[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 2226 Introduced in Senate (IS)]

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114th CONGRESS
  1st Session
                                S. 2226

 To amend the Public Health Service Act to reauthorize the residential 
treatment programs for pregnant and postpartum women and to establish a 
 pilot program to provide grants to State substance abuse agencies to 
       promote innovative service delivery models for such women.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                            November 3, 2015

     Ms. Ayotte (for herself, Mr. Whitehouse, Mrs. Capito, and Ms. 
  Klobuchar) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL


 
 To amend the Public Health Service Act to reauthorize the residential 
treatment programs for pregnant and postpartum women and to establish a 
 pilot program to provide grants to State substance abuse agencies to 
       promote innovative service delivery models for such women.

    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 ``Improving Treatment for Pregnant and 
Postpartum Women Act of 2015''.

SEC. 2. IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN.

    (a) In General.--Section 508 of the Public Health Service Act (42 
U.S.C. 290bb-1) is amended--
            (1) in subsection (a), by inserting ``(referred to in this 
        section as the `Director')'' after ``Director of the Center for 
        Substance Abuse Treatment'';
            (2) in subsection (p), by inserting ``(other than 
        subsection (r))'' after ``this section''; and
            (3) in subsection (r), by striking ``such sums'' and all 
        that follows through ``2003'' and inserting ``such sums as may 
        be necessary for each of fiscal years 2016 through 2020''.
    (b) Pilot Program Grants for State Substance Abuse Agencies.--
Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) by redesignating subsection (r) as subsection (s); and
            (2) by inserting after subsection (q) the following:
    ``(r) Pilot Program for State Substance Abuse Agencies.--
            ``(1) In general.--From amounts made available under 
        subsection (s), the Director shall carry out a pilot program 
        under which the Director makes competitive grants to State 
        substance abuse agencies to--
                    ``(A) enhance flexibility in the use of funds 
                designed to support family-based services for pregnant 
                and postpartum women with a primary diagnosis of a 
                substance use disorder, including opioid use disorders;
                    ``(B) help State substance abuse agencies address 
                identified gaps in services furnished to such women 
                along the continuum of care, including services 
                provided to women in non-residential based settings; 
                and
                    ``(C) promote a coordinated, effective, and 
                efficient State system managed by State substance abuse 
                agencies by encouraging new approaches and models of 
                service delivery that are evidence-based.
            ``(2) Requirements.--In carrying out the pilot program 
        under this subsection, the Director--
                    ``(A) shall require State substance abuse agencies 
                to submit to the Director applications, in such form 
                and manner and containing such information as specified 
                by the Director, to be eligible to receive a grant 
                under the program;
                    ``(B) shall identify, based on such submitted 
                applications, State substance abuse agencies that are 
                eligible for such grants;
                    ``(C) shall require services proposed to be 
                furnished through such a grant to support family-based 
                treatment and other services for pregnant and 
                postpartum women with a primary diagnosis of a 
                substance use disorder, including opioid use disorders;
                    ``(D) notwithstanding subsection (a)(1), shall not 
                require that services furnished through such a grant be 
                provided solely to women that reside in facilities;
                    ``(E) shall not require that grant recipients under 
                the program make available all services described in 
                subsection (d); and
                    ``(F) may waive the requirements of subsection (f), 
                depending on the circumstances of the grantee.
            ``(3) Required services.--
                    ``(A) In general.--The Director shall specify 
                minimum services required to be made available to 
                eligible women through a grant awarded under the pilot 
                program under this subsection. Such minimum services--
                            ``(i) shall include the requirements 
                        described in subsection (c);
                            ``(ii) may include any of the services 
                        described in subsection (d);
                            ``(iii) may include other services, as 
                        appropriate; and
                            ``(iv) shall be based on the 
                        recommendations submitted under subparagraph 
                        (B)
                    ``(B) Stakeholder input.--The Director shall 
                convene and solicit recommendations from stakeholders, 
                including State substance abuse agencies, health care 
                providers, persons in recovery from substance abuse, 
                and other appropriate individuals, for the minimum 
                services described in subparagraph (A).
            ``(4) Duration.--The pilot program under this subsection 
        shall not exceed 5 years.
            ``(5) Evaluation and report to congress.--
                    ``(A) In general.--Out of amounts made available to 
                the Center for Behavioral Health Statistics and 
                Quality, the Director of the Center for Behavioral 
                Health Statistics and Quality, in cooperation with the 
                recipients of grants under this subsection, shall 
                conduct an evaluation of the pilot program, beginning 
                one year after the date on which a grant is first 
                awarded under this subsection. The Director of the 
                Center for Behavioral Health Statistics and Quality, in 
                coordination with the Director of the Center for 
                Substance Abuse Treatment, not later than 120 days 
                after completion of such evaluation, shall submit to 
                the relevant Committees of the Senate and the House of 
                Representatives a report on such evaluation.
                    ``(B) Contents.--The report to Congress under 
                subparagraph (A) shall include, at a minimum, outcomes 
                information from the pilot program, including any 
                resulting reductions in the use of alcohol and other 
                drugs, engagement in treatment services, retention in 
                the appropriate level and duration of services, 
                increased access to the use of drugs approved by the 
                Food and Drug Administration for the treatment of 
                substance use disorders in combination with counseling, 
                and other appropriate measures.
            ``(6) State substance abuse agencies defined.--For purposes 
        of this subsection, the term `State substance abuse agency' 
        means, with respect to a State, the agency in such State that 
        manages the Substance Abuse Prevention and Treatment Block 
        Grant under part B of title XIX.''.
    (c) Funding.--Subsection (s) of section 508 of the Public Health 
Service Act (42 U.S.C. 290bb-1), as amended by subsection (a) and 
redesignated by subsection (b)(1), is further amended by adding at the 
end the following new sentence: ``Of the amounts made available for a 
year pursuant to the previous sentence to carry out this section, not 
more than 25 percent of such amounts shall be made available for such 
year to carry out subsection (r).''.
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