Summary: H.R.3698 — 102nd Congress (1991-1992)All Information (Except Text)

Bill summaries are authored by CRS.

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Passed House amended (03/24/1992)

Community Mental Health and Substance Abuse Services Improvement Act of 1992 - Title I: Block Grants to States Regarding Mental Health and Substance Abuse - Amends title XIX (Block Grants) of the Public Health Service Act (the Act) to direct the Secretary of Health and Human Services (the Secretary) to make an annual allotment, in accordance with a specified formula, to each State with an approved application for providing comprehensive community mental health services to adults with a serious mental illness and to children with a serious emotional disturbance. Sets forth criteria for State plans and mental health centers. Requires monitoring of any entities which have remaining obligations under the Community Mental Health Centers Act, as such Act was in effect before its repeal in 1981. Requires a State, in order to receive a grant, to maintain a State mental health planning council. Authorizes appropriations.

Directs the Secretary to make an annual allotment to each State making specified agreements for the purpose of planning, carrying out, and evaluating activities to prevent and treat the abuse of alcohol and other drugs. Gives priority to communities with the highest prevalence of substance abuse or the greatest treatment need. Specifies the percentages a State must use regarding: (1) alcohol vs. other drugs; (2) prevention programs; and (3) treatment for pregnant women and women with dependent children. Requires States to make child care and prenatal care available to women receiving services. Requires that: (1) States continue assistance to entities which received grants for reducing the waiting period for drug abuse treatment; and (2) a specified percentage be expended for intravenous drug abuse programs with priority given to programs treating individuals with the etiologic agent for acquired immune deficiency syndrome. Requires States to ensure that each individual who requests and is in need of intravenous drug abuse treatment is admitted to a treatment program within seven days of the request. Requires outreach activities. Mandates that States require drug treatment programs receiving assistance from the grants to offer (but not require) early intervention services for human immunodeficiency virus (HIV) disease. Requires a grant recipient State to: (1) provide for a revolving fund to make loans to establish group homes for recovering substance abusers; and (2) have in effect and enforce a law prohibiting the sale of tobacco products to any individual under the age of 18. Requires that the State ensure that treatment services are available to each pregnant woman in the State who seeks or is referred for and would benefit from the services. Sets forth additional provisions concerning a State's responsibilities, application, and plan. Authorizes appropriations.

Adds a new subtitle to title XIX of the Act which sets forth new provisions regarding block grants, including provisions concerning: (1) the submission of the description of the intended use of a block grant; (2) reports and audits by States; (3) disposition of funds appropriated for allotments; (4) failure to comply with agreements required as a condition of receiving payments; and (5) nondiscrimination.

Directs the Secretary to make grants to public entities for the purpose of providing comprehensive community mental health services to children (not over 21 years old) with a serious emotional disturbance. Sets forth requirements for receiving grants, including: (1) matching fund requirements; and (2) requirements concerning the provision of services. Permits charges for such services if: (1) the charges are adjusted to reflect the income of the child's family; and (2) no charges are imposed on families with income and resources below the official poverty line. Prohibits the period during which grant payments may be made from exceeding five years. Authorizes appropriations.

Authorizes the Secretary to make grants to States for the purpose of increasing the maximum number of individuals to whom public and nonprofit private entities are capable of providing effective treatment for substance abuse. Requires that priority in making grants be given to States that: (1) give priority to pregnant women in the provision of residential treatment; and (2) more than meet their matching funds requirement. Sets forth requirements for receiving a grant. Authorizes appropriations.

Title II: Other Programs of Alcohol, Drug Abuse, and Mental Health Administration - Requires that at least 15 percent of the amounts appropriated under the Act for conducting or supporting research regarding mental health be made available for research on community-based treatment programs. Authorizes appropriations for such research.

Establishes within the National Institute of Mental Health the Office of Rural Mental Health. Requires the Director of such Office to coordinate various activities concerning mental health in rural areas. Authorizes the Director, directly and through grants, cooperative agreements, or contracts, to conduct research and carry out demonstration projects. Mandates grants for demonstration projects in rural areas to improve the availability of mental health services. Earmarks certain funds to carry out these provisions.

Establishes, in the Alcohol, Drug Abuse, and Mental Health Administration, an Office for Treatment Improvement. Requires the Director of such Office, with respect to the treatment of substance abuse, to carry out specified duties, including: (1) collaborating efforts with other similar agencies; (2) providing technical assistance to entities providing treatment services; and (3) providing grants for the purpose of establishing demonstration projects that will improve the provision of treatment services for substance abuse. Authorizes appropriations for such grants. Requires the establishment of a demonstration program for providing, within the national capital area, comprehensive treatment services for substance abuse.

Removes provisions authorizing appropriations for the Office for Substance Abuse Prevention (Prevention Office).

Requires the Prevention Office Director to establish a national data base on programs for the prevention of substance abuse. Authorizes appropriations for the Prevention Office to assist communities in developing long-term strategies for the prevention of substance abuse and to evaluate the success of different approaches.

Authorizes appropriations under the Act for prevention, treatment, and rehabilitation model projects for high risk youth.

Replaces current provisions providing grants to establish projects for pregnant and postpartum women having substance abuse problems with provisions providing grants for residential treatment programs for such women. Sets forth program requirements, including that minor children of such women be allowed to live with the women during treatment. Authorizes appropriations.

Provides for grants to establish projects for prevention and education activities and outpatient treatment regarding the effects of drug and alcohol abuse on pregnant and postpartum women and their infants.

Requires the Director of the Prevention Office, through awarding grants, to develop programs to increase the number of full-time substance abuse treatment professionals and the number of professionals providing treatment services. Authorizes appropriations.

Authorizes appropriations for research on alcohol abuse, alcoholism, and drug abuse. Mandates studies concerning: (1) programs that provide sterile hypodermic needles and bleach to individuals at risk of contracting acquired immune deficiency syndrome; (2) the barriers to insurance coverage for substance abuse treatment; and (3) fetal alcohol effect and fetal alcohol syndrome.

Mandates grants for services to children and families of substance abusers. Authorizes appropriations.

Authorizes appropriations for grants to entities for the acquisition of small instrumentation necessary for research on mental health and substance abuse.

Title III: Trauma Centers and Drug-Related Violence - Authorizes the Secretary to make grants for the purpose of providing for the operating expenses of trauma centers that have incurred substantial uncompensated costs in providing trauma care in geographic areas with a significant incidence of violence arising from the abuse of drugs. Sets forth provisions concerning: (1) qualifying for such grants; and (2) preferences in making such grants. Authorizes appropriations.

Title IV: National Commission on Alcohol and Tobacco Use By Children - Establishes the National Commission on Alcohol and Tobacco Use By Children.

Title V: Miscellaneous - Amends the Anti-Drug Abuse Act of 1988 to consider the position of Deputy Director for Demand Reduction, when occupied by a physician, to be a Government physician for purposes of eligibility for the physicians comparability allowance.

Authorizes grants to assist businesses with 500 or fewer employees with the costs of providing alcohol and drug abuse prevention and treatment services to employees and their families. Authorizes appropriations.