion shall—
‘‘(1) study the health concerns of Indians and
Native Alaskans; and
‘‘(2) prepare the reports described in subsection
(i).
‘‘(e) POWERS OF THE COMMISSION.—
‘‘(1) HEARINGS.—The Commission may hold
such hearings, including hearings on reservations, sit
and act at such times and places, take such testi-
mony, and receive such information as the Commis-
sion considers advisable to carry out the purpose for
which the Commission was established.
‘‘(2) INFORMATION
FROM
FEDERAL
AGEN-
CIES.—The Commission may secure directly from
any Federal department or agency such information
as the Commission considers necessary to carry out
the purpose for which the Commission was estab-
lished. Upon request of the Chairperson of the Com-
mission, the head of such department or agency
shall furnish such information to the Commission.
‘‘(f) COMPENSATION OF MEMBERS.—
‘‘(1) IN GENERAL.—Except as provided in sub-
paragraph (B), each member of the Commission
may be compensated at a rate not to exceed the
daily equivalent of the annual rate of basic pay pre-
scribed for level IV of the Executive Schedule under
section 5315 of title 5, United States Code, for each
day (including travel time), during which that mem-
ber is engaged in the actual performance of the du-
ties of the Commission.
‘‘(2) LIMITATION.—Members of the Commis-
sion who are officers or employees of the United
States shall receive no additional pay on account of
their service on the Commission.
‘‘(g) TRAVEL EXPENSES OF MEMBERS.—The mem-
bers of the Commission shall be allowed travel expenses,
including per diem in lieu of subsistence, at rates author-
ized for employees of agencies under section 5703 of title
5, United States Code, while away from their homes or
regular places of business in the performance of services
for the Commission.
‘‘(h) COMMISSION PERSONNEL MATTERS.—
‘‘(1) IN GENERAL.—The Secretary, in accord-
ance with rules established by the Commission, may
select and appoint a staff director and other per-
sonnel necessary to enable the Commission to carry
out its duties.
‘‘(2) COMPENSATION
OF
PERSONNEL.—The
Secretary, in accordance with rules established by
the Commission, may set the amount of compensa-
tion to be paid to the staff director and any other
personnel that serve the Commission.
‘‘(3) DETAIL OF GOVERNMENT EMPLOYEES.—
Any Federal Government employee may be detailed
to the Commission without reimbursement, and the
detail shall be without interruption or loss of civil
service status or privilege.
‘‘(4) 
CONSULTANT
SERVICES.—The 
Chair-
person of the Commission is authorized to procure
the temporary and intermittent services of experts
and consultants in accordance with section 3109 of
title 5, United States Code, at rates not to exceed
the daily equivalent of the annual rate of basic pay
prescribed for level IV of the Executive Schedule
under section 5315 of such title.
‘‘(i) REPORT.—
‘‘(1) IN
GENERAL.—Not later than 3 years
after the date of enactment of the Youth Drug and
Mental Health Services Act, the Secretary shall pre-
pare and submit, to the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate, a report
that shall—
‘‘(A) detail the health problems faced by
Indians and Native Alaskans who reside on res-
ervations;
‘‘(B) examine and explain the causes of
such problems;
‘‘(C) describe the health care services
available to Indians and Native Alaskans who
reside on reservations and the adequacy of such
services;
‘‘(D) identify the reasons for the provision
of inadequate health care services for Indians
and Native Alaskans who reside on reserva-
tions, including the availability of resources;
‘‘(E) develop measures for tracking the
health status of Indians and Native Americans
who reside on reservations; and
‘‘(F) make recommendations for improve-
ments in the health care services provided for
Indians and Native Alaskans who reside on res-
ervations, including recommendations for legis-
lative change.
‘‘(2) EXCEPTION.—In addition to the report re-
quired under paragraph (1), not later than 2 years
after the date of enactment of the Youth Drug and
Mental Health Services Act, the Secretary shall pre-
pare and submit, to the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate, a report
that describes any alcohol and drug abuse among In-
dians and Native Alaskans who reside on reserva-
tions.
‘‘(j) PERMANENT COMMISSION.—Section 14 of the
Federal Advisory Committee Act (5 U.S.C. App.) shall not
apply to the Commission.
‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section
$5,000,000 for fiscal year 2001, and such sums as may
be necessary for each of the fiscal years 2002 and
2003.’’.3
TITLE III—MENTAL HEALTH
SERVICES
SEC. 301. COMMUNITY MENTAL HEALTH SERVICES PER-
FORMANCE PARTNERSHIP BLOCK GRANT.
(a) CRITERIA FOR PLAN.—Section 1912(b) of the
Public Health Service Act (42 U.S.C. 300x–2(b)) is
amended by striking paragraphs (1) through (12) and in-
serting the following:
‘‘(1) COMPREHENSIVE COMMUNITY-BASED MEN-
TAL HEALTH SYSTEMS.—The plan provides for an
organized community-based system of care and de-
scribes available services and resources in a com-
prehensive system of care. Description of the system
of care includes health and mental health services,
rehabilitation services, employment services, housing
services, educational services, medical and dental
care, and other support services to be provided to
such individuals with Federal, State and local public
and private resources to enable such individuals to
function outside of inpatient or residential institu-
tions to the maximum extent of their capabilities, in-
cluding services to be provided by local school sys-
tems under the Americans with Disabilities Edu-
cation Act. The plan includes a separate description
of case management services and provides for activi-
ties leading to reduction of hospitalization.
‘‘(2) MENTAL HEALTH SYSTEM DATA AND EPI-
DEMIOLOGY.—The plan contains an estimate of the
incidence and prevalence in the State of serious
mental illness among adults and serious emotional
disturbance among children and presents quan-
titative targets to be achieved in the implementation
of the system described in paragraph (1).
‘‘(3) CHILDREN’S
SERVICES.—In the case of
children with serious emotional disturbance, the
plan—
‘‘(A) subject to subparagraph (B) provides
for a system of integrated social services, edu-
cational services, juvenile services, and sub-
stance abuse services that, together with health
and mental health services, will be provided in
order for such children to receive care appro-
priate for their multiple needs (which system
includes services provided under the Individuals
with Disabilities Education Act);
‘‘(B) provides that the grant under section
1911 for the fiscal year involved will not be ex-
pended to provide any service of such system
other than comprehensive community mental
health services; and
‘‘(C) provides for the establishment of a
defined geographic area for the provision of the
services of such system.
‘‘(4) TARGETED
SERVICES
TO
RURAL
AND
HOMELESS POPULATIONS.—The plan describes the
State’s outreach to and services for such individuals
who are homeless and how community-based services
will be provided to individuals residing in rural
areas.
‘‘(5) MANAGEMENT
SYSTEMS.—The plan de-
scribes the financial resources, staffing and training
for mental health providers necessary to implement
the plan, and provides for training of providers of
emergency health services regarding mental health.
The plan further describes the manner in which the
State intends to expend the grant under section
1911 for the fiscal year involved. The State shall
discuss in its plan each of these criteria for both
adults with serious mental illness and children with
serious emotional disturbance except for the criteria
in paragraph (3) which focuses only on children with
serious emotional disturbance.’’.
(b) REVIEW OF PLANNING COUNCIL OF STATE’S RE-
PORT.—Section 1915(a) of the Public Health Service Act
(42 U.S.C. 300x–4(a)) is amended—
(1) in paragraph (1) by inserting ‘‘and the re-
port of the State under section 1942(a) concerning
the preceding fiscal year’’ after ‘‘to the grant’’; and
(2) in paragraph (2) by inserting ‘‘and their
comments on the annual report.’’ after ‘‘rec-
ommended modifications’’.
(c) MAINTENANCE OF EFFORT.—Section 1915(b) of
the Public Health Service Act (42 U.S.C. 300x–4(b)) is
amended—
(1) by redesignating paragraphs (2) and (3) as
paragraphs (3) and (4), respectively; and
(2) by inserting after paragraph (1), the fol-
lowing:
‘‘(2) EXCLUSION
OF
CERTAIN
FUNDS.—The
Secretary may exclude from the aggregate State ex-
penditures under subsection (a), funds appropriated
to the principle agency for authorized activities
which are of a non recurring nature and for a spe-
cific purpose.’’.
(d) APPLICATION FOR GRANTS.—Section 1917(a)(1)
of the Public Health Service Act (42 U.S.C. 300x–6(a)(1))
is amended to read as follows:
‘‘(1) the plan is received by the Secretary not
later than September l of the fiscal year prior to the
fiscal year for which a State is seeking funds, and
the report from the previous fiscal year as required
under section 1941 is received by December 1 of the
fiscal year of the grant;’’.
(e) WAIVERS FOR TERRITORIES.—Section 1917(b) of
the Public Health Service Act (42 U.S.C. 300x–6(b)) is
amended by striking ‘‘whose allotment under section 1911
for the fiscal year is the amount specified in section 1918
(c)(2)(B)’’ and inserting in its place ‘‘except Puerto Rico’’.
(f) 
DETERMINATION
OF
ALLOTMENT.—Section
1918(b) of the Public Health’ Service Act (42 U.S.C.
300x–7(b)) is amended to read as follows:
‘‘(b) MINIMUM ALLOTMENTS FOR STATES.—With re-
spect to fiscal year 2001 and subsequent fiscal years, the
amount of the allotment of a State under section 1911
shall not be less than the amount the State received under
such section for fiscal year 1998.’’.
(g) AUTHORIZATION OF APPROPRIATIONS.—Section
1920(a) of the Public Health Service Act (42 U.S.C.
300x–9(a)) is amended by striking ‘‘$450,000,000’’ and
all that follows and inserting the following: ‘‘$450,000,000
for fiscal year 2001, and such sums as may be necessary
for each of the fiscal years 2002 and 2003.’’.
SEC. 302. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL
AND NATIONAL SIGNIFICANCE.
(a) MENTAL HEALTH SERVICES.—Section 520A of
the Public Health Service Act (42 U.S.C. 290bb–32) is
amended to read as follows:
‘‘SEC. 520A. PRIORITY MENTAL HEALTH NEEDS OF RE-
GIONAL AND NATIONAL SIGNIFICANCE.
‘‘(a) PROJECTS.—In order to address priority sub-
stance abuse mental health needs of regional and national
significance, the Secretary shall, directly or through
awards of grants, cooperative agreements, or contracts,
provide for—
‘‘(1) knowledge development and application
projects for prevention, treatment, and rehabilita-
tion; and the conduct or support of evaluations of
such projects;
‘‘(2) training; and
‘‘(3) targeted capacity response.
The Secretary may make such awards to States, political
subdivisions of States, Indian tribes and tribal organiza-
tions, and other public or nonprofit private entities.
‘‘(b) PRIORITY MENTAL HEALTH NEEDS.—For pur-
poses of subsection (a), priority mental health needs of
regional and national significance shall be determined by
the Secretary after consultation with States and other in-
terested groups. The Secretary shall meet at least once
a year with States and other interested parties to deter-
mine the agenda for these projects.
‘‘(c) REQUIREMENTS.—
(1) IN GENERAL.—Recipients of grants, cooper-
ative agreements, and contracts under this section
shall comply with information and application re-
quirements determined appropriate by the Secretary.
‘‘(2) DURATION OF AWARD.—With respect to
an award under subsection (a), the period during
which payments under such award are made to the
recipient may not exceed 5 years. The preceding sen-
tence may not be construed as establishing a limita-
tion on the number of awards under such subsection
that may be made to the recipient.
‘‘(3) MATCHING FUNDS.—
‘‘(A) AUTHORITY
OF
SECRETARY.—The
Secretary may, as a condition of making awards
under subsection (a), require that recipients of
such awards make available (directly or through
donations from public or private entities) non-
Federal contributions toward the costs of the
projects to be carried out by the recipients pur-
suant to such subsection. The amount of any
such required contributions shall be the amount
determined by the Secretary to be appropriate
to ensure the institutional commitment of the
recipients to such projects.
‘‘(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.
‘‘(4) MAINTENANCE OF EFFORT.—With respect
to activities for which an award under subsection (a)
is authorized to be expended, the Secretary, as a
condition of making such an award for a fiscal year,
may require, for specific projects, that the recipient
agree to maintain expenditures of non-Federal
amounts for such activities at a level that is not less
than the level of such expenditures maintained by
the recipient for the fiscal year preceding the fiscal
year for which the recipient receives the award.
‘‘(d) EVALUATION.—The Secretary shall evaluate
each project carried out under section (a)(1)(B) and shall
disseminate the findings with respect to each such evalua-
tion to appropriate public and private entities.
‘‘(e) INFORMATION AND EDUCATION.—The Secretary
shall establish comprehensive information and education
programs to disseminate and apply the findings of the
knowledge development and application and training pro-
grams under this section to the general public and to in-
terested groups.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $300,000,000 for fiscal year 2001, and
such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
(b) CONFORMING AMENDMENTS.—The following pro-
visions of law are repealed:
(1) Section 612 of the Stewart B. McKinney
Act.
(2) Section 303 of the Public Health Service
Act (42 U.S.C. 242a).
SEC. 303. CHILDREN AND VIOLENCE.
Section 520B of the Public Health Service Act (42
U.S.C. 290bb–33) is amended to read as follows:
‘‘SEC. 520B. CHILDREN AND VIOLENCE.
‘‘(a) IN GENERAL.—The Secretary, in consultation
with the Secretary of Education and the Attorney General,
shall make awards of grants, cooperative agreements, or
contracts to public entities to carry out a program to as-
sist local communities in developing ways to help children
deal with violence.
‘‘(b) TYPE PROJECTS.—Projects under subsection
(a) may include—
‘‘(1) financial support for local communities to
implement programs to foster the healthy develop-
ment of children;
‘‘(2) provision of technical assistance to local
communities in how to develop such programs;
‘‘(3) assisting local communities in developing
policies on how to address violence when and if it oc-
curs;
‘‘(4) help facilitate the creation of community
partnerships among law enforcement, educations
systems and the mental health and substance abuse
service systems; and
‘‘(5) establish mechanisms for children and ado-
lescents to report incidents of violence or plans by
other children or adolescents to commit violence.
‘‘(c) REQUIREMENTS.—For an award under sub-
section (b)(1), applicants must be able to demonstrate
that—
‘‘(1) under the award they will create a partner-
ship among law enforcement, the education system,
and the mental health and substance abuse systems
to address issues of violence in schools;
‘‘(2) the program will provide a comprehensive
method for addressing violence that will include—
‘‘(A) security;
‘‘(B) educational reform;
‘‘(C) review and updating of school poli-
cies;
‘‘(D) alcohol and drug abuse prevention
and early intervention services;
‘‘(E) mental health prevention and treat-
ment services; and
‘‘(F) early childhood development and psy-
chosocial services; and
‘‘(3) funds under the award will only be spent
on services described in paragraphs (2)(D), (E) and
(F).
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary
shall ensure that awards under subsection (a) are distrib-
uted equitably among the regions of the country and
among urban and rural areas.
‘‘(e) DURATION
OF AWARD.—With respect to an
award under subsection (a), the period during which pay-
ments under such award are made to the recipient may
not exceed 3 years. The preceding sentence may not be
construed as establishing a limitation on the number of
awards under such subsection that may be made to the
recipient.
‘‘(f) EVALUATION.—The Secretary shall evaluate
each project under subsection (a) and shall disseminate