[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 289 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 289

 To provide for a demonstration project relating to treatment for drug 
 abuse and alcohol abuse under the health benefits program for Federal 
                               employees.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            January 5, 1993

 Mrs. Morella introduced the following bill; which was referred to the 
               Committee on Post Office and Civil Service

_______________________________________________________________________

                                 A BILL


 
 To provide for a demonstration project relating to treatment for drug 
 abuse and alcohol abuse under the health benefits program for Federal 
                               employees.

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

SECTION 1. DEFINITIONS.

    For the purpose of this Act--
            (1) ``enrollee'' means an individual enrolled in a health 
        benefits plan; and
            (2) ``health benefits plan'', ``employee'', ``annuitant'', 
        ``carrier'', and ``family member'' each has the meaning given 
        that term under chapter 89 of title 5, United States Code.

SEC. 2. PURPOSE OF THE DEMONSTRATION PROJECT.

    The Office of Personnel Management shall, during calendar years 
1994 and 1995, conduct a demonstration project to provide a basis for 
determining the feasibility and desirability of including certain 
benefits relating to the treatment of drug abuse and alcohol abuse 
among the types of benefits generally provided for under chapter 89 of 
title 5, United States Code (relating to health insurance for Federal 
employees).

SEC. 3. SCOPE OF THE PROJECT.

    (a) Plans and Enrollees.--The demonstration project--
            (1) shall involve--
                    (A) the service benefit plan under section 8903(1) 
                of title 5, United States Code;
                    (B) the indemnity benefit plan under section 
                8903(2) of title 5, United States Code (if any);
                    (C) the 2 employee organization plans under section 
                8903(3) of title 5, United States Code, with the 
                largest number of enrollments, as determined by the 
                Office of Personnel Management; and
                    (D) 1 or more of the comprehensive medical plans 
                operated by the carrier operating the 2 comprehensive 
                medical plans under section 8903(4) of title 5, United 
                States Code, with the largest number of enrollments, as 
                determined by the Office; and
            (2) shall cover a sufficient number of enrollees and family 
        members to provide an adequate basis on which to make any 
        determination referred to in section 2.
    (b) Areas to be Covered.--The demonstration project shall--
            (1) to the extent that it involves the plans under 
        subparagraphs (A) through (C) of subsection (a)(1), be 
        conducted within at least 1, and not more than 4, standard 
        metropolitan statistical areas, as determined by the Office; 
        and
            (2) to the extent that it involves the carrier referred to 
        in subparagraph (D) of subsection (a)(1), be conducted within 
        the standard metropolitan statistical area that includes 
        Portland, Oregon.
A standard metropolitan statistical area may not be selected for 
inclusion under paragraph (1) unless such area is one within which not 
less than 10,000, and not more than 25,000, employees and annuitants 
reside.

SEC. 4. BENEFITS.

    Under the demonstration project, any contract under chapter 89 of 
title 5, United States Code, between the Office of Personnel Management 
and the carrier offering a plan described in section 3(a)(1)--
            (1) shall, to the extent that such contract relates to 
        individuals covered by the demonstration project, include 
        benefits relating to--
                    (A) inpatient detoxification;
                    (B) patient assessment;
                    (C) outpatient therapy, including, wherever 
                appropriate, worksite-based evening and weekend 
                treatment programs, individual therapy, and group 
                therapy;
                    (D) inpatient therapy;
                    (E) follow-up patient counselling; and
                    (F) counselling for family members of the 
                individual having the abuse problem; and
            (2) may, to the extent that such contract relates to 
        individuals covered by the demonstration project, include 
        benefits for related support services, including child care or 
        other dependent care.

SEC. 5. CONSULTATION.

    The Office of Personnel Management shall consult with appropriate 
representatives of carriers, labor organizations representing 
Government employees, and agency heads with regard to--
            (1) the determinations required under section 3(b)(1);
            (2) any maximums, limitations, exclusions, or other terms 
        or conditions relating to the benefits described in section 4; 
        and
            (3) any other matter relating to the design, conduct, or 
        evaluation of the demonstration project which the Office 
        considers appropriate.

SEC. 6. COORDINATION WITH OTHER GOVERNMENT PROGRAMS.

    The Office of Personnel Management shall coordinate the 
demonstration project with any activities carried out under--
            (1) section 7904 of title 5, United States Code, relating 
        to employee assistance programs offered by Executive agencies 
        with respect to drug abuse and alcohol abuse;
            (2) subchapter VI of chapter 73 of title 5, United States 
        Code, relating to programs and services for drug abuse and 
        alcohol abuse;
            (3) section 6003 of the Anti-Drug Abuse Act of 1986 (5 
        U.S.C. 7361 note), relating to an educational program for 
        Federal employees with respect to drug abuse and alcohol abuse; 
        and
            (4) other related programs.

SEC. 7. EVALUATION AND REPORTING REQUIREMENTS.

    (a) Periodic Evaluations.--The Office of Personnel Management shall 
by contract provide for the periodic evaluation of the demonstration 
project with respect to--
            (1) cost and efficacy;
            (2) effects on employee productivity; and
            (3) the feasibility and desirability of offering the 
        benefits provided under the demonstration project on a general 
        basis under chapter 89 of title 5, United States Code.
The authority to enter into a contract under this subsection may be 
exercised only to such extent or in such amounts as are provided in 
appropriation Acts.
    (b) Reporting Requirements.--(1) The Office shall--
            (A) not later than March 15, 1996, submit an interim report 
        to the Committee on Post Office and Civil Service of the House 
        of Representatives and the Committee on Governmental Affairs of 
        the Senate on the demonstration project; and
            (B) not later than April 1, 1997, submit to each of the 
        committees referred to in subparagraph (A) a final report on 
        the project.
    (2) Each report submitted under paragraph (1) shall include a copy 
of the most recent evaluation received by the Office under subsection 
(a).

SEC. 8. FUNDING.

    (a) Individual and Government Contributions.--Notwithstanding any 
other provision of law, individual contributions and Government 
contributions under section 8906 of title 5, United States Code, shall 
be determined as if the preceding provisions of this Act had not been 
enacted.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this Act 
(including any additional administrative costs).

                                 <all>