[Congressional Record Volume 169, Number 120 (Thursday, July 13, 2023)]
[Senate]
[Pages S2583-S2584]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

  SA 413. Ms. MURKOWSKI (for herself and Ms. Klobuchar) submitted an 
amendment intended to be proposed by her to the bill S. 2226, to 
authorize appropriations for fiscal year 2024 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 in subtitle G of title X, insert 
     the following:

     SEC. __. 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 FASD, 
     as appropriate, including'';
       (II) in subparagraph (B)--

       (aa) by striking ``prevention services and interventions 
     for pregnant, alcohol-dependent women'' and inserting 
     ``culturally and linguistically informed evidence-based or 
     practice-based interventions and appropriate societal 
     supports for preventing prenatal alcohol exposure, which may 
     co-occur with exposure to other substances''; and
       (bb) by striking ``; and'' and inserting a semicolon;
       (v) by striking paragraph (3) and inserting the following:

[[Page S2584]]

       ``(3) integrating 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; and
       ``(4) building State and Tribal capacity for the 
     identification, treatment, and support of individuals with 
     FASD and their families, which may include--
       ``(A) utilizing and adapting existing Federal, State, or 
     Tribal programs to include FASD identification and FASD-
     informed support;
       ``(B) developing and expanding screening and diagnostic 
     capacity for FASD;
       ``(C) developing, implementing, and evaluating targeted 
     FASD-informed intervention programs for FASD;
       ``(D) increasing awareness of FASD;
       ``(E) providing training with respect to FASD for 
     professionals across relevant sectors; and
       ``(F) 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.
       ``(3) Additional application contents.--The Secretary may 
     require that an entity using amounts from a grant, 
     cooperative agreement, or contract under this section for an 
     activity under subsection (a)(4) include in the application 
     for such amounts submitted under paragraph (2)(B)--
       ``(A) a designation of an individual to serve as a FASD 
     State or Tribal coordinator of such activity; and
       ``(B) a description of an advisory committee the entity 
     will establish to provide guidance for the entity on 
     developing and implementing a statewide or Tribal strategic 
     plan to prevent FASD and provide for the identification, 
     treatment, and support of individuals with FASD and their 
     families.''; and
       (E) by striking subsections (c) and (d); and
       (F) by adding at the end the following:
       ``(c) Definition of FASD-informed.--For purposes of this 
     section, the term `FASD-informed', with respect to support or 
     an intervention program, means that such support or 
     intervention program uses culturally and linguistically 
     informed evidence-based or practice-based interventions and 
     appropriate societal supports to support an improved quality 
     of life for an individual with FASD and the family of such 
     individual.''; 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 
     and linguistically informed 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 recipients of 
     grants, cooperative agreements, or contracts 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 and 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 
     2024 through 2028.''.
       (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.
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