[Congressional Bills 110th Congress]
[From the U.S. Government Publishing Office]
[S. 1367 Introduced in Senate (IS)]







110th CONGRESS
  1st Session
                                S. 1367

  To amend the Public Health Services Act to provide methamphetamine 
                   prevention and treatment services.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 10, 2007

  Mr. Harkin 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 Services Act to provide methamphetamine 
                   prevention and treatment services.

    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 ``Treatment and Prevention of 
Methamphetamine Abuse Act''.

SEC. 2. FINDINGS.

    Congress makes the following findings:
            (1) Methamphetamine addiction is a public health crisis. 
        Nearly 12,000,000 Americans have used methamphetamine, and the 
        number of users increased 72 percent over the past decade. 
        There is a high rate of use in rural areas, but the 
        methamphetamine epidemic is spreading into new populations 
        across the country.
            (2) Violent crime increased significantly in 2005 for the 
        first time since 1991. Overall violent crime was up 2.5 percent 
        and murders jumped 4.8 percent. The increase in crime was most 
        evident in the methamphetamine-plagued Midwest with murders, 
        robberies, rapes and aggravated assaults increasing by 5.7 
        percent just between 2004 and 2005.
            (3) Although 22,000,000 people are in need of treatment for 
        substance addiction, only 3,000,000 are able to get help.
            (4) In 2003, women entering substance abuse treatment with 
        methamphetamine as their drug of choice exceeded women who 
        entered treatment focused on alcohol, heroin, cocaine, or 
        marijuana.
            (5) Parental substance use is the culprit in at least 70 
        percent of all child welfare spending.
            (6) Children living in homes with parents addicted to 
        methamphetamines have multiple intervention needs which require 
        coordinated planning by healthcare, mental health, and social 
        service professionals.
            (7) Youth are starting to use methamphetamine in greater 
        numbers, and the age at which youth users start using is 
        decreasing. About 17 percent of all methamphetamine users 
        started between the ages of 17 and 18, 18 percent between 15-
        16, 11 percent between 13-14, and 6 percent started when they 
        were 12 or under.
            (8) About 80 percent of those in prison have been 
        identified as having a substance abuse problem and one-third of 
        State prison inmates reported being under the influence at the 
        time of their offense.
            (9) Substance use disorder treatment is effective. An Iowa 
        study found that over 70 percent of those receiving treatment 
        for methamphetamine addiction were abstinent 6 months after 
        treatment.
            (10) Every dollar spent on substance abuse treatment saves 
        taxpayers 7 dollars, primarily through savings related to crime 
        and health care costs.

SEC. 3. FAMILY-BASED TREATMENT.

    (a) In General.--Section 508 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended--
            (1) by redesignation subsection (r) as subsection (s); and
            (2) by inserting after subsection (q), the following:
    ``(r) Family-Based Methamphetamine Treatment.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator and in consultation with the Director of the 
        National Institute on Drug Abuse, shall award grants under this 
        section to provide residential substance abuse treatment to 
        pregnant and postpartum women, including--
                    ``(A) parenting women substance abuse treatment 
                (including treatment for addiction to methamphetamine); 
                and
                    ``(B) outpatient treatment services, that are 
                accessible to pregnant and parenting women in health 
                disparity populations.
            ``(2) Single state agencies.--Grants under this subsection 
        shall be coordinated through single State agencies for 
        substance abuse.
            ``(3) Priority.--In awarding grants under this subsection, 
        the Secretary shall give priority to any applicants that agree 
        to use grant funds for programs that serve--
                    ``(A) an area that is a rural area, an area with a 
                shortage of mental health and addiction treatment 
                professionals, or an area with a shortage of family-
                based substance abuse treatment options; or
                    ``(B) an area that has high rates of addiction to 
                methamphetamine or other drugs.''.
    (b) Reauthorization of Program.--Section 508(s) of the Public 
Health Service Act, as redesignated under subsection (a), is amended by 
striking ``such sums'' and all that follows through ``2003'' and 
inserting ``$40,000,000 for each of fiscal years 2008 through 2010, 
$38,000,000 for fiscal year 2011, and $35,000,00 for fiscal year 
2012''.
    (c) Alternatives to Jail or Detention.--Part B of title V of the 
Public Health Service Act (42 U.S.C. 290bb-1 et seq.) is amended--
            (1) by redesignating the second section 514 (relating to 
        methamphetamine) as section 514B and transferring such section 
        so as to appear after section 514A; and
            (2) by adding at the end the following:

``SEC. 514C. ALTERNATIVES TO JAIL OR DETENTION FOR OFFENSES RELATING TO 
              METHAMPHETAMINE AND OTHER SUBSTANCE ABUSE.

    ``(a) Family-Focused Alternatives.--
            ``(1) In general.--The Secretary, acting through the 
        Administrator and in consultation with the Attorney General and 
        the Director of the National Institute on Drug Abuse, shall 
        award grants, cooperative agreements, or contracts to eligible 
        entities to assist local jails and detention facilities in 
        providing comprehensive, family-based substance abuse treatment 
        services as alternatives to incarceration to pregnant women and 
        parenting adults who have committed nonviolent offenses.
            ``(2) Application.--To be eligible to receive an award 
        under this subsection, an entity shall submit to the Secretary 
        an application at such time, in such manner, and containing 
        such information as the Secretary may require.
            ``(3) Single state agency.--Awards under this section shall 
        be coordinated through single State agencies for substance 
        abuse.
            ``(4) Family-based treatment.--To be eligible for an award 
        under this subsection an entity shall demonstrate that the 
        family-based substance abuse treatment program to be carried 
        out under the award--
                    ``(A) is a comprehensive, long-term family 
                treatment program that is focused on the treatment of 
                the parent and child;
                    ``(B) requires that each parent offender who 
                participates in the program be sentenced by a court to, 
                or placed by a court with, a long-term family treatment 
                program (which includes a residential component);
                    ``(C) includes mandatory periodic drug testing; and
                    ``(D) allows for judges to have the discretion to 
                sentence parents who do not successfully complete their 
                prescribed treatment plan to serve a prison or 
                detention sentence that is commensurate with the crime 
                involved.
            ``(5) Priority.--In making awards under this subsection, 
        the Secretary shall give priority to any entity that, as part 
        of the application under paragraph (2), agrees to use the award 
        for programs serving--
                    ``(A) an area that is a rural area, an area with a 
                shortage of mental health professionals, or an area 
                with a shortage of family-based substance abuse and 
                addiction treatment options; or
                    ``(B) an area that has high rates of addiction to 
                methamphetamine or other drugs.
            ``(6) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection, $20,000,000 
        for each of fiscal years 2008 through 2012.
    ``(b) Transitional Services.--
            ``(1) In general.--The Secretary, in consultation with the 
        Director of the National Institute on Drug Abuse, shall award 
        grants to States to provide transitional, research-based, 
        community-based recovery-support services to address social, 
        educational, vocational, mental health, and substance abuse 
        needs of parents and families transitioning out of treatment.
            ``(2) Application.--To be eligible to receive a grant under 
        this subsection, a State shall submit to the Secretary an 
        application at such time, in such manner, and containing such 
        information as the Secretary may require.
            ``(3) Priority.--In awarding grants under this subsection, 
        the Secretary shall give priority to a States that agree to use 
        grant funds for programs serving--
                    ``(A) an area that is a rural area, an area with a 
                shortage of mental health professionals, or an area 
                with a shortage of family-based substance abuse 
                treatment options; or
                    ``(B) an area that has high rates of addiction to 
                methamphetamine or other drugs.
            ``(4) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection, $24,000,000 
        for each of fiscal years 2008 through 2010.''.
    (d) Adult and Juvenile Alternatives.--
            (1) In general.--The Secretary of Health and Human 
        Services, jointly with the Attorney General and in consultation 
        with the Administrator and the Director of the National 
        Institute on Drug Abuse, shall award grants, cooperative 
        agreements, or contracts to eligible entities to assist local 
        jails and detention facilities in providing comprehensive 
        substance abuse treatment services as alternatives to 
        incarceration to adults or juveniles who have committed 
        nonviolent offenses.
            (2) Application.--To be eligible to receive an award under 
        this subsection, an entity shall submit to the Secretary, 
        jointly with the Attorney General, an application at such time, 
        in such manner, and containing such information as the 
        Secretary may require.
            (3) Alternatives to jail programs.--To be eligible for an 
        award under this subsection an entity shall demonstrate that 
        the alternatives to jail program to be carried out under the 
        award--
                    (A) is comprehensive and evidenced-based;
                    (B) requires that each participant be sentenced by 
                a court to, or placed by a court with, a long-term 
                treatment program (which includes a residential 
                component);
                    (C) includes mandatory periodic drug testing;
                    (D) allows for judges to have the discretion to 
                sentence parents who do not successfully complete their 
                prescribed treatment plan to serve a prison or 
                detention sentence that is commensurate with the crime 
                involved; and
                    (E) include a rigorous evaluation component.
            (4) Authorization of appropriations.--There is authorized 
        to be appropriated from funds made available to carry out part 
        S of title I of the Omnibus Crime Control and Safe Streets Act 
        of 1968, $40,000,000 for each of fiscal years 2008 through 
        2010, 38,000,000 for fiscal year 2011, and $35,000,000 for 
        fiscal year 2012, to carry out this subsection.
    (e) Housing Opportunities.--
            (1) In general.--Subtitle F of title IV of the McKinney-
        Vento Homeless Assistance Act (42 U.S.C. 11403 et seq.) is 
        amended by adding at the end the following:

               ``PART VI--RECOVERY-BASED HOUSING SUPPORTS

``SEC. 489. RECOVERY-BASED HOUSING SUPPORTS.

    ``(a) In General.--The Secretary of Housing and Urban Development 
(referred to in this section as the `Secretary'), in collaboration with 
the Secretary of Health and Human Services, shall award grants, 
contracts, or cooperative agreements to eligible entities for the 
conduct of recovery-based housing support activities.
    ``(b) Eligibility.--To be eligible to receive a grant, contract, or 
cooperative agreement under this section, an entity shall--
            ``(1) be a coalition or partnership that--
                    ``(A) shall include a substance abuse provider;
                    ``(B) shall include--
                            ``(i) a homeless service provider;
                            ``(ii) a nonprofit, nongovernmental 
                        community housing development or a Department 
                        of Agriculture rural housing service program; 
                        or
                            ``(iii) with respect to tribal lands, in 
                        the case of tribal lands that are not served by 
                        a homeless service provider or a nonprofit, 
                        nongovernmental community housing development 
                        organization, a tribally designated housing 
                        entity or tribal housing consortium; and
                    ``(C) may include--
                            ``(i) housing developers, housing 
                        corporations, State housing finance agencies, 
                        other housing agencies, and representing 
                        landlords;
                            ``(ii) a public housing agency or tribally 
                        designated housing entity;
                            ``(iii) tenant organizations in public or 
                        tribally designated housing, as well as 
                        nonprofit, nongovernmental tenant 
                        organizations;
                            ``(iv) other nonprofit, nongovernmental 
                        organizations participating in the Department 
                        of Housing and Urban Development's Continuum of 
                        Care process;
                            ``(v) a State, tribal, territorial, or 
                        local government or government agency; and
            ``(2) submit to the Secretary an application, at such time, 
        in such manner, and containing such information as the 
        Secretary may require.
    ``(c) Eligible Activities.--Entities may use amounts received under 
a grant, contract, or cooperative agreement under this section to carry 
out the following activities:
            ``(1) The construction of new housing units to provide 
        transitional or permanent housing for individuals recovering 
        from substance abuse.
            ``(2) The acquisition or rehabilitation of a structure to 
        provide supportive services or to provide transitional or 
        permanent housing, other than emergency shelter.
            ``(3) The leasing of property, or portions of property, not 
        owned by the recipient or project sponsor involved, for use in 
        providing transitional or permanent housing, or providing 
        supportive services.
            ``(4) The provision of rental assistance to provide 
        transitional or permanent housing to eligible individuals. The 
        rental assistance may include tenant-based or project-based 
        rental assistance.
            ``(5) The payment of operating costs for housing units 
        assisted under this section.''.
            (2) Authorization of appropriations.--Section 463 of the 
        McKinney-Vento Homeless Assistance Act (42 U.S.C. 11403h) is 
        amended by adding at the end the following:
    ``(c) Recovery-Based Rental Assistance.--There is authorized to be 
appropriated to carry out part VI, $15,000,000 for each of fiscal years 
2008 through 2012.''.

SEC. 4. SERVICES FOR CHILDREN AND ADOLESCENTS.

    (a) Court Teams.--Title II of the Juvenile Justice and Delinquency 
Prevention Act of 1974 (42 U.S.C. 5611 et seq.) is amended--
            (1) by redesignating part F as part G; and
            (2) by inserting after part E the following new part:

                         ``PART F--COURT TEAMS

``SEC. 271. COURT TEAMS PROGRAM AUTHORIZED.

    ``(a) Grant Authorized.--The Administrator shall award a grant to a 
national early childhood development organization to--
            ``(1) establish a National Court Teams Resource Center to--
                    ``(A) promote the well-being of maltreated infants 
                and toddlers and their families (including the special 
                problems created by substance abuse, particularly 
                methamphetamine abuse);
                    ``(B) help prevent the recurrence of abuse and 
                neglect of children; and
                    ``(C) promote timely reunification of families or 
                other successful permanency outcomes for maltreated 
                infants and toddlers in foster care; and
            ``(2) select, and provide assistance to, local Court Teams 
        created to achieve the goals described in paragraph (1).
    ``(b) Grant Duration.--The grant awarded under this part shall be 
for a period of 5 years, and shall be renewable at the discretion of 
the Administrator.

``SEC. 272. NATIONAL COURT TEAMS RESOURCE CENTER.

    ``(a) Assistance to Local Court Teams.--Assistance provided to 
local Court Teams by the National Court Teams Resource Center shall 
include--
            ``(1) providing direction, coordination, and oversight of 
        the implementation of local Court Teams;
            ``(2) providing a Local Community Coordinator for each 
        local Court Team;
            ``(3) providing training and technical assistance to local 
        Court Teams; and
            ``(4) organizing local training for community members of 
        jurisdictions in which local Court Teams are located, which 
        shall relate to the particular needs of infants and toddlers 
        exposed to maltreatment and trauma.
    ``(b) General Activities.--The national early childhood development 
organization receiving the grant authorized under section 271 shall 
establish and maintain a National Court Teams Resource Center, which 
shall also carry out the following activities:
            ``(1) Develop a process for selecting, and select, local 
        Court Teams to receive assistance under this part.
            ``(2) Develop materials to guide qualified judges in the 
        decision-making process regarding maltreated infants and 
        toddlers, and to train members of local Court Teams and others 
        in the community regarding the appropriate care of maltreated 
        infants and toddlers.
            ``(3) Conduct national meetings and training sessions for 
        local Court Teams.
            ``(4) Develop a database that shall be--
                    ``(A) available to each local Court Team to track 
                such Court Team's progress; and
                    ``(B) used by the National Court Teams Resource 
                Center to facilitate evaluation of the local Court 
                Teams receiving assistance under this part.
            ``(5) Provide information to communities and courts around 
        the country seeking to adopt the Court Teams approach.

``SEC. 273. EVALUATIONS AND REPORTS.

    ``(a) Evaluation Form.--Not later than 6 months after the date of 
the enactment of this Act, the National Court Teams Resource Center 
shall create, and distribute to each local Court Team, an evaluation 
form that shall be used to periodically collect any data from local 
Court Teams that the National Court Teams Resource Center determines 
may be relevant to the reports required by subsection (b).
    ``(b) Reports to Congress by the Administrator.--At the end of the 
three-year period beginning on the date of the enactment of this Act, 
and again at the end of the five-year period beginning on such date of 
enactment, the Administrator shall--
            ``(1) compile the data collected in the periodic evaluation 
        forms completed by each local Court Team;
            ``(2) conduct a national evaluation of Court Teams, based 
        on such compilation of data; and
            ``(3) report to Congress on the effectiveness of Court 
        Teams, including the extent to which local Court Teams are--
                    ``(A) improving access to services for maltreated 
                infants and toddlers;
                    ``(B) reducing the recurrence of abuse and neglect;
                    ``(C) promoting permanent placements of maltreated 
                infants and toddlers; and
                    ``(D) improving the developmental outcomes for 
                maltreated infants and toddlers who have been in foster 
                care.''.
    (b) Authorization of Appropriations.--Section 299 of the Juvenile 
Justice and Delinquency Prevention Act of 1974 (42 U.S.C. 5671) is 
amended--
            (1) in subsection (a)--
                    (A) in the header, by striking ``Parts C and E)'' 
                and inserting ``Parts C, E, and F)''; and
                    (B) in paragraph (2), by striking ``parts C and 
                E)'' and inserting ``parts C, E, and F)'';
            (2) by redesignating subsection (d) as subsection (e); and
            (3) by inserting after subsection (c) the following new 
        subsection:
    ``(d) Authorization of Appropriations for Part F.--There are 
authorized to be appropriated to carry out part F, $5,000,000 for each 
of fiscal years 2008, 2009, 2010, 2011, and 2012.''.
    (c) Substance Abuse Treatment Services for Youth.--Part B of title 
V of the Public Health Service Act (42 U.S.C. 290bb-1 et seq.), as 
amended by section 3(c), is further amended by adding at the end the 
following:

``SEC. 514D. EXPANSION OF SUBSTANCE ABUSE TREATMENT SERVICES FOR YOUTH.

    ``(a) In General.--The Secretary shall expand efforts under the 
Assertive Adolescent and Family Treatment grant program under section 
514 to address gaps in the provision of substance abuse services or to 
increase the ability of States, units of local government, federally 
recognized Indian tribes, tribal organizations, and community- and 
faith-based organizations to assist specific populations or geographic 
areas with serious, emerging substance abuse problems.
    ``(b) Priority.--In awarding grants, contracts, or cooperative 
agreements under subsection (a), the Secretary shall give priority to 
applicants that propose to--
            ``(1) utilize emerging best practices for the treatment of 
        substance abuse among children and adolescents;
            ``(2) coordinate the provision of treatment services with 
        other social service agencies in the community, including 
        educational, juvenile justice, child welfare, and mental health 
        agencies;
            ``(3) provide screening by a qualified professional for 
        substance use related disorder and a continuum of integrated 
        treatment services, including case management, for children and 
        adolescents with substance abuse disorders and their families;
            ``(4) provide treatment that is gender-specific and 
        culturally appropriate;
            ``(5) involve and work with families of children and 
        adolescents receiving treatment;
            ``(6) provide aftercare services for children and 
        adolescents and their families after completion of substance 
        abuse treatment; and
            ``(7) use amounts under the award to serve an area that--
                    ``(A) is a rural area, an area with a shortage of 
                mental health and addiction treatment professionals, or 
                an area with a shortage of family-based substance abuse 
                treatment options; or
                    ``(B) has high rates of addiction to 
                methamphetamine or other drugs.
    ``(c) Evaluation Plan.--To be eligible to receive an award under 
this section, an entity shall include in it's application an assurance 
that the entity will carry out activities to evaluate the program 
carried out under the award in accordance with an evaluation plan 
developed by the entity.
    ``(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $8,000,000 for each of fiscal 
years 2008 through 2012.''.

SEC. 5. IMPROVED ACCESS TO SUBSTANCE ABUSE TREATMENT FOR RURAL AND 
              UNDERSERVED AREAS THROUGH RECRUITMENT AND RETENTION OF 
              SUBSTANCE ABUSE PROFESSIONALS.

    (a) In General.--The Secretary of Health and Human Services shall 
award scholarships to eligible individuals who agree to provide 
substance abuse treatment services in rural or underserved areas.
    (b) Eligibility.--To be eligible to receive a scholarship under 
subsection (a), an individual shall--
            (1) submit to the Secretary an application at such time, in 
        such manner, and containing such information as the Secretary 
        may require;
            (2) be enrolled in a course of study at an institution of 
        higher education leading to a degree related to the provision 
        of substance abuse treatment services (as determined by the 
        Secretary);
            (3) agree to provide substance abuse treatment services at 
        a facility with a critical shortage of addiction treatment 
        professionals in a rural or underserved area (as determined by 
        the Secretary) for at least two years following the date on 
        which such individual receives the degree referred to in 
        subparagraph (B); and
            (4) upon obtaining employment in an addiction treatment 
        setting, be seeking licensure or certification with the 
        recognized State or jurisdictional addiction professional 
        credentialing entity.
    (c) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section.

SEC. 6. PREVENTION.

    Part B of title V of the Public Health Service Act (42 U.S.C. 
290bb-1 et seq.), as amended by section 5, is further amended by adding 
at the end the following:

``SEC. 514E. SCHOOL- AND COMMUNITY-BASED PREVENTION EFFORTS.

    ``(a) In General.--The Secretary, acting through the Administrator 
and in consultation with the Director of the National Institute on Drug 
Abuse, shall award grants, contracts, or cooperative agreements to 
eligible entities to enable such entities to provide for the conduct of 
elementary and secondary school- and community-based methamphetamine 
prevention activities.
    ``(b) Eligibility.--To be eligible to receive an award under 
subsection (a), an entity shall--
            ``(1) be--
                    ``(A) an elementary or secondary school, or a 
                public or nonprofit private entity that intends to 
                carry out activities under the award at an elementary 
                or secondary school; or
                    ``(B) a private or public entity that intends to 
                carry out community-based prevention programs; and
            ``(2) submit to the Secretary an application at such time, 
        in such manner, and containing such information as the 
        Secretary may require.
    ``(c) Priority.--In awarding grants under this section, the 
Secretary shall give priority to--
            ``(1) entities serving rural areas or areas that have high 
        rates of addiction to methamphetamine or other drugs; and
            ``(2) entities that propose to carry out activities using 
        emerging best practices for the prevention of substance abuse 
        among children and adolescents.
    ``(d) Use of Funds.--An eligible entity that receives a grant under 
this section shall use the funds made available under the grant to 
carry out school- or community-based activities that--
            ``(1) are comprehensive and utilize emerging best practices 
        for the prevention of methamphetamine and other substance abuse 
        among children and adolescents;
            ``(2) emphasize social and emotional competencies by 
        enhancing the knowledge, social, emotional, and life skills of 
        children and adolescents;
            ``(3) include an evaluation component, including outcomes 
        measures related to prevention efforts as well as the overall 
        goals of the grant; and
            ``(4) involve partnerships between communities or schools 
        and universities, where possible, to support the effectiveness 
        and evaluation of prevention programs.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $5,000,000 for each of fiscal 
years 2008 through 2012.

``SEC. 514F. ESTABLISHMENT OF A PARENT RESOURCE CENTER.

    ``(a) In General.--The Secretary, in consultation with the 
Administrator, and the Director of National Institute on Drug Abuse, 
shall award grants, cooperative agreements, or contracts to eligible 
entities to create a national telephone helpline and on-line resource 
center to assist parents and family members in receiving support, 
information about preventing drug abuse, and treatment referral 
information.
    ``(b) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $1,000,000 for each of fiscal 
years 2008 through 2012.

``SEC. 514G. EFFECTIVENESS.

    ``(a) In General.--The Administrator, in consultation with the 
Director of the National Institute on Drug Abuse, shall enter into 
contracts with entities to--
            ``(1) conduct examinations of the long-term effects of 
        methamphetamine use on drug endangered children; and
            ``(2) conduct evaluations to determine the effectiveness of 
        methamphetamine prevention programs.
    ``(b) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $2,000,000 for each of fiscal 
years 2008 through 2012.''.

SEC. 7. REMOVAL OF BARRIER TO COVERAGE FOR TREATMENT AND RECOVERY UNDER 
              MEDICAID.

    (a) In General.--Section 1905(i) of the Social Security Act (42 
U.S.C. 1396d(i)) is amended by inserting ``(more than 32 beds, in the 
case of an individual receiving treatment for substance abuse, 
including methamphetamine abuse)'' after ``16 beds''.
    (b) Effective Date.--The amendment made by subsection (a) takes 
effect on the date of enactment of this Act and applies to medical 
assistance provided on or after that date.
                                 <all>