[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 1410 Introduced in Senate (IS)]
114th CONGRESS
1st Session
S. 1410
To amend the Public Health Service Act to provide grants to improve the
treatment of substance use disorders.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 21, 2015
Mr. Markey introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to provide grants to improve the
treatment of substance use disorders.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Treatment and Recovery Investment
Act''.
SEC. 2. OPIOID TREATMENT AND RECOVERY INITIATIVE.
Subpart 1 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb et seq.) is amended--
(1) by redesignating the second section 514 relating to the
methamphetamine and amphetamine treatment initiative (42 U.S.C.
290bb-9) as section 514B; and
(2) by adding at the end the following:
``SEC. 514C. OPIOID TREATMENT AND RECOVERY INITIATIVE.
``(a) Grants.--
``(1) Authority to make grants.--The Director of the Center
for Substance Abuse Treatment may award grants to the State
agencies responsible for administering funds received under the
substance abuse prevention and treatment block grant program
under title XIX, units of local government that have a high
rate, or have had a rapid increase, in the use of, or death
related to the use of, heroin or other opioids, including
prescription opioids, and Indian tribes or tribal organizations
(as defined in section 4 of the Indian Health Care Improvement
Act), in order to permit such entities to expand evidence-based
treatment activities and related recovery services in the
specific geographical areas of such entities where there exists
a need to address the use of, or death related to the use of,
heroin or other opioids.
``(2) Recipients.--Grants awarded under paragraph (1) shall
be directed to the substance abuse directors of the States and
the appropriate tribal government authorities of the Indian
tribes.
``(3) Nature of activities.--Grant funds awarded under
paragraph (1) shall be used for activities that are based on
reliable scientific evidence of efficacy in the treatment of
problems related to the use or misuse of heroin or other
opioids.
``(b) Geographic Distribution.--The Director shall ensure that
grants awarded under subsection (a) are distributed equitably among the
various regions of the United States and among rural, urban, and
suburban areas that are affected by the use of heroin or other opioids.
``(c) Evaluation and Reporting.--A State agency, unit of local
government, or Indian tribe or tribal organization receiving a grant
under subsection (a) shall provide the Director with aggregate data and
other information determined by the Director to be necessary to enable
the Director--
``(1) to evaluate the success of the grant program involved
in achieving its purposes; and
``(2) to prepare and submit the report to Congress on an
annual basis.
``(d) Additional Activities.--In carrying out this section, the
Director shall--
``(1) disseminate widely such findings derived from the
evaluation conducted under subsection (c) as the Director
considers appropriate;
``(2) provide States, Indian tribes, and tribal
organizations, and health care providers with technical
assistance in connection with the provision of evidence-based
treatment for problems related to heroin and other opioids; and
``(3) give priority to applications for grants under this
section that support recovery and related services as a
critical component of the grant program, including
comprehensive social services that assist with housing,
employment, or education.
``(e) Authorization of Appropriations.--
``(1) In general.--There is authorized to be appropriated
to carry out this section, $27,000,000 for fiscal year 2016,
and such sums as may be necessary for each of fiscal years 2016
through 2020.
``(2) Use of certain funds.--Of the funds appropriated to
carry out this section in any fiscal year under paragraph (1),
the lesser of 5 percent of such funds or $1,000,000 shall be
available to the Director for purposes of carrying out
subsection (c).''.
SEC. 3. GRANTS FOR ENHANCING PRIMARY CARE ACCESS FOR OPIOID DEPENDENT
PREGNANT AND PARENTING WOMEN.
Subpart 1 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb et seq.), as amended by section 2, is further amended by
adding at the end the following:
``SEC. 514D. GRANTS FOR ENHANCING PRIMARY CARE ACCESS FOR OPIOID
DEPENDENT PREGNANT AND PARENTING WOMEN.
``(a) In General.--The Director of the Center for Substance Abuse
Treatment shall award grants to State substance abuse agencies, Indian
tribes or tribal organizations (as defined in section 4 of the Indian
Health Care Improvement Act), and public nonprofit entities for the
purpose of enhancing access to primary care and related services for
pregnant and parenting women diagnosed with opioid dependence.
``(b) Use of Funds.--Amount awarded under a grant under subsection
(a) may be used to assist health care providers or facilities caring
for pregnant and parenting opioid dependent women to provide the
following services:
``(1) Clinically appropriate trauma informed gender-
specific services that are based on reliable scientific
evidence of efficacy in the treatment of problems related to
substance use disorder.
``(2) Prenatal and postpartum care.
``(3) Child care for infants and other children under the
age of 18 of the opioid dependent woman.
``(4) Prevention and wellness services, including nutrition
education, exercise instruction, and training in other life and
coping skills.
``(5) Developmental and therapeutic services for children
of opioid dependent woman.
``(6) Domestic violence services.
``(7) Educational services for women on proper care for
newborns with neonatal abstinence syndrome and other clinical
indications for newborns related to substance use during
pregnancy.
``(8) Parenting courses.
``(9) HIV/AIDS and Hepatitis C care and services.
``(10) Dental services.
``(11) Recovery coaches and mentors that can assist in
supporting the opioid dependent woman in achieving long term
recovery according to the needs of the woman.
``(12) Case management services, including assistance in
establishing eligibility for public programs, housing
assistance, job training, educational or vocational
opportunities, transportation, and other related activities.
``(c) Length of Grant.--Each grant awarded under subsection (a)
shall be for a period of 5 years.
``(d) Additional Activities.--The Director shall--
``(1) collect and evaluate data regarding activities
supported by grants awarded under subsection (a);
``(2) give priority in awarding grants to applicants that
are meeting a geographical need for substance use disorder
services for pregnant, postpartum or parenting women; and
``(3) give priority in awarding grants to entities that are
collaborating with State health care, public health, criminal
justice, and child welfare agencies as well as local Federally
qualified health centers for the purpose of enhancing access to
primary care and related services for pregnant and parenting
women diagnosed with opioid dependence.
``(e) Authorization of Appropriations.--
``(1) In general.--There is authorized to be appropriated
to carry out this section, $15,000,000 for fiscal year 2016,
and such sums as may be necessary for each of fiscal years 2016
through 2020.
``(2) Use of certain funds.--Of the funds appropriated to
carry out this section in any fiscal year, the lesser of 5
percent of such funds or $1,000,000 shall be available to the
Director for purposes of carrying out subsection (d).''.
SEC. 4. ADOLESCENT TREATMENT PROGRAMS.
Subpart 1 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb et seq.), as amended by section 3, is further amended by
adding at the end the following:
``SEC. 514E. GRANTS TO IMPROVE ACCESS TO TREATMENT AND RECOVERY FOR
ADOLESCENTS.
``(a) In General.--The Secretary, acting through the Director of
the Center for Substance Abuse Treatment, shall award grants,
contracts, or cooperative agreements to eligible State substance abuse
agencies and other entities determined appropriate by the Director for
the purpose of increasing the capacity of substance use disorder
treatment and recovery services for adolescents.
``(b) Eligibility.--To be eligible to receive a grant, contract, or
cooperative agreement under subsection (a) an entity shall--
``(1) prepare and submit to the Director an application at
such time, in such manner, and contain such information as the
Director may require, including a plan for the evaluation of
any activities carried out with the funds provided under this
section;
``(2) ensure that all entities receiving support under the
grant, contract, or cooperative agreement comply with all
applicable State licensure or certification requirements
regarding the provision of the services involved; and
``(3) provide the Director with periodic evaluations of the
progress of the activities funded under this section and an
evaluation at the completion of such activities, as the
Director determines to be appropriate.
``(c) Priority.--In awarding grants, contracts, and cooperative
agreements under subsection (a), the Director shall give priority to
applicants who propose to fill a demonstrated geographic need for
adolescent specific residential treatment services.
``(d) Use of Funds.--Amounts awarded under grants, contracts, or
cooperative agreements under this section may be used to enable health
care providers or facilities that provide treatment and recovery
assistance for adolescents with a substance use disorder to provide the
following services:
``(1) Individualized patient centered care that is specific
to circumstances of the individual patient.
``(2) Clinically appropriate, trauma-informed, gender-
specific and age appropriate treatment services that are based
on reliable scientific evidence of efficacy in the treatment of
problems related to substance use disorders.
``(3) Clinically appropriate care to address treatment for
substance use and any co-occurring physical and mental health
disorders at the same location, and through access to primary
care services.
``(4) Coordination of treatment services with recovery and
other social support, including educational, vocational
training, assistance with the juvenile justice system, child
welfare, and mental health agencies.
``(5) Aftercare and long-term recovery support, including
peer support services.
``(e) Duration of Assistance.--Grants, contracts, and cooperative
agreements awarded under subsection (a) shall be for a period of not to
exceed 5 years.
``(f) Additional Activities.--The Director shall--
``(1) collect and evaluate the activities carried out with
amount received under subsection (a);
``(2) disseminate widely such significant information
derived from the evaluation as the Secretary considers
appropriate.
``(g) Authorization of Appropriations.--
``(1) In general.--There is authorized to be appropriated
to carry out this section, $25,000,000 for fiscal year 2016,
and such sums as may be necessary for each of fiscal years 2016
through 2020.
``(2) Use of certain funds.--Of the funds appropriated to
carry out this section in any fiscal year, the lesser of 5
percent of such funds or $1,000,000 shall be available to the
Director for purposes of carrying out subsection (f).''.
SEC. 5. GRANTS TO ENHANCE AND EXPAND RECOVERY SUPPORT SERVICES.
Subpart 1 of part B of title V of the Public Health Service Act (42
U.S.C. 290bb et seq.), as amended by section 4, is further amended by
adding at the end the following:
``SEC. 514F. GRANTS TO ENHANCE AND EXPAND RECOVERY SUPPORT SERVICES.
``(a) In General.--The Secretary, acting through the Administrator
of the Substance Abuse and Mental Health Services Administration, shall
award grants to State substance abuse agencies and non-profit
organizations to develop, expand, and enhance recovery support services
for individuals with substance use disorders.
``(b) Eligible Entities.--In the case of an applicant that is not a
State substance abuse agency, to be eligible to receive a grant under
this section, the entity shall--
``(1) prepare and submit to the Secretary an application at
such time, in such manner, and contain such information as the
Secretary may require, including a plan for the evaluation of
any activities carried out with the funds provided under this
section;
``(2) demonstrate the inclusion of individuals in recovery
from a substance use disorder in leadership levels or governing
bodies of the entity;
``(3) have as a primary mission the provision of long-term
recovery support for substance use disorders; and
``(4) be accredited by the Council on the Accreditation of
Peer Recovery Support Services or meet any applicable State
certification requirements regarding the provision of the
recovery services involved.
``(c) Use of Funds.--Amounts awarded under a grant under this
section shall be used to provide for the following activities:
``(1) Educating and mentoring that assists individuals and
families with substance use disorders in navigating systems of
care.
``(2) Peer recovery support services which include peer
coaching and mentoring.
``(3) Recovery-focused community education and outreach
programs, including training on the use of all forms of opioid
overdose antagonists used to counter the effects of an
overdose.
``(4) Training, mentoring, and education to develop and
enhance peer mentoring and coaching.
``(5) Programs aimed at identifying and reducing stigma and
discriminatory practices that serve as barriers to substance
use disorder recovery and treatment of these disorders.
``(6) Developing partnerships between networks that support
recovery and other community organizations and services,
including--
``(A) public and private substance use disorder
treatment programs and systems;
``(B) health care providers;
``(C) recovery-focused addiction and recovery
professionals;
``(D) faith-based organizations;
``(E) organizations focused on criminal justice
reform;
``(F) schools; and
``(G) social service agencies in the community,
including educational, juvenile justice, child welfare,
housing and mental health agencies.
``(d) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section, $7,000,000 for fiscal year
2016, and such sums as may be necessary for each of fiscal years 2016
through 2020.''.
SEC. 6. INCREASING THE AUTHORIZATION OF THE SUBSTANCE ABUSE PREVENTION
AND TREATMENT BLOCK GRANT.
Section 1935(a) of the Public Health Service Act (42 U.S.C. 300x-
35(a)) is amended by striking ``$2,000,000,000 for fiscal year 2001,
and such sums as may be necessary for each of the fiscal years 2002 and
2003'' and inserting ``$2,270,000,000 for fiscal year 2016. For each
fiscal year beginning with fiscal year 2017, there are authorized to be
so appropriated, an amount equal to the amount authorized for the
previous fiscal year under this subsection increased by the annual
percentage increase in the Consumer Price Index for such year''.
SEC. 7. STUDY ON TREATMENT INFRASTRUCTURE.
Not later than one year after the date of enactment of this Act,
the Comptroller General of the United States shall initiate an
evaluation, and submit to Congress a report, of the in-patient and
outpatient treatment capacity, availability, and needs of the United
States, which shall include--
(1) the capacity of acute residential or inpatient
detoxification programs;
(2) the capacity of inpatient clinical stabilization
programs, transitional residential support services, and
residential rehabilitation programs;
(3) the capacity of demographic specific residential or
inpatient treatment programs, such as those designed for
pregnant women or adolescents;
(4) geographical differences of the availability of
residential and outpatient treatment and recovery options for
substance use disorders across the continuum of care;
(5) the availability of residential and outpatient
treatment programs that offer treatment options based on
reliable scientific evidence of efficacy for the treatment of
substance use disorders, including the use of Food and Drug
Administration-approved medicines and evidence-based
nonpharmacological therapies;
(6) the number of patients in residential and specialty
outpatient treatment services for substance use disorders; and
(7) an assessment of the need for residential and
outpatient treatment for substance use disorders across the
continuum of care.
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