[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 794 Introduced in Senate (IS)]







105th CONGRESS
  1st Session
                                 S. 794

 To amend the Public Health Service Act to revise and extend the grant 
        program for services for children of substance abusers.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 22, 1997

   Mr. Dodd introduced the following bill; which was read twice and 
         referred to the Committee on Labor and Human Resources

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to revise and extend the grant 
        program for services for children of substance abusers.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Services for Children of Substance 
Abusers Reauthorization Act''.

SEC. 2. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT.

    (a) Administration and Activities.--
            (1) Administration.--Section 399D(a) of the Public Health 
        Service Act (42 U.S.C. 280d(a)(1)) is amended--
                    (A) in paragraph (1), by striking ``Administrator'' 
                and all that follows through ``Administration'' and 
                insert ``Director of the Substance Abuse and Mental 
                Health Services Administration''; and
                    (B) in paragraph (2), by striking ``Administrator 
                of the Substance Abuse and Mental Health Services 
                Administration'' and inserting ``Administrator of the 
                Health Resources and Services Administration''.
            (2) Activities.--Section 399D(a)(1) of the Public Health 
        Service Act (42 U.S.C. 280d(a)(1)) is amended--
                    (A) in subparagraph (B), by striking ``and'' at the 
                end;
                    (B) in subparagraph (C), by striking the period and 
                inserting the following: ``through family social 
                services; child protective services; child care 
                providers (including Head Start, schools, and early 
                childhood development programs); community-based family 
                resource and support centers; the criminal justice 
                system; health and mental health providers through 
                screenings conducted during regular childhood 
                examinations and other examinations; self and family 
                member referrals; treatment services; and other service 
                providers and agencies serving children and families; 
                and''; and
                    (C) by adding at the end the following:
                    ``(D) to provide education and training to health 
                care professionals, child welfare providers, and the 
                personnel or such providers who provide services to 
                children and families.''.
            (3) Identification of certain children.--Section 
        399D(a)(3)(A) of the Public Health Service Act (42 U.S.C. 
        280d(a)(3)(A)) is amended--
                    (A) in clause (i), by striking ``(i) the entity'' 
                and inserting ``(i)(I) the entity'';
                    (B) in clause (ii)--
                            (i) by striking ``(ii) the entity'' and 
                        inserting ``(II) the entity''; and
                            (ii) by striking the period and inserting 
                        ``; and''; and
                    (C) by adding at the end the following:
                            ``(iii) the entity will identify children 
                        who may be eligible for medical assistance 
                        under a State program under title XIX of the 
                        Social Security Act.''.
    (b) Services for Children.--Section 399D(b) of the Public Health 
Service Act (42 U.S.C. 280d(b)) is amended--
            (1) in paragraph (1), by inserting ``alcohol and drug,'' 
        after ``psychological,''; and
            (2) by striking paragraph (5) and inserting the following:
            ``(5) Drug and alcohol treatment and prevention 
        services.''.
    (c) Services for Affected Families.--Section 399D(c) of the Public 
Health Service Act (42 U.S.C. 280d(c)) is amended--
            (1) in paragraph (1)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting before the semicolon the following: ``, or 
                through an entity that meets applicable State licensure 
                or certification requirements regarding the services 
                involved''; and
                    (B) by adding at the end the following:
                    ``(D) Aggressive outreach to family members with 
                substance abuse problems.
                    ``(E) Inclusion of consumer in the development, 
                implementation, and monitoring of Family Services 
                Plan.''; and
            (2) in paragraph (2)--
                    (A) by striking subparagraph (A) and inserting the 
                following:
                    ``(A) Alcohol and drug treatment services, 
                including screening and assessment, diagnosis, 
                detoxification, individual, group and family 
                counseling, relapse prevention, and case management.'';
                    (B) by striking subparagraph (C) and inserting the 
                following:
                    ``(C) Pre- and post-pregnancy family planning 
                services and counseling on the human immunodeficiency 
                virus and acquired immune deficiency syndrome.'';
                    (C) in subparagraph (D), by striking ``conflict 
                and''; and
                    (D) in subparagraph (E), by striking ``Remedial'' 
                and inserting ``Career planning and''.
    (d) Eligible Entities.--Section 399D(d) of the Public Health 
Service Act (42 U.S.C. 280d(d)) is amended--
            (1) by striking the matter preceding paragraph (1) and 
        inserting:
    ``(d) Eligible Entities.--The Secretary shall distribute the grants 
through the following types of entities:'';
            (2) in paragraph (1), by inserting ``or prevention'' after 
        ``drug treatment''; and
            (3) in paragraph (2)--
                    (A) in subparagraph (A), by striking ``; and'' and 
                inserting ``; or''; and
                    (B) in subparagraph (B), by inserting ``or 
                pediatric health or mental health providers and family 
                mental health providers'' before the period.
    (e) Submission of Information.--Section 399D(h) of the Public 
Health Service Act (42 U.S.C. 280d(h)) is amended--
            (1) in paragraph (2)--
                    (A) by inserting ``including maternal and child 
                health'' before ``mental'';
                    (B) by striking ``treatment programs''; and
                    (C) by striking ``and the State agency responsible 
                for administering public maternal and child health 
                services'' and inserting ``, the State agency 
                responsible for administering alcohol and drug 
                programs, the State lead agency, and the State 
                Interagency Coordinating Council under part H of the 
                Individuals with Disabilities Education Act''; and
            (2) in paragraph (3)(B), by inserting before the semicolon 
        the following: ``when the child can be cared for at home 
        without endangering the child's safety''.
    (f) Reports.--Section 399D(i)(6) of the Public Health Service Act 
(42 U.S.C. 280d(k)(6)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by adding ``and'' after the 
        semicolon; and
            (3) by adding at the end the following:
                    ``(F) the number of children described in 
                subparagraph (C) for whom the permanent plan is other 
                than family reunification;''.
    (g) Evaluations.--Section 399D(l) of the Public Health Service Act 
(42 U.S.C. 280d(l)) is amended--
            (1) in paragraph (4), by inserting before the semicolon the 
        following: ``, including increased participation in work or 
        employment-related activities and decreased participation in 
        welfare programs'';
            (2) in paragraph (5), by striking ``children whose'' and 
        inserting ``children who can be cared for at home without 
        endangering their safety and whose''; and
            (3) in paragraph (6), by inserting before the semicolon the 
        following: ``if the reunification would not endanger the 
        child''.
    (h) Report to Congress.--Section 399D(m) of the Public Health 
Service Act (42 U.S.C. 280d(m)) is amended--
            (1) in paragraph (2), by adding ``and'' at the end;
            (2) in paragraph (3), by striking the semicolon at the end 
        and inserting a period; and
            (3) by striking paragraphs (4) and (5).
    (i) Data Collection.--Section 399D(n) of the Public Health Service 
Act (42 U.S.C. 280d(n)) is amended by adding at the end the following: 
``The periodic report shall include a quantitative estimate of the 
prevalence of alcohol and drug problems in families involved in the 
child welfare system, the barriers to treatment and prevention services 
facing these families, and policy recommendations for removing the 
identified barriers, including training for child welfare workers.''.
    (j) Definition.--Section 399D(o)(2)(B) of the Public Health Service 
Act (42 U.S.C. 280d(o)(2)(B)) is amended by striking ``dangerous''.
    (k) Authorization of Appropriations.--Section 399D(p) of the Public 
Health Service Act (42 U.S.C. 280d(p)) is amended to read as follows:
    ``(p) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 1998, and such sums as may be necessary for fiscal year 
1999.''.
    (l) Grants for Training and Conforming Amendments.--Section 399D of 
the Public Health Service Act (42 U.S.C. 280d) is amended--
            (1) by striking subsection (f);
            (2) by striking subsection (k);
            (3) by redesignating subsections (d), (e), (g), (h), (i), 
        (j), (l), (m), (n), (o), and (p) as subsections (e) through 
        (o), respectively;
            (4) by inserting after subsection (c), the following:
    ``(d) Training for Health Care Professionals, Child Welfare 
Providers, and Other Personnel.--The Secretary may make a grant under 
subsection (a) for the training of health care professionals, child 
welfare providers, and other personnel who provide services to 
vulnerable children and families. Such training shall be to assist 
professionals in recognizing the drug and alcohol problems of their 
clients and to enhance their skills in identifying and obtaining 
substance abuse prevention and treatment resources.'';
            (5) in subsection (k)(2) (as so redesignated), by striking 
        ``(h)'' and inserting ``(i)''; and
            (6) in paragraphs (3)(E) and (5) of subsection (m) (as so 
        redesignated), by striking ``(d)'' and inserting ``(e)''.
                                 <all>