[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 2741 Introduced in Senate (IS)]






108th CONGRESS
  2d Session
                                S. 2741

 To amend the Public Health Service Act to reauthorize and extend the 
 Fetal Alcohol Syndrome prevention and services program, and for other 
                               purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             July 22, 2004

  Mr. Daschle introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to reauthorize and extend the 
 Fetal Alcohol Syndrome prevention and services program, and for other 
                               purposes.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Advancing FASD Research, Prevention, 
and Services Act''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Fetal Alcohol Spectrum Disorders are the spectrum of 
        serious, life-long disorders caused by prenatal exposure to 
        alcohol, which include Fetal Alcohol Syndrome, Alcohol-Related 
        Neurodevelopmental Disorder, and Alcohol-Related Birth Defects.
            (2) In the decades that have passed since Fetal Alcohol 
        Syndrome was first recognized in the United States, this fully 
        preventable condition has continued to affect American children 
        and families.
            (3) Prenatal alcohol exposure can cause brain damage that 
        produces cognitive and behavioral impairments. Prenatal alcohol 
        exposure can cause mental retardation or low IQ and 
        difficulties with learning, memory, attention, and problem-
        solving. It can also create problems with mental health and 
        social interactions.
            (4) Prenatal alcohol exposure also can cause growth 
        retardation, birth defects involving the heart, kidney, vision 
        and hearing, and a characteristic pattern of facial 
        abnormalities.
            (5) About 13 percent of women report using alcohol during 
        pregnancy even though there is no known safe level of alcohol 
        consumption during pregnancy.
            (6) Estimates of individuals with Fetal Alcohol Syndrome 
        vary but are estimated to be between 0.5 and 2.0 per 1,000 
        births. The prevalence rate is considerably higher for all 
        Fetal Alcohol Spectrum Disorders: about 10 out of 1,000 births 
        (1 percent of births).
            (7) Prevalence of Fetal Alcohol Spectrum Disorders can be 
        even higher in certain populations, such as Native Americans, 
        and in certain areas, such as those characterized by low 
        socioeconomic status.
            (8) Fetal Alcohol Spectrum Disorders pose extraordinary 
        financial costs to the Nation, including the cost of 
        specialized health care, education, foster care, incarceration, 
        job training, and general support services for individuals 
        affected by Fetal Alcohol Spectrum Disorders.
            (9) Lifetime health costs for an individual with Fetal 
        Alcohol Syndrome average $860,000, and can run as high as 
        $4,200,000. The direct and indirect economic costs of Fetal 
        Alcohol Syndrome in the United States were $5,400,000,000 in 
        2003. Total economic costs would be even higher for all Fetal 
        Alcohol Spectrum Disorders.
            (10) There is a great need for research, surveillance, 
        prevention, treatment, and support services for individuals 
        with Fetal Alcohol Spectrum Disorders and their families.

SEC. 3. PROGRAMS FOR FETAL ALCOHOL SPECTRUM DISORDERS.

    Section 399H of the Public Health Service Act (48 U.S.C. 280f) is 
amended--
            (1) by striking the section heading and inserting the 
        following:

``SEC. 399H. PROGRAMS FOR FETAL ALCOHOL SPECTRUM DISORDERS.'';

            (2) by redesignating subsections (a) through (d) as 
        subsections (h) through (k), respectively;
            (3) by inserting after the section heading, the following:
    ``(a) Research on FAS and Related Disorders.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the National Institutes of Health and in 
        coordination with the Interagency Coordinating Committee on 
        Fetal Alcohol Syndrome, shall--
                    ``(A) establish a research agenda for Fetal Alcohol 
                Spectrum Disorders; and
                    ``(B) award grants, contracts, or cooperative 
                agreements to public or private nonprofit entities to 
                pay all or part of carrying out research under such 
                agenda.
            ``(2) Types of research.--In carrying out paragraph (1), 
        the Secretary, acting through the Director of the National 
        Institute of Alcohol Abuse and Alcoholism, shall conduct 
        national and international research in coordination with other 
        Federal agencies that includes--
                    ``(A) the identification of the mechanisms that 
                produce the cognitive and behavioral problems 
                associated with fetal alcohol exposure;
                    ``(B) the development of a neurocognitive phenotype 
                for Fetal Alcohol Syndrome and Alcohol-Related 
                Neurodevelopmental Disorder;
                    ``(C) the identification of biological markers that 
                can be used to indicate fetal alcohol exposure;
                    ``(D) the identification of fetal and maternal risk 
                factors that increase susceptibility to Fetal Alcohol 
                Spectrum Disorders;
                    ``(E) the investigation of behavioral and 
                pharmacotherapies for alcohol-dependent women to 
                determine new approaches for sustaining recovery;
                    ``(F) the development of scientific-based 
                therapeutic interventions for individuals with Fetal 
                Alcohol Spectrum Disorders;
                    ``(G) the development of screening instruments to 
                identify women who consume alcohol during pregnancy and 
                the development of standards for measuring, reporting, 
                and analyzing alcohol consumption patterns in pregnant 
                women; and
                    ``(H) other research that the Director determines 
                to be appropriate.
            ``(3) Study.--The Secretary, acting through the Director of 
        the National Institute of Mental Health, shall--
                    ``(A) conduct a study on the behavioral disorders 
                that may be associated with prenatal alcohol exposure;
                    ``(B) not later than 1 year after the date of 
                enactment of the Advancing FASD Research, Prevention, 
                and Services Act, submit to Congress a report on the 
                appropriateness of characterizing Fetal Alcohol 
                Spectrum Disorders and their secondary behavioral 
                disorders as mental health disorders; and
                    ``(C) conduct additional research on the 
                epidemiology of behavior disorders associated with 
                Fetal Alcohol Spectrum Disorders in collaboration with 
                the Centers for Disease Control and Prevention.
            ``(4) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection, 
        such sums as may be necessary for each of fiscal years 2005 
        through 2009.
    ``(b) Surveillance, Identification, and Prevention Activities.--
            ``(1) In general.--The Secretary, acting through the 
        Director of the National Center on Birth Defects and 
        Developmental Disabilities, shall facilitate surveillance, 
        identification, and prevention of Fetal Alcohol Spectrum 
        Disorders as provided for in this subsection.
            ``(2) Surveillance, identification, and prevention.--In 
        carrying out this subsection, the Secretary shall--
                    ``(A) develop and implement a uniform surveillance 
                case definition for Fetal Alcohol Syndrome and a 
                uniform surveillance case definition for Alcohol 
                Related Neurodevelopmental Disorder;
                    ``(B) develop a comprehensive screening process for 
                Fetal Alcohol Spectrum Disorders that covers different 
                age, race, and ethnic groups and is based on the 
                uniform surveillance case definitions developed under 
                subparagraph (A);
                    ``(C) disseminate and provide the necessary 
                training and support for the screening process 
                developed under subparagraph (B) to--
                            ``(i) hospitals, community health centers, 
                        outpatient programs, and other appropriate 
                        health care providers;
                            ``(ii) incarceration and detainment 
                        facilities;
                            ``(iii) primary and secondary schools;
                            ``(iv) social work and child welfare 
                        offices;
                            ``(v) foster care providers and adoption 
                        agencies;
                            ``(vi) State offices and others providing 
                        services to individuals with disabilities; and
                            ``(vii) other entities that the Secretary 
                        determines to be appropriate;
                    ``(D) conduct activities related to risk factor 
                surveillance including the annual monitoring and 
                reporting of alcohol consumption among pregnant women 
                and women of child bearing age; and
                    ``(E) conduct applied public health prevention 
                research and implement strategies for reducing alcohol-
                exposed pregnancies in women at high risk for alcohol-
                exposed pregnancies.
            ``(3) Authorization of appropriation.--There are authorized 
        to be appropriated to carry out this subsection, such sums as 
        may be necessary for each of fiscal years 2005 through 2009.
    ``(c) Building State FASD Systems.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator of the Substance Abuse and Mental Health Services 
        Administration, shall award grants, contracts, or cooperative 
        agreements to States for the purpose of establishing or 
        expanding statewide programs of surveillance, prevention, and 
        treatment of individuals with Fetal Alcohol Spectrum Disorders.
            ``(2) Eligibility.--To be eligible to receive a grant, 
        contract, or cooperative agreement under paragraph (1) a State 
        shall--
                    ``(A) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                reasonably require;
                    ``(B) develop and implement a statewide strategic 
                plan for preventing and treating Fetal Alcohol Spectrum 
                Disorders;
                    ``(C) consult with public and private non-profit 
                entities with relevant expertise on Fetal Alcohol 
                Spectrum Disorders within the State, including--
                            ``(i) parent-led groups and other 
                        organizations that support and advocate for 
                        individuals with Fetal Alcohol Spectrum 
                        Disorders; and
                            ``(ii) Indian tribes and tribal 
                        organizations; and
                    ``(D) designate an individual to serve as the 
                coordinator of the State's Fetal Alcohol Spectrum 
                Disorders program.
            ``(3) Strategic plan.--The statewide strategic plan 
        prepared under paragraph (2)(B) shall include--
                    ``(A) the identification of existing State programs 
                and systems that could be used to identify and treat 
                individuals with Fetal Alcohol Spectrum Disorders and 
prevent alcohol consumption during pregnancy, such as--
                            ``(i) programs for the developmentally 
                        disabled, the mentally ill, and individuals 
                        with alcohol dependency;
                            ``(ii) primary and secondary educational 
                        systems;
                            ``(iii) judicial systems for juveniles and 
                        adults;
                            ``(iv) child welfare programs and social 
                        service programs; and
                            ``(v) other programs or systems the State 
                        determines to be appropriate;
                    ``(B) the identification of any barriers for 
                individuals with Fetal Alcohol Spectrum Disorders or 
                women at risk for alcohol consumption during pregnancy 
                to access the programs identified under subparagraph 
                (A); and
                    ``(C) proposals to eliminate barriers to prevention 
                and treatment programs and coordinate the activities of 
                such programs.
            ``(4) Use of funds.--Amounts received under a grant, 
        contract, or cooperative agreement under paragraph (1) shall be 
        used for one or more of the following activities:
                    ``(A) Establishing a statewide surveillance system.
                    ``(B) Collecting, analyzing and interpreting data.
                    ``(C) Establishing a diagnostic center.
                    ``(D) Developing, implementing, and evaluating 
                population-based and targeted prevention programs for 
                Fetal Alcohol Spectrum Disorders, including public 
                awareness campaigns.
                    ``(E) Referring individuals with Fetal Alcohol 
                Spectrum Disorders to appropriate support services.
                    ``(F) Developing and sharing best practices for the 
                prevention, identification, and treatment of Fetal 
                Alcohol Spectrum Disorders.
                    ``(G) Providing training to health care providers 
                on the prevention, identification, and treatment of 
                Fetal Alcohol Spectrum Disorders.
                    ``(H) Disseminating information about Fetal Alcohol 
                Spectrum Disorders and the availability of support 
                services to families of individuals with Fetal Alcohol 
                Spectrum Disorders.
                    ``(I) Other activities determined appropriate by 
                the Secretary.
            ``(5) Multi-state programs.--The Secretary shall permit the 
        formation of multi-State Fetal Alcohol Spectrum Disorders 
        programs under this subsection.
            ``(6) Other contracts and agreements.--A State may carry 
        out activities under paragraph (4) through contacts or 
        cooperative agreements with public and private non-profit 
        entities with a demonstrated expertise in Fetal Alcohol 
        Spectrum Disorders.
            ``(7) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection, 
        such sums as may be necessary for fiscal years 2005 through 
        2009.
    ``(d) Promoting Community Partnerships.--
            ``(1) In general.--The Secretary shall award grants, 
        contracts, or cooperative agreements to eligible entities to 
        enable such entities to establish, enhance, or improve 
        community partnerships for the purpose of collaborating on 
        common objectives and integrating the services available to 
        individuals with Fetal Alcohol Spectrum Disorders, such as 
        surveillance, prevention, treatment, and provision of support 
        services.
            ``(2) Eligible entities.--To be eligible to receive a 
        grant, contract, or cooperative agreement under paragraph (1), 
        an entity shall--
                    ``(A) be a public or private nonprofit entity, 
                including--
                            ``(i) a health care provider or health 
                        professional;
                            ``(ii) a primary or secondary school;
                            ``(iii) a social work or child welfare 
                        office;
                            ``(iv) an incarceration or detainment 
                        facility;
                            ``(v) a parent-led group or other 
                        organization that supports and advocates for 
                        individuals with Fetal Alcohol Spectrum 
                        Disorders;
                            ``(vi) an Indian tribe or tribal 
                        organization;
                            ``(vii) any other entity the Secretary 
                        determines to be appropriate; or
                            ``(viii) a consortium of any of the 
                        entities described in clauses (i) through 
                        (vii); and
                    ``(B) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                reasonably require, including assurances that the 
                entity submitting the application does, at the time of 
                application, or will, within a reasonable amount of 
                time from the date of application, include substantive 
                participation of a broad range of entities that work 
                with or provide services for individuals with Fetal 
                Alcohol Spectrum Disorders.
            ``(3) Activities.--An eligible entity shall use amounts 
        received under a grant, contract, or cooperative agreement 
        under this subsection shall carry out 1 or more of the 
        following activities:
                    ``(A) Identifying and integrating existing programs 
                and services available in the community for individuals 
                with Fetal Alcohol Spectrum Disorders.
                    ``(B) Conducting a needs assessment to identify 
                services that are not available in a community.
                    ``(C) Developing and implementing community-based 
                initiatives to prevent, diagnose, treat, and provide 
                support services to individuals with Fetal Alcohol 
                Spectrum Disorders.
                    ``(D) Disseminating information about Fetal Alcohol 
                Spectrum Disorders and the availability of support 
                services.
                    ``(E) Developing and implementing a community-wide 
                public awareness and outreach campaign focusing on the 
                dangers of drinking alcohol while pregnant.
                    ``(F) Providing mentoring or other support to 
                families of individuals with Fetal Alcohol Spectrum 
                Disorders.
                    ``(G) Other activities determined appropriate by 
                the Secretary.
            ``(4) Authorization of appropriation.--There are authorized 
        to be appropriated to carry out this subsection, such sums as 
        may be necessary for each of fiscal years 2005 through 2009.
    ``(e) Development of Best Practices.--
            ``(1) In general.--The Secretary, in coordination with the 
        National Task Force on Fetal Alcohol Spectrum Disorders, shall 
        award grants to States, Indian tribes and tribal organizations, 
        and nongovernmental organizations for the establishment of 
        pilot projects to identify and implement best practices for--
                    ``(A) educating children with fetal alcohol 
                spectrum disorders, including--
                            ``(i) activities and programs designed 
                        specifically for the identification, treatment, 
                        and education of such children; and
                            ``(ii) curricula development and 
                        credentialing of teachers, administrators, and 
                        social workers who implement such programs;
                    ``(B) educating judges, attorneys, child advocates, 
                law enforcement officers, prison wardens, alternative 
                incarceration administrators, and incarceration 
                officials on how to treat and support individuals 
                suffering from Fetal Alcohol Spectrum Disorders within 
                the criminal justice system, including--
                            ``(i) programs designed specifically for 
                        the identification, treatment, and education of 
                        those with Fetal Alcohol Spectrum Disorders; 
                        and
                            ``(ii) curricula development and 
                        credentialing within the justice system for 
                        individuals who implement such programs; and
                    ``(C) educating adoption or foster care agency 
                officials about available and necessary services for 
                children with fetal alcohol spectrum disorders, 
                including--
                            ``(i) programs designed specifically for 
                        the identification, treatment, and education of 
                        those with Fetal Alcohol Spectrum Disorders; 
                        and
                            ``(ii) education and training for potential 
                        parents of an adopted child with Fetal Alcohol 
                        Spectrum Disorders.
            ``(2) Application.--To be eligible for a grant under 
        paragraph (1), an entity shall prepare and submit to the 
        Secretary an application at such time, in such manner, and 
        containing such information as the Secretary may reasonably 
        require.
            ``(3) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection, 
        such sums as may be necessary for each of fiscal years 2005 
        through 2009.
    ``(f) Transitional Services.--
            ``(1) In general.--The Secretary shall award demonstration 
        grants, contracts, and cooperative agreements to States, Indian 
        tribes and tribal organizations, and nongovernmental 
        organizations for the purpose of establishing integrated 
        systems for providing transitional services for those affected 
        by prenatal alcohol exposure and evaluating their 
        effectiveness.
            ``(2) Application.--To be eligible for a grant, contract, 
        or cooperative agreement under paragraph (1), an entity shall 
        prepare and submit to the Secretary an application at such 
        time, in such manner, and containing such information as the 
        Secretary may reasonably require.
            ``(3) Allowable uses.--An entity shall use amounts received 
        under a grant, contract, or cooperative agreement under 
        paragraph (1) to--
                    ``(A) provide housing assistance to adults with 
                Fetal Alcohol Spectrum Disorders;
                    ``(B) provide vocational training and placement 
                services for adults with Fetal Alcohol Spectrum 
                Disorders;
                    ``(C) provide medication monitoring services for 
                adults with Fetal Alcohol Spectrum Disorders; and
                    ``(D) provide training and support to organizations 
                providing family services or mental health programs and 
                other organizations that work with adults with Fetal 
Alcohol Spectrum Disorders.
            ``(4) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection, 
        such sums as may be necessary for each of fiscal years 2005 
        through 2009.
    ``(g) Community Health Center Initiative.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator of the Health Resources and Services 
        Administration, shall award grants to community health centers 
        acting in collaboration with States, Indian tribes, tribal 
        organizations, and nongovernmental organizations, for the 
        establishment of a 5-year demonstration program under the 
        direction of the Interagency Coordinating Committee on Fetal 
        Alcohol Syndrome to implement and evaluate a program to 
        increase awareness and identification of Fetal Alcohol Spectrum 
        Disorders in community health centers and to refer affected 
        individuals to appropriate support services.
            ``(2) Application.--To be eligible to receive a grant under 
        paragraph (1), a community health center shall prepare and 
        submit to the Administrator an application at such time, in 
        such manner, and containing such information as the 
        Administrator may reasonably require.
            ``(3) Activities.--A community health center shall use 
        amounts received under a grant under paragraph (1) to--
                    ``(A) provide training for health care providers on 
                identifying and educating women who are at risk for 
                alcohol consumption during pregnancy;
                    ``(B) provide training for health care providers on 
                screening children for Fetal Alcohol Spectrum 
                Disorders;
                    ``(C) educate health care providers and other 
                relevant community health center workers on the support 
                services available for those with Fetal Alcohol 
                Spectrum Disorders and treatment services available for 
                women at risk for alcohol consumption during pregnancy; 
                and
                    ``(D) implement a tracking system that can identify 
                the rates of Fetal Alcohol Spectrum Disorders by 
                racial, ethnic, and economic backgrounds.
            ``(4) Selection of participants.--The Administrator shall 
        determine the number of community health centers that will 
        participate in the demonstration program under this subsection 
        and shall select participants, to the extent practicable, that 
        are located in different regions of the United States and that 
        serve a racially and ethnically diverse population.
            ``(5) Authorization of appropriations.--There are 
        authorized to be appropriated to carry out this subsection, 
        such sums as may be necessary for each of fiscal years 2005 
        through 2009.
            ``(6) Report to congress.--Not later than 1 year after 
        completion of the demonstration program under this subsection, 
        the Administrator shall prepare and submit to Congress a report 
        on the results of the demonstration program, including--
                    ``(A) changes in the number of women screened for 
                and identified as at risk for alcohol consumption 
                during pregnancy;
                    ``(B) changes in the number of individuals 
                identified as having a Fetal Alcohol Spectrum Disorder; 
                and
                    ``(C) changes in the number of alcohol-consuming 
                pregnant women and individuals with Fetal Alcohol 
                Spectrum Disorders who were referred to appropriate 
                services.'';
            (4) in subsection (h)(1) (as so redesignated)--
                    (A) in subparagraph (C), by striking ``and'' after 
                the semicolon;
                    (B) in subparagraph (D), by adding ``and'' after 
                the semicolon; and
                    (C) by adding at the end the following:
                    ``(E) national public service announcements to 
                raise public awareness of the risks associated with 
                alcohol consumption during pregnancy with the purpose 
                of reducing the prevalence of Fetal Alcohol Spectrum 
                Disorders, that shall--
                            ``(i) be conducted by relevant Federal 
                        agencies under the coordination of the 
                        Interagency Coordinating Committee on Fetal 
                        Alcohol Syndrome;
                            ``(ii) be developed by the appropriate 
                        Federal agencies, as determined by the 
                        Interagency Coordinating Committee on Fetal 
                        Alcohol Syndrome taking into consideration the 
                        expertise and experience of other relevant 
                        Federal agencies, and shall test and evaluate 
                        the public service announcement's effectiveness 
                        prior to broadcasting the announcements 
                        nationally;
                            ``(iii) be broadcast through appropriate 
                        media outlets, including television or radio, 
                        in a manner intended to reach women at risk of 
                        alcohol consumption during pregnancy; and
                            ``(iv) be measured prior to broadcast of 
                        the national public service announcements to 
                        provide baseline data that will be used to 
                        evaluate the effectiveness of the 
                        announcements.''; and
            (5) in subsection (k) (as so redesignated)--
                    (A) in paragraph (1), by striking ``National Task 
                Force on Fetal Alcohol Syndrome and Fetal Alcohol 
                Effect'' and inserting ``National Task Force on Fetal 
                Alcohol Spectrum Disorders'';
                    (B) in paragraph (3)--
                            (i) in subparagraph (B), by striking 
                        ``and'' after the semicolon;
                            (ii) in subparagraph (C), by adding ``and'' 
                        after the semicolon; and
                            (iii) by adding at the end the following:
                    ``(D) develop, in collaboration with the 
                Interagency Coordinating Committee on Fetal Alcohol 
Syndrome, a report that identifies and describes the 10 most important 
actions that must be taken to reduce prenatal alcohol exposure and all 
its adverse outcomes, and that shall--
                            ``(i) describe the state of the current 
                        epidemiology of Fetal Alcohol Spectrum 
                        Disorders, risk factors, and successful 
                        approaches in policy and services that have 
                        reduced alcohol-exposed pregnancies and 
                        outcomes;
                            ``(ii) identify innovative approaches that 
                        have worked in related areas such as tobacco 
                        control or HIV prevention that may provide 
                        models for Fetal Alcohol Spectrum Disorders 
                        prevention;
                            ``(iii) recommend short-term and long-term 
                        action plans for achieving the Healthy 2010 
                        Objectives for the United States, such as 
                        increasing abstinence from alcohol among 
                        pregnant women and reducing the occurrence of 
                        Fetal Alcohol Syndrome; and
                            ``(iv) recommend in coordination with the 
                        National Institute on Mental Health whether 
                        Fetal Alcohol Syndrome and other prenatal 
                        alcohol disorders, or a subset of these 
                        disorders, should be included in the Diagnostic 
                        and Statistical Manual of Mental Disorders.''; 
                        and
                    (C) by striking ``Fetal Alcohol Syndrome and Fetal 
                Alcohol Effect'' each place that such appears and 
                inserting ``Fetal Alcohol Spectrum Disorders''.

SEC. 4. COORDINATION AMONG FEDERAL ENTITIES.

    Part O of title III of the Public Health Service Act (42 U.S.C. 
280f et seq.) is amended by adding at the end the following:

``SEC. 399K-1. COORDINATION AMONG FEDERAL ENTITIES.

    ``(a) Interagency Coordinating Committee on Fetal Alcohol 
Syndrome.--The Secretary, acting through the Director of the National 
Institute on Alcohol Abuse and Alcoholism, shall provide for the 
continuation of the Interagency Coordinating Committee on Fetal Alcohol 
Syndrome so that such Committee may--
            ``(1) coordinate activities conducted by the Federal 
        Government on Fetal Alcohol Spectrum Disorders, including 
        convening meetings, establishing work groups, sharing 
        information, and facilitating and promoting collaborative 
        projects among Federal agencies; and
            ``(2) develop, in consultation with the National Task Force 
        on Fetal Alcohol Spectrum Disorders, priority areas for years 
        2006 through 2010 to guide Federal programs and activities 
        related to Fetal Alcohol Spectrum Disorders.
    ``(b) Coordination Among Federal Entities.--
            ``(1) In general.--The Comptroller General of the United 
        States shall evaluate and make recommendations regarding the 
        appropriate roles and responsibilities of Federal entities with 
        respect to programs and activities related to Fetal Alcohol 
        Spectrum Disorders.
            ``(2) Covered entities.--The Federal entities under 
        paragraph (1) shall include entities within the National 
        Institutes of Health, the Centers for Disease Control and 
        Prevention, the Substance Abuse and Mental Health Services 
        Administration, the Health Resources and Services 
        Administration, the Indian Health Service, the Agency for 
        Healthcare Research and Quality, the Interagency Coordinating 
        Committee on Fetal Alcohol Syndrome, the National Task Force on 
        Fetal Alcohol Spectrum Disorders, as well as the Office of 
        Special Education and Rehabilitative Services in the Department 
        of Education and the Office of Juvenile Justice and Delinquency 
        Prevention in the Department of Justice.
            ``(3) Evaluation.--The evaluation conducted by the 
        Comptroller General under paragraph (1) shall include--
                    ``(A) an assessment of the current roles and 
                responsibilities of Federal entities with programs and 
                activities related to Fetal Alcohol Spectrum Disorders; 
                and
                    ``(B) an assessment of whether there is duplication 
                in programs and activities, conflicting roles and 
                responsibilities, or lack of coordination among Federal 
                entities.
            ``(4) Recommendation.--The Comptroller General shall 
        provide recommendations on the appropriate roles and 
        responsibilities of the Federal entities described in paragraph 
        (2) in order to maximize the effectiveness of Federal programs 
        and activities related to Fetal Alcohol Spectrum Disorders.
            ``(5) Completion.--Not later than 1 year after the date of 
        enactment of the Advancing FASD Research, Prevention, and 
        Services Act, the Comptroller General shall complete the 
        evaluation and submit to Congress a report on the findings and 
        recommendations made as a result of the evaluation.''.

SEC. 5. SERVICES FOR INDIVIDUALS WITH FETAL ALCOHOL SYNDROME.

    Section 519C(b) of the Public Health Service Act (42 U.S.C. 290bb-
25c(b)) is amended--
            (1) in paragraph (11), by striking ``and'' after the 
        semicolon;
            (2) by redesignating paragraph (12) as paragraph (15); and
            (3) by inserting after paragraph (11), the following:
            ``(12) provide respite care for caretakers of individuals 
        with Fetal Alcohol Syndrome and other prenatal alcohol-related 
        disorders;
            ``(13) recruit and train mentors for adolescents with Fetal 
        Alcohol Syndrome and other prenatal alcohol-related disorders;
            ``(14) provide educational and supportive services to 
        families of individuals with Fetal Alcohol Spectrum Disorders; 
        and''.

SEC. 6. PREVENTION, INTERVENTION, AND SERVICES IN THE EDUCATION SYSTEM.

    The Secretary of Education shall direct the Office of Special 
Education and Rehabilitative Services to--
            (1) implement screening procedures and conduct training on 
        a nationwide Fetal Alcohol Spectrum Disorders surveillance 
        campaign for the educational system in collaboration with the 
        efforts of the National Center on Birth Defects and 
        Developmental Disabilities under section 399H(b) of the Public 
        Health Service Act (as added by this Act);
            (2) introduce curricula previously developed by the 
        National Center on Birth Defects and Developmental Disabilities 
        and the Substance Abuse and Mental Health Services 
        Administration on how to most effectively educate and support 
        children with Fetal Alcohol Spectrum Disorders in both special 
        education and traditional education settings, and investigate 
        incorporating information about the identification, prevention, 
        and treatment of the Disorders into teachers' credentialing 
        requirements;
            (3) integrate any special techniques on how to deal with 
        Fetal Alcohol Spectrum Disorders children into parent-teacher 
        or parent-administrator interactions, including after-school 
        programs, special school services, and family aid programs;
            (4) collaborate with other Federal agencies to introduce a 
        standardized educational unit within schools' existing sexual 
        and health education curricula, or create one if needed, on the 
        deleterious effects of prenatal alcohol exposure; and
            (5) organize a peer advisory network of adolescents in 
        schools to discourage the use of alcohol while pregnant or 
        considering getting pregnant.

SEC. 7. PREVENTION, INTERVENTION, AND SERVICES IN THE JUSTICE SYSTEM.

    The Attorney General shall direct the Office of Juvenile Justice 
and Delinquency Prevention to--
            (1) implement screening procedures and conduct training on 
        a nationwide Fetal Alcohol Spectrum Disorders surveillance 
        campaign for the justice system in collaboration with the 
        efforts of the National Center on Birth Defects and 
        Developmental Disabilities under section 399H(b) of the Public 
        Health Service Act (as added by this Act);
            (2) introduce training curricula, in collaboration with the 
        National Center on Birth Defects and Developmental Disabilities 
        and the Substance Abuse and Mental Health Services 
        Administration, on how to most effectively identify and 
        interact with individuals with Fetal Alcohol Spectrum Disorders 
        in both the juvenile and adult justice systems, and investigate 
        incorporating information about the identification, prevention, 
        and treatment of the disorders into justice professionals' 
        credentialing requirements;
            (3) promote the tracking of individuals entering the 
        juvenile justice system with at-risk backgrounds that indicates 
        them as high probability for having a Fetal Alcohol Spectrum 
        Disorder, especially those individuals whose mothers have a 
        high record of drinking during pregnancy as reported by the 
        appropriate child protection agency;
            (4) educate judges, attorneys, child advocates, law 
        enforcement officers, prison wardens, alternative incarceration 
        administrators, and incarceration officials on how to treat and 
        support individuals suffering from Fetal Alcohol Spectrum 
        Disorders within the criminal justice system, including--
                    (A) programs designed specifically for the 
                identification, treatment, and education of such 
                children; and
                    (B) curricula development and credentialing of 
                teachers, administrators, and social workers who 
                implement such programs;
            (5) conduct a study on the inadequacies of how the current 
        system processes children with certain developmental delays and 
        subsequently develop alternative methods of incarceration and 
        treatment that are more effective for youth offenders 
        identified to have a Fetal Alcohol Spectrum Disorder; and
            (6) develop transition programs for individuals with Fetal 
        Alcohol Spectrum Disorders who are released from incarceration.

SEC. 8. MISCELLANEOUS PROVISIONS.

    (a) Authorization of Appropriations.--Section 399J of the Public 
Health Service Act (42 U.S.C. 280f-2) is amended by striking ``the 
part'' and all that follows through the period and inserting 
``subsections (h) through (k) of section 399H, $27,000,000 for each of 
fiscal years 2005 through 2009''.
    (b) Repeal of Sunset.--Section 399K of the Public Health Service 
Act (42 U.S.C. 280f-3) is repealed.
                                 <all>