[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4129 Introduced in House (IH)]







110th CONGRESS
  1st Session
                                H. R. 4129

    To amend the Public Health Service Act to strengthen and expand 
  substance abuse and mental health services to persons experiencing 
                   homelessness in the United States.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            November 8, 2007

  Ms. Solis (for herself, Ms. Carson, and Mr. Ramstad) introduced the 
   following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
    To amend the Public Health Service Act to strengthen and expand 
  substance abuse and mental health services to persons experiencing 
                   homelessness in the United States.

    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 ``Homeless Access to 
Recovery through Treatment Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
TITLE I--MAINSTREAM SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROGRAMS

                     Subtitle A--Discharge Planning

Sec. 101. Averting patient discharge into homelessness.
             Subtitle B--Provision of Appropriate Services

Sec. 111. Application of knowledge development findings to service 
                            delivery.
     Subtitle C--Grantee Planning, Reporting, and Capacity-Building

Sec. 121. Expansion of participation in grantee planning.
Sec. 122. Documentation of needs of and establishing priorities for 
                            homeless population.
    Subtitle D--Designation of Persons Experiencing Homelessness as 
                          Priority Population

Sec. 131. Requiring grantees to direct funds to persons experiencing 
                            homelessness.
Sec. 132. Inclusion of runaway, homeless, and street youth.
Sec. 133. Definition of runaway, homeless, and street youth as high 
                            risk.
Sec. 134. Prioritization of services for runaway, homeless, and street 
                            youth.
Sec. 135. Authorization of appropriations for runaway, homeless, and 
                            street youth.
   TITLE II--TARGETED HOMELESS ADDICTION AND MENTAL HEALTH SERVICES 
                                PROGRAMS

  Subtitle A--Reauthorize, Rename, and Strengthen the Grants for the 
                Benefit of Homeless Individuals Program

Sec. 201. Treatment and recovery for homeless persons.
 Subtitle B--Reauthorize and Strengthen the Projects for Assistance in 
              Transition From Homelessness (PATH) Program

Sec. 211. Expansion of required scope of services of path providers.
Sec. 212. Consideration of States to utilize health care for the 
                            homeless projects as path providers.
Sec. 213. Minimum allotments.
Sec. 214. State descriptions of resource allocation process.
Sec. 215. Authorization of appropriations.
Sec. 216. Clarification of target populations provision of path 
                            statute.
                 TITLE III--FEDERAL PROGRAM MANAGEMENT

Sec. 301. Establishment of Federal plan on addiction, mental illness, 
                            and homelessness.
Sec. 302. Federal report on path and homeless grant programs.
Sec. 303. Collaboration with children, youth, and family programs.

TITLE I--MAINSTREAM SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES PROGRAMS

                     Subtitle A--Discharge Planning

SEC. 101. AVERTING PATIENT DISCHARGE INTO HOMELESSNESS.

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

``SEC. 544. DISCHARGE PLANNING IN PRIVATE AND PUBLIC HOSPITALS AND 
              INPATIENT FACILITIES.

    ``Any private or public hospital, nursing home, subacute and 
transitional care, hospice, residential treatment, rehabilitation, or 
other inpatient facility which receives support in any form from any 
State or program supported in whole or in part by funds appropriated to 
any Federal department or agency pursuant to this title, title XIX of 
the Public Health Service Act, or title XIX of the Social Security Act 
shall have established a system designed to ensure that individuals in 
such facilities are referred to the most medically appropriate level of 
care and discharged from such facilities in such a manner that ensures 
that such individuals are placed in stable and appropriate housing, as 
soon as such referral is medically indicated.''.

             Subtitle B--Provision of Appropriate Services

SEC. 111. APPLICATION OF KNOWLEDGE DEVELOPMENT FINDINGS TO SERVICE 
              DELIVERY.

    (a) State Plan for Comprehensive Community Health Services for 
Certain Individuals.--Section 1912(b) of the Public Health Service Act 
(42 U.S.C. 300x-2(b)) is amended by inserting after paragraph (5) the 
following:
            ``(6) Replication of successful models.--The plan describes 
        the manner in which resources will be allocated to entities 
        that agree to replicate successful models of prevention, early 
        intervention, and treatment, and rehabilitation as identified 
        by the Administrator.''.
    (b) Application for Grant; Approval of State Plan.--Section 1932(b) 
of the Public Health Service Act (42 U.S.C. 300x-32(b)) is amended by 
adding at the end the following:
            ``(4) Replication of successful models.--The plan submitted 
        under subsection (a)(6) shall describe the manner in which 
        resources will be allocated to entities that agree to replicate 
        successful models of prevention, early intervention, and 
        treatment, and rehabilitation as identified by the 
        Administrator.''.

     Subtitle C--Grantee Planning, Reporting, and Capacity-Building

SEC. 121. EXPANSION OF PARTICIPATION IN GRANTEE PLANNING.

    Subpart II of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x-21 et seq.) is amended by inserting after section 1927 
the following:

``SEC. 1927A. STATE SUBSTANCE ABUSE PLANNING COUNCIL.

    ``(a) In General.--A funding agreement for a grant under section 
1921 is that the State involved will establish and maintain a State 
substance abuse planning council in accordance with the conditions 
described in this section.
    ``(b) Duties.--A condition under subsection (a) for a Council is 
that the duties of the Council are--
            ``(1) to review plans submitted under section 1932 and to 
        submit to the State any recommendations of the Council for 
        modifications to the plans;
            ``(2) to serve as an advocate for individuals with 
        substance abuse disorders; and
            ``(3) to monitor, review, and evaluate, not less than once 
        each year, the allocation of funds for, and adequacy of, 
        substance abuse service within the State.
    ``(c) Membership.--
            ``(1) In general.--A condition under subsection (a) for a 
        Council is that the Council be composed of residents of the 
        State, including representatives of--
                    ``(A) the principal State agencies with respect 
                to--
                            ``(i) substance abuse, mental health, 
                        primary health, HIV/AIDS, education, vocational 
                        rehabilitation, criminal justice, housing, 
                        youth services, and social services; and
                            ``(ii) the development of the plan 
                        submitted pursuant to title XIX of the Social 
                        Security Act;
                    ``(B) public, private, and nonprofit entities 
                concerned with the need, planning, operation, funding, 
                and use of substance abuse services and related support 
                service, including those concerned with homeless 
                individuals;
                    ``(C) individuals who are receiving substance abuse 
                services; and
                    ``(D) the families of such individuals.
            ``(2) Certain requirements.--A condition under subsection 
        (a) for a Council is that not less than 40 percent of the 
        members of the Council are individuals who are not State 
        employees or providers of substance abuse services.
    ``(d) Definition.--For purposes of this section, the term `Council' 
means a State substance abuse planning council.
    ``(e) Additional Provision.--The Secretary may make a grant under 
section 1921 to a State only if--
            ``(1) the plan submitted under section 1932 with respect to 
        the grant and the report of the State under section 1942(a) 
        concerning the preceding fiscal year has been reviewed by the 
        State substance abuse planning council established under this 
        section; and
            ``(2) the State submits to the Secretary any 
        recommendations received by the State from such council for 
        modifications to the plan (without regard to whether the State 
        has made the recommended modifications) and any comments 
        concerning the annual report.
    ``(f) Authorization of Appropriations.--There are authorized to be 
appropriated such sums as may be necessary for fiscal year 2008 to 
permit the Secretary to make a grant to each State in the amount of 
$100,000 for the purpose of carrying out this section.''.

SEC. 122. DOCUMENTATION OF NEEDS OF AND ESTABLISHING PRIORITIES FOR 
              HOMELESS POPULATION.

    Section 1932(b) of the Public Health Service Act (42 U.S.C. 300x-
32(b)), as amended by section 111(b) of this Act, is amended--
            (1) by amending paragraph (1) to read as follows:
            ``(1) In general.--A plan submitted by a State under 
        subsection (a)(6) is in accordance with this subsection if--
                    ``(A) the plan contains detailed provisions for 
                complying with each funding agreement for a grant under 
                section 1921 that is applicable to the State, including 
                a description of the manner in which the State intends 
                to expend the grant; and
                    ``(B) the plan meets the criteria specified in 
                paragraph (5).''; and
            (2) by adding at the end the following:
            ``(5) Criteria for plan.--With respect to the provision of 
        services under section 1921, the criteria referred to in 
        paragraph (1)(B) are as follows:
                    ``(A) Comprehensive community-based substance abuse 
                prevention and treatment systems.--The plan provides 
                for a coordinated community-based system of care for 
                individuals with substance abuse or at-risk of 
                substance abuse and describes available services and 
                resources in a comprehensive system of care that is 
                linguistically and culturally competent, including 
                services for dually diagnosed individuals. The 
                description of the system of care shall include 
                substance abuse prevention services, substance abuse 
                treatment services, primary health services, mental 
                health services, rehabilitation services, employment 
                services, housing services, educational services, 
                medical and dental care, and other support services to 
                be provided to individuals with Federal, State, and 
                local public and private resources. The plan shall 
                include a separate description of case management 
                services and provide for activities leading to 
                reduction in need for hospitalization.
                    ``(B) Substance abuse prevention and treatment 
                system data and epidemiology.--The plan contains an 
                estimate of the incidence and prevalence in the State 
                of substance abuse among adults and children, including 
                individuals who are homeless, and presents quantitative 
                targets to be achieved in the implementation of the 
                system described in subparagraph (A).
                    ``(C) Targeted services to homeless and rural 
                populations.--The plan describes--
                            ``(i) the State's outreach to and services 
                        for individuals who are homeless, including 
                        racial and ethnic minorities who are homeless; 
                        and
                            ``(ii) how community-based services will be 
                        provided to individuals residing in rural 
                        areas, including individuals who are homeless.
                    ``(D) Management systems.--The plan describes the 
                financial resources, staffing, and training for 
                substance abuse prevention and treatment providers that 
                is necessary to implement the plan, and provides for 
                the training of providers of emergency health services 
                regarding substance abuse.
                    ``(E) Expenditure of grant.--The plan further 
                describes the manner in which the State intends to 
                expend the grant under section 1921 for the fiscal year 
                involved.''.

    Subtitle D--Designation of Persons Experiencing Homelessness as 
                          Priority Population

SEC. 131. REQUIRING GRANTEES TO DIRECT FUNDS TO PERSONS EXPERIENCING 
              HOMELESSNESS.

    (a) Treatment Services Regarding Substance Abuse.--Subpart II of 
part B of title XIX of the Public Health Service Act (42 U.S.C. 300x-21 
et seq.), as amended by section 121 of this Act, is further amended by 
inserting after section 1927A the following:

``SEC. 1927B. TREATMENT SERVICES FOR PERSONS EXPERIENCING HOMELESSNESS.

    ``(a) In General.--A funding agreement for a grant under section 
1921 is that the State involved--
            ``(1) will ensure that each person experiencing 
        homelessness in the State who seeks or is referred for and 
        would benefit from such services is given preference in 
        admission to treatment facilities receiving funds pursuant to 
        the grant; and
            ``(2) will, in carrying out paragraph (1), publicize to 
        persons experiencing homelessness the availability of services 
        from the facilities and the fact that the persons receive such 
        preferences.
    ``(b) Referrals Regarding States.--A funding agreement for a grant 
under section 1921 is that, in carrying out subsection (a)(1)--
            ``(1) the State involved will require, that in the event 
        that a treatment facility has insufficient capacity to provide 
        treatment services to any person experiencing homelessness 
        described in such subsection who seeks the services from the 
        facility, the facility refer the person to the State; and
            ``(2) the State, in the case of each person experiencing 
        homelessness for whom a referral under paragraph (1) is made to 
        the State--
                    ``(A) will refer the person to a treatment facility 
                that has the capacity to provide treatment services to 
                the person; or
                    ``(B) will, if no treatment facility has the 
                capacity to admit the person, make interim services 
                available to the person at the time the person seeks 
                the treatment services.''.
    (b) Preference Regarding Mental Health Services.--Section 1912(b) 
of the Public Health Service Act (42 U.S.C. 300x-2(b)), as amended by 
section 111(a) of this Act, is further amended by inserting after 
paragraph (6) the following:
            ``(7) Homeless individuals.--The plan provides that 
        homeless individuals are to receive preference in the provision 
        of services provided under grants under section 1911.''.

SEC. 132. INCLUSION OF RUNAWAY, HOMELESS, AND STREET YOUTH.

    Section 517(b) of the Public Health Service Act (42 U.S.C. 290bb-
23(b)) is amended--
            (1) in paragraph (1), by inserting ``runaway, homeless, and 
        street children and youth,'' after ``adolescent parents,''; and
            (2) in paragraph (2), by inserting ``homelessness,'' after 
        ``suicide,''.

SEC. 133. DEFINITION OF RUNAWAY, HOMELESS, AND STREET YOUTH AS HIGH 
              RISK.

    Section 517(g) of the Public Health Service Act (42 U.S.C. 290bb-
23(g)) is amended--
            (1) in paragraph (9), by striking ``or'' after the 
        semicolon;
            (2) in paragraph (10), by striking the period and inserting 
        ``; or''; and
            (3) by adding at the end the following:
            ``(11) is a runaway, homeless, or street youth.''.

SEC. 134. PRIORITIZATION OF SERVICES FOR RUNAWAY, HOMELESS, AND STREET 
              YOUTH.

    Section 514(b) of the Public Health Service Act (42 U.S.C. 290bb-
7(b)) is amended--
            (1) in paragraph (6), by striking ``and'' at the end;
            (2) in paragraph (7), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(8) provide treatment and aftercare to runaway, homeless, 
        and street youth.''.

SEC. 135. AUTHORIZATION OF APPROPRIATIONS FOR RUNAWAY, HOMELESS, AND 
              STREET YOUTH.

    Section 514(f) of the Public Health Service Act (42 U.S.C. 290bb-
7(f)) is amended--
            (1) by striking ``and such sums'' and inserting ``such 
        sums''; and
            (2) by inserting ``, and $60,000,000 for each of fiscal 
        years 2008 through 2012, of which $20,000,000 shall be reserved 
        each fiscal year for awarding grants, contracts, or cooperative 
        agreements to applicants who propose under subsection (b)(8) to 
        provide treatment and aftercare to runaway, homeless, and 
        street youth'' before the period at the end.

   TITLE II--TARGETED HOMELESS ADDICTION AND MENTAL HEALTH SERVICES 
                                PROGRAMS

  Subtitle A--Reauthorize, Rename, and Strengthen the Grants for the 
                Benefit of Homeless Individuals Program

SEC. 201. TREATMENT AND RECOVERY FOR HOMELESS PERSONS.

    Section 506 of the Public Health Service Act (42 U.S.C. 290aa-5) is 
amended--
            (1) in the section heading, by striking ``grants for the 
        benefit of homeless individuals'' and inserting ``grants for 
        treatment and recovery for homeless persons'';
            (2) in subsection (a)--
                    (A) by inserting ``, acting through the 
                Administrator and the Administrator of the Health 
                Resources and Services Administration,'' after ``The 
                Secretary''; and
                    (B) by striking ``In carrying out this section,'' 
                and all that follows through the end of the subsection;
            (3) in subsection (b)--
                    (A) in paragraph (1), by inserting ``, including 
                health centers receiving grants under section 330(h)'' 
                before the semicolon at the end;
                    (B) in paragraph (2), by inserting ``, including 
                local centers receiving grants under section 311 of the 
                Runaway and Homeless Youth Act, transitional living 
                youth projects receiving grants under section 321 of 
                such Act, and agencies receiving grants under section 
                351 of such Act'' before the semicolon at the end;
                    (C) in paragraph (4)--
                            (i) by inserting ``experiencing 
                        homelessness'' after ``for individuals''; and
                            (ii) by striking ``and'' at the end;
                    (D) in paragraph (5), by striking the period at the 
                end and inserting ``; and''; and
                    (E) by adding at the end the following:
            ``(6) entities that have been previously awarded a grant, 
        contract, or cooperative agreement under this section and have 
        been determined by the Secretary to have met the grant, 
        contract, or cooperative agreement conditions of the previous 
        award.'';
            (4) in subsection (e)--
                    (A) by striking ``and such sums'' and inserting 
                ``such sums''; and
                    (B) by inserting ``$100,000,000 for fiscal year 
                2008, and such sums as may be necessary for each of the 
                fiscal years 2009 through 2012'' before the period at 
                the end;
            (5) by redesignating subsection (e) as subsection (f); and
            (6) by inserting after subsection (d) the following:
    ``(e) Definitions.--In this section:
            ``(1) The term `homeless individual' has the meaning given 
        to such term in section 330(h)(5).
            ``(2) The term `substance abuse' has the meaning given to 
        such term in section 534.
            ``(3) The term `substance abuse services' has the meaning 
        given to such term in section 330(h)(5).''.

 Subtitle B--Reauthorize and Strengthen the Projects for Assistance in 
              Transition From Homelessness (PATH) Program

SEC. 211. EXPANSION OF REQUIRED SCOPE OF SERVICES OF PATH PROVIDERS.

    Section 522(b) of the Public Health Service Act (42 U.S.C. 290cc-
22(b)) is amended--
            (1) by striking paragraphs (4) and (5) and inserting the 
        following:
            ``(4) community mental health treatment and support 
        services;
            ``(5) alcohol or drug treatment and support services;'';
            (2) in paragraph (7), by striking subparagraphs (A) through 
        (D) and inserting the following:
                    ``(A) preparing a plan for the provision of 
                community mental health services or substance abuse 
                services to the eligible homeless individual involved, 
                and reviewing such plan not less than once every three 
                months to evaluate its effectiveness in assuring long-
                term stability;
                    ``(B) providing assistance in obtaining and 
                coordinating social and maintenance services for the 
                eligible homeless individuals, including services 
                relating to daily living activities, personal financial 
                planning, transportation services, habilitation and 
                rehabilitation services, prevocational and vocational 
                services, and housing services;
                    ``(C) providing assistance to the eligible homeless 
                individual in obtaining income and medical support 
                services, including housing assistance, food stamps, 
                supplemental security income, Medicaid, Medicare, and 
                veterans affairs assistance, and employment and 
                training programs;
                    ``(D) referring the eligible homeless individual 
                for such other services as may be appropriate and 
                assuring that the service is delivered in a timely 
                manner for as long as needed to ensure long-term 
                stability; and''; and
            (3) in paragraph (10), by striking subparagraph (B) and 
        inserting the following:
                    ``(B) planning of housing needs at different stages 
                of recovery and stability;''.

SEC. 212. CONSIDERATION OF STATES TO UTILIZE HEALTH CARE FOR THE 
              HOMELESS PROJECTS AS PATH PROVIDERS.

    Section 522(a) of the Public Health Service Act (42 U.S.C. 290cc-
22(a)) is amended in the matter preceding paragraph (1) by inserting 
after ``veterans organizations'' the following: ``, health centers with 
active grants under section 330(h),''.

SEC. 213. MINIMUM ALLOTMENTS.

    Section 524 of the Public Health Service Act (42 U.S.C. 290cc-24) 
is amended to read as follows:

``SEC. 524. DETERMINATION OF AMOUNT OF ALLOTMENT.

    ``(a) Determination Under Formula.--Subject to subsection (b), the 
allotment required in section 521 for a State for a fiscal year is the 
product of--
            ``(1) an amount equal to the amount appropriated under 
        section 535 for the fiscal year; and
            ``(2) a percentage equal to the quotient of--
                    ``(A) an amount equal to the population living in 
                urbanized areas of the State involved, as indicated by 
                the most recent data collected by the Bureau of the 
                Census; and
                    ``(B) an amount equal to the population living in 
                urbanized areas of the United States, as indicated by 
                the sum of the respective amounts determined for the 
                States under subparagraph (A).
    ``(b) Minimum Allotment.--
            ``(1) In general.--Subject to paragraph (2), the allotment 
        for a State under section 521 for a fiscal year shall, at a 
        minimum, be the greater of--
                    ``(A) the amount the State received under section 
                521 in fiscal year 2005; and
                    ``(B) $600,000 for each of the several States, the 
                District of Columbia, and the Commonwealth of Puerto 
                Rico, and $100,000 for each of Guam, the Virgin 
                Islands, American Samoa, and the Commonwealth of the 
                Northern Mariana Islands.
            ``(2) Condition.--If the funds appropriated in any fiscal 
        year under section 535 are insufficient to ensure that States 
        receive a minimum allotment in accordance with paragraph (1), 
        then--
                    ``(A) no State shall receive less than the amount 
                they received in fiscal year 2005; and
                    ``(B) any funds remaining after amounts are 
                provided under subparagraph (A) shall be used to meet 
                the requirement of paragraph (1)(B) to the maximum 
                extent possible.''.

SEC. 214. STATE DESCRIPTIONS OF RESOURCE ALLOCATION PROCESS.

    Section 527(a) of the Public Health Service Act (42 U.S.C. 290cc-
27(a)) is amended--
            (1) by redesignating paragraphs (3) and (4) as paragraphs 
        (4) and (5), respectively; and
            (2) by inserting after paragraph (2) the following:
            ``(3) such description identifies the process the State 
        intends to use to allocate funds to political subdivisions of 
        the State and to nonprofit private entities pursuant to section 
        522;''.

SEC. 215. AUTHORIZATION OF APPROPRIATIONS.

    Section 535(a) of the Public Health Service Act (42 U.S.C. 290cc-
35(a)) is amended by striking ``there is authorized'' and all that 
follows and inserting the following: ``there are authorized to be 
appropriated $100,000,000 for fiscal year 2008, and such sums as may be 
necessary for each of fiscal years 2009 through 2012.''.

SEC. 216. CLARIFICATION OF TARGET POPULATIONS PROVISION OF PATH 
              STATUTE.

    The Congress encourages the Secretary of Health and Human Services 
to provide guidance to the States regarding an appropriate definition 
of populations eligible for services provided with grants under part C 
of title V of the Public Health Service Act. In doing so, the Secretary 
should suggest that the States make such services available to homeless 
persons or persons at imminent risk of homelessness with serious and 
persistent mental impairments as evidenced by a chronicity of symptoms 
and inability to function in the community independently.

                 TITLE III--FEDERAL PROGRAM MANAGEMENT

SEC. 301. ESTABLISHMENT OF FEDERAL PLAN ON ADDICTION, MENTAL ILLNESS, 
              AND HOMELESSNESS.

    Part D of title V of the Public Health Service Act (42 U.S.C. 290dd 
et seq.), as amended by section 101 of this Act, is further amended by 
adding at the end the following:

``SEC. 545. FEDERAL PLAN ON ADDICTION, MENTAL ILLNESS, AND 
              HOMELESSNESS.

    ``(a) Plan Elements.--Within 1 year after the date of the enactment 
of this section and each 5 years thereafter, the Secretary shall 
prepare and submit to the Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, Education, Labor, and 
Pensions of the Senate a plan that describes--
            ``(1) current Federal, State, and local public policies and 
        practices regarding homelessness and addiction and mental 
        illness prevention, early intervention, treatment, and 
        rehabilitation;
            ``(2) identifies administrative and statutory access and 
        care barriers and opportunities for persons experiencing 
        homelessness with addictive and mental disorders; and
            ``(3) recommends administrative and legislative actions 
        that would increase homeless persons' access to addiction and 
        mental health services and improves the appropriateness and 
        quality of care they receive through such systems and programs, 
        including culturally and linguistically appropriate care.
    ``(b) Plan Sub-Elements.--The plan should describe the elements as 
provided in subsection (a) for the following topics:
            ``(1) Grantee planning, reporting, and capacity-building.
            ``(2) Consumer involvement.
            ``(3) Designation of priority populations.
            ``(4) Outreach and enrollment.
            ``(5) Participant tracking.
            ``(6) Elimination of regulatory and administrative 
        impediments.
            ``(7) Provision of appropriate services.
            ``(8) Discharge planning.
            ``(9) Outcome measurement.
    ``(c) Consultation.--In establishing the plan required under 
subsection (a), the Secretary shall consult with homeless children, 
youth, families, and individuals with addictive and mental disorders, 
nonprofit organizations advocating for persons experiencing 
homelessness, homeless health, housing, and support service providers, 
and public agency representatives.
    ``(d) Plan Implementation.--Within 1 year after the date of 
enactment of this section, the Secretary shall implement administrative 
recommendations identified pursuant to subsection (a)(3).''.

SEC. 302. FEDERAL REPORT ON PATH AND HOMELESS GRANT PROGRAMS.

    Part C of title V of the Public Health Service Act (42 U.S.C. 
290cc-21 et seq.) is amended by inserting after section 533 the 
following:

``SEC. 533A. BIENNIAL REPORT.

    ``Not later than October 1 of each 2 years, the Secretary shall 
prepare and deliver a report to the Committee on Health, Education, 
Labor, and Pensions of the Senate and the Committee on Energy and 
Commerce of the House of Representatives regarding the programs under 
this part, including--
            ``(1) a comprehensive description of the programs;
            ``(2) a record and a description of the services for which 
        amounts received under section 521 and section 506 were 
        expended during the preceding fiscal years;
            ``(3) a record and description of the recipients of amounts 
        received under section 521 and section 506 were expended during 
        the preceding fiscal years;
            ``(4) a record and description of the consistency and 
        coordination of programs and services for which amounts 
        received under section 521 and section 506 were expended during 
        the preceding fiscal years with applications submitted to the 
        Department of Housing and Urban Development pursuant to 
        subtitle C of title IV of the Stewart B. McKinney Homeless 
        Assistance Act;
            ``(5) a record and description of the coordination of 
        programs and services for which amounts received under section 
        521 and section 506 were expended during the preceding fiscal 
        years with mental health, substance abuse, housing, health, and 
        other social service programs funded through Federal block 
        grant, formula grant, competitive grant, and other mechanisms; 
        and
            ``(6) such other information as the Secretary deems 
        useful.''.

SEC. 303. COLLABORATION WITH CHILDREN, YOUTH, AND FAMILY PROGRAMS.

    (a) Center for Substance Abuse Treatment.--Subsection (b) of 
section 507 of the Public Health Service Act (42 U.S.C. 290bb) is 
amended--
            (1) in paragraph (13), by striking ``and'' at the end:
            (2) in paragraph (14), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(15) collaborate with the Assistant Secretary for 
        Children and Families to develop programs to provide substance 
        abuse treatment services to children and families who have or 
        had contact with the child welfare system and with runaway, 
        homeless, and street youth and their families and, in doing so, 
        ensure the linguistic and cultural competence of such 
        programs.''.
    (b) Office for Substance Abuse Prevention.--Subsection (b) of 
section 515 of the Public Health Service Act (42 U.S.C. 290bb-21) is 
amended--
            (1) in paragraph (10), by striking ``and'' at the end;
            (2) in paragraph (11), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following:
            ``(12) collaborate with the Assistant Secretary for 
        Children and Families to develop programs to prevent alcohol 
        abuse and drug abuse among children and families who have or 
        had contact with the child welfare system and with runaway, 
        homeless, and street youth and their families and, in doing so, 
        ensure the linguistic and cultural competence of such 
        programs.''.
    (c) Center for Mental Health Services.--Subsection (b) of section 
520 of the Public Health Service Act (42 U.S.C. 290bb-31) is amended--
            (1) in paragraph (14), by striking ``and'' at the end;
            (2) in paragraph (15), b striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(16) collaborate with the Assistant Secretary for 
        Children and Families to develop programs to provide mental 
        health services to children and families who have or had 
        contact with the child welfare system and with runaway, 
        homeless, and street youth and their families and, in doing so, 
        ensure the linguistic and cultural competence of such 
        programs.''.
                                 <all>