[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4867 Introduced in House (IH)]







106th CONGRESS
  2d Session
                                H. R. 4867

  To revise and extend the programs of the Substance Abuse and Mental 
        Health Services Administration, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 17, 2000

 Mrs. Capps (for herself, Mr. Rangel, Mr. Dingell, Mr. Brown of Ohio, 
Mr. Waxman, Ms. DeGette, Mr. Strickland, Mr. Barrett of Wisconsin, Mr. 
   Stupak, and Mr. Deutsch) introduced the following bill; which was 
                 referred to the Committee on Commerce

_______________________________________________________________________

                                 A BILL


 
  To revise and extend the programs of the Substance Abuse and Mental 
        Health Services Administration, and for other purposes.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Youth Drug and 
Mental Health Services Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
                  TITLE I--SUBSTANCE ABUSE PREVENTION

Sec. 101. Priority substance abuse prevention needs of regional and 
                            national significance.
Sec. 102. Substance abuse prevention among children and youth.
Sec. 103. Strengthening families.
Sec. 104. Services for children of substance abusers.
Sec. 105. Programs to reduce underage drinking.
Sec. 106. Prevention of methamphetamine and inhalant abuse and 
                            addiction.
                  TITLE II--SUBSTANCE ABUSE TREATMENT

Sec. 201. Priority substance abuse treatment needs of regional and 
                            national significance.
Sec. 202. Residential treatment programs for pregnant and postpartum 
                            women.
Sec. 203. Substance abuse treatment for youth.
Sec. 204. Early intervention services for youth.
Sec. 205. Alcohol and drug treatment and prevention services for Indian 
                            tribes and tribal organizations.
Sec. 206. Services for individuals with fetal alcohol syndrome.
Sec. 207. Substance abuse prevention and treatment block grant.
Sec. 208. Establishment of Commission on Indian and Native Alaskan 
                            Health Care.
                   TITLE III--MENTAL HEALTH SERVICES

Sec. 301. Community mental health services performance partnership 
                            block grant.
Sec. 302. Priority mental health needs of regional and national 
                            significance.
Sec. 303. Children and violence.
Sec. 304. Centers for excellence.
Sec. 305. Grants to address the problems of persons who experience 
                            violence related stress.
Sec. 306. Comprehensive mental heath services for children with serious 
                            emotional disturbance.
Sec. 307. Projects for assistance in transition from homelessness.
Sec. 308. Protection and Advocacy for Mentally Ill Individuals Act of 
                            1986.
Sec. 309. Wrap around services for youth.
                   TITLE IV--PERFORMANCE PARTNERSHIPS

Sec. 401. Performance partnerships.
Sec. 402. Data infrastructure.
  TITLE V--CROSS-CUTTING ISSUES REGARDING MENTAL HEALTH AND SUBSTANCE 
                                 ABUSE

  Subtitle A--Co-Occurring Substance Abuse and Mental Health Disorders

Sec. 501. Treatment for individuals with a co-occurring substance abuse 
                            and mental health disorder.
Sec. 502. Services for individuals with co-occurring substance abuse 
                            and mental health disorders.
Sec. 503. Report on individuals with co-occurring substance abuse and 
                            mental health disorders.
                 Subtitle B--Prevention of Sexual Abuse

Sec. 511. Prevention of sexual abuse.
                      TITLE VI--GENERAL PROVISIONS

Sec. 601. Confidentiality and emergency response.
Sec. 602. Peer review.
Sec. 603. Availability to States of grant payments.
Sec. 604. Repeal of obsolete addict referral provisions.
Sec. 605. Seclusion and restraint.
Sec. 606. Advisory councils.
Sec. 607. Alcohol prevention and treatment policy.
Sec. 608. Expansion of authorities.

                  TITLE I--SUBSTANCE ABUSE PREVENTION

SEC. 101. PRIORITY SUBSTANCE ABUSE PREVENTION NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    Section 516 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended to read as follows:

``SEC. 516. PRIORITY SUBSTANCE ABUSE PREVENTION NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    ``(a) Projects.--In order to address priority substance abuse 
prevention needs of regional and national significance, the Secretary 
shall, directly or through awards of grants, cooperative agreements, or 
contracts, provide for--
            ``(1) knowledge development and application projects for 
        prevention and the conduct or support of evaluations of such 
        projects;
            ``(2) training; and
            ``(3) targeted capacity expansion.
The Secretary may make such awards to States, political subdivisions of 
States, Indian tribes and tribal organizations, and other public or 
nonprofit private entities.
    ``(b) Priority Substance Abuse Prevention Needs.--For purposes of 
subsection (a), priority substance abuse prevention needs of regional 
and national significance shall be determined by the Secretary after 
consultation with the States and other interested parties. The 
Secretary shall consult with States and other interested parties on at 
least a yearly basis to determine the agenda for this program.
    ``(c) Requirements.--
            ``(1) In general.--Recipients of awards under subsection 
        (a) shall comply with information and application requirements 
        determined appropriate by the Secretary.
            ``(2) Duration of award.--With respect to an award under 
        subsection (a), the period during which payments under such 
award are made to the recipient may not exceed 5 years. The preceding 
sentence may not be construed as establishing a limitation on the 
number of awards under such subsection that may be made to the 
recipient.
            ``(3) Matching funds.--
                    ``(A) Authority of secretary.--The Secretary may, 
                as a condition of making awards under subsection (a), 
                require that recipients of such awards make available 
                (directly or through donations from public or private 
                entities) non-Federal contributions toward the costs of 
                the projects to be carried out by the recipients 
                pursuant to such subsection. The amount of any such 
                required contributions shall be the amount determined 
                by the Secretary to be appropriate to ensure the 
                institutional commitment of the recipients to such 
                projects.
                    ``(B) Determination of amount contributed.--Non-
                Federal contributions under subparagraph (A) may be in 
                cash or in kind, fairly evaluated, including plant, 
                equipment, or services. Amounts provided by the Federal 
                Government, or services assisted or subsidized to any 
                significant extent by the Federal Government, may not 
                be included in determining the amount of such 
                contributions.
            ``(4) Maintenance of effort.--With respect to activities 
        for which an award under subsection (a) is authorized to be 
        expended, the Secretary, as a condition of making such an award 
        for a fiscal year, may require, for specific projects, that the 
        recipient agree to maintain expenditures of non-Federal amounts 
        for such activities at a level that is not less than the level 
        of such expenditures maintained by the recipient for the fiscal 
        year preceding the fiscal year for which the recipient receives 
        the award.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under section (a)(1) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application and training 
programs under this section to the general public and to health 
professionals.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $300,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 102. SUBSTANCE ABUSE PREVENTION AMONG CHILDREN AND YOUTH.

    Section 517 of the Public Health Service Act (42 U.S.C. 290bb-23) 
is amended to read as follows:

``SEC. 517. PREVENTION OF SUBSTANCE ABUSE AMONG CHILDREN AND YOUTH.

    ``(a) In General.--The Secretary shall, directly or through awards 
of grants, cooperative agreements, or contracts, provide for projects 
for the replication and implementation of best practices in providing 
comprehensive substance abuse prevention services to children and 
youth. The Secretary may make such awards to public and nonprofit 
private entities, including Indian tribes and tribal organizations.
    ``(b) Priority.--The Secretary shall give priority to projects 
under subsection (a) that--
            (1) provide a comprehensive approach to prevention;
            (2) use youth program designs that include the most current 
        science based prevention strategies; and
            (3) include strategies for reducing the use of alcoholic 
        beverages and tobacco products by individuals to whom it is 
        unlawful to sell or distribute such beverages or products.
    ``(c) Geographical Distribution.--To the extent feasible the 
Secretary shall make awards under subsection (a) in all regions of the 
United States and shall ensure the distribution of grants among urban 
and rural areas.
    ``(d) Evaluation.--The Secretary shall evaluate each project under 
subsection (a) and shall disseminate the findings with respect to each 
such evaluation to appropriate public and private entities.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $40,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 103. STRENGTHENING FAMILIES.

    Section 518 of the Public Health Service Act (42 U.S.C. 290bb-24) 
is amended to read as follows:

``SEC. 518. STRENGTHENING FAMILIES.

    ``(a) In General.--The Secretary shall, directly or through awards 
of grants, cooperative agreements, or contracts, provide for projects 
to strengthen families by facilitating the development of supportive 
parent-child relationships, by encouraging the use of positive 
discipline methods, by monitoring and supervision practices, by 
carrying out family advocacy on behalf of children, and by providing 
information for the benefit of the children. The Secretary may make 
such awards to public and nonprofit private entities, including Indian 
tribes and tribal organizations.
    ``(b) Priority.--The Secretary shall give priority to projects 
under subsection (a) that use 1 or a combination of the following 
family focused approaches:
            ``(1) Behavioral parent training.
            ``(2) Family skills training (which combines parent 
        training, children's skills training, and family relationship 
        enhancement and communication practice sessions.
            ``(3) Structural or behavioral family therapy.
            ``(4) In-home family support.
            ``(5) Any other priority that the Secretary may determine.
    ``(c) Evaluation.--The Secretary shall evaluate each project under 
subsection (a) and shall disseminate the findings with respect to each 
such evaluation to appropriate public and private entities.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $20,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

 SEC. 104. SERVICES FOR CHILDREN OF SUBSTANCE ABUSERS.

    (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 ``Administrator 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 youth service 
                agencies, family social services, child care providers, 
                Head Start, schools and after-school programs, early 
                childhood development programs, community-based family 
                resource and support centers, the criminal justice 
                system, health, substance abuse and mental health 
                providers through screenings conducted during regular 
                childhood examinations and other examinations, self and 
                family member referrals, substance abuse treatment 
                services, and other providers of services to children 
                and families; and''; and
                    (C) by adding at the end the following:
                    ``(D) to provide prevention, education and training 
                to health, substance abuse and mental health 
                professionals, and other providers of services to 
                children and families through youth service agencies, 
                family social services, child care, Head Start, schools 
                and after school programs, early childhood development 
                programs, community based family resource and support 
                centers, the criminal justice system, and other 
                providers of 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:
                            ``(ii) the entity will identify children 
                        who may be eligible for medical assistance 
                        under a State program under title XIX or XXI 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,'';
            (2) by striking paragraph (5) and inserting the following:
            ``(5) Developmentally and age-appropriate drug and alcohol 
        prevention, early intervention, treatment and prevention 
        services.''; and
            (3) by inserting after paragraph (8) the following:
    ``Services shall be provided under paragraphs (2) through (8) by a 
public health nurse, social worker, or similar professional, or by a 
trained worker from the community who is supervised by a professional, 
or by an entity, where the professional or entity provides assurances 
that the professional or entity is licensed or certified by the State 
if required and is complying with applicable licensure or certification 
requirements.''.
    (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 colon the following: ``, or by an 
                entity, where the professional or entity provides 
                assurances that the professional or entity is licensed 
                or certified by the State if required and is complying 
                with applicable licenser certification requirements''; 
                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.'';
            (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, pharmacotherapy 
                treatment, after-care services, and case management.'';
                    (B) in subparagraph (C), by striking ``, including 
                educational and career planning'' and inserting ``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''; and
            (3) in paragraph (3)(D), by inserting ``which include child 
        abuse and neglect prevention techniques'' before the period.
    (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 striking ``drug treatment'' and 
        inserting ``drug early intervention, prevention or 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''; and
            (2) by striking paragraph (3) and redesignating paragraph 
        (4) as paragraph (3).
    (f) Reports to the Secretary.--Section 399D(i)(6) of the Public 
Health Service Act (42 U.S.C. 280d(i)(6)) is amended--
            (1) in subparagraph (B), by adding ``and'' at the end; and
            (2) by striking subparagraphs (C), (D), and (E) and 
        inserting the following:
                    ``(C) the number of case workers or other 
                professionals trained to identify and address substance 
                abuse issues.''.
    (g) Evaluations.--Section 399D(1) of the Public Health Service Act 
(42 U.S.C. 280d(1)) is amended--
            (1) in paragraph (3), by adding ``and'' at the end;
            (2) in paragraph (4), by striking the semicolon and 
        inserting the following: ``, including increased participation 
        in work or employment related activities and decreased 
        participation in welfare programs.''; and
            (3) by striking paragraphs (5) and (6).
    (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)--
                    (A) in subparagraph (A), by adding ``and'' at the 
                end;
                    (B) in subparagraph (B), by striking the semicolon 
                and inserting a period; and
                    (C) by striking subparagraphs (C), (D), and (E); 
                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 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.
    (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 redesignating subsections (d) and (e) as subsections 
        (e) and (f), respectively;
            (3) by inserting after subsection (c) the following 
        subsection:
    ``(d) Training for Providers of Services to Children and 
Families.--The Secretary may make a grant under subsection (a) for the 
training of health, substance abuse and mental health professionals and 
other providers of services to children and families through youth 
service agencies, family social services, child care providers, Head 
Start, schools and after-school programs, early childhood development 
programs, community-based family resource centers, the criminal justice 
system, and other providers of services to 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 understanding the nature of substance abuse, and 
obtaining substance abuse early intervention, prevention and treatment 
resources.'';
            (4) by striking subsection (k);
            (5) by redesignating subsections (l) through (p) as 
        subsections (k) through (o), respectively;
            (6) in subsection (k)(2) (as so redesignated), by striking 
        ``(h)'' and inserting ``(i)''; and
            (7) in paragraphs (3)(E) and (5) of subsection (m) (as so 
        redesignated), by striking ``(d)'' and inserting ``(e)''.
    (m) Transfer and Redesignation.--The Public Health Service Act (42 
U.S.C. 201 et seq.) is amended--
            (1) by transferring section 399D to title V;
            (2) by redesignating such section as section 519;
            (3) by inserting such section after section 518; and
            (4) in title III, by striking the heading and part 
        designation for part L.

SEC. 105. PROGRAMS TO REDUCE UNDERAGE DRINKING.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.), 
as amended by section 104(m) of this Act, is amended by inserting after 
section 519 the following section:

``SEC. 519A. PROGRAMS TO REDUCE UNDERAGE DRINKING.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to public and nonprofit private 
entities, including Indian tribes and tribal organizations, to enable 
such entities to develop plans for and to carry out school-based 
(including institutions of higher education) and community-based 
programs for the prevention of alcoholic-beverage consumption by 
individuals who have not having attained the legal drinking age.
    ``(b) Eligibility Requirements.--To be eligible to receive an award 
under subsection (a), an entity shall provide any assurances to the 
Secretary which the Secretary may require, including that the entity 
will--
            ``(1) annually report to the Secretary on the effectiveness 
        of the prevention approaches implemented by the entity;
            ``(2) use science based and age appropriate approaches; and
            ``(3) involve local public health officials and community 
        prevention program staff in the planning and implementation of 
        the program.
    ``(c) Evaluation.--The Secretary shall evaluate each project under 
subsection (a) and shall disseminate the findings with respect to each 
such evaluation to appropriate public and private entities.
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
awards will be distributed equitably among the regions of the country 
and among urban and rural areas.
    ``(e) Duration of Award.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 5 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $25,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 106. PREVENTION OF METHAMPHETAMINE AND INHALANT ABUSE AND 
              ADDICTION.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.), 
as amended by section 105 of this Act, is amended by inserting after 
section 519A the following section:

``SEC. 519B. PREVENTION OF METHAMPHETAMINE AND INHALANT ABUSE AND 
              ADDICTION.

    ``(a) Awards.--The Secretary may make awards of grants, cooperative 
agreements, or contracts to public and nonprofit private entities to 
enable such entities--
            ``(1) to carry out school-based programs concerning the 
        dangers of methamphetamine or inhalant abuse and addiction, 
        using methods that are effective and evidence-based, including 
        initiatives that give students the responsibility to create 
        their own anti-drug abuse education programs for their schools; 
        and
            ``(2) to carry out community-based methamphetamine or 
        inhalant abuse and addiction prevention programs that are 
        effective and evidence-based.
    ``(b) Use of Funds.--An award under subsection (a) shall be used 
for planning, establishing, or administering methamphetamine or 
inhalant prevention programs in accordance with subsection (c).
    ``(c) Prevention Programs and Activities.--
            ``(1) In general.--An award under subsection (a) may be 
        used--
                    ``(A) to carry out school-based programs that are 
                focused on those districts with high or increasing 
                rates of methamphetamine or inhalant abuse and 
                addiction and targeted at populations which are most at 
                risk to start methamphetamine or inhalant abuse;
                    ``(B) to carry out community-based prevention 
                programs that are focused on those populations within 
                the community that are most at-risk for methamphetamine 
                or inhalant abuse and addiction;
                    ``(C) to assist local government entities to 
                conduct appropriate methamphetamine or inhalant 
                prevention activities;
                    ``(D) to train and educate State and local law 
                enforcement officials, prevention and education 
                officials, members of community anti-drug coalitions 
                and parents on the signs of methamphetamine or inhalant 
abuse and addiction and the options for treatment and prevention;
                    ``(E) for planning, administration, and educational 
                activities related to the prevention of methamphetamine 
                or inhalant abuse and addiction;
                    ``(F) for the monitoring and evaluation of 
                methamphetamine or inhalant prevention activities, and 
                reporting and disseminating resulting information to 
                the public; and
                    ``(G) for targeted pilot programs with evaluation 
                components to encourage innovation and experimentation 
                with new methodologies.
            ``(2) Priority.--In making awards under subsection (a), the 
        Secretary shall give priority to awards to serve rural and 
        urban areas that are experiencing a high rate of or rapid 
        increases in methamphetamine or inhalant abuse and addiction.
    ``(d) Analyses and Evaluation.--
            ``(1) In general.--Up to $500,000 of the amount available 
        in each fiscal year to carry out this section shall be made 
        available to the Director, acting in consultation with other 
        Federal agencies, to support and conduct periodic analyses and 
        evaluations of effective prevention programs for 
        methamphetamine or inhalant abuse and addiction and the 
        development of appropriate strategies for disseminating 
        information about and implementing these programs.
            ``(2) Annual reports.--The Director shall submit to the 
        Committee on Commerce and the Committee on Appropriations in 
        the House of Representatives, and to the Committee on Health, 
        Education, Labor, and Pensions and the Committee on 
        Appropriations in the Senate, an annual report with the results 
        of the analyses and evaluation under paragraph (1).
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out subsection (a), there are authorized to be appropriated $10,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

                  TITLE II--SUBSTANCE ABUSE TREATMENT

 SEC. 201. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    (a) Substance Abuse Treatment Grants.--Section 509 of the Public 
Health Service Act (42 U.S.C. 290bb-2) is amended to read as follows:

``SEC. 509. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    ``(a) Projects.--In order to address priority substance abuse 
treatment needs of regional and national significance, the Secretary 
shall, directly or through awards of grants, cooperative agreements, or 
contracts, provide for--
            ``(1) knowledge development and application projects for 
        treatment and rehabilitation services and the conduct or 
        support of evaluations of such projects;
            ``(2) training; and
            ``(3) targeted capacity expansion.
The Secretary may make such awards to States, political subdivisions of 
States, Indian tribes and tribal organizations, and other public or 
nonprofit private entities.
    ``(b) Priority Substance Abuse Treatment Needs.--For purposes of 
subsection (a), priority substance abuse treatment needs of regional 
and national significance shall be determined by the Secretary after 
consultation with the States and other interested groups. The Secretary 
shall meet with States and other interested groups on at least a yearly 
basis to determine the agenda for this program.
    ``(c) Requirements.--
            ``(1) In general.--Recipients of awards under subsection 
        (a) shall comply with information and application requirements 
        determined appropriate by the Secretary.
            ``(2) Duration of award.--With respect to an award under 
        subsection (a), the period during which payments under such 
        award are made to the recipient may not exceed 5 years. The 
        preceding sentence may not be construed as establishing a 
        limitation on the number of awards under such subsection that 
        may be made to the recipient.
            ``(3) Matching funds.--
                    ``(A) Authority of secretary.--The Secretary may, 
                as a condition of making awards under subsection (a), 
                require that recipients of such awards make available 
                (directly or through donations from public or private 
                entities) non-Federal contributions toward the costs of 
                the projects to be carried out by the recipients 
                pursuant to such subsection. The amount of any such 
                required contributions shall be the amount determined 
                by the Secretary to be appropriate to ensure the 
                institutional commitment of the recipients to such 
                projects.
                    ``(B) Determination of amount contributed.--Non-
                Federal contributions under subparagraph (A) may be in 
                cash or in kind, fairly evaluated, including plant, 
                equipment, or services. Amounts provided by the Federal 
                Government, or services assisted or subsidized to any 
                significant extent by the Federal Government, may not 
                be included in determining the amount of such 
                contributions.
            ``(4) Maintenance of effort.--With respect to activities 
        for which an award under subsection (a) is authorized to be 
        expended, the Secretary, as a condition of making such an award 
        for a fiscal year, may require, for specific projects, that the 
        recipient agree to maintain expenditures of non-Federal amounts 
        for such activities at a level that is not less than the level 
        of such expenditures maintained by the recipient for the fiscal 
        year preceding the fiscal year for which the recipient receives 
        the award.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under section (a)(1) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate and 
apply the findings of the knowledge development and application and 
training programs under this section to the general public and to other 
interested parties.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $300,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.
    (b) Conforming Amendments.--Section 571 of the Public Health 
Service Act (42 U.S.C. 290gg) is repealed.

SEC. 202. RESIDENTIAL TREATMENT PROGRAMS FOR PREGNANT AND POSTPARTUM 
              WOMEN.

    Section 508(r) of the Public Health Service Act (42 U.S.C. 290bb-
1(r)) is amended to read as follows:
    ``(r) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2003.''.

SEC. 203. SUBSTANCE ABUSE TREATMENT FOR YOUTH.

    Section 510 of the Public Health Service Act (42 U.S.C. 290bb-3) is 
amended to read as follows:

``SEC. 510. SUBSTANCE ABUSE TREATMENT FOR YOUTH.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, and contracts to public and nonprofit private 
entities, including Indian tribes and tribal organizations, for the 
purposes of providing substance abuse treatment to individuals under 
the age of 22.
    ``(b) Priority.--In making awards under subsection (a), the 
Secretary shall give priority to applicants that--
            ``(1) will apply the most successful, evidenced based and 
        cost-effective methods for the treatment of substance abuse 
        among youth;
            ``(2) will coordinate services with other social service 
        systems in the community including education, juveniles 
        justice, child welfare and mental health; and
            ``(3) will provide treatment that is gender specific and 
        culturally appropriate.
    ``(c) Condition.--In making awards under subsection (a), the 
Secretary shall ensure that the awards are allocated among the 
principal geographic regions of the country, to urban and rural areas 
and to Indian tribes and tribal organizations subject to the 
availability of quality applications for awards.
    ``(d) Duration of Grants.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 5 years. The preceding sentence 
may not be construed as establishing a limitation on the number of 
awards under such subsection that may be made to the recipient.
    ``(e) Evaluation.--The Secretary shall require as part of an 
application under subsection (a) a plan for the rigorous evaluation of 
the project under such subsection, including both process and outcome 
evaluation, and periodic updates with the submission of a complete 
evaluation at the end of the project period.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 204. EARLY INTERVENTION SERVICES FOR YOUTH.

    Section 511 of the Public Health Services Act (42 U.S.C. 290bb-4) 
is amended to read as follows:

``SEC. 511. EARLY INTERVENTION SERVICES FOR YOUTH.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, and contracts to public and nonprofit private 
entities, including local educational agencies, for the purposes of 
providing early intervention substance abuse services for individuals 
under the age of 22.
    ``(b) Priority.--In making awards under subsection (a), the 
Secretary shall give priority to applicants that demonstrate an ability 
to--
            ``(1) screen and assess for substance use and abuse;
            ``(2) make appropriate referral for those who are in need 
        of treatment;
            ``(3) provide early intervention services including 
        counseling and ancillary services that are designed to meet the 
        developmental needs of youth; and
            ``(4) develop links with the educational, juvenile justice, 
        social services and other agencies and organizations within the 
        State or local communities to identify youth in need of 
        services.
    ``(c) Condition.--In making awards under subsection (a), the 
Secretary shall ensure that the awards are allocated among the 
principal geographic regions of the country, to urban and rural areas 
and to Indian tribes and tribal organizations, subject to the 
availability of qualified applicants for the awards.
    ``(d) Evaluation.--The Secretary shall require as part of an 
application under subsection (a) a plan for the rigorous evaluation of 
the project under such subsection, including both process and outcome 
evaluation, and periodic updates with the submission of a complete 
evaluation at the end of the project period.
    ``(e) Duration of Award.--With respect to a grant under subsection 
(a), the period during which payments under such grant are made to the 
recipient may not exceed 5 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $20,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 205. ALCOHOL AND DRUG TREATMENT AND PREVENTION SERVICES FOR INDIAN 
              TRIBES AND TRIBAL ORGANIZATIONS.

    Section 512 of the Public Health Service Act (42 U.S.C. 290bb-5) is 
amended to read as follows:

``SEC. 512. ALCOHOL AND DRUG TREATMENT AND PREVENTION SERVICES FOR 
              INDIAN TRIBES AND TRIBAL ORGANIZATIONS.

    ``(a) In General.--The Secretary shall make grants to nonprofit 
private entities and to Indian tribes and tribal organizations to 
provide treatment services to members of such tribes and organizations.
    ``(b) Priority.--In making grants under subsection (a), the 
Secretary shall give priority to applicants that--
            ``(1) will provide services on reservations and who use 
        culturally appropriate prevention and treatment approaches; and
            ``(2) have provided substance abuse services to this 
        population for at least one year prior to applying for a grant.
    ``(c) Duration of Award.--With respect to a grant under subsection 
(a), the period during which payments under such grant are made to the 
recipient may not exceed 5 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(d) Evaluation.--The Secretary shall require as part of an 
application under subsection (a) a plan for the rigorous evaluation of 
the project under such subsection, including both process and outcome 
evaluation, and periodic updates with the submission of a complete 
evaluation at the end of the project period. The final report shall 
include a determination on whether the program should continue.
    ``(e) Report.--Not later than 3 years after the date of enactment 
of this section and annually thereafter, the Secretary shall submit to 
the Committee on Commerce in the House of Representatives and the 
Committee on Health, Education, Labor and Pensions in the Senate a 
report describing the services provided pursuant to this section.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $15,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 206. SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYNDROME.

    Subpart 1 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb et seq.) is amended by adding at the end the following:

``SEC. 514. SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYNDROME.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to public and nonprofit private 
entities, including Indian tribes and tribal organizations, to provide 
services to individuals diagnosed with fetal alcohol syndrome or 
alcohol-related birth defects.
    ``(b) Use of Funds.--An award under subsection (a) may, subject to 
subsection (d), be used to--
            ``(1) screen and test individuals to determine the type and 
        level of services needed;
            ``(2) develop a comprehensive plan for providing services 
        to the individual;
            ``(3) provide mental health counseling;
            ``(4) provide substance abuse prevention services and 
        treatment, if needed;
            ``(5) coordinate services with other social programs 
        including social services, justice system, educational 
        services, health services, mental health and substance abuse 
        services, financial assistance programs, vocational services 
        and housing assistance programs;
            ``(6) provide vocational services;
            ``(7) provide family planning counseling;
            ``(8) provide housing assistance;
            ``(9) parenting skills training;
            ``(10) overall case management;
            ``(11) supportive services for families of individuals with 
        Fetal Alcohol Syndrome; and
            ``(12) provide other services and programs, to the extent 
        authorized by the Secretary after consideration of 
        recommendations made by the National Task Force on Fetal 
        Alcohol Syndrome.
    ``(c) Requirements.--To be eligible to receive an award under 
subsection (a), an applicant shall--
            ``(1) demonstrate that the program will be part of a 
        coordinated, comprehensive system of care for such individuals;
            ``(2) demonstrate an established communication with other 
        social programs in the community including social services, 
        justice system, financial assistance programs, health services, 
        educational services, mental health and substance abuse 
        services, vocational services and housing assistance services;
            ``(3) show a history of working with individuals with fetal 
        alcohol syndrome or alcohol-related birth defects;
            ``(4) provide assurance that the services will be provided 
        in a culturally and linguistically appropriate manner; and
            ``(5) provide assurance that at the end of the 5-year award 
        period, other mechanisms will be identified to meet the needs 
        of the individuals and families served under such award.
    ``(d) Relationship to Payments Under Other Programs.--An award may 
be made under subsection (a) only if the applicant involved agrees that 
the award will not be expended to pay the expenses of providing any 
service under this section to an individual to the extent that payment 
has been made, or can reasonably be expected to be made, with respect 
to such expenses--
            ``(1) under any State compensation program, under an 
        insurance policy, or under any Federal or State health benefits 
        program; or
            ``(2) by an entity that provides health services on a 
        prepaid basis.
    ``(e) Duration of Awards.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 5 years.
    ``(f) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (a) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(g) Funding.--
            ``(1) Authorization of appropriations.--For the purpose of 
        carrying out this section, there are authorized to be 
        appropriated $50,000,000 for fiscal year 2001, and such sums as 
        may be necessary for each of the fiscal years 2002 and 2003.
            ``(2) Allocation.--Of the amounts appropriated under 
        paragraph (1) for a fiscal year, not less than $300,000 shall, 
        for purposes relating to fetal alcohol syndrome and alcohol-
related birth defects, be made available for collaborative, coordinated 
interagency efforts with the National Institute on Alcohol Abuse and 
Alcoholism, the National Institute on Child Health and Human 
Development, the Health Resources and Services Administration, the 
Agency for Healthcare Research and Quality, the Centers for Disease 
Control and Prevention, the Department of Education, and the Department 
of Justice.

``SEC. 514A. CENTERS OF EXCELLENCE ON SERVICES FOR INDIVIDUALS WITH 
              FETAL ALCOHOL SYNDROME AND ALCOHOL-RELATED BIRTH DEFECTS 
              AND TREATMENT FOR INDIVIDUALS WITH SUCH CONDITIONS AND 
              THEIR FAMILIES.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to public or nonprofit private 
entities for the purposes of establishing not more than 4 centers of 
excellence to study techniques for the prevention of fetal alcohol 
syndrome and alcohol-related birth defects and adaptations of 
innovative clinical interventions and service delivery improvements for 
the provision of comprehensive services to individuals with fetal 
alcohol syndrome or alcohol-related birth defects and their families 
and for providing training on such conditions.
    ``(b) Use of Funds.--An award under subsection (a) may be used to--
            ``(1) study adaptations of innovative clinical 
        interventions and service delivery improvements strategies for 
        children and adults with fetal alcohol syndrome or alcohol-
        related birth defects and their families;
            ``(2) identify communities which have an exemplary 
        comprehensive system of care for such individuals so that they 
        can provide technical assistance to other communities 
        attempting to set up such a system of care;
            ``(3) provide technical assistance to communities who do 
        not have a comprehensive system of care for such individuals 
        and their families;
            ``(4) train community leaders, mental health and substance 
        abuse professionals, families, law enforcement personnel, 
        judges, health professionals, persons working in financial 
        assistance programs, social service personnel, child welfare 
        professionals, and other service providers on the implications 
        of fetal alcohol syndrome and alcohol-related birth defects, 
        the early identification of and referral for such conditions;
            ``(5) develop innovative techniques for preventing alcohol 
        use by women in child bearing years;
            ``(6) perform other functions, to the extent authorized by 
        the Secretary after consideration of recommendations made by 
        the National Task Force on Fetal Alcohol Syndrome.
    ``(c) Report.--
            ``(1) In general.--A recipient of an award under subsection 
        (a) shall at the end of the period of funding report to the 
        Secretary on any innovative techniques that have been 
        discovered for preventing alcohol use among women of child 
        bearing years.
            ``(2) Dissemination of findings.--The Secretary shall upon 
        receiving a report under paragraph (1) disseminate the findings 
        to appropriate public and private entities.
    ``(d) Duration of Awards.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 5 years.
    ``(e) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (a) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $5,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 207. SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT.

    (a) Allocation Regarding Alcohol and Other Drugs.--Section 1922 of 
the Public Health Service Act (42 U.S.C. 300x-22) is amended by--
            (1) striking subsection (a); and
            (2) redesignating subsections (b) and (c) as (a) and (b).
    (b) Group Homes for Recovering Substance Abusers.--Section 1925(a) 
of the Public Health Service Act (42 U.S.C. 300x-25(a)) is amended in 
the matter preceding paragraph (1) by striking ``For fiscal year 1993'' 
and all that follows through the colon and inserting the following: ``A 
State, using funds available under section 1921, may establish and 
maintain the ongoing operation of a revolving fund in accordance with 
this section to support group homes for recovering substance abusers as 
follows:''.
    (c) Planning Councils.--Subpart II of Part B of title XIX of the 
Public Health Service Act is amended by inserting after section 1927 
(42 U.S.C. 300x-27) the following new section:

``SEC. 1927A. STATE SUBSTANCE ABUSE PREVENTION AND TREATMENT PLANNING 
              COUNCILS.

    ``(a) In General.--A funding agreement for a grant under section 
1921 is that the State involved will establish and maintain a State 
substance abuse prevention and treatment planning council in accordance 
with the conditions described in this section.
    ``(b) Duties.--A condition under subsection (a) for a council is 
that the duties of the council are--
            ``(1) to review applications including reports required 
        under section 1932 of this subpart prior to their submission to 
        the Secretary and to submit to the State any recommendations of 
        the council for modifications;
            ``(2) to advise the State on how best to provide substance 
        abuse prevention and treatment services in the State;
            ``(3) to serve as an advocate for individuals with 
        substance abuse disorders; and
            ``(4) to monitor, review, and evaluate, not less than once 
        each year, the allocation and adequacy of substance abuse 
prevention and treatment services within the State.
    ``(c) Membership.--
            (1) In general.--A condition under subsection (a) for a 
        council is that the council be composed of residents of the 
        State; including representatives of--
                    ``(A) the principal State agencies with respect to 
                substance abuse prevention and treatment, education, 
                vocational rehabilitation, criminal justice, housing, 
                and social services;
                    ``(B) public and private entities concerned with 
                the need, planning, operation, funding, and use of 
                substance abuse prevention and treatment services and 
                related support services;
                    ``(C) individuals who are receiving (or have 
                received) substance abuse prevention and treatment 
                services;
                    ``(D) the families of such individuals; and
                    ``(E) providers of substance abuse prevention and 
                treatment services.
            ``(2) Limitation on state employees and providers.--A 
        condition under subsection (a) for a council is that not less 
        that 50 percent of the members of the council are individuals 
        who are not State employees or providers of substance abuse 
        prevention and treatment services.
    ``(d) Review of State Applications.--The Secretary may make a grant 
under this subpart only if--
            ``(1) the application including the report under this 
        subpart with respect to the grant has been reviewed by the 
        council; and
            ``(2) the State submits to the Secretary any 
        recommendations or comments received by the State from the 
        council for modifications to the application without regard to 
        whether the State has made the recommended modifications.''.
    (d) Maintenance of Effort.--Section 1930 of the Public Health 
Service Act (42 U.S.C. 300x-30) is amended--
            (1) by redesignating subsections (b) and (c) as subsections 
        (c) and (d) respectively; and
            (2) by inserting after subsection (a), the following:
    ``(b) Exclusion of Certain Funds.--The Secretary may exclude from 
the aggregate State expenditures under subsection (a), funds 
appropriated to the principle agency for authorized activities which 
are of a non-recurring nature and for a specific purpose.''.
    (e) Applications for Grants.--Section 1932 (a)(1) of the Public 
Health Service Act (42 U.S.C. 300x(a)(1)) is amended to read as 
follows:
            ``(1) the application is received by the Secretary no later 
        than October 1 of the fiscal year for which a State is seeking 
        funds.''.
    (f) Waiver for Territories.--Section 1932(c) of the Public Health 
Service Act (42 U.S.C. 300x-32(c)) is amended by striking ``whose 
allotment under section 1921 for the fiscal year is the amount 
specified in section 1933(c)(2)(B)'' and inserting ``except Puerto 
Rico''.
    (g) Waiver Authority for Certain Requirements.--(1) Section 1932 of 
the Public Health Service Act (42 U.S.C. 300x-32) is amended by adding 
the following subsection:
    ``(e) Waiver Authority for Certain Requirements.--(1) Upon the 
request of a State, the Secretary may waive the requirements of all or 
any of the sections listed in paragraph (2) using criteria established 
by the Secretary in accordance with paragraph (3).
    ``(2) The requirements which may be waived under paragraph (1) are 
sections 1922(c), 1923, 1924, 1928 and 1929.
    ``(3) The criteria referred to in paragraph (1) shall be 
performance measures including capacity, process and outcomes related 
to the specific requirements for which a State is seeking a waiver and 
be developed by a negotiated regulatory process involving the States 
and other interested groups.''.
    (2) Conforming amendments.--Upon publication of the regulation 
developed in accordance with subsection (e) as added by paragraph (1)--
            (A) section 1922(c) of the Public Health Service Act (42 
        U.S.C. 330x-22(c)) is amended by--
                    (i) repealing paragraph (2); and
                    (ii) redesignating paragraph (3) as (2).
            (B) section 1928(d) of the Public Health Service Act (42 
        U.S.C. 300x-28(d)) is repealed.
    (h) Determination of Allotment.--Section 1933(b) of the Public 
Health Service Act (42 U.S.C. 300x-33(b)) is amended to read as 
follows:
    ``(b) Minimum Allotments for States.--
            (1) In General.--With respect to fiscal year 2001 and all 
        subsequent fiscal years, the amount of the allotment of a State 
        under section 1921 shall not be less than the amount the State 
        received under section 1921 for the previous fiscal year 
        increased by 30.65 percent of the percentage by which the 
        amount allotted to the States for the fiscal year exceeds the 
        amount allotted to the States for the previous fiscal year.
            ``(2) Limitations.--
                    (A) In general.--Except as provided in subparagraph 
                (B), a State shall not receive an allotment under 
                section 1921 for a fiscal year in an amount that is 
                less than an amount equal to 0.375 percent of the 
                amount appropriated under section 1935(a) for such 
                fiscal year.
                    ``(B) Exception.--In applying subparagraph (A), the 
                Secretary shall ensure that no State receives an 
                increase in its allotment under section 1921 for a 
                fiscal year (as compared to the amount allotted to the 
                State in the prior fiscal year) that is in excess of an 
                amount equal to 300 percent of the percentage by which 
                the amount appropriated under section 1935(a) for such 
                fiscal year exceeds the amount appropriated for the 
                prior fiscal year.
            ``(3) Decrease in or equal appropriations.--If the amount 
        appropriated under section 1935(a) is equal to or less than the 
        amount appropriated under such section for the prior fiscal 
        year, the amount of the State allotment under section 1921 
        shall be equal to the amount the State received under section 
1921 in the prior fiscal year decreased by the percentage by which the 
amount appropriated for such fiscal year is less than the amount 
appropriated for such section for the prior fiscal year.''.
    (i) Authorization of Appropriations.--Section 1935(a) of the Public 
Health Service Act is amended as follows:
            (1) in subsection (a) by striking ``$1,500,000,000'' and 
        all that follows and inserting ``$2,000,000,000 for fiscal year 
        2001, and such sums as may be necessary for each of the fiscal 
        years 2002 and 2003.'';
            (2) in subsection (b)(2) by striking ``1949(a)'' and 
        inserting ``1948(a)''; and
            (3) in subsection (b) as follows--
                    (A) in paragraph (1)(B) by striking ``section 505'' 
                and inserting in its place ``sections 505 and 1971''; 
                and
                    (B) by adding the following paragraph--
            ``(3) Core data set.--Any State that receives a new grant, 
        contract or cooperative agreement from those funds available to 
        the Secretary under paragraph (1) for the purposes of improving 
        their data collection, analysis and reporting capabilities 
        shall be required to collect, analyze and report on to the 
        Secretary for each and every fiscal year subsequent to 
        receiving those funds a core/minimum data set to be determined 
        by the Secretary in conjunction with the States.''.

SEC. 208. ESTABLISHMENT OF COMMISSION ON INDIAN AND NATIVE ALASKAN 
              HEALTH CARE.

    Part D of title V of the Public Health Service Act (42 U.S.C. 290dd 
et seq.) is amended by adding at the end the following section:

``SEC. 544. COMMISSION ON INDIAN AND NATIVE ALASKAN HEALTH CARE.

    ``(a) In General.--There is established a commission to be known as 
the Commission on Indian and Native Alaskan Health Care that shall 
examine the health concerns of Indians and Native Alaskans who reside 
on reservations and tribal lands (hereafter in this section referred to 
as the `Commission').
    ``(b) Membership.--
            ``(1) In general.--The Commission established under 
        subsection (a) shall consist of--
                    ``(A) the Secretary;
                    ``(B) 15 members who are experts in the health care 
                field and issues that the Commission is established to 
                examine; and
                    ``(C) the Director of the Indian Health Service and 
                the Commissioner of Indian Affairs, who shall be 
                nonvoting members.
            ``(2) Appointing authority.--Of the 15 members of the 
        Commission described in paragraph (1)(B)--
                    ``(A) 2 shall be appointed by the Speaker of the 
                House of Representatives;
                    ``(B) 2 shall be appointed by the Minority Leader 
                of the House of Representatives;
                    ``(C) 2 shall be appointed by the Majority Leader 
                of the Senate;
                    ``(D) 2 shall be appointed by the Minority Leader 
                of the Senate; and
                    ``(E) 7 shall be appointed by the Secretary.
            ``(3) Limitation.--Not fewer than 10 of the members 
        appointed to the Commission shall be Indians or Native 
        Alaskans.
            ``(4) Chairperson.--The Secretary shall serve as the 
        Chairperson of the Commission.
            ``(5) Experts.--The Commission may seek the expertise of 
        any expert in the health care field to carry out its duties.
    ``(c) Period of Appointment.--Members shall be appointed for the 
life of the Commission. Any vacancy in the Commission shall not affect 
its powers, but shall be filed in the same manner as the original 
appointment.
    ``(d) Duties of the Commission.--The Commission shall--
            ``(1) study the health concerns of Indians and Native 
        Alaskans; and
            ``(2) prepare the reports described in subsection (i).
    ``(e) Powers of the Commission.--
            ``(1) Hearings.--The Commission may hold such hearings, 
        including hearings on reservations, sit and act at such times 
        and places, take such testimony, and receive such information 
        as the Commission considers advisable to carry out the purpose 
        for which the Commission was established.
            ``(2) Information from federal agencies.--The Commission 
        may secure directly from any Federal department or agency such 
        information as the Commission considers necessary to carry out 
        the purpose for which the Commission was established. Upon 
        request of the Chairperson of the Commission, the head of such 
        department or agency shall furnish such information to the 
        Commission.
    ``(f) Compensation of Members.--
            ``(1) In general.--Except as provided in subparagraph (B), 
        each member of the Commission may be compensated at a rate not 
        to exceed the daily equivalent of the annual rate of basic pay 
        prescribed for level IV of the Executive Schedule under section 
        5315 of title 5, United States Code, for each day (including 
        travel time), during which that member is engaged in the actual 
        performance of the duties of the Commission.
            ``(2) Limitation.--Members of the Commission who are 
        officers or employees of the United States shall receive no 
        additional pay on account of their service on the Commission.
    ``(g) Travel Expenses of Members.--The members of the Commission 
shall be allowed travel expenses, including per diem in lieu of 
subsistence, at rates authorized for employees of agencies under 
section 5703 of title 5, United States Code, while away from their 
homes or regular places of business in the performance of services for 
the Commission.
    ``(h) Commission Personnel Matters.--
            ``(1) In general.--The Secretary, in accordance with rules 
        established by the Commission, may select and appoint a staff 
        director and other personnel necessary to enable the Commission 
        to carry out its duties.
            ``(2) Compensation of personnel.--The Secretary, in 
        accordance with rules established by the Commission, may set 
        the amount of compensation to be paid to the staff director and 
        any other personnel that serve the Commission.
            ``(3) Detail of government employees.--Any Federal 
        Government employee may be detailed to the Commission without 
        reimbursement, and the detail shall be without interruption or 
        loss of civil service status or privilege.
            ``(4) Consultant services.--The Chairperson of the 
        Commission is authorized to procure the temporary and 
        intermittent services of experts and consultants in accordance 
        with section 3109 of title 5, United States Code, at rates not 
        to exceed the daily equivalent of the annual rate of basic pay 
        prescribed for level IV of the Executive Schedule under section 
        5315 of such title.
    ``(i) Report.--
            ``(1) In general.--Not later than 3 years after the date of 
        enactment of the Youth Drug and Mental Health Services Act, the 
        Secretary shall prepare and submit, to the Committee on Health, 
        Education, Labor, and Pensions of the Senate, a report that 
        shall--
                    ``(A) detail the health problems faced by Indians 
                and Native Alaskans who reside on reservations;
                    ``(B) examine and explain the causes of such 
                problems;
                    ``(C) describe the health care services available 
                to Indians and Native Alaskans who reside on 
                reservations and the adequacy of such services;
                    ``(D) identify the reasons for the provision of 
                inadequate health care services for Indians and Native 
                Alaskans who reside on reservations, including the 
                availability of resources;
                    ``(E) develop measures for tracking the health 
                status of Indians and Native Americans who reside on 
                reservations; and
                    ``(F) make recommendations for improvements in the 
                health care services provided for Indians and Native 
                Alaskans who reside on reservations, including 
                recommendations for legislative change.
            ``(2) Exception.--In addition to the report required under 
        paragraph (1), not later than 2 years after the date of 
        enactment of the Youth Drug and Mental Health Services Act, the 
        Secretary shall prepare and submit, to the Committee on Health, 
        Education, Labor, and Pensions of the Senate, a report that 
        describes any alcohol and drug abuse among Indians and Native 
        Alaskans who reside on reservations.
    ``(j) Permanent Commission.--Section 14 of the Federal Advisory 
Committee Act (5 U.S.C. App.) shall not apply to the Commission.
    ``(k) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for fiscal year 2001, 
and such sums as may be necessary for each of the fiscal years 2002 and 
2003.''.3

                   TITLE III--MENTAL HEALTH SERVICES

SEC. 301. COMMUNITY MENTAL HEALTH SERVICES PERFORMANCE PARTNERSHIP 
              BLOCK GRANT.

    (a) Criteria for Plan.--Section 1912(b) of the Public Health 
Service Act (42 U.S.C. 300x-2(b)) is amended by striking paragraphs (1) 
through (12) and inserting the following:
            ``(1) Comprehensive community-based mental health 
        systems.--The plan provides for an organized community-based 
        system of care and describes available services and resources 
        in a comprehensive system of care. Description of the system of 
        care includes health and mental health services, rehabilitation 
        services, employment services, housing services, educational 
        services, medical and dental care, and other support services 
        to be provided to such individuals with Federal, State and 
        local public and private resources to enable such individuals 
        to function outside of inpatient or residential institutions to 
        the maximum extent of their capabilities, including services to 
        be provided by local school systems under the Americans with 
        Disabilities Education Act. The plan includes a separate 
        description of case management services and provides for 
        activities leading to reduction of hospitalization.
            ``(2) Mental health system data and epidemiology.--The plan 
        contains an estimate of the incidence and prevalence in the 
        State of serious mental illness among adults and serious 
        emotional disturbance among children and presents quantitative 
        targets to be achieved in the implementation of the system 
        described in paragraph (1).
            ``(3) Children's services.--In the case of children with 
        serious emotional disturbance, the plan--
                    ``(A) subject to subparagraph (B) provides for a 
                system of integrated social services, educational 
                services, juvenile services, and substance abuse 
                services that, together with health and mental health 
                services, will be provided in order for such children 
                to receive care appropriate for their multiple needs 
                (which system includes services provided under the 
                Individuals with Disabilities Education Act);
                    ``(B) provides that the grant under section 1911 
                for the fiscal year involved will not be expended to 
                provide any service of such system other than 
                comprehensive community mental health services; and
                    ``(C) provides for the establishment of a defined 
                geographic area for the provision of the services of 
                such system.
            ``(4) Targeted services to rural and homeless 
        populations.--The plan describes the State's outreach to and 
        services for such individuals who are homeless and how 
        community-based services will be provided to individuals 
        residing in rural areas.
            ``(5) Management systems.--The plan describes the financial 
        resources, staffing and training for mental health providers 
        necessary to implement the plan, and provides for training of 
        providers of emergency health services regarding mental health. 
        The plan further describes the manner in which the State 
        intends to expend the grant under section 1911 for the fiscal 
        year involved. The State shall discuss in its plan each of 
        these criteria for both adults with serious mental illness and 
        children with serious emotional disturbance except for the 
        criteria in paragraph (3) which focuses only on children with 
        serious emotional disturbance.''.
    (b) Review of Planning Council of State's Report.--Section 1915(a) 
of the Public Health Service Act (42 U.S.C. 300x-4(a)) is amended--
            (1) in paragraph (1) by inserting ``and the report of the 
        State under section 1942(a) concerning the preceding fiscal 
        year'' after ``to the grant''; and
            (2) in paragraph (2) by inserting ``and their comments on 
        the annual report.'' after ``recommended modifications''.
    (c) Maintenance of Effort.--Section 1915(b) of the Public Health 
Service Act (42 U.S.C. 300x-4(b)) is amended--
            (1) by redesignating paragraphs (2) and (3) as paragraphs 
        (3) and (4), respectively; and
            (2) by inserting after paragraph (1), the following:
            ``(2) Exclusion of certain funds.--The Secretary may 
        exclude from the aggregate State expenditures under subsection 
        (a), funds appropriated to the principle agency for authorized 
        activities which are of a non recurring nature and for a 
        specific purpose.''.
    (d) Application for Grants.--Section 1917(a)(1) of the Public 
Health Service Act (42 U.S.C. 300x-6(a)(1)) is amended to read as 
follows:
            ``(1) the plan is received by the Secretary not later than 
        September l of the fiscal year prior to the fiscal year for 
        which a State is seeking funds, and the report from the 
        previous fiscal year as required under section 1941 is received 
        by December 1 of the fiscal year of the grant;''.
    (e) Waivers for Territories.--Section 1917(b) of the Public Health 
Service Act (42 U.S.C. 300x-6(b)) is amended by striking ``whose 
allotment under section 1911 for the fiscal year is the amount 
specified in section 1918 (c)(2)(B)'' and inserting in its place 
``except Puerto Rico''.
    (f) Determination of Allotment.--Section 1918(b) of the Public 
Health' Service Act (42 U.S.C. 300x-7(b)) is amended to read as 
follows:
    ``(b) Minimum Allotments for States.--With respect to fiscal year 
2001 and subsequent fiscal years, the amount of the allotment of a 
State under section 1911 shall not be less than the amount the State 
received under such section for fiscal year 1998.''.
    (g) Authorization of Appropriations.--Section 1920(a) of the Public 
Health Service Act (42 U.S.C. 300x-9(a)) is amended by striking 
``$450,000,000'' and all that follows and inserting the following: 
``$450,000,000 for fiscal year 2001, and such sums as may be necessary 
for each of the fiscal years 2002 and 2003.''.

SEC. 302. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE.

    (a) Mental Health Services.--Section 520A of the Public Health 
Service Act (42 U.S.C. 290bb-32) is amended to read as follows:

``SEC. 520A. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE.

    ``(a) Projects.--In order to address priority substance abuse 
mental health needs of regional and national significance, the 
Secretary shall, directly or through awards of grants, cooperative 
agreements, or contracts, provide for--
            ``(1) knowledge development and application projects for 
        prevention, treatment, and rehabilitation; and the conduct or 
        support of evaluations of such projects;
            ``(2) training; and
            ``(3) targeted capacity response.
The Secretary may make such awards to States, political subdivisions of 
States, Indian tribes and tribal organizations, and other public or 
nonprofit private entities.
    ``(b) Priority Mental Health Needs.--For purposes of subsection 
(a), priority mental health needs of regional and national significance 
shall be determined by the Secretary after consultation with States and 
other interested groups. The Secretary shall meet at least once a year 
with States and other interested parties to determine the agenda for 
these projects.
    ``(c) Requirements.--
            (1) In general.--Recipients of grants, cooperative 
        agreements, and contracts under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to an award under 
        subsection (a), the period during which payments under such 
        award are made to the recipient may not exceed 5 years. The 
        preceding sentence may not be construed as establishing a 
        limitation on the number of awards under such subsection that 
        may be made to the recipient.
            ``(3) Matching funds.--
                    ``(A) Authority of secretary.--The Secretary may, 
                as a condition of making awards under subsection (a), 
                require that recipients of such awards make available 
                (directly or through donations from public or private 
                entities) non-Federal contributions toward the costs of 
                the projects to be carried out by the recipients 
                pursuant to such subsection. The amount of any such 
                required contributions shall be the amount determined 
                by the Secretary to be appropriate to ensure the 
                institutional commitment of the recipients to such 
                projects.
                    ``(B) Determination of amount contributed.--Non-
                Federal contributions under subparagraph (A) may be in 
                cash or in kind, fairly evaluated, including plant, 
                equipment, or services. Amounts provided by the Federal 
                Government, or services assisted or subsidized to any 
                significant extent by the Federal Government, may not 
                be included in determining the amount of such 
                contributions.
            ``(4) Maintenance of effort.--With respect to activities 
        for which an award under subsection (a) is authorized to be 
        expended, the Secretary, as a condition of making such an award 
        for a fiscal year, may require, for specific projects, that the 
        recipient agree to maintain expenditures of non-Federal amounts 
        for such activities at a level that is not less than the level 
        of such expenditures maintained by the recipient for the fiscal 
        year preceding the fiscal year for which the recipient receives 
        the award.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under section (a)(1)(B) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(e) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate and 
apply the findings of the knowledge development and application and 
training programs under this section to the general public and to 
interested groups.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $300,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.
    (b) Conforming Amendments.--The following provisions of law are 
repealed:
            (1) Section 612 of the Stewart B. McKinney Act.
            (2) Section 303 of the Public Health Service Act (42 U.S.C. 
        242a).

SEC. 303. CHILDREN AND VIOLENCE.

    Section 520B of the Public Health Service Act (42 U.S.C. 290bb-33) 
is amended to read as follows:

``SEC. 520B. CHILDREN AND VIOLENCE.

    ``(a) In General.--The Secretary, in consultation with the 
Secretary of Education and the Attorney General, shall make awards of 
grants, cooperative agreements, or contracts to public entities to 
carry out a program to assist local communities in developing ways to 
help children deal with violence.
    ``(b) Type Projects.--Projects under subsection (a) may include--
            ``(1) financial support for local communities to implement 
        programs to foster the healthy development of children;
            ``(2) provision of technical assistance to local 
        communities in how to develop such programs;
            ``(3) assisting local communities in developing policies on 
        how to address violence when and if it occurs;
            ``(4) help facilitate the creation of community 
        partnerships among law enforcement, educations systems and the 
        mental health and substance abuse service systems; and
            ``(5) establish mechanisms for children and adolescents to 
        report incidents of violence or plans by other children or 
        adolescents to commit violence.
    ``(c) Requirements.--For an award under subsection (b)(1), 
applicants must be able to demonstrate that--
            ``(1) under the award they will create a partnership among 
        law enforcement, the education system, and the mental health 
        and substance abuse systems to address issues of violence in 
        schools;
            ``(2) the program will provide a comprehensive method for 
        addressing violence that will include--
                    ``(A) security;
                    ``(B) educational reform;
                    ``(C) review and updating of school policies;
                    ``(D) alcohol and drug abuse prevention and early 
                intervention services;
                    ``(E) mental health prevention and treatment 
                services; and
                    ``(F) early childhood development and psychosocial 
                services; and
            ``(3) funds under the award will only be spent on services 
        described in paragraphs (2)(D), (E) and (F).
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
awards under subsection (a) are distributed equitably among the regions 
of the country and among urban and rural areas.
    ``(e) Duration of Award.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 3 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(f) Evaluation.--The Secretary shall evaluate each project under 
subsection (a) and shall disseminate the findings with respect to each 
such evaluation to appropriate public and private entities.
    ``(g) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this 
section to the general public and to health professionals.
    ``(h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $300,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 304. CENTERS FOR EXCELLENCE.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by inserting after section 520B the following new section:

``SEC. 520C. CENTERS FOR EXCELLENCE.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to public or nonprofit private 
entities for the purpose of establishing up to four centers for 
excellence to study adaptations of innovative clinical intervention and 
service delivery improvement strategies for the provision of 
comprehensive mental health services to children in need of such 
services.
    ``(b) Priority.--In making awards under subsection (a), the 
Secretary shall give priority to applicants that--
            ``(1) have proven experience in research at the community 
        level, as well as a demonstrated commitment to carrying out 
        their academic mission in the community;
            ``(2) have graduate programs in education, counseling, 
        psychology, or a combination of those; and
            ``(3) have the ability to work collaboratively with other 
        institutions and academic programs.
    ``(c) Requirement.--The Secretary shall ensure that all centers 
receiving awards under subsection (a) focus on disadvantaged 
socioeconomic groups with low educational attainment and that at least 
one center focuses on the needs of remote, medically underserved rural 
communities, one center focuses on the needs of urban communities whose 
youth are at disproportionate risk for incarceration, one center 
focuses on the needs of immigrant populations, and one center focuses 
on the needs of American Indians.
    ``(d) Use of Funds.--An entity which receives an award under 
subsection (a) shall use funds made available through the award--
            ``(1) to study adaptations of innovative clinical 
        interventions and service delivery improvement strategies for 
        children with an emotional disturbance or a substantive abuse 
        problem or both and their families in real world settings as to 
        the accessibility of services, the acceptability of services 
        and outcomes to children;
            ``(2) to identify communities which have an exemplary 
        comprehensive system of care for children with an emotional 
        disturbance or a substantive abuse problem or both and to 
        provide support for them to act as peer to peer technical 
        advisors to communities attempting to start such a system of 
        care or wishing to improve their current system;
            ``(3) to provide technical assistance to States and local 
        communities who do not have a comprehensive system of care for 
        children with an emotional disturbance or a substantive abuse 
        problem or both and their families or who want to improve their 
        system;
            ``(4) to train community leaders, mental health 
        practitioners, families, and related child service providers;
            ``(5) to study the impact of expanding roles for families 
        of children with an emotional disturbance or a substantive 
        abuse problem or both (leadership development, service 
        provision, systems evaluation, and participating in the 
        development of their own child treatment plan; and
            ``(6) to compile an online database which would provide the 
        public direct access to information about innovative clinical 
        intervention and technical assistance programs.
    ``(e) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (a) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(f) Duration of Grants.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 3 years.
    ``(g) Report.--Not later than 3 years after the date of enactment 
of this section and annually thereafter, the Secretary shall prepare 
and submit to the Committee on Health, Education, Labor, and Pensions 
of the Senate, and the Committee on Commerce of the House of 
Representatives, a report that describes the services provided pursuant 
to this section.
    ``(h) Definition.--For purposes of this section, the term 
`disadvantaged socioeconomic group' means any community in which the 
median family income is less than 200 percent of the official poverty 
line (as established by the Director of the Office of Management and 
Budget and revised by the Secretary in accordance with section 673(2) 
of the Omnibus Budget Reconciliation Act of 1981).
    ``(i) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

SEC. 305. GRANTS TO ADDRESS THE PROBLEMS OF PERSONS WHO EXPERIENCE 
              VIOLENCE RELATED STRESS.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.), 
as amended by section 304 of this Act, is amended by adding the 
following section:

``SEC. 520D. GRANTS TO ADDRESS THE PROBLEMS OF PERSONS WHO EXPERIENCE 
              VIOLENCE RELATED STRESS.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to public and nonprofit private 
entities, including Indian tribes and tribal organizations, for the 
purpose of establishing national and regional centers of excellence on 
psychological trauma response and for developing knowledge with regard 
to evidence-based practices for treating psychiatric disorders 
resulting from witnessing or experiencing such stress.
    ``(b) Priorities.--In making awards under subsection (a) that are 
related to the development of knowledge on evidence-based practices for 
treating disorders associated with psychological trauma, the Secretary 
shall give priority to programs that work with children, adolescents, 
adults, and families who are survivors and witnesses of domestic, 
school and community violence and terrorism.
    ``(c) Geographical Distribution.--The Secretary shall ensure that 
awards under subsection (a) with respect to centers of excellence are 
distributed equitably among the regions of the country and among urban 
and rural areas.
    ``(d) Evaluation.--The Secretary, as part of the application 
process, shall require that each applicant for an award under 
subsection (a) submit a plan for the rigorous evaluation of the 
activities carried out with the award, including both process and 
outcomes evaluation, and the submission of an evaluation at the end of 
the project period.
    ``(e) Duration of Awards.--With respect to an award under 
subsection (a), the period during which payments under such an award 
are made to the recipient may not exceed 5 years. The preceding 
sentence may not be construed as establishing a limitation on the 
number of awards under such subsection that may be made to the 
recipient.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $50,000,000 
for fiscal year 2001, and such sums as may be necessary for each of 
fiscal years 2002 and 2003.''.

SEC. 306. COMPREHENSIVE MENTAL HEALTH SERVICES FOR CHILDREN WITH 
              SERIOUS EMOTIONAL DISTURBANCE.

    (a) Matching Funds.--Section 561(c)(1)(D) of the Public Health 
Service Act (42 U.S.C. 290ff(c)(1)(D)) is amended by striking ``fifth'' 
and inserting ``fifth and sixth''.
    (b) Flexibility for Indian Tribes and Territories.--Section 562 of 
the Public Health Service Act (42 U.S.C. 290ff-1) is amended by adding 
at the end the following:
    ``(g) Waivers.--The Secretary may waive 1 or more of the 
requirements of subsection (c) for a public entity that is an Indian 
tribe or tribal organization, or American Samoa, Guam, the Marshall 
Islands, the Federated States of Micronesia, the Commonwealth of the 
Northern Mariana Islands, the Republic of Palau, or the United States 
Virgin Islands if the Secretary determines, after peer review, that the 
system of care is family-centered and uses the least restrictive 
environment that is clinically appropriate.''.
    (c) Duration of Grants.--Section 565(a) of the Public Health 
Service Act (42 U.S.C. 290ff-4(a)) is amended by striking ``5 fiscal'' 
and inserting ``6 fiscal''.
    (d) Authorization of Appropriations.--Section 565(f)(1) of the 
Public Health Service Act (42 U.S.C. 290ff-4(f)(1)) is amended by 
striking ``1993'' and all that follows and inserting ``2001, and such 
sums as may be necessary for each of the fiscal years 2002 and 2003.''.
    (e) Current Grantees.--
            (1) In general.--Entities with active grants under section 
        561 of the Public Health Service Act (42 U.S.C. 290ff) on the 
        date of enactment of this Act shall be eligible to receive a 
        sixth year of funding under the grant in an amount not to 
        exceed the amount that such grantee received in the fifth year 
        of funding under such grant. Such sixth year may be funded 
        without requiring peer and Advisory Council review as required 
        under section 504 of such Act (42 U.S.C. 290aa-3).
            (2) Limitation.--Paragraph (1) shall apply with respect to 
        a grantee only if the grantee agrees to comply with the 
        provisions of section 561 as amended by subsection (a).

SEC. 307. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    (a) Waivers for Territories.--Section 522 of the Public Health 
Service Act (42 U.S.C. 290cc-22) is amended by adding at the end the 
following subsection--
    ``(i) Waiver for territories.--The Secretary may waive such 
provisions of this Subpart as the Secretary determines to be 
appropriate for the United States Virgin Islands, Guam, Palau, American 
Samoa, the Marshall Islands, and the Commonwealth of the Northern 
Mariana Islands.''.
    (b) Authorization of Appropriations.--Section 535(a) of the Public 
Health Service Act (42 U.S.C. 290cc-35(a)) is amended by striking 
``1991 through 1994'' and inserting ``2001 through 2003''.
    (c) Grants for the Benefit of Homeless Individuals.--Part C of 
title V of the Public Health Service Act (42 U.S.C. 290cc-21 et seq) is 
amended by adding at the end the following new section:

``SEC. 536. TREATMENT AND RECOVERY INITIATIVE FOR PERSONS EXPERIENCING 
              HOMELESSNESS.

    ``(a) In General.--The Secretary shall make awards of grants, 
cooperative agreements, or contracts to community-based public and 
nonprofit private entities for the purposes of providing mental health 
and substance abuse services for homeless individuals. In carrying out 
this section, the Secretary shall consult with the Interagency Council 
on the Homeless, established under section 201 of the Stewart B. 
McKinney Homeless Assistance Act (42 U.S.C. 11311).
    ``(b) Preferences.--In making awards under subsection (a), the 
Secretary shall give preference to--
            ``(1) entities that provide integrated primary health, 
        substance abuse, and mental health services to homeless 
        individuals;
            ``(2) entities that demonstrate effectiveness in serving 
        runaway, homeless, and street youth;
            ``(3) entities that have experience in providing substance 
        abuse and mental health services to homeless individuals;
            ``(4) entities that demonstrate experience in providing 
        housing for individuals in treatment for or in recovery from 
        mental illness or substance abuse; and
            ``(5) entities that demonstrate effectiveness in serving 
        homeless veterans.
    ``(c) Services for Certain Individuals.--In making awards under 
subsection (a), the Secretary shall not--
            ``(1) prohibit the provision of services under such 
        subsection to homeless individuals who are suffering from a 
        substance abuse disorder and are not suffering from a mental 
        health disorder; and
            ``(2) make payments under subsection (a) to any entity that 
        has a policy of--
                    ``(A) excluding individuals from mental health 
                services due to the existence or suspicion of substance 
                abuse; or
                    ``(B) has a policy of excluding individuals from 
                substance abuse services due to the existence or 
                suspicion of mental illness.
    ``(d) Duration of Grants.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 5 years. The preceding sentence 
may not be construed as establishing a limitation on the number of 
awards under such subsection that may be made to the recipient.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $100,000,000 
for each of the fiscal years 2001 and 2002, and such sums as may be 
necessary for fiscal year 2003.''.

SEC. 308. PROTECTION AND ADVOCACY FOR MENTALLY ILL INDIVIDUALS ACT OF 
              1986.

    (a) Short Title.--The first section of the Protection and Advocacy 
for Mentally Ill Individuals Act of 1986 (Public Law 99-319) is amended 
to read as follows:

``SECTION 1. SHORT TITLE.

    ``This Act may be cited as the `Protection and Advocacy for 
Individuals with Mental Illness Act'.''.
    (b) Definitions.--Section 102 of the Protection and Advocacy for 
Individuals with Mental Illness Act (as amended by subsection (a)) (42 
U.S.C. 10802) is amended--
            (1) in paragraph (4)--
                    (A) in the matter preceding subparagraph (A), by 
                inserting ``, except as provided in section 104(d),'' 
                after ``means'';
                    (B) in subparagraph (B)--
                            (i) by striking ``(i) who'' and inserting 
                        ``(i)(I) who'';
                            (ii) by redesignating clauses (ii) and 
                        (iii) as subclauses (II) and (III);
                            (iii) in subclause (III) (as so 
                        redesignated), by striking the period and 
                        inserting ``; or''; and
                            (iv) by adding at the end the following:
                            ``(ii) who satisfies the requirements of 
                        subparagraph (A) and lives in a community 
                        setting, including their own home.''; and
            (2) by adding at the end the following:
            ``(8) The term `American Indian consortium' means a 
        consortium established under part C of the Developmental 
        Disabilities Assistance and Bill of Rights Act (42 U.S.C. 6042 
        et seq.).''.
    (c) Use of Allotments.--Section 104 of the Protection and Advocacy 
for Individuals with Mental Illness Act (as amended by subsection (a)) 
(42 U.S.C. 10804) is amended by adding at the end the following:
    ``(d) The definition of `individual with a mental illness' 
contained in section 102(4)(B)(iii) shall apply, and thus an eligible 
system may use its allotment under this title to provide representation 
to such individuals, only if the total allotment under this title for 
any fiscal year is $30,000,000 or more, and in such case, an eligible 
system must give priority to representing persons with mental illness 
as defined in subparagraphs (A) and (B)(i) of section 102(4).''.
    (d) Seclusion and Restraint.--Section 105(a)(1) of the Protection 
and Advocacy for Mentally Ill Individuals Act of 1986 (42 U.S.C. 
10805(a)(1)) is amended--
            (1) in subparagraph (B), by striking ``and'' at the end;
            (2) in subparagraph (C), by striking the semicolon at the 
        end and inserting ``; and''; and
            (3) by adding at the end the following:
                    ``(D) investigate the death or serious injury (any 
                significant impairment of the physical condition of the 
                individual, including any burn, laceration, internal 
                injury, or any injury that occurs as a result of 
                repeated harm to any organ) of an individual with a 
                mental illness if the death or serious injury occurred 
                at a facility to which this Act applies;''.
    (e) Minimum Amount.--Paragraph (2) of section 112(a) of the 
Protection and Advocacy for Individuals with Mental Illness Act (as 
amended by subsection (a)) (42 U.S.C. 10822(a)(2)) is amended to read 
as follows:
            ``(2)(A) The minimum amount of the allotment of an eligible 
        system shall be the product (rounded to the nearest $100) of 
        the appropriate base amount determined under subparagraph (B) 
        and the factor specified in subparagraph (C).
            ``(B) For purposes of subparagraph (A), the appropriate 
        base amount--
                    ``(i) for American Samoa, Guam, the Marshall 
                Islands, the Federated States of Micronesia, the 
                Commonwealth of the Northern Mariana Islands, the 
                Republic of Palau, and the Virgin Islands, is $139,300; 
                and
                    ``(ii) for any other State, is $260,000.
            ``(C) The factor specified in this subparagraph is the 
        ratio of the amount appropriated under section 117 for the 
        fiscal year for which the allotment is being made to the amount 
        appropriated under such section for fiscal year 1995.
            ``(D) If the total amount appropriated for a fiscal year is 
        at least $25,000,000, the Secretary shall make an allotment in 
        accordance with subparagraph (A) to the eligible system serving 
        the American Indian consortium.''.
    (f) Technical Amendments.--Section 112(a) of the Protection and 
Advocacy for Individuals with Mental Illness Act (as amended by 
subsection (a)) (42 U.S.C. 10822(a)) is amended--
            (1) in paragraph (1)(B), by striking ``Trust Territory of 
        the Pacific Islands'' and inserting ``Marshall Islands, the 
        Federated States of Micronesia, the Republic of Palau''; and
            (2) by striking paragraph (3).
    (g) Reauthorization.--Section 117 of the Protection and Advocacy 
for Individuals with Mental Illness Act (as amended by subsection (a)) 
(42 U.S.C. 10827) is amended by striking ``1995'' and inserting 
``2003''.

SEC. 309. WRAP AROUND SERVICES FOR YOUTH.

    (a) Grants.--Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.), as amended by section 305 of this Act, is amended by 
inserting after section 520D the following new section:

``SEC. 520E. WRAP AROUND SERVICES FOR YOUTH.

    ``(a) In General.--The Secretary, in consultation with the 
Administrator of the Office of Juvenile Justice Programs, shall make 
grants to State or local juvenile justice agencies to enable such 
agencies to provide aftercare services for youth offenders who have 
been discharged from facilities in the juvenile or criminal justice 
system and have serious emotional disturbances or are at risk of 
developing such disturbances.
    ``(b) Use of Funds.--A State or local juvenile justice agency 
receiving a grant under subsection (a) shall use the amounts provided 
under the grant--
            ``(1) to develop a plan describing the manner in which the 
        agency will provide services for each youth offender who has a 
        serious emotional disturbance and has come in contact with the 
        juvenile or criminal justice system;
            ``(2) to provide a network of core or aftercare services or 
        access to such services for each youth offender, including 
        diagnostic and evaluation services, substance abuse treatment 
        services, outpatient mental health care services, medication 
        management services, intensive home-based therapy, intensive 
        day treatment services, respite care, and therapeutic foster 
        care;
            ``(3) to establish a program that coordinates with other 
        State and local agencies providing recreational, social, 
        educational, vocational, or operational services for youth, to 
        enable the agency receiving a grant under this section to 
        provide community-based system of care services for each youth 
        offender that addresses the special needs of the youth and 
        helps the youth access all of the aforementioned services; and
            ``(4) using not more than 20 percent of funds received, to 
        provide planning and transition services as described in 
        paragraph (3) for youth offenders while such youth are 
        incarcerated or detained.
    ``(c) Application.--A State or local juvenile justice agency that 
desires a grant under subsection (a) shall submit an application to the 
Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonably require.
    ``(d) Report.--Not later than 3 years after the date of enactment 
of this section and annually thereafter, the Secretary shall submit to 
the Committee on Commerce in the House of Representatives and the 
Committee on Health, Education, Labor and Pensions in the Senate a 
report describing the services provided pursuant to this section.
    ``(e) Definitions.--In this section:
            ``(1) Serious emotional disturbance.--The term `serious 
        emotional disturbance' with respect to a youth offender means 
        an offender who currently, or at any time within the 1-year 
        period ending on the day on which services are sought under 
        this section, has a diagnosable mental, behavioral, or 
        emotional disorder that functionally impairs the offender's 
        life by substantially limiting the offender's role in family, 
        school, or community activities, and interfering with the 
        offender's ability to achieve or maintain 1 or more 
        developmentally-appropriate social, behavior, cognitive, 
        communicative, or adaptive skills.
            ``(2) Community-based system of care.--The term `community-
        based system of care' means the provision of services for the 
        youth offender by various State or local agencies that in an 
        interagency fashion or operating as a network addresses the 
        recreational, social, educational, vocational, mental health, 
        substance abuse, and operational needs of the youth offender.
            ``(3) Youth offender.--The term `youth offender' means an 
        individual who is 21 years of age or younger who has been 
        discharged from a State or local juvenile or criminal justice 
        system, except that if the individual is between the ages of 18 
        and 21 years, such individual has had contact with the State or 
        local juvenile or criminal justice system prior to attaining 18 
        years of age and is under the jurisdiction of such a system at 
        the time services are sought.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $40,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.
    (b) Centers for Excellence.--Title V of the Public Health Service 
Act, as amended by subsection (a) of this section, is amended by 
inserting after section 520E the following new section:

``SEC. 520F. INTERAGENCY RESEARCH, TRAINING, AND TECHNICAL ASSISTANCE 
              CENTERS.

    ``(a) Grants or Contracts.--The Secretary, acting through the 
Administration and in consultation with the Juvenile Justice and 
Delinquency Prevention Office and the Justice Assistance Bureau, shall 
make awards of grants and contracts for the establishment of up to 4 
research, training, and technical assistance centers to carry out the 
activities described in subsection (c).
    ``(b) Eligibility.--To be eligible to receive an award under 
subsection (a), an entity shall--
            ``(1) be a public or nonprofit private entity; and
            ``(2) prepare and submit to the Secretary of Health and 
        Human Services an application, at such time, in such manner, 
        and containing such information as the Secretary may require.
    ``(c) Activities.--A center established under an award under 
subsection (a) shall with respect to youth--
            ``(1) provide training with respect to state-of-the-art 
        mental health and justice-related services and successful 
        mental health and substance abuse-justice collaborations, to 
        public policymakers, law enforcement administrators, public 
        defenders, police, probation officers, judges, parole 
        officials, jail administrators and mental health and substance 
        abuse providers and administrators;
            ``(2) engage in research and evaluations concerning State 
        and local justice and mental health systems, including system 
        redesign initiatives, and disseminate information concerning 
        the results of such evaluations;
            ``(3) provide direct technical assistance, including 
        assistance provided through toll-free telephone numbers, 
        concerning issues such as how to accommodate individuals who 
        are being processed through the courts under the Americans with 
        Disabilities Act of 1990 (42 U.S.C. 12101 et seq.), what types 
        of mental health or substance abuse service approaches are 
        effective within the judicial system, and how community-based 
        mental health or substance abuse services can be more 
        effective, including relevant regional, ethnic, and gender-
        related considerations; and
            ``(4) provide information, training, and technical 
        assistance to State and local governmental officials to enhance 
        the capacity of such officials to provide appropriate services 
        relating to mental health or substance abuse.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $4,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.''.

                   TITLE IV--PERFORMANCE PARTNERSHIPS

SEC. 401. PERFORMANCE PARTNERSHIPS.

    Section 1949 of the Public Health Service Act (42 U.S.C. 300x-59) 
is amended to read as follows:

``SEC. 1949. PLANS FOR PERFORMANCE PARTNERSHIPS.

    ``(a) Development.--Not later than 2 years after the date of the 
enactment of this section, the Secretary, after consultation with the 
States and other interested parties, including providers and consumers, 
shall submit to the Committee on Commerce in the House of 
Representatives and the Committee on Health, Education, Labor and 
Pensions in the Senate a plan for the program authorized under subpart 
II for creating more flexibility for States and accountability based on 
outcome and other performance measures.
    ``(b) Plan Elements.--The plan required under subsection (a) shall 
include--
            ``(1) a description of the flexibility that would be given 
        to the States under the plan;
            ``(2) the common set of performance measures that would be 
        used for accountability on substance abuse that would include 
        measures that would be used for pregnant addicts, HIV/AIDS, 
        tuberculosis, homelessness, and those with co-occurring 
        substance abuse and mental health disorders and on mental 
        health that would include children, homeless individuals, and 
        those with co-occurring substance abuse and mental health 
        disorders;
            ``(3) the definitions for the data elements to be used 
        under the plan;
            ``(4) the obstacles to implementation of the plan and the 
        manner in which such obstacles would be resolved;
            ``(5) the resources needed to implement the performance 
        partnerships under the plan; and
            ``(6) an implementation strategy complete with 
        recommendations for any necessary legislative changes.
    ``(c) Information.--As the elements of the plan under subsection 
(a) are developed, States are encouraged to provide performance 
measures information to the Secretary on a voluntary basis.''.

SEC. 402. DATA INFRASTRUCTURE.

    (a) Data Infrastructure Projects.--Part C of title XIX of the 
Public Health Service Act (42 U.S.C. 300y) is amended as follows:
            (1) Strike the title for part C and subpart I and insert 
        the following:

 ``Part C--Certain Programs Regarding Mental Health and Substance Abuse

            ``Subpart I--Data Infrastructure Development''.

            (2) Amend section 1971 to read as follows:

``SEC. 1971. DATA INFRASTRUCTURE DEVELOPMENT.

    ``(a) In General.--The Secretary may make awards of grants, 
cooperative agreements, or contracts to States for the purpose of 
developing and operating substance abuse data collection, analysis, and 
reporting systems with respect to performance measures, including 
capacity, process and outcomes measures.''
    ``(b) Projects.--The Secretary shall establish criteria to ensure 
that awards under subsection (a) are available both for States that 
have a fundamental basis for the collection, analysis, and reporting of 
substance abuse performance measures and for States that do not. The 
Secretary shall establish criteria for determining whether a State has 
a fundamental basis for the collection, analysis and reporting of data.
    ``(c) Matching Requirement.--
            ``(1) In general.--With respect to the costs of the program 
        to be carried out under subsection (a) by a State, the 
        Secretary may make an award under such subsection only if the 
        applicant agrees to make available (directly or through 
        donations from public or private entities) non-Federal 
        contributions toward such costs in an amount that is not less 
        than 50 percent of such costs.
                    ``(B) Determination of amount contributed.--Non-
                Federal contributions under paragraph (1) may be in 
                cash or in kind, fairly evaluated, including plant, 
                equipment, or services. Amounts provided by the Federal 
                Government, or services assisted or subsidized to any 
                significant extent by the Federal Government, may not 
                be included in determining the amount of such 
                contributions.
    ``(d) Condition of Receipt of Funds.--As a condition of receipt of 
an award, a State must agree to collect, analyze and report to the 
Secretary within two years on a core set of performance measures to be 
determined by the Secretary in conjunction with the States.
    ``(e) Duration of Award.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 3 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(f) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 2001 through 2003.''.
    (b) Use of Block Grant Funds.--
            (1) Mental health.--Section 1911 (b) of the Public Health 
        Service Act (42 U.S.C. 300x-l(b)) is amended--
                    (A) in paragraph (2) by striking ``and'' at the 
                end;
                    (B) in paragraph (3 by striking ``under the plan.'' 
                and inserting ``under the plan; and''; and
                    (C) by adding at the end the following paragraph:
            ``(4) data infrastructure development for the purposes of 
        the collection and reporting of performance data.''.
            (2) Substance abuse.--Section 1921(b) of the Public Health 
        Service Act (42 U.S.C. 300x-21(b) is amended by striking ``and 
        for related activities authorized in section 1924.'' and 
        inserting in its place ``for related activities authorized in 
        section 1924, and for data infrastructure development for the 
        purposes of collecting and reporting of performance data.''

  TITLE V--CROSS-CUTTING ISSUES REGARDING MENTAL HEALTH AND SUBSTANCE 
                                 ABUSE

  Subtitle A--Co-Occurring Substance Abuse and Mental Health Disorders

SEC. 501. TREATMENT FOR INDIVIDUALS WITH A CO-OCCURRING SUBSTANCE ABUSE 
              AND MENTAL HEALTH DISORDER.

    Section 506 of the Public Health Service Act (42 U.S.C. 290aa-5) is 
amended to read as follows:

``SEC. 506. COMPREHENSIVE SERVICES FOR INDIVIDUALS WITH A CO-OCCURRING 
              MENTAL HEALTH AND SUBSTANCE ABUSE DISORDERS.

    ``(a) In General.--The Secretary shall, directly or through awards 
of grants, cooperative agreements, or contracts to public and nonprofit 
private entities, provide for comprehensive prevention and treatment 
services to individuals with or at risk for co-occurring substance 
abuse and mental disorders.
    ``(b) Nature of the Projects.--
            (1) Focus of the awards.--Awards under subsection (a) shall 
        be made to--
                    ``(A) projects for the prevention of substance 
                abuse among individuals who have a diagnosed mental 
                disorder and are at risk of substance abuse, especially 
                youth; and
                    ``(B) projects for the treatment of individuals 
                with co-occurring substance abuse and mental disorders.
            ``(2) Types of projects.--The Secretary may make awards 
        under subsection (a) for projects that--
                    ``(A) increase capacity and create systems of care 
                for such individuals;
                    ``(B) develop innovative models for the provision 
                of such services; and
                    ``(C) validate and replicate evidenced based 
                practices.
    ``(c) Cultural Appropriateness.--The Secretary shall ensure that 
services supported under subsection (a) are culturally appropriate for 
the individuals receiving services.
    ``(d) Evaluation.--The Secretary shall require a rigorous 
evaluation of projects under subsection (a), including both process and 
outcome evaluation, and the submission of the evaluation at the end of 
the project period.
    ``(e) Duration of Projects.--With respect to an award under 
subsection (a), the period during which payments under such award are 
made to the recipient may not exceed 5 years. The preceding sentence 
may not be construed as establishing a limitation on the number of 
awards under such subsection that may be made to the recipient.
    ``(f) Matching Requirement.--
            ``(1) Authority of secretary.--The Secretary may, as a 
        condition of making awards under subsection (a), require that 
        recipients of such awards make available (directly or through 
        donations from public or private entities) non-Federal 
        contributions toward the costs of the projects to be carried 
        out by the recipients pursuant to such subsection. The amount 
        of any such required contributions shall be the amount 
        determined by the Secretary to be appropriate to ensure the 
        institutional commitment of the recipients to such projects.
            ``(B) Determination of amount contributed.--Non-Federal 
        contributions under paragraph (1) may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services. 
        Amounts provided by the Federal Government, or services 
        assisted or subsidized to any significant extent by the Federal 
        Government, may not be included in determining the amount of 
        such contributions.
    ``(g) Collaboration.--The Secretary shall ensure that the Center 
for Mental Health Services, the Center for Substance Abuse Prevention 
and the Center for Substance Abuse Treatment work collaboratively in 
the development and implementation of this program.
    ``(h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $100,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2001 and 2002.''.

SEC. 502. SERVICES FOR INDIVIDUALS WITH CO-OCCURRING DISORDERS.

    Subpart III of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x-51 et seq.) is amended by inserting after section 1953 
the following section:

``SEC. 1953A. SERVICES FOR INDIVIDUALS WITH CO-OCCURRING MENTAL HEALTH 
              AND SUBSTANCE ABUSE DISORDERS.

    ``States may use funds available for treatment under sections 1911 
and 1921 to treat persons with co-occurring substance abuse and mental 
disorders as long as funds available under such sections are used for 
the purposes for which they were authorized by law and can be tracked 
for accounting purposes.''.

SEC. 503. REPORT ON INDIVIDUALS WITH CO-OCCURRING SUBSTANCE ABUSE AND 
              MENTAL HEALTH DISORDERS.

    (a) In General.--Not later than 2 years after the effective date of 
this section, the Secretary of Health and Human Services (referred to 
in this section as the ``Secretary'') shall submit to the Committee on 
Commerce in the House of Representatives and the Committee on Health, 
Education, Labor, and Pensions in the Senate a report on prevention and 
treatment services for those with co-occurring substance abuse and 
mental health disorders which includes at least the information 
required in subsection (b).
    (b) Report Content.--The report under subsection (a) shall 
include--
            (1) a description of the current state of the problem, 
        including the most recent information available regarding the 
        number of children and adults with co-occurring disorders;
            (2) a description of what services are being provided to 
        individuals with co-occurring disorders and how funds under 
        section 1911 and 1921 of this Act are being used to provide 
        these services;
            (3) a summary of improvements necessary to ensure that 
        individuals with co-occurring disorders receive the services 
        they need;
            (4) a summary of promising and evidence-based practices for 
        preventing substance abuse among those with a diagnosed mental 
        disorder and at risk of substance abuse and for treating those 
        with co-occurring substance abuse and mental disorders; and
            (5) recommendations to the committees of jurisdiction on 
        legislation needed to foster such practices.
    (c) Participation.--The Secretary shall develop the report under 
subsection (a) after consultation with organizations representing 
States, as well as providers of mental health and substance abuse 
treatment, prevention specialists, consumers, and families of consumers 
of substance abuse and mental health services.
    (d) Data Collection.--In developing the report under subsection 
(a), the Secretary shall depend on data collected through existing 
Federal and State surveys and shall encourage the States to provide the 
data to the Secretary.
    (e) Authorization of Appropriation.--For the purpose of carrying 
out this section, there are authorized to be appropriated $1,000,000 
for fiscal year 2001, and such sums as may be necessary for each of the 
fiscal years 2002 and 2003.

                 Subtitle B--Prevention of Sexual Abuse

SEC. 511. PREVENTION OF SEXUAL ABUSE.

    Part A of title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by inserting after section 506 the following 
section:

``SEC. 506A. PREVENTION OF SEXUAL ABUSE.

    ``(a) In General.--The Secretary shall make awards of grants, 
contracts, or cooperative agreements to nonprofit private entities for 
the purposes of providing services to runaway and homeless and street 
youth who have been subjected to, or are at risk of being subjected to, 
sexual abuse, prostitution or sexual exploitation.
    ``(b) Priorities.--In making awards under subsection (a), the 
Secretary shall give priority to nonprofit private entities that--
            ``(1) have experience in providing services to runaway and 
        homeless and street youth;
            ``(2) will provide outreach services to identify youth in 
        need of services;
            ``(3) will provide services both at a drop in center and in 
        the home; and
            ``(4) will coordinate services with existing systems that 
        provide primary health care, substance abuse services, mental 
        health services, educational services, social services, housing 
        assistance, child welfare, and other service systems within the 
        community.
    ``(c) Use of Funds.--An entity that receives an award under 
subsection (a) shall use the funds for providing--
            ``(1) drug abuse education and prevention services to 
        prevent or reduce the illicit use of drugs by runaway and 
        homeless and street youth;
            ``(2) intensive individual and family counseling services;
            ``(3) outreach services to identify runaway and homeless 
        and street youth in need of services;
            ``(4) crisis intervention and counseling;
            ``(5) housing assistance and referral for transitional 
        housing;
            ``(6) services which educate the youth on human 
        immunodeficiency virus, hepatitis C, tuberculosis, and sexually 
        transmitted diseases and refer for testing and services for 
        such diseases;
            ``(7) referral for primary health care services;
            ``(8) training for professionals involved in providing 
        services to runaway and homeless and street youth; and
            ``(9) training related to life skills and parenting.
    ``(d) Geographic Distribution.--In making awards under subsection 
(a) the Secretary shall ensure that awards are made to entities that 
will serve both a rural and urban population.
    ``(e) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (a) and shall disseminate the findings 
with respect to each such evaluation to appropriate public and private 
entities.
    ``(f) Duration of Award.--With respect to an award under subsection 
(a), the period during which payments under such award are made to the 
recipient may not exceed 3 years. The preceding sentence may not be 
construed as establishing a limitation on the number of awards under 
such subsection that may be made to the recipient.
    ``(g) Definitions.--For purposes of this section:
            ``(1) The term `homeless youth' means an individual--
                    ``(A) who is--
                            ``(i) not more than 21 years of age; and
                            ``(ii) not less than 16 years of age;
                    ``(B) for whom it is not possible to live in a safe 
                environment with a relative; and
                    ``(C) who has no other safe alternative living 
                arrangement.
            ``(2) The term `street youth' means an individual who--
                    ``(A) is--
                            ``(i) a runaway youth; or
                            ``(ii) indefinitely or intermittently a 
                        homeless youth; and
                    ``(B) spends a significant amount of time on the 
                street or in other areas that increase the risk of such 
                youth for sexual abuse, sexual exploitation, 
                prostitution, or drug abuse.
            ``(3) The term `youth at risk of separation from the 
        family' means an individual--
                    ``(A) who is less than 18 years of age; and
                    ``(B)(i) who has a history of running away from the 
                family of such individual;
                    ``(ii) whose parent, guardian, or custodian is not 
                willing to provide for the basic needs of such 
                individual; or
                    ``(iii) who is at risk of entering the child 
                welfare system or juvenile justice system as a result 
                of the lack of services available to the family to meet 
                such needs.
    ``(h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $20,000,000 
for fiscal year 2001, and such sums as may be necessary for each of 
fiscal years 2002 and 2003.''.

                      TITLE VI--GENERAL PROVISIONS

 SEC. 601. CONFIDENTIALITY AND EMERGENCY RESPONSE.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa) is 
amended by--
            (1) redesignating subsection (m) as subsection (a);
            (2) by adding the following 2 new subsections:
    ``(m) Limitation on the Use of Certain Information.--No 
information, if an establishment or person supplying the information or 
described in it is identifiable, obtained in the course of activities 
undertaken or supported under section 505 may be used for any purpose 
other than the purpose for which it was supplied unless such 
establishment or person has consented (as determined under regulations 
of the Secretary) to its use for such other purpose. Such information 
may not be published or released in other form if the person who 
supplied the information or who is described in it is identifiable 
unless such person has consented (as determined under regulations of 
the Secretary) to its publication or release in other form.
    ``(n) Emergency Response.--
            ``(1) In general.--Notwithstanding section 504 of the 
        Public Health Service Act (42 U.S.C. 290aa-3), the Secretary 
        may use up to 3 percent of all funds appropriated for this 
        title to make non competitive grants, contracts or cooperative 
        agreements to public entities to address emergency substance 
        abuse and/or mental health needs in local communities.
            ``(2) Exceptions.--The following exceptions apply to 
        paragraph (1)--
                    ``(A) funds appropriated to part C of this title 
                are not subject to this provision; and
                    ``(B) funds used under this authority and taken 
                from funds appropriated for programs under title V for 
                mental health services may only be used for mental 
                health emergencies, and funds used under this authority 
                and taken from funds appropriated for programs under 
                title V for substance abuse services may only be used 
                for substance abuse emergencies.
            ``(3) Definition of emergency.--The Secretary shall 
        establish what defines a substance abuse or mental health 
        emergency and publish these definitions in the Federal Register 
        prior to the use of this authority.''.
            (3) in subsection (o) (as redesignated under paragraph 
        (1)), strike ``1993'' and all that follows and insert ``2001, 
        and such sums as may be necessary for each of the fiscal years 
        2002 and 2003.''.

SEC. 602. PEER REVIEW.

    Section 504 of the Public Health Service (42 U.S.C. 290aa-3) is 
amended to read as follows:

``SEC. 504. PEER REVIEW.

    ``(a) In General.--The Secretary, after consultation with the 
Administrator, shall require appropriate peer review of grants, 
cooperative agreements, and contracts to be administered through the 
agency which exceed the simple acquisition threshold as defined in 
section 4(11) of the Office of Federal Procurement Policy Act.
    ``(b) Members.--The members of any peer review group established 
under subsection (a) shall be individuals who by virtue of their 
training or experience are eminently qualified to perform the review 
functions of the group. Not more than \1/4\ of the members of any such 
peer review group shall be officers or employees of the United States.
    ``(c) Advisory Council Review.--If the direct cost of a grant or 
cooperative agreement (described in subsection (a)) exceeds the simple 
acquisition threshold as defined by section 4(11) of the Office of 
Federal Procurement Policy Act, the Secretary may make such a grant or 
cooperative agreement only if such grant or cooperative agreement is 
recommended--
            ``(1) after peer review required under subsection (a); and
            ``(2) by the appropriate advisory council.
    ``(d) Conditions.--The Secretary may establish limited exceptions 
to the limitations contained in this section regarding participation of 
Federal employees and advisory council approval. The circumstances 
under which the Secretary may make such an exception shall be made 
public.''.

 SEC. 603. AVAILABILITY TO STATES OF GRANT PAYMENTS.

    Section 1952 of the Public Health Service Act (42 U.S.C. 300x-62) 
is amended to read as follows:

``SEC. 1952. AVAILABILITY TO STATES OF GRANT PAYMENTS.

    ``Any amounts paid to a State for a fiscal year under section 1911 
or 1921 shall be available for obligation and expenditure until the end 
of the fiscal year following the fiscal year for which the amounts were 
paid.''.

 SEC. 604. REPEAL OF OBSOLETE ADDICT REFERRAL PROVISIONS.

    Part E of title III of the Public Health Service Act (42 U.S.C. 257 
et seq.) is repealed.

SEC. 605. REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
              FACILITIES.

    Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) 
is amended by adding at the end the following:

 ``Part G--Requirement Relating to the Rights of Residents of Certain 
                               Facilities

``SEC. 581. REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
              FACILITIES.

    ``(a) In General.--A public or private general hospital, nursing 
facility, intermediate care facility, residential treatment center, or 
other health care facility, that receives support in any form from any 
program supported in whole or in part with funds appropriated to any 
Federal department or agency shall protect and promote the rights of 
each resident of the facility, including the right to be free from 
physical or mental abuse, corporal punishment, and any restraints or 
involuntary seclusions imposed as a means of coercion, discipline, 
convenience, or retaliation.
    ``(b) Requirements.--Restraints and seclusion may only be imposed 
on a resident of a facility described in subsection (a) if--
            ``(1) the restraints or seclusion are imposed to ensure the 
        immediate physical safety of the resident, a staff member, or 
        others, and less restrictive interventions have failed; and
            ``(2) the restraints or seclusion are imposed only upon the 
        written order of a physician, or other licensed independent 
        practitioner permitted by the State and the facility to order 
        such restraint or seclusion, that specifies the duration and 
        circumstances under which the restraints or seclusion are to be 
        used (except in emergency circumstances specified by the 
        Secretary until such an order could reasonably be obtained).
    ``(c) Definitions.--For purposes of this section:
            ``(1) Restraints.--The term `restraints' means--
                    ``(A) any physical restraint that is a mechanical 
                or personal restriction that immobilizes or reduces the 
                ability of an individual to move his or her arms, legs, 
                or head freely, not including devices, such as 
                orthopedically prescribed devices, surgical dressings 
                or bandages, protective helmets, or any other methods 
                that involves the physical holding of a resident for 
                the purpose of conducting routine physical examinations 
                or tests or to protect the resident from falling out of 
                bed or to permit the resident to participate in 
                activities without the risk of physical harm to the 
                resident; and
                    ``(B) a drug or medication that is used as a 
                restraint to control behavior or restrict the 
                resident's freedom of movement that is not a standard 
                treatment for the resident's medical or psychiatric 
                condition.
            ``(2) Seclusion.--The term `seclusion' means any separation 
        of the resident from the general population of the facility 
        that prevents the resident from returning to such population if 
        he or she desires.

``SEC. 582. REPORTING REQUIREMENT.

    ``(a) In General.--Each facility to which the Protection and 
Advocacy for Mentally Ill Individuals Act of 1986 applies shall notify 
the appropriate protection and advocacy agency--
            ``(1) of each death of a patient, and of each serious 
        physical injury of a patient, that occurs at such facility 
        while the patient is restrained or in seclusion;
            ``(2) of each death of a patient occurring within seven 
        days hours after the patient has been removed from restraints 
        or seclusion; and
            ``(3) of each death of a patient where it is reasonable to 
        assume that the patient's death is a result of restraints or 
        seclusion.
    ``(b) Certain Requirements.--With respect to notifications under 
subsection (a):
            ``(1) Each requirement for a notification of a death 
        includes the requirement that the facility involved provide a 
        notification of a death that occurs after the patient involved 
        has been discharged from the facility, if that information is 
        available to the facility.
            ``(2) A notification shall include the name of the patient 
        involved and pertinent clinical information about the patient 
        and the events preceding his or her death or serious injury, 
        and shall be provided not later than 7 days after the date of 
        the death or injury of the patient (or in the case of a death 
        occurring after the patient's discharge, not later than 7 days 
        after the facility's receipt of information concerning the 
        death).
    ``(c) Definitions.--For purposes of this section:
            ``(1) The term `facility' has the meaning given the term 
        `facilities' in section 102(3) of the Protection and Advocacy 
        for Mentally Ill Individuals Act of 1986.
            ``(2) The term `protection and advocacy agency' has the 
        meaning given the term `eligible system' in section 102(2) of 
        the Act referred to in paragraph (1).

``SEC. 583. REGULATIONS.

    ``(a) In General.--Not later than 1 year after the date of 
enactment of this part, the Secretary, after consultation with 
appropriate protection and advocacy agencies (as defined in section 
582(c)), physicians, facilities, and other health care professionals 
and patients, shall promulgate regulations that require facilities to 
which the Protection and Advocacy for Mentally Ill Individuals Act of 
1986 applies, to meet the requirements of subsection (b).
    ``(b) Requirements.--The regulations promulgated under subsection 
(a) shall require that--
            ``(1) facilities described in subsection (a) ensure that 
        there is an adequate number of qualified professional and 
        supportive staff to evaluate patients, formulate written 
        individualized, comprehensive treatment plans, and to provide 
        active treatment measures;
            ``(2) appropriate training be provided for the staff of 
        such facilities in the use of restraints and seclusion and any 
        alternatives to the use of restraints and seclusion; and
            ``(3) such facilities provide complete and accurate 
        notification of deaths and serious injuries, as required under 
        section 582.

``SEC. 584. ENFORCEMENT.

    ``A facility to which this part applies that fails to comply with 
any requirement of this part, including a failure to provide 
appropriate training, shall not be eligible for participation in any 
program supported in whole or in part by funds appropriated to any 
Federal department or agency.''.

SEC. 606. ADVISORY COUNCILS.

    Section 502(e) of the Public Health Service Act (42 U.S.C. 290aa-
1(e)) is amended in the first sentence by striking ``3 times'' and 
inserting ``2 times''.

SEC. 607. ALCOHOL PREVENTION AND TREATMENT POLICY.

    Paragraph (1) of section 501(e) of the Public Health Service Act 
(42 U.S.C. 290aa(e)) is amended to read as follows:
            ``(1) In general.--There may be in the Administration an 
        Associate Administrator for Alcohol Prevention and Treatment 
        Policy to whom the Administrator may delegate the functions of 
        promoting, monitoring, and evaluating service programs for the 
        prevention and treatment of alcoholism and alcohol abuse within 
        the Center for Substance Abuse Prevention, the Center for 
        Substance Abuse Treatment and the Center for Mental Health 
        Services, and coordinating such programs among the Centers, and 
        among the Centers and other public and private entities. The 
        Associate Administrator also may ensure that alcohol 
        prevention, education, and policy strategies are integrated 
        into all programs of the Centers that address substance abuse 
        prevention, education, and policy, and that the Center for 
        Substance Abuse Prevention addresses the Healthy People 2010 
        goals and the National Dietary Guidelines of the Department of 
        Health and Human Services and the Department of Agriculture 
        related to alcohol consumption.''.

SEC. 608. EXPANSION OF AUTHORITIES.

    (a) Duties of the Center for Substance Abuse Treatment.--Section 
507(b) of the Public Health Service Act (42 U.S.C. 290bb(b)) is 
amended--
            (1) by redesignating paragraphs (2) through (12) as 
        paragraphs (4) through (14), respectively;
            (2) by inserting after paragraph (1) the following:
            ``(2) ensure that emphasis is placed on children and 
        adolescents in the development of treatment programs;
            ``(3) collaborate with the Attorney General to develop 
        programs to provide substance abuse treatment services to 
        individuals who have had contact with the Justice system, 
        especially adolescents;'';
            (3) in paragraph (7) (as so redesignated), by striking 
        ``services, and monitor'' and all that follows and inserting 
        ``services;'';
            (4) in paragraph (13) (as so redesignated), by striking 
        ``treatment, including'' and all that follows through ``which 
        shall'' and inserting ``treatment, which shall''; and
            (5) in paragraph 14 (as so redesignated), by striking 
        ``paragraph (11)'' and inserting ``paragraph (13)''.
    (b) Office for Substance Abuse Prevention.--Section 515(b) of the 
Public Health Service Act (42 U.S.C. 290bb-21(b)) is amended--
            (1) by redesignating paragraphs (9) and (10) as paragraphs 
        (10) and (11), respectively;
            (2) by inserting after paragraph (8) the following 
        paragraph:
            ``(9) collaborate with the Attorney General of the 
        Department of Justice to develop programs to prevent drug abuse 
        among high risk youth;''; and
            (3) in paragraph (10) (as so redesignated), by striking 
        ``public concerning'' and inserting ``public, especially 
        adolescent audiences, concerning''.
    (c) Duties of the Center for Mental Health Services.--Section 
520(b) of the Public Health Service Act (42 U.S.C. 290bb-3(b)) is 
amended--
            (1) by redesignating paragraphs (3) through (14) as 
        paragraphs (4) through (15), respectively;
            (2) by inserting after paragraph (2), the following:
            ``(3) collaborate with the Department of Education and the 
        Department of Justice to develop programs to assist local 
        communities in addressing violence among children and 
        adolescents;'';
            (3) in paragraph (8) (as so redesignated), by striking 
        ``programs authorized'' and all that follows and inserting 
        ``programs under part C;''; and
            (4) in paragraph (9) (as so redesignated), by striking 
        ``program, and programs'' and all that follows and inserting 
        ``program;''.
                                 <all>