IIB 
114TH CONGRESS 
2D SESSION 
H. R. 3691 
IN THE SENATE OF THE UNITED STATES 
MAY 12, 2016 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend the Public Health Service Act to reauthorize the 
residential 
treatment 
programs 
for 
pregnant 
and 
postpartum women and to establish a pilot program to 
provide grants to State substance abuse agencies to pro-
mote innovative service delivery models for such women. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Improving Treatment 
for Pregnant and Postpartum Women Act of 2016’’. 
SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT 
PROGRAMS 
FOR 
PREGNANT 
AND 
POSTPARTUM WOMEN. 
Section 508 of the Public Health Service Act (42 
U.S.C. 290bb–1) is amended— 
(1) in subsection (p), in the first sentence, by 
inserting ‘‘(other than subsection (r))’’ after ‘‘sec-
tion’’; and 
(2) in subsection (r), by striking ‘‘such sums’’ 
and all that follows through ‘‘2003’’ and inserting 
‘‘$16,900,000 for each of fiscal years 2017 through 
2021’’. 
SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 
ABUSE AGENCIES. 
(a) IN GENERAL.—Section 508 of the Public Health 
Service Act (42 U.S.C. 290bb–1) is amended— 
(1) by redesignating subsection (r), as amended 
by section 2, as subsection (s); and 
(2) by inserting after subsection (q) the fol-
lowing new subsection: 
‘‘(r) PILOT
PROGRAM
FOR
STATE
SUBSTANCE 
ABUSE AGENCIES.— 
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‘‘(1) IN GENERAL.—From amounts made avail-
able under subsection (s), the Director of the Center 
for Substance Abuse Treatment shall carry out a 
pilot program under which competitive grants are 
made by the Director to State substance abuse agen-
cies to— 
‘‘(A) enhance flexibility in the use of funds 
designed to support family-based services for 
pregnant and postpartum women with a pri-
mary diagnosis of a substance use disorder, in-
cluding opioid use disorders; 
‘‘(B) help State substance abuse agencies 
address identified gaps in services furnished to 
such women along the continuum of care, in-
cluding services provided to women in nonresi-
dential based settings; and 
‘‘(C) promote a coordinated, effective, and 
efficient State system managed by State sub-
stance abuse agencies by encouraging new ap-
proaches and models of service delivery. 
‘‘(2) REQUIREMENTS.—In carrying out the 
pilot program under this subsection, the Director 
shall— 
‘‘(A) require State substance abuse agen-
cies to submit to the Director applications, in 
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such form and manner and containing such in-
formation as specified by the Director, to be eli-
gible to receive a grant under the program; 
‘‘(B) identify, based on such submitted ap-
plications, State substance abuse agencies that 
are eligible for such grants; 
‘‘(C) require services proposed to be fur-
nished through such a grant to support family- 
based treatment and other services for pregnant 
and postpartum women with a primary diag-
nosis of a substance use disorder, including 
opioid use disorders; 
‘‘(D) not require that services furnished 
through such a grant be provided solely to 
women that reside in facilities; 
‘‘(E) not require that grant recipients 
under the program make available through use 
of the grant all services described in subsection 
(d); and 
‘‘(F) consider not applying requirements 
described in paragraphs (1) and (2) of sub-
section (f) to applicants, depending on the cir-
cumstances of the applicant. 
‘‘(3) REQUIRED SERVICES.— 
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‘‘(A) IN
GENERAL.—The Director shall 
specify a minimum set of services required to be 
made available to eligible women through a 
grant awarded under the pilot program under 
this subsection. Such minimum set— 
‘‘(i) shall include requirements de-
scribed in subsection (c) and be based on 
the recommendations submitted under sub-
paragraph (B); and 
‘‘(ii) may be selected from among the 
services described in subsection (d) and in-
clude other services as appropriate. 
‘‘(B) STAKEHOLDER INPUT.—The Director 
shall convene and solicit recommendations from 
stakeholders, including State substance abuse 
agencies, health care providers, persons in re-
covery from substance abuse, and other appro-
priate individuals, for the minimum set of serv-
ices described in subparagraph (A). 
‘‘(4) DURATION.—The pilot program under this 
subsection shall not exceed 5 years. 
‘‘(5) EVALUATION
AND
REPORT
TO
CON-
GRESS.—The Director of the Center for Behavioral 
Health Statistics and Quality shall fund an evalua-
tion of the pilot program at the conclusion of the 
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first grant cycle funded by the pilot program. The 
Director of the Center for Behavioral Health Statis-
tics and Quality, in coordination with the Director of 
the Center for Substance Abuse Treatment shall 
submit to the relevant committees of jurisdiction of 
the House of Representatives and the Senate a re-
port on such evaluation. The report shall include at 
a minimum outcomes information from the pilot pro-
gram, including any resulting reductions in the use 
of alcohol and other drugs; engagement in treatment 
services; retention in the appropriate level and dura-
tion of services; increased access to the use of medi-
cations approved by the Food and Drug Administra-
tion for the treatment of substance use disorders in 
combination with counseling; and other appropriate 
measures. 
‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE-
FINED.—For purposes of this subsection, the term 
‘State substance abuse agency’ means, with respect 
to a State, the agency in such State that manages 
the Substance Abuse Prevention and Treatment 
Block Grant under part B of title XIX.’’. 
(b) FUNDING.—Subsection (s) of section 508 of the 
Public Health Service Act (42 U.S.C. 290bb–1), as 
amended by section 2 and redesignated by subsection (a), 
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is further amended by adding at the end the following new 
sentence: ‘‘Of the amounts made available for a year pur-
suant to the previous sentence to carry out this section, 
not more than 25 percent of such amounts shall be made 
available for such year to carry out subsection (r), other 
than paragraph (5) of such subsection. Notwithstanding 
the preceding sentence, no funds shall be made available 
to carry out subsection (r) for a fiscal year unless the 
amount made available to carry out this section for such 
fiscal year is more than the amount made available to 
carry out this section for fiscal year 2016.’’. 
SEC. 4. CUT-GO COMPLIANCE. 
Subsection (f) of section 319D of the Public Health 
Service Act (42 U.S.C. 247d–4) is amended by striking 
‘‘through 
2018’’ 
and 
inserting 
‘‘through 
2016, 
$133,300,000 for fiscal year 2017, and $138,300,000 for 
fiscal year 2018’’. 
Passed the House of Representatives May 11, 2016. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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