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







106th CONGRESS
  1st Session
                                 S. 976

    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.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 6, 1999

   Mr. Frist (for himself, Mr. Kennedy, Mr. Jeffords, Mr. Dodd, Mr. 
 DeWine, Ms. Mikulski, and Ms. Collins) introduced the following bill; 
     which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
    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. Mental health services for violence related stress.
Sec. 103. Emergency response.
Sec. 104. High risk youth reauthorization.
Sec. 105. Treatment for children and adolescents.
Sec. 106. Comprehensive community services for children with serious 
                            emotional disturbance.
Sec. 107. Services for children of substance abusers.
Sec. 108. General provisions.
             TITLE II--PROVISIONS RELATING TO MENTAL HEALTH

Sec. 201. Priority mental health needs of regional and national 
                            significance.
Sec. 202. Reauthorization of 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.
           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.
    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.

 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 with 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. 102. MENTAL HEALTH SERVICES FOR VIOLENCE RELATED STRESS.

    Part G of title V of the Public Health Service Act (as added by 
section 101) is amended by adding at the end the following:

``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 non-profit 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. 103. 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.''; 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. 104. 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. 105. TREATMENT FOR CHILDREN AND ADOLESCENTS.

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

``SEC. 509. TREATMENT FOR CHILDREN AND ADOLESCENTS.

    ``(a) In General.--The Secretary shall carry out, directly or 
through grants, contracts or cooperative agreements to public and non-
profit private entities, including Indian tribes and tribal 
organizations, projects to provide substance abuse and mental health 
treatment for children and adolescents.
    ``(b) Priority.--In making grants, contracts or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
projects that focus only on children and adolescents and that 
incorporate evidence-based practices in the prevention and treatment of 
mental health and substance abuse disorders.
    ``(c) 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.
    ``(d) 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.
    ``(e) Evaluation.--The Secretary shall conduct an evaluation of 
each project carried out under this section.
    ``(f) Information and Education.--The Secretary shall establish 
comprehensive information and education programs to disseminate the 
findings of the knowledge development and application under this 
section to the general public and to health professionals.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, such sums as may be necessary 
for each of fiscal years 2000 through 2002.''.

SEC. 106. 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. 107. 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)''.

SEC. 108. 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 (3) through (13), respectively; and
            (2) by inserting after paragraph (1), the following:
            ``(2) ensure that emphasis is placed on children and 
        adolescents in the development of treatment programs;''.
    (b) Duties of the Office for Substance Abuse Prevention.--Section 
515(b)(9) of the Public Health Service Act (42 U.S.C. 290bb-2(b)(9)) is 
amended 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.--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.
    ``(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. REAUTHORIZATION OF GRANTS FOR THE BENEFIT OF HOMELESS 
              INDIVIDUALS.

    Section 506(e) of the Public Health Service Act (42 U.S.C. 290aa-
5(e)) is amended by striking ``for fiscal year 1994'' and inserting 
``for each of fiscal years 1994 through 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''.

           TITLE III--PROVISIONS RELATING TO SUBSTANCE ABUSE

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

    (a) In General.--Section 508 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended to read as follows:

``SEC. 508. 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.--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.
    ``(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.''.
    (b) 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.--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.
    ``(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 September 1 of the fiscal year prior to 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.''.

    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.''.
    (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 assistance 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.
                                 <all>