Sec. 501. IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN
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## SEC. 501 IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN ###
(a)General Amendments to the Residential Treatment Program for Pregnant and Postpartum Women Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is amended— ####
(1)in subsection (a)— #####
(A)in the matter preceding paragraph (1)— ######
(i)by inserting “(referred to in this section as the ‘Director’)” after “Substance Abuse Treatment”; ######
(ii)by striking “grants, cooperative agreement,” and inserting “grants, including the grants under subsection (r), cooperative agreements”; and ######
(iii)by striking “for substance abuse” and inserting “for substance use disorders”; and #####
(B)in paragraph (1), by inserting “or receive outpatient treatment services from” after “reside in”; ####
(2)in subsection (b)(2), by inserting “and her children” before the period at the end; ####
(3)in subsection (c)— #####
(A)in paragraph (1), by striking “to the woman of the services” and inserting “of services for the woman and her children”; and #####
(B)in paragraph (2)— ######
(i)in subparagraph (A), by striking “substance abuse” and inserting “substance use disorders”; and ######
(ii)in subparagraph (B), by striking “such abuse” and inserting “such a disorder”; ####
(4)in subsection (d)— #####
(A)in paragraph (3)(A), by striking “maternal substance abuse” and inserting “a maternal substance use disorder”; #####
(B)by amending paragraph
(4)to read as follows: > > #### “(4) > > 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.” > ; #####
(C)in paragraphs (9), (10), and (11), by striking “women” each place such term appears and inserting “woman”; #####
(D)in paragraph (9), by striking “units” and inserting “unit”; and #####
(E)in paragraph (11)— ######
(i)in subparagraph (A), by striking “their children” and inserting “any child of such woman”; ######
(ii)in subparagraph (B), by striking “; and” and inserting a semicolon; ######
(iii)in subparagraph (C), by striking the period and inserting “; and”; and ######
(iv)by adding at the end the following: > > ##### “(D) > > family reunification with children in kinship or foster care arrangements, where safe and appropriate.” > ; ####
(5)in subsection (e)— #####
(A)in paragraph (1)— ######
(i)in the matter preceding subparagraph (A), by striking “substance abuse” and inserting “substance use disorders”; and ######
(ii)in subparagraph (B), by striking “substance abuse” and inserting “substance use disorders”; and #####
(B)in paragraph (2)— ######
(i)by striking “
(A)Subject ” and inserting the following: > > ##### “(A) In general > > Subject” > ; ######
(ii)in subparagraph (B)— ######
(I)by striking “ (B)(i) In the case ” and inserting the following: > > ##### “(B) Waiver of participation agreements > > > ###### “(i) In general > > In the case” > ; and ######
(II)by striking “
(ii)A determination ” and inserting the following: > > ###### “(ii) Donations > > A determination” > ; and ######
(iii)by striking “
(C)With respect ” and inserting the following: > > ##### “(C) Nonapplication of certain requirements > > With respect” > ; ####
(6)in subsection (g)— #####
(A)by striking “who are engaging in substance abuse” and inserting “who have a substance use disorder”; and #####
(B)by striking “such abuse” and inserting “such disorder”; ####
(7)in subsection (j)— #####
(A)in the matter preceding paragraph (1), by striking “to on” and inserting “to or on”; and #####
(B)in paragraph (3), by striking “Office for” and inserting “Office of”; ####
(8)by amending subsection
(m)to read as follows: > > ### “(m) Allocation of Awards > > 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 ####
(9)in subsection (q)— #####
(A)in paragraph (3), by striking “funding agreement under subsection (a)” and inserting “funding agreement”; and #####
(B)in paragraph (4), by striking “substance abuse” and inserting “a substance use disorder”. ###
(b)Reauthorization of Program Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1), as amended by subsection (a), is further 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”. ###
(c)Pilot Program Grants for State Substance Abuse Agencies ####
(1)In general Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1), as amended by subsections
(a)and (b), is further amended— #####
(A)by redesignating subsection (r), as amended by subsection (b), as subsection (s); and #####
(B)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— > > > ##### “(A) > > 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; > > > ##### “(B) > > 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 > > > ##### “(C) > > to 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 the services described in subsection (d); and > > > ##### “(F) > > consider not applying the requirements described in paragraphs
(1)and
(2)of subsection
(f)to an applicant, 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 of services— > > > ###### “(i) > > shall include the services 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 > > > ##### “(A) In general > > 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. > > > ##### “(B) Report > > 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— > > > ###### “(i) > > outcomes information from the pilot program, including any resulting reductions in the use of alcohol and other drugs; > > > ###### “(ii) > > engagement in treatment services; > > > ###### “(iii) > > retention in the appropriate level and duration of services; > > > ###### “(iv) > > 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 > > > ###### “(v) > > other appropriate measures. > > > ##### “(C) Recommendation > > 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. > > > #### “(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.” > . ####
(2)Funding 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
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