[Congressional Record Volume 168, Number 199 (Wednesday, December 21, 2022)]
[Senate]
[Page S10018]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

       SA 6609. Ms. MURKOWSKI (for herself and Ms. Klobuchar) submitted an 
     amendment intended to be proposed to amendment SA 6552 proposed by Mr. 
     Leahy to the bill H.R. 2617, to amend section 1115 of title 31, United 
     States Code, to amend the description of how performance goals are 
     achieved, and for other purposes; which was ordered to lie on the 
     table; as follows:
     
            At the end of division FF, add the following:
     
         TITLE VII--ADVANCING FETAL ALCOHOL SPECTRUM DISORDERS RESEARCH, 
                             SERVICES, AND PREVENTION
     
          SEC. 7101. SHORT TITLE.
     
            This Act may be cited as the ``Advancing FASD Research, 
          Services and Prevention Act'' or the ``FASD Respect Act''.
     
          SEC. 7102. HHS PROGRAM ON 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--
            (1) by amending the part heading to read as follows: 
          ``fetal alcohol spectrum disorders prevention and services 
          program'';
            (2) in section 399H (42 U.S.C. 280f)--
            (A) in the section heading, by striking ``establishment of 
          fetal alcohol syndrome prevention'' and inserting ``fetal 
          alcohol spectrum disorders prevention, intervention,'';
            (B) by striking ``Fetal Alcohol Syndrome and Fetal Alcohol 
          Effect'' each place it appears and inserting ``FASD'';
            (C) in subsection (a)--
            (i) by amending the heading to read as follows: ``In 
          General'';
            (ii) in the matter preceding paragraph (1)--
     
            (I) by inserting ``or continue activities to support'' 
          after ``shall establish'';
            (II) by striking ``FASD'' (as amended by subparagraph (B)) 
          and inserting ``fetal alcohol spectrum disorders (referred to 
          in this section as `FASD')'';
            (III) by striking ``prevention, intervention'' and 
          inserting ``awareness, prevention, identification, 
          intervention,''; and
            (IV) by striking ``that shall'' and inserting ``, which 
          may'';
     
            (iii) in paragraph (1)--
     
            (I) in subparagraph (A)--
     
            (aa) by striking ``medical schools'' and inserting ``health 
          professions schools''; and
            (bb) by inserting ``infants,'' after ``provision of 
          services for''; and
     
            (II) in subparagraph (D), by striking ``medical and 
          mental'' and inserting ``agencies providing'';
     
            (iv) in paragraph (2)--
     
            (I) in the matter preceding subparagraph (A), by striking 
          ``a prevention and diagnosis program to support clinical 
          studies, demonstrations and other research as appropriate'' 
          and inserting ``supporting and conducting research on fetal 
          alcohol spectrum disorders, as appropriate, including''; and
            (II) in subparagraph (B), by striking ``prevention services 
          and interventions for pregnant, alcohol-dependent women'' and 
          inserting ``evidence-based services and interventions for 
          preventing prenatal alcohol exposure, which may co-occur with 
          exposure to other substances''; and
     
            (v) by amending paragraph (3) to read as follows:
            ``(3) building State and Tribal capacity for the 
          identification, treatment, and support of individuals with 
          FASD and their families, which may include by developing, 
          implementing, and evaluating targeted intervention programs 
          for FASD, increasing awareness of FASD, providing training 
          for professionals across relevant sectors, and disseminating 
          information about FASD and support services to affected 
          individuals and their families.'';
            (D) in subsection (b)--
            (i) by striking ``described in section 399I'';
            (ii) by striking ``The Secretary'' and inserting the 
          following:
            ``(1) In general.--The Secretary''; and
            (iii) by adding at the end the following:
            ``(2) Eligible entities.--To be eligible to receive a 
          grant, or enter into a cooperative agreement or contract 
          under this section, an entity shall--
            ``(A) be a State, Indian Tribe or Tribal organization, 
          local government, scientific or academic institution, or 
          nonprofit organization; 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 a description of the 
          activities that the entity intends to carry out using amounts 
          received under this section.''; and
            (E) by striking subsections (c) and (d); and
            (3) by striking sections 399I, 399J, and 399K (42 U.S.C. 
          280f-1, 280f-2, 280f-3) and inserting the following:
     
          ``SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CENTERS FOR 
                        EXCELLENCE.
     
            ``(a) In General.--The Secretary shall, as appropriate, 
          award grants, cooperative agreements, or contracts to public 
          or nonprofit entities with demonstrated expertise in the 
          prevention of, identification of, and intervention services 
          with respect to, fetal alcohol spectrum disorders (referred 
          to in this section as `FASD') and other related adverse 
          conditions. Such awards shall be for the purposes of 
          establishing Fetal Alcohol Spectrum Disorders Centers for 
          Excellence to build local, Tribal, State, and national 
          capacities to prevent the occurrence of FASD and other 
          related adverse conditions, 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 the following purposes:
            ``(1) Initiating or expanding diagnostic capacity for FASD 
          by increasing screening, assessment, identification, and 
          diagnosis.
            ``(2) Developing and supporting public awareness and 
          outreach activities, including the use of a range of media 
          and public outreach, to raise public awareness of the risks 
          associated with alcohol consumption during pregnancy, with 
          the goals of reducing the prevalence of FASD and improving 
          the developmental, health (including mental health), and 
          educational outcomes of individuals with FASD and supporting 
          families caring for individuals with FASD.
            ``(3) Acting as a clearinghouse for evidence-based 
          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, and disseminating 
          ongoing research and developing resources on FASD to help 
          inform systems of care for individuals with FASD across their 
          lifespan.
            ``(4) Increasing awareness and understanding of 
          efficacious, evidence-based FASD screening tools and 
          culturally- and linguistically-appropriate evidence-based 
          intervention services and best practices, which may include 
          by conducting national, regional, State, Tribal, or peer 
          cross-State webinars, workshops, or conferences for training 
          community leaders, medical and mental health and substance 
          use disorder 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.
            ``(5) Improving capacity for State, Tribal, and local 
          affiliates dedicated to FASD awareness, prevention, and 
          identification and family and individual support programs and 
          services.
            ``(6) Providing technical assistance to grantees under 
          section 399H, as appropriate.
            ``(7) Carrying out other functions, as appropriate.
            ``(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.
            ``(d) Subcontracting.--A public or private nonprofit entity 
          may carry out the following activities required under this 
          section through contracts or cooperative agreements with 
          other public and private nonprofit entities with demonstrated 
          expertise in FASD:
            ``(1) Prevention activities.
            ``(2) Screening and identification.
            ``(3) Resource, development, dissemination, training and 
          technical assistance, administration and support of FASD 
          partner networks.
            ``(4) Intervention services.
     
          ``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.
     
            ``There are authorized to be appropriated to carry out this 
          part such sums as may be necessary for each of fiscal years 
          2023 through 2027.''.
            (b) Report.--Not later than 4 years after the date of 
          enactment of this Act, the Secretary of Health and Human 
          Services shall 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 on the 
          efforts of the Department of Health and Human Services to 
          advance public awareness on, and facilitate the 
          identification of best practices related to, fetal alcohol 
          spectrum disorders identification, prevention, treatment, and 
          support.
                                      ______