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‘‘(2) ANNUAL REPORTS.—The Director shall sub-
mit to the Committee on Health, Education, Labor,
and Pensions and the Committee on Appropriations
of the Senate and the Committee on Commerce and
Committee on Appropriations of the House of Rep-
resentatives, an annual report with the results of the
analyses and evaluation under paragraph (1).
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out subsection (a),
$10,000,000 for fiscal year 2001, and such sums as may
be necessary for each of fiscal years 2002 and 2003.’’.
SEC. 3105. COMPREHENSIVE COMMUNITY SERVICES FOR
CHILDREN WITH SERIOUS EMOTIONAL DIS-
TURBANCE.
(a) MATCHING FUNDS.—Section 561(c)(1)(D) of the
Public Health Service Act (42 U.S.C. 290ff(c)(1)(D)) is
amended by striking ‘‘fifth’’ and inserting ‘‘fifth and sixth’’.
(b) FLEXIBILITY
FOR INDIAN TRIBES
AND TERRI-
TORIES.—Section 562 of the Public Health Service Act (42
U.S.C. 290ff–1) is amended by adding at the end the fol-
lowing:
‘‘(g) WAIVERS.—The Secretary may waive 1 or more
of the requirements of subsection (c) for a public entity that
is an Indian Tribe or tribal organization, or American
Samoa, Guam, the Marshall Islands, the Federated States
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of Micronesia, the Commonwealth of the Northern Mariana
Islands, the Republic of Palau, or the United States Virgin
Islands if the Secretary determines, after peer review, that
the system of care is family-centered and uses the least re-
strictive environment that is clinically appropriate.’’.
(c) DURATION
OF GRANTS.—Section 565(a) of the
Public Health Service Act (42 U.S.C. 290ff–4(a)) is amend-
ed by striking ‘‘5 fiscal’’ and inserting ‘‘6 fiscal’’.
(d) AUTHORIZATION
OF APPROPRIATIONS.—Section
565(f)(1) of the Public Health Service Act (42 U.S.C. 290ff–
4(f)(1)) is amended by striking ‘‘1993’’ and all that follows
and inserting ‘‘2001, and such sums as may be necessary
for each of the fiscal years 2002 and 2003.’’.
(e) CURRENT GRANTEES.—
(1) IN GENERAL.—Entities with active grants
under section 561 of the Public Health Service Act
(42 U.S.C. 290ff) on the date of enactment of this Act
shall be eligible to receive a 6th year of funding under
the grant in an amount not to exceed the amount that
such grantee received in the 5th year of funding under
such grant. Such 6th year may be funded without re-
quiring peer and Advisory Council review as required
under section 504 of such Act (42 U.S.C. 290aa–3).
(2) LIMITATION.—Paragraph (1) shall apply
with respect to a grantee only if the grantee agrees to
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comply with the provisions of section 561 as amended
by subsection (a).
SEC. 3106. 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 Pub-
lic 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
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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 referrals,
substance abuse treatment services, and other
providers of services to children and families;
and’’; and
(C) by adding at the end the following:
‘‘(D) to provide education and training to
health, substance abuse and mental health profes-
sionals, and other providers of services to chil-
dren and families through youth service agencies,
family social services, child care, Head Start,
schools and after-school programs, early child-
hood development programs, community-based
family resource and support centers, the crimi-
nal justice system, and other providers of services
to children and families.’’.
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(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 early intervention, treatment and preven-
tion services.’’; and
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(d) ELIGIBLE ENTITIES.—Section 399D(d) of the Pub-
lic 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
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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 Disabilities Edu-
cation 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 sub-
stance abuse issues.’’.
(g) EVALUATIONS.—Section 399D(l) of the Public
Health Service Act (42 U.S.C. 280d(l)) 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-
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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 amended by add-
ing at the end the following: ‘‘The periodic report shall in-
clude 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 re-
moving the identified barriers, including training for child
welfare workers.’’.
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(j) DEFINITION.—Section 399D(o)(2)(B) of the Public
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 fiscal years 2002
and 2003.’’.
(l) GRANTS FOR TRAINING AND CONFORMING AMEND-
MENTS.—Section 399D of the Public Health Service Act (42
U.S.C. 280d) is amended—
(1) by striking subsection (f);
(2) by striking subsection (k);
(3) by redesignating subsections (d), (e), (g), (h),
(i), (j), (l), (m), (n), (o), and (p) as subsections (e)
through (o), respectively;
(4) by inserting after subsection (c), the fol-
lowing:
‘‘(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 pro-
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viders of services to children and families through youth
service agencies, family social services, child care providers,
Head Start, schools and after-school programs, early child-
hood development programs, community-based family re-
source centers, the criminal justice system, and other pro-
viders 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.’’;
(5) in subsection (k)(2) (as so redesignated), by
striking ‘‘(h)’’ and inserting ‘‘(i)’’; and
(6) in paragraphs (3)(E) and (5) of subsection
(m) (as so redesignated), by striking ‘‘(d)’’ and insert-
ing ‘‘(e)’’.
(m) TRANSFER AND REDESIGNATION.—Section 399D
of the Public Health Service Act (42 U.S.C. 280d), as
amended by this section—
(1) is transferred to title V;
(2) is redesignated as section 519; and
(3) is inserted after section 518.
(n) CONFORMING AMENDMENT.—Title III of the Pub-
lic Health Service Act (42 U.S.C. 241 et seq.) is amended
by striking the heading of part L.
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SEC. 3107. SERVICES FOR YOUTH OFFENDERS.
Subpart 3 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–31 et seq.), as amended by
section 3104(b), is further amended by adding at the end
the following:
‘‘SEC. 520D. SERVICES FOR YOUTH OFFENDERS.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Director of the Center for Mental Health Services, and in
consultation with the Director of the Center for Substance
Abuse Treatment, the Administrator of the Office of Juve-
nile Justice and Delinquency Prevention, and the Director
of the Special Education Programs, shall award grants on
a competitive basis to State or local juvenile justice agencies
to enable such agencies to provide aftercare services for
youth offenders who have been discharged from facilities in
the juvenile or criminal justice system and have serious
emotional disturbances or are at risk of developing such dis-
turbances.
‘‘(b) USE OF FUNDS.—A State or local juvenile justice
agency receiving a grant under subsection (a) shall use the
amounts provided under the grant—
‘‘(1) to develop a plan describing the manner in
which the agency will provide services for each youth
offender who has a serious emotional disturbance and
has been detained or incarcerated in facilities within
the juvenile or criminal justice system;
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‘‘(2) to provide a network of core or aftercare
services or access to such services for each youth of-
fender, including diagnostic and evaluation services,
substance abuse treatment services, outpatient mental
health care services, medication management services,
intensive home-based therapy, intensive day treatment
services, respite care, and therapeutic foster care;
‘‘(3) to establish a program that coordinates with
other State and local agencies providing recreational,
social, educational, vocational, or operational services
for youth, to enable the agency receiving a grant
under this section to provide community-based system
of care services for each youth offender that addresses
the special needs of the youth and helps the youth ac-
cess all of the aforementioned services; and
‘‘(4) using not more than 20 percent of funds re-
ceived, to provide planning and transition services as
described in paragraph (3) for youth offenders while
such youth are incarcerated or detained.
‘‘(c) APPLICATION.—A State or local juvenile justice
agency that desires a grant under subsection (a) shall sub-
mit an application to the Secretary at such time, in such
manner, and accompanied by such information as the Sec-
retary may reasonably require.
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‘‘(d) REPORT.—Not later than 3 years after the date
of enactment of this section and annually thereafter, the
Secretary shall prepare and submit, to the Committee on
Health, Education, Labor, and Pensions of the Senate and
the Committee on Commerce of the House of Representa-
tives, a report that describes the services provided pursuant
to this section.
‘‘(e) DEFINITIONS.—In this section:
‘‘(1) SERIOUS
EMOTIONAL
DISTURBANCE.—The
term ‘serious emotional disturbance’ with respect to a
youth offender means an offender who currently, or at
any time within the 1-year period ending on the day
on which services are sought under this section, has
a diagnosable mental, behavioral, or emotional dis-
order that functionally impairs the offender’s life by
substantially limiting the offender’s role in family,
school, or community activities, and interfering with
the offender’s ability to achieve or maintain 1 or
more developmentally-appropriate social, behavior,
cognitive, communicative, or adaptive skills.
‘‘(2) COMMUNITY-BASED SYSTEM OF CARE.—The
term ‘community-based system of care’ means the pro-
vision of services for the youth offender by various
State or local agencies that in an interagency fashion
or operating as a network addresses the recreational,
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social, educational, vocational, mental health, sub-
stance abuse, and operational needs of the youth of-
fender.
‘‘(3) YOUTH
OFFENDER.—The term ‘youth of-
fender’ means an individual who is 21 years of age
or younger who has been discharged from a State or
local juvenile or criminal justice system, except that
if the individual is between the ages of 18 and 21
years, such individual has had contact with the State
or local juvenile or criminal justice system prior to
attaining 18 years of age and is under the jurisdic-
tion of such a system at the time services are sought.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section
$40,000,000 for fiscal year 2001, and such sums as may
be necessary for each of fiscal years 2002 and 2003.’’.
SEC. 
3108. 
GRANTS 
FOR 
STRENGTHENING 
FAMILIES
THROUGH COMMUNITY PARTNERSHIPS.
Subpart 2 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–21 et seq) is amended by add-
ing at the end the following:
‘‘SEC. 519A. GRANTS FOR STRENGTHENING FAMILIES.
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting
through the Director of the Prevention Center, may make
grants to public and nonprofit private entities to develop
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and implement model substance abuse prevention programs
to provide early intervention and substance abuse preven-
tion services for individuals of high-risk families and the
communities in which such individuals reside.
‘‘(b) PRIORITY.—In awarding grants under subsection
(a), the Secretary shall give priority to applicants that—
‘‘(1) have proven experience in preventing sub-
stance abuse by individuals of high-risk families and
reducing substance abuse in communities of such in-
dividuals;
‘‘(2) have demonstrated the capacity to imple-
ment community-based partnership initiatives that
are sensitive to the diverse backgrounds of individuals
of high-risk families and the communities of such in-
dividuals;
‘‘(3) have experience in providing technical as-
sistance to support substance abuse prevention pro-
grams that are community-based;
‘‘(4) have demonstrated the capacity to imple-
ment research-based substance abuse prevention strat-
egies; and
‘‘(5) have implemented programs that involve
families, residents, community agencies, and institu-
tions in the implementation and design of such pro-
grams.
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‘‘(c) DURATION
OF GRANTS.—The Secretary shall
award grants under subsection (a) for a period not to exceed
5 years.
‘‘(d) USE OF FUNDS.—An applicant that is awarded
a grant under subsection (a) shall—
‘‘(1) in the first fiscal year that such funds are
received under the grant, use such funds to develop a
model substance abuse prevention program; and
‘‘(2) in the fiscal year following the first fiscal
year that such funds are received, use such funds to
implement the program developed under paragraph
(1) to provide early intervention and substance abuse
prevention services to—
‘‘(A) strengthen the environment of children
of high risk families by targeting interventions
at the families of such children and the commu-
nities in which such children reside;
‘‘(B) strengthen protective factors, such as—
‘‘(i) positive adult role models;
‘‘(ii) messages that oppose substance
abuse;
‘‘(iii) community actions designed to
reduce accessibility to and use of illegal sub-
stances; and
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‘‘(iv) willingness of individuals of fam-
ilies in which substance abuse occurs to seek
treatment for substance abuse;
‘‘(C) reduce family and community risks,
such as family violence, alcohol or drug abuse,
crime, and other behaviors that may effect
healthy child development and increase the likeli-
hood of substance abuse; and
‘‘(D) build collaborative and formal part-
nerships between community agencies, institu-
tions, and businesses to ensure that comprehen-
sive high quality services are provided, such as
early childhood education, health care, family
support programs, parent education programs,
and home visits for infants.
‘‘(e) APPLICATION.—To be eligible to receive a grant
under subsection (a), an applicant shall prepare and sub-
mit to the Secretary an application that—
‘‘(1) describes a model substance abuse preven-
tion program that such applicant will establish;
‘‘(2) describes the manner in which the services
described in subsection (d)(2) will be provided; and
‘‘(3) describe in as much detail as possible the
results that the entity expects to achieve in imple-
menting such a program.
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‘‘(f) MATCHING FUNDING.—The Secretary may not
make a grant to a entity under subsection (a) unless that
entity agrees that, with respect to the costs to be incurred
by the entity in carrying out the program for which the
grant was awarded, the entity will make available non-Fed-
eral contributions in an amount that is not less than 40
percent of the amount provided under the grant.
‘‘(g) REPORT TO SECRETARY.—An applicant that is
awarded a grant under subsection (a) shall prepare and
submit to the Secretary a report in such form and con-
taining such information as the Secretary may require, in-
cluding an assessment of the efficacy of the model substance
abuse prevention program implemented by the applicant
and the short, intermediate, and long term results of such
program.
‘‘(h) EVALUATIONS.—The Secretary shall conduct eval-
uations, based in part on the reports submitted under sub-
section (g), to determine the effectiveness of the programs
funded under subsection (a) in reducing substance use in
high-risk families and in making communities in which
such families reside in stronger. The Secretary shall submit
such evaluations to the appropriate committees of Congress.
‘‘(i) HIGH-RISK FAMILIES.—In this section, the term
‘high-risk family’ means a family in which the individuals
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of such family are at a significant risk of using or abusing
alcohol or any illegal substance.
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section,
$3,000,000 for fiscal year 2001, and such sums as may be
necessary for each of the fiscal years 2002 and 2003.’’.
SEC. 3109. PROGRAMS TO REDUCE UNDERAGE DRINKING.
Subpart 2 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–21 et seq), as amended by
section 3108, is further amended by adding at the end the
following:
‘‘SEC. 519B. 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 trib-
al 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 consumption by individ-
uals who have not 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—
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‘‘(1) annually report to the Secretary on the ef-
fectiveness of the prevention approaches implemented
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 find-
ings with respect to each such evaluation to appropriate
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 payments
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
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such sums as may be necessary for each of the fiscal years
2002 and 2003.’’.
SEC. 3110. SERVICES FOR INDIVIDUALS WITH FETAL ALCO-
HOL SYNDROME.
Subpart 2 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–21 et seq), as amended by
sections 3108 and 3109, is further amended by adding at
the end the following:
‘‘SEC. 519C. 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 trib-
al organizations, to provide services to individuals diag-
nosed 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 services
and treatment, if needed;
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‘‘(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 health 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 consideration
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 assistance
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programs, health services, educational services, mental
health and substance abuse services, vocational serv-
ices 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 identi-
fied to meet the needs of the individuals and families
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 service
under this section to an individual to the extent that pay-
ment 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.
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‘‘(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 dissemi-
nate 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 au-
thorized 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.
‘‘(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 al-
cohol syndrome and alcohol-related birth defects, be
made available for collaborative, coordinated inter-
agency efforts with the National Institute on Alcohol
Abuse and Alcoholism, the National Institute on
Child Health and Human Development, the Health
Resources and Services Administration, the Agency
for Healthcare Research and Quality, the Centers for
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Disease Control and Prevention, the Department of
Education, and the Department of Justice.
‘‘SEC. 519D. 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 establishing
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 innovative clinical
interventions and service delivery improvements for the
provision of comprehensive services to individuals 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;
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‘‘(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 system
of care;
‘‘(3) provide technical assistance to communities
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 enforce-
ment personnel, judges, health professionals, persons
working in financial assistance programs, social serv-
ice personnel, child welfare professionals, and other
service providers on the implications of fetal alcohol
syndrome and alcohol-related birth defects, the early
identification of and referral for such conditions;
‘‘(5) develop innovative techniques for preventing
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
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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 dissemi-
nate 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. 3111. SUICIDE PREVENTION.
Subpart 3 of part B of title V of the Public Health
Service Act (42 U.S.C. 290bb–31 et seq), as amended by
section 3107, is further amended by adding at the end the
following:
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‘‘SEC. 520E. SUICIDE PREVENTION FOR CHILDREN AND
ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants,
contracts, or cooperative agreements to States, political sub-
divisions of States, Indian tribes, tribal organizations, pub-
lic organizations, or private nonprofit organizations to es-
tablish programs to reduce suicide deaths in the United
States among children and adolescents.
‘‘(b) COLLABORATION.—In carrying out subsection (a),
the Secretary shall ensure that activities under this section
are coordinated among the Substance Abuse and Mental
Health Services Administration, the relevant institutes at
the National Institutes of Health, the Centers for Disease
Control and Prevention, the Health Resources and Services
Administration, and the Administration on Children and
Families.
‘‘(c) REQUIREMENTS.—A State, political subdivision
of a State, Indian tribe, tribal organization, public organi-
zation, or private nonprofit organization desiring a grant,
contract, or cooperative agreement under this section shall
demonstrate that the suicide prevention program such enti-
ty proposes will—
‘‘(1) provide for the timely assessment, treat-
ment, or referral for mental health or substance abuse
services of children and adolescents at risk for suicide;
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‘‘(2) be based on best evidence-based, suicide pre-
vention practices and strategies that are adapted to
the local community;
‘‘(3) integrate its suicide prevention program
into the existing health care system in the community
including primary health care, mental health services,
and substance abuse services;
‘‘(4) be integrated into other systems in the com-
munity that address the needs of children and adoles-
cents including the educational system, juvenile jus-
tice system, welfare and child protection systems, and
community youth support organizations;
‘‘(5) use primary prevention methods to educate
and raise awareness in the local community by dis-
seminating evidence-based information about suicide
prevention;
‘‘(6) include suicide prevention, mental health,
and related information and services for the families
and friends of those who completed suicide, as needed;
‘‘(7) provide linguistically appropriate and cul-
turally competent services, as needed;
‘‘(8) provide a plan for the evaluation of out-
comes and activities at the local level, according to
standards established by the Secretary, and agree to
participate in a national evaluation; and
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‘‘(9) ensure that staff used in the program are
trained in suicide prevention and that professionals
involved in the system of care have received training
in identifying persons at risk of suicide.
‘‘(d) USE
OF
FUNDS.—Amounts provided under
grants, contracts, or cooperative agreements under sub-
section (a) shall be used to supplement and not supplant
other Federal, State, and local public funds that are ex-
pended to provide services for eligible individuals.
‘‘(e) CONDITION.—An applicant for a grant, contract,
or cooperative agreement under subsection (a) shall dem-
onstrate to the Secretary that the applicant has the support
of the local community and relevant public health officials.
‘‘(f) SPECIAL POPULATIONS.—In awarding grants,
contracts, and cooperative agreements under subsection (a),
the Secretary shall ensure that such awards are made in
a manner that will focus on the needs of communities or
groups that experience high or rapidly rising rates of sui-
cide.
‘‘(g) APPLICATION.—A State, political subdivision of
a State, Indian tribe, tribal organization, public organiza-
tion, or private nonprofit organization receiving a grant,
contract, or cooperative agreement under subsection (a)
shall prepare and submit an application to the Secretary
at such time, in such manner, and containing such infor-
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mation as the Secretary may reasonably require. Such ap-
plication shall include a plan for the rigorous evaluation
of activities funded under the grant, contract, or cooperative
agreement, including a process and outcome evaluation.
‘‘(h) DISTRIBUTION
OF
AWARDS.—In awarding
grants, contracts, and cooperative agreements under sub-
section (a), the Secretary shall ensure that such awards are
distributed among the geographical regions of the United
States and between urban and rural settings.
‘‘(i) EVALUATION.—A State, political subdivision of a
State, Indian tribe, tribal organization, public organiza-
tion, or private nonprofit organization receiving a grant,
contract, or cooperative agreement under subsection (a)
shall prepare and submit to the Secretary at the end of the
program period, an evaluation of all activities funded
under this section.
‘‘(j) DISSEMINATION AND EDUCATION.—The Secretary
shall ensure that findings derived from activities carried
out under this section are disseminated to State, county and
local governmental agencies and public and private non-
profit organizations active in promoting suicide prevention
and family support activities.
‘‘(k) DURATION
OF PROJECTS.—With respect to a
grant, contract, or cooperative agreement awarded under
this section, the period during which payments under such
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award may be made to the recipient may not exceed 5
years.
‘‘(l) STUDY.—Within 1 year after the date of enact-
ment of this section, the Secretary shall, directly or by grant
or contract, initiate a study to assemble and analyze data
to identify—
‘‘(1) unique profiles of children under 13 who at-
tempt or complete suicide;
‘‘(2) unique profiles of youths between ages 13
and 21 who attempt or complete suicide; and
‘‘(3) a profile of services which might have been
available to these groups and the use of these services
by children and youths from paragraphs (1) and (2).
‘‘(m) AUTHORIZATION OF APPROPRIATION.—
‘‘(1) IN GENERAL.—For purposes of carrying out
this section, there is authorized to be appropriated
$75,000,000 for fiscal year 2001 and such sums as
may be necessary for each of the fiscal years 2002
through 2003.
‘‘(2) PROGRAM MANAGEMENT.—In carrying out
this section, the Secretary shall use 1 percent of the
amount appropriated under paragraph (1) for each
fiscal year for managing programs under this sec-
tion.’’.
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SEC. 3112. GENERAL PROVISIONS.
(a) DUTIES OF THE CENTER FOR SUBSTANCE ABUSE
TREATMENT.—Section 507(b) of the Public Health Service
Act (42 U.S.C. 290bb(b)) is amended—
(1) by redesignating paragraphs (2) through (12)
as paragraphs (4) through (14), respectively;
(2) by inserting after paragraph (1), the fol-
lowing:
‘‘(2) ensure that emphasis is placed on children
and adolescents in the development of treatment pro-
grams;
‘‘(3) collaborate with the Attorney General to de-
velop programs to provide substance abuse treatment
services to individuals who have had contact with the
Justice system, especially adolescents;’’;
(3) in paragraph (7) (as so redesignated), by
striking ‘‘services, and monitor’’ and all that follows
through ‘‘1925’’ and inserting ‘‘services’’;
(4) in paragraph (13) (as so redesignated), by
striking ‘‘treatment, including’’ and all that follows
through ‘‘which shall’’ and inserting ‘‘treatment,
which shall’’; and
(5) in paragraph 14 (as so redesignated), by
striking ‘‘paragraph (11)’’ and inserting ‘‘paragraph
(13)’’.
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(b) OFFICE FOR SUBSTANCE ABUSE PREVENTION.—
Section 515(b) of the Public Health Service Act (42 U.S.C.
290bb–21(b)) is amended—
(1) by redesignating paragraphs (9) and (10) as
(10) and (11);
(2) by inserting after paragraph (8), the fol-
lowing:
‘‘(9) collaborate with the Attorney General of the
Department of Justice to develop programs to prevent
drug abuse among high risk youth;’’; and
(3) in paragraph (10) (as so redesignated), by
striking ‘‘public concerning’’ and inserting ‘‘public,
especially adolescent audiences, concerning’’.
(c) DUTIES OF THE CENTER FOR MENTAL HEALTH
SERVICES.—Section 520(b) of the Public Health Service Act
(42 U.S.C. 290bb–3(b)) is amended—
(1) by redesignating paragraphs (3) through (14)
as paragraphs (4) through (15), respectively;
(2) by inserting after paragraph (2), the fol-
lowing:
‘‘(3) collaborate with the Department of Edu-
cation and the Department of Justice to develop pro-
grams to assist local communities in addressing vio-
lence among children and adolescents;’’;
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(3) in paragraph (8) (as so redesignated), by
striking ‘‘programs authorized’’ and all that follows
through ‘‘Programs’’ and inserting ‘‘programs under
part C’’; and
(4) in paragraph (9) (as so redesignated), by
striking ‘‘program and programs’’ and all that fol-
lows through ‘‘303’’ and inserting ‘‘programs’’.
TITLE XXXII—PROVISIONS
RELATING TO MENTAL HEALTH
SEC. 3201. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL
AND NATIONAL SIGNIFICANCE.
(a) IN GENERAL.—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.—The Secretary shall address priority
mental health needs of regional and national significance
(as determined under subsection (b)) through the provision
of or through assistance for—
‘‘(1) knowledge development and application
projects for prevention, treatment, and rehabilitation,
and the conduct or support of evaluations of such
projects;
‘‘(2) training and technical assistance programs;
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‘‘(3) targeted capacity response programs; and
‘‘(4) systems change grants including statewide
family network grants and client-oriented and con-
sumer run self-help activities.
The Secretary may carry out the activities described in this
subsection directly or through grants or cooperative agree-
ments with States, political subdivisions of States, Indian
tribes and tribal organizations, other public or private non-
profit entities.
‘‘(b) PRIORITY MENTAL HEALTH NEEDS.—
‘‘(1) DETERMINATION OF NEEDS.—Priority men-
tal health needs of regional and national significance
shall be determined by the Secretary in consultation
with States and other interested groups. The Sec-
retary shall meet with the States and interested
groups on an annual basis to discuss program prior-
ities.
‘‘(2) SPECIAL
CONSIDERATION.—In developing
program priorities described in paragraph (1), the
Secretary shall give special consideration to pro-
moting the integration of mental health services into
primary health care systems.
‘‘(c) REQUIREMENTS.—
‘‘(1) IN
GENERAL.—Recipients of grants, con-
tracts, and cooperative agreements under this section
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shall comply with information and application re-
quirements determined appropriate by the Secretary.
‘‘(2) DURATION OF AWARD.—With respect to a
grant, contract, or cooperative agreement awarded
under this section, the period during which payments
under such award are made to the recipient may not
exceed 5 years.
‘‘(3) MATCHING FUNDS.—The Secretary may, for
projects carried out under subsection (a), require that
entities that apply for grants, contracts, or coopera-
tive agreements under this section provide non-Fed-
eral matching funds, as determined appropriate by
the Secretary, to ensure the institutional commitment
of the entity to the projects funded under the grant,
contract, or cooperative agreement. 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,
equipment, or services.
‘‘(4) MAINTENANCE OF EFFORT.—With respect to
activities for which a grant, contract or cooperative
agreement is awarded under this section, the Sec-
retary may require that recipients for specific projects
under subsection (a) agree to maintain expenditures
of non-Federal amounts for such activities at a level
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that is not less than the level of such expenditures
maintained by the entity for the fiscal year preceding
the fiscal year for which the entity receives such a
grant, contract, or cooperative agreement.
‘‘(d) EVALUATION.—The Secretary shall evaluate each
project carried out under subsection (a)(1) and shall dis-
seminate the findings with respect to each such evaluation
to appropriate public and private entities.
‘‘(e) INFORMATION AND EDUCATION.—
‘‘(1) IN GENERAL.—The Secretary shall establish
information and education programs to disseminate
and apply the findings of the knowledge development
and application, training, and technical assistance
programs, and targeted capacity response programs,
under this section to the general public, to health care
professionals, and to interested groups. The Secretary
shall make every effort to provide linkages between the
findings of supported projects and State agencies re-
sponsible for carrying out mental health services.
‘‘(2) RURAL AND UNDERSERVED AREAS.—In dis-
seminating information on evidence-based practices
in the provision of children’s mental health services
under this subsection, the Secretary shall ensure that
such information is distributed to rural and medi-
cally underserved areas.
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‘‘(f) AUTHORIZATION OF APPROPRIATION.—
‘‘(1) IN GENERAL.—There are authorized to be
appropriated to carry out this section, $300,000,000
for fiscal year 2001, and such sums as may be nec-
essary for each of the fiscal years 2002 and 2003.
‘‘(2) DATA INFRASTRUCTURE.—If amounts are
not appropriated for a fiscal year to carry out section
1971 with respect to mental health, then the Secretary
shall make available, from the amounts appropriated
for such fiscal year under paragraph (1), an amount
equal to the sum of $6,000,000 and 10 percent of all
amounts appropriated for such fiscal year under such
paragraph in excess of $100,000,000, to carry out
such section 1971.’’.
(b) CONFORMING AMENDMENTS.—
(1) Section 303 of the Public Health Service Act
(42 U.S.C. 242a) is repealed.
(2) Section 520B of the Public Health Service
Act (42 U.S.C. 290bb–33) is repealed.
(3) Section 612 of the Stewart B. McKinney
Homeless Assistance Act (42 U.S.C. 290aa–3 note) is
repealed.
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SEC. 3202. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS.
Section 506 of the Public Health Service Act (42
U.S.C. 290aa–5) is amended to read as follows:
‘‘SEC. 506. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS.
‘‘(a) IN GENERAL.—The Secretary shall award grants,
contracts and cooperative agreements to community-based
public and private nonprofit entities for the purposes of
providing mental health and substance abuse services for
homeless individuals. In carrying out this section, the Sec-
retary shall consult with the Interagency Council on the
Homeless, established under section 201 of the Stewart B.
McKinney Homeless Assistance Act (42 U.S.C. 11311).
‘‘(b) PREFERENCES.—In awarding grants, contracts,
and cooperative agreements under subsection (a), the Sec-
retary shall give a preference to—
‘‘(1) entities that provide integrated primary
health, substance abuse, and mental health services to
homeless individuals;
‘‘(2) entities that demonstrate effectiveness in
serving runaway, homeless, and street youth;
‘‘(3) entities that have experience in providing
substance abuse and mental health services to home-
less individuals;
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‘‘(4) entities that demonstrate experience in pro-
viding housing for individuals in treatment for or in
recovery from mental illness or substance abuse; and
‘‘(5) entities that demonstrate effectiveness in
serving homeless veterans.
‘‘(c) SERVICES
FOR
CERTAIN
INDIVIDUALS.—In
awarding grants, contracts, and cooperative agreements
under subsection (a), the Secretary shall not—
‘‘(1) prohibit the provision of services under such
subsection to homeless individuals who are suffering
from a substance abuse disorder and are not suffering
from a mental health disorder; and
‘‘(2) make payments under subsection (a) to any
entity that has a policy of—
‘‘(A) excluding individuals from mental
health services due to the existence or suspicion
of substance abuse; or
‘‘(B) has a policy of excluding individuals
from substance abuse services due to the existence
or suspicion of mental illness.
‘‘(d) TERM OF THE AWARDS.—No entity may receive
a grant, contract, or cooperative agreement under sub-
section (a) for more than 5 years.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section,
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$50,000,000 for fiscal year 2001, and such sums as may
be necessary for each of the fiscal years 2002 and 2003.’’.
SEC. 3203. PROJECTS FOR ASSISTANCE IN TRANSITION
FROM HOMELESSNESS.
(a) WAIVERS FOR TERRITORIES.—Section 522 of the
Public Health Service Act (42 U.S.C. 290cc–22) is amended
by adding at the end the following:
‘‘(i) WAIVER FOR TERRITORIES.—With respect to the
United States Virgin Islands, Guam, American Samoa,
Palau, the Marshall Islands, and the Commonwealth of the
Northern Mariana Islands, the Secretary may waive the
provisions of this part that the Secretary determines to be
appropriate.’’.
(b) AUTHORIZATION
OF
APPROPRIATION.—Section
535(a) of the Public Health Service Act (42 U.S.C. 290cc–
35(a)) is amended by striking ‘‘1991 through 1994’’ and
inserting ‘‘2001 through 2003’’.
SEC. 3204. COMMUNITY MENTAL HEALTH SERVICES PER-
FORMANCE PARTNERSHIP BLOCK GRANT.
(a) CRITERIA FOR PLAN.—Section 1912(b) of the Pub-
lic Health Service Act (42 U.S.C. 300x–2(b)) is amended
by striking paragraphs (1) through (12) and inserting the
following:
‘‘(1) COMPREHENSIVE COMMUNITY-BASED MEN-
TAL HEALTH SYSTEMS.—The plan provides for an or-
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ganized community-based system of care for individ-
uals with mental illness and describes available serv-
ices and resources in a comprehensive system of care,
including services for dually diagnosed individuals.
The description of the system of care shall include
health and mental health services, rehabilitation serv-
ices, employment services, housing services, edu-
cational services, substance abuse services, medical
and dental care, and other support services to be pro-
vided to individuals with Federal, State and local
public and private resources to enable such individ-
uals to function outside of inpatient or residential in-
stitutions to the maximum extent of their capabilities,
including services to be provided by local school sys-
tems under the Individuals with Disabilities Edu-
cation Act. The plan shall include a separate descrip-
tion of case management services and provide for ac-
tivities leading to reduction of hospitalization.
‘‘(2) MENTAL HEALTH SYSTEM DATA AND EPIDE-
MIOLOGY.—The plan contains an estimate of the inci-
dence and prevalence in the State of serious mental
illness among adults and serious emotional disturb-
ance among children and presents quantitative tar-
gets to be achieved in the implementation of the sys-
tem described in paragraph (1).
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‘‘(3) CHILDREN’S SERVICES.—In the case of chil-
dren 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 substance
abuse services that, together with health and
mental health services, will be provided in order
for such children to receive care appropriate for
their multiple needs (such system to include serv-
ices provided under the Individuals with Dis-
abilities Education Act);
‘‘(B) provides that the grant under section
1911 for the fiscal year involved will not be ex-
pended to provide any service under such system
other than comprehensive community mental
health services; and
‘‘(C) provides for the establishment of a de-
fined geographic area for the provision of the
services of such system.
‘‘(4) TARGETED SERVICES TO RURAL AND HOME-
LESS POPULATIONS.—The plan describes the State’s
outreach to and services for individuals who are
homeless and how community-based services will be
provided to individuals residing in rural areas.
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‘‘(5) MANAGEMENT
SYSTEMS.—The plan de-
scribes the financial resources, staffing and training
for mental health providers that is necessary to imple-
ment the plan, and provides for the training of pro-
viders 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.
Except as provided for in paragraph (3), the State plan
shall contain the information required under this subsection
with respect to both adults with serious mental illness and
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 before the pe-
riod ‘‘and any comments concerning the annual re-
port’’.
(c) MAINTENANCE OF EFFORT.—Section 1915(b) of the
Public Health Service Act (42 U.S.C. 300x–4(b)) is
amended—
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(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 Sec-
retary may exclude from the aggregate State expendi-
tures under subsection (a), funds appropriated to the
principle agency for authorized activities which are of
a non-recurring nature and for a specific 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 1 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’’.
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(f) AUTHORIZATION
OF
APPROPRIATION.—Section
1920 of the Public Health Service Act (42 U.S.C. 300x–
9) is amended—
(1) in subsection (a), by striking ‘‘$450,000,000’’
and all that follows through the end and inserting
‘‘$450,000,000 for fiscal year 2001, and such sums as
may be necessary for each of the fiscal years 2002 and
2003.’’; and
(2) in subsection (b)(2), by striking ‘‘section
505’’ and inserting ‘‘sections 505 and 1971’’.
SEC. 3205. 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 2000, 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.’’.
SEC. 3206. PROTECTION AND ADVOCACY FOR MENTALLY
ILL INDIVIDUALS ACT OF 1986.
(a) SHORT TITLE.—The first section of the Protection
and Advocacy for Mentally Ill Individuals Act of 1986
(Public Law 99–319) is amended to read as follows:
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‘‘SECTION 1. SHORT TITLE.
‘‘This Act may be cited as the ‘Protection and Advo-
cacy for Individuals with Mental Illness Act’.’’.
(b) DEFINITIONS.—Section 102 of the Protection and
Advocacy for Individuals with Mental Illness Act (as
amended by subsection (a)) (42 U.S.C. 10802) is
amended—
(1) in paragraph (4)—
(A) in the matter preceding subparagraph
(A), by inserting ‘‘, except as provided in section
104(d),’’ after ‘‘means’’;
(B) in subparagraph (B)—
(i) by striking ‘‘(i)’’ who’’ and insert-
ing ‘‘(i)(I) who’’;
(ii) by redesignating clauses (ii) and
(iii) as subclauses (II) and (III);
(iii) in subclause (III) (as so redesig-
nated), by striking the period and inserting
‘‘; or’’; and
(iv) by adding at the end the following:
‘‘(ii) who satisfies the requirements of sub-
paragraph (A) and lives in a community setting,
including their own home.’’; and
(2) by adding at the end the following:
‘‘(8) The term ‘American Indian consortium’
means a consortium established under part C of the
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Developmental Disabilities Assistance and Bill of
Rights Act (42 U.S.C. 6042 et seq.).’’.
(c) USE OF ALLOTMENTS.—Section 104 of the Protec-
tion and Advocacy for Individuals with Mental Illness Act
(as amended by subsection (a)) (42 U.S.C. 10804) is
amended by adding at the end the following:
‘‘(d) The definition of ‘individual with a mental ill-
ness’ contained in section 102(4)(B)(iii) shall apply, and
thus an eligible system may use its allotment under this
title to provide representation to such individuals, only if
the total allotment under this title for any fiscal year is
$30,000,000 or more, and in such case, an eligible system
must give priority to representing persons with mental ill-
ness as defined in subparagraphs (A) and (B)(i) of section
102(4).’’.
(d) MINIMUM AMOUNT.—Paragraph (2) of section
112(a) of the Protection and Advocacy for Individuals with
Mental Illness Act (as amended by subsection (a)) (42
U.S.C. 10822(a)(2)) is amended to read as follows:
‘‘(2)(A) The minimum amount of the allotment
of an eligible system shall be the product (rounded to
the nearest $100) of the appropriate base amount de-
termined under subparagraph (B) and the factor
specified in subparagraph (C).
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‘‘(B) For purposes of subparagraph (A), the ap-
propriate base amount—
‘‘(i) for American Samoa, Guam, the Mar-
shall Islands, the Federated States of Micronesia,
the Commonwealth of the Northern Mariana Is-
lands, the Republic of Palau, and the Virgin Is-
lands, is $139,300; and
‘‘(ii) for any other State, is $260,000.
‘‘(C) The factor specified in this subparagraph is
the ratio of the amount appropriated under section
117 for the fiscal year for which the allotment is
being made to the amount appropriated under such
section for fiscal year 1995.
‘‘(D) If the total amount appropriated for a fis-
cal year is at least $25,000,000, the Secretary shall
make an allotment in accordance with subparagraph
(A) to the eligible system serving the American In-
dian consortium.’’.
(e) TECHNICAL AMENDMENTS.—Section 112(a) of the
Protection and Advocacy for Individuals with Mental Ill-
ness Act (as amended by subsection (a)) (42 U.S.C.
10822(a)) is amended—
(1) in paragraph (1)(B), by striking ‘‘Trust Ter-
ritory of the Pacific Islands’’ and inserting ‘‘Marshall
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Islands, the Federated States of Micronesia, the Re-
public of Palau’’; and
(2) by striking paragraph (3).
(f) REAUTHORIZATION.—Section 117 of the Protection
and Advocacy for Individuals with Mental Illness Act (as
amended by subsection (a)) (42 U.S.C. 10827) is amended
by striking ‘‘1995’’ and inserting ‘‘2003’’.
SEC. 3207. REQUIREMENT RELATING TO THE RIGHTS OF
RESIDENTS OF CERTAIN FACILITIES.
Title V of the Public Health Service Act (42 U.S.C.
290aa et seq.) is amended by adding at the end the fol-
lowing:
‘‘PART H—REQUIREMENT RELATING TO THE
RIGHTS OF RESIDENTS OF CERTAIN FACILITIES
‘‘SEC. 591. REQUIREMENT RELATING TO THE RIGHTS OF
RESIDENTS OF CERTAIN FACILITIES.
‘‘(a) IN GENERAL.—A public or private general hos-
pital, nursing facility, intermediate care facility, or other
health care facility, that receives support in any form from
any program supported in whole or in part with funds ap-
propriated to any Federal department or agency shall pro-
tect and promote the rights of each resident of the facility,
including the right to be free from physical or mental abuse,
corporal punishment, and any restraints or involuntary se-
clusions imposed for purposes of discipline or convenience.
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‘‘(b) REQUIREMENTS.—Restraints and seclusion may
only be imposed on a resident of a facility described in sub-
section (a) if—
‘‘(1) the restraints or seclusion are imposed to
ensure the physical safety of the resident, a staff
member, or others; and
‘‘(2) the restraints or seclusion are imposed only
upon the written order of a physician, or other li-
censed practitioner permitted by the State and the fa-
cility to order such restraint or seclusion, that speci-
fies the duration and circumstances under which the
restraints are to be used (except in emergency cir-
cumstances specified by the Secretary until such an
order could reasonably be obtained).
‘‘(c) CURRENT LAW.—This part shall not be construed
to affect or impede any Federal or State law or regulations
that provide greater protections than this part regarding
seclusion and restraint.
‘‘(d) DEFINITIONS.—In this section:
‘‘(1) 
RESTRAINTS.—The 
term 
‘restraints’
means—
‘‘(A) any physical restraint that is a me-
chanical or personal restriction that immobilizes
or reduces the ability of an individual to move
his or her arms, legs, or head freely, not includ-
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ing devices, such as orthopedically prescribed de-
vices, surgical dressings or bandages, protective
helmets, or any other methods that involves the
physical holding of a resident for the purpose of
conducting routine physical examinations or
tests or to protect the resident from falling out
of bed or to permit the resident to participate in
activities without the risk of physical harm to
the resident (such term does not include a phys-
ical escort); and
‘‘(B) a drug or medication that is used as
a restraint to control behavior or restrict the
resident’s freedom of movement that is not a
standard treatment for the resident’s medical or
psychiatric condition.
‘‘(2) SECLUSION.—The term ‘seclusion’ means a
behavior control technique involving locked isolation.
Such term does not include a time out.
‘‘(3) PHYSICAL ESCORT.—The term ‘physical es-
cort’ means the temporary touching or holding of the
hand, wrist, arm, shoulder or back for the purpose of
inducing a resident who is acting out to walk to a
safe location.
‘‘(4) TIME OUT.—The term ‘time out’ means a
behavior management technique that is part of an ap-
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proved treatment program and may involve the sepa-
ration of the resident from the group, in a non-locked
setting, for the purpose of calming. Time out is not
seclusion.
‘‘SEC. 592. REPORTING REQUIREMENT.
‘‘(a) IN GENERAL.— Each facility to which the Protec-
tion and Advocacy for Mentally Ill Individuals Act of 1986
applies shall notify the appropriate agency, as determined
by the Secretary, of each death that occurs at each such
facility while a patient is restrained or in seclusion, of each
death occurring within 24 hours after the patient has been
removed from restraints and seclusion, or where it is rea-
sonable to assume that a patient’s death is a result of such
seclusion or restraint. A notification under this section shall
include the name of the resident and shall be provided not
later than 7 days after the date of the death of the indi-
vidual involved.
‘‘(b) FACILITY.—In this section, the term ‘facility’ has
the meaning given the term ‘facilities’ in section 102(3) of
the Protection and Advocacy for Mentally Ill Individuals
Act of 1986 (42 U.S.C. 10802(3)).’’.
‘‘SEC. 593. REGULATIONS AND ENFORCEMENT.
‘‘(a) TRAINING.—Not later than 1 year after the date
of enactment of this part, the Secretary, after consultation
with appropriate State and local protection and advocacy
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organizations, physicians, facilities, and other health care
professionals and patients, shall promulgate regulations
that require facilities to which the Protection and Advocacy
for Mentally Ill Individuals Act of 1986 (42 U.S.C. 10801
et seq.) applies, to meet the requirements of subsection (b).
‘‘(b) REQUIREMENTS.—The regulations promulgated
under subsection (a) shall require that—
‘‘(1) facilities described in subsection (a) ensure
that there is an adequate number of qualified profes-
sional and supportive staff to evaluate patients, for-
mulate written individualized, comprehensive treat-
ment plans, and to provide active treatment meas-
ures;
‘‘(2) appropriate training be provided for the
staff of such facilities in the use of restraints and any
alternatives to the use of restraints; and
‘‘(3) such facilities provide complete and accu-
rate notification of deaths, as required under section
592(a).
‘‘(c) ENFORCEMENT.—A facility to which this part ap-
plies that fails to comply with any requirement of this part,
including a failure to provide appropriate training, shall
not be eligible for participation in any program supported
in whole or in part by funds appropriated to any Federal
department or agency.’’.
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‘‘(4) APPLICATION.—A State, political subdivi-
sion of a State, Indian tribe, tribal organization, or
nonprofit private entity that desires a grant under
this subsection shall submit an application to the Sec-
retary at such time, in such manner, and containing
such information as the Secretary may require, in-
cluding a plan for the rigorous evaluation of activi-
ties that are carried out with funds received under a
grant under this subsection.
‘‘(5) USE OF FUNDS.—A State, political subdivi-
sion of a State, Indian tribe, tribal organization, or
nonprofit private entity receiving a grant under this
subsection shall use funds from such grant to—
‘‘(A) train teachers and other relevant
school personnel to recognize symptoms of child-
hood and adolescent mental disorders and appro-
priately respond;
‘‘(B) train emergency services personnel to
identify and appropriately respond to persons
with a mental illness; and
‘‘(C) provide education to such teachers and
personnel regarding resources that are available
in the community for individuals with a mental
illness.