Home > 106th Congressional Bills > S. 976 (is) To amend title V of the Public Health Service Act to focus the [Introduced in Senate] ...

S. 976 (is) To amend title V of the Public Health Service Act to focus the [Introduced in Senate] ...


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106th CONGRESS
  1st Session
                                 S. 976

_______________________________________________________________________

                                 AN ACT


 
    To amend title V of the Public Health Service Act to focus the 
      authority of the Substance Abuse and Mental Health Services 
      Administration on community-based services for children and 
 adolescents, to enhance flexibility and accountability, to establish 
  programs for youth treatment, and to respond to crises, especially 
                those related to children and violence.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Youth Drug and 
Mental Health Services Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
 TITLE I--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

Sec. 101. Children and violence.
Sec. 102. Emergency response.
Sec. 103. High risk youth reauthorization.
Sec. 104. Substance abuse treatment services for children and 
                            adolescents.
Sec. 105. Comprehensive community services for children with serious 
                            emotional disturbance.
Sec. 106. Services for children of substance abusers.
Sec. 107. Services for youth offenders.
Sec. 108. Grants for strengthening families through community 
                            partnerships.
Sec. 109. General provisions.
             TITLE II--PROVISIONS RELATING TO MENTAL HEALTH

Sec. 201. Priority mental health needs of regional and national 
                            significance.
Sec. 202. Grants for the benefit of homeless individuals.
Sec. 203. Projects for assistance in transition from homelessness.
Sec. 204. Community mental health services performance partnership 
                            block grant.
Sec. 205. Determination of allotment.
Sec. 206. Protection and Advocacy for Mentally Ill Individuals Act of 
                            1986.
Sec. 207. Requirement relating to the rights of residents of certain 
                            facilities.
           TITLE III--PROVISIONS RELATING TO SUBSTANCE ABUSE

Sec. 301. Priority substance abuse treatment needs of regional and 
                            national significance.
Sec. 302. Priority substance abuse prevention needs of regional and 
                            national significance.
Sec. 303. Substance abuse prevention and treatment performance 
                            partnership block grant.
Sec. 304. Determination of allotments.
Sec. 305. Nondiscrimination and institutional safeguards for religious 
                            providers.
Sec. 306. Alcohol and drug prevention or treatment services for Indians 
                            and Native Alaskans.
    TITLE IV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

Sec. 401. General authorities and peer review.
Sec. 402. Advisory councils.
Sec. 403. General provisions for the performance partnership block 
                            grants.
Sec. 404. Data infrastructure projects.
Sec. 405. Repeal of obsolete addict referral provisions.
Sec. 406. Individuals with co-occurring disorders.
Sec. 407. Services for individuals with co-occurring disorders.

 TITLE I--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

SEC. 101. 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 
Secretary 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 developing 
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 
        development of policies to address violence when and if it 
        occurs; and
            ``(4) assist in the creation of community partnerships 
        among law enforcement, education systems and mental health and 
        substance abuse service systems.
    ``(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 
                intervention 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 
        paragraph (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 establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this 
section to the general public and to health care professionals.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $100,000,000 for fiscal year 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.

``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 
establishing a national and regional centers of excellence on 
psychological trauma response and for developing knowledge with regard 
to evidence-based practices for treating psychiatric disorders 
resulting from witnessing or experiencing such stress.
    ``(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 associated with 
psychological trauma, the Secretary shall give priority to programs 
that work with children, adolescents, adults, and families who are 
survivors and witnesses of domestic, school and community violence and 
terrorism.
    ``(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 evaluation, 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 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.''.

SEC. 102. 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 3 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 
        emergency 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 information or 
described in it is identifiable, obtained in the course of activities 
undertaken or supported under this title 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
            (3) in subsection (o) (as so redesignated), by striking 
        ``1993'' and all that follows through the period and inserting 
        ``2000, and such sums as may be necessary for each of the 
        fiscal years 2001 and 2002.''.

SEC. 103. 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 necessary for each 
of the fiscal years 2000 through 2002''.

SEC. 104. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN AND 
              ADOLESCENTS.

    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 treatment 
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 
        adolescents;
            ``(2) coordinate the provision of treatment services with 
        other social service agencies in the community, including 
        educational, juvenile justice, child welfare, and mental health 
        agencies;
            ``(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 
        adolescents receiving treatment;
            ``(6) provide aftercare services for children and 
        adolescents and their families after completion of substance 
        abuse treatment; 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 application 
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 with periodic 
evaluations of the progress of such project and such evaluation at the 
completion of such project as the Secretary determines to be 
appropriate.
    ``(f) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $40,000,000 for fiscal year 
2000, and such sums as may be necessary for fiscal years 2001 and 2002.

``SEC. 514A. EARLY INTERVENTION SERVICES FOR CHILDREN AND ADOLESCENTS.

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