[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3691 Reported in House (RH)]
<DOC>
Union Calendar No. 428
114th CONGRESS
2d Session
H. R. 3691
[Report No. 114-554]
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
promote innovative service delivery models for such women.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
October 6, 2015
Mr. Ben Ray Lujan of New Mexico (for himself, Mr. Tonko, Ms. Clarke of
New York, Ms. Matsui, and Mr. Cardenas) introduced the following bill;
which was referred to the Committee on Energy and Commerce
May 10, 2016
Additional sponsors: Mr. Pascrell, Mr. Ryan of Ohio, Mr. Rangel, Mr.
Hastings, Ms. McCollum, Ms. Michelle Lujan Grisham of New Mexico, Ms.
Kelly of Illinois, Ms. Schakowsky, Ms. Norton, Mr. Langevin, Mrs.
Watson Coleman, Mr. Kennedy, Mr. Takano, Mr. Higgins, Ms. Pingree, Mr.
Pocan, Ms. Slaughter, Mr. Young of Alaska, Mr. Walz, Mr. Cartwright,
Ms. Bonamici, Mr. Payne, Mr. Takai, Mr. Fattah, Mr. Larson of
Connecticut, Mr. Carson of Indiana, Mr. Cohen, Mr. Grayson, Mr. Kind,
Mr. Huffman, Mrs. Noem, Mr. Brady of Pennsylvania, Mr. Kilmer, and Mr.
Turner
May 10, 2016
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on October
6, 2015]
_______________________________________________________________________
A BILL
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
promote innovative service delivery models for such women.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
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 ``section''; 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 following new
subsection:
``(r) Pilot Program for State Substance Abuse Agencies.--
``(1) In general.--From amounts made available 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 agencies to--
``(A) enhance flexibility in the use of funds
designed to support family-based services for pregnant
and postpartum women with a primary diagnosis of a
substance use disorder, including opioid use disorders;
``(B) help State substance abuse agencies address
identified gaps in services furnished to such women
along the continuum of care, including services
provided to women in nonresidential based settings; and
``(C) promote a coordinated, effective, and
efficient State system managed by State substance abuse
agencies by encouraging new approaches and models of
service delivery.
``(2) Requirements.--In carrying out the pilot program
under this subsection, the Director shall--
``(A) require State substance abuse agencies to
submit to the Director applications, in such form and
manner and containing such information as specified by
the Director, to be eligible to receive a grant under
the program;
``(B) identify, based on such submitted
applications, State substance abuse agencies that are
eligible for such grants;
``(C) require services proposed to be furnished
through such a grant to support family-based treatment
and other services for pregnant and postpartum women
with a primary diagnosis 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 subsection (f) to
applicants, depending on the circumstances of the
applicant.
``(3) Required services.--
``(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 described
in subsection (c) and be based on the
recommendations submitted under subparagraph
(B); and
``(ii) may be selected from among the
services described in subsection (d) and
include 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 recovery from substance abuse,
and other appropriate individuals, for the minimum set
of services described in subparagraph (A).
``(4) Duration.--The pilot program under this subsection
shall not exceed 5 years.
``(5) Evaluation and report to congress.--The Director of
the Center for Behavioral Health Statistics and Quality shall
fund an evaluation of the pilot program at the conclusion of
the first grant cycle funded by the pilot program. The Director
of the Center for Behavioral Health Statistics 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
report on such evaluation. The report shall include at a
minimum outcomes information from the pilot program, including
any resulting reductions in the use of alcohol and other drugs;
engagement in treatment services; retention in the appropriate
level and duration of services; increased access to the use of
medications approved by the Food and Drug Administration for
the treatment of substance use disorders in combination with
counseling; and other appropriate measures.
``(6) State substance abuse agencies defined.--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), is further amended by adding at the end
the following new sentence: ``Of the amounts made available for a year
pursuant 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''.
Union Calendar No. 428
114th CONGRESS
2d Session
H. R. 3691
[Report No. 114-554]
_______________________________________________________________________
A BILL
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
promote innovative service delivery models for such women.
_______________________________________________________________________
May 10, 2016
Reported with an amendment, committed to the Committee of the Whole
House on the State of the Union, and ordered to be printed