Sec. 501. Improving treatment for pregnant and postpartum women
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Section 508 of the Public Health Service Act ( 42 U.S.C. 290bb–1 ) is amended— in subsection (a)— in the matter preceding paragraph (1)— by inserting (referred to in this section as the after Director ) Substance Abuse Treatment ; by striking grants, cooperative agreement, and inserting grants, including the grants under subsection (r), cooperative agreements ; 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 inserting and her children before the period at the end; in subsection (c)— in paragraph (1), by striking to the woman of the services and inserting of services for the woman and her children ; 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 use 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 (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. ; and 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 . Section 508 of the Public Health Service Act ( 42 U.S.C. 290bb–1 ), as amended by subsection (a), is further amended— in subsection (p), in the first sentence, by inserting (other than subsection (r)) after section ; and 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 . Section 508 of the Public Health Service Act ( 42 U.S.C. 290bb–1 ), as amended by subsections
(a)and (b), is further amended— by redesignating subsection (r), as amended by subsection (b), as subsection (s); and by inserting after subsection
(q)the following new subsection: 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 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; to 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 to promote a coordinated, effective, and efficient State system managed by State substance abuse agencies by encouraging new approaches and models of service delivery. In carrying out the pilot program under this subsection, the Director shall— 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; identify, based on such submitted applications, State substance abuse agencies that are eligible for such grants; 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; not require that services furnished through such a grant be provided solely to women that reside in facilities; not require that grant recipients under the program make available through use of the grant all the services described in subsection (d); and consider not applying the requirements described in paragraphs
(1)and
(2)of subsection
(f)to an applicant, depending on the circumstances of the applicant. 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 of services— shall include the services requirements described in subsection
(c)and be based on the recommendations submitted under subparagraph (B); and may be selected from among the services described in subsection
(d)and include other services as appropriate. 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). The pilot program under this subsection shall not exceed 5 years. The Director of the Center for Behavioral Health Statistics and Quality shall evaluate 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 the evaluation under subparagraph (A). 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. The report under subparagraph
(B)shall include a recommendation by the Director of the Center for Substance Abuse Treatment as to whether the pilot program under this subsection should be extended. 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. . Subsection
(s)of section 508 of the Public Health Service Act ( 42 U.S.C. 290bb–1 ), as amended by subsection
(a)and redesignated by paragraph (1), is further amended by adding at the end the following new sentences: 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. .
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Sec. 501
Improving treatment for pregnant and postpartum women
Cite42 USC 290bb–1
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