[Congressional Bills 114th Congress]
[From the U.S. Government Publishing Office]
[S. 2226 Introduced in Senate (IS)]
<DOC>
114th CONGRESS
1st Session
S. 2226
To amend the Public Health Service Act to reauthorize the residential
treatment programs for pregnant and postpartum women and to establish a
pilot program to provide grants to State substance abuse agencies to
promote innovative service delivery models for such women.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
November 3, 2015
Ms. Ayotte (for herself, Mr. Whitehouse, Mrs. Capito, and Ms.
Klobuchar) 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 reauthorize the residential
treatment programs for pregnant and postpartum women and to establish a
pilot program to provide grants to State substance abuse agencies to
promote innovative service delivery models for such women.
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 ``Improving Treatment for Pregnant and
Postpartum Women Act of 2015''.
SEC. 2. IMPROVING TREATMENT FOR PREGNANT AND POSTPARTUM WOMEN.
(a) In General.--Section 508 of the Public Health Service Act (42
U.S.C. 290bb-1) is amended--
(1) in subsection (a), by inserting ``(referred to in this
section as the `Director')'' after ``Director of the Center for
Substance Abuse Treatment'';
(2) in subsection (p), by inserting ``(other than
subsection (r))'' after ``this section''; and
(3) in subsection (r), by striking ``such sums'' and all
that follows through ``2003'' and inserting ``such sums as may
be necessary for each of fiscal years 2016 through 2020''.
(b) Pilot Program Grants for State Substance Abuse Agencies.--
Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is
amended--
(1) by redesignating subsection (r) as subsection (s); and
(2) by inserting after subsection (q) the following:
``(r) Pilot Program for State Substance Abuse Agencies.--
``(1) In general.--From amounts made available under
subsection (s), the Director shall carry out a pilot program
under which the Director makes competitive grants to State
substance abuse agencies to--
``(A) enhance flexibility in the use of funds
designed to support family-based services for pregnant
and postpartum women with a primary diagnosis of a
substance use disorder, including opioid use disorders;
``(B) help State substance abuse agencies address
identified gaps in services furnished to such women
along the continuum of care, including services
provided to women in non-residential based settings;
and
``(C) promote a coordinated, effective, and
efficient State system managed by State substance abuse
agencies by encouraging new approaches and models of
service delivery that are evidence-based.
``(2) Requirements.--In carrying out the pilot program
under this subsection, the Director--
``(A) shall require State substance abuse agencies
to submit to the Director applications, in such form
and manner and containing such information as specified
by the Director, to be eligible to receive a grant
under the program;
``(B) shall identify, based on such submitted
applications, State substance abuse agencies that are
eligible for such grants;
``(C) shall require services proposed to be
furnished through such a grant to support family-based
treatment and other services for pregnant and
postpartum women with a primary diagnosis of a
substance use disorder, including opioid use disorders;
``(D) notwithstanding subsection (a)(1), shall not
require that services furnished through such a grant be
provided solely to women that reside in facilities;
``(E) shall not require that grant recipients under
the program make available all services described in
subsection (d); and
``(F) may waive the requirements of subsection (f),
depending on the circumstances of the grantee.
``(3) Required services.--
``(A) In general.--The Director shall specify
minimum services required to be made available to
eligible women through a grant awarded under the pilot
program under this subsection. Such minimum services--
``(i) shall include the requirements
described in subsection (c);
``(ii) may include any of the services
described in subsection (d);
``(iii) may include other services, as
appropriate; and
``(iv) shall be based on the
recommendations submitted under subparagraph
(B)
``(B) Stakeholder input.--The Director shall
convene and solicit recommendations from stakeholders,
including State substance abuse agencies, health care
providers, persons in recovery from substance abuse,
and other appropriate individuals, for the minimum
services described in subparagraph (A).
``(4) Duration.--The pilot program under this subsection
shall not exceed 5 years.
``(5) Evaluation and report to congress.--
``(A) In general.--Out of amounts made available to
the Center for Behavioral Health Statistics and
Quality, the Director of the Center for Behavioral
Health Statistics and Quality, in cooperation with the
recipients of grants under this subsection, shall
conduct an evaluation of the pilot program, beginning
one year after the date on which a grant is first
awarded under this subsection. The Director of the
Center for Behavioral Health Statistics and Quality, in
coordination with the Director of the Center for
Substance Abuse Treatment, not later than 120 days
after completion of such evaluation, shall submit to
the relevant Committees of the Senate and the House of
Representatives a report on such evaluation.
``(B) Contents.--The report to Congress under
subparagraph (A) shall include, at a minimum, outcomes
information from the pilot program, including any
resulting reductions in the use of alcohol and other
drugs, engagement in treatment services, retention in
the appropriate level and duration of services,
increased access to the use of drugs approved by the
Food and Drug Administration for the treatment of
substance use disorders in combination with counseling,
and other appropriate measures.
``(6) State substance abuse agencies defined.--For purposes
of this subsection, the term `State substance abuse agency'
means, with respect to a State, the agency in such State that
manages the Substance Abuse Prevention and Treatment Block
Grant under part B of title XIX.''.
(c) Funding.--Subsection (s) of section 508 of the Public Health
Service Act (42 U.S.C. 290bb-1), as amended by subsection (a) and
redesignated by subsection (b)(1), is further amended by adding at the
end the following new sentence: ``Of the amounts made available for a
year pursuant to the previous sentence to carry out this section, not
more than 25 percent of such amounts shall be made available for such
year to carry out subsection (r).''.
<all>