[Congressional Bills 106th Congress]
[From the U.S. Government Publishing Office]
[S. 976 Engrossed in Senate (ES)]

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
106th CONGRESS
  1st Session
                                 S. 976

_______________________________________________________________________

                                 AN ACT


 
    To amend title V of the Public Health Service Act to focus the 
      authority of the Substance Abuse and Mental Health Services 
      Administration on community-based services for children and 
 adolescents, to enhance flexibility and accountability, to establish 
  programs for youth treatment, and to respond to crises, especially 
                those related to children and violence.

    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--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

Sec. 101. Children and violence.
Sec. 102. Emergency response.
Sec. 103. High risk youth reauthorization.
Sec. 104. Substance abuse treatment services for children and 
                            adolescents.
Sec. 105. Comprehensive community services for children with serious 
                            emotional disturbance.
Sec. 106. Services for children of substance abusers.
Sec. 107. Services for youth offenders.
Sec. 108. Grants for strengthening families through community 
                            partnerships.
Sec. 109. General provisions.
             TITLE II--PROVISIONS RELATING TO MENTAL HEALTH

Sec. 201. Priority mental health needs of regional and national 
                            significance.
Sec. 202. Grants for the benefit of homeless individuals.
Sec. 203. Projects for assistance in transition from homelessness.
Sec. 204. Community mental health services performance partnership 
                            block grant.
Sec. 205. Determination of allotment.
Sec. 206. Protection and Advocacy for Mentally Ill Individuals Act of 
                            1986.
Sec. 207. Requirement relating to the rights of residents of certain 
                            facilities.
           TITLE III--PROVISIONS RELATING TO SUBSTANCE ABUSE

Sec. 301. Priority substance abuse treatment needs of regional and 
                            national significance.
Sec. 302. Priority substance abuse prevention needs of regional and 
                            national significance.
Sec. 303. Substance abuse prevention and treatment performance 
                            partnership block grant.
Sec. 304. Determination of allotments.
Sec. 305. Nondiscrimination and institutional safeguards for religious 
                            providers.
Sec. 306. Alcohol and drug prevention or treatment services for Indians 
                            and Native Alaskans.
    TITLE IV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

Sec. 401. General authorities and peer review.
Sec. 402. Advisory councils.
Sec. 403. General provisions for the performance partnership block 
                            grants.
Sec. 404. Data infrastructure projects.
Sec. 405. Repeal of obsolete addict referral provisions.
Sec. 406. Individuals with co-occurring disorders.
Sec. 407. Services for individuals with co-occurring disorders.

 TITLE I--PROVISIONS RELATING TO SERVICES FOR CHILDREN AND ADOLESCENTS

SEC. 101. CHILDREN AND VIOLENCE.

    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--Projects for Children and Violence

``SEC. 581. CHILDREN AND VIOLENCE.

    ``(a) In General.--The Secretary, in consultation with the 
Secretary of Education and the Attorney General, shall carry out 
directly or through grants, contracts or cooperative agreements with 
public entities a program to assist local communities in developing 
ways to assist children in dealing with violence.
    ``(b) Activities.--Under the program under subsection (a), the 
Secretary may--
            ``(1) provide financial support to enable local communities 
        to implement programs to foster the health and development of 
        children;
            ``(2) provide technical assistance to local communities 
        with respect to the development of programs described in 
        paragraph (1);
            ``(3) provide assistance to local communities in the 
        development of policies to address violence when and if it 
        occurs; and
            ``(4) assist in the creation of community partnerships 
        among law enforcement, education systems and mental health and 
        substance abuse service systems.
    ``(c) Requirements.--An application for a grant, contract or 
cooperative agreement under subsection (a) shall demonstrate that--
            ``(1) the applicant will use amounts received to create a 
        partnership described in subsection (b)(4) to address issues of 
        violence in schools;
            ``(2) the activities carried out by the applicant will 
        provide a comprehensive method for addressing violence, that 
        will include--
                    ``(A) security;
                    ``(B) educational reform;
                    ``(C) the 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) the applicant will use amounts received only for the 
        services described in subparagraphs (D), (E), and (F) of 
        paragraph (2).
    ``(d) Geographical Distribution.--The Secretary shall ensure that 
grants, contracts or cooperative agreements under subsection (a) will 
be distributed equitably among the regions of the country and among 
urban and rural areas.
    ``(e) Duration of Awards.--With respect to a grant, contract or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient may not 
exceed 5 years.
    ``(f) Evaluation.--The Secretary shall conduct an evaluation of 
each project carried out under this section and shall disseminate the 
results of such evaluations 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 care professionals.
    ``(h) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $100,000,000 for fiscal year 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.

``SEC. 582. GRANTS TO ADDRESS THE PROBLEMS OF PERSONS WHO EXPERIENCE 
              VIOLENCE RELATED STRESS.

    ``(a) In General.--The Secretary shall award grants, contracts or 
cooperative agreements to public and nonprofit private entities, as 
well as to Indian tribes and tribal organizations, for the purpose of 
establishing a 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 awarding grants, contracts or cooperative 
agreements under subsection (a) 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 
grants, contracts or cooperative agreements 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 a grant, contract or 
cooperative agreement under subsection (a) submit a plan for the 
rigorous evaluation of the activities funded under the grant, contract 
or agreement, 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 a grant, contract or 
cooperative agreement under subsection (a), the period during which 
payments under such an award will be made to the recipient may not 
exceed 5 years. Such grants, contracts or agreements may be renewed.
    ``(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.''.

SEC. 102. EMERGENCY RESPONSE.

    Section 501 of the Public Health Service Act (42 U.S.C. 290aa) is 
amended--
            (1) by redesignating subsection (m) as subsection (o);
            (2) by inserting after subsection (l) the following:
    ``(m) Emergency Response.--
            ``(1) In general.--Notwithstanding section 504 and except 
        as provided in paragraph (2), the Secretary may use not to 
        exceed 3 percent of all amounts appropriated under this title 
        for a fiscal year to make noncompetitive grants, contracts or 
        cooperative agreements to public entities to enable such 
        entities to address emergency substance abuse or mental health 
        needs in local communities.
            ``(2) Exceptions.--Amounts appropriated under part C shall 
        not be subject to paragraph (1).
            ``(3) Emergencies.--The Secretary shall establish criteria 
        for determining that a substance abuse or mental health 
        emergency exists and publish such criteria in the Federal 
        Register prior to providing funds under this subsection.
    ``(n) 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 this title 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.''; and
            (3) in subsection (o) (as so redesignated), by striking 
        ``1993'' and all that follows through the period and inserting 
        ``2000, and such sums as may be necessary for each of the 
        fiscal years 2001 and 2002.''.

SEC. 103. HIGH RISK YOUTH REAUTHORIZATION.

    Section 517(h) of the Public Health Service Act (42 U.S.C. 290bb-
23(h)) is amended by striking ``$70,000,000'' and all that follows 
through ``1994'' and inserting ``such sums as may be necessary for each 
of the fiscal years 2000 through 2002''.

SEC. 104. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN AND 
              ADOLESCENTS.

    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. SUBSTANCE ABUSE TREATMENT SERVICES FOR CHILDREN AND 
              ADOLESCENTS.

    ``(a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements to public and private nonprofit entities, 
including Native Alaskan entities and Indian tribes and tribal 
organizations, for the purpose of providing substance abuse treatment 
services for children and adolescents.
    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants who propose to--
            ``(1) apply evidenced-based and cost effective methods for 
        the treatment of substance abuse among children and 
        adolescents;
            ``(2) coordinate the provision of treatment services with 
        other social service agencies in the community, including 
        educational, juvenile justice, child welfare, and mental health 
        agencies;
            ``(3) provide a continuum of integrated treatment services, 
        including case management, for children and adolescents with 
        substance abuse disorders and their families;
            ``(4) provide treatment that is gender-specific and 
        culturally appropriate;
            ``(5) involve and work with families of children and 
        adolescents receiving treatment;
            ``(6) provide aftercare services for children and 
        adolescents and their families after completion of substance 
        abuse treatment; and
            ``(7) address the relationship between substance abuse and 
        violence.
    ``(c) Duration of Grants.--The Secretary shall award grants, 
contracts, or cooperative agreements under subsection (a) for periods 
not to exceed 5 fiscal years.
    ``(d) Application.--An entity desiring a grant, contract, or 
cooperative agreement 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.
    ``(e) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, contract, or cooperative agreement, a plan 
for the evaluation of any project undertaken with funds provided under 
this section. Such entity shall provide the Secretary with periodic 
evaluations of the progress of such project and such evaluation at the 
completion of such project as the Secretary determines to be 
appropriate.
    ``(f) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $40,000,000 for fiscal year 
2000, and such sums as may be necessary for fiscal years 2001 and 2002.

``SEC. 514A. EARLY INTERVENTION SERVICES FOR CHILDREN AND ADOLESCENTS.

    ``(a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements to public and private nonprofit entities, 
including local educational agencies (as defined in section 14101 of 
the Elementary and Secondary Education Act of 1965 (20 U.S.C. 8801)), 
for the purpose of providing early intervention substance abuse 
services for children and adolescents.
    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants who demonstrate an ability to--
            ``(1) screen for and assess substance use and abuse by 
        children and adolescents;
            ``(2) make appropriate referrals for children and 
        adolescents who are in need of treatment for substance abuse;
            ``(3) provide early intervention services, including 
        counseling and ancillary services, that are designed to meet 
        the developmental needs of children and adolescents who are at 
        risk for substance abuse; and
            ``(4) develop networks with the educational, juvenile 
        justice, social services, and other agencies and organizations 
        in the State or local community involved that will work to 
        identify children and adolescents who are in need of substance 
        abuse treatment services.
    ``(c) Condition.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall ensure that such 
grants, contracts, or cooperative agreements are allocated, subject to 
the availability of qualified applicants, among the principal 
geographic regions of the United States, to Indian tribes and tribal 
organizations, and to urban and rural areas.
    ``(d) Duration of Grants.--The Secretary shall award grants, 
contracts, or cooperative agreements under subsection (a) for periods 
not to exceed 5 fiscal years.
    ``(e) Application.--An entity desiring a grant, contract, or 
cooperative agreement 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.
    ``(f) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, contract, or cooperative agreement, a plan 
for the evaluation of any project undertaken with funds provided under 
this section. Such entity shall provide the Secretary with periodic 
evaluations of the progress of such project and such evaluation at the 
completion of such project as the Secretary determines to be 
appropriate.
    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $20,000,000 for fiscal year 
2000, and such sums as may be necessary for fiscal years 2001 and 2002.

``SEC. 514B. YOUTH INTERAGENCY RESEARCH, TRAINING, AND TECHNICAL 
              ASSISTANCE CENTERS.

    ``(a) Program Authorized.--The Secretary, acting through the 
Administrator of the Substance Abuse and Mental Health Services 
Administration, and in consultation with the Administrator of the 
Office of Juvenile Justice and Delinquency Prevention, the Director of 
the Bureau of Justice Assistance and the Director of the National 
Institutes of Health, shall award grants or contracts to public or 
nonprofit private entities to establish not more than 4 research, 
training, and technical assistance centers to carry out the activities 
described in subsection (c).
    ``(b) Application.--A public or private nonprofit entity desiring a 
grant or contract under subsection (a) shall prepare and submit an 
application to the Secretary at such time, in such manner, and 
containing such information as the Secretary may require.
    ``(c) Authorized Activities.--A center established under a grant or 
contract under subsection (a) shall--
            ``(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 that 
        focus on children and adolescents, 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 is authorized to be appropriated $4,000,000 for 
fiscal year 2000, and such sums as may be necessary for fiscal years 
2001 and 2002.

``SEC. 514C. PREVENTION OF METHAMPHETAMINE AND INHALANT ABUSE AND 
              ADDICTION.

    ``(a) Grants.--The Director of the Center for Substance Abuse 
Prevention (referred to in this section as the `Director') may make 
grants to and enter into contracts and cooperative agreements with 
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.--Amounts made available under a grant, contract 
or cooperative agreement 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.--Amounts provided under this section 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.--The Director shall give priority in making 
        grants under this section to rural and urban areas that are 
        experiencing a high rate 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 Health, Education, Labor, and Pensions and the 
        Committee on Appropriations of the Senate and the Committee on 
        Commerce and Committee on Appropriations of the House of 
        Representatives, an annual report with the results of the 
        analyses and evaluation under paragraph (1).
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out subsection (a), $10,000,000 for fiscal year 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.''.

SEC. 105. COMPREHENSIVE COMMUNITY 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 ``2000, and such 
sums as may be necessary for each of the fiscal years 2001 and 2002.''.
    (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 
        6th year of funding under the grant in an amount not to exceed 
        the amount that such grantee received in the 5th year of 
        funding under such grant. Such 6th 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. 106. 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 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 
        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 licensure or 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(l) of the Public Health Service Act 
(42 U.S.C. 280d(l)) 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 2000, and such sums as may be necessary for each of 
fiscal years 2001 and 2002.''.
    (l) Grants for Training and Conforming Amendments.--Section 399D of 
the Public Health Service Act (42 U.S.C. 280d) is amended--
            (1) by striking subsection (f);
            (2) by striking subsection (k);
            (3) by redesignating subsections (d), (e), (g), (h), (i), 
        (j), (l), (m), (n), (o), and (p) as subsections (e) through 
        (o), respectively;
            (4) by inserting after subsection (c), the following:
    ``(d) Training for 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.'';
            (5) in subsection (k)(2) (as so redesignated), by striking 
        ``(h)'' and inserting ``(i)''; and
            (6) in paragraphs (3)(E) and (5) of subsection (m) (as so 
        redesignated), by striking ``(d)'' and inserting ``(e)''.
    (m) Transfer and Redesignation.--Section 399D of the Public Health 
Service Act (42 U.S.C. 280d), as amended by this section--
            (1) is transferred to title V;
            (2) is redesignated as section 519; and
            (3) is inserted after section 518.
    (n) Conforming Amendment.--Title III of the Public Health Service 
Act (42 U.S.C. 241 et seq.) is amended by striking the heading of part 
L.

SEC. 107. SERVICES FOR YOUTH OFFENDERS.

    Subpart 3 of part B of title V of the Public Health Service Act (42 
U.S.C. 290bb-31 et seq.) is amended by adding at the end the following:

``SEC. 520C. SERVICES FOR YOUTH OFFENDERS.

    ``(a) In General.--The Secretary, acting through the Director of 
the Center for Mental Health Services, and in consultation with the 
Director of the Center for Substance Abuse Treatment, the Administrator 
of the Office of Juvenile Justice and Delinquency Prevention, and the 
Director of the Special Education Programs, shall award grants on a 
competitive basis 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 been detained or 
        incarcerated in facilities within 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 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.
    ``(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.--There is authorized to be 
appropriated to carry out this section $40,000,000 for fiscal year 
2000, and such sums as may be necessary for each of fiscal years 2001 
and 2002.''.

SEC. 108. GRANTS FOR STRENGTHENING FAMILIES THROUGH COMMUNITY 
              PARTNERSHIPS.

    Subpart 2 of part B of Title V of the Public Health Service Act (42 
U.S.C. 290bb-21 et seq) is amended by adding at the end the following:

``SEC. 519A. GRANTS FOR STRENGTHENING FAMILIES.

    ``(a) Program Authorized.--The Secretary, acting through the 
Director of the Prevention Center, may make grants to public and 
nonprofit private entities to develop and implement model substance 
abuse prevention programs to provide early intervention and substance 
abuse prevention services for individuals of high-risk families and the 
communities in which such individuals reside.
    ``(b) Priority.--In awarding grants under subsection (a), the 
Secretary shall give priority to applicants that--
            ``(1) have proven experience in preventing substance abuse 
        by individuals of high-risk families and reducing substance 
        abuse in communities of such individuals;
            ``(2) have demonstrated the capacity to implement 
        community-based partnership initiatives that are sensitive to 
        the diverse backgrounds of individuals of high-risk families 
        and the communities of such individuals;
            ``(3) have experience in providing technical assistance to 
        support substance abuse prevention programs that are community-
        based;
            ``(4) have demonstrated the capacity to implement research-
        based substance abuse prevention strategies; and
            ``(5) have implemented programs that involve families, 
        residents, community agencies, and institutions in the 
        implementation and design of such programs.
    ``(c) Duration of Grants.--The Secretary shall award grants under 
subsection (a) for a period not to exceed 5 years.
    ``(d) Use of Funds.--An applicant that is awarded a grant under 
subsection (a) shall--
            ``(1) in the first fiscal year that such funds are received 
        under the grant, use such funds to develop a model substance 
        abuse prevention program; and
            ``(2) in the fiscal year following the first fiscal year 
        that such funds are received, use such funds to implement the 
        program developed under paragraph (1) to provide early 
        intervention and substance abuse prevention services to--
                    ``(A) strengthen the environment of children of 
                high risk families by targeting interventions at the 
                families of such children and the communities in which 
                such children reside;
                    ``(B) strengthen protective factors, such as--
                            ``(i) positive adult role models;
                            ``(ii) messages that oppose substance 
                        abuse;
                            ``(iii) community actions designed to 
                        reduce accessibility to and use of illegal 
                        substances; and
                            ``(iv) willingness of individuals of 
                        families in which substance abuse occurs to 
                        seek treatment for substance abuse;
                    ``(C) reduce family and community risks, such as 
                family violence, alcohol or drug abuse, crime, and 
                other behaviors that may effect healthy child 
                development and increase the likelihood of substance 
                abuse; and
                    ``(D) build collaborative and formal partnerships 
                between community agencies, institutions, and 
                businesses to ensure that comprehensive high quality 
                services are provided, such as early childhood 
                education, health care, family support programs, parent 
                education programs, and home visits for infants.
    ``(e) Application.--To be eligible to receive a grant under 
subsection (a), an applicant shall prepare and submit to the Secretary 
an application that--
            ``(1) describes a model substance abuse prevention program 
        that such applicant will establish;
            ``(2) describes the manner in which the services described 
        in subsection (d)(2) will be provided; and
            ``(3) describe in as much detail as possible the results 
        that the entity expects to achieve in implementing such a 
        program.
    ``(f) Matching Funding.--The Secretary may not make a grant to a 
entity under subsection (a) unless that entity agrees that, with 
respect to the costs to be incurred by the entity in carrying out the 
program for which the grant was awarded, the entity will make available 
non-Federal contributions in an amount that is not less than 40 percent 
of the amount provided under the grant.
    ``(g) Report to Secretary.--An applicant that is awarded a grant 
under subsection (a) shall prepare and submit to the Secretary a report 
in such form and containing such information as the Secretary may 
require, including an assessment of the efficacy of the model substance 
abuse prevention program implemented by the applicant and the short, 
intermediate, and long term results of such program.
    ``(h) Evaluations.--The Secretary shall conduct evaluations, based 
in part on the reports submitted under subsection (g), to determine the 
effectiveness of the programs funded under subsection (a) in reducing 
substance use in high-risk families and in making communities in which 
such families reside in stronger. The Secretary shall submit such 
evaluations to the appropriate committees of Congress.
    ``(i) High-Risk Families.--In this section, the term `high-risk 
family' means a family in which the individuals of such family are at a 
significant risk of using or abusing alcohol or any illegal substance.
    ``(j) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $3,000,000 for fiscal year 
2000, and such sums as may be necessary for each of the fiscal years 
2001 and 2002.''.

SEC. 109. GENERAL PROVISIONS.

    (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;''; and
            (3) 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 (10) and 
        (11);
            (2) by inserting after paragraph (8), the following:
            ``(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; and
            (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;''.

             TITLE II--PROVISIONS RELATING TO MENTAL HEALTH

SEC. 201. PRIORITY MENTAL HEALTH NEEDS OF REGIONAL AND NATIONAL 
              SIGNIFICANCE.

    (a) In General.--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.--The Secretary shall address priority mental health 
needs of regional and national significance (as determined under 
subsection (b)) through the provision of or through assistance 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 technical assistance programs;
            ``(3) targeted capacity response programs; and
            ``(4) systems change grants including statewide family 
        network grants and client-oriented and consumer run self-help 
        activities.
The Secretary may carry out the activities described in this subsection 
directly or through grants, contracts, or cooperative agreements with 
States, political subdivisions of States, Indian tribes and tribal 
organizations, other public or private nonprofit entities.
    ``(b) Priority Mental Health Needs.--
            ``(1) Determination of needs.--Priority mental health needs 
        of regional and national significance shall be determined by 
        the Secretary in consultation with States and other interested 
        groups. The Secretary shall meet with the States and interested 
        groups on an annual basis to discuss program priorities.
            ``(2) Special consideration.--In developing program 
        priorities described in paragraph (1), the Secretary, in 
        conjunction with the Director of the Center for Mental Health 
        Services, the Director of the Center for Substance Abuse 
        Treatment, and the Administrator of the Health Resources and 
        Services Administration, shall give special consideration to 
        promoting the integration of mental health services into 
        primary health care systems.
    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, and 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, 
        contract, or cooperative agreement awarded under this section, 
        the period during which payments under such award are made to 
        the recipient may not exceed 5 years.
            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        this section provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the 
        grant, contract, or cooperative agreement. Such non-Federal 
        matching funds may be provided directly or through donations 
        from public or private entities and may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services.
            ``(4) Maintenance of effort.--With respect to activities 
        for which a grant, contract or cooperative agreement is awarded 
        under this section, the Secretary may require that recipients 
        for specific projects under subsection (a) 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 entity for the fiscal year preceding the 
        fiscal year for which the entity receives such a grant, 
        contract, or cooperative agreement.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (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 
information and education programs to disseminate and apply the 
findings of the knowledge development and application, training, and 
technical assistance programs, and targeted capacity response programs, 
under this section to the general public, to health care professionals, 
and to interested groups. The Secretary shall make every effort to 
provide linkages between the findings of supported projects and State 
agencies responsible for carrying out mental health services.
    ``(f) Authorization of Appropriation.--
            ``(1) In general.--There are authorized to be appropriated 
        to carry out this section, $300,000,000 for fiscal year 2000, 
        and such sums as may be necessary for each of the fiscal years 
        2001 and 2002.
            ``(2) Data infrastructure.--If amounts are not appropriated 
        for a fiscal year to carry out section 1971 with respect to 
        mental health, then the Secretary shall make available, from 
        the amounts appropriated for such fiscal year under paragraph 
        (1), an amount equal to the sum of $6,000,000 and 10 percent of 
        all amounts appropriated for such fiscal year under such 
        paragraph in excess of $100,000,000, to carry out such section 
        1971.''.
    (b) Conforming Amendments.--
            (1) Section 303 of the Public Health Service Act (42 U.S.C. 
        242a) is repealed.
            (2) Section 520B of the Public Health Service Act (42 
        U.S.C. 290bb-33) is repealed.
            (3) Section 612 of the Stewart B. McKinney Homeless 
        Assistance Act (42 U.S.C. 290aa-3 note) is repealed.

SEC. 202. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

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

``SEC. 506. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    ``(a) In General.--The Secretary shall award grants, contracts and 
cooperative agreements to community-based public and private nonprofit 
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 awarding grants, contracts, and cooperative 
agreements under subsection (a), the Secretary shall give a 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 awarding grants, 
contracts, and cooperative agreements 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) Term of the Awards.--No entity may receive a grant, contract, 
or cooperative agreement under subsection (a) for more than 5 years.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $50,000,000 for fiscal year 
2000, and such sums as may be necessary for each of the fiscal years 
2001 and 2002.''.

SEC. 203. 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:
    ``(i) Waiver for Territories.--With respect to the United States 
Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and 
the Commonwealth of the Northern Mariana Islands, the Secretary may 
waive the provisions of this part that the Secretary determines to be 
appropriate.''.
    (b) Authorization of Appropriation.--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 ``2000 through 2002''.

SEC. 204. 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 for individuals with mental illness and 
        describes available services and resources in a comprehensive 
        system of care, including services for dually diagnosed 
        individuals. The description of the system of care shall 
        include health and mental health services, rehabilitation 
        services, employment services, housing services, educational 
        services, substance abuse services, medical and dental care, 
        and other support services to be provided to 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 Individuals with Disabilities Education Act. 
        The plan shall include a separate description of case 
        management services and provide 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 
                (such system to include 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 under 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 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 
        that is necessary to implement the plan, and provides for the 
        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.
Except as provided for in paragraph (3), the State plan shall contain 
the information required under this subsection with respect to both 
adults with serious mental illness and 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 before the period ``and 
        any comments concerning the annual report''.
    (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 1 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) Authorization of Appropriation.--Section 1920 of the Public 
Health Service Act (42 U.S.C. 300x-9) is amended--
            (1) in subsection (a), by striking ``$450,000,000'' and all 
        that follows through the end and inserting ``$450,000,000 for 
        fiscal year 2000, and such sums as may be necessary for each of 
        the fiscal years 2001 and 2002.''; and
            (2) in subsection (b)(2), by striking ``section 505'' and 
        inserting ``sections 505 and 1971''.

SEC. 205. 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 
2000, 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.''.

SEC. 206. 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) 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.''.
    (e) 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).
    (f) 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 
``2002''.

SEC. 207. 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 H--REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN 
                               FACILITIES

``SEC. 591. 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 for purposes of discipline or 
convenience.
    ``(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 
        physical safety of the resident, a staff member, or others; 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 are to be used (except 
        in emergency circumstances specified by the Secretary until 
        such an order could reasonably be obtained).
    ``(c) Definitions.--In 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. 592. 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 agency, as determined by the Secretary, of each death 
that occurs at each such facility while a patient is restrained or in 
seclusion, of each death occurring within 24 hours after the patient 
has been removed from restraints and seclusion, or where it is 
reasonable to assume that a patient's death is a result of such 
seclusion or restraint. A notification under this section shall include 
the name of the resident and shall be provided not later than 7 days 
after the date of the death of the individual involved.
    ``(b) Facility.--In this section, 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 (42 U.S.C. 
10802(3)).''.

``SEC. 593. REGULATIONS AND ENFORCEMENT.

    ``(a) Training.--Not later than 1 year after the date of enactment 
of this part, the Secretary, after consultation with appropriate State 
and local protection and advocacy organizations, 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 (42 U.S.C. 10801 
et seq.) 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 any alternatives 
        to the use of restraints; and
            ``(3) such facilities provide complete and accurate 
        notification of deaths, as required under section 592(a).
    ``(c) 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.''.

           TITLE III--PROVISIONS RELATING TO SUBSTANCE ABUSE

SEC. 301. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    (a) 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 to fiscal years 2000 through 2002.''.
    (b) Priority Substance Abuse Treatment.--Section 509 of the Public 
Health Service Act (42 U.S.C. 290bb-1) is amended to read as follows:

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

    ``(a) Projects.--The Secretary shall address priority substance 
abuse treatment needs of regional and national significance (as 
determined under subsection (b)) through the provision of or through 
assistance for--
            ``(1) knowledge development and application projects for 
        treatment and rehabilitation and the conduct or support of 
        evaluations of such projects;
            ``(2) training and technical assistance; and
            ``(3) targeted capacity response programs.
The Secretary may carry out the activities described in this section 
directly or through grants, contracts, or cooperative agreements with 
States, political subdivisions of States, Indian tribes and tribal 
organizations, other public or nonprofit private entities.
    ``(b) Priority Substance Abuse Treatment Needs.--
            ``(1) In general.--Priority substance abuse treatment needs 
        of regional and national significance shall be determined by 
        the Secretary after consultation with States and other 
        interested groups. The Secretary shall meet with the States and 
        interested groups on an annual basis to discuss program 
        priorities.
            ``(2) Special consideration.--In developing program 
        priorities under paragraph (1), the Secretary, in conjunction 
        with the Director of the Center for Substance Abuse Treatment, 
        the Director of the Center for Mental Health Services, and the 
        Administrator of the Health Resources and Services 
        Administration, shall give special consideration to promoting 
        the integration of substance abuse treatment services into 
        primary health care systems.
    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, or 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, 
        contract, or cooperative agreement awarded under this section, 
        the period during which payments under such award are made to 
        the recipient may not exceed 5 years.
            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        that project provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the 
        grant, contract, or cooperative agreement. Such non-Federal 
        matching funds may be provided directly or through donations 
        from public or private entities and may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services.
            ``(4) Maintenance of effort.--With respect to activities 
        for which a grant, contract, or cooperative agreement is 
        awarded under this section, the Secretary may require that 
        recipients for specific projects under subsection (a) 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 entity for the fiscal year 
        preceding the fiscal year for which the entity receives such a 
        grant, contract, or cooperative agreement.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (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, 
training and technical assistance programs, and targeted capacity 
response programs under this section to the general public, to health 
professionals and other interested groups. The Secretary shall make 
every effort to provide linkages between the findings of supported 
projects and State agencies responsible for carrying out substance 
abuse prevention and treatment programs.
    ``(f) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section, $300,000,000 for fiscal year 
2000 and such sums as may be necessary for each of the fiscal years 
2001 and 2002.''.
    (c) Conforming Amendments.--The following sections of the Public 
Health Service Act are repealed:
            (1) Section 510 (42 U.S.C. 290bb-3).
            (2) Section 511 (42 U.S.C. 290bb-4).
            (3) Section 512 (42 U.S.C. 290bb-5).
            (4) Section 571 (42 U.S.C. 290gg).

SEC. 302. PRIORITY SUBSTANCE ABUSE PREVENTION NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    (a) In General.--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.--The Secretary shall address priority substance 
abuse prevention needs of regional and national significance (as 
determined under subsection (b)) through the provision of or through 
assistance for--
            ``(1) knowledge development and application projects for 
        prevention and the conduct or support of evaluations of such 
        projects;
            ``(2) training and technical assistance; and
            ``(3) targeted capacity response programs.
The Secretary may carry out the activities described in this section 
directly or through grants, contracts, or cooperative agreements with 
States, political subdivisions of States, Indian tribes and tribal 
organizations, or other public or nonprofit private entities.
    ``(b) Priority Substance Abuse Prevention Needs.--
            ``(1) In general.--Priority substance abuse prevention 
        needs of regional and national significance shall be determined 
        by the Secretary in consultation with the States and other 
        interested groups. The Secretary shall meet with the States and 
        interested groups on an annual basis to discuss program 
        priorities.
            ``(2) Special consideration.--In developing program 
        priorities under paragraph (1), the Secretary shall give 
        special consideration to--
                    ``(A) applying the most promising strategies and 
                research-based primary prevention approaches; and
                    ``(B) promoting the integration of substance abuse 
                prevention information and activities into primary 
                health care systems.
    ``(c) Requirements.--
            ``(1) In general.--Recipients of grants, contracts, and 
        cooperative agreements under this section shall comply with 
        information and application requirements determined appropriate 
        by the Secretary.
            ``(2) Duration of award.--With respect to a grant, 
        contract, or cooperative agreement awarded under this section, 
        the period during which payments under such award are made to 
        the recipient may not exceed 5 years.
            ``(3) Matching funds.--The Secretary may, for projects 
        carried out under subsection (a), require that entities that 
        apply for grants, contracts, or cooperative agreements under 
        that project provide non-Federal matching funds, as determined 
        appropriate by the Secretary, to ensure the institutional 
        commitment of the entity to the projects funded under the 
        grant, contract, or cooperative agreement. Such non-Federal 
        matching funds may be provided directly or through donations 
        from public or private entities and may be in cash or in kind, 
        fairly evaluated, including plant, equipment, or services.
            ``(4) Maintenance of effort.--With respect to activities 
        for which a grant, contract, or cooperative agreement is 
        awarded under this section, the Secretary may require that 
        recipients for specific projects under subsection (a) 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 entity for the fiscal year 
        preceding the fiscal year for which the entity receives such a 
        grant, contract, or cooperative agreement.
    ``(d) Evaluation.--The Secretary shall evaluate each project 
carried out under subsection (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, training and 
technical assistance programs, and targeted capacity response programs 
under this section to the general public and to health professionals. 
The Secretary shall make every effort to provide linkages between the 
findings of supported projects and State agencies responsible for 
carrying out substance abuse prevention and treatment programs.
    ``(f) Authorization of Appropriation.--There are authorized to be 
appropriated to carry out this section, $300,000,000 for fiscal year 
2000, and such sums as may be necessary for each of the fiscal years 
2001 and 2002.''.
    (b) Conforming Amendments.--Section 518 of the Public Health 
Service Act (42 U.S.C. 290bb-24) is repealed.

SEC. 303. SUBSTANCE ABUSE PREVENTION AND TREATMENT PERFORMANCE 
              PARTNERSHIP 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 subsections 
        (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 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) 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.''.
    (d) Applications for Grants.--Section 1932(a)(1) of the Public 
Health Service Act (42 U.S.C. 300x-32(a)(1)) is amended to read as 
follows:
            ``(1) the application is received by the Secretary not 
        later than October 1 of the fiscal year for which the State is 
        seeking funds;''.
    (e) 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''.
    (f) Waiver Authority for Certain Requirements.--
            (1) In general.--Section 1932 of the Public Health Service 
        Act (42 U.S.C. 300x-32) is amended by adding at the end the 
        following:
    ``(e) Waiver Authority for Certain Requirements.--
            ``(1) In general.--Upon the request of a State, the 
        Secretary may waive the requirements of all or part of the 
        sections described in paragraph (2) using objective criteria 
        established by the Secretary by regulation after consultation 
        with the States and other interested parties including 
        consumers and providers.
            ``(2) Sections.--The sections described in paragraph (1) 
        are sections 1922(c), 1923, 1924 and 1928.
            ``(3) Date certain for acting upon request.--The Secretary 
        shall approve or deny a request for a waiver under paragraph 
        (1) and inform the State of that decision not later than 120 
        days after the date on which the request and all the 
        information needed to support the request are submitted.
            ``(4) Annual reporting requirement.--The Secretary shall 
        annually report to the general public on the States that 
        receive a waiver under this subsection.''.
            (2) Conforming amendments.--Effective upon the publication 
        of the regulations developed in accordance with section 
        1932(e)(1) of the Public Health Service Act (42 U.S.C. 300x-
        32(d))--
                    (A) section 1922(c) of the Public Health Service 
                Act (42 U.S.C. 300x-22(c)) is amended by--
                            (i) striking paragraph (2); and
                            (ii) redesignating paragraph (3) as 
                        paragraph (2); and
                    (B) section 1928(d) of the Public Health Service 
                Act (42 U.S.C. 300x-28(d)) is repealed.
    (g) Authorization of Appropriation.--Section 1935 of the Public 
Health Service Act (42 U.S.C. 300x-35) is amended--
            (1) in subsection (a), by striking ``$1,500,000,000'' and 
        all that follows through the end and inserting ``$2,000,000,000 
        for fiscal year 2000, and such sums as may be necessary for 
        each of the fiscal years 2001 and 2002.'';
            (2) in subsection (b)(1), by striking ``section 505'' and 
        inserting ``sections 505 and 1971'';
            (3) in subsection (b)(2), by striking ``1949(a)'' and 
        inserting ``1948(a)''; and
            (4) in subsection (b), by adding at the end the following:
            ``(3) Core data set.--A State that receives a new grant, 
        contract, or cooperative agreement from amounts available to 
        the Secretary under paragraph (1), for the purposes of 
        improving the data collection, analysis and reporting 
        capabilities of the State, shall be required, as a condition of 
        receipt of funds, to collect, analyze, and report to the 
        Secretary for each fiscal year subsequent to receiving such 
        funds a core data set to be determined by the Secretary in 
        conjunction with the States.''.

SEC. 304. DETERMINATION OF ALLOTMENTS.

    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 2000, and 
        each subsequent fiscal year, the amount of the allotment of a 
        State under section 1921 shall not be less than the amount the 
        State received under such section for the previous fiscal year 
        increased by an amount equal to 30.65 percent of the percentage 
        by which the aggregate amount allotted to all States for such 
        fiscal year exceeds the aggregate amount allotted to all 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) for a fiscal year 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 that 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 or such 
        section for the prior fiscal year.''.

SEC. 305. NONDISCRIMINATION AND INSTITUTIONAL SAFEGUARDS FOR RELIGIOUS 
              PROVIDERS.

    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 adding at the end the 
following:

``SEC. 1955. SERVICES PROVIDED BY NONGOVERNMENTAL ORGANIZATIONS.

    ``(a) Purposes.--The purposes of this section are--
            ``(1) to prohibit discrimination against nongovernmental 
        organizations and certain individuals on the basis of religion 
        in the distribution of government funds to provide substance 
        abuse services under this title and title V, and the receipt of 
        services under such titles; and
            ``(2) to allow the organizations to accept the funds to 
        provide the services to the individuals without impairing the 
        religious character of the organizations or the religious 
        freedom of the individuals.
    ``(b) Religious Organizations Included as Nongovernmental 
Providers.--
            ``(1) In general.--A State may administer and provide 
        substance abuse services under any program under this title or 
        title V through grants, contracts, or cooperative agreements to 
        provide assistance to beneficiaries under such titles with 
        nongovernmental organizations.
            ``(2) Requirement.--A State that elects to utilize 
        nongovernmental organizations as provided for under paragraph 
        (1) shall consider, on the same basis as other nongovernmental 
        organizations, religious organizations to provide services 
        under substance abuse programs under this title or title V, so 
        long as the programs under such titles are implemented in a 
        manner consistent with the Establishment Clause of the first 
        amendment to the Constitution. Neither the Federal Government 
        nor a State or local government receiving funds under such 
        programs shall discriminate against an organization that 
        provides services under, or applies to provide services under, 
        such programs, on the basis that the organization has a 
        religious character.
    ``(c) Religious Character and Independence.--
            ``(1) In general.--A religious organization that provides 
        services under any substance abuse program under this title or 
        title V shall retain its independence from Federal, State, and 
        local governments, including such organization's control over 
        the definition, development, practice, and expression of its 
        religious beliefs.
            ``(2) Additional safeguards.--Neither the Federal 
        Government nor a State or local government shall require a 
        religious organization--
                    ``(A) to alter its form of internal governance; or
                    ``(B) to remove religious art, icons, scripture, or 
                other symbols;
        in order to be eligible to provide services under any substance 
        abuse program under this title or title V.
    ``(d) Employment Practices.--
            ``(1) Substance abuse.--A religious or-
        ganization that provides services under any substance abuse 
        program under this title or title V may require that its 
        employees providing services under such program adhere to rules 
        forbidding the use of drugs or alcohol.
            ``(2) Title vii exemption.--The exemption of a religious 
        organization provided under section 702 or 703(e)(2) of the 
        Civil Rights Act of 1964 (42 U.S.C. 2000e-1, 2000e-2(e)(2)) 
        regarding employment practices shall not be affected by the 
        religious organization's provision of services under, or 
        receipt of funds from, any substance abuse program under this 
        title or title V.
    ``(e) Rights of Beneficiaries of Assistance.--
            ``(1) In general.--If an individual described in paragraph 
        (3) has an objection to the religious character of the 
        organization from which the individual receives, or would 
        receive, services funded under any substance abuse program 
        under this title or title V, the appropriate Federal, State, or 
        local governmental entity shall provide to such individual (if 
        otherwise eligible for such services) within a reasonable 
        period of time after the date of such objection, services 
        that--
                    ``(A) are from an alternative provider that is 
                accessible to the individual; and
                    ``(B) have a value that is not less than the value 
                of the services that the individual would have received 
                from such organization.
            ``(2) Notice.--The appropriate Federal, State, or local 
        governmental entity shall ensure that notice is provided to 
        individuals described in paragraph (3) of the rights of such 
        individuals under this section.
            ``(3) Individual described.--An individual described in 
        this paragraph is an individual who receives or applies for 
        services under any substance abuse program under this title or 
        title V.
    ``(f) Nondiscrimination Against Beneficiaries.--A religious 
organization providing services through a grant, contract, or 
cooperative agreement under any substance abuse program under this 
title or title V shall not discriminate, in carrying out such program, 
against an individual described in subsection (e)(3) on the basis of 
religion, a religious belief, a refusal to hold a religious belief, or 
a refusal to actively participate in a religious practice.
    ``(g) Fiscal Accountability.--
            ``(1) In general.--Except as provided in paragraph (2), any 
        religious organization providing services under any substance 
        abuse program under this title or title V shall be subject to 
        the same regulations as other nongovernmental organizations to 
        account in accord with generally accepted accounting principles 
        for the use of such funds provided under such program.
            ``(2) Limited audit.--Such organization shall segregate 
        government funds provided under such substance abuse program 
        into a separate account. Only the government funds shall be 
        subject to audit by the government.
    ``(h) Compliance.--Any party that seeks to enforce such party's 
rights under this section may assert a civil action for injunctive 
relief exclusively in an appropriate Federal or State court against the 
entity, agency or official that allegedly commits such violation.
    ``(i) Limitations on Use of Funds for Certain Purposes.--No funds 
provided through a grant or contract to a religious organization to 
provide services under any substance abuse program under this title or 
title V shall be expended for sectarian worship, instruction, or 
proselytization.
    ``(j) Effect on State and Local Funds.--If a State or local 
government contributes State or local funds to carry out any substance 
abuse program under this title or title V, the State or local 
government may segregate the State or local funds from the Federal 
funds provided to carry out the program or may commingle the State or 
local funds with the Federal funds. If the State or local government 
commingles the State or local funds, the provisions of this section 
shall apply to the commingled funds in the same manner, and to the same 
extent, as the provisions apply to the Federal funds.
    ``(k) Treatment of Intermediate Contractors.--If a nongovernmental 
organization (referred to in this subsection as an `intermediate 
organization'), acting under a contract or other agreement with the 
Federal Government or a State or local government, is given the 
authority under the contract or agreement to select nongovernmental 
organizations to provide services under any substance abuse program 
under this title or title V, the intermediate organization shall have 
the same duties under this section as the government but shall retain 
all other rights of a nongovernmental organization under this 
section.''.

SEC. 306. ALCOHOL AND DRUG PREVENTION OR TREATMENT SERVICES FOR INDIANS 
              AND NATIVE ALASKANS.

    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:

``SEC. 544. ALCOHOL AND DRUG PREVENTION OR TREATMENT SERVICES FOR 
              INDIANS AND NATIVE ALASKANS.

    ``(a) In General.--The Secretary shall award grants, contracts, or 
cooperative agreements to public and private nonprofit entities, 
including Native Alaskan entities and Indian tribes and tribal 
organizations, for the purpose of providing alcohol and drug prevention 
or treatment services for Indians and Native Alaskans.
    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants that--
            ``(1) propose to provide alcohol and drug prevention or 
        treatment services on reservations;
            ``(2) propose to employ culturally-appropriate approaches, 
        as determined by the Secretary, in providing such services; and
            ``(3) have provided prevention or treatment services to 
        Native Alaskan entities and Indian tribes and tribal 
        organizations for at least 1 year prior to applying for a grant 
        under this section.
    ``(c) Duration.--The Secretary shall award grants, contracts, or 
cooperative agreements under subsection (a) for a period not to exceed 
5 years.
    ``(d) Application.--An entity desiring a grant, contract, or 
cooperative agreement 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.
    ``(e) Evaluation.--An entity that receives a grant, contract, or 
cooperative agreement under subsection (a) shall submit, in the 
application for such grant, a plan for the evaluation of any project 
undertaken with funds provided under this section. Such entity shall 
provide the Secretary with periodic evaluations of the progress of such 
project and such evaluation at the completion of such project as the 
Secretary determines to be appropriate. The final evaluation submitted 
by such entity shall include a recommendation as to whether such 
project shall continue.
    ``(f) 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, a report describing the services provided pursuant to 
this section.
    ``(g) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, $15,000,000 for fiscal year 
2000, and such sums as may be necessary for fiscal years 2001 and 2002.

``SEC. 545. ESTABLISHMENT OF COMMISSION.

    ``(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 2000, 
and such sums as may be necessary for fiscal years 2001 and 2002.''.

    TITLE IV--PROVISIONS RELATING TO FLEXIBILITY AND ACCOUNTABILITY

SEC. 401. GENERAL AUTHORITIES AND PEER REVIEW.

    (a) General Authorities.--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.''.
    (b) Peer Review.--Section 504 of the Public Health Service (42 
U.S.C. 290aa-3) is amended 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. 402. 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. 403. GENERAL PROVISIONS FOR THE PERFORMANCE PARTNERSHIP BLOCK 
              GRANTS.

    (a) Plans for Performance Partnerships.--Section 1949 of the Public 
Health Service Act (42 U.S.C. 300x-59) is amended as follows:

``SEC. 1949. PLANS FOR PERFORMANCE PARTNERSHIPS.

    ``(a) Development.--The Secretary in conjunction with States and 
other interested groups shall develop separate plans for the programs 
authorized under subparts I and II for creating more flexibility for 
States and accountability based on outcome and other performance 
measures. The plans shall each 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, including measures that would be used 
        for the program under subpart II for pregnant addicts, HIV 
        transmission, tuberculosis, and those with a co-occurring 
        substance abuse and mental disorders, and for programs under 
        subpart I for children with serious emotional disturbance and 
        adults with serious mental illness and for individuals with co-
        occurring mental health and substance abuse 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 legislation.
    ``(b) Submission.--Not later than 2 years after the date of 
enactment of this Act, the plans developed under subsection (a) shall 
be submitted to the Committee on Health, Education, Labor, and Pensions 
of the Senate and the Committee on Commerce of the House of 
Representatives.
    ``(c) Information.--As the elements of the plans described in 
subsection (a) are developed, States are encouraged to provide 
information to the Secretary on a voluntary basis.
    ``(d) Participants.--The Secretary shall include among those 
interested groups that participate in the development of the plan 
consumers of mental health or substance abuse services, providers, 
representatives of political divisions of States, and representatives 
of racial and ethnic groups including Native Americans.''.
    (b) Availability to States of Grant Programs.--Section 1952 of the 
Public Health Service Act (42 U.S.C. 300x-62) is amended 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. 404. DATA INFRASTRUCTURE PROJECTS.

    Part C of title XIX of the Public Health Service Act (42 U.S.C. 
300y et seq.) is amended--
            (1) by striking the headings for part C and subpart I and 
        inserting the following:

 ``PART C--CERTAIN PROGRAMS REGARDING MENTAL HEALTH AND SUBSTANCE ABUSE

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

            (2) by striking section 1971 (42 U.S.C. 300y) and inserting 
        the following:

``SEC. 1971. DATA INFRASTRUCTURE DEVELOPMENT.

    ``(a) In General.--The Secretary may make grants to, and enter into 
contracts or cooperative agreements with States for the purpose of 
developing and operating mental health or substance abuse data 
collection, analysis, and reporting systems with regard to performance 
measures including capacity, process, and outcomes measures.
    ``(b) Projects.--The Secretary shall establish criteria to ensure 
that services will be available under this section to States that have 
a fundamental basis for the collection, analysis, and reporting of 
mental health and substance abuse performance measures and States that 
do not have such basis. The Secretary will establish criteria for 
determining whether a State has a fundamental basis for the collection, 
analysis, and reporting of data.
    ``(c) Condition of Receipt of Funds.--As a condition of the receipt 
of an award under this section a State shall agree to collect, analyze, 
and report to the Secretary within 2 years of the date of the award on 
a core set of performance measures to be determined by the Secretary in 
conjunction with the States.
    ``(d) Duration of Support.--The period during which payments may be 
made for a project under subsection (a) may be not less than 3 years 
nor more than 5 years.
    ``(e) Authorization of Appropriation.--
            ``(1) In general.--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 2000, 2001 and 
        2002.
            ``(2) Allocation.--Of the amounts appropriated under 
        paragraph (1) for a fiscal year, 50 percent shall be expended 
        to support data infrastructure development for mental health 
        and 50 percent shall be expended to support data infrastructure 
        development for substance abuse.''.

SEC. 405. REPEAL OF OBSOLETE ADDICT REFERRAL PROVISIONS.

    (a) Repeal of Obsolete Public Health Service Act Authorities.--Part 
E of title III (42 U.S.C. 257 et seq.) is repealed.
    (b) Repeal of Obsolete NARA Authorities.--Titles III and IV of the 
Narcotic Addict Rehabilitation Act of 1966 (Public Law 89-793) are 
repealed.
    (c) Repeal of Obsolete Title 28 Authorities.--
            (1) In general.--Chapter 175 of title 28, United States 
        Code, is repealed.
            (2) Table of contents.--The table of contents to part VI of 
        title 28, United States Code, is amended by striking the items 
        relating to chapter 175.

SEC. 406. INDIVIDUALS WITH CO-OCCURRING DISORDERS.

    The Public Health Service Act is amended by inserting after section 
503 (42 U.S.C. 290aa-2) the following:

``SEC. 503A. REPORT ON INDIVIDUALS WITH CO-OCCURRING MENTAL ILLNESS AND 
              SUBSTANCE ABUSE DISORDERS.

    ``(a) In General.--Not later than 2 years after the date of 
enactment of this section, the Secretary shall, after consultation with 
organizations representing States, mental health and substance abuse 
treatment providers, prevention specialists, individuals receiving 
treatment services, and family members of such individuals, 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 on prevention and treatment services for 
individuals who have co-occurring mental illness and substance abuse 
disorders.
    ``(b) Report Content.--The report under subsection (a) shall be 
based on data collected from existing Federal and State surveys 
regarding the treatment of co-occurring mental illness and substance 
abuse disorders and shall include--
            ``(1) a summary of the manner in which individuals with co-
        occurring disorders are receiving treatment, including the most 
        up-to-date information available regarding the number of 
        children and adults with co-occurring mental illness and 
        substance abuse disorders and the manner in which funds 
        provided under sections 1911 and 1921 are being utilized, 
        including the number of such children and adults served with 
        such funds;
            ``(2) a summary of improvements necessary to ensure that 
        individuals with co-occurring mental illness and substance 
        abuse disorders receive the services they need;
            ``(3) a summary of practices for preventing substance abuse 
        among individuals who have a mental illness and are at risk of 
        having or acquiring a substance abuse disorder; and
            ``(4) a summary of evidenced-based practices for treating 
        individuals with co-occurring mental illness and substance 
        abuse disorders and recommendations for implementing such 
        practices.
    ``(c) Funds for Report.--The Secretary may obligate funds to carry 
out this section with such appropriations as are available.''.

SEC. 407. 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.) (as amended by section 305) is further 
amended by adding at the end the following:

``SEC. 1956. SERVICES FOR INDIVIDUALS WITH CO-OCCURRING 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.''.

            Passed the Senate November 3, 1999.

            Attest:

                                                             Secretary.
106th CONGRESS

  1st Session

                                 S. 976

_______________________________________________________________________

                                 AN ACT

    To amend title V of the Public Health Service Act to focus the 
      authority of the Substance Abuse and Mental Health Services 
      Administration on community-based services for children and 
 adolescents, to enhance flexibility and accountability, to establish 
  programs for youth treatment, and to respond to crises, especially 
                those related to children and violence.

S 976 ES----2
S 976 ES----3
S 976 ES----4
S 976 ES----5
S 976 ES----6
S 976 ES----7
S 976 ES----8
S 976 ES----9
S 976 ES----10
S 976 ES----11
S 976 ES----12
S 976 ES----13
S 976 ES----14
S 976 ES----15
S 976 ES----16
S 976 ES----17
S 976 ES----18
S 976 ES----19
S 976 ES----20