Alcohol Abuse, Drug Abuse, and Mental Health Amendments of 1984
PL 98-509 (S.2303), enacted 10/19/1984

PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2353 
Public Law 98-509 
98th Congress 
An Act 
To amend the Public Health Service Act to revise and extend the authorities of that 
Act for assistance for alcohol and drug abuse and mental health services. 
Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, That (a) this Act 
may be cited as the "Alcohol Abuse, Drug Abuse, and Mental 
Health Amendments of 1984". 
(b) Except as otherwise specifically provided, whenever in this Act 
an amendment or repeal is expressed in terms of an amendment to, 
or repeal of, a section or other provision, the reference shall be 
considered to be made to a section or other provision of the Public 
Health Service Act. 
Oct. 19, 1984 
[S. 2303] 
Alcohol Abuse, 
Drug Abuse, and 
Mental Health 
Amendments of 
1984. 
42 u s e 201 note. 
TITLE I—AMENDMENTS TO TITLE XIX OF THE PUBLIC 
HEALTH SERVICE ACT 
SEC. 101. Section 1911 (42 U.S.C. BOOx) is amended by striking out 
"and" after "1983," and by inserting before the period a comma and 
the following: "$515,000,000 for fiscal year 1985, $545,000,000 for 
fiscal year 1986, and $576,000,000 for fiscal year 1987". 
SEC. 102. (a) Title XIX is amended by striking out section 1912 and 
inserting in lieu thereof the following: 
"GRANTS 
"SEC. 1912. (a) The Secretary may use not more than 1 percent of 
42 use 300x-i. 
the amount appropriated under section 1911 for any fiscal year to 
make grants to public and nonprofit private entities for projects for 
the training and retraining of employees adversely affected by 
changes in the delivery of mental health services and for providing 
such employees assistance in securing employment. 
"(b) No grant may be made by the Secretary under subsection (a) 
unless an application therefor has been submitted to, and approved 
by, the Secretary. Such application shall be in such form, submitted 
in such manner, and contain and be accompanied by such informa-
tion, as the Secretary may specify. No such application may be 
approved unless it contains assurances that the applicant will use 
the funds provided only for the purposes specified in the approved 
application and will establish such fiscal control and fund account-
ing procedures as may be necessary to assure proper disbursement 
and accounting of Federal funds paid to the applicant under sub-
section (a). 
"ALLOTMENTS 
"SEC. 1913. (a)(1) If the amount available for allotment from 
42 use 300x-ia. 
appropriations under section 1911 for a fiscal year does not exceed 
$490,000,000, the Secretary shall allot such amount— 
98 STAT. 2354 
PUBLIC LAW 98-509—OCT. 19, 1984 
"(A) on the basis of a formula prescribed by the Secretary 
which is based equally— 
"(i) on the population of each State, and 
"(ii) the population of each State weighted by its relative 
per capita income, or 
"(B) on the basis of the amount received by a State in fiscal 
year 1984, 
whichever yields a higher amount. For purposes of subparagraph 
(A), the term 'relative per capita income' means the quotient of the 
per capita income of the United States and the per capita income of 
the State, except that if the State is Guam, American Samoa, the 
Commonwealth of the Northern Mariana Islands, the Trust Terri-
tory of the Pacific Islands, the Commonwealth of Puerto Rico, or the 
Virgin Islands, the quotient shall be considered to be one. 
"(2) If the amount available for allotment from appropriations 
42USC300X. 
under section 1911 for a fiscal year is at least $490,000,000, the 
Secretary shall allot $490,000,000 in accordance with paragraph (1) 
and shall allot the amount which is in excess of such amount on the 
basis of the formula described in paragraph (IXA). 
"(3) Notwithstanding paragraph (1), if the aggregate of the 
amounts to be allotted to each State pursuant to paragraph (IXB) in 
any fiscal year exceeds the total amount available for allotment 
from appropriations under section 1911, the amount to be allotted to 
a State for such fiscal year shall be an amount which bears the same 
ratio to the amount which is to be allotted to the State pursuant to 
such paragraph as the total amount available for allotment from 
appropriations under section 1911 bears to the total of the amount 
required to be appropriated and made available under such section 
for allotments to provide each State with the allotment required by 
such paragraph. 
"(4) To the extent that all the funds appropriated under section 
1911 for a fiscal year and available for allotment in such fiscal year 
are not otherwise allotted to States because— 
"(A) one or more States have not submitted an application or 
description of activities in accordance with section 1916 for the 
fiscal year; 
"(B) one or more States have notified the Secretary that they 
do not intend to use the full amount of their allotment; or 
"(C) some State allotments are offset or repaid under section 
1917(b)(3); 
such excess shall be allotted among each of the remaining States in 
proportion to the amount otherwise allotted to such States for the 
fiscal year without regard to this paragraph. 
Indians. 
"(b)(1) If the Secretary— 
"(A) receives a request from the governing body of an Indian 
tribe or tribal organization within any State that funds under 
this part be provided directly by the Secretary to such tribe or 
organization, and 
"(B) determines that the members of such tribe or tribal 
organization would be better served by means of grants made 
directly by the Secretary on this part, 
the Secretary shall reserve from amounts which would otherwise be 
allotted to such State under subsection (a) for the fiscal year the 
amount determined under paragraph (2). 
"(2) The Secretary shall reserve for the purpose of paragraph (1) 
from amounts that would otherwise be allotted to such State under 
subsection (a) an amount equal to the amount which bears the same 
PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2355 
ratio to the State's allotment for the fiscal year involved as the total 
amount provided or allotted for fiscal year 1980 by the Secretary to 
such tribe or tribal organization under— 
"(A) the Community Mental Health Centers Act, 
42 use 2681 
"(B) the Mental Health Systems Act, 
note. 
"(C) section 301 of this Act, 
42 use 940i 
"(D) sections 301 and 312 of the Comprehensive Alcohol Abuse 49 use 241 
and Alcoholism, Prevention, Treatment, and Rehabilitation Act 
of 1970, and 
42 use 4571, 
"(E) sections 409 and 410 of the Drug Abuse Prevention, 4578. 
Treatment, and Rehabilitation Act, 
21 use 1176 
bore to the total amount provided or allotted for such fiscal year by "ote, 1177. 
the Secretary to the State and entities (including Indian tribes and 
tribal organizations) in the State under such provisions of law. 
"(3) The amount reserved by the Secretary on the basis of a 
determination under this subsection shall be granted to the Indian 
tribe or tribal organization serving the individuals for whom such a 
determination has been made. 
"(4) In order for an Indian tribe or tribal organization to be 
eligible for a grant for a fiscal year under this subsection, it shall 
submit to the Secretary a plan for such fiscal year which meets such 
criteria as the Secretary may prescribe. 
"(5) The terms 'Indian tribe' and 'tribal organization' have the 
same meaning given such terms in section 40b) and section 4(c) of the 
Indian Self-Determination and Education Assistance Act.". 
25 use 450b. 
(bXD The Secretary of Health and Human Services shall enter 42 use 300x-ia 
into an agreement with a nongovernmental entity to review the note. 
allotment of funds to the States under part B of title XIX of the 
Public Health Service Act for the purpose of determining whether a 42 use 300x. 
formula for the allotment of funds under such part can be devised 
which is more equitable than the formula specified in section 1913 of 
such Act. In conducting such review, such entity shall consider— 42 use 300x-2. 
(A) the financial resources of the various States; 
(B) the populations of the States; 
(C) any relevant conditions or circumstances which have 
changed since the date of enactment of such part B; and 
(D) any other factor which the Secretary may consider 
appropriate. 
\K. J 
(2) In conducting the review required by paragraph (1), such entity 
shall consult with appropriate representatives of State and local 
governments. 
(3) By October 1,1986, the Secretary shall prepare and transmit to Report. 
the Congress a report concerning the review conducted under para-
graph (1) which includes such recommendations as the Secretary 
considers appropriate. 
SEC. 103. (a) Section 1915(cX6) (42 U.S.C. 300x-4(cX6)) is amended Post, p. 2359. 
by striking out subparagraphs (B) and (C) and inserting in lieu 
thereof the following: 
"(B) The State agrees to use 75 percent of the funds allotted to 
it under section 1913 for fiscal years beginning after fiscal year 
1984 for the mental health and alcohol and drug abuse activities 
prescribed by section 1915(a) as prescribed by subparagraph 
(A).". 
(b) Section 1915(c) is amended— 
(1) in paragraph (2) by striking out "fiscal years 1982, 1983, 
and 1984" and inserting in lieu thereof "fiscal years 1985, 1986, 
and 1987"; and 
98 STAT. 2356 
PUBLIC LAW 98-509—OCT. 19, 1984 
(2) by adding at the end thereof the following: 
Women. 
"(14) Of the amount allotted to a State under this part in any 
fiscal year, the State agrees to use not less than 5 percent of 
such amount to initiate and provide new alcohol and drug abuse 
services for women. 
"(15) Of the amounts to be used in any fiscal year for mental 
health activities, the State agrees to use not less than 10 percent 
of such amount to initiate and provide (A) new mental health 
services for severely disturbed children and adolescents, and (B) 
new comprehensive community mental health programs for 
underserved areas or for underserved populations.". 
Post, p. 2359. 
(d)(1) Section 1915 is amended by redesignating subsection (e) as 
42 use 300X-4. subsection (h) and by inserting after subsection (d) the following new 
Comprehensive 
subsections: 
P "• 
"(e) With amounts available under section 1915(a), the chief execu-
tive officer of a State may prepare and submit a comprehensive 
mental health plan which shall include^ 
"(1) an identification of the mental health service areas 
within the State and the agency responsible for the delivery and 
coordination of mental health services within the State; 
"(2) an identification of the need in each mental health 
service area of the State for mental health and related services, 
particularly the need for services to chronically mentally ill 
individuals, seriously mentally ill children, adolescents, and 
elderly individuals, and other identified populations; 
"(3) a description of the resources devoted to and activities to 
be carried out under the plan, including— 
"(A) a description of mental health activities (including 
activities for chronically mentally ill individuals) funded or 
supported under this Act, 
"(B) a description of mental health activities (including 
activities for chronically mentally ill individuals) funded or 
supported by State appropriations, 
"(C) a description of mental health and related support 
activities (including activities for chronically mentally ill 
individuals) funded under or supported through title XIX of 
42 use 1396. 
the Social Security Act and other programs of Federal 
assistance, and 
"(D) to the extent feasible, a description of mental health 
activities reimbursed or provided in the State by private 
third party insurers and local governments; 
"(4) the mental health prevention and treatment objectives to 
be achieved under the plan and a listing of the programs and 
resources to be used to meet such objectives; 
"(5) a strategy for the establishment and implementation for 
chronically mentally ill individuals of an organized community-
based system of care which shall provide for quantitative tar-
gets to be achieved in the implementation of the plan, including 
numbers of chronically mentally ill individuals residing in the 
areas to be served, a description of services to be provided to 
such individuals in gaining access to essential mental health 
services, and a description of medical and dental care and 
rehabilitation services and employment, housing, and other 
support services designed to enable such individuals to function 
outside of inpatient institutions to the maximum extent of their 
capabilities; 
PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2357 
Report. 
"(6) quantitative targets for provision of community-based 
mental health services for underserved populations, with par-
ticular emphasis on elderly individuals, children and adoles-
cents, and individuals residing in areas without adequate 
outpatient treatment facilities; and 
"(7) a method for the periodic evaluation of the plan's effec-
tiveness in meeting the objectives set forth in the plan. 
"(f) With amounts available under section 1915(a), the chief execu-
tive officer of the State may establish a State mental health services 
planning council which will— 
"(1) serve as an advocate for chronically mentally ill individ-
uals, seriously mentally ill children, adolescents, elderly indi-
viduals, and other individuals with mental illness or emotional 
problems, and 
"(2) monitor, review, and evaluate, not less often than annu-
ally, the allocation and adequacy of mental health services 
within the State. 
Such a council shall be made up of residents of the State and include 
in its membership representatives of the principal State agencies 
involved in mental health, higher education training facilities, and 
public and private entities concerned with the need, planning, 
operation, funding, and use of mental health and related services 
and activities. At least one half of the membership shall consist of 
individuals who are not State employees or providers of mental 
health services. 
"(g) The Secretary shall report annually to the Committee on 
Energy and Commerce of the House of Representatives and the 
Committee on Labor and Human Resources of the Senate on the 
new programs and services initiated and provided in accordance 
with paragraphs (14) and (15) of subsection (c). The report shall 
include a detailed description of such programs and services, an 
assessment of the adequacy of such programs and services in meet-
ing the alcohol and drug abuse treatment needs of women and the 
mental health needs of severely disturbed children and adolescents, 
and such other information, including legislative and administrative 
recommendations, as the Secretary deems appropriate.". 
(2) Section 1915(cX2) is amended by striking out "(e)" and inserting 
in lieu thereof "(h)". 
(3) Section 1915(c)(4)(C) is amended by inserting before the comma 
the following: "or psychosocial rehabilitation services". 
SEC. 104. (a) Section 1916(a) (42 U.S.C. 300x-5(a)) is amended by Post, p. 2359 
striking out "and (3)" and inserting in lieu thereof "(3) to furnish the 
Secretary a detailed description of the new programs and services 
initiated and provided in accordance with paragraphs (14) and (15) of 
section 1916(c), and (4)". 
(b) Paragraph (2) of section 1916(b) is amended to read as follows: 
"(2) Each State shall provide for one of the following: 
"(A) A financial and compliance audit of the funds provided 
the State under section 1914. Such audits shall be performed 
biennially, shall cover expenditures in each fiscal year, and 
shall be conducted in accordance with standards established by 
the Comptroller General for the audit of governmental organi-
zations, programs, activities, and functions. 
"(B) A single financial and compliance audit of each entity 
administering funds provided under section 1914. An audit of 
such an entity shall be conducted biennially, shall cover expend-
itures in each fiscal year, and shall be conducted in accordance 
Post, p. 2359. 
42 u s e 300X-4. 
Audits. 
42 u s e 300x-
Post, p. 2359. 
42 u s e 300X-3. 
98 STAT. 2358 
PUBLIC LAW 98-509—OCT. 19, 1984 
with standards of the Comptroller General referred to in sub-
paragraph (A). 
Report. 
Within 30 days after completion of an audit under subparagraph (A) 
Public 
or (B), a copy of the audit report shall be transmitted to the State 
availability. 
legislature and the Secretary and shall be made available for public 
inspection. For purposes of subparagraphs (A) and (B), the term 
'financial and compliance audit' means an audit to determine 
whether the financial statements of an audited entity present fairly 
the financial position and the results of financial operations in 
accordance with generally accepted accounting principles, and 
whether the entity has complied with laws and regulations that may 
have a material effect upon the financial statements.". 
Post, p. 2359. 
(c) Paragraph (6) of section 19160t)) is amended by striking out 
42 use 300X-5. 
"1983" and inserting in lieu thereof "1986". 
(d) Section 1916 is amended by adding at the end thereof the 
following new subsection: 
"(d) Tlie Secretary, in consultation with appropriate national 
organizations, shall develop model criteria and forms for the collec-
tion of data and information with respect to services provided under 
this part in order to enable States to share uniform data and 
information with respect to the provision of such services.". 
Post, p. 2359. 
SEC. 105. (a) Section 1920 is amended to read as follows: 
42 use 300X-9. 
"TECHNICAL ASSISTANCE; DATA COLLECTION 
"SEC. 1920. The Secretary, through the Administrator of the 
Alcohol, Drug Abuse, and Mental Health Administration, shall— 
"(1) provide technical assistance to States (including public 
and nonprofit private entities within States) with respect to 
42 use 300x. 
programs conducted under part B of title XIX; and 
"(2) conduct data collection activities with respect to such 
programs, including data collection activities concerning the 
t3rpes of alcoholism, alcohol abuse, drug abuse, and mental 
health treatment and prevention activities conducted under 
such part, the number and types of individuals receiving serv-
ices under such programs and activities, and the sources of 
funding (other than funding provided under such part) for such 
programs and activities.". 
42USe300x-3. 
(b) Section 1914(a) is amended— 
(1) by striking out paragraph (2), 
(2) by striking out "(1)", and 
(3) by redesignating subparagraphs (A) and (B) as paragraphs 
(1) and (2), respectively, and by redesignating clauses (i) through 
(v) as subparagraphs (A) through (E), respectively. 
42 use 300x, 
SEC. 106. (a) Sections 1911, 1913, 1914, 1915, 1916, and 1918 are 
300x-2—300X-5, each amended by striking out "1912" each place it occurs and 
300^-'^ 
mserting in lieu thereof "1913". 
42 use 300X-3, 
(b) Sections 1914,1915, and 1916 are each amended by striking out 
300X-5, 300-6. 
"1913" each place it occurs and inserting in lieu thereof "1914". 
(c) Sections 1913 and 1915 are each amended by striking out 
"1914" each place it appears and inserting in lieu thereof "1915". 
42USe300x-2, 
(d) Sections 1913, 1914, 1916, and 1917 are each amended by 
^OOx-S, 300x-5, 
striking out "1915" each place it occurs and inserting in lieu thereof 
oOOx-o. 
" I Q l f i " 
42 use 300X-1, 
(e) Sections 1912 and 1913 are each amended by striking out 
300x-2. 
"1916" each place it occurs and inserting in lieu thereof "1917". 
PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2359 
(f) Section 1915 is amended by striking out "1917" and inserting in 
lieu thereof "1918". 
(g) The section entitled "Pajonents Under Allotments to States" is 
redesignated as section 1914 and the existing section 1914 and 
sections 1915 through 1920 are redesignated as sections 1915 
through 1920A, respectively. 
(h) The sections of the Public Health Service Act amended by this 
section are sections of the Act as in effect on the day before the date 
of the enactment of this Act. 
SEC. 107. The amendments made by this title shall apply with 
respect to applications for allotments under part B of title XIX of 
the Public Health Service Act for fiscal years beginning after fiscal 
year 1984 and to allotments made under such part for such fiscal 
years. 
TITLE II—AMENDMENTS TO TITLE V OF THE PUBLIC 
HEALTH SERVICE ACT 
SEC. 201. (a) Section 501(c) is amended to read as follows: 
"(cXl) There is established the Alcohol, Drug Abuse, and Mental 
Health Advisory Board (hereinafter in this subsection referred to as 
the 'Board'). The Board shall— 
"(A) periodically assess the national needs for alcoholism, 
alcohol abuse, drug abuse, and mental health services and the 
extent to which those needs are being met by State, local, and 
private programs and programs receiving funds under this title 
and part B of title XIX, and 
"(B) provide advice to the Secretary and the Administrator 
respecting activities carried out under this title and part B of 
title XIX. 
"(2XA) The Board shall consist of fifteen members appointed by 
the Secretary and such ex officio members from the Nationed Insti-
tute on Alcohol Abuse £md Alcoholism, the National Institute on 
Drug Abuse, and the National Institute of Mental Health as the 
Secretary may designate. Of the members appointed to the Board, at 
least six members shedl represent State and private, nonprofit 
providers of prevention and treatment services for alcoholism, alco-
hol abuse, drug abuse, and mental illness, at least six members shall 
be individuals with expertise in public education and prevention 
services for alcoholism, alcohol abuse, drug abuse, and mental ill-
ness, and at least three members shall be appointed from members 
of the general public who are knowledgeable about alcoholism, alco-
hol abuse, drug abuse, and mental illness. 
"(B) The term of office of a member appointed to the Board is four 
years, except that of the members first appointed to the Board— 
"(i) five shall serve for terms of one year, 
"(ii) five shall serve for terms of two years, 
"(iii) five shall serve for terms of three years, 
as designated by the Secretary at the time of appointment. Any 
member appointed to fill a vacancy occurring before the expiration 
of the term for which the predecessor of such member was appointed 
shall be appointed only for the remainder of such term. A member 
may serve after the expiration of the member's term until the 
successor of the member has taken office. 
"(3XA) Except as provided in subparagraph (B), members of the 
Board shall (i) be paid not more than the daily equivalent of the 
annual rate of basic pay in effect for grade GS-18 of the General 
42 u s e 300X-4. 
42 u s e 300X-2. 
42 u s e 300X-4-
300X-9. 
42 u s e 300x 
note. 
Effective date. 
42 u s e 300x 
note. 
42 u s e 300x. 
42 u s e 290aa. 
Alcohol, Drug 
Abuse, and 
Mental Health 
Advisory Board, 
establishment. 
98 STAT. 2360 
PUBLIC LAW 98-509—OCT. 19, 1984 
5 u s e 5332 note. 
Report. 
42 u s e 290aa. 
Grants. 
42 u s e 290aa-2. 
42 u s e 290aa-3. 
Schedule for each day (including travel time) during which they are 
engaged in the actual performance of duties vested in the Board, 
and (ii) while away from their homes or regular places of business 
and while serving in the business of the Board, be entitled to receive 
transportation expenses as prescribed by section 5703 of title 5, 
United States Code. 
"(B) Members of the Board who are full-time officers or employees 
of the United States shall receive no additional pay, allowances, or 
benefits by reason of their service on the Board. 
"(4) The Board may appoint such staff personnel as the Board 
considers appropriate. 
"(5) The Secretary shall designate the chairman of the Board. 
"(6) The Board shall meet at least three times each calendar year. 
"(7) The Board shall report annually to the Committee on Energy 
and Commerce of the House of Representatives and the Committee 
on Labor and Human Resources of the Senate on its activities 
during the prior year and shall include in such report such recom-
mendations for legislation and administrative action as it deems 
appropriate.". 
(b) Section 501 is amended by inserting at the end the following: 
"(g) The Secretary, acting through the Administrator, shall make 
grants to schools of the health professions and schools of social work 
to support the training of students in such schools in the identifica-
tion £md treatment of alcohol and drug abuse. Grants under this 
subsection shall be made from funds available under this title and 
section 303. 
"(hXl) The Administrator may obtain (in accordance with section 
3109 of title 5, United States Code, but without regard to the 
limitation in such section on the number of days or the period of 
service) the services of not more than 20 experts or consultants who 
have scientific or professional qualifications. Such experts and con-
sultants shall be obtained for the Administration and for each of the 
research institutes under the Administration. 
"(2XA) Experts and consultants whose services are obtained under 
paragraph (1) shsdl be paid or reimbursed for their expenses associ-
ated with traveling to and from their assignment location in accord-
ance with sections 5724, 5724a(aXl), 5724a(aX3), and 5726(c) of title 5, 
United States Code. 
"(B) Expenses specified in subparagraph (A) may not be allowed in 
connection with the assignment of an expert or consultant whose 
services are obtained under paragraph (1), unless and until the 
expert or consultant agrees in writing to complete the entire period 
of assignment or one year, whichever is shorter, unless separated or 
reassigned for reasons beyond the control of the expert or consultant 
that are acceptable to the Secretary. If the expert or consultant 
violates the g^eement, the money spent by the United States for 
the expenses specified in subparagraph (A) is recoverable from the 
expert or consultant as a debt of the United States. The Secretary 
may waive in whole or in part a right of recovery under this 
subparagraph.". 
SEC. 202. Section 503 is amended by striking out subsection (d) and 
by redesignating subsection (e) as subsection (d). 
SEC. 203. Subsection (e) of section 504 is amended (1) by striking 
out "Minority C]!oncerns" each place it occurs and inserting in lieu 
thereof "Special Populations", and (2) by inserting "women and" 
before "minority" each place it occurs. 
PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2361 
SEC. 204. Section 504 is amended by adding at the end the 
42 use 290aa-3. 
following: 
"(f)(1) The Secretary, acting through the Director, may make 
Grants, 
grants to States, political subdivisions of States, and private non-
profit agencies for mental health services demonstration projects for 
the planning, coordination, and improvement of community services 
for chronically mentally ill individuals, seriously mentally disturbed 
children, and elderly individuals, and for the conduct of research 
concerning such services. 
"(2) The Secretary may make a grant under paragraph (1) for not 
more than three consecutive one-year periods, except that the Secre-
tary may waive the limitation of this paragraph with respect to a 
particular grant if the Secretary determines that extenuating cir-
cumstances exist which merit such waiver. 
"(3) For purposes of paragraphs (1) and (2) there are authorized to 
be appropriated $20,000,000 for each of the fiscal years 1985, 1986, 
and 1987. 
"(g) The Secretary, acting through the Director, may make grants 
to States for the purpose of developing State comprehensive mental 
health plans referred to in section 1915(e). 
SEC. 205. (a)(1) Section 510(b)(3) is amended (1) by striking out 
"and" at the end of subparagraph (F), (2) by striking out the period 
at the end of subparagraph (G) and inserting in lieu thereof ", and", 
and (3) by adding after subparagraph (G) the following: 
"(H) alcoholism and alcohol abuse among women.". 
(2) Section 515(a) is amended by adding at the end the following: 
"In making grants and contracts to carry out paragraphs (4) and (5), 
the Director shall give special consideration to projects relating to 
drug abuse among women.". 
(b)(1) Section 503(e) is amended (1) by striking out "and" at the 
end of paragraph (2), (2) by striking out the period at the end of 
paragraph (3) and inserting in lieu thereof "; and", and (3) by adding 
at the end the following: 
"(4) prepare for distribution announcements for television to 
educate the public concerning the dangers resulting from the 
consumption of drugs and, to the extent feasible, use appropri-
ate private organizations and business concerns in the prepara-
tion of such announcements.". 
(2) Section 502 is amended by adding at the end the following: 
"(e) The Secretary shall prepare for distribution announcements 
for television to educate the public concerning the dangers resulting 
from the consumption of alcoholic beverages and, to the extent 
feasible, use appropriate private organizations and business con-
cerns in the preparation of such announcements.". 
SEC. 206. (a) Section 512 Is redesignated as section 513 and subpart 
42 use 290bb-2. 
1 of part B of title V is amended by adding after section 511 the 
following new section: 
Ante, p. 2356. 
42 u s e 290bb. 
42 u s e 290CC. 
42 u s e 290aa-2. 
Public 
information. 
42 u s e 290aa-l. 
ALCOHOL ABUSE AND ALCOHOLISM DEMONSTRATION PROJECTS 
"SEC. 512. (a) The Secretary, through the Director, may make 
grants to public and nonprofit private entities to support projects— 
"(1) for the development and demonstration of methods for— 
"(A) the prevention of alcohol abuse, alcoholism, and 
other problems relating to the consumption of alcoholic 
beverages; and 
Grants. 
42 use 
290bb-la. 
98 STAT. 2362 
PUBLIC LAW 98-509—OCT. 19, 1984 
"(B) the treatment and rehabilitation of individuals suf-
fering from alcohol abuse, alcoholism, or other problems 
relating to the consumption of alcoholic beverages; and 
"(2XA) which emphasize the development and demonstration 
of new and improved methods of treatment, screening, early 
detection, referral, and diagnosis of individuals with a risk of 
developing alcohol abuse, alcoholism, or other problems relating 
to the consumption of alcoholic beverages; 
"(B) which emphasize the development and demonstration of 
new and improved methods of dissemination of knowledge con-
cerning projects supported under this section and methods de-
veloped or demonstrated under this section; and 
"(C) which emphasize the development and demonstration of 
new and improved methods for the dissemination to the general 
public of information on the importance of early detection and 
prevention of alcohol abuse, alcoholism, and other problems 
relating to the consumption of alcoholic beverages. 
"(b) A grant may be made under subsection (a) for a project which 
meets the requirements of subsection (a) and also deals with drug 
abuse. 
"(c) No entity may receive grants under subsection (a) for more 
than three years.". 
(b) Subpart 2 of part B is amended by adding after section 515 the 
following new section: 
Grants. 
Contracts with 
U.S. 
42 u s e 290CC-1. 
42 u s e 290bb. 
42 u s e 290cc. 
42 u s e 290bb-2. 
DRUG ABUSE DEMONSTRATION PROJECTS 
"SEC. 516. (a) The Secretary, through the National Institute on 
Drug Abuse, may make grants to and enter into contracts with 
individuals and public and nonprofit private entities to support 
projects— 
"(1) for the development and demonstration of methods for— 
"(A) the prevention of drug abuse and other problems 
relating to drug abuse, and 
"(B) the treatment and rehabilitation of individuals suf-
fering from drug abuse and other problems relating to the 
misuse of drugs; and 
"(2)(A) which emphasize the development and demonstration 
of new and improved methods of screening and early detection, 
referral, and diagnosis of individuals with a risk of drug abuse, 
"(B) which develop and evaluate new and improved tech-
niques of prevention and treatment services for use in States 
and local communities, and 
"(C) which emphasize the development and demonstration of 
new and improved methods for the dissemination of research 
findings and knowledge of effective strategies of early detection, 
prevention, and treatment of drug abuse. 
"(b) A grant or contract may be made under subsection (a) for a 
project which meets the requirements of subsection (a) and also 
deals with alcohol abuse and alcoholism. 
"(c) No entity may receive grants under subsection (a) for more 
than three years.". 
(c)(1) Section 510(a) is amended by striking out "demonstrations,". 
(2) Section 515(a) is amended by striking out "demonstrations,". 
SEC. 207. (a) The first sentence of section 513 (as so redesignated) is 
amended by striking out "and" after "1983" and inserting in lieu 
thereof a comma and by inserting a comma before the period at the 
PUBLIC LAW 98-509—OCT. 19, 1984 
98 STAT. 2363 
end and the following: "$52,000,000 for fiscal year 1985, and 
$61,000,000 for fiscal year 1986". 
(b) Section 515 is amended by striking out subsection (c) and 
subpart 2 of part B is amended by adding after the section added by 
section 206(b) of this Act the following: 
42 u s e 290CC. 
AUTHORIZATION OF APPROPRIATIONS 
"SEC. 517. There are authorized to carry out this subpart 
$68,000,000 for fiscal year 1985 and $74,000,000 for fiscal year 1986.". 
SEC. 208. By October 1, 1985, the Secretary of Health and Human 
Services shall prepare and transmit to the Congress a report which 
sets forth a comprehensive national plan to combat alcohol abuse 
and alcoholism. The report shall include— 
(1) a description of a model program for activities to be 
conducted by the States to combat alcohol abuse and alcoholism; 
(2) an analysis of the social and economic costs of alcoholism 
and alcohol abuse to the Nation, including amounts expended 
by public agencies and private organizations— 
(A) for the treatment of individuals for alcohol abuse and 
alcoholism, including a division of such amounts among the 
types of settings in which such treatment is provided; 
(B) for treatment of individuals for health problems re-
sulting from alcohol abuse and alcoholism; and 
(C) to meet other costs resulting from alcohol abuse and 
alcoholism, such as costs resulting from lost employee 
productivity; 
(3) an assessment of current treatment and rehabilitation 
needs and the current integration and financing of alcoholism 
treatment and rehabilitation into the Nation's health care 
system; 
(4) an assessment of personnel needs in the fields of research, 
treatment, rehabilitation, and prevention; 
(5) a statement of specific goals and objectives to meet the 
Nation's current treatment, rehabilitation, and personnel needs 
in the area of alcoholism and alcohol abuse and plans to meet 
those needs through specific modification of Federal, State, 
local, and private policies and regulations, including a specifica-
tion of recommendations for legislation— 
(A) to establish Federal programs and to provide Federal 
funds to encourage States to adopt and implement the 
model program described under paragraph (1); and 
(B) to modify programs and activities conducted, and 
services provided, under— 
(i) part B of title XIX of the Public Health Service 
Act* 
(ii) titles XVIII and XIX of the Social Security Act; 
(iii) chapter 89 of title 5, United States Code; and 
(iv) sections 1079 and 1080 of title 10, United States 
Code, 
in order to ensure appropriate cost-effective treatment and 
prevention of alcohol abuse and alcoholism; and 
(6) estimates of public and private resources needed to accom-
plish the goals and objectives referred to in paragraph (5) as 
well as resource savings that can be anticipated from achieving 
the national objectives. 
42 u s e 290CC-2. 
Report. 
42 u s e 300x. 
42 u s e 1395, 
1396. 
5 u s e 8901 et 
seq. 
98 STAT. 2364 
PUBLIC LAW 98-509—OCT. 19, 1984 
Regulations. 
Report. 
21 u s e 802 note. 
42 u s e 290aa. 
42 u s e 290dd, 
290dd-l. 
Repeal. 
TITLE III—OTHER AMENDMENTS 
SEC. 301. (a) Section 102(28) of the Controlled Substances Act (21 
U.S.C. 802) is amended by striking out "twenty-one" and inserting in 
lieu thereof "one hundred and eighty". 
O
t
>
) The Secretary of Health and Human Services shall, within 
ninety days of the date of the enactment of this Act, promulgate 
regulations for the administration of section 102(28) of the Con-
trolled Substances Act as amended by subsection (a) and shall 
include in the first report submitted under section 5050o) of the 
Public Health Service Act after the expiration of such ninety days 
the findings of the Secretary with respect to the effect of the 
amendment made by subsection (a). 
(c) Section 20t>) of the Alcohol and Drug Abuse Amendments of 
1983 (97 Stat. 181) is amended— 
(1) by striking out "210" in paragraph (2) and inserting in lieu 
thereof "201"; and 
(2) by striking out "201, 301" in paragraph (13) and inserting 
in lieu thereof "301, 201". 
(d) Title III of the Drug Abuse Prevention, Treatment, and Reha-
bilitation Act (21 U.S.C. 1161-1165) is repealed. 
SEC. 302. Section 217(a) (42 U.S.C. 218(a)) is amended by adding 
after the third sentence the following: "In the case of the National 
Advisory Council on Alcohol Abuse and Alcoholism, the Secretary 
shall assure that its membership is broadly representative of 
experts in the fields of prevention, research, and treatment of 
alcohol abuse, alcoholism, and rehabilitation of alcohol abusers.". 
Approved October 19, 1984. 
LEGISLATIVE HISTORY—S. 2303: 
HOUSE REPORT No. 98-1123 (eomm. of Oonference). 
SENATE REPORT No. 98-381 (Comm. on Labor and Human Resources). 
eONGRESSIONAL REOORD, Vol. 130 (1984): 
Apr. 26, considered and passed Senate. 
June 28, considered and passed House, amended. 
Oct. 4, Senate and House agreed to conference report.