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<bill bill-stage="Introduced-in-Senate" public-private="public">
	<form>
		<distribution-code display="yes">II</distribution-code>
		<congress>110th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>S. 1906</legis-num>
		<current-chamber>IN THE SENATE OF THE UNITED STATES</current-chamber>
		<action>
			<action-date date="20070731">July 31, 2007</action-date>
			<action-desc><sponsor name-id="S127">Mr. Baucus</sponsor> (for himself
			 and <cosponsor name-id="S291">Mr. Coleman</cosponsor>) introduced the following
			 bill; which was read twice and referred to the
			 <committee-name committee-id="SSHR00">Committee on Health, Education, Labor,
			 and Pensions</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To understand and comprehensively address the oral health
		  problems associated with methamphetamine use.</official-title>
	</form>
	<legis-body>
		<section display-inline="no-display-inline" id="HC66BAC7D8DD24EE48D961F00ABE6C095" section-type="section-one"><enum>1.</enum><header>Short title;
			 purposes</header>
			<subsection id="H5735749E78E94F93929689777314F05C"><enum>(a)</enum><header>Short
			 title</header><text>This Act may be cited as the <quote><short-title>Meth Mouth Prevention and Community Recovery
			 Act</short-title></quote>.</text>
			</subsection><subsection id="HB3EF7899C0624CEF920026923DC5738C"><enum>(b)</enum><header>Purposes</header><text>The
			 purposes of this Act are—</text>
				<paragraph id="H9D8C68F874874E22B3C84CF49F10B0F2"><enum>(1)</enum><text>to investigate and
			 report on all aspects of meth mouth, including its causes, public health
			 impact, innovative models for its prevention, and new and improved methods for
			 its treatment;</text>
				</paragraph><paragraph id="H6AC481A77B234929AA0087D2AB47242E"><enum>(2)</enum><text>to ensure dentists
			 and allied dental personnel are able to recognize the signs of substance abuse
			 in their patients, discuss the nature of addiction as it relates to oral health
			 and dental care, and facilitate appropriate help for patients (and family
			 members of patients) who are affected by a substance use disorder;</text>
				</paragraph><paragraph id="H6D6D788292264B04A110AC408C68EB23"><enum>(3)</enum><text>to determine
			 whether, how, and to what degree educating youth about meth mouth is an
			 effective strategy for preventing or reducing the prevalence of methamphetamine
			 use; and</text>
				</paragraph><paragraph id="H549A7EAC160C4048A86B31F35FDD4B90"><enum>(4)</enum><text>to underscore the
			 many ways that dentists and other oral health professionals can contribute to
			 the general health of their patients, their communities, and the country as a
			 whole.</text>
				</paragraph></subsection></section><section id="H418EACD39CAB473993F8273B42797F4D"><enum>2.</enum><header>Table of
			 contents</header><text display-inline="no-display-inline">The table of contents
			 for this Act is as follows:</text>
			<toc container-level="legis-body-container" lowest-bolded-level="division-lowest-bolded" lowest-level="section" quoted-block="no-quoted-block" regeneration="yes-regeneration">
				<toc-entry idref="HC66BAC7D8DD24EE48D961F00ABE6C095" level="section">Sec. 1. Short title; purposes.</toc-entry>
				<toc-entry idref="H418EACD39CAB473993F8273B42797F4D" level="section">Sec. 2. Table of contents.</toc-entry>
				<toc-entry idref="H21C76143CE1342A3A80081E13BB3ED7C" level="title">Title I—EVIDENCE–BASED PREVENTION</toc-entry>
				<toc-entry idref="H638171A6B4BD4DCE9473C3F8CD8E804" level="section">Sec. 101. Findings; purpose; definitions.</toc-entry>
				<toc-entry idref="H2C837756C4DC4D439000C3CBF9160786" level="section">Sec. 102. Methamphetamine prevention demonstration
				projects.</toc-entry>
				<toc-entry idref="H6149C46019644F09BAE1A36C8E2DD753" level="section">Sec. 103. Education for American Indian and Alaska native
				children.</toc-entry>
				<toc-entry idref="H8B38E643FB49408F8BDD58B770F04012" level="section">Sec. 104. Authorization of appropriations.</toc-entry>
				<toc-entry idref="H08A6BD700AD046A984B9E59F031E8CE2" level="title">Title II—METH MOUTH RESEARCH INVESTMENT ACT</toc-entry>
				<toc-entry idref="HE4E16AEA646042DA83E6B836140041CE" level="section">Sec. 201. Findings; purpose; definitions.</toc-entry>
				<toc-entry idref="HAFEBAFE881414563950322A9300F203" level="section">Sec. 202. Research on substance abuse, oral health, and dental
				care.</toc-entry>
				<toc-entry idref="HAF72DBB8CD00439DB8B8859C88BF3899" level="section">Sec. 203. Study of methamphetamine-related oral health
				costs.</toc-entry>
				<toc-entry idref="HE6D651C4D71A42CE90FD65B08B95BE0" level="section">Sec. 204. Authorization of appropriations.</toc-entry>
				<toc-entry idref="HD215ABE94A8A4241AEC46D1172375F37" level="title">Title III—SUBSTANCE ABUSE EDUCATION FOR DENTAL
				PROFESSIONALS</toc-entry>
				<toc-entry idref="HC7D14D66CF4B4A4C8C1B88DBE5FC8874" level="section">Sec. 301. Findings; purpose; definitions.</toc-entry>
				<toc-entry idref="H8C1623D83851417882BE04434E07D38" level="section">Sec. 302. Substance abuse training for dental
				professionals.</toc-entry>
				<toc-entry idref="H645CDD06F60A4373A5DDC089A06C777B" level="section">Sec. 303. Authorization of appropriations.</toc-entry>
			</toc>
		</section><title id="H21C76143CE1342A3A80081E13BB3ED7C"><enum>I</enum><header>EVIDENCE–BASED
			 PREVENTION</header>
			<section id="H638171A6B4BD4DCE9473C3F8CD8E804"><enum>101.</enum><header>Findings;
			 purpose; definitions</header>
				<subsection id="H950865294CB644B0AF7DAEDE43E8B1E4"><enum>(a)</enum><header>Findings</header><text>The
			 Congress finds as follows:</text>
					<paragraph id="HE28086271549475AA2D03106FDCD432D"><enum>(1)</enum><text>According to the
			 Substance Abuse and Mental Health Services Administration, first-time
			 methamphetamine use is most likely to occur between the ages of 18 and 25.
			 Prevention efforts must therefore begin during the teen years.</text>
					</paragraph><paragraph id="HF28904B637454B358200C9DDA13BC500"><enum>(2)</enum><text>Most young people
			 do not realize that methamphetamine use can quickly leave their teeth
			 blackened, stained, rotting, and crumbling or falling apart and that the
			 treatment options are often limited.</text>
					</paragraph><paragraph id="HC24B8369BAD14A628DC06CD42F486FE6"><enum>(3)</enum><text>By educating youth
			 about meth mouth, oral health advocates can play a substantial role in helping
			 to prevent first-time methamphetamine use.</text>
					</paragraph></subsection><subsection id="H848311C388EC4F688753E8ED60E82F51"><enum>(b)</enum><header>Purpose</header><text>The
			 purpose of this title is to provide for a number of projects to evaluate
			 whether, how, and to what degree educating youth about meth mouth is an
			 effective strategy for preventing or reducing methamphetamine use.</text>
				</subsection><subsection id="H1B67CD0307A24A1DA9F7C2C18CCCC4"><enum>(c)</enum><header>Definitions</header><text>In
			 this title:</text>
					<paragraph id="H894B81C0323D494F8482D819EF4FD329"><enum>(1)</enum><header>Anti-drug
			 coalition</header><text>The term <term>anti-drug coalition</term> has the
			 meaning given to the term <term>eligible coalition</term> in section 1023 of
			 the National Narcotics Leadership Act of 1988 (21 U.S.C. 1523).</text>
					</paragraph><paragraph id="HCD7DACA2B4A1400F9C85C869928BEEE4"><enum>(2)</enum><header>Dental
			 organization</header><text>The term <term>dental organization</term> means a
			 group of persons organized to represent the art and science of dentistry or who
			 are otherwise associated for the primary purpose of advancing the public’s oral
			 health.</text>
					</paragraph><paragraph id="H235E534E88804E63A7EE49077BF0EBB"><enum>(3)</enum><header>Director</header><text display-inline="yes-display-inline">The term <term>Director</term> means the
			 Director of the Center for Substance Abuse Prevention.</text>
					</paragraph><paragraph id="HE2638703AEDC474DA925035C3550009E"><enum>(4)</enum><header>Elementary
			 school; secondary school</header><text>The terms <term>elementary school</term>
			 and <term>secondary school</term> have the meanings given to such terms in
			 section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
			 7801).</text>
					</paragraph><paragraph id="H8E8E926B3AE34BB3AC25D351FEA52C1C"><enum>(5)</enum><header>Indian; indian
			 tribe; tribal organization</header><text>The terms <term>Indian</term>,
			 <term>Indian tribe</term>, and <term>tribal organization</term> have the
			 meanings given to such terms in section 4 of the Indian Self-Determination and
			 Education Assistance Act (25 U.S.C. 450b).</text>
					</paragraph><paragraph id="H74468970EC8E4AC3B7A2640032EBC02E"><enum>(6)</enum><header>Meth
			 mouth</header><text>The term <term>meth mouth</term> means a distinct and often
			 severe pattern of oral decay that is commonly associated with methamphetamine
			 use.</text>
					</paragraph><paragraph id="HF4D40860E3DC46D7B004CA50FF288DB6"><enum>(7)</enum><header>Substance use
			 disorder</header><text>The term <term>substance use disorder</term> means any
			 harmful pattern of alcohol or drug use that leads to clinically significant
			 impairment in physical, psychological, interpersonal, or vocational
			 functioning.</text>
					</paragraph><paragraph id="H481B2E860F9F44DDB2A6E49E971BE15B"><enum>(8)</enum><header>Youth</header><text>The
			 term <term>youth</term> has the meaning given to such term in section 1023 of
			 the National Narcotics Leadership Act of 1988 (21 U.S.C. 1523).</text>
					</paragraph></subsection></section><section id="H2C837756C4DC4D439000C3CBF9160786"><enum>102.</enum><header>Methamphetamine
			 prevention demonstration projects</header>
				<subsection id="H0F99167935C54E508CCD28CA8EDC241D"><enum>(a)</enum><header>In
			 general</header><text>In carrying out section 519E of the Public Health Service
			 Act (42 U.S.C. 290bb–25e), the Director of the Center for Substance Abuse
			 Prevention shall make grants to public and private nonprofit entities to enable
			 such entities to determine whether, how, and to what degree educating youth
			 about meth mouth is an effective strategy for preventing or reducing
			 methamphetamine use.</text>
				</subsection><subsection id="H9248E331AA374AF9B2E1A215BE25F4BF"><enum>(b)</enum><header>Use of
			 funds</header>
					<paragraph id="HA28AB043267345A89B82B58C13C45DCB"><enum>(1)</enum><header>Mandatory
			 uses</header><text>Amounts awarded under this title shall be used for projects
			 that focus on, or include specific information about, the oral health risks
			 associated with methamphetamine use.</text>
					</paragraph><paragraph id="H3C5191F8084D41D8B66F6BE4117CF5A"><enum>(2)</enum><header>Authorized
			 uses</header><text>Amounts awarded under this title may be used—</text>
						<subparagraph id="HB13428C57C84408E83A940E64FC2F999"><enum>(A)</enum><text>to develop or
			 acquire instructional aids to enhance the teaching and learning process
			 (including audiovisual items, computer-based multimedia, supplemental print
			 material, and similar resources);</text>
						</subparagraph><subparagraph id="H8047B3BAE35244188E6EE5064EFCC8AF"><enum>(B)</enum><text>to develop or
			 acquire promotional items to be used for display or distribution on school
			 campuses (including posters, flyers, brochures, pamphlets, message-based
			 apparel, buttons, stickers, and similar items);</text>
						</subparagraph><subparagraph id="HEF0C9820AAB84B5C9D001E3300A152B4"><enum>(C)</enum><text>to facilitate or
			 directly furnish school-based instruction concerning the oral health risks
			 associated with methamphetamine use;</text>
						</subparagraph><subparagraph id="H166D6655751E4179A3BCC79C865BDB5C"><enum>(D)</enum><text>to train State and
			 local health officials, health professionals, members of anti-drug coalitions,
			 parents, and others how to carry messages about the oral health risks
			 associated with methamphetamine use to youth; and</text>
						</subparagraph><subparagraph id="HBB545B886ACB48CC96E285EC904E35E4"><enum>(E)</enum><text>to support other
			 activities deemed appropriate by the Director.</text>
						</subparagraph></paragraph></subsection><subsection id="HAB647B63AA5745A9A1A4ED74170533E7"><enum>(c)</enum><header>Grant
			 eligibility</header>
					<paragraph id="HA9726050511A458BB2CE0084E53573C"><enum>(1)</enum><header>Application</header><text>To
			 be eligible for grants under this title, an entity shall prepare and submit an
			 application at such time, in such manner, and containing such information as
			 the Director may reasonably require.</text>
					</paragraph><paragraph id="H16D13265C32E453FBA9C2392DE78D596"><enum>(2)</enum><header>Contents</header><text>Each
			 application submitted pursuant to paragraph (1) shall include—</text>
						<subparagraph id="H334AE86B7DE54BF4A56EEB4F623444CB"><enum>(A)</enum><text>a description of
			 the objectives to be attained;</text>
						</subparagraph><subparagraph id="HA711363FF8A649D3AFB34F4056942BD1"><enum>(B)</enum><text>a description of
			 the manner in which the grant funds will be used; and</text>
						</subparagraph><subparagraph id="HDC06D28D47B14FA9ABD231D1887F035"><enum>(C)</enum><text>a plan for
			 evaluating the project’s success using methods that are evidence-based.</text>
						</subparagraph></paragraph><paragraph id="H9F68CA3BC99749FFA73CE665FC6FBD55"><enum>(3)</enum><header>Preference</header><text>In
			 awarding grants under this title, the Director shall give preference to
			 applicants that intend to—</text>
						<subparagraph id="HC5C5C13D4010409EB429BA4326C4E33"><enum>(A)</enum><text>collaborate with
			 one or more dental organizations;</text>
						</subparagraph><subparagraph id="H80AD31CEE6514B4AB2DA10C292DE2F1"><enum>(B)</enum><text>partner with one or
			 more anti-drug coalitions; and</text>
						</subparagraph><subparagraph id="H417C2BF892234AA0BE4CAFB872B08B80"><enum>(C)</enum><text>coordinate their
			 activities with one or more national, State, or local methamphetamine
			 prevention campaigns or oral health promotion initiatives.</text>
						</subparagraph></paragraph></subsection><subsection id="H6D57C158E9D84EB6BBF618CCD1DEB313"><enum>(d)</enum><header>Limitations</header>
					<paragraph id="HFD41D358FB4B42CCBEB000F634ECFDD4"><enum>(1)</enum><header>Grant
			 amounts</header><text>The amount of an award under this title may not exceed
			 $50,000 per grantee.</text>
					</paragraph><paragraph id="H51A13064161A4DA9A523C8E0558FD403"><enum>(2)</enum><header>Duration</header><text>The
			 Director shall award grants under this title for a period not to exceed 3
			 years.</text>
					</paragraph></subsection><subsection id="H381794DBF67444C89F3C7BD2BCE86D00"><enum>(e)</enum><header>Evaluation and
			 dissemination</header><text>The Director shall collect and widely disseminate
			 information about the effectiveness of the demonstration projects assisted
			 under this title.</text>
				</subsection></section><section id="H6149C46019644F09BAE1A36C8E2DD753"><enum>103.</enum><header>Education for
			 American Indian and Alaska native children</header><text display-inline="no-display-inline">Not less than 5 percent of the funds
			 appropriated pursuant to section 104 for a fiscal year shall be awarded to
			 Indian tribes and tribal organizations for the purpose of educating Indian
			 youth about the oral health risks associated with methamphetamine use.</text>
			</section><section id="H8B38E643FB49408F8BDD58B770F04012"><enum>104.</enum><header>Authorization
			 of appropriations</header><text display-inline="no-display-inline">There are
			 authorized to be appropriated for the purpose of carrying out this title
			 $1,000,000 for each of fiscal years 2009 through 2011. Amounts authorized to be
			 appropriated under this section are in addition to any other amounts authorized
			 to be appropriated for such purpose.</text>
			</section></title><title id="H08A6BD700AD046A984B9E59F031E8CE2"><enum>II</enum><header>METH
			 MOUTH RESEARCH INVESTMENT ACT</header>
			<section id="HE4E16AEA646042DA83E6B836140041CE"><enum>201.</enum><header>Findings;
			 purpose; definitions</header>
				<subsection id="H61A65771217C43C1850143784DD59447"><enum>(a)</enum><header>Findings</header><text>The
			 Congress finds as follows:</text>
					<paragraph id="HA1066CE39FB54701868CD659EBDBA07"><enum>(1)</enum><text>As
			 the number of regular methamphetamine users has increased, so has a peculiar
			 set of dental problems linked to the drug. The condition (known as <quote>meth
			 mouth</quote>) develops rapidly and is attributed to the drug’s acidic nature,
			 its ability to dry the mouth, the tendency of users to grind and clench their
			 teeth, and a drug-induced craving for sugar-laden soft drinks.</text>
					</paragraph><paragraph id="H2E189E34B40B48728BD0A300B49C474B"><enum>(2)</enum><text>Meth mouth is
			 regarded by many as an anecdotal phenomenon. Few peer-reviewed studies have
			 been published that examine its causes, its physical effects, its prevalence,
			 or its public health costs.</text>
					</paragraph><paragraph id="HA6F487D21DBB49279881EA4DD111B920"><enum>(3)</enum><text>Enhanced research
			 would help to identify the prevalence and scope of meth mouth. Such research
			 would also help determine how substances of abuse can damage the teeth and
			 other oral tissues, and offer the possibility of developing new and improved
			 prevention, harm-reduction, and cost management strategies.</text>
					</paragraph></subsection><subsection id="HA754CE525A524DC697D400F503C9DCE7"><enum>(b)</enum><header>Purpose</header><text>The
			 purpose of this title is to provide for enhanced research examining all aspects
			 of meth mouth, including its causes, its public health impact, innovative
			 models for its prevention, and new and improved methods for its
			 treatment.</text>
				</subsection><subsection id="H852DC72150874E9DAF71C4E27B7D5837"><enum>(c)</enum><header>Definitions</header><text>In
			 this title:</text>
					<paragraph id="HAD1A509B38D04003A0AD138D21C1A429"><enum>(1)</enum><header>Clinical
			 research; health services research</header><text>The terms <term>clinical
			 research</term> and <term>health services research</term> shall have the
			 meanings given to such terms in section 409 of the Public Health Service Act
			 (42 U.S.C. 284d).</text>
					</paragraph><paragraph id="H8BCA08BEA4BD4E66AAF5615DEF09A61D"><enum>(2)</enum><header>Indian; indian
			 tribe; tribal organization</header><text>The terms <term>Indian</term>,
			 <term>Indian tribe</term>, and <term>tribal organization</term> shall have the
			 meanings given to such terms in section 4 of the Indian Self-Determination and
			 Education Assistance Act (25 U.S.C. 450b).</text>
					</paragraph><paragraph id="H1C007DE9745541948331CE1F4DE2AD00"><enum>(3)</enum><header>Meth
			 mouth</header><text>The term <term>meth mouth</term> means a distinct and often
			 severe pattern of oral decay that is commonly associated with methamphetamine
			 use.</text>
					</paragraph><paragraph id="HEF1416B183784BDD9507FB8F84B19F94"><enum>(4)</enum><header>Public health
			 research</header><text>The term <term>public health research</term> means
			 research that focuses on population-based health measures.</text>
					</paragraph><paragraph id="H48B32F1C44224814A8C5AB9C838030F4"><enum>(5)</enum><header>Secretary</header><text>The
			 term <term>Secretary</term> means the Secretary of Health and Human
			 Services.</text>
					</paragraph><paragraph id="H4780336E5D70443A9B208D1728B23B72"><enum>(6)</enum><header>Substance use
			 disorder</header><text>The term <term>substance use disorder</term> means any
			 harmful pattern of alcohol or drug use that leads to clinically significant
			 impairment in physical, psychological, interpersonal, or vocational
			 functioning.</text>
					</paragraph></subsection></section><section id="HAFEBAFE881414563950322A9300F203"><enum>202.</enum><header>Research on
			 substance abuse, oral health, and dental care</header>
				<subsection id="H08AE57DE01D94CD998267EC8D77EACEA"><enum>(a)</enum><header>Expansion of
			 activity</header><text>In carrying out part A of title III of the Public Health
			 Service Act (42 U.S.C. 241 et seq.), the Secretary shall expand and intensify
			 the clinical research, health services research, and public health research on
			 associations between substance use disorders, oral health, and the provision of
			 dental care.</text>
				</subsection><subsection id="H6D1A11465E2240A089A7004847EA001F"><enum>(b)</enum><header>Administration</header><text>In
			 carrying out subsection (a), the Secretary—</text>
					<paragraph id="H3ECC3C6F69A4465BBB029C8E8D61ED9B"><enum>(1)</enum><text>may enter into
			 contracts or agreements with other Federal agencies, including interagency
			 agreements, to delegate authority for the execution of grants and for such
			 other activities as may be necessary to carry out this section;</text>
					</paragraph><paragraph id="H4D024D2178184B64BA23DAFB7FDCEE5C"><enum>(2)</enum><text>may carry out this
			 section directly or through grants or cooperative agreements with State, local,
			 and territorial units of government, Indian tribes, and tribal organizations,
			 or other public or nonprofit private entities; and</text>
					</paragraph><paragraph id="H97E1D397A24048E8A06183043D598C6C"><enum>(3)</enum><text>may request and
			 use such information, data, and reports from any Federal, State, local, or
			 private entity as may be required to carry out this section, with the consent
			 of such entity.</text>
					</paragraph></subsection></section><section id="HAF72DBB8CD00439DB8B8859C88BF3899"><enum>203.</enum><header>Study of
			 methamphetamine-related oral health costs</header>
				<subsection id="H3AB52E35490144D6BFF88F2B92AB8288"><enum>(a)</enum><header>In
			 general</header><text>In carrying out section 202, the Secretary shall conduct
			 a study to determine whether, how, and to what degree methamphetamine use
			 affects the demand for (and provision of) dental care. The study shall account
			 for both genders, all racial and ethnic groups (and subgroups), and persons of
			 all ages and from all geographic areas as appropriate for the scientific goals
			 of the research.</text>
				</subsection><subsection id="H79BCD844CC8244FAA57C00007F69DA2"><enum>(b)</enum><header>Report</header><text>Not
			 later than 1 year after the date of enactment of this Act, the Secretary shall
			 publish a special report detailing the results of the study described in
			 subsection (a), with findings that address—</text>
					<paragraph id="H48948B43306A41CE93F7F1D8BFC71519"><enum>(1)</enum><text>the prevalence and
			 severity of oral health problems believed to be associated with methamphetamine
			 use;</text>
					</paragraph><paragraph id="H7A6A4F10A5A841C1A89C8E3369C72F46"><enum>(2)</enum><text>the criteria most
			 commonly used to determine whether a patient’s oral health problems are
			 associated with methamphetamine use;</text>
					</paragraph><paragraph id="HA571EB8E9C2D4BE089B7A89BF229B13F"><enum>(3)</enum><text>the therapies most
			 commonly used to treat patients with meth mouth;</text>
					</paragraph><paragraph id="H5DD81B7070824B339B021C2FFAAAD27"><enum>(4)</enum><text>the clinical
			 prognosis for patients who received care for meth mouth; and</text>
					</paragraph><paragraph id="H46073D1742B342D48DC7FB844BD7D7CA"><enum>(5)</enum><text>the financial
			 impact of meth mouth on publicly financed dental programs.</text>
					</paragraph></subsection></section><section id="HE6D651C4D71A42CE90FD65B08B95BE0"><enum>204.</enum><header>Authorization of
			 appropriations</header><text display-inline="no-display-inline">There are
			 authorized to be appropriated for the purpose of carrying out this title,
			 $200,000 for each of fiscal years 2009 through 2011. Amounts authorized to be
			 appropriated under this section are in addition to any other amounts authorized
			 to be appropriated for such purpose.</text>
			</section></title><title id="HD215ABE94A8A4241AEC46D1172375F37"><enum>III</enum><header>SUBSTANCE ABUSE
			 EDUCATION FOR DENTAL PROFESSIONALS</header>
			<section id="HC7D14D66CF4B4A4C8C1B88DBE5FC8874"><enum>301.</enum><header>Findings;
			 purpose; definitions</header>
				<subsection id="H6033DE9DB420491C002F8CD4FCD44714"><enum>(a)</enum><header>Findings</header><text>The
			 Congress finds as follows:</text>
					<paragraph id="H3110C9DC07DF4314B4F286000170193"><enum>(1)</enum><text>The use of certain
			 therapeutic agents in dental treatment can jeopardize the health and affect the
			 relapse potential of patients with substance use disorders.</text>
					</paragraph><paragraph id="H371D3F3EA9CA4A458F78469475DFCFA6"><enum>(2)</enum><text>Screening patients
			 for substance abuse is not a common practice among dentists, according to
			 several peer-reviewed articles published in the <quote>Journal of the American
			 Dental Association</quote>. Limited time, inadequate training, and the
			 potential for alienating patients are among the reasons often cited.</text>
					</paragraph><paragraph id="HF77487D6A11443758E2E28117CAE1454"><enum>(3)</enum><text>Dentists receive
			 little formal education and training in screening patients for substance abuse,
			 discussing the nature of addiction as it relates to oral health and dental
			 care, and facilitating appropriate help for patients, and family members of
			 patients, who are affected by a substance use disorder.</text>
					</paragraph><paragraph id="H49614A7C5C0840E1977C8D256BEE00EB"><enum>(4)</enum><text>The American
			 Dental Association maintains that dentists should be knowledgeable about
			 substance use disorders in order to safely administer and prescribe controlled
			 substances and other medications. The American Dental Association further
			 recommends that dentists become familiar with their community’s substance abuse
			 treatment resources and be able to make referrals when indicated.</text>
					</paragraph><paragraph id="HC586816FC34B4A89B300BBFC00B00FA"><enum>(5)</enum><text>Training can
			 greatly increase the degree to which dentists, allied dental personnel, and
			 other health professionals can screen patients for substance abuse, discuss the
			 nature of addiction as it relates to oral health and dental care, and
			 facilitate appropriate help for patients, and family members of patients, who
			 are affected by a substance use disorder.</text>
					</paragraph></subsection><subsection id="HD83B632D63DE4ADD91053BD9F87916F4"><enum>(b)</enum><header>Purpose</header><text>The
			 purpose of this title is to provide for enhanced training and technical
			 assistance to ensure that dentists and allied dental personnel are able to
			 recognize the signs of substance abuse in their patients, discuss the nature of
			 addiction as it relates to oral health and dental care, and facilitate
			 appropriate help for patients, and family members of patients, who are affected
			 by a substance use disorder.</text>
				</subsection><subsection id="HA4389FB65AAD4B738F7B395013CDF74B"><enum>(c)</enum><header>Definitions</header><text>For
			 the purposes of this title:</text>
					<paragraph id="H59C72AFC8FA1415EBB27EB655F83331F"><enum>(1)</enum><header>Allied dental
			 personnel</header><text display-inline="yes-display-inline">The term
			 <term>allied dental personnel</term> means individuals who assist the dentist
			 in the provision of oral health care services to patients, including dental
			 assistants, dental hygienists, and dental laboratory technicians who are
			 employed in dental offices or other patient care facilities.</text>
					</paragraph><paragraph id="HF922EA47A1FE4EC181EDF36337B976B3"><enum>(2)</enum><header>Continuing
			 education</header><text>The term <term>continuing education</term> means
			 extracurricular learning activities (including classes, lecture series,
			 conferences, workshops, seminars, correspondence courses, and other programs)
			 whose purpose is to incorporate the latest advances in science, clinical, and
			 professional knowledge into the practice of health care (and whose completion
			 is often a condition of professional licensing).</text>
					</paragraph><paragraph id="HC27A4D7E364341E2A83F2D05CF811E49"><enum>(3)</enum><header>Continuing
			 education credit</header><text>The term <term>continuing education
			 credit</term> means a unit of study that is used to officially certify or
			 recognize the successful completion of an activity that is consistent with
			 professional standards for continuing education.</text>
					</paragraph></subsection></section><section id="H8C1623D83851417882BE04434E07D38"><enum>302.</enum><header>Substance abuse
			 training for dental professionals</header>
				<subsection id="H914D3B816ED748B99E6500002E02D824"><enum>(a)</enum><header>In
			 general</header><text>In carrying out title V of the Public Health Service Act
			 (42 U.S.C. 290 et seq.), the Administrator of the Substance Abuse and Mental
			 Health Services Administration shall support training and offer technical
			 assistance to ensure that dentists and allied dental personnel are prepared
			 to—</text>
					<paragraph id="HB9C0B2B3A850421B8987159B842F3C44"><enum>(1)</enum><text>recognize signs of
			 alcohol or drug addiction in their patients and the family members of their
			 patients;</text>
					</paragraph><paragraph id="H062F9405D6964DCC8C0004F39C15DC87"><enum>(2)</enum><text>discuss the nature
			 of substance abuse as it relates to their area of expertise;</text>
					</paragraph><paragraph id="HEA24B1132304411CACDBF0F1B044034E"><enum>(3)</enum><text>understand how
			 certain dental therapies can affect the relapse potential of substance
			 dependent patients; and</text>
					</paragraph><paragraph id="HA869878285FE4B3FA2C70606A1B9D806"><enum>(4)</enum><text>help those
			 affected by a substance use disorder to find appropriate treatment for their
			 condition.</text>
					</paragraph></subsection><subsection id="H09656C74610548E09E61C695506D2CC9"><enum>(b)</enum><header>Continuing
			 education credits</header><text>The Administrator of the Substance Abuse and
			 Mental Health Services Administration may collaborate with professional
			 accrediting bodies—</text>
					<paragraph id="HD2B6AB1B43BD458281EB055527CAC274"><enum>(1)</enum><text>to develop and
			 support substance abuse training courses for oral health professionals;
			 and</text>
					</paragraph><paragraph id="H10825E2393144D6F93E0DCD22852DCE2"><enum>(2)</enum><text>to encourage that
			 the activities described in paragraph (1) be recognized for continuing
			 education purposes.</text>
					</paragraph></subsection></section><section id="H645CDD06F60A4373A5DDC089A06C777B"><enum>303.</enum><header>Authorization
			 of appropriations</header><text display-inline="no-display-inline">There are
			 authorized to be appropriated for the purpose of carrying out this title,
			 $500,000 for each of fiscal years 2009 through 2011. Amounts authorized to be
			 appropriated under this section are in addition to any other amounts authorized
			 to be appropriated for such purpose.</text>
			</section></title></legis-body>
</bill>
