Sec. 504. Residential treatment programs for pregnant and parenting women

1,319 words·~6 min read·/bill/114/s/2680/is/section-504

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Section 508 of the Public Health Service Act ( 42 U.S.C. 290bb–1 ) is amended— in the section heading, by striking and inserting postpartum ; parenting in subsection (a)— in the matter preceding paragraph (1)— by inserting (referred to in this section as the after Director ) Treatment ; by striking grants, and inserting grants, including the grants under subsection (r), ; by striking postpartum and inserting parenting ; and by striking for substance abuse and inserting for substance use disorders ; and in paragraph (1), by inserting or receive outpatient treatment services from after reside in ; in subsection (b)(2), by striking the services will be made available to each woman and inserting services will be made available to each woman and child ; in subsection (c)— in paragraph (1), by striking to the woman of the services and inserting of services for the woman and her child ; and in paragraph (2)— in subparagraph (A), by striking substance abuse and inserting substance use disorders ; and in subparagraph (B), by striking such abuse and inserting such a disorder ; in subsection (d)— in paragraph (3)(A), by striking maternal substance abuse and inserting a maternal substance use disorder ; by amending paragraph

(4)to read as follows: Providing therapeutic, comprehensive child care for children during the periods in which the woman is engaged in therapy or in other necessary health and rehabilitative activities. ; in paragraphs (9), (10), and (11), by striking women each place such term appears and inserting woman ; in paragraph (9), by striking units and inserting unit ; and in paragraph (11)— in subparagraph (A), by striking their children and inserting any child of such woman ; in subparagraph (B), by striking ; and and inserting a semicolon; in subparagraph (C), by striking the period and inserting ; and ; and by adding at the end the following: family reunification with children in kinship or foster care arrangements, where safe and appropriate. ; in subsection (e)— in paragraph (1)— in the matter preceding subparagraph (A), by striking substance abuse and inserting substance use disorders ; and in subparagraph (B), by striking substance abuse and inserting substance abuse disorders ; and in paragraph (2)— by striking

(A)Subject and inserting the following: Subject ; in subparagraph (B)— by striking (B)(i) In the case and inserting the following: In the case ; and by striking

(ii)A determination and inserting the following: A determination ; and by striking

(C)With respect and inserting the following: With respect ; in subsection (g)— by striking who are engaging in substance abuse and inserting who have a substance use disorder ; and by striking such abuse and inserting such disorder ; in subsection (h)(1), by striking postpartum and inserting parenting ; in subsection (j)— in the matter preceding paragraph (1), by striking to on and inserting to or on ; and in paragraph (3), by striking Office for and inserting Office of ; by amending subsection

(m)to read as follows: In making awards under subsection (a), the Director shall give priority to an applicant that agrees to use the award for a program serving an area that is a rural area, an area designated under section 332 by the Secretary as a health professional shortage area, or an area determined by the Director to have a shortage of family-based substance use disorder treatment options. ; in subsection (q)— in paragraph (3), by striking funding agreement under subsection

(a)and inserting funding agreement ; and in paragraph (4), by striking substance abuse and inserting a substance use disorder ; by redesignating subsection

(r)as subsection (s); by inserting after subsection

(q)the following: From amounts made available under subsection (s), the Director may carry out a pilot program under which the Director makes competitive grants to State substance abuse agencies to— enhance flexibility in the use of funds designed to support family-based services for pregnant and parenting women with a primary diagnosis of a substance use disorder, including an opioid use disorder; help State substance abuse agencies address identified gaps in services provided to such women along the continuum of care, including services provided to women in nonresidential based settings; and promote a coordinated, effective, and efficient State system managed by State substance abuse agencies by encouraging new approaches and models of service delivery that are evidence-based. Notwithstanding any other provisions of this section, in carrying out the pilot program under this subsection, the Director— shall require a State substance abuse agency to submit to the Director an application, in such form and manner and containing such information as specified by the Director, to be eligible to receive a grant under the program; shall identify, based on applications submitted under subparagraph (A), State substance abuse agencies that are eligible for such grants; shall require services proposed to be furnished through such a grant to support family-based treatment and other services for pregnant and parenting women with a primary diagnosis of a substance use disorder, including an opioid use disorder; shall not require that services furnished through such a grant be provided solely to women that reside in facilities; shall not require that grant recipients under the program make available all services described in subsection (d); and may waive the requirements of subsection (f), depending on the circumstances of the grantee. The Director shall specify minimum services required to be made available to eligible women through a grant awarded under the pilot program under this subsection. Notwithstanding any other provision of this section, such minimum services— shall include the requirements described in subsection (c); may include any of the services described in subsection (d); may include other services, as appropriate; and shall be based on the recommendations submitted under subparagraph (B). The Director shall consider recommendations from stakeholders, including State substance abuse agencies, health care providers, persons in recovery from substance a substance use disorder, and other appropriate individuals, for the minimum services described in subparagraph (A). Out of amounts made available to the Center for Behavioral Health Statistics and Quality, the Director of the Center for Behavioral Health Statistics and Quality, in cooperation with the Director of the Center for Substance Abuse Treatment and the recipients of grants under this subsection, shall conduct an evaluation of the pilot program, beginning one year after the date on which a grant is first awarded under this subsection. Not later than 120 days after the completion of the evaluation under subparagraph (A), 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 the Senate and the House of Representatives a report on such evaluation. The report to Congress under clause

(i)shall include, at a minimum, outcomes information from the pilot program under this section, 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 drugs approved by the Food and Drug Administration for the treatment of substance use disorders in combination with counseling, and other appropriate measures. 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 block grant for prevention and treatment of substance use disorders under subpart II of part B of title XIX with respect to the State. ; and in subsection (s), as so redesignated, by striking such sums as may be necessary to fiscal years 2001 through 2003. and inserting such sums as may be necessary for each of fiscal years 2017 through 2021. Of the amounts made available for a fiscal year pursuant to the previous sentence, not more than 25 percent of such amounts shall be made available for such fiscal year to carry out subsection (r). .

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42 USC 290bb–1

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Sec. 504

Residential treatment programs for pregnant and parenting women

Cite42 USC 290bb–1

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