Bill summaries are authored by CRS.

Shown Here:
Passed Senate amended (09/22/2000)

Children's Health Act of 2000 - Division A: Children's Health - Title I: Autism - Advancement in Pediatric Autism Research Act - Amends the Public Health Service Act to require the Director of the National Institutes of Health (NIH) to expand, intensify, and coordinate the activities of NIH with respect to autism. Requires the Director, among other things, to make awards of grants and contracts to public or nonprofit entities for centers of excellence regarding research on autism. Authorizes appropriations.

Directs the Secretary of Health and Human Services (HHS), acting through the Director of the Centers for Disease Control and Prevention, to: (1) make awards of grants and cooperative agreements for the collection, analysis, and reporting of data on autism and pervasive developmental disabilities to public or nonprofit private entities; (2) establish at least three regional centers of excellence in autism and pervasive developmental disabilities epidemiology, through grants or cooperative agreements, for purposes of collecting and analyzing information on autism and developmental disabilities; (3) establish a clearinghouse within the Center for the collection and storage of data generated from the monitoring programs created by this Act; and (4) coordinate the Federal response to requests for assistance from State health department officials regarding potential or alleged autism or developmental disability clusters.

Authorizes appropriations.

Requires the Secretary to establish a program to provide information and education on autism to health professionals and the general public. Authorizes appropriations.

Directs the Secretary to establish an Autism Coordinating Committee to coordinate HHS efforts concerning autism.

Title II: Research and Development Regarding Fragile X - Requires the Director of the National Institute of Child Health and Human Development to: (1) expand, intensify, and coordinate the Institute's activities respecting research on the disease known as fragile X; and (2) make grants to, and enter into contracts with, public or nonprofit private entities for the development and operation of at least three centers to conduct research for improving the diagnosis and treatment of, and finding the cure for, fragile X. Requires each such center assisted to conduct and support basic and biomedical research into the detection and treatment of fragile X. Allows such centers to use grant funds provided under this Act to provide fees to individuals serving as subjects in clinical trials. Authorizes appropriations.

Title III: Juvenile Arthritis and Related Conditions - Requires the Director of the National Institute of Arthritis and Musculoskeletal and Skin Diseases to expand and intensify the Institute's research activities regarding juvenile arthritis. Authorizes appropriations.

Directs the Secretary to evaluate whether there are enough pediatric rheumatologists to address the needs of children with arthritis and, if not, develop strategies to address the shortfall.

Adds juvenile arthritis to the information dissemination responsibilities of the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse.

Title IV: Reducing Burden of Diabetes Among Children and Youth - Directs the Secretary to: (1) develop a sentinel system to collect juvenile diabetes data and establish a national database for that data; and (2) implement a national public health effort to address type 2 diabetes in youth. Authorizes appropriations.

Requires the Director of the National Institute of Diabetes and Digestive Kidney Diseases to conduct or support long-term epidemiology studies following individuals with, or at risk for, type 1, or juvenile, diabetes for at least ten years. Directs the Secretary to: (1) support regional clinical research centers for the prevention, detection, treatment, and cure of juvenile diabetes; and (2) provide for a national effort to prevent type 1 diabetes. Authorizes appropriations.

Title V: Asthma Services for Children - Subtitle A: Asthma Services - Directs the Secretary to make grants for medical care for children in areas with a high asthma prevalence, provide education to parents, children, and health care providers, decrease preventable emergency room trips, and provide other direct and support services regarding asthma. Authorizes grants to develop and expand projects relating to comprehensive asthma services, mobile health care clinics providing preventive asthma care, and validated asthma management education programs. Authorizes appropriations.

Subtitle B: Prevention Activities - Allows existing block grants to States for preventive health services, comprehensive public health services, and emergency medical services to be used: (1) to establish, operate, and coordinate systems to reduce illness due to asthma, especially among children, by reducing exposure to cockroach allergen or other known asthma triggers through integrated pest management, as applied to cockroaches or other known allergens; and (2) related planning, administrative, and educational activities.

Subtitle C: Coordination of Federal Activities - Requires the Director of the National Heart, Lung, and Blood Institute to identify all Federal programs having asthma-related activities and develop a Federal asthma-response plan. Authorizes appropriations.

Subtitle D: Compilation of Data - Directs the Secretary to conduct local asthma surveillance to collect data on asthma prevalence and severity and asthma management quality, publish data on the prevalence in each State, and publish data on the national childhood mortality rate associated with asthma. Authorizes appropriations.

Title VI: Birth Defects Prevention Activities - Subtitle A: Folic Acid Promotion - Directs the Secretary to expand and intensify programs, directly or through grants or contracts, for professional and public education and training, research, and epidemiological activities regarding folic acid and birth defects. Authorizes appropriations.

Subtitle B: National Center on Birth Defects and Developmental Disabilities - Establishes a National Center on Birth Defects and Developmental Disabilities to: (1) collect, analyze, and make available data on birth defects and developmental disabilities; (2) conduct applied epidemiological research on prevention of such defects and disabilities; and (3) provide birth defect and developmental disability prevention information and education to the public. Transfers to such Center all programs and functions (and related personnel and amounts) of the National Center for Environmental Health that relate to birth defects, folic acid, cerebral palsy, mental retardation, child development, newborn screening, autism, fragile X syndrome, fetal alcohol syndrome, pediatric genetics, and disability prevention.

Title VII: Early Detection, Diagnosis, and Treatment Regarding Hearing Loss in Infants - Directs the Secretary, through the Health Resources and Services Administration and the Centers for Disease Control and Prevention, to make grants or cooperative agreements regarding newborn and infant hearing screening, evaluation, and intervention programs and systems. Requires the NIH Director to continue research and development on new screening techniques and technology. Authorizes appropriations.

Title VIII: Children and Epilepsy - Directs the Secretary, through grants to or contracts with public or nonprofit private entities, to develop and implement public health surveillance, education, research, and intervention strategies to improve the lives of persons with epilepsy, particularly children. Authorizes the Secretary to make grants for carrying out demonstration projects to improve access to health and other services regarding seizures to encourage early detection and treatment in children and others residing in medically underserved areas. Authorizes appropriations.

Title IX: Safe Motherhood; Infant Health Promotion - Subtitle A: Safe Motherhood Prevention Research - Authorizes the Secretary to: (1) establish and implement a national surveillance program regarding investigation of deaths and severe complications during pregnancy; (2) expand the Pregnancy Risk Assessment Monitoring System; (3) expand the Maternal and Child Health Epidemiology Program; (4) expand research regarding various matters before, during, and after pregnancy; and (5) carry out public education campaigns, education programs for health providers, and activities to promote community support services for pregnant women. Authorizes appropriations.

Subtitle B: Pregnant Women and Infants Health Promotion - Directs the Secretary to carry out programs regarding prenatal and postnatal smoking and alcohol and illegal drug use. Authorizes grants and contracts for those purposes. Authorizes appropriations.

Title X: Pediatric Research Initiative - Directs the Secretary to establish in the Office of the Director of NIH a Pediatric Research Initiative to conduct and support research directly related to diseases, disorders, and other conditions in children. Authorizes appropriations and authorizes the NIH Director to transfer amounts under this paragraph to any of the NIH's Institutes.

(Sec. 1002) Requires the Director of the National Institute of Child Health and Human Development to support activities to increase: (1) the number and size of institutional training grants supporting pediatric training; and (2) the number of career development awards for health professionals who intend to build careers in pediatric basic and clinical research. Authorizes appropriations.

Authorizes the Secretary to enter into contracts with health professionals to repay educational loans in return for conducting pediatric research.

(Sec. 1003) Directs the Secretary to review, and report to Congress on, Federal regulations relating to protections for children involved as subjects in research.

(Sec. 1004) Requires the Director of the National Institute of Child Health and Human Development to establish a consortium of representatives from appropriate Federal agencies to plan and implement a prospective cohort study of environmental influences (including physical, chemical, biological, and psychosocial) on children's health and development. Authorizes appropriations.

Title XI: Childhood Malignancies - Directs the Secretary to study environmental and other risk factors for childhood cancers and carry out projects, directly or through grants or contracts, to improve outcomes among children with childhood cancers and resultant secondary conditions. Authorizes appropriations.

Title XII: Adoption Awareness - Subtitle A: Infant Adoption Awareness - Directs the Secretary to make grants to adoption organizations for programs to train health center staff in providing adoption information and referrals to pregnant women on an equal basis with all other courses of action included in nondirective counseling of those women. Provides for the development of best practices guidelines and requires recipient organizations to follow those guidelines. Authorizes appropriations.

Subtitle B: Special Needs Adoption Awareness - Directs the Secretary: (1) to make grants to plan and carry out a national campaign to provide information to the public on adoption of special needs children; and (2) directly or through grants, to carry out a program making available to the public, through toll-free telecommunications, information on adoption of special needs children. Directs the Secretary to make grants, regarding special needs children, for: (1) assistance to support groups for adoptive parents, adopted children, and siblings of adopted children; and (2) studies on adoption barriers and components leading to favorable long-term outcomes. Authorizes appropriations.

Title XIII: Traumatic Brain Injury - Adds a national education and awareness campaign regarding traumatic brain injury to the allowed activities under provisions directing the Secretary, directly or through grants or contracts, to carry out projects to reduce the incidence of such injury. Declares that, for provisions relating to the prevention of traumatic brain injury, "traumatic brain injury" may include brain injuries caused by anoxia due to trauma (currently, due to near drowning).

Authorizes the Secretary to make grants to: (1) States to operate the State's traumatic brain injury registry; and (2) academic institutions for applied research that will support registry development.

(Sec. 1302) Directs the Secretary to conduct a study to: (1) determine appropriate methodological strategies to obtain data on the incidence and prevalence of mild traumatic brain injury; and (2) develop a uniform reporting system for the States to report incidents of traumatic brain injury. Authorizes appropriations.

(Sec. 1303) Declares that, for provisions relating to a program of basic and clinical research on trauma, "traumatic brain injury" may include brain injuries caused by anoxia due to trauma (currently, due to near drowning). Allows program funds to be used for research on the cognitive disorders and neurobehavioral consequences of traumatic brain injury. Authorizes appropriations.

(Sec. 1304) Authorizes grants for projects (currently, for demonstration projects) to improve access to health and other services regarding traumatic brain injury. Allows required matching funds to be in cash or in kind (currently, in cash). Regulates grant fund use. Declares that, for provisions relating to those projects, "traumatic brain injury" may include brain injuries caused by anoxia due to trauma (currently, due to near drowning). Authorizes appropriations.

(Sec. 1305) Directs the Secretary to make grants to protection and advocacy systems for services to individuals with traumatic brain injury. Authorizes appropriations.

(Sec. 1306) Authorizes appropriations to carry out provisions relating to the prevention and control of injuries.

Title XIV: Child Care Safety and Health Grants - Directs the Secretary to make allotments to States to establish programs to improve the health and safety of children receiving child care outside the home. Authorizes appropriations.

Title XV: Healthy Start Initiative - Directs the Secretary to continue the Healthy Start Initiative (to reduce infant mortality and improve perinatal outcomes) and authorizes carrying it out on a national basis. Authorizes, if funding increases, additional grants.

Authorizes the Secretary to make grants to conduct and support research and to provide additional health services (including ultrasound, prenatal care, genetic counseling, and fetal or other surgery) for pregnant women and infants.

Authorizes appropriations.

Title XVI: Oral Health Promotion and Disease Prevention - Directs the Secretary to: (1) support community-based research on pediatric oral, dental, (sic) craniofacial diseases and conditions and their aftereffects in high risk populations; (2) support demonstrations of preventive interventions in high risk populations; and (3) develop clinical approaches to assess individuals for the risk of pediatric dental disease. Authorizes appropriations.

(Sec. 1602) Authorizes the Secretary to make grants to increase the resources available for community water fluoridation.

Directs the Secretary to establish, through the Centers for Disease Control and Prevention (CDCP) and in collaboration with the Indian Health Service, a demonstration project to assist rural water systems in implementing CDCP water fluoridation guidelines. Directs the Secretary to provide for the establishment of fluoridation specialist engineering positions in each of the Dental Clinical and Preventive Support Centers.

Authorizes the Secretary to make grants for development of school-based programs to improve children's access to dental sealants.

Authorizes appropriations.

(Sec. 1603) Directs the Secretary to: (1) establish a program to fund innovative oral health activities that improve the oral health of children under six years old who are eligible for Federal health program services; and (2) make grants or contracts to enable schools, institutions, and programs to develop programs of oral health promotion, increase training of service providers, or increase eligible children's use of dental services. Authorizes appropriations.

Title XVII: Vaccine-Related Programs - Subtitle A: Vaccine Compensation Program - Specifies, in addition to other current requirements, that a petition for compensation under the National Vaccine Injury Compensation Program for a vaccine-related injury or death must contain, subject to exception, an affidavit, and supporting documentation, demonstrating that the person who suffered such injury or who died suffered such illness, disability, injury or condition from the vaccine which resulted in inpatient hospitalization and surgical intervention.

Subtitle B: Childhood Immunizations - Authorizes appropriations to carry out existing provisions authorizing grants to immunize without charge children, adolescents, and adults against vaccine-preventable diseases.

Title XVIII: Hepatitis C - Authorizes the Secretary, directly and through grants, to provide for programs to: (1) cooperate with the States in implementing a national system to determine the incidence of hepatitis C virus infection; (2) identify, counsel, and offer testing to individuals at risk of such infection; (3) offer referrals for counseling, testing, and medical treatment to those individuals; (4) develop and disseminate public information and education programs; (5) improve the education, training, and skills of health professionals; and (6) improve the quality of clinical-laboratory procedures regarding hepatitis C. Authorizes appropriations.

Title XIX: NIH Initiative on Autoimmune Diseases - Requires the National Institutes of Health (NIH) to expand, intensify, and coordinate NIH activities regarding autoimmune diseases. Requires the Autoimmune Diseases Coordinating Committee to develop a plan for conducting and supporting research and education on autoimmune diseases through the national research institutes. Authorizes appropriations.

Title XX: Graduate Medical Education Programs in Children's Hospitals - Extends the years during which the Secretary is required to make payments to each children's hospital for direct and indirect expenses of operating graduate medical residency training programs. Modifies requirements regarding updating the payment rate for direct graduate medical education expenses. Authorizes appropriations.

Title XXI: Special Needs of Children Regarding Organ Transplantation - Requires the Organ Procurement and Transplantation Network to: (1) recognize the differences in health and organ transplantation issues between children (individuals under the age of 18) and adults and adopt criteria, policies, and procedures that address children's unique health care needs; and (2) carry out studies and demonstration projects to improve procedures for organ donation procurement and allocation.

Requires the Secretary to study and report to Congress on the costs of immunosuppressive drugs provided to children pursuant to organ transplants and the extent to which health plans and health insurance cover such costs, including recommendations on issues particular to the special health and transplantation needs of children.

Title XXII: Muscular Dystrophy Research - Requires the NIH Director to expand and increase coordination in NIH activities regarding muscular dystrophies. Authorizes appropriations.

Title XXIII: Children and Tourette Syndrome Awareness - Directs the Secretary, directly and through grants or contracts, to develop and implement outreach programs to educate the public, health care providers, educators, and community based organizations about Tourette Syndrome, with emphasis on children with the Syndrome. Authorizes appropriations.

Title XXIV: Childhood Obesity Prevention - Directs the Secretary to award grants for the development and implementation of State and community-based intervention programs promoting good nutrition and physical activity in children and adolescents. Authorizes appropriations.

Directs the Secretary to: (1) conduct research on physical activity, diet, health, health-related behaviors, and childhood obesity and its effects in adulthood; (2) develop and evaluate strategies to prevent and treat obesity and eating disorders; (3) identify obesity behaviors and risk factors; (4) evaluate materials and programs providing nutrition education to parents, teachers, and food service staff of child care and pre-school entities; and (5) evaluate materials and programs designed to educate and encourage physical activity in child care and pre-school facilities. Authorizes appropriations.

Directs the Secretary to develop a national public campaign to promote and educate children and parents regarding health risks associated with obesity, inactivity, and poor nutrition, ways to incorporate physical activity into daily living, the benefits of good nutrition, and strategies to improve eating habits. Authorizes appropriations.

Directs the Secretary to develop and carry out a program to educate and train health professionals in effective strategies to identify and assess patients with, or at risk for, obesity or an eating disorder, counsel, refer, or treat patients with obesity or an eating disorder, and educate patients and their families about strategies to improve dietary habits and establish appropriate levels of physical activity. Authorizes appropriations.

Title XXV: Early Detection and Treatment Regarding Childhood Lead Poisoning - Modifies application and reporting requirements for existing grants regarding lead poisoning. Authorizes appropriations for the grants and related provisions.

Directs the Secretary to develop national guidelines for the uniform reporting of all blood lead test results to State and local health departments.

Requires the Director of the Centers for Disease Control and Prevention (CDCP) to assist with the improvement of data links between local and State health departments and the CDCP, help States with the development of data management systems for the surveillance of children with lead poisoning, and take other actions regarding lead poisoning. Authorizes appropriations.

(Sec. 322) Directs the Secretary to: (1) make grants where data suggests that at least five percent of preschool-age children have an elevated blood level; and (2) conduct education and training programs for health care providers regarding childhood lead poisoning. Authorizes appropriations.

Title XXVI: Screening for Heritable Disorders - Directs the Secretary to award grants to enhance, improve or expand the ability of State and local public health agencies to provide screening, counseling, or health care services to newborns and children having or at risk for heritable disorders. Authorizes appropriations.

Directs the Secretary to award grants for the conduct of demonstration programs to evaluate the effectiveness of screening, counseling, or health care services in reducing the morbidity and mortality caused by heritable disorders in newborns and children.

Direct the Secretary to establish the Advisory Committee on Heritable Disorders in Newborns and Children.

Title XXVII: Pediatric Research Protections - Directs the Secretary, notwithstanding any other provision of law, to require that all research involving children conducted, supported, or regulated by the Department of Health and Human Services comply with a specified Federal regulation.

Title XXVIII: Miscellaneous Provisions - Requires the NIH Director to report to Congress on activities that were during FY 2000, or are planned to be during FY 2001 - 2005, conducted or supported by NIH regarding rare diseases in children, including Friedrich's ataxia and Hutchinson-Gilford progeria syndrome.

(Sec. 2802) Directs the Secretary to study issues related to the treatment of PKU and other metabolic disorders. Authorizes appropriations.

Title XXIX: Effective Date - Sets forth the effective date for this division.

Division B: Youth Drug and Mental Health Services - Youth Drug and Mental Health Services Act - Title XXXI (sic): Provisions Relating to Services for Children and Adolescents - Directs the Secretary, directly or through grants, contracts, or cooperative agreements, to provide for a program to assist local communities in developing ways to assist children in dealing with violence. Authorizes appropriations.

Directs the Secretary to award grants to develop: (1) programs focusing on the behavioral and biological aspects of psychological trauma response; and (2) knowledge regarding evidence-based practices for treating psychiatric disorders of children and youth resulting from witnessing or experiencing a traumatic event. Authorizes appropriations.

(Sec. 3102) Authorizes the Secretary to make noncompetitive grants, contracts, or cooperative agreements to address emergency substance abuse or mental health needs in local communities. Prohibits the use for any new purpose of certain information obtained during a required annual collection of data on mental illness and substance abuse, except with consent to the new purpose. Authorizes appropriations.

(Sec. 3103) Authorizes appropriations for existing grants for demonstrations of models for the prevention, treatment, and rehabilitation of drug and alcohol abuse among high risk youth.

(Sec. 3104) Directs the Secretary to award grants or contracts (or in certain cases cooperative agreements) for: (1) providing substance abuse treatment services for children and adolescents; (2) providing early intervention substance abuse services for children and adolescents; and (3) establishing up to four research, training, and technical assistance centers to carry out specified activities, providing training, technical assistance, and information with regard to mental health and substance abuse services. Authorizes appropriations.

Authorizes the Director of the Center for Substance Abuse Prevention to make grants to, and enter into contracts and cooperative agreements with, public and nonprofit private entities to carry out: (1) school-based programs on the dangers of methamphetamine or inhalant abuse and addiction; and (2) community-based methamphetamine or inhalant abuse and addiction prevention programs. Authorizes appropriations.

(Sec. 3105) Authorizes appropriations for grants for comprehensive community mental health services to children with serious emotional disturbances.

(Sec. 3106) Authorizes appropriations for grants for services to children of substance abusers. Transfers responsibility for the program from the Health Resources and Services Administration to the Substance Abuse and Mental Health Services Administration. Authorizes the Secretary to make grants for training health, substance abuse, and mental health professionals and other specified providers of services to children and families. Requires grant recipients which are Medicaid providers to identify children who may be eligible for medical assistance under Medicaid or the State's Children's Health Insurance Program (CHIP). Requires a grant recipient to make available to such children drug and alcohol early intervention, treatment, and prevention services. Requires services for affected families to include: (1) aggressive outreach to family members with substance abuse problems; and (2) consumers in the development, implementation, and monitoring of the Family Services Plan. Repeals the mandate for peer review of grant applications.

(Sec. 3107) Directs the Secretary to award competitive grants to State or local juvenile justice agencies to provide aftercare services for youth offenders who have been discharged from facilities in the juvenile or criminal justice system and have serious emotional disturbances or are at risk of developing them. Authorizes appropriations.

(Sec. 3108) Authorizes the Secretary to make grants to public and nonprofit private entities to develop and implement model substance abuse prevention programs to provide early intervention and substance abuse prevention services for individuals of high-risk families and their resident communities. Sets out a matching fund requirement. Authorizes appropriations.

(Sec. 3109) Directs the Secretary to make grants, cooperative agreements, or contracts to: (1) plan and carry out school- and community-based programs for the prevention of alcohol use by individuals under the legal drinking age; (2) provide services to individuals diagnosed with fetal alcohol syndrome or alcohol-related birth defects; (3) establish not more than 4 centers of excellence to study techniques for the prevention of fetal alcohol syndrome and alcohol-related birth defects, adapt innovative clinical interventions and service delivery improvements for such individuals and their families, and provide training on those conditions; and (4) reduce suicide deaths in the United States among children and adolescents. Directs the Secretary, directly or by grant or contract, to assemble and analyze data on: (1) children under 13 who attempt or complete suicide; (2) youths between 13 and 21 who attempt or complete suicide; and (3) services which might have been available to those groups and the use of those services. Authorizes appropriations.

(Sec. 3112) Requires the Director of the Center for Substance Abuse Treatment to: (1) ensure that emphasis is placed on children and adolescents in the development of treatment programs; and (2) collaborate with the Attorney General to develop programs to provide substance abuse treatment services to individuals who have had contact with the justice system, especially adolescents. Makes other changes to the Director's duties.

Title XXXII: Provisions Relating to Mental Health - Replaces a program of grants for demonstration projects providing counseling and mental health treatment relating to a positive Human Immunodeficiency Virus (HIV) test result with provisions directing the Secretary to address priority mental health needs of regional and national significance. Authorizes the Secretary to do so through grants or cooperative agreements. Directs the Secretary to establish related information and education programs. Authorizes appropriations.

(Sec. 3202) Directs the Secretary to award grants, contracts, and cooperative agreements to community-based public and private nonprofit entities for providing mental health and substance abuse services for homeless individuals. Authorizes appropriations.

(Sec. 3203) Authorizes the Secretary to waive requirements for projects for assistance in transition from homelessness with respect to the Virgin Islands, Guam, American Samoa, Palau, the Marshall Islands, and the Commonwealth of the Northern Mariana Islands.

Authorizes appropriations for formula grants to States for services for individuals who are, or are in imminent risk of becoming, homeless and who are also suffering from serious mental illness.

(Sec. 3204) Revises the criteria for State plans for grants for comprehensive community mental health services for certain individuals, as well as application deadlines.

Authorizes appropriations for block grants for community mental health services and treatment of mental illness and substance abuse.

(Sec. 3205) Makes permanent at the level it received for FY 1998 the minimum formula grant allotment of any State for its plan for comprehensive community mental health services for certain individuals. (Currently, such level applies only with respect to FY 1999.)

(Sec. 3206) Renames the Protection and Advocacy for Mentally Ill Individuals Act of 1986 as the Protection and Advocacy for Individuals with Mental Illness Act. Includes as an individual with mental illness one who otherwise meets certain current criteria but lives in a community setting or at home. Authorizes an eligible system (established in a State to protect and advocate the rights of persons with developmental disabilities) to represent an individual with a mental illness only if: (1) its total allotment is $30 million or more; and (2) it gives priority to representing such individuals. Revises an eligible system's minimum allotment, with different specified base amounts for States and for certain territories. Specifies a trigger level of total appropriations at which the Secretary must make an allotment to the eligible system serving the American Indian consortium.

Authorizes appropriations for allotments for protection and advocacy systems for mentally ill individuals.

(Sec. 3207) Requires any health care facility receiving Federal funds to protect and promote the rights of its residents, including the right to be free from physical or mental abuse or corporal punishment. Specifies the circumstances in which restraint or seclusion may be used.

Requires each facility to which the Protection and Advocacy for Mentally Ill Individuals Act of 1986 applies to notify the appropriate agency of each restraint- or seclusion-related death that occurs at the facility. Requires the Secretary to impose certain requirements on such facilities, including training of staff in the use of restraints and any alternatives to such use.

(Sec. 3208) Requires a public or private non-medical, community-based facility for children and youth that receives support in any form from any program supported with funds under the Public Health Service Act to protect and promote the rights of each resident of the facility, including the right to be free from physical or mental abuse or corporal punishment. Specifies the circumstances in which restraint and seclusion may be used.

Requires each facility to which the Protection and Advocacy for Mentally Ill Individuals Act of 1986 applies to notify the appropriate State agency of: (1) each death that occurs at the facility; and (2) the use of seclusion or restraints in accordance with Federal regulations.

(Sec. 3209) Directs the Secretary to award grants to support the designation of hospitals and health centers and Emergency Mental Health Centers. Authorizes appropriations.

(Sec. 3210) Directs the Secretary to make up to 125 grants to develop and implement programs to divert individuals with a mental illness from the criminal justice system to community-based services. Authorizes appropriations.

(Sec. 3211) Directs the Secretary to make grants, contracts, or cooperative agreements for: (1) integrated child welfare and mental health services for children and adolescents under 19 in (or at risk of becoming in) the child welfare system and parents or caregivers with mental illness; and (2) integrated treatment services for individuals with a serious mental illness and a co-occurring substance abuse disorder. Authorizes appropriations.

(Sec. 3213) Directs the Secretary to make grants to train teachers and other school personnel to recognize symptoms of childhood and adolescent mental disorders, refer family members to appropriate mental health services, train emergency services personnel to identify and respond to persons with mental illness, and educate teachers and school personnel regarding community resources for people with mental illness. Authorizes appropriations.

Title XXXIII: Provisions Relating to Substance Abuse - Authorizes appropriations for residential treatment programs for pregnant and postpartum women.

Replaces provisions on outpatient substance abuse treatment programs for pregnant and postpartum women with provisions directing the Secretary to address priority substance abuse treatment and prevention needs of regional and national significance. Authorizes the Secretary to do so through grants or cooperative agreements. Directs the Secretary to establish information and education programs related to the treatment programs. Authorizes appropriations.

(Sec. 3303) Repeals the requirement that funding agreements specify certain minimum State expenditures for prevention and treatment activities regarding alcohol and other drugs.

Changes from mandatory to discretionary a State's authority to establish a revolving fund to support group homes for recovering substance abusers.

Authorizes the Secretary, upon a State's request, to waive requirements with regard to substance abuse prevention and treatment block grant allocations regarding pregnant women and women with dependent children, treatment of intravenous substance abuse, tuberculosis services and HIV early intervention services, and specified kinds of additional agreements.

Authorizes appropriations.

(Sec. 3304) Revises the formula for minimum State allotments of block grants for preventing and treating substance abuse, and makes it permanent.

(Sec. 3305) Includes religious organizations as non-Governmental organizations to which the State may make grants, or with which to enter into contracts or cooperative agreements, to provide substance abuse services. Prohibits discrimination against religious organization providers or by such providers against individuals receiving such services from them. Outlines the rights of service recipients. Prohibits the use of grant or contract funds for sectarian worship, instruction, or proselytization.

(Sec. 3306) Directs the Secretary to make grants, contracts, or cooperative agreements for alcohol and drug prevention or treatment services for Indians and Alaska Natives. Authorizes appropriations.

(Sec. 3307) Establishes the Commission on Indian and Native Alaskan Health Care to study and report to Congress on the health concerns of Indians and Native Alaskans, particularly the reasons for the provision of inadequate health care services on reservations. Authorizes appropriations.

Title XXXIV: Provisions Relating to Flexibility and Accountability - Changes the mandate for an Associate Director for Alcohol Prevention and Treatment Policy to an option. Revises peer review requirements, eliminating those for regulations promulgated pursuant to peer review provisions.

(Sec. 3402) Reduces from three times a year to twice a year the minimum number of times each fiscal year that specified advisory councils on mental health services and substance abuse treatment must meet.

(Sec. 3403) Directs the Secretary in conjunction with States and other interested groups to develop separate plans for performance partnerships for creating more flexibility among the States and outcome-based accountability for programs for pregnant addicts and for programs for emotionally disturbed children and mentally ill adults.

Makes grant payments to States available for obligation and expenditure through the fiscal year following the one for which the payments were made. Repeals the special treatment of grant amounts in the case of a State which has terminated or reduced financial assistance to noncompliant subgrantees.

(Sec. 3404) Authorizes the Secretary to make grants to, or contracts or cooperative agreements with, States to develop and operate mental health or substance abuse data collection analysis and reporting systems (data infrastructure development) with regard to performance measures including capacity, process, and outcomes measures. Authorizes appropriations.

(Sec. 3406) Directs the Secretary to report to specified congressional committees on prevention and treatment services for individuals with co-occurring mental illness and substance abuse disorders.

(Sec. 3407) Permits States to use funds available for treatment under block grants for community mental health services and block grants for prevention and treatment of substance abuse to treat persons with co-occurring substance abuse and mental disorders, as long as such block grant funds are used for the purposes for which they were legally authorized and can be tracked for accounting purposes.

Title XXXV: Waiver Authority for Physicians Who Dispense or Prescribe Certain Narcotic Drugs for Maintenance Treatment or Detoxification Treatment - Drug Addiction Treatment Act of 2000 - Amends the Controlled Substances Act (CSA) to waive the requirement that practitioners who dispense narcotic drugs to individuals for maintenance or detoxification treatment annually obtain a separate registration for that purpose, and that the Attorney General register an applicant to dispense narcotic drugs to individuals for such treatment, in the case of the dispensing by a practitioner of narcotic drugs in schedule III, IV, or V or combinations of such drugs (schedule III-V drugs) if the practitioner and the drugs meet specified conditions.

Requires the Secretary to issue regulations or practice guidelines to address: (1) approval of additional credentialing bodies and their responsibilities; and (2) additional exemptions.

Directs the Secretary to issue a treatment improvement protocol containing best practice guidelines for the treatment and maintenance of opiate-dependent.

Prohibits a State, for three years, from precluding a practitioner from dispensing or prescribing drugs in schedule III-V to patients for maintenance of detoxification treatment unless the State enacts a law prohibiting a practitioner from dispensing such drugs.

Authorizes the Secretary and the Attorney General, for three years, to make determinations regarding whether: (1) treatments provided under such waivers have been effective forms of maintenance and detoxification treatment in clinical settings; (2) such waivers have significantly increased the availability of such treatment; and (3) such waivers have adverse public health consequences. Authorizes the Secretary or the Attorney General, after consulting each other, to terminate the waiver mechanism after announcing their decision in the Federal Register. Authorizes appropriations to assist the Secretary with the additional duties established for the Secretary pursuant to this Act.

Title XXXVI: Methamphetamine and Other Controlled Substances - Methamphetamine Anti-Proliferation Act of 2000 - Subtitle A: Methamphetamine Production, Trafficking, and Abuse - Part I: Criminal Penalties - Directs the United States Sentencing Commission to amend the Federal sentencing guidelines with respect to any offense relating to the manufacture, importation, exportation, or trafficking in amphetamine (including an attempt or conspiracy to do any of the foregoing) in violation of the CSA, the Controlled Substances Import and Export Act (CSIEA), or the Maritime Drug Law Enforcement Act (MDLEA), by reviewing and amending its guidelines to provide for increased penalties such that those penalties are comparable to the base offense level for methamphetamine.

Directs the Commission to promulgate amendments pursuant to this Act in accordance with the procedure set forth in the Sentencing Act of 1987, as though the authority of that Act had not expired.

(Sec. 3612) Directs the Commission to: (1) amend the guidelines to increase the base offense level, with respect to any offense relating to the manufacture, attempt to manufacture, or conspiracy to manufacture amphetamine or methamphetamine in violation of the CSA, the CSIEA, or the MDLEA, by specified amounts if the offense created a substantial risk of harm to human life or the environment, or to the life of a minor or incompetent; and (2) promulgate amendments pursuant to this Act in accordance with the procedure set forth in the Sentencing Act of 1987, as though the authority of that Act had not expired.

(Sec. 3613) Provides for mandatory (currently, discretionary) restitution for CSA and CSIEA violations. Expands provisions regarding restitution for cleanup of clandestine laboratory sites to cover offenses involving, and reimbursement for costs incurred for the cleanup associated with, the manufacture of amphetamine (currently, limited to methamphetamine), and to include reimbursement to States and local governments, as well as to the United States.

Amends the Federal judicial code to provide for the deposit of certain sums from a reimbursement order into the Department of Justice (DOJ) Assets Forfeiture Fund.

Makes mandatory restitution provisions applicable to the prohibition against the establishment of manufacturing operations with respect to controlled substances. Treats illicit substance manufacturing operations as crimes against property.

(Sec. 3614) Amends the CSA to include items primarily intended or designed for use in introducing methamphetamine into the body within the definition of "drug paraphernalia."

Part II: Enhanced Law Enforcement - Amends the judicial code to make sums in the DOJ Assets Forfeiture Fund available for payment for costs incurred by or on behalf of: (1) DOJ in connection with the removal, for purposes of Federal forfeiture and disposition, of any hazardous substance or pollutant or contaminant associated with the illegal manufacture of amphetamine or methamphetamine; and (2) a State or local government in connection with such removal in any case in which such State or local government has assisted in a Federal prosecution relating to amphetamine or methamphetamine, to the extent such costs exceed equitable sharing payments made to such State or local government in such case.

Amends the Omnibus Crime Control and Safe Streets Act of 1968 to make funds under the drug control and system improvement (Byrne) grant program available to remove any hazardous substance or pollutant or contaminant associated with the illegal manufacture of amphetamine or methamphetamine.

Requires that any sums made available from the DOJ Assets Forfeiture Fund for purposes of this section in a fiscal year supplement and not supplant any other amounts made available to DOJ in such fiscal year from other sources.

(Sec. 3622) Amends the CSA to modify the definition of "regulated transaction" to reduce the retail sales transaction threshold for non-safe harbor products containing pseudoephedrine or phenylpropanolamine.

(Sec. 3623) Directs the Administrator of the Drug Enforcement Administration (DEA) to carry out specified programs (advanced mobile clandestine laboratory training teams, basic clandestine laboratory certification training, and clandestine laboratory recertification and awareness training) with respect to the law enforcement personnel of States and localities determined by the Administrator to have significant levels of methamphetamine- or amphetamine-related crime or projected by the Administrator to have the potential for such levels of crime in the future. Limits the duration of any such program to three years. Authorizes appropriations.

(Sec. 3624) Requires the Director of National Drug Control Policy to: (1) use amounts available under this section to combat the trafficking of methamphetamine and amphetamine in areas designated as high intensity drug trafficking areas; and (2) provide funds for employing additional Federal law enforcement personnel, or facilitating the employment of additional State and local law enforcement personnel. Authorizes appropriations.

Requires the Director to apportion amounts appropriated for a fiscal year pursuant to such authorization of appropriations for activities under this section among and within areas designated by the Director as high intensity drug trafficking areas based on: (1) the number of methamphetamine and amphetamine manufacturing facilities discovered by Federal, State, or local law enforcement officials in the previous fiscal year; (2) the number of methamphetamine and amphetamine prosecutions in Federal, State, or local courts in the previous fiscal year; (3) the number of methamphetamine and amphetamine arrests by Federal, State, or local courts in the previous fiscal year; (4) the amounts of methamphetamine, amphetamine, or listed chemicals seized by Federal, State, or local law enforcement officials in the previous fiscal year; and (5) intelligence and predictive data from the DEA and the Department of Health and Human Services (HHS) showing patterns and trends in abuse, trafficking and transportation in methamphetamine, amphetamine, and listed chemicals.

Requires the Director, before apportioning any funds under this section to a high intensity drug trafficking area, to certify that the law enforcement entities responsible for clandestine methamphetamine and amphetamine laboratory seizures in that area are providing laboratory seizure data to the national clandestine laboratory database at the El Paso Intelligence Center.

Sets limits on administrative costs.

(Sec. 3625) Authorizes the Administrator of the DEA to: (1) assist State and local law enforcement in small and mid-sized communities in all phases of investigations related to such manufacturing and trafficking; (2) staff additional regional enforcement and mobile enforcement teams related to such manufacturing and trafficking; (3) establish additional resident offices and posts of duty to assist State and local law enforcement in rural areas in combating such manufacturing and trafficking; (4) provide the Special Operations Division of DEA with additional agents and staff for specified purposes; (5) enhance the investigative and related functions of DEA's Chemical Control Program; (6) design an effective means of requiring an accurate accounting of the import and export of list I chemicals and coordinate investigations relating to their diversion; (7) develop a computer infrastructure sufficient to receive, process, analyze, and redistribute time-sensitive enforcement information from suspicious order reporting to DEA field offices and other law enforcement and regulatory agencies; and (8) establish an education, training, and communication process to alert the industry to current trends and emerging patterns in illegal amphetamine and methamphetamine manufacturing.

Authorizes the Administrator to establish in DEA, and appoint personnel, for not more than: (1) 50 full-time positions, including up to 31 special agent positions; and (2) 15-full time additional positions, including up to ten diversion investigator positions, with respect to activities specified in paragraphs five through eight in the previous paragraph. Authorizes appropriations.

Part III: Abuse Prevention and Treatment - Amends the Public Health Service Act (PHSA) to authorize the Director of the National Institute on Drug Abuse to make grants to enter into cooperative agreements to expand the current and on-going interdisciplinary research and clinical trials with treatment centers of the National Drug Abuse Treatment Clinical Trials Network relating to methamphetamine abuse and addiction and other biomedical, behavioral, and social issues related to methamphetamine abuse and addiction.

Sets forth provisions regarding permissible uses of grant funds and dissemination of research results. Authorizes appropriations.

(Sec. 3632) Authorizes the Director of the Center for Substance Abuse Treatment to make grants to States and Indian tribes recognized by the United States that have a high rate, or have had a rapid increase, in methamphetamine or amphetamine abuse or addiction to permit such States and tribes to expand activities in connection with treatment in specific geographical areas. Sets forth grant requirements and responsibilities of the Director. Authorizes appropriations.

(Sec. 3633) Directs the Secretary to: (1) conduct a study on the development of medications for the treatment of addiction to amphetamine and methamphetamine; and (2) report to the Senate and House Judiciary Committees. Authorizes appropriations.

Part IV: Reports - Directs the Secretary to include in each National Household Survey on Drug Abuse appropriate prevalence data and information on the consumption of methamphetamine and other illicit drugs in rural areas, metropolitan areas, and consolidated metropolitan areas.

(Sec. 3642) Directs the Attorney General to: (1) conduct a study of the use of ordinary, over-the-counter pseudoephedrine and phenylpropanolamine products in the clandestine production of illicit drugs; and (2) report to Congress the findings and any recommendations on the need to establish additional measures to prevent diversion.

Requires the Attorney General to establish by regulation a single-transaction limit of not less than 24 grams of ordinary, over-the-counter pseudoephedrine or phenylpropanolamine for retail distributors upon finding that: (1) there is a significant number of instances where such products that were purchased from retail distributors were widely used in the clandestine production of illicit drugs; and (2) the best practical method of preventing such use is the establishment of single-transaction limits for retail distributors of either or both of such products.

Directs the Attorney General to establish the single-transaction limit only after notice, comment, and an informal hearing.

Subtitle B: Controlled Substances Generally - Directs the Commission to amend the sentencing guidelines to provide for enhanced penalties for CSA and CSIEA violations involving: (1) ephedrine, phenylpropanolamine, and pseudoephedrine; and (2) other list I chemicals to reflect the dangerous nature of such offenses, the need for aggressive law enforcement action to fight such offenses, and the extreme dangers associated with unlawful activity involving methamphetamine and amphetamine.

Directs the Commission to promulgate amendments pursuant to this Act in accordance with the procedure set forth in the Sentencing Act of 1987, as though the authority of that Act had not expired.

(Sec. 3652) Revises CSA mail order provisions to: (1) require that each regulated person who engages in an export transaction (currently, limited to each regulated person who engages in a transaction with a non-regulated person) submit a monthly report of each such transaction to the Attorney General; and (2) make specified exemptions from such reporting requirement, such as for certain distributions of sample packages of drug products and distributions of drug products pursuant to a valid prescription.

Authorizes the Attorney General to revoke any such exemptions if drug products distributed by the regulated person are being used in violation of CSA requirements, subject to specified notification and right to an expedited hearing.

(Sec. 3653) Amends the CSA to prohibit and set penalties for the theft of anhydrous ammonia, or the transportation of stolen anhydrous ammonia across State lines, knowing, intending, or having reasonable cause to believe that such ammonia will be used to manufacture a controlled substance in violation of the Act.

Requires the DEA Administrator to seek to enter into an agreement with Iowa State University to permit the University to expand its current research into the development of inert agents that, when added to anhydrous ammonia, eliminate its usefulness as an ingredient in methamphetamine production. Authorizes such agreement to provide $500,000, on a reimbursable basis, for such activities. Authorizes appropriations.

Subtitle C: Ecstasy Anti-Proliferation Act of 2000 - Ecstasy Anti-Proliferation Act of 2000 - Amends the Federal judicial code to direct the United States Sentencing Commission to amend the sentencing guidelines regarding any offense relating to the manufacture, importation, or exportation of, or trafficking in, 3,4-methylenedioxy methamphetamine, (MDMA, or Ecstasy), paramethoxymethamphetamine (PMA), or any other controlled substance that is marketed as Ecstasy and that has either a chemical structure substantially similar to, or an effect on the central nervous system substantially similar to or greater than that of, MDMA (including an attempt or conspiracy to commit such an offense in violation of the Controlled Substances Act (CSA), the Controlled Substances Import and Export Act, or the Maritime Drug Law Enforcement Act).

Directs the Commission: (1) with respect to each such offense, to review and amend the Federal sentencing guidelines to provide for increased penalties that reflect the seriousness of those offenses and the need to deter them; and (2) to ensure that the Federal sentencing guidelines for offenders convicted of such offenses reflect the need for aggressive law enforcement action regarding offenses involving such controlled substances and the dangers associated with unlawful activity involving such substances.

Expresses the sense of Congress that (1) the base offense levels for Ecstasy are too low and should be increased; and (2) the base offense levels for importing and trafficking the controlled substances described in the first paragraph should be increased.

(Sec. 3664) Directs the Commission to promulgate amendments under this subtitle as soon as practicable after this subtitle's enactment in accordance with a procedure set forth in the Sentencing Act of 1987 (emergency guidelines promulgation authority) as though the authority under that Act had not expired.

(Sec. 3665) Amends the Public Health Service Act to authorize the Administrator of the Substance Abuse and Mental Health Services Administration to make grants, contracts, and cooperative agreements for: (1) school-based programs concerning the dangers of abuse of and addiction to MDMA, related drugs, and other drugs commonly referred to as "club drugs"; and (2) community-based abuse and addiction prevention programs relating to MDMA, related drugs, and other club drugs. Requires a specified amount of the funds appropriated under this section to be made available to support and conduct periodic analyses and evaluations of effective prevention programs for abuse of and addiction to MDMA, related drugs, and other club drugs and the development of strategies for disseminating information about and implementing such programs. Authorizes appropriations.

Subtitle D: Miscellaneous - Requires the head of each Federal department, agency, and establishment to place anti-drug messages on appropriate Internet websites controlled by such department, agency, or establishment which messages shall, where appropriate, contain an electronic hyperlink to the Internet website, if any, of the Office of National Drug Control Policy.

(Sec. 3672) Authorizes the Attorney General: (1) through the DEA, to reimburse States and other public entities and consortia thereof for expenses incurred to clean up and safely dispose of substances associated with clandestine methamphetamine laboratories that may present a public health or environmental danger; and (2) to hire not more than five DEA personnel to administer this section. Authorizes appropriations.