1.
(a)This Act may be cited as the Meth Mouth Prevention and Community Recovery Act
.
(b)The purposes of this Act are—
(1)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;
(2)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;
(3)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
(4)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.
2.The table of contents for this Act is as follows:
Sec. 1. Short title; purposes.
Sec. 2. Table of contents.
Title I—EVIDENCE-BASED PREVENTION
Sec. 101. Findings; purpose; definitions.
Sec. 102. Methamphetamine prevention demonstration projects.
Sec. 103. Education for American Indian and Alaska native children.
Sec. 104. Authorization of appropriations.
Title II—METH MOUTH RESEARCH INVESTMENT ACT
Sec. 201. Findings; purpose; definitions.
Sec. 202. Research on substance abuse, oral health, and dental care.
Sec. 203. Study of methamphetamine-related oral health costs.
Sec. 204. Authorization of appropriations.
Title III—SUBSTANCE ABUSE EDUCATION FOR DENTAL PROFESSIONALS
Sec. 301. Findings; purpose; definitions.
Sec. 302. Substance abuse training for dental professionals.
Sec. 303. Authorization of appropriations.
<enum>I</enum><header>EVIDENCE-BASED PREVENTION</header>
<section id="HE7EE69355F56420885DD9675A87E13BB"><enum>101.</enum><header>Findings; purpose; definitions</header>
<subsection id="HE7A1EC9972E94AABB16D4BF345DD2DEA"><enum>(a)</enum><header>Findings</header><text>The Congress finds as follows:</text>
<paragraph id="HE9ED5E34303B473E913CBF77216E4B73"><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="H700CD3160B644A25B04E9569029EA845"><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="H7D1637C2A180455198A509AB4D00008F"><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="HAB31B4A37F5B40D290A583B97FE2E5EB"><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="HDCFAD597A4664714948B8D00A9E5BE3"><enum>(c)</enum><header>Definitions</header><text>In this title:</text>
<paragraph id="HE05EB21DC05A4475ADF0B7310100BB28"><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="HC2360688AE7D49DFBEB458FD93C1C358"><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="H8CF354DBB39748B5B41FCD0794522F03"><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="HB6A704B19D8B4504B738CDFB00DAE7F1"><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="HB05752D4B1724E118D09FEAE98276B6C"><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="HA03BB45CC1E6431199A4D5FA9DA836E7"><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="HB13164AC67B74FECA8C55EDCC0086B0"><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="H076B8EA4333F4531B4E7C8F1ED003556"><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="HCE775F7285554DDDA8BDEEB20437952C"><enum>102.</enum><header>Methamphetamine prevention demonstration projects</header>
<subsection id="HA5A2C27D13FE4D9F8BE46F94A590DE73"><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="H243DFEADF6AD49F9B4A131017463A0D7"><enum>(b)</enum><header>Use of funds</header>
<paragraph id="H010BE63125D04C85B58BD546C1EF00C5"><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="HC4241B5E9ACE4D4CA9FEF30089956EB1"><enum>(2)</enum><header>Authorized uses</header><text>Amounts awarded under this title may be used—</text>
<subparagraph id="H67601959CD3E426F96B0F600ABABA000"><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="H8CFBB15DA1AC45B48BD467436E509593"><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="HFF35A51731DD4A9FB1974B333BB9103"><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="H94BE9778456C497DB5E8D09CB40281F7"><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="HEFB9859F853E424092C8942C56B4B838"><enum>(E)</enum><text>to support other activities deemed appropriate by the Director.</text> </subparagraph></paragraph></subsection>
<subsection id="H511DA64C2E034FABBCFC6DCE10AE22BB"><enum>(c)</enum><header>Grant eligibility</header>
<paragraph id="HD2EF70B2587E45458D1C26EE9A051CC"><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="H4CFD77F201F74870861686FA5DD700ED"><enum>(2)</enum><header>Contents</header><text>Each application submitted pursuant to paragraph (1) shall include—</text>
<subparagraph id="HBB882A3360A941168B123EC768EAFF34"><enum>(A)</enum><text>a description of the objectives to be attained;</text> </subparagraph>
<subparagraph id="H1DA7759FA5D049E7AC4B32B14278E770"><enum>(B)</enum><text>a description of the manner in which the grant funds will be used; and</text> </subparagraph>
<subparagraph id="H6A108B82EC9047428220EFE15C8644CF"><enum>(C)</enum><text>a plan for evaluating the project’s success using methods that are evidence-based.</text> </subparagraph></paragraph>
<paragraph id="H552195C4775143B6BB735248BF85116F"><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="H106EC674AEA540CDB92561215934EA8B"><enum>(A)</enum><text>collaborate with one or more dental organizations;</text> </subparagraph>
<subparagraph id="HDCA9ECD3804640FB8E0000FEC29E4D1E"><enum>(B)</enum><text>partner with one or more anti-drug coalitions; and</text> </subparagraph>
<subparagraph id="HEF2D5FEACDD44E5DB9F3590197C866AE"><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="H11AB14AAD42B4CB0B3F18D255DCBE5D"><enum>(d)</enum><header>Limitations</header>
<paragraph id="H61A00E74A587474690BF8EE33B8097FE"><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="HFC6E1066F7F44DD48C00EFEE03B38284"><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="HFA53839CEF424E6BB738A1FAC5180AD"><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="H31C449D983A142C2827B26A4D0AD25EB"><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="HF4BB4C8C84734CF4B4F7EE06BA1B4C4"><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 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.</text> </section>
<enum>II</enum><header>METH MOUTH RESEARCH INVESTMENT ACT</header>
<section id="H7FC89F15418B47B3B0F535F808667DF8"><enum>201.</enum><header>Findings; purpose; definitions</header>
<subsection id="HE852BA441BE5476E8EC19B6FDAF1F51"><enum>(a)</enum><header>Findings</header><text>The Congress finds as follows:</text>
<paragraph id="HDBF277DD8F3E4C9F8FE5E3A37C544ED"><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="HD03A2F27650743BBAB4EB237ACA154A1"><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="HE231A14E5F1445F2B09251713E28FA24"><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="H2021884C6AE143FAB63B758EE1B99E63"><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="H0BF12BDCA8AF436793FB6F85DBF4C2F2"><enum>(c)</enum><header>Definitions</header><text>In this title:</text>
<paragraph id="H7AEE77C5DBCF4E62B9215D7DD8B4B019"><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="HC3FE0840A982498FA7D4AC001F33D290"><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="HBFE6A955272D4B608E3F4BA0FEC5AFC5"><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="H79A9C3949744442CBC95DE94C2410079"><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="HA5F16B0658F04778B7E656A5FA31EE2"><enum>(5)</enum><header>Secretary</header><text>The term <term>Secretary</term> means the Secretary of Health and Human Services.</text> </paragraph>
<paragraph id="HD36826937BA143B3953145C0E11C5BFA"><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="H7818D7504A034F4183A94B46DAA807EC"><enum>202.</enum><header>Research on substance abuse, oral health, and dental care</header>
<subsection id="H74942DA999BC4215B551003323EEBBE"><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="H6C6198BB9A234B36B7923E57E2B673A0"><enum>(b)</enum><header>Administration</header><text>In carrying out subsection (a), the Secretary—</text>
<paragraph id="H58F2868B10FA495BBFEE97E6F800AEED"><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="H30F75F1DF72F4EB1AD20E52333BF009D"><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="H4F7D88549E274526BDA38357B2C4A0EF"><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="H975BDC8636B7442991DB6535C7AA071F"><enum>203.</enum><header>Study of methamphetamine-related oral health costs</header>
<subsection id="HDD791D263F714D7587DE7BF33F49C2AD"><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="HB8DE9F64450E48969FD0001E21FA45FB"><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="H18E559C9408C4055A04E9B3437238532"><enum>(1)</enum><text>the prevalence and severity of oral health problems believed to be associated with methamphetamine use;</text> </paragraph>
<paragraph id="H76D506A72E7C4770BBABE44B983091DE"><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="H1FBDD9E2248B406FB8FAFC2CDAAB3486"><enum>(3)</enum><text>the therapies most commonly used to treat patients with meth mouth;</text> </paragraph>
<paragraph id="H905B72FED63A4743AF5800E2195B98F5"><enum>(4)</enum><text>the clinical prognosis for patients who received care for meth mouth; and</text> </paragraph>
<paragraph id="HBCE47A7002344FF397AC36460069C5F0"><enum>(5)</enum><text>the financial impact of meth mouth on publicly financed dental programs.</text> </paragraph></subsection></section>
<section id="HA728B198A64F499400CF02D523A0F16D"><enum>204.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated such sums as may be necessary for the purpose of carrying out this title for each of fiscal years 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.</text> </section>
<enum>III</enum><header>SUBSTANCE ABUSE EDUCATION FOR DENTAL PROFESSIONALS</header>
<section id="HB0EB47C16D8A4D4294B714C2EB26C1A2"><enum>301.</enum><header>Findings; purpose; definitions</header>
<subsection id="H519761F1340148A48B4000345477BD01"><enum>(a)</enum><header>Findings</header><text>The Congress finds as follows:</text>
<paragraph id="H752519592C0A4719ABCF76F9E61BAB00"><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="H9B60A9E4D7474F49A0225DF2F6C85925"><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="HEE5E7E8BAB3A4E5D93894121AA679131"><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="HEE6246BDAA36481AA959F7544910A3A9"><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="H3865E800E73345FE94F549A1C58B5BB0"><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="H20B4BBAAC2ED4968B2DFB4E39734E668"><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="H66B0D73BFEFF428FAB90E9C5B3400018"><enum>(c)</enum><header>Definitions</header><text>For the purposes of this title:</text>
<paragraph id="H8F824F7C2CA749279008085598DA632B"><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="H2C43E0FDD1064F289856D19E91EA0132"><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="H039E13F5292F4130866120ACD7BB5E54"><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="H92CB80C1FA274822BE08069294DACED8"><enum>302.</enum><header>Substance abuse training for dental professionals</header>
<subsection id="H4514946DFD064FBDABA56C2B1989CC4C"><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="HABE6C58AAE304A8E90F59D0844A9043D"><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="H679192398B3E4713AE411F8B32FE6A1"><enum>(2)</enum><text>discuss the nature of substance abuse as it relates to their area of expertise;</text> </paragraph>
<paragraph id="H6F838844E73C435C8956C4DBEFBD52F5"><enum>(3)</enum><text>understand how certain dental therapies can affect the relapse potential of substance dependent patients; and</text> </paragraph>
<paragraph id="HE7933E4D406B41DB0073F6BE34C2D6A9"><enum>(4)</enum><text>help those affected by a substance use disorder to find appropriate treatment for their condition.</text> </paragraph></subsection>
<subsection id="HB627F8382FE04BA7A12C0032CD739BD5"><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="HF54D1992A52940D49509CF002DBFAED3"><enum>(1)</enum><text>to develop and support substance abuse training courses for oral health professionals; and</text> </paragraph>
<paragraph id="H7C8F60C2E02746CBB0553F1E08C9BE6"><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="HA89D895EB7C0484890DA92809B01B86F"><enum>303.</enum><header>Authorization of appropriations</header><text display-inline="no-display-inline">There are authorized to be appropriated such sums as may be necessary for the purpose of carrying out this title for each of fiscal years 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.</text> </section>