[Congressional Record Volume 145, Number 153 (Wednesday, November 3, 1999)]
[Senate]
[Pages S13815-S13817]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]




             THE YOUTH DRUG AND MENTAL HEALTH SERVICES ACT

                                 ______
                                 

                        FRIST AMENDMENT NO. 2507

  Mr. GRAMM (for Mr. Frist) proposed an amendment to the bill (S. 976) 
to amend title V of the Public Health Service Act to focus the 
authority of the Substance Abuse and Mental Health Services 
Administration on community-based services children and adolescents, to 
enhance flexibility and accountability, to establish programs

[[Page S13816]]

for youth treatment, and to respond to crises, especially those related 
to children and violence; as follows:

       On page 88, strike lines 20 through 24 and insert the 
     following:
       ``(d) Report.--Not later than 3 years after the date of 
     enactment of this section and annually thereafter, the 
     Secretary shall prepare and submit, to the Committee on 
     Health, Education, Labor, and Pensions of the Senate and the 
     Committee on Commerce of the House of Representatives, a 
     report that describes the services provided pursuant to this 
     section.
       On page 90, between lines 8 and 9, insert the following:

     SEC. 108. GRANTS FOR STRENGTHENING FAMILIES THROUGH COMMUNITY 
                   PARTNERSHIPS.

       Subpart 2 of part B of Title V of the Public Health Service 
     Act (42 U.S.C. 290bb-21 et seq) is amended by adding at the 
     end the following:

     ``SEC. 519A. GRANTS FOR STRENGTHENING FAMILIES.

       ``(a) Program Authorized.--The Secretary, acting through 
     the Director of the Prevention Center, may make grants to 
     public and nonprofit private entities to develop and 
     implement model substance abuse prevention programs to 
     provide early intervention and substance abuse prevention 
     services for individuals of high-risk families and the 
     communities in which such individuals reside.
       ``(b) Priority.--In awarding grants under subsection (a), 
     the Secretary shall give priority to applicants that--
       ``(1) have proven experience in preventing substance abuse 
     by individuals of high-risk families and reducing substance 
     abuse in communities of such individuals;
       ``(2) have demonstrated the capacity to implement 
     community-based partnership initiatives that are sensitive to 
     the diverse backgrounds of individuals of high-risk families 
     and the communities of such individuals;
       ``(3) have experience in providing technical assistance to 
     support substance abuse prevention programs that are 
     community-based;
       ``(4) have demonstrated the capacity to implement research-
     based substance abuse prevention strategies; and
       ``(5) have implemented programs that involve families, 
     residents, community agencies, and institutions in the 
     implementation and design of such programs.
       ``(c) Duration of Grants.--The Secretary shall award grants 
     under subsection (a) for a period not to exceed 5 years.
       ``(d) Use of Funds.--An applicant that is awarded a grant 
     under subsection (a) shall--
       ``(1) in the first fiscal year that such funds are received 
     under the grant, use such funds to develop a model substance 
     abuse prevention program; and
       ``(2) in the fiscal year following the first fiscal year 
     that such funds are received, use such funds to implement the 
     program developed under paragraph (1) to provide early 
     intervention and substance abuse prevention services to--
       ``(A) strengthen the environment of children of high risk 
     families by targeting interventions at the families of such 
     children and the communities in which such children reside;
       ``(B) strengthen protective factors, such as--
       ``(i) positive adult role models;
       ``(ii) messages that oppose substance abuse;
       ``(iii) community actions designed to reduce accessibility 
     to and use of illegal substances; and
       ``(iv) willingness of individuals of families in which 
     substance abuse occurs to seek treatment for substance abuse;
       ``(C) reduce family and community risks, such as family 
     violence, alcohol or drug abuse, crime, and other behaviors 
     that may effect healthy child development and increase the 
     likelihood of substance abuse; and
       ``(D) build collaborative and formal partnerships between 
     community agencies, institutions, and businesses to ensure 
     that comprehensive high quality services are provided, such 
     as early childhood education, health care, family support 
     programs, parent education programs, and home visits for 
     infants.
       ``(e) Application.--To be eligible to receive a grant under 
     subsection (a), an applicant shall prepare and submit to the 
     Secretary an application that--
       ``(1) describes a model substance abuse prevention program 
     that such applicant will establish;
       ``(2) describes the manner in which the services described 
     in subsection (d)(2) will be provided; and
       ``(3) describe in as much detail as possible the results 
     that the entity expects to achieve in implementing such a 
     program.
       ``(f) Matching Funding.--The Secretary may not make a grant 
     to a entity under subsection (a) unless that entity agrees 
     that, with respect to the costs to be incurred by the entity 
     in carrying out the program for which the grant was awarded, 
     the entity will make available non-Federal contributions in 
     an amount that is not less than 40 percent of the amount 
     provided under the grant.
       ``(g) Report to Secretary.--An applicant that is awarded a 
     grant under subsection (a) shall prepare and submit to the 
     Secretary a report in such form and containing such 
     information as the Secretary may require, including an 
     assessment of the efficacy of the model substance abuse 
     prevention program implemented by the applicant and the 
     short, intermediate, and long term results of such program.
       ``(h) Evaluations.--The Secretary shall conduct 
     evaluations, based in part on the reports submitted under 
     subsection (g), to determine the effectiveness of the 
     programs funded under subsection (a) in reducing substance 
     use in high-risk families and in making communities in which 
     such families reside in stronger. The Secretary shall submit 
     such evaluations to the appropriate committees of Congress.
       ``(i) High-Risk Families.--In this section, the term `high-
     risk family' means a family in which the individuals of such 
     family are at a significant risk of using or abusing alcohol 
     or any illegal substance.
       ``(j) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section, $3,000,000 for 
     fiscal year 2000, and such sums as may be necessary for each 
     of the fiscal years 2001 and 2002.''.
       On page 90, line 9, strike ``Sec. 108'' and insert ``Sec. 
     109''.
       On page 90, strike line 14 and insert ``as paragraphs (4) 
     through (14), respectively;''.
       On page 90, strike lines 17 through 19 and insert the 
     following:
       ``(2) ensure that emphasis is placed on children and 
     adolescents in the development of treatment programs;
       ``(3) collaborate with the Attorney General to develop 
     programs to provide substance abuse treatment services to 
     individuals who have had contact with the Justice system, 
     especially adolescents;''; and
       (3) in paragraph 14 (as so redesignated), by striking 
     ``paragraph (11)'' and inserting ``paragraph (13)''.
       On page 90, strike lines 20 through 24 and insert the 
     following:
       (b) Office for Substance Abuse Prevention.--Section 515(b) 
     of the Public Health Service Act (42 U.S.C. 290bb-21(b)) is 
     amended--
       (1) by redesignating paragraphs (9) and (10) as (10) and 
     (11);
       (2) by inserting after paragraph (8), the following:
       ``(9) collaborate with the Attorney General of the 
     Department of Justice to develop programs to prevent drug 
     abuse among high risk youth;''; and
       (3) in paragraph (10) (as so redesignated), by striking 
     ``public concerning'' and inserting ``public, especially 
     adolescent audiences, concerning''.
       On page 108, line 1, strike ``physical or chemical''.
       On page 108, line 3, strike ``Physical or chemical 
     restraints'' and insert ``Restraints''.
       Beginning on page 108, strike line 17 and all that follows 
     through page 109, line 18, and insert the following:
       ``(c) Definitions.--In this section:
       ``(1) Restraints.--The term `restraints' means--
       ``(A) any physical restraint that is a mechanical or 
     personal restriction that immobilizes or reduces the ability 
     of an individual to move his or her arms, legs, or head 
     freely, not including devices, such as orthopedically 
     prescribed devices, surgical dressings or bandages, 
     protective helmets, or any other methods that involves the 
     physical holding of a resident for the purpose of conducting 
     routine physical examinations or tests or to protect the 
     resident from falling out of bed or to permit the resident to 
     participate in activities without the risk of physical harm 
     to the resident; and
       ``(B) a drug or medication that is used as a restraint to 
     control behavior or restrict the resident's freedom of 
     movement that is not a standard treatment for the resident's 
     medical or psychiatric condition.
       ``(2) Seclusion.--The term `seclusion' means any separation 
     of the resident from the general population of the facility 
     that prevents the resident from returning to such population 
     if he or she desires.
       On page 109, line 24, insert ``or in seclusion'' after 
     ``restrained''.
       Beginning on page 109, line 25, strike ``of the deceased'' 
     and all that follows through ``placed in seclusion, or'' on 
     page 110, line 1, and insert ``after the patient has been 
     removed from restraints and seclusion, or''.
       On page 111, line 8, strike ``582(a)'' and insert 
     ``592(a)''.
       On page 111, between lines 18 and 19, insert the following:
       (a) Residential Treatment Programs for Pregnant and 
     Postpartum Women.--Section 508(r) of the Public Health 
     Service Act (42 U.S.C. 290bb-1(r)) is amended to read as 
     follows:
       ``(r) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated such sums as may be necessary to fiscal years 
     2000 through 2002.''.
       On page 111, strike line 19 and insert the following:
       ``(b) Priority Substance Abuse Treatment.--Section 509 of 
     the Public Health''.
       On page 112, line 1, strike ``508'' and insert ``509''.
       On page 115, strike lines 11 through 17 and insert the 
     following:
       (c) Conforming Amendments.--The following sections of the 
     Public Health Service Act are repealed:
       (1) Section 510 (42 U.S.C. 290bb-3).
       (2) Section 511 (42 U.S.C. 290bb-4).
       (3) Section 512 (42 U.S.C. 290bb-5).
       (4) Section 571 (42 U.S.C. 290gg).
       On page 117, line 8, strike ``services'' and insert 
     ``information and activities''.
       Beginning on page 119, strike line 15 and all that follows 
     through page 120, line 20.
       On page 120, line 21, strike ``(b)'' and insert ``(a)''.

[[Page S13817]]

       On page 121, line 3, strike ``(c)'' and insert ``(b)''.
       On page 121, line 12, strike ``(d)'' and insert ``(c)''.
       On page 122, line 1, strike ``(e)'' and insert ``(d)''.
       On page 122, lines 5 and 6, strike ``prior to the fiscal 
     year''.
       On page 122, line 7, strike ``(f)'' and insert ``(e)''.
       On page 122, line 12, strike ``(g)'' and insert ``(f)''.
       On page 124, line 1, strike ``(h)'' and insert ``(g)''.
       On page 129, line 1, strike ``(1) Tenets and Teachings.--A 
     religious or-'' and insert ``(1) Substance Abuse.--A 
     religious or-''.
       On page 129, lines 5 through 7, strike ``adhere to the 
     religious tenets and teachings of such organization, and such 
     organization may require that those employees''.
       On page 131, line 17, strike ``or agency'' and insert ``, 
     agency or official''.
       On page 145, strike line 17, and insert the following: 
     ``basis.
       ``(d) Participants.--The Secretary shall include among 
     those interested groups that participate in the development 
     of the plan consumers of mental health or substance abuse 
     services, providers, representatives of political divisions 
     of States, and representatives of racial and ethnic groups 
     including Native Americans.''.

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