H. R. 4365—67
‘‘(F) members of the public having special expertise
about or concern with heritable disorders; and
‘‘(G) representatives from such Federal agencies, public
health constituencies, and medical professional societies
as determined to be necessary by the Secretary, to fulfill
the duties of the Advisory Committee, as established under
subsection (b).’’.
TITLE XXVII—PEDIATRIC RESEARCH
PROTECTIONS
SEC. 2701. REQUIREMENT FOR ADDITIONAL PROTECTIONS FOR CHIL-
DREN INVOLVED IN RESEARCH.
Notwithstanding any other provision of law, not later than
6 months after the date of the enactment of this Act, the Secretary
of Health and Human Services shall require that all research
involving children that is conducted, supported, or regulated by
the Department of Health and Human Services be in compliance
with subpart D of part 46 of title 45, Code of Federal Regulations.
TITLE XXVIII—MISCELLANEOUS
PROVISIONS
SEC. 2801. REPORT REGARDING RESEARCH ON RARE DISEASES IN
CHILDREN.
Not later than 180 days after the date of the enactment of
this Act, the Director of the National Institutes of Health shall
submit to the Congress a report on—
(1) the activities that, during fiscal year 2000, were con-
ducted and supported by such Institutes with respect to rare
diseases 
in 
children, 
including 
Friedreich’s 
ataxia 
and
Hutchinson-Gilford progeria syndrome; and
(2) the activities that are planned to be conducted and
supported by such Institutes with respect to such diseases
during the fiscal years 2001 through 2005.
SEC. 2802. STUDY ON METABOLIC DISORDERS.
(a) IN GENERAL.—The Secretary of Health and Human Services
(in this section referred to as the ‘‘Secretary’’) shall, in consultation
with relevant experts or through the Institute of Medicine, study
issues related to treatment of PKU and other metabolic disorders
for children, adolescents, and adults, and mechanisms to assure
access to effective treatment, including special diets, for children
and others with PKU and other metabolic disorders. Such mecha-
nisms shall be evidence-based and reflect the best scientific knowl-
edge regarding effective treatment and prevention of disease
progression.
(b) DISSEMINATION OF RESULTS.—Upon completion of the study
referred to in subsection (a), the Secretary shall disseminate and
otherwise make available the results of the study to interested
groups and organizations, including insurance commissioners,
employers, private insurers, health care professionals, State and
local public health agencies, and State agencies that carry out
the Medicaid program under title XIX of the Social Security Act
H. R. 4365—68
or the State children’s health insurance program under title XXI
of such Act.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated to carry out this section such sums as may
be necessary for each of the fiscal years 2001 through 2003.
TITLE XXIX—EFFECTIVE DATE
SEC. 2901. EFFECTIVE DATE.
This division and the amendments made by this division take
effect October 1, 2000, or upon the date of the enactment of this
Act, whichever occurs later.
DIVISION B—YOUTH DRUG AND
MENTAL HEALTH SERVICES
SEC. 3001. SHORT TITLE.
This division may be cited as the ‘‘Youth Drug and Mental
Health Services Act’’.
TITLE XXXI—PROVISIONS RELATING TO
SERVICES FOR CHILDREN AND ADO-
LESCENTS
SEC. 3101. CHILDREN AND VIOLENCE.
Title V of the Public Health Service Act (42 U.S.C. 290aa
et seq.) is amended by adding at the end the following:
‘‘PART G—PROJECTS FOR CHILDREN AND VIOLENCE
‘‘SEC. 581. CHILDREN AND VIOLENCE.
‘‘(a) IN GENERAL.—The Secretary, in consultation with the Sec-
retary of Education and the Attorney General, shall carry out
directly or through grants, contracts or cooperative agreements
with public entities a program to assist local communities in devel-
oping ways to assist children in dealing with violence.
‘‘(b) ACTIVITIES.—Under the program under subsection (a), the
Secretary may—
‘‘(1) provide financial support to enable local communities
to implement programs to foster the health and development
of children;
‘‘(2) provide technical assistance to local communities with
respect to the development of programs described in paragraph
(1);
‘‘(3) provide assistance to local communities in the develop-
ment of policies to address violence when and if it occurs;
‘‘(4) assist in the creation of community partnerships among
law enforcement, education systems and mental health and
substance abuse service systems; and
‘‘(5) establish mechanisms for children and adolescents to
report incidents of violence or plans by other children or adoles-
cents to commit violence.
H. R. 4365—69
‘‘(c) REQUIREMENTS.—An application for a grant, contract or
cooperative agreement under subsection (a) shall demonstrate
that—
‘‘(1) the applicant will use amounts received to create a
partnership described in subsection (b)(4) to address issues
of violence in schools;
‘‘(2) the activities carried out by the applicant will provide
a comprehensive method for addressing violence, that will
include—
‘‘(A) security;
‘‘(B) educational reform;
‘‘(C) the review and updating of school policies;
‘‘(D) alcohol and drug abuse prevention and early inter-
vention services;
‘‘(E) mental health prevention and treatment services;
and
‘‘(F) early childhood development and psychosocial
services; and
‘‘(3) the applicant will use amounts received only for the
services described in subparagraphs (D), (E), and (F) of para-
graph (2).
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary shall ensure
that grants, contracts or cooperative agreements under subsection
(a) will be distributed equitably among the regions of the country
and among urban and rural areas.
‘‘(e) DURATION OF AWARDS.—With respect to a grant, contract
or cooperative agreement under subsection (a), the period during
which payments under such an award will be made to the recipient
may not exceed 5 years.
‘‘(f ) EVALUATION.—The Secretary shall conduct an evaluation
of each project carried out under this section and shall disseminate
the results of such evaluations to appropriate public and private
entities.
‘‘(g) INFORMATION AND EDUCATION.—The Secretary shall estab-
lish comprehensive information and education programs to dissemi-
nate the findings of the knowledge development and application
under this section to the general public and to health care profes-
sionals.
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There is authorized
to be appropriated to carry out this section, $100,000,000 for fiscal
year 2001, and such sums as may be necessary for each of fiscal
years 2002 and 2003.
‘‘SEC. 582. GRANTS TO ADDRESS THE PROBLEMS OF PERSONS WHO
EXPERIENCE VIOLENCE RELATED STRESS.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts
or cooperative agreements to public and nonprofit private entities,
as well as to Indian tribes and tribal organizations, for the purpose
of developing programs focusing on the behavioral and biological
aspects of psychological trauma response and for developing knowl-
edge with regard to evidence-based practices for treating psychiatric
disorders of children and youth resulting from witnessing or experi-
encing a traumatic event.
‘‘(b) PRIORITIES.—In awarding grants, contracts or cooperative
agreements under subsection (a) related to the development of
knowledge on evidence-based practices for treating disorders associ-
ated with psychological trauma, the Secretary shall give priority
H. R. 4365—70
to mental health agencies and programs that have established
clinical and basic research experience in the field of trauma-related
mental disorders.
‘‘(c) GEOGRAPHICAL DISTRIBUTION.—The Secretary shall ensure
that grants, contracts or cooperative agreements under subsection
(a) with respect to centers of excellence are distributed equitably
among the regions of the country and among urban and rural
areas.
‘‘(d) EVALUATION.—The Secretary, as part of the application
process, shall require that each applicant for a grant, contract
or cooperative agreement under subsection (a) submit a plan for
the rigorous evaluation of the activities funded under the grant,
contract or agreement, including both process and outcomes evalua-
tion, and the submission of an evaluation at the end of the project
period.
‘‘(e) DURATION OF AWARDS.—With respect to a grant, contract
or cooperative agreement under subsection (a), the period during
which payments under such an award will be made to the recipient
may not exceed 5 years. Such grants, contracts or agreements
may be renewed.
‘‘(f ) AUTHORIZATION OF APPROPRIATIONS.—There is authorized
to be appropriated to carry out this section, $50,000,000 for fiscal
year 2001, and such sums as may be necessary for each of fiscal
years 2002 and 2003.’’.
SEC. 3102. EMERGENCY RESPONSE.
Section 501 of the Public Health Service Act (42 U.S.C. 290aa)
is amended—
(1) by redesignating subsection (m) as subsection (o);
(2) by inserting after subsection (l) the following:
‘‘(m) EMERGENCY RESPONSE.—
‘‘(1) IN GENERAL.—Notwithstanding section 504 and except
as provided in paragraph (2), the Secretary may use not to
exceed 2.5 percent of all amounts appropriated under this title
for a fiscal year to make noncompetitive grants, contracts or
cooperative agreements to public entities to enable such entities
to address emergency substance abuse or mental health needs
in local communities.
‘‘(2) EXCEPTIONS.—Amounts appropriated under part C
shall not be subject to paragraph (1).
‘‘(3) EMERGENCIES.—The Secretary shall establish criteria
for determining that a substance abuse or mental health emer-
gency exists and publish such criteria in the Federal Register
prior to providing funds under this subsection.
‘‘(n) LIMITATION ON THE USE OF CERTAIN INFORMATION.—No
information, if an establishment or person supplying the informa-
tion or described in it is identifiable, obtained in the course of
activities undertaken or supported under section 505 may be used
for any purpose other than the purpose for which it was supplied
unless such establishment or person has consented (as determined
under regulations of the Secretary) to its use for such other purpose.
Such information may not be published or released in other form
if the person who supplied the information or who is described
in it is identifiable unless such person has consented (as determined
under regulations of the Secretary) to its publication or release
in other form.’’; and
H. R. 4365—71
(3) in subsection (o) (as so redesignated), by striking ‘‘1993’’
and all that follows through the period and inserting ‘‘2001,
and such sums as may be necessary for each of the fiscal
years 2002 and 2003.’’.
SEC. 3103. HIGH RISK YOUTH REAUTHORIZATION.
Section 517(h) of the Public Health Service Act (42 U.S.C.
290bb–23(h)) is amended by striking ‘‘$70,000,000’’ and all that
follows through ‘‘1994’’ and inserting ‘‘such sums as may be nec-
essary for each of the fiscal years 2001 through 2003’’.
SEC. 3104. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN
AND ADOLESCENTS.
(a) SUBSTANCE ABUSE TREATMENT SERVICES.—Subpart 1 of part
B of title V of the Public Health Service Act (42 U.S.C. 290bb
et seq.) is amended by adding at the end the following:
‘‘SEC. 514. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN
AND ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts,
or cooperative agreements to public and private nonprofit entities,
including Native Alaskan entities and Indian tribes and tribal
organizations, for the purpose of providing substance abuse treat-
ment services for children and adolescents.
‘‘(b) PRIORITY.—In awarding grants, contracts, or cooperative
agreements under subsection (a), the Secretary shall give priority
to applicants who propose to—
‘‘(1) apply evidenced-based and cost effective methods for
the treatment of substance abuse among children and adoles-
cents;
‘‘(2) coordinate the provision of treatment services with
other social service agencies in the community, including edu-
cational, juvenile justice, child welfare, and mental health agen-
cies;
‘‘(3) provide a continuum of integrated treatment services,
including case management, for children and adolescents with
substance abuse disorders and their families;
‘‘(4) provide treatment that is gender-specific and culturally
appropriate;
‘‘(5) involve and work with families of children and adoles-
cents receiving treatment;
‘‘(6) provide aftercare services for children and adolescents
and their families after completion of substance abuse treat-
ment; and
‘‘(7) address the relationship between substance abuse and
violence.
‘‘(c) DURATION OF GRANTS.—The Secretary shall award grants,
contracts, or cooperative agreements under subsection (a) for periods
not to exceed 5 fiscal years.
‘‘(d) APPLICATION.—An entity desiring a grant, contract, or
cooperative agreement under subsection (a) shall submit an applica-
tion to the Secretary at such time, in such manner, and accompanied
by such information as the Secretary may reasonably require.
‘‘(e) EVALUATION.—An entity that receives a grant, contract,
or cooperative agreement under subsection (a) shall submit, in
the application for such grant, contract, or cooperative agreement,
a plan for the evaluation of any project undertaken with funds
provided under this section. Such entity shall provide the Secretary
H. R. 4365—72
with periodic evaluations of the progress of such project and such
evaluation at the completion of such project as the Secretary deter-
mines to be appropriate.
‘‘(f ) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated to carry out this section, $40,000,000 for fiscal
year 2001, and such sums as may be necessary for fiscal years
2002 and 2003.
‘‘SEC. 514A. EARLY INTERVENTION SERVICES FOR CHILDREN AND
ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts,
or cooperative agreements to public and private nonprofit entities,
including local educational agencies (as defined in section 14101
of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
8801)), for the purpose of providing early intervention substance
abuse services for children and adolescents.
‘‘(b) PRIORITY.—In awarding grants, contracts, or cooperative
agreements under subsection (a), the Secretary shall give priority
to applicants who demonstrate an ability to—
‘‘(1) screen for and assess substance use and abuse by
children and adolescents;
‘‘(2) make appropriate referrals for children and adolescents
who are in need of treatment for substance abuse;
‘‘(3) provide early intervention services, including coun-
seling and ancillary services, that are designed to meet the
developmental needs of children and adolescents who are at
risk for substance abuse; and
‘‘(4) develop networks with the educational, juvenile justice,
social services, and other agencies and organizations in the
State or local community involved that will work to identify
children and adolescents who are in need of substance abuse
treatment services.
‘‘(c) CONDITION.—In awarding grants, contracts, or cooperative
agreements under subsection (a), the Secretary shall ensure that
such grants, contracts, or cooperative agreements are allocated,
subject to the availability of qualified applicants, among the prin-
cipal geographic regions of the United States, to Indian tribes
and tribal organizations, and to urban and rural areas.
‘‘(d) DURATION OF GRANTS.—The Secretary shall award grants,
contracts, or cooperative agreements under subsection (a) for periods
not to exceed 5 fiscal years.
‘‘(e) APPLICATION.—An entity desiring a grant, contract, or
cooperative agreement under subsection (a) shall submit an applica-
tion to the Secretary at such time, in such manner, and accompanied
by such information as the Secretary may reasonably require.
‘‘(f ) EVALUATION.—An entity that receives a grant, contract,
or cooperative agreement under subsection (a) shall submit, in
the application for such grant, contract, or cooperative agreement,
a plan for the evaluation of any project undertaken with funds
provided under this section. Such entity shall provide the Secretary
with periodic evaluations of the progress of such project and such
evaluation at the completion of such project as the Secretary deter-
mines to be appropriate.
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There are authorized
to be appropriated to carry out this section, $20,000,000 for fiscal
year 2001, and such sums as may be necessary for fiscal years
2002 and 2003.’’.
H. R. 4365—73
(b) YOUTH INTERAGENCY CENTERS.—Subpart 3 of part B of
title V of the Public Health Service Act (42 U.S.C. 290bb–31 et
seq.) is amended by adding the following:
‘‘SEC. 520C. YOUTH INTERAGENCY RESEARCH, TRAINING, AND TECH-
NICAL ASSISTANCE CENTERS.
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting through the
Administrator of the Substance Abuse and Mental Health Services
Administration, and in consultation with the Administrator of the
Office of Juvenile Justice and Delinquency Prevention, the Director
of the Bureau of Justice Assistance and the Director of the National
Institutes of Health, shall award grants or contracts to public
or nonprofit private entities to establish not more than four
research, training, and technical assistance centers to carry out
the activities described in subsection (c).
‘‘(b) APPLICATION.—A public or private nonprofit entity desiring
a grant or contract under subsection (a) shall prepare and submit
an application to the Secretary at such time, in such manner,
and containing such information as the Secretary may require.
‘‘(c) AUTHORIZED ACTIVITIES.—A center established under a
grant or contract under subsection (a) shall—
‘‘(1) provide training with respect to state-of-the-art mental
health and justice-related services and successful mental health
and substance abuse-justice collaborations that focus on chil-
dren and adolescents, to public policymakers, law enforcement
administrators, public defenders, police, probation officers,
judges, parole officials, jail administrators and mental health
and substance abuse providers and administrators;
‘‘(2) engage in research and evaluations concerning State
and local justice and mental health systems, including system
redesign initiatives, and disseminate information concerning
the results of such evaluations;
‘‘(3) provide direct technical assistance, including assistance
provided through toll-free telephone numbers, concerning issues
such as how to accommodate individuals who are being proc-
essed through the courts under the Americans with Disabilities
Act of 1990 (42 U.S.C. 12101 et seq.), what types of mental
health or substance abuse service approaches are effective
within the judicial system, and how community-based mental
health or substance abuse services can be more effective,
including relevant regional, ethnic, and gender-related consider-
ations; and
‘‘(4) provide information, training, and technical assistance
to State and local governmental officials to enhance the capacity
of such officials to provide appropriate services relating to
mental health or substance abuse.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of
carrying out this section, there is authorized to be appropriated
$4,000,000 for fiscal year 2001, and such sums as may be necessary
for fiscal years 2002 and 2003.’’.
(c) PREVENTION OF ABUSE AND ADDICTION.—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 adding the following:
‘‘SEC. 519E. PREVENTION OF METHAMPHETAMINE AND INHALANT
ABUSE AND ADDICTION.
‘‘(a) GRANTS.—The Director of the Center for Substance Abuse
Prevention (referred to in this section as the ‘Director’) may make
H. R. 4365—74
grants to and enter into contracts and cooperative agreements with
public and nonprofit private entities to enable such entities—
‘‘(1) to carry out school-based programs concerning the dan-
gers of methamphetamine or inhalant abuse and addiction,
using methods that are effective 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 methamphetamine or
inhalant abuse and addiction prevention programs that are
effective and evidence-based.
‘‘(b) USE OF FUNDS.—Amounts made available under a grant,
contract or cooperative agreement under subsection (a) shall be
used for planning, establishing, or administering methamphetamine
or inhalant prevention programs in accordance with subsection
(c).
‘‘(c) PREVENTION PROGRAMS AND ACTIVITIES.—
‘‘(1) IN
GENERAL.—Amounts provided under this section
may be used—
‘‘(A) to carry out school-based programs that are
focused on those districts with high or increasing rates
of methamphetamine or inhalant abuse and addiction and
targeted at populations which are most at risk to start
methamphetamine or inhalant abuse;
‘‘(B) to carry out community-based prevention pro-
grams that are focused on those populations 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 inhalant prevention
activities;
‘‘(D) to train and educate State and local law enforce-
ment officials, prevention and education officials, members
of community anti-drug coalitions and parents on the signs
of methamphetamine or inhalant abuse and addiction and
the options for treatment and prevention;
‘‘(E) for planning, administration, and educational
activities related to the prevention of methamphetamine
or inhalant abuse and addiction;
‘‘(F) for the monitoring and evaluation of methamphet-
amine or inhalant prevention activities, and reporting and
disseminating resulting information to the public; and
‘‘(G) for targeted pilot programs with evaluation compo-
nents to encourage innovation and experimentation with
new methodologies.
‘‘(2) PRIORITY.—The Director shall give priority in making
grants under this section to rural and urban areas that are
experiencing a high rate or rapid increases in methamphet-
amine 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, acting in consultation with other
Federal agencies, to support and conduct periodic analyses
and evaluations of effective prevention programs for meth-
amphetamine or inhalant abuse and addiction and the develop-
ment of appropriate strategies for disseminating information
about and implementing these programs.
H. R. 4365—75
‘‘(2) ANNUAL REPORTS.—The Director shall submit to the
Committee on Health, Education, Labor, and Pensions and
the Committee on Appropriations of the Senate and the Com-
mittee on Commerce and Committee on Appropriations of the
House of Representatives, 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 DISTURBANCE.
(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 TERRITORIES.—Section
562 of the Public Health Service Act (42 U.S.C. 290ff–1) is amended
by adding at the end the following:
‘‘(g) WAIVERS.—The Secretary may waive one 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 Mar-
shall Islands, the Federated States of Micronesia, the Common-
wealth 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 restrictive environment that is clinically appro-
priate.’’.
(c) DURATION OF GRANTS.—Section 565(a) of the Public Health
Service Act (42 U.S.C. 290ff–4(a)) is amended 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 the enactment of this Act shall be eligible to receive
a sixth year of funding under the grant in an amount not
to exceed the amount that such grantee received in the fifth
year of funding under such grant. Such sixth year may be
funded without requiring 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 comply with the
provisions of section 561 as amended by subsection (a).
SEC. 3106. SERVICES FOR CHILDREN OF SUBSTANCE ABUSERS.
(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 ‘‘Administrator’’ and
all that follows through ‘‘Administration’’ and inserting
‘‘Administrator of the Substance Abuse and Mental Health
Services Administration’’; and
H. R. 4365—76
(B) in paragraph (2), by striking ‘‘Administrator of
the Substance Abuse and Mental Health Services Adminis-
tration’’ 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 resource and sup-
port centers, the criminal justice system, health, substance
abuse and mental health providers through screenings con-
ducted 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, 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, Head
Start, schools and after-school programs, 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 entity’’ and
inserting ‘‘(i)(I) the entity’’;
(B) in clause (ii)—
(i) by striking ‘‘(ii) the entity’’ and inserting ‘‘(II)
the entity’’; and
(ii) by striking the period and inserting ‘‘; 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 prevention services.’’; and
(3) by inserting after paragraph (8), the following:
‘‘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 community who is supervised by
a professional, or by an entity, 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
licensure or certification requirements.’’.
H. R. 4365—78
and the State Interagency Coordinating Council under part
H of the Individuals with Disabilities 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(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 activities and decreased participation in
welfare programs.’’; 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 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 rec-
ommendations for removing the identified barriers, including
training for child welfare workers.’’.
( 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 ‘‘dan-
gerous’’.
(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 AMENDMENTS.—
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), respec-
tively;
(4) by inserting after subsection (c), the following:
H. R. 4365—79
‘‘(d) TRAINING FOR PROVIDERS OF SERVICES TO CHILDREN AND
FAMILIES.—The Secretary may make a grant under subsection (a)
for the training of 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
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 profes-
sionals 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 inserting ‘‘(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 Public Health
Service Act (42 U.S.C. 241 et seq.) is amended by striking the
heading of part L.
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 Juvenile 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 disturbances.
‘‘(b) USE OF FUNDS.—A State or local juvenile justice agency
receiving a grant under subsection (a) shall use the amounts pro-
vided 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;
‘‘(2) to provide a network of core or aftercare services or
access to such services for each youth offender, including diag-
nostic and evaluation services, substance abuse treatment serv-
ices, outpatient mental health care services, medication
management services, intensive home-based therapy, intensive
day treatment services, respite care, and therapeutic foster
care;
H. R. 4365—80
‘‘(3) to establish a program that coordinates with other
State and local agencies providing recreational, social, edu-
cational, 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 access all of the aforementioned services; and
‘‘(4) using not more than 20 percent of funds received,
to provide planning and transition services as described in
paragraph (3) for youth offenders while such youth are incarcer-
ated or detained.
‘‘(c) APPLICATION.—A State or local juvenile justice agency that
desires a grant under subsection (a) shall submit an application
to the Secretary at such time, in such manner, and accompanied
by such information as the Secretary may reasonably require.
‘‘(d) REPORT.—Not later than 3 years after the date of the
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 Representatives, 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
disorder that functionally impairs the offender’s life by substan-
tially limiting the offender’s role in family, school, or community
activities, and interfering with the offender’s ability to achieve
or maintain one 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 provision of serv-
ices for the youth offender by various State or local agencies
that in an interagency fashion or operating as a network
addresses the recreational, social, educational, vocational,
mental health, substance abuse, and operational needs of the
youth offender.
‘‘(3) YOUTH OFFENDER.—The term ‘youth offender’ 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 jurisdiction
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 adding at the
end the following:
H. R. 4365—81
‘‘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 and implement model
substance abuse prevention programs to provide early intervention
and substance abuse prevention 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 substance abuse
by individuals of high-risk families and reducing substance
abuse in communities of such individuals;
‘‘(2) have demonstrated the capacity to implement commu-
nity-based partnership initiatives that are sensitive to the
diverse backgrounds of individuals of high-risk families and
the communities of such individuals;
‘‘(3) have experience in providing technical assistance to
support substance abuse prevention programs that are commu-
nity-based;
‘‘(4) have demonstrated the capacity to implement research-
based substance abuse prevention strategies; and
‘‘(5) have implemented programs that involve families, resi-
dents, community agencies, and institutions in the implementa-
tion and design of such programs.
‘‘(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 inter-
vention 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 communities in which such chil-
dren reside;
‘‘(B) strengthen protective factors, such as—
‘‘(i) positive adult role models;
‘‘(ii) messages that oppose substance abuse;
‘‘(iii) community actions designed to reduce accessi-
bility to and use of illegal substances; and
‘‘(iv) willingness of individuals of families 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 likelihood of substance abuse; and
‘‘(D) build collaborative and formal partnerships
between community agencies, institutions, and businesses
to ensure that comprehensive high quality services are
provided, such as early childhood education, health care,
family support programs, parent education programs, and
home visits for infants.
H. R. 4365—82
‘‘(e) APPLICATION.—To be eligible to receive a grant under sub-
section (a), an applicant shall prepare and submit to the Secretary
an application that—
‘‘(1) describes a model substance abuse prevention 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 implementing such a
program.
‘‘(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-Federal 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 containing such information as the
Secretary may require, including 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 evaluations,
based in part on the reports submitted under subsection (g), to
determine the effectiveness of the programs funded under sub-
section (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 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 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 consumption by
individuals who have not attained the legal drinking age.
‘‘(b) ELIGIBILITY REQUIREMENTS.—To be eligible to receive an
award under subsection (a), an entity shall provide any assurances
to the Secretary which the Secretary may require, including that
the entity will—
H. R. 4365—83
‘‘(1) annually report to the Secretary on the effectiveness
of the prevention approaches implemented by the entity;
‘‘(2) use science based and age appropriate approaches;
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 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 such sums as may be necessary
for each of the fiscal years 2002 and 2003.’’.
SEC. 3110. SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYN-
DROME.
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 ALCOHOL SYN-
DROME.
‘‘(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 individuals diagnosed with fetal alcohol syndrome or
alcohol-related birth defects.
‘‘(b) USE OF FUNDS.—An award under subsection (a) may, sub-
ject 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 treat-
ment, if needed;
‘‘(5) coordinate services with other social programs
including social services, justice system, educational services,
health services, mental health and substance abuse services,
financial assistance programs, 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 individuals with
Fetal Alcohol Syndrome; and
H. R. 4365—84
‘‘(12) provide other services and programs, to the extent
authorized by the Secretary after consideration of recommenda-
tions made by the National Task Force on Fetal Alcohol Syn-
drome.
‘‘(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 coordi-
nated, comprehensive system of care for such individuals;
‘‘(2) demonstrate an established communication with other
social programs in the community including social services,
justice system, financial assistance programs, health services,
educational services, mental health and substance abuse serv-
ices, vocational 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 appropriate manner; and
‘‘(5) provide assurance that at the end of the 5-year award
period, other mechanisms will be identified 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 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 payments 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 disseminate 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 appro-
priated $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 appropriated under
paragraph (1) for a fiscal year, not less than $300,000 shall,
for purposes relating to fetal alcohol syndrome and alcohol-
related birth defects, be made available for collaborative, coordi-
nated interagency 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 Disease Control and Prevention, the
Department of Education, and the Department of Justice.
H. R. 4365—85
‘‘SEC. 519D. CENTERS OF EXCELLENCE ON SERVICES FOR INDIVIDUALS
WITH 
FETAL 
ALCOHOL 
SYNDROME 
AND 
ALCOHOL-
RELATED 
BIRTH 
DEFECTS 
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 four 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;
‘‘(2) identify communities which have an exemplary com-
prehensive system of care for such individuals 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 enforcement personnel,
judges, health professionals, persons working in financial assist-
ance programs, social service personnel, child welfare profes-
sionals, 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 authorized by
the Secretary after consideration of recommendations 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 discov-
ered for preventing alcohol use among women of child bearing
years.
‘‘(2) DISSEMINATION
OF
FINDINGS.—The Secretary 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 payments 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 disseminate 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
H. R. 4365—86
$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:
‘‘SEC. 520E. SUICIDE PREVENTION FOR CHILDREN AND ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants, contracts,
or cooperative agreements to States, political subdivisions of States,
Indian tribes, tribal organizations, public organizations, or private
nonprofit organizations to establish programs to reduce suicide
deaths in the United States among children and adolescents.
‘‘(b) COLLABORATION.—In carrying out subsection (a), the Sec-
retary shall ensure that activities under this section are coordinated
among the Substance Abuse and Mental Health Services Adminis-
tration, 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 organization, or private
nonprofit organization desiring a grant, contract, or cooperative
agreement under this section shall demonstrate that the suicide
prevention program such entity proposes will—
‘‘(1) provide for the timely assessment, treatment, or
referral for mental health or substance abuse services of chil-
dren and adolescents at risk for suicide;
‘‘(2) be based on best evidence-based, suicide prevention
practices and strategies that are adapted to the local commu-
nity;
‘‘(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 serv-
ices;
‘‘(4) be integrated into other systems in the community
that address the needs of children and adolescents including
the educational system, juvenile justice 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 disseminating 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 culturally com-
petent services, as needed;
‘‘(8) provide a plan for the evaluation of outcomes and
activities at the local level, according to standards established
by the Secretary, and agree to participate in a national evalua-
tion; and
‘‘(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.