[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5678 Introduced in House (IH)]

111th CONGRESS
  2d Session
                                H. R. 5678

To amend the Public Health Service Act to provide grants for treatment 
           of methamphetamine abuse, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              July 1, 2010

    Mr. Carnahan (for himself, Ms. Berkley, Mr. Boren, Mr. Davis of 
 Tennessee, Mr. Foster, Ms. Hirono, Mr. Michaud, Mr. Moore of Kansas, 
Mr. Radanovich, and Mr. Rothman of New Jersey) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to provide grants for treatment 
           of methamphetamine abuse, and for other purposes.

    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 ``Universal Access to Methamphetamine 
Treatment Act of 2010''.

SEC. 2. PURPOSE.

    It is the purpose of this Act to--
            (1) reduce crime and improve public safety by making 
        treatment for methamphetamine abuse available to every American 
        who needs it;
            (2) keep families together by encouraging alternatives to 
        incarceration for nonviolent drug law offenses; and
            (3) expand research on the root causes of methamphetamine 
        abuse and the most effective ways to treat it.

SEC. 3. METHAMPHETAMINE TREATMENT AND WRAP-AROUND PROGRAMS.

    Subpart 1 of part B of title V of the Public Health Service Act is 
amended--
            (1) redesignating the second section 514 (relating to 
        methamphetamine and amphetamine treatment) as section 514B; and
            (2) adding at the end the following new sections:

``SEC. 514C. INITIATIVE TO INCREASE METHAMPHETAMINE TREATMENT CAPACITY.

    ``(a) In General.--The Secretary may make grants to State, local, 
and tribal governments for the purpose of increasing the availability 
of treatment for methamphetamine abuse.
    ``(b) Requirements.--
            ``(1) In general.--To seek a grant under subsection (a), a 
        State, local, or tribal government shall submit an application 
        to the Secretary at such time, in such manner, and containing 
        such information and assurances as the Secretary may require.
            ``(2) Use of grant funds.--The grants made under subsection 
        (a) may only be used to--
                    ``(A) build treatment centers;
                    ``(B) expand existing treatment centers;
                    ``(C) hire treatment professionals;
                    ``(D) provide training and education to substance 
                abuse professionals, medical professionals, and 
                educators related to the treatment of methamphetamine 
                abuse; and
                    ``(E) engage in other activities that the Secretary 
                has determined are relevant to the purpose of the 
                grants under subsection (a).
    ``(c) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section 
for fiscal years 2011 through 2015.

``SEC. 514D. METHAMPHETAMINE TREATMENT VOUCHERS FOR UNDERSERVED 
              POPULATIONS.

    ``(a) In General.--The Secretary may make grants to State, local, 
and tribal governments and nonprofit entities to provide vouchers to 
individuals in underserved populations for authorized services related 
to the treatment of such individuals for methamphetamine abuse.
    ``(b) Requirements.--
            ``(1) Application.--To seek a grant under subsection (a), a 
        State, local, or tribal government or a nonprofit entity shall 
        submit an application to the Secretary at such time, in such 
        manner, and containing such information and assurances as the 
        Secretary may require, including a description of the method 
        that such State, government, or entity will use--
                    ``(A) to identify individuals who would benefit 
                from treatment for methamphetamine abuse;
                    ``(B) to identify if such individuals are in 
                underserved populations; and
                    ``(C) to provide vouchers to such individuals in 
                such populations.
            ``(2) Preservation of choice.--A recipient of a grant under 
        this section may not restrict the ability of an individual 
        receiving a voucher under this section to use the voucher to 
        pay for authorized services furnished by any provider of 
        authorized services, so long as the provider of such services 
        meets all applicable State licensure or certification 
        requirements regarding the provision of such services.
            ``(3) Duration of award.--With respect to a grant under 
        this section, the period during which payments under such grant 
        are made to the grant recipient may not exceed five years.
            ``(4) Matching funds.--The Secretary may require that 
        State, local, and tribal governments and nonprofit entities 
        that apply for grants under this section provide non-Federal 
        matching funds, as determined appropriate by the Secretary, to 
        ensure the commitment of the government or entity to the 
        provision of vouchers for treatment to individuals who use 
        methamphetamine. Such non-Federal matching funds may be 
        provided directly or through donations from public or private 
        entities and may be in cash or in kind, fairly evaluated, 
        including plant, equipment, or services.
            ``(5) Maintenance of effort.--The Secretary may require 
        that grant recipients under this section agree to maintain 
        expenditures of non-Federal amounts for authorized services 
        related to the treatment of methamphetamine abuse at a level 
        that is not less than the level of such expenditures maintained 
        by the recipient for the fiscal year preceding the fiscal year 
        for which the entity receives such a grant.
    ``(c) Report.--
            ``(1) In general.--Not later than December 1, 2010, and 
        annually thereafter, the Secretary shall submit a report to the 
        Congress on the grants under subsection (a).
            ``(2) Contents of report.--The report under paragraph (1) 
        shall contain an evaluation of the effectiveness of the grants 
        made under subsection (a) in improving access to 
        methamphetamine treatment for underserved populations.
    ``(d) Definitions.--For purposes of this section, the following 
definitions apply:
            ``(1) Authorized services.--The term `authorized services' 
        means--
                    ``(A) treatment for methamphetamine abuse, 
                including individual, group, and family counseling 
                regarding such abuse;
                    ``(B) follow-up services to prevent an individual 
                from relapsing into such abuse;
                    ``(C) wrap-around services, as such term is defined 
                in section 514E(e)(4); and
                    ``(D) any additional services specified by the 
                Secretary.
            ``(2) Underserved population.--The term `underserved 
        population' means a population of individuals who cannot to 
        access appropriate substance abuse treatment (including 
        comprehensive substance abuse treatment) due to financial, 
        geographical, language, socio-economic, or cultural barriers.
    ``(e) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section 
for fiscal years 2011 through 2015.

``SEC. 514E. COMPREHENSIVE WRAP-AROUND METHAMPHETAMINE TREATMENT 
              SERVICES.

    ``(a) In General.--The Secretary may make grants to public, 
private, and nonprofit entities, Indian tribes, and tribal 
organizations to establish programs to provide for and coordinate the 
provision of wrap-around services to methamphetamine-affected 
individuals.
    ``(b) Minimum Qualifications for Receipt of Award.--To seek a grant 
under subsection (a), public, private, or nonprofit entity, Indian 
tribe, or tribal organizations shall submit an application to the 
Secretary at such time, in such manner, and containing such information 
and assurances as the Secretary may require, including assurances to 
the satisfaction of the Secretary that--
            ``(1) the applicant has the capacity to carry out a program 
        described in subsection (a);
            ``(2) the applicant has entered into agreements with 
        entities in the community involved, through which the applicant 
        will provide services defined in subsection (e)(4); and
            ``(3) the applicant, or any entity through which the 
        applicant will provide such services, meets all applicable 
        State licensure or certification requirements regarding the 
        provision of such services.
    ``(c) Priority for Grant Distribution.--In making grants under this 
section, the Secretary shall give priority to applications for programs 
that serve communities with a high or increasing rate of 
methamphetamine abuse or addiction, as specified by the Secretary.
    ``(d) Reports.--For each year that a public, private, or nonprofit 
entity, Indian tribe, or tribal organization receives a grant under 
subsection (a) for a program, such entity, tribe, or organization shall 
submit to the Secretary a report on the results and effectiveness of 
the program.
    ``(e) Definitions.--For purposes of this section:
            ``(1) Intensive outpatient treatment facility.--The term 
        `intensive outpatient treatment facility' means a facility that 
        provides treatment for substance abuse and that, with respect 
        to an individual receiving such treatment--
                    ``(A) provides a minimum of nine hours of treatment 
                for substance abuse during a week;
                    ``(B) provides regularly scheduled treatment 
                sessions within a structured program; and
                    ``(C) the treatment sessions are led by health 
                professionals or clinicians.
            ``(2) Methamphetamine-affected individual.--The term 
        `methamphetamine-affected individual' means an individual who--
                    ``(A)(i) resided in a residential inpatient 
                treatment facility for the treatment of methamphetamine 
                abuse or addiction; or
                    ``(ii) received treatment for methamphetamine abuse 
                or addiction from an intensive outpatient treatment 
                facility; and
                    ``(B) after successful completion of such treatment 
                reenters the community.
            ``(3) Residential inpatient treatment facility.--The term 
        `residential inpatient treatment facility' means a facility 
        that provides treatment for substance abuse and in which health 
        professionals and clinicians provide a planned regimen of 24-
        hour professionally directed evaluation, care, and treatment 
        for such substance abuse in an inpatient setting, including 24-
        hour observation and monitoring.
            ``(4) Wrap-around services.--The term `wrap-around 
        services' means, with respect to a methamphetamine-affected 
        individual, the following services:
                    ``(A) Medical services.
                    ``(B) Dental services.
                    ``(C) Mental health services.
                    ``(D) Child care services.
                    ``(E) Job training services.
                    ``(F) Housing assistance.
                    ``(G) Training in parenting.
                    ``(H) Prevention services for family members, with 
                respect to methamphetamine abuse or addiction.
                    ``(I) Transportation assistance services for 
                purposes of participation in the services listed in 
                subparagraphs (A) through (H).
    ``(f) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section 
for fiscal years 2011 through 2015.''.

SEC. 4. EXTENSION AND EXPANSION OF RESIDENTIAL TREATMENT PROGRAM FOR 
              PREGNANT AND POSTPARTUM WOMEN TO INCLUDE CARE GIVER 
              PARENTS.

    Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) in the heading, by striking ``pregnant and postpartum 
        women'' and inserting ``care giver parents, including pregnant 
        women'';
            (2) in subsection (a)--
                    (A) in the matter preceding paragraph (1)--
                            (i) by inserting ``, Indian tribes, and 
                        tribal organizations'' after ``private 
                        entities''; and
                            (ii) by striking ``pregnant and postpartum 
                        women treatment for substance abuse'' and 
                        inserting ``care giver parents, including 
                        pregnant women, treatment for substance abuse 
                        (including treatment for addiction to 
                        methamphetamine)'';
                    (B) in each of paragraphs (1), (2), and (3), by 
                striking ``the women'' and inserting ``such parents'' 
                each place it appears; and
                    (C) in paragraph (3), by inserting ``supplemental'' 
                before ``services'';
            (3) in subsection (b)--
                    (A) in paragraph (1), by inserting ``, Indian 
                tribes, or tribal organizations'' after ``nonprofit 
                private entities''; and
                    (B) in paragraph (2)--
                            (i) by striking ``the services'' and 
                        inserting ``such services''; and
                            (ii) by striking `` woman'' and inserting 
                        ``care giver parent'';
            (4) in subsection (c)--
                    (A) in paragraph (1) by striking ``eligible woman'' 
                and inserting ``eligible care giver parent''; and
                    (B) by striking ``the women'' each place it appears 
                and inserting ``such parent'';
            (5) in subsection (d)--
                    (A) in the matter proceeding paragraph (1), by 
                striking ``woman'' and inserting ``care giver parent'';
                    (B) in paragraphs (3) and (4), by striking ``the 
                woman'' and inserting ``such parent'' each place it 
                appears;
                    (C) in paragraph (9)--
                            (i) by striking ``the women'' and inserting 
                        ``such parent'' each place it appears;
                            (ii) by striking ``units'' and inserting 
                        ``unit''; and
                            (iii) by striking ``of parents'' and 
                        inserting ``of the parents of such parent'';
                    (D) in paragraph (10), by inserting ``, Indian 
                tribes, or tribal organizations'' after ``entities''; 
                and
                    (E) in paragraph (11)--
                            (i) by striking ``the women'' and inserting 
                        ``such parent''; and
                            (ii) by striking ``their children'' and 
                        inserting ``the children of such parent'';
            (6) in subsection (f)(1), in the matter proceeding 
        subparagraph (A) by inserting ``, Indian tribes, or tribal 
        organizations'' after ``public or private entities'';
            (7) in subsection (g)--
                    (A) by striking ``identify women'' and inserting 
                ``identify care giver parents''; and
                    (B) by striking ``the women'' and inserting ``such 
                parents'';
            (8) in subsection (h)(1) by striking ``pregnant and 
        postpartum women'' and inserting ``care giver parents'';
            (9) in subsection (j)--
                    (A) in the matter proceeding paragraph (1)--
                            (i) by striking ``to on behalf'' and 
                        inserting ``to or on behalf''; and
                            (ii) by striking ``woman'' and inserting 
                        ``care giver parent'';
                    (B) in paragraph (2), by striking ``the woman'' and 
                inserting ``such parent''; and
                    (C) in paragraph (3), by striking ``woman'' and 
                inserting ``parent'';
            (10) in subsection (k)(2) by striking ``women'' and 
        inserting ``care giver parents''--
            (11) in subsection (l), by striking ``such agreements'' and 
        inserting ``the funding agreements under this section'';
            (12) by amending subsection (m) to read as follows:
    ``(m) Use of Funds; Priority for Certain Areas Served.--
            ``(1) Use of funds.--A funding agreement for an award under 
        subsection (a) for an applicant is that funds awarded under 
        subsection (a) to such applicant shall be used for programs 
        according to the following order of priority:
                    ``(A) For a program that provides services to care 
                giver parents who are pregnant and postpartum women.
                    ``(B) For a program that provides services to care 
                giver parents who are single parents and the sole care 
                givers with respect to their children.
                    ``(C) For a program that provides services to any 
                care giver parents.
            ``(2) Priority for certain areas served.--In making awards 
        under subsection (a), the Director shall give priority to any 
        entity, tribe, or organization that agrees to use the award for 
        a program serving an area that--
                    ``(A) is a rural area;
                    ``(B) is an area determined by the Director to have 
                a shortage of family-based substance abuse treatment 
                options; or
                    ``(C) is determined by the Director to have high 
                rates of addiction to methamphetamine.'';
            (13) in subsection (p)--
                    (A) by striking ``October 1, 1994'' and inserting 
                ``October 1, 2010''; and
                    (B) by striking the third sentence;
            (14) in subsection (q)--
                    (A) by redesignating paragraphs (2), (3), (4), and 
                (5) as paragraphs (3), (4), (5), and (6), respectively;
                    (B) by inserting after paragraph (1) the following 
                new paragraph:
            ``(2) The term `care giver parent' means, with respect to a 
        child, a parent or legal guardian with whom the child resides, 
        and includes a pregnant woman.''; and
                    (C) by amending paragraph (3), as redesignated by 
                subparagraph (A) of this paragraph, to read as follows:
            ``(3) The term `eligible care giver parent' means a care 
        giver parent who has been admitted to a program operated 
        pursuant to subsection (a).''; and
            (15) in subsection (r), by striking ``to fiscal years 2001 
        through 2003'' and inserting  ``for fiscal years 2011 through 
        2015''.

SEC. 5. EFFECTIVENESS OF METHAMPHETAMINE TREATMENT METHODS.

    (a) Research.--The Director of the National Institute on Drug Abuse 
shall conduct research, directly or through contract with another 
entity, on the effectiveness of the use of agonist and antagonist drugs 
to reduce the problems associated with stimulant abuse, including 
methamphetamine abuse.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section 
for fiscal years 2011 through 2015.

SEC. 6. IOM STUDY ON DRUG TREATMENTS FOR STIMULANT ABUSE.

    (a) Report.--The Secretary of Health and Human Services shall seek 
to enter into a contract with the Institute of Medicine of the National 
Academies to complete a literature review and submit a report to 
Congress on the effectiveness of agonist and antagonist drugs for the 
treatment of stimulant abuse, including methamphetamine abuse.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated such sums as may be necessary to carry out this section 
for fiscal years 2011 through 2015.

SEC. 7. GAO EVALUATION OF THE IMPACT OF THIS LEGISLATION.

    (a) Study on the Level of Funding for Methamphetamine Treatment.--
The Comptroller General of the United States shall conduct a study on--
            (1) the impact of the programs authorized by this Act 
        (including the amendments made by this Act) on the 
        effectiveness and availability of treatment for methamphetamine 
        abuse;
            (2) whether the level of Federal funding available for the 
        treatment of methamphetamine abuse meets, exceeds, or is less 
        than the amount necessary to provide adequate treatment for 
        methamphetamine abuse; and
            (3) the impact of effective treatment of methamphetamine 
        abuse on cost savings due to the reduced need for criminal 
        justice and other services.
    (b) Reports.--
            (1) Interim report.--Not later than the last day of the 
        two-year period beginning on the date of enactment of this Act, 
        the Comptroller General shall submit to Congress a report on 
        the interim findings of the study under subsection (a).
            (2) Final report.--Not later than 3 years after the date of 
        that the report under paragraph (1) is submitted to Congress, 
        the Comptroller General shall submit to Congress a report on 
        the findings of the study under subsection (a).
                                 <all>