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<bill bill-stage="Introduced-in-House" dms-id="HE1D1FF71BD5A4D09A05BBA30EBF4500" public-private="public" bill-type="olc"> 
<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>111th CONGRESS</congress>
<session>1st Session</session>
<legis-num>H. R. 439</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20090109">January 9, 2009</action-date> 
<action-desc><sponsor name-id="R000571">Mr. Rehberg</sponsor> introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc>
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To amend the Public Health Service Act regarding residential treatment programs for pregnant and parenting women, a program to reduce substance abuse among nonviolent offenders, and for other purposes.</official-title> 
</form> 
<legis-body id="HD395BC8BFD2F4FB1A83969686800D8CA" style="OLC"> 
<section id="H21691D9A25BA4B86A16826AD7DA1C945" section-type="section-one" display-inline="no-display-inline"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Family-Based Meth Treatment Access Act of 2009</short-title></quote>.</text></section>
<section id="H5A8E86F4D24D41DD915B17EA601C73FE" section-type="subsequent-section"><enum>2.</enum><header>Residential Treatment Programs for Pregnant and Parenting Women</header><text display-inline="no-display-inline">Section 508 of the Public Health Service Act (42 U.S.C. 290bb–1) is amended—</text>
<paragraph id="H80078F8CF32945C280598BBEAC65660"><enum>(1)</enum><text>in subsection (a)—</text>
<subparagraph id="H719C2B47C037448FB2587168098E4FEE"><enum>(A)</enum><text>in the matter preceding paragraph (1), by striking <quote>postpartum women treatment for substance abuse</quote> and inserting <quote>parenting women treatment for substance abuse (including treatment for addiction to methamphetamine)</quote>;</text></subparagraph>
<subparagraph id="H65D2D90614544B17B3F5F8F51B5D8FEB"><enum>(B)</enum><text>in paragraph (1), by striking <quote>reside in</quote> and inserting <quote>reside in or receive outpatient treatment services from</quote>; and</text></subparagraph>
<subparagraph id="HD6D81737AE274E45A92F91F9BB492FD4"><enum>(C)</enum><text>in paragraph (2), by striking <quote>reside with the women in</quote> and inserting <quote>reside with the women in, or receive outpatient treatment services from,</quote>;</text></subparagraph></paragraph>
<paragraph id="HCC080CA27D5C4F3DB855D8DAE8F72EF4"><enum>(2)</enum><text>in subsection (d)(6), by inserting <quote>, or referrals for counseling,</quote> after <quote>Counseling</quote>;</text></paragraph>
<paragraph id="H1C91DFE7AE3045C500A9576DC1E580DC"><enum>(3)</enum><text>by amending subsection (h) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HF418B60B9884485AA8EBD0E408A40668" style="OLC">
<subsection id="HE4AF6E4AF2B74184B8EF85364EA7FC88"><enum>(h)</enum><header>Accessibility of program</header><text>A funding agreement for an award under subsection (a) for an applicant is that the program operated pursuant to such subsection will be accessible to—</text>
<paragraph id="HE0637D8EE4F445A5B3FCC6D500AB853B"><enum>(1)</enum><text>low-income pregnant and parenting women; and</text></paragraph>
<paragraph id="H7A2C7DCA332D4C3ABDE5ED7B28DBCB92"><enum>(2)</enum><text>pregnant and parenting women in health disparity populations.</text></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block></paragraph>
<paragraph id="H7203C25711DA423AB9E14850175E6BE3"><enum>(4)</enum><text>by amending subsection (m) to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H4F7CD146065445CC006562301D636B06" style="OLC">
<subsection id="HD4511ABFF7164C308CF7A072332059A6"><enum>(m)</enum><header>Allocation of awards</header><text display-inline="yes-display-inline">In making awards under subsection (a), the Director shall give priority to any entity that agrees to use the award for a program serving an area that—</text>
<paragraph id="H82CC5A817BAE4CC295727664CEF2D11F"><enum>(1)</enum><text>is a rural area, an area designated under section 332 by the Administrator of the Health Resources and Services Administration as a health professional shortage area with a shortage of mental health professionals, or an area determined by the Director to have a shortage of family-based substance abuse treatment options; and</text></paragraph>
<paragraph id="HC04D1C549A444C0BB39BCC79B89EC76C"><enum>(2)</enum><text>is determined by the Director to have high rates of addiction to methamphetamine or other drugs.</text></paragraph></subsection><after-quoted-block>;</after-quoted-block></quoted-block></paragraph>
<paragraph id="H494633D8B0E842D1AFC1F02EF06789CF"><enum>(5)</enum><text>in subsection (p)—</text>
<subparagraph id="HC60F592F45C947CA822BDECF8FE28F5E"><enum>(A)</enum><text>by striking <quote>October 1, 1994</quote> and inserting <quote>October 1, 2010</quote>;</text></subparagraph>
<subparagraph id="H6F47AC0EA47A4892A400D620FB520022"><enum>(B)</enum><text>by inserting <quote>In submitting reports under this subsection, the Director may use data collected under this section or other provisions of law.</quote> after <quote>biennial report under section 501(k).</quote>; and</text></subparagraph>
<subparagraph id="H055A6AC5DCB74E4EB2BA14729D078053"><enum>(C)</enum><text>by striking <quote>Each report under this subsection shall include</quote> and all that follows and inserting</text>
<quoted-block display-inline="yes-display-inline" id="H0FDB16D72B384907B307FBD43D7BD600" style="OLC"><text>Each report under this subsection shall, with respect to the period for which the report is prepared, include the following:</text>
<paragraph id="HAB19E83B420A4B248B5E62E123CC4C6D"><enum>(1)</enum><text>A summary of any evaluations conducted under subsection (o).</text></paragraph>
<paragraph id="HE9FBA380671E4948BB00C5355C8284AA"><enum>(2)</enum><text>Data on the number of pregnant and parenting women in need of, but not receiving, treatment for substance abuse under programs carried out pursuant to this section. Such data shall include, but not be limited to, the number of pregnant and parenting women in need of, but not receiving, treatment for methamphetamine abuse under such programs, disaggregated by State and tribe.</text></paragraph>
<paragraph id="HBE01E516E435467889CF567078E91367"><enum>(3)</enum><text>Data on recovery and relapse rates of women receiving treatment for substance abuse under programs carried out pursuant to this section, including data disaggregated with respect to treatment for methamphetamine abuse.</text></paragraph><after-quoted-block>;</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="H2B035027215C4231B3DCE914D022BE1C"><enum>(6)</enum><text>by redesignating subsections (q) and (r) as subsections (r) and (s), respectively;</text></paragraph>
<paragraph id="HDDF5D7E4878145889300F40740E0351B"><enum>(7)</enum><text>by inserting after subsection (p) the following:</text>
<quoted-block display-inline="no-display-inline" id="HDB3BFCD88760424FA354249DF266C3C5" style="OLC">
<subsection id="H19C041E20BDB41C7866EB0FAAB63141D"><enum>(q)</enum><header>Methamphetamine addiction</header><text>In carrying out this section, the Director shall expand, intensify, and coordinate efforts to provide to pregnant and parenting women treatment for methamphetamine addiction.</text></subsection><after-quoted-block>;</after-quoted-block></quoted-block></paragraph>
<paragraph id="HF890B756CBC949B6A324897E9B90C85C"><enum>(8)</enum><text>in subsection (r) (as so redesignated)—</text>
<subparagraph id="H4D3BBCCF26254B91ADCD50982959EA94"><enum>(A)</enum><text>by redesignating paragraphs (4) and (5) as paragraphs (5) and (6), respectively; and</text></subparagraph>
<subparagraph id="H84E102031F644E0996B8A40C3075200"><enum>(B)</enum><text>by inserting after paragraph (3) the following:</text>
<quoted-block display-inline="no-display-inline" id="HBEE551AF79F5422A83A1627715FFEB56" style="OLC">
<paragraph id="H4DADF6AF943A46B28BE0CB9A3005DB9"><enum>(4)</enum><text display-inline="yes-display-inline">The term <term>health disparity population</term> means a population in which there is a significant disparity in the overall rate of disease incidence, prevalence, morbidity, mortality, or survival rates in the population as compared to the health status of the general population.</text></paragraph><after-quoted-block>; and</after-quoted-block></quoted-block></subparagraph></paragraph>
<paragraph id="H031DBCB25BDD47AFA5E5BE6D30F77DEF"><enum>(9)</enum><text>in subsection (s) (as so redesignated), by striking <quote>such sums as may be necessary to fiscal years 2001 through 2003</quote> and inserting <quote>$70,000,000 for each of fiscal years 2010 through 2014</quote>.</text></paragraph></section>
<section id="H3169EF1729B24A4EB7E8BAC4A0967F04"><enum>3.</enum><header>Program to Reduce Substance Abuse Among Nonviolent Offenders: Family Treatment Alternatives to Incarceration</header><text display-inline="no-display-inline">Title V of the Public Health Service Act (42 U.S.C. 290aa et seq.) is amended by inserting after section 509 the following:</text>
<quoted-block display-inline="no-display-inline" id="HB91A15A7301D436F964D94995DCA3406" style="OLC">
<section id="HF3943D7FE31B4C5A87A9F750B5D07F17"><enum>510.</enum><header>Program to reduce substance abuse among nonviolent offenders: family treatment alternatives to incarceration</header>
<subsection id="H898847DCDBB746778E476CE9C3FBA8CA"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary, acting through the Administrator of the Substance Abuse and Mental Health Services Administration, shall make awards of grants, cooperative agreements, or contracts to public and nonprofit private entities for the purpose of assisting local jails and detention facilities in providing comprehensive, family-based substance abuse treatment services (including treatment for addiction to methamphetamine) to pregnant and parenting adults who are considered nonviolent offenders.</text></subsection>
<subsection id="HAA370FE9DED74DBEAA08D545CD3BE71F"><enum>(b)</enum><header>Minimum qualifications for nonprofit private entities</header><text>An award may be made under subsection (a) to an applicant that is a nonprofit private entity only if the Secretary determines that—</text>
<paragraph id="H13226DBBD519470189BF3DBFCDF66B96"><enum>(1)</enum><text>the applicant has the capacity to provide the services described in subsection (a); and</text></paragraph>
<paragraph id="HEA521B64E6A84E4F9500CD403E6D935F"><enum>(2)</enum><text>the applicant meets all applicable State licensor and certification requirements regarding the provision of substance abuse treatment services.</text></paragraph></subsection>
<subsection id="H9EFCC4CCC2D24EA5917EEB59D3DB47A6"><enum>(c)</enum><header>Requirements applicable to family drug treatment program that is an alternative to incarceration</header><text>A grant under this section may be used for a family drug treatment program that is an alternative to incarceration only if the program complies with the following:</text>
<paragraph id="H8EC0084F4A36424E923BC4C700F249D2"><enum>(1)</enum><text>The program is a comprehensive, long-term family treatment program focused on the treatment of the parent and child.</text></paragraph>
<paragraph id="H98A1FB212172496EBFCD38004BEE12A3"><enum>(2)</enum><text>The program and its providers meet all applicable State licensor and certification requirements regarding the provision of substance abuse treatment services.</text></paragraph>
<paragraph id="HA13319477B9C4DEAA87DDEFB7D6038"><enum>(3)</enum><text>Each parent offender who participates in the program is sentenced to, or placed with, a long-term family treatment program (which shall include a residential component).</text></paragraph>
<paragraph id="HA69B844F09AC4116BADA8228AF7E6E88"><enum>(4)</enum><text display-inline="yes-display-inline">Each parent offender who participates in the program serves a sentence with respect to the underlying crime if that parent offender does not successfully complete treatment with the residential treatment provider.</text></paragraph>
<paragraph id="HD483E2B451F9463A9CC3B6A9A4B93478"><enum>(5)</enum><text>The program has mandatory periodic drug testing. The Secretary shall, by prescribing guidelines or regulations, specify standards for the timing and manner of complying with such testing. The standards shall ensure that—</text>
<subparagraph id="H0C85A27A96004B6DADD41FCB3FC2312B"><enum>(A)</enum><text>each individual participating in the program as an alternative to incarceration is tested for every controlled substance that the participant has been known to abuse, and for any other controlled substance the Secretary may require; and</text></subparagraph>
<subparagraph id="H0FA6A0AC397940609FA32137B200D9B9"><enum>(B)</enum><text>the testing is accurate and practicable; and</text></subparagraph>
<subparagraph id="H1C0C75A171F64DB19307CA0BBF358DC"><enum>(C)</enum><text>the drug testing regime is a factor in determinations of whether program participants successfully complete treatment.</text></subparagraph></paragraph></subsection>
<subsection id="HBD9D7D40F2A3438F9E5806AA572FF14"><enum>(d)</enum><header>Allocation of awards</header><text display-inline="yes-display-inline">In making awards under subsection (a), the Secretary shall give priority to any entity that agrees to use the award for a program serving an area that—</text>
<paragraph id="H85923FBF48584AFD9B5D90D176B4AFEF"><enum>(1)</enum><text display-inline="yes-display-inline">is a rural area, an area designated under section 332 by the Administrator of the Health Resources and Services Administration as a health professional shortage area with a shortage of mental health professionals, or an area determined by the Secretary to have a shortage of family-based substance abuse treatment options; and</text></paragraph>
<paragraph id="H6BF8AC620FA6471C83004198BD91BEEC"><enum>(2)</enum><text>is determined by the Secretary to have high rates of addiction to methamphetamine or other drugs.</text></paragraph></subsection>
<subsection id="HF25A981EE0404751A6AF9FB291B6814E"><enum>(e)</enum><header>Definitions</header><text>In this section the terms <term>family drug treatment</term>, <term>family treatment</term>, and <term>comprehensive, long-term family treatment</term> describe programs that provide, or are able to provide referrals for, the following services: Substance abuse treatment, children’s early intervention services, family counseling, legal services, medical care, mental health services, nursery and preschool, parenting skills training, pediatric care, prenatal care, sexual abuse therapy, relapse prevention, transportation, and job or vocational training or general equivalency diploma (GED) classes.</text></subsection>
<subsection id="H5DE3098A635144B48600C68900B923FC"><enum>(f)</enum><header>Authorization of appropriations</header><text>For the purpose of carrying out this section, there are authorized to be appropriated $40,000,000 for each of fiscal years 2010, 2011, and 2012, and $50,000,000 for each of fiscal years 2013 and 2014.</text></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block></section> 
</legis-body> 
</bill> 
