[Congressional Record Volume 168, Number 158 (Thursday, September 29, 2022)]
[Senate]
[Pages S5652-S5658]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 6098. Ms. MURKOWSKI (for herself and Ms. Klobuchar) submitted an 
amendment intended to be proposed to amendment SA 5499 submitted by Mr. 
Reed (for himself and Mr. Inhofe) and intended to be proposed to the 
bill H.R. 7900, to authorize appropriations for fiscal year 2023 for 
military activities of the Department of Defense, for military 
construction, and for defense activities of the Department of Energy, 
to prescribe military personnel strengths for such fiscal year, and for 
other purposes; which was ordered to lie on the table; as follows:

        At the appropriate place, insert the following:

     SEC. __. PROGRAMS FOR FETAL ALCOHOL SPECTRUM DISORDERS.

       (a) In General.--Part O of title III of the Public Health 
     Service Act (42 U.S.C. 280f et seq.) is amended by striking 
     section 399H and inserting the following:

     ``SEC. 399H. PROGRAMS FOR FETAL ALCOHOL SPECTRUM DISORDERS.

       ``(a) Definition.--In this part--
       ``(1) the term `fetal alcohol spectrum disorders' or `FASD' 
     means diagnosable developmental disabilities of a broad range 
     of neurodevelopmental and physical effects that result from 
     prenatal exposure to alcohol. The effects may include 
     lifelong physical, mental, behavioral, social and learning 
     disabilities, and other problems that impact daily 
     functioning (such as living independently or holding a job), 
     as well as overall health and well-being; and
       ``(2) the terms `Indian Tribe' and `Tribal organization' 
     have the meanings given the terms `Indian tribe' and `tribal 
     organization' in section 4 of the Indian Self-Determination 
     and Education Assistance Act.
       ``(b) Research on Fetal Alcohol Spectrum Disorders and 
     Related Conditions.--
       ``(1) In general.--The Secretary, acting through the 
     Director of the National Institutes of Health, shall--
       ``(A) establish a research program for FASD; and
       ``(B) award grants, contracts, or cooperative agreements to 
     public or private nonprofit entities to pay all or part of 
     carrying out research under such research program.
       ``(2) Types of research.--In carrying out paragraph (1), 
     the Secretary, acting through

[[Page S5653]]

     the Director of the National Institute on Alcohol Abuse and 
     Alcoholism (referred to in this section as the `Director of 
     the Institute'), shall continue to conduct and expand 
     national and international research in consultation with 
     other Federal agencies and outside partners that includes--
       ``(A) the most promising avenues of research in FASD 
     diagnosis, intervention, and prevention;
       ``(B) factors that may mitigate the effects of prenatal 
     alcohol and other substance exposure including culturally 
     relevant factors and social determinants of health; and
       ``(C) other research that the Director of the Institute 
     determines to be appropriate with respect to conditions that 
     develop as a result of prenatal alcohol and other substance 
     exposure.
       ``(3) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated 
     $30,000,000 for each of fiscal years 2023 through 2028.
       ``(c) Surveillance, Public Health Research, and Prevention 
     Activities.--
       ``(1) In general.--The Secretary, acting through the 
     Director of the National Center on Birth Defects and 
     Developmental Disabilities of the Centers for Disease Control 
     and Prevention, shall facilitate surveillance, public health 
     research, and prevention of FASD in accordance with this 
     subsection.
       ``(2) Surveillance, public health research and 
     prevention.--In carrying out this subsection, the Secretary 
     shall--
       ``(A) integrate into surveillance practice an evidence-
     based standard case definition for fetal alcohol syndrome 
     and, in collaboration with other Federal and outside 
     partners, support organizations of appropriate medical and 
     mental health professionals in their development and 
     refinement of evidence-based clinical diagnostic guidelines 
     and criteria for all fetal alcohol spectrum disorders;
       ``(B) disseminate and provide the necessary training and 
     support to appropriate medical and mental health 
     professionals on the early identification of children with 
     prenatal alcohol or other substance exposure as such children 
     may require ongoing developmental and behavioral surveillance 
     by their primary health care clinician which continues 
     throughout their lifetime to access ongoing treatment and 
     referral problems;
       ``(C) support applied public health prevention research to 
     identify culturally-appropriate or evidence-based strategies 
     for reducing alcohol and other substance exposed pregnancies 
     in women at high risk of such pregnancies;
       ``(D) disseminate and provide the necessary training and 
     support to implement culturally-appropriate or evidence-based 
     strategies developed under subparagraph (C) to--
       ``(i) hospitals, Federally-qualified health centers, 
     residential and outpatient substance disorder treatment 
     programs, and other appropriate health care providers;
       ``(ii) educational settings;
       ``(iii) social work and child protection service providers;
       ``(iv) foster care providers and adoption agencies;
       ``(v) State or Tribal offices and other agencies providing 
     services to individuals with disabilities;
       ``(vi) mental health treatment facilities;
       ``(vii) Indian Tribes and Tribal organizations;
       ``(viii) military medical treatment facility described in 
     section 1073d(c) of title 10, United States Code, and medical 
     centers of the Department of Veterans Affairs; and
       ``(ix) other entities that the Secretary determines to be 
     appropriate;
       ``(E) conduct activities related to risk factor 
     surveillance;
       ``(F) disseminate and evaluate brief behavioral 
     intervention strategies and referrals aimed at preventing 
     alcohol and substance-exposed pregnancies among women of 
     childbearing age in special settings, including clinical 
     primary health centers, outpatient clinics, child welfare 
     agencies, and correctional facilities and recovery campuses;
       ``(G) document the FASD lived experience and incorporate 
     the perspectives of individuals and their family members 
     affected by FASD and birth mothers of individuals with FASD 
     in the dissemination of information and resources;
       ``(H) disseminate comprehensive alcohol and pregnancy and 
     FASD information, resources, and services to families and 
     caregivers, professionals, and the public through an 
     established national network of affiliated FASD organizations 
     and through organizations serving medical, behavioral health, 
     addiction, disability, education, legal and other 
     professionals; and
       ``(I) coordinate FASD activities with affiliated State, 
     Tribal and local systems and organizations with respect to 
     the prevention of alcohol and other substance-exposed 
     pregnancies.
       ``(3) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated 
     $13,000,000 for each of fiscal years 2023 through 2028.
       ``(d) Building State and Tribal FASD Systems.--
       ``(1) In general.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration, shall award grants, contracts, or cooperative 
     agreements to States and Indian Tribes for the purpose of 
     establishing ongoing comprehensive and coordinated State and 
     Tribal FASD multidisciplinary, diverse coalitions to--
       ``(A) develop systems of care for--
       ``(i) the prevention of FASD and other adverse conditions 
     as a result of prenatal substance exposure; and
       ``(ii) the identification, treatment and support of 
     individuals with FASD or other adverse conditions from 
     prenatal substance exposure and support for their families;
       ``(B) provide leadership and support in establishing, 
     expanding or increasing State and Tribal systems capacity in 
     addressing FASD and other adverse conditions as a result of 
     prenatal substance exposure; and
       ``(C) update or develop implementing and evaluating State 
     and Tribal FASD strategic plans to--
       ``(i) establish or expand State and Tribal programs of 
     surveillance, screening, assessment, diagnosis, prevention of 
     FASD and other physical or neurodevelopmental disabilities 
     from prenatal substance exposure;
       ``(ii) integrate programs related to prevention of FASD and 
     interventions addressing the adverse effects of prenatal 
     alcohol and other substance exposure into existing State and 
     Tribal coordinated systems of care which focus on the social 
     determinants of health, including systemic racism, access to 
     the Medicare program under title XVIII of the Social Security 
     Act or to the Medicaid program under title XIX of such Act, 
     maternal and early childhood health, economic security, food 
     and housing, education, justice and corrections, mental 
     health, substance use disorder, child welfare, developmental 
     disabilities, and health care;
       ``(iii) identify across-the-lifetime issues for individuals 
     and families related to FASD and other adverse conditions 
     related to prenatal substance exposure, including historical 
     and cultural trauma, child abuse and neglect, mental health 
     and substance use disorder; and
       ``(iv) identify systemic and other barriers to the 
     integration of prenatal alcohol and substance exposure 
     screening, assessment and identification of FASD into 
     existing systems of care for individuals and families.
       ``(2) Eligibility.--To be eligible to receive a grant, 
     contract, or cooperative agreement under paragraph (1), a 
     State, an Indian Tribe, a Tribal organization, or a State-
     Tribal collaborative (referred to in this paragraph as an 
     `eligible entity') shall prepare and submit to the Secretary 
     an application at such time, in such manner, and containing 
     such information as the Secretary may require, including--
       ``(A) evidence that the eligible entity designated in the 
     application have or will have authority to implement programs 
     described in this subsection;
       ``(B) evidence of the establishment of a State or Tribal 
     FASD Advisory Group of State agencies or Tribal entities and, 
     if available, a State affiliate of the National Organization 
     on Fetal Alcohol Syndrome or similar Tribal or statewide FASD 
     advocacy organization, to provide the leadership in building 
     State or Tribal capacity in addressing prenatal alcohol and 
     other substance exposure, including FASD prevention, 
     identification, and intervention activities and programming, 
     including--
       ``(i) the formation of a FASD advisory coalition of 
     diverse, public and private representatives from multiple 
     disciplines that may include--

       ``(I) State agencies or Tribal entities that are 
     responsible for health, human services, corrections, 
     education, housing, developmental disabilities, substance use 
     disorder, child welfare, juvenile and adult justice systems, 
     mental health and any other agency related to the adverse 
     social impact of prenatal alcohol and other substance 
     exposures;
       ``(II) public and private sector stakeholders, including 
     individuals with FASD and their caretakers and entities that 
     work with or provide services or support for individuals with 
     FASD and their families, such as community-based agencies,law 
     enforcement, the judiciary, probation officers, medical and 
     mental health providers, substance use disorder counselors, 
     educators, child welfare professionals, and other entities 
     that address individual, family, community and society issues 
     related to prenatal alcohol and other substance exposure 
     throughout an individual's lifespan; and

       ``(ii) the development of a State or Tribal strategic plan 
     that--

       ``(I) contains recommendations, action steps, and 
     deliverables for improving social determinants of health;
       ``(II) recommends actions for prevention of FASD and other 
     conditions related to prenatal substance exposure;
       ``(III) integrates culturally-appropriate, best practices 
     or evidence-based practices on screening, identification and 
     treatment into existing systems of care;
       ``(IV) provides for FASD-informed clinical and therapeutic 
     interventions;
       ``(V) provides for FASD-informed supports and services for 
     families and individuals with FASD and other conditions from 
     prenatal substance exposure across their lifetimes;
       ``(VI) identifies--

       ``(aa) existing FASD or other programs related to prenatal 
     substance exposures in the State or Indian Tribe, including--
       ``(AA) FASD primary, secondary and tertiary prevention 
     programs;
       ``(BB) prenatal screening, assessment or diagnostic 
     services; and
       ``(CC) support and service programs for individuals with 
     FASD and their families; and
       ``(bb) existing State, local, and Tribal programs, systems, 
     and funding streams that could be used to identify and assist 
     individuals with FASD and other conditions related

[[Page S5654]]

     to substance exposed pregnancies, and prevent prenatal 
     exposure to alcohol and other harmful substances;
       ``(cc) barriers to providing FASD diagnostic services or 
     programs to assist individuals with FASD or reducing alcohol 
     and substance exposed pregnancies for women at risk for 
     alcohol or other substance exposed pregnancies, and 
     recommendations to reduce or eliminate such barriers;
       ``(dd) barriers to FASD prevention, screening, assessment, 
     identification, and treatment programs and to the provision 
     of FASD-informed support services and accommodations across 
     the lifespan, and recommendations to reduce or eliminate such 
     barriers;

       ``(VII) integrates a public-private partnership of State, 
     Tribal, and local communities to develop a comprehensive 
     FASD-informed and engaged systems of care approach that 
     addresses social determinants of health, including systemic 
     racism on health outcomes, economic security, food and 
     housing; education, justice, and health care challenges 
     experienced by individuals who have been diagnosed with FASD 
     or other conditions as result of prenatal substance exposure;
       ``(VIII) describes programs of surveillance, screening, 
     assessment and diagnosis, prevention, clinical intervention 
     and therapeutic and other supports and services for 
     individuals with FASD and their families;
       ``(IX) recognizes the impact of historical, cultural, and 
     other trauma of individuals in the design and application of 
     all programming; and
       ``(X) recognizes the lived experiences of birth mothers and 
     those with FASD and their families in the design and 
     application of all programming.

       ``(3) Restrictions on and use of funds.--Amounts received 
     under a grant, contract, or cooperative agreement under this 
     subsection shall be used for one or more of the following 
     activities:
       ``(A) Establishing or increasing diagnostic capacity in the 
     State or Indian Tribe to meet the estimated prevalence needs 
     of the State or Indian Tribe's FASD population.
       ``(B) Providing educational and supportive services to 
     individuals with FASD and other conditions related to 
     prenatal substance exposure and their families.
       ``(C) Establishing a FASD statewide surveillance system.
       ``(D) Including FASD information in State medical and 
     mental health care and education programs at schools of 
     higher education.
       ``(E) Collecting, analyzing, and interpreting data.
       ``(F) Replicating culturally-aware or best practice FASD 
     prevention programs, including case-management models for 
     pregnant or parenting women with alcohol and other substance 
     use disorders.
       ``(G) Training of primary care and other providers in 
     screening for prenatal alcohol and other substance exposure 
     in prenatal, pediatric, early childhood or other child or 
     teenage checkup settings.
       ``(H) Developing, implementing, and evaluating population-
     based and targeted prevention programs for FASD, including 
     public awareness campaigns.
       ``(I) Increasing capacity of the State or Indian Tribe to 
     deliver housing, economic and food security services to 
     adults impacted by FASD or other conditions related to 
     prenatal substance exposure.
       ``(J) Referring individuals with FASD and other conditions 
     related to prenatal substance exposure to appropriate FASD-
     informed support services.
       ``(K) Providing for State and Tribal FASD coordinators.
       ``(L) Providing training to health care (including mental 
     health care) providers on the prevention, identification and 
     treatment of FASD and other conditions related to prenatal 
     substance exposure across the lifespan.
       ``(M) Providing training to education, justice, and social 
     service system professionals to become FASD-informed and 
     FASD-engaged in their practices.
       ``(N) Including FASD in training for workforce development 
     and disability accessibility.
       ``(O) Supporting peer-to-peer certification programs for 
     individuals with FASD.
       ``(P) Developing FASD-informed certification programs.
       ``(Q) Disseminating information about FASD and other 
     conditions related to prenatal substance exposure and the 
     availability of support services to families and individuals 
     with FASD and other adverse conditions related to prenatal 
     substance exposure.
       ``(R) Implementing recommendations from relevant agencies 
     and organizations, including the State or Tribal FASD 
     advisory group, on the identification and prevention of FASD, 
     intervention programs or services for individuals with FASD 
     and their families.
       ``(S) Other activities, as the Secretary determines 
     appropriate or as recommended by the National Advisory 
     Council on FASD under section 399H-1.
       ``(4) Other contracts and agreements.--A State may carry 
     out activities under paragraph (3) through contracts or 
     cooperative agreements with another State or an Indian Tribe, 
     and with public, private for-profit or nonprofit entities 
     with a demonstrated expertise in FASD and other conditions 
     related to prenatal substance exposure prevention, screening 
     and diagnosis, or intervention services.
       ``(5) Report to congress.--Not later than 2 years after the 
     date on which amounts are first appropriated under paragraph 
     (6), the Secretary shall prepare and submit to the Committee 
     on Health, Education, Labor, and Pensions of the Senate and 
     the Committee on Energy and Commerce of the House of 
     Representatives a report that contains a description of 
     programs carried out under this section. At a minimum, the 
     report shall contain--
       ``(A) information concerning the number of States receiving 
     grants;
       ``(B) State and Tribal FASD diagnostic capacity and 
     barriers to achieving diagnostic capacity based on State FASD 
     surveillance data or the most recent estimated prevalence of 
     FASD in the United States;
       ``(C) information concerning systemic or other barriers to 
     screening for prenatal alcohol and other substance exposure 
     in existing systems of care, including--
       ``(i) the child welfare system;
       ``(ii) maternal and early child health care and alcohol and 
     other substance use disorder treatment programs;
       ``(iii) primary or secondary education systems; and
       ``(iv) juvenile and adult systems of justice;
       ``(D) information concerning existing State, Tribal, local 
     government or community programs and systems of care and 
     funding streams that could be used to identify and assist 
     individuals with FASD and other conditions related to 
     substance exposed pregnancies and the degree to which such 
     programs are FASD-informed or to which there are systemic or 
     other barriers preventing their use; and
       ``(E) information concerning existing State, Tribal, local 
     government or community primary, tertiary, or secondary 
     prevention programs on prenatal exposure to alcohol and other 
     harmful prenatal substances.
       ``(6) Authorization of appropriations.--
       ``(A) In general.--To carry out this subsection, there is 
     authorized to be appropriated $32,000,000 for each of fiscal 
     years 2023 through 2028.
       ``(B) Administrative and employment expenses.--Of the 
     amount appropriated for a fiscal year under subparagraph (A), 
     $12,000,000 shall be allocated to States and Indian Tribes 
     for purposes of covering administrative costs and supporting 
     the employment of FASD State and Tribal coordinators.
       ``(C) Tribal set aside.--Up to 20 percent of the grants, 
     contracts, or cooperative agreements awarded under this 
     subsection shall be reserved for Indian Tribes and Tribal 
     organizations.
       ``(e) Promoting Community Partnerships.--
       ``(1) In general.--The Secretary, acting through the 
     Administrator of Health Resources and Services 
     Administration, shall award grants, contracts, or cooperative 
     agreements to eligible entities to enable such entities to 
     establish, enhance, or improve community partnerships for the 
     purpose of collaborating on common objectives and integrating 
     culturally-appropriate best practice services available to 
     individuals with FASD and other conditions related to 
     prenatal substance exposure such as surveillance, screening, 
     assessment, diagnosis, prevention, treatment, and support 
     services.
       ``(2) Eligible entities.--To be eligible to receive a 
     grant, contract, or cooperative agreement under paragraph 
     (1), an entity shall--
       ``(A) be a public or private nonprofit entity that is--
       ``(i) a health care provider or health professional;
       ``(ii) a primary or secondary school;
       ``(iii) a social work or child protection service provider;
       ``(iv) an incarceration facility, or State or local 
     judicial system for juveniles and adults;
       ``(v) an FASD organization, parent-led group, or other 
     organization that supports and advocates for individuals with 
     FASD and their families;
       ``(vi) an Indian Tribe or Tribal organization;
       ``(vii) an early childhood intervention facility;
       ``(viii) any other entity the Secretary determines to be 
     appropriate; or
       ``(ix) a consortium of any of the entities described in 
     clauses (i) through (viii); and
       ``(B) prepare and submit to the Secretary an application at 
     such time, in such manner, and containing such information as 
     the Secretary may require, including assurances that the 
     entity submitting the application does, at the time of 
     application, or will, within a reasonable amount of time from 
     the date of application, provide evidence of substantive 
     participation with a broad range of entities that work with 
     or provide services for individuals with FASD.
       ``(3) Activities.--An eligible entity shall use amounts 
     received under a grant, contract, or cooperative agreement 
     under this subsection to carry out one or more of the 
     following activities relating to FASD and other conditions 
     related to prenatal substance exposure:
       ``(A) Integrating FASD-informed and culturally-appropriate 
     practices into existing programs and services available in 
     the community.
       ``(B) Conducting a needs assessment to identify services 
     that are not available in a community.

[[Page S5655]]

       ``(C) Developing and implementing culturally-appropriate, 
     community-based initiatives to prevent FASD, and to screen, 
     assess, diagnose, treat, and provide FASD-informed support 
     services to individuals with FASD and their families.
       ``(D) Disseminating information about FASD and the 
     availability of support services.
       ``(E) Developing and implementing a community-wide public 
     awareness and outreach campaign focusing on the dangers of 
     drinking alcohol while pregnant.
       ``(F) Providing mentoring or other support to individuals 
     with FASD and their families.
       ``(G) Other activities, as the Secretary determines 
     appropriate, or in consideration of recommendations from the 
     National Advisory Council on FASD established under section 
     399H-1.
       ``(4) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated $5,000,000 
     for each of fiscal years 2023 through 2028.
       ``(f) Development of Best Practices and Models of Care.--
       ``(1) In general.--The Secretary, in coordination with the 
     Administrator of Health Resources and Services 
     Administration, shall award grants to States, Indian Tribes 
     and Tribal organizations, nongovernmental organizations, and 
     institutions of higher education for the establishment of 
     pilot projects to identify and implement culturally-
     appropriate best practices for--
       ``(A) providing intervention and education of children with 
     FASD, including--
       ``(i) activities and programs designed specifically for the 
     identification, treatment, and education of such children; 
     and
       ``(ii) curricula development and credentialing of teachers, 
     administrators, and social workers who implement such 
     programs and provide childhood interventions;
       ``(B) educating professionals within the child welfare, 
     juvenile and adult criminal justice systems, including 
     judges, attorneys, probation officers, social workers, child 
     advocates, medical and mental health professionals, substance 
     abuse professionals, law enforcement officers, prison wardens 
     or other incarceration administrators, and administrators of 
     developmental disability, mental health and alternative 
     incarceration facilities on how to screen, assess, identify, 
     treat and support individuals with FASD or similar conditions 
     related to prenatal substance exposure within these systems, 
     including--
       ``(i) programs designed specifically for the 
     identification, assessment, treatment, and education of 
     individuals with FASD; and
       ``(ii) curricula development and credentialing within the 
     adult and juvenile justice and child welfare systems for 
     individuals who implement such programs;
       ``(C) educating adoption or foster care agency officials 
     about available and necessary services for children with 
     FASD, including--
       ``(i) programs designed specifically for screening, 
     assessment and identification, treatment, and education of 
     individuals with FASD; and
       ``(ii) on-going and consistent education and training for 
     potential adoptive or foster parents of a child with FASD;
       ``(D) educating health and mental health and substance use 
     providers about available and necessary services for children 
     with FASD, including--
       ``(i) programs designed specifically for screening and 
     identification, and both health and mental health treatment, 
     of individuals with FASD; and
       ``(ii) curricula development and credentialing within the 
     health and mental health and substance abuse systems for 
     individuals who implement such programs; and
       ``(E) identifying and implementing culturally-appropriate 
     best practice models for reducing alcohol and other substance 
     exposed pregnancies in women at high risk of such 
     pregnancies.
       ``(2) Application.--To be eligible for a grant under 
     paragraph (1), an entity shall prepare and submit to the 
     Secretary an application at such time, in such manner, and 
     containing such information as the Secretary may require.
       ``(3) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated $5,000,000 
     for each of fiscal years 2023 through 2028.
       ``(g) Transitional Services.--
       ``(1) In general.--The Secretary, in coordination with the 
     Administrator of the Health Resources and Services 
     Administration and the Administrator of the Administration 
     for Community Living, shall award demonstration grants, 
     contracts, and cooperative agreements to States and local 
     units of government, Indian Tribes and Tribal organizations, 
     and nongovernmental organizations for the purpose of 
     establishing integrated systems for providing culturally-
     appropriate best practice transitional services for adults 
     affected by prenatal alcohol or substance exposure and 
     evaluating the effectiveness of such services.
       ``(2) Application.--To be eligible for a grant, contract, 
     or cooperative agreement under paragraph (1), an entity shall 
     prepare and submit to the Secretary an application at such 
     time, in such manner, and containing such information as the 
     Secretary may reasonably require, including specific 
     credentials relating to education, skills, training, and 
     continuing educational requirements relating to FASD.
       ``(3) Allowable uses.--An entity shall use amounts received 
     under a grant, contract, or cooperative agreement under 
     paragraph (1) to carry out one or more of the following 
     activities:
       ``(A) Provide housing assistance to, or specialized housing 
     for, adults with FASD.
       ``(B) Provide FASD-informed vocational training and 
     placement services for adults with FASD.
       ``(C) Provide medication monitoring services for adults 
     with FASD.
       ``(D) Provide FASD-informed training and support to 
     organizations providing family services or mental health 
     programs and other organizations that work with adults with 
     FASD.
       ``(E) Establish and evaluate housing models specially 
     designed for adults with FASD.
       ``(F) Recruit, train and provide mentors for individuals 
     with FASD.
       ``(G) Other services or programs, as the Secretary 
     determines appropriate.
       ``(4) Authorization of appropriations.--To carry out this 
     subsection, there is authorized to be appropriated $5,000,000 
     for each of fiscal years 2023 through 2028.
       ``(h) Services for Individuals With Fetal Alcohol Spectrum 
     Disorders.--
       ``(1) In general.--The Secretary, in coordination the 
     Assistant Secretary for Mental Health and Substance Use, 
     shall make awards of grants, cooperative agreements, or 
     contracts to public and nonprofit private entities, including 
     Indian tribes and tribal organizations, to provide FASD-
     informed culturally-appropriate services to individuals with 
     FASD.
       ``(2) Use of funds.--An award under paragraph (1) may, 
     subject to paragraph (4), be used to--
       ``(A) screen and test individuals to determine the type and 
     level of services needed;
       ``(B) develop a FASD-informed comprehensive plan for 
     providing services to the individuals;
       ``(C) provide FASD-informed mental health counseling;
       ``(D) provide FASD-informed substance abuse prevention 
     services and treatment, if needed;
       ``(E) coordinate services with other social programs 
     including social services, justice system, educational 
     services, health services, mental health and substance abuse 
     services, financial assistance programs, vocational services 
     and housing assistance programs;
       ``(F) provide FASD-informed vocational services;
       ``(G) provide FASD-informed health counseling;
       ``(H) provide FASD-informed housing assistance;
       ``(I) conduct FASD-informed parenting skills training;
       ``(J) develop and implement overall FASD-informed case 
     management;
       ``(K) provide supportive services for families of 
     individuals with FASD;
       ``(L) provide respite care for caretakers of individuals 
     with FASD;
       ``(M) recruit, train and provide mentors for individuals 
     with FASD;
       ``(N) provide FASD-informed educational and supportive 
     services to families of individuals with FASD; and
       ``(O) provide other services and programs, to the extent 
     authorized by the Secretary after consideration of 
     recommendations made by the National Advisory Council on 
     FASD.
       ``(3) Requirements.--To be eligible to receive an award 
     under paragraph (1), an applicant shall--
       ``(A) demonstrate that the program will be part of a 
     coordinated, comprehensive system of care for such 
     individuals;
       ``(B) demonstrate an established communication with other 
     social programs in the community including social services, 
     justice system, financial assistance programs, health 
     services, educational services, mental health and substance 
     abuse services, vocational services and housing assistance 
     services;
       ``(C) have a qualified staff of medical, mental health or 
     other professionals with a history of working with 
     individuals with FASD;
       ``(D) provide assurance that the services will be provided 
     in a culturally and linguistically appropriate manner; and
       ``(E) provide assurance that at the end of the 5-year award 
     period, other mechanisms will be identified to meet the needs 
     of the individuals and families served under such award.
       ``(4) Relationship to payments under other programs.--An 
     award may be made under paragraph (1) only if the applicant 
     involved agrees that the award will not be expended to pay 
     the expenses of providing any service under this section to 
     an individual to the extent that payment has been made, or 
     can reasonably be expected to be made, with respect to such 
     expenses--
       ``(A) under any State compensation program, under an 
     insurance policy, or under any Federal or State or Tribal 
     health benefits programs; or
       ``(B) by an entity that provides health services on a 
     prepaid basis.
       ``(5) Duration of awards.--With respect to any award under 
     paragraph (1), the period during which payments under such 
     award are made to the recipient may not exceed 5 years.
       ``(6) Evaluation.--The Secretary shall evaluate each 
     project carried out under paragraph (1) and shall disseminate 
     the findings

[[Page S5656]]

     with respect to each such evaluation to appropriate public 
     and private entities, including the National Advisory Council 
     on FASD.
       ``(7) Funding.--
       ``(A) Authorization of appropriations.-- For the purpose of 
     carrying out this subsection, there is authorized to be 
     appropriated $10,000,000 for each fiscal years 2023 through 
     2028.
       ``(B) Allocation.--Of the amounts appropriated under 
     subparagraph (A) for a fiscal year, not more than $300,000 
     shall, for the purposes relating to FASD, be made available 
     for collaborative, coordinated interagency efforts with the 
     National Institute on Alcohol Abuse and Alcoholism, National 
     Institute on Mental Health, the Eunice Kennedy Shriver 
     National Institute of Child Health and Human Development, the 
     Health Resources and Services Administration, the Agency for 
     Healthcare Research and Quality, the Administration for 
     Community Living, the Centers for Disease Control and 
     Prevention, the Department of Education, the Department of 
     Justice, and other agencies, as determined by the Secretary. 
     Interagency collaborative efforts may include--
       ``(i) the evaluation of existing programs for efficacy;
       ``(ii) the development of new evidence-based or best 
     practice programs for prevention of prenatal alcohol and 
     other substance exposure, and interventions for individuals 
     with FASD and their families;
       ``(iii) the facilitation of translation and transition of 
     existing evidence-based, best practices or culturally-
     appropriate prevention and intervention programs into general 
     and community practice; and
       ``(iv) engaging in Tribal consultation to ensure that 
     Indian Tribes and Tribal organizations are able to develop 
     culturally-appropriate services and interventions for 
     prenatal alcohol and other substance exposure, and 
     interventions for individuals with FASD and other conditions 
     related to prenatal substance exposure and their families.''.
       (b) National Advisory Council on FSAD.--Part O of title III 
     of the Public Health Service Act (42 U.S.C. 280f et seq.), as 
     amended by subsection (a), is further amended by inserting 
     after section 339H the following:

     ``SEC. 399H-1. NATIONAL ADVISORY COUNCIL ON FASD.

       ``(a) In General.--The Secretary shall establish an 
     advisory council to be known as the National Advisory Council 
     on FASD (referred to in this section as the `Council') to 
     foster coordination and cooperation among all Federal and 
     non-Federal members and their constituencies that conduct or 
     support FASD and other conditions related to prenatal 
     substance exposure research, programs, and surveillance, and 
     otherwise meet the general needs of populations actually or 
     potentially impacted by FASD and other conditions related to 
     prenatal substance exposure.
       ``(b) Membership.--The Council shall be composed of 23 
     members as described in paragraphs (1) and (2).
       ``(1) Federal membership.--Members of the Council shall 
     include representatives of the following Federal agencies:
       ``(A) The National Institute on Alcohol Abuse and 
     Alcoholism.
       ``(B) The National Institute on Drug Abuse.
       ``(C) The Centers for Disease Control and Prevention.
       ``(D) The Health Resources and Services Administration.
       ``(E) The Substance Abuse and Mental Health Services 
     Agency.
       ``(F) The Office of Special Education and Rehabilitative 
     Services.
       ``(G) The Office of Justice Programs.
       ``(H) The Indian Health Service.
       ``(I) The Interagency Coordinating Committee on Fetal 
     Alcohol Spectrum Disorders.
       ``(J) The Agency for Healthcare Research and Quality.
       ``(2) Non-federal members.--Additional non-Federal public 
     and private sector members of the Council shall be nominated 
     by the Interagency Coordinating Committee on Fetal Alcohol 
     Spectrum Disorders and appointed by the Secretary, and shall 
     be staffed by the Office of the Assistant Secretary for 
     Planning and Evaluation of the Department of Health and Human 
     Service. Such members shall include--
       ``(A) at least one individual with FASD or a parent or 
     legal guardian of an individual with FASD;
       ``(B) at least one individual or a parent or legal guardian 
     of an individual with a condition related to prenatal 
     substance exposure;
       ``(C) at least one birth mother of an individual with FASD;
       ``(D) at least one representative from the FASD Study Group 
     of the Research Society on Alcoholism;
       ``(E) at least one representative of the National 
     Organization on Fetal Alcohol Syndrome;
       ``(F) at least one representative of a leading statewide 
     advocacy and service organization for individuals with FASD 
     and their families;
       ``(G) at least one representative of the FASD Center for 
     Excellence established under section 399H-3;
       ``(H) at least 2 representatives from State or Tribal 
     advisory groups receiving an award under section 399H(d); and
       ``(I) representatives with interest and expertise in FASD 
     from the private sector of pediatricians, obstetricians and 
     gynecologists, substance abuse and mental health care 
     providers, family and juvenile court judges and justice and 
     corrections programming and services, or special education 
     and social work professionals.
       ``(3) Appointment timing.--The members of the Council 
     described in paragraph (2) shall be appointed by the 
     Secretary not later than 6 months after the date of enactment 
     of this section.
       ``(c) Functions.--The Council shall--
       ``(1) advise Federal, State, Tribal and local programs and 
     research concerning FASD and other conditions related to 
     prenatal substance exposure, including programs and research 
     concerning education and public awareness for relevant 
     service providers, reducing the incidence of prenatal alcohol 
     and other substance exposure in pregnancies, medical and 
     mental diagnosis, interventions for women at-risk of giving 
     birth with FASD and beneficial services and supports for 
     individuals with FASD and their families;
       ``(2) coordinate its efforts with the Interagency Committee 
     on Fetal Alcohol Spectrum Disorders;
       ``(3) develop a summary of advances in FASD research 
     related to prevention, treatment, screening, diagnosis, and 
     interventions;
       ``(4) make recommendations for the FASD research program to 
     the Director of the National Institute of Alcohol Abuse and 
     Alcoholism;
       ``(5) review the 2009 report of the National Task Force on 
     FAS entitled, `A Call to Action' and other reports on FASD 
     and the adverse impact of prenatal substance exposure;
       ``(6) develop a summary of advances in practice and 
     programs relevant to FASD prevention, treatment, early 
     screening, diagnosis, and interventions;
       ``(7) make recommendations on a national agenda to reduce 
     the prevalence and the associated impact of FASD and other 
     conditions related to prenatal substance exposure and improve 
     the quality of life of individuals and families impacted by 
     FASD or the adverse effects of prenatal substance exposure, 
     including--
       ``(A) proposed Federal budgetary requirements for FASD 
     research and related services and support activities for 
     individuals with FASD;
       ``(B) recommendations to ensure that FASD research, and 
     services and support activities to the extent practicable, of 
     the Department of Health and Human Services and of other 
     Federal departments and agencies, are not unnecessarily 
     duplicative;
       ``(C) identification of existing Federal programs that 
     could be used to identify and assist individuals with FASD 
     and other conditions related to substance exposed 
     pregnancies;
       ``(D) identification of gaps or barriers for individuals 
     living with, or impacted by, FASD in accessing diagnostic, 
     early intervention, and support services;
       ``(E) identification of prevention strategies, including 
     education campaigns and options, such as product warnings and 
     other mechanisms to raise awareness of the risks associated 
     with prenatal alcohol consumption;
       ``(F) identification of current diagnostic methods and 
     practices for the identification of FASD and identify gaps or 
     barriers for achieving diagnostic capacity throughout the 
     United States based on current estimated prevalence of FASD;
       ``(G) recommendations for research or other measures to 
     increase diagnostic capacity to meet the needs of the 
     estimated number of individuals with FASD;
       ``(H) identification and enhancement of culturally-
     appropriate or best practice approaches and models of care to 
     reduce the incidence of FASD; and
       ``(I) identification and enhancement of best practice 
     approaches and models of care to increase support and treat 
     individuals with FASD, and to make recommendations for a 
     broad model comprehensive community approach to the overall 
     problem of prenatal alcohol and other harmful substance 
     exposure.
       ``(d) Report to Congress and the President.--The Council 
     shall submit to Congress and to the President--
       ``(1) an update on the summary of advances described in 
     paragraphs (3) and (6) of subsection (c), not later than 2 
     years after the date of enactment of this section;
       ``(2) an update to the national agenda described in 
     subsection (c)(7), including any progress made in achieving 
     the objectives outlined in such agenda, not later than 4 
     years after the date of enactment of such Act; and
       ``(3) a final report that provides a summary of advances 
     described in paragraphs (3) and (6) of subsection (c), and an 
     update to the national agenda described in subsection (c)(7), 
     not later than September 30, 2027.
       ``(e) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $2,000,000 for 
     each of fiscal years 2023 through 2028.''.
       (c) Interagency Coordinating Committee on Fetal Alcohol 
     Spectrum Disorders.--Subpart 14 of part C of title IV of the 
     Public Health Service Act (42 U.S.C. 285n et seq.) is amended 
     by adding at the end the following:

     ``SEC. 464K. INTERAGENCY COORDINATING COMMITTEE ON FETAL 
                   ALCOHOL SPECTRUM DISORDERS.

       ``(a) In General.--The Director of the Institute shall 
     provide for the continuation of the `Interagency Coordinating 
     Committee on Fetal Alcohol Spectrum Disorders' (referred to 
     in this section as the `Committee') so that such Committee 
     may--
       ``(1) coordinate activities conducted by the Federal 
     Government on FASD, including convening meetings, 
     establishing work

[[Page S5657]]

     groups, sharing information, and facilitating and promoting 
     collaborative projects among Federal agencies, the National 
     Advisory Council on FASD established under section 399H-1, 
     and outside partners;
       ``(2) support organizations of appropriate medical and 
     mental health professionals in their development and 
     refinement of evidence-based clinical diagnostic guidelines 
     and criteria for all fetal alcohol spectrum disorders in 
     collaboration with other Federal and outside partners, and
       ``(3) develop priority areas considering recommendations 
     from the National Advisory Council on FASD.
       ``(b) Membership.--Members of the Committee shall include 
     representatives of the following Federal agencies:
       ``(1) The National Institute on Alcohol Abuse and 
     Alcoholism.
       ``(2) The Centers for Disease Control and Prevention.
       ``(3) The Health Resources and Services Administration.
       ``(4) The Office of the Assistant Secretary for Planning 
     and Evaluation.
       ``(5) The Office of Juvenile Justice and Delinquency 
     Prevention.
       ``(6) Office of Justice Programs of the Department of 
     Justice.
       ``(7) The Substance Abuse and Mental Health Services 
     Administration.
       ``(8) The Office of Special Education and Rehabilitation 
     Services.
       ``(9) The National Institute on Drug Abuse.
       ``(10) The National Institute of Mental Health.
       ``(11) The Indian Health Service.
       ``(12) The Eunice Kennedy Shriver National Institute of 
     Child Health and Human Development.
       ``(13) Other Federal agencies with responsibilities related 
     to FASD prevention or treatment or that interact with 
     individuals with FASD, including education and correctional 
     systems, alcohol and substance use disorder prevention and 
     treatment programs, maternal health, the Medicare and 
     Medicaid programs under titles XVIII and XIX, respectively, 
     of the Social Security Act, child health and welfare, 
     rehabilitative services, and labor and housing grant or 
     entitlement programs.
       ``(c) Authorization of Appropriations.--There are 
     authorized to be appropriated to carry out this section 
     $1,000,000 for each of fiscal years 2023 through 2028.''.
       (d) FASD Center for Excellence.--
       (1) In general.--Part O of title III of the Public Health 
     Service Act (42 U.S.C. 280f et seq.), as amended by 
     subsection (b), is further amended by inserting after section 
     339H-2 the following:

     ``SEC. 399H-2. FASD CENTER FOR EXCELLENCE.

       ``(a) In General.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration, and in consultation with the Assistant 
     Secretary for Mental Health and Substance Use, the Director 
     of the Centers for Disease Control, and the Chair of the 
     Interagency Coordinating Committee on Fetal Alcohol Spectrum 
     Disorders, shall award up to 4 grants, cooperative 
     agreements, or contracts to public or nonprofit entities with 
     demonstrated expertise in FASD prevention, identification, 
     and intervention services and other adverse conditions 
     related to prenatal substance exposure. Such awards shall be 
     for the purposes of establishing a FASD Center for Excellence 
     to build local, Tribal, State, and national capacities to 
     prevent the occurrence of FASD and other adverse conditions 
     related to exposure to substances, and to respond to the 
     needs of individuals with FASD and their families by carrying 
     out the programs described in subsection (b).
       ``(b) Programs.--An entity receiving an award under 
     subsection (a) may use such award for any of the following 
     programs:
       ``(1) Increasing fasd diagnostic capacity.--Initiating or 
     expanding diagnostic capacity of FASD by increasing 
     screening, assessment, identification, and diagnosis in 
     settings such as clinical practices, educational settings, 
     child welfare, and juvenile out-of-home placement facilities 
     and adult correctional systems.
       ``(2) Public awareness.--Developing and supporting national 
     public awareness and outreach activities, including the use 
     of all types of media and public outreach, and the formation 
     of a diverse speakers bureau to raise public awareness of the 
     risks associated with alcohol consumption during pregnancy 
     with the purpose of reducing the prevalence of FASD and 
     improving the quality of life for those living with FASD and 
     their families.
       ``(3) Resources and training.--
       ``(A) Clearinghouse.--Acting as a clearinghouse for 
     resources on FASD prevention, identification, and culturally-
     aware best practices, including the maintenance of a national 
     data-based directory on FASD-specific services in States, 
     Indian Tribes, and local communities.
       ``(B) Internet-based center.--Providing an internet-based 
     center that disseminates ongoing research and resource 
     development on FASD in administering systems of care for 
     individuals with FASD across their lifespan.
       ``(C) Intervention services and best practices.--Increasing 
     awareness and understanding of efficacious FASD screening 
     tools and culturally-appropriate intervention services and 
     best practices by--
       ``(i) maintaining a diverse national speakers bureau; and
       ``(ii) conducting national, regional, State, Tribal, or 
     peer cross-State webinars, workshops, or conferences for 
     training community leaders, medical and mental health and 
     substance abuse professionals, education and disability 
     professionals, families, law enforcement personnel, judges, 
     individuals working in financial assistance programs, social 
     service personnel, child welfare professionals, and other 
     service providers.
       ``(D) Building capacity.--Building capacity for State, 
     Tribal, and local affiliates dedicated to FASD awareness, 
     prevention, and identification and family and individual 
     support programs and services.
       ``(4) Technical assistance.--Providing technical assistance 
     to--
       ``(A) communities for replicating and adapting exemplary 
     comprehensive systems of care for individuals with FASD 
     developed under section 399H(d) and for replicating and 
     adapting culturally-appropriate best or model projects of 
     care developed under section 399H(f);
       ``(B) States and Indian Tribes in developing statewide or 
     Tribal FASD strategic plans, establishing or expanding 
     statewide programs of surveillance, screening and diagnosis, 
     prevention, and clinical intervention, and support for 
     individuals with FASD and their families under section 
     399H(d); and
       ``(C) Indian Tribes and Tribal organizations in engaging in 
     tribal consultation to ensure that such Tribes and Tribal 
     organizations are able to develop culturally-appropriate 
     services and interventions for individuals with FASD and 
     other conditions related to prenatal substance exposure and 
     their families.
       ``(5) Other functions.--Carrying out other functions, to 
     the extent authorized by the Secretary, after consideration 
     of recommendations of the National Advisory Council on FASD.
       ``(c) Application.--To be eligible for a grant, contract, 
     or cooperative agreement under this section, an entity shall 
     submit to the Secretary an application at such time, in such 
     manner, and containing such information as the Secretary may 
     require, including specific credentials relating to FASD 
     expertise and experience relevant to the application's 
     proposed activity, including development of FASD public 
     awareness activities and resources; FASD resource 
     development, dissemination, and training; coordination of 
     FASD-informed services, technical assistance, administration 
     of FASD partner networks, and other FASD-specific expertise.
       ``(d) Subcontracting.--A public or private nonprofit may 
     carry out the activities under subsection (a) through 
     contracts or cooperative agreements with other public and 
     private nonprofit entities with demonstrated expertise in--
       ``(1) FASD prevention activities;
       ``(2) FASD screening and identification;
       ``(3) FASD resource, development, dissemination, training 
     and technical assistance, administration and support of FASD 
     partner networks; and
       ``(4) intervention services.
       ``(e) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $8,000,000 for 
     each of fiscal years 2023 through 2028.''.
       (e) Department of Education and Department of Justice 
     Programs.--
       (1) Prevention, identification, intervention, and services 
     in the education system.--
       (A) General rule.--The Secretary of Education shall address 
     education-related issues with respect to children with FASD, 
     in accordance with this paragraph.
       (B) Specific responsibilities.--The Secretary of Education 
     shall direct the Office of Special Education and 
     Rehabilitative Services to--
       (i) support the development, collection, and dissemination 
     (through the internet website of the Department of Education, 
     at teacher-to-teacher workshops, through in-service 
     trainings, and through other means) of culturally-appropriate 
     best practices that are FASD-informed in the education and 
     support of children with FASD (including any special 
     techniques on how to assist these children in both special 
     and traditional educational settings, and including such 
     practices that incorporate information concerning the 
     identification, behavioral supports, teaching, and learning 
     associated with FASD) to--

       (I) education groups such as the National Association of 
     School Boards, the National Education Association, the 
     American Federation of Teachers, the National Association of 
     Elementary School Principals, the National Association of 
     Secondary School Principals and national groups of special 
     education teachers;
       (II) recipients of a grant under the 21st Century Community 
     Learning Center program established under part B of title IV 
     of the Elementary and Secondary Education Act of 1965 (20 
     U.S.C. 7171 et seq.) and other after school program 
     personnel; and
       (III) parent teacher associations, parent information and 
     training centers, and other appropriate parent education 
     organizations;

       (ii) ensure that, in administering the Individuals with 
     Disabilities Education Act (20 U.S.C. 1400 et seq.), parents, 
     educators, and advocates for children with disabilities are 
     aware that children with FASD have the right to access 
     general curriculum under the least restrictive environment;
       (iii) collaborate with other Federal agencies to include 
     information or activities relating to prenatal alcohol and 
     other harmful substance exposure in programs related to 
     maternal health and health education; and

[[Page S5658]]

       (iv) support efforts by peer advisory networks of 
     adolescents in schools to discourage the use of alcohol and 
     other harmful substances while pregnant or when considering 
     getting pregnant.
       (C) Definition.--For purposes of this paragraph, the term 
     ``FASD'' has the meaning given such term in section 399H(a) 
     of the Public Health Service Act, as added by subsection (a).
       (D) Authorization of appropriations.--There are authorized 
     to be appropriated to carry out this paragraph $5,000,000 for 
     each of fiscal years 2023 through 2028.
       (2) Prevention, identification, intervention and services 
     in the justice system.--
       (A) In general.--The Attorney General shall address 
     justice-related issues with respect to youth and adults with 
     FASD and other neurodevelopmental conditions as a result of 
     prenatal substance exposure, in accordance with this 
     paragraph.
       (B) Requirements.--The Attorney General, acting through the 
     Office of Juvenile Justice and Delinquency Prevention and the 
     Bureau of Justice Initiatives, shall--
       (i) develop screening and assessment procedures and conduct 
     trainings on demonstration FASD surveillance projects in 
     adult and juvenile correction facilities in collaboration 
     with the National Center on Birth Defects and Developmental 
     Disabilities and assistance from appropriate medical and 
     mental health professionals;
       (ii) provide culturally appropriate support and technical 
     assistance to justice systems professionals in developing 
     training curricula on how to most effectively identify and 
     interact with individuals with FASD or similar 
     neurodevelopmental disorders in the adult and juvenile 
     justice systems, and such support may include providing 
     information about the prevention, assessment, identification 
     and treatment of these disorders into justice professionals' 
     credentialing or continuing education requirements;
       (iii) provide culturally appropriate technical assistance 
     to adult and juvenile systems in addressing the integration 
     of prenatal alcohol and substance exposure history into 
     existing validated screening and assessment instruments;
       (iv) provide culturally appropriate technical assistance 
     and support on the education of justice system professionals, 
     including judges, attorneys, probation officers, child 
     advocates, law enforcement officers, prison wardens and other 
     incarceration officials, medical and mental health 
     professionals, and administrators of developmental 
     disability, mental health and alternative incarceration 
     facilities on how to screen, assess, identify, treat, respond 
     and support individuals with FASD and other conditions as a 
     result of substance exposure within the justice systems, 
     including--

       (I) programs designed specifically for the identification, 
     assessment, treatment, and education of those with FASD;
       (II) curricula development and credentialing of teachers, 
     administrators, and social workers who implement such 
     programs; and
       (III) how FASD and other neurodevelopmental disorders 
     impact an individual's interaction with law enforcement and 
     whether diversionary sentencing options are more appropriate 
     for such individuals;

       (v) conduct a study on the practices and procedures within 
     the criminal justice system for identifying and treatment of 
     juvenile and adult offenders with neurodevelopmental 
     disabilities, such as FASD, the impact of FASD on offenders' 
     cognitive skills and adaptive functioning, and identify 
     alternative culturally-appropriate methods of treatment and 
     incarceration that have been demonstrated to be more 
     effective for such offenders; and
       (vi) collaborate with professionals with FASD expertise and 
     implement FASD-informed transition programs for adults and 
     juveniles with FASD who are released from adult and juvenile 
     correctional facilities.
       (C) Access for bop inmates.--The Attorney General shall 
     direct the Reentry Services Division at the Bureau of Prisons 
     to ensure that each inmate with FASD or a similar 
     neurodevelopmental disorder who is in the custody of the 
     Bureau of Prisons have access to FASD-informed culturally 
     appropriate services upon re-entry, including programs, 
     resources, and activities for adults with FASD, to facilitate 
     the successful reintegration into their communities upon 
     release.
       (D) Authorization of appropriations.--For the purpose of 
     carrying out this paragraph, there are authorized to be 
     appropriated $2,000,000 for each of fiscal years 2023 through 
     2028.
       (3) Definition.--For purposes of this subsection, the term 
     ``FASD'' has the meaning given such term in section 399H(a) 
     of the Public Health Service Act, as amended by subsection 
     (a).
                                 ______