,i #aacth ,,congress #ast ,session ,h4 ,r4 #bacj ,,in ,,the ,,house ,,of ,,representatives ,may #bc1 #bjac ,mr4 ,cartwright 7for himself1 ,ms4 ,hahn1 ,mr4 ,grijalva1 ,mr4 ,rangel1 ,ms4 ,lee of ,california1 ,mr4 ,rush1 ,mr4 ,conyers1 ,mr4 ,ryan of ,ohio1 ,mr4 ,hastings of ,florida1 ,ms4 ,norton1 ,mr4 ,carson of ,indiana1 ,mr4 ,brady of ,pennsylvania1 ,mr4 ,holt1 ,mr4 ,capuano1 ,ms4 ,shea-,porter1 ,ms4 ,mc,collum1 ,mr4 ,payne1 ,mr4 ,huffman1 ,mr4 ,ben ,ray ,lujn of ,new ,mexico1 ,mr4 ,kilmer1 ,ms4 ,eddie ,bernice ,johnson of ,texas1 ,ms4 ,roybal-,allard1 and ,mr4 ,polis7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,a ,,bill ,to amend the ,public ,health ,service ,act to provide grants for treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 abuse1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,access to ,substance ,abuse ,treatment ,act of #bjac4 #b4 ,purpose ,it is the purpose of this ,act to-- 7#a7 reduce crime and improve public safety by making treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 abuse available to every ,american who needs it2 7#b7 keep families together by encouraging alternatives to incarceration for nonviolent drug law offenses2 7#c7 help identify root causes and most effective treatment methods for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse2 and 7#d7 expand research into cutting-edge treatment methods for stimulant abuse4 #c4 ,heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 treatment and wrap-around programs ,subpart #a of part ,b of title ,v of the ,public ,health ,service ,act is amended-- 7#a7 redesignating the second section #ead 7relating to methamphetamine and amphetamine treatment7 as section #ead;,b2 and 7#b7 adding at the end the following new sections3 #ead;,c4 ,initiative to increase heroin1 cocaine1 methamphetamine1 ecstasy1 and ,,pcp treatment capacity 7a7 ,in general ,the ,secretary may make grants to ,state1 local1 and tribal governments for the purpose of increasing the availability of treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 abuse4 7b7 ,requirements 7#a7 ,in general ,to seek a grant under subsection 7a71 a ,state1 local1 or tribal government shall submit an application to the ,secretary at such time1 in such manner1 and containing such information and assurances as the ,secretary may require4 7#b7 ,use of grant funds ,the grants made under subsection 7a7 may only be used to-- 7,a7 build treatment centers2 7,b7 expand existing treatment centers2 7,c7 hire treatment professionals2 7,d7 provide training and education to substance abuse professionals1 medical professionals1 and educators related to the treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse2 and 7,e7 engage in other activities that the ,secretary has determined are relevant to the purpose of the grants under subsection 7a74 7c7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years #bjad through #bjah4 #ead;,d4 ,heroin1 cocaine1 methamphetamine1 ecstasy1 and ,,pcp abuse treatment vouchers for underserved populations 7a7 ,in general ,the ,secretary may make grants to ,state1 local1 and tribal governments and nonprofit entities to provide vouchers to individuals in underserved populations for authorized services related to the treatment of such individuals for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 abuse4 7b7 ,requirements 7#a7 ,application ,to seek a grant under subsection 7a71 a ,state1 local1 or tribal government or a nonprofit entity shall submit an application to the ,secretary at such time1 in such manner1 and containing such information and assurances as the ,secretary may require1 including a description of the method that such ,state1 government1 or entity will use-- 7,a7 to identify individuals who would benefit from treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine abuse2 7,b7 to identify if such individuals are in underserved populations2 and 7,c7 to provide vouchers to such individuals in such populations4 7#b7 ,preservation of choice ,a recipient of a grant under this section may not restrict the ability of an individual receiving a voucher under this section to use the voucher to pay for authorized services furnished by any provider of authorized services1 so long as the provider of such services meets all applicable ,state licensure or certification requirements regarding the provision of such services4 7#c7 ,duration of award ,with respect to a grant under this section1 the period during which payments under such grant are made to the grant recipient may not exceed five years4 7#d7 ,matching funds ,the ,secretary may require that recipients of grants under this section provide non-,federal matching funds1 as determined appropriate by the ,secretary1 to ensure the commitment of the grant recipients to the provision of vouchers for treatment to individuals who use heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine4 ,such non-,federal matching funds may be provided directly or through donations from public or private entities and may be in cash or in-kind1 fairly evaluated1 including property1 equipment1 or services4 7#e7 ,maintenance of effort ,the ,secretary may require that grant recipients under this section agree to maintain expenditures of non-,federal amounts for authorized services related to the treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse at a level that is not less than the level of such expenditures maintained by the recipient for the fiscal year preceding the fiscal year for which the entity receives such a grant4 7c7 ,report 7#a7 ,in general ,not later than ,december #a1 #bjad1 and annually thereafter1 the ,secretary shall submit a report to the ,congress on the grants under subsection 7a74 7#b7 ,contents of report ,the report under paragraph 7#a7 shall contain an evaluation of the effectiveness of the grants made under subsection 7a7 in improving access to heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine treatment for underserved populations4 7d7 ,definitions ,for purposes of this section3 7#a7 ,authorized services ,the term authorized services means-- 7,a7 treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine abuse1 including individual1 group1 and family counseling regarding such abuse2 7,b7 follow-up services to prevent an individual from relapsing into such abuse2 7,c7 wrap-around services1 as such term is defined in section #ead;,e7e77#d72 and 7,d7 any additional services specified by the ,secretary4 7#b7 ,underserved population ,the term underserved population means a population of individuals who cannot access appropriate substance abuse treatment 7including comprehensive substance abuse treatment7 due to financial1 geographical1 language1 socioeconomic1 or cultural barriers4 7e7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years #bjad through #bjah4 #ead;,e4 ,comprehensive wrap-around heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 and phencyclidine 7,,pcp7 treatment services 7a7 ,in general ,the ,secretary may make grants to public1 private1 and nonprofit entities1 ,indian tribes1 and tribal organizations to establish programs to provide for and coordinate the provision of wrap-around services to heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine-affected individuals4 7b7 ,minimum qualifications for receipt of award ,to seek a grant under subsection 7a71 a public1 private1 or nonprofit entity1 an ,indian tribe1 or a tribal organization shall submit an application to the ,secretary at such time1 in such manner1 and containing such information and assurances as the ,secretary may require1 including assurances to the satisfaction of the ,secretary that-- 7#a7 the applicant has the capacity to carry out a program described in subsection 7a72 7#b7 the applicant has entered into agreements with entities in the community involved1 through which the applicant will provide wrap-around services2 and 7#c7 the applicant1 or any entity through which the applicant will provide such services1 meets all applicable ,state licensure or certification requirements regarding the provision of such services4 7c7 ,priority for grant distribution ,in making grants under this section1 the ,secretary shall give priority to applications for programs that serve communities with a high or increasing rate of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine abuse or addiction1 as specified by the ,secretary4 7d7 ,reports ,for each year that a public1 private1 or nonprofit entity1 ,indian tribe1 or tribal organization receives a grant under subsection 7a7 for a program1 such entity1 tribe1 or organization shall submit to the ,secretary a report on the results and effectiveness of the program4 7e7 ,definitions ,for purposes of this section3 7#a7 ,heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine-affected individual ,the term heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine-affected individual means an individual who-- 7,a7 7i7 resided in a residential inpatient treatment facility for the treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine abuse or addiction2 or 7ii7 received treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine abuse or addiction from an intensive outpatient treatment facility2 and 7,b7 after successful completion of such treatment reenters the community4 7#b7 ,intensive outpatient treatment facility ,the term intensive outpatient treatment facility means a facility that provides treatment for substance abuse and that1 with respect to an individual receiving such treatment-- 7,a7 provides a minimum of seven hours of treatment for substance abuse during a week2 7,b7 provides regularly scheduled treatment sessions within a structured program2 and 7,c7 ensures that the treatment sessions are led by health professionals or clinicians4 7#c7 ,residential inpatient treatment facility ,the term residential inpatient treatment facility means a facility that provides treatment for substance abuse in which health professionals and clinicians provide a planned regimen of #bd-;hour professionally directed evaluation1 care1 and treatment for such substance abuse in an inpatient setting1 including #bd-;hour observation and monitoring4 7#d7 ,wrap-around services ,the term wrap-around services means1 with respect to a heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine-affected individual1 the following services3 7,a7 ,medical services4 7,b7 ,dental services4 7,c7 ,mental health services4 7,d7 ,child care services4 7,e7 ,job training services4 7,f7 ,housing assistance4 7,g7 ,training in parenting4 7,h7 ,prevention services for family members1 with respect to heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse or addiction4 7,i7 ,transportation assistance services for purposes of participation in the services listed in subparagraphs 7,a7 through 7,h74 7f7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years #bjad through #bjah4 4 #d4 ,extension and expansion of residential treatment program for pregnant and postpartum women to include caregiver parents ,section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended-- 7#a7 in the heading1 by striking pregnant and postpartum women and inserting caregiver parents1 including pregnant women2 7#b7 in subsection 7a7-- 7,a7 in the matter preceding paragraph 7#a7-- 7i7 by inserting 1 ,indian tribes1 and tribal organizations after nonprofit private entities2 and 7ii7 by striking pregnant and postpartum women treatment for substance abuse and inserting caregiver parents1 including pregnant women1 treatment for substance abuse 7including treatment for addiction to heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine 7ecstasy71 or phencyclidine 7,,pcp772 7,b7 in each of paragraphs 7#a71 7#b71 and 7#c71 by striking the women and inserting such parents each place it appears2 and 7,c7 in paragraph 7#c71 by inserting supplemental before services2 7#c7 in subsection 7b7-- 7,a7 in paragraph 7#a71 by inserting 1 ,indian tribes1 or tribal organizations after nonprofit private entities2 and 7,b7 in paragraph 7#b7-- 7i7 by striking the services and inserting such services2 and 7ii7 by striking woman and inserting caregiver parent2 7#d7 in subsection 7c7-- 7,a7 in paragraph 7#a71 by striking eligible woman and inserting eligible caregiver parent2 and 7,b7 by striking the women and the woman each place either term appears and inserting such parent2 7#e7 in subsection 7d7-- 7,a7 in the matter proceeding paragraph 7#a71 by striking woman and inserting caregiver parent2 7,b7 in paragraphs 7#c7 and 7#d71 by striking the woman and inserting such parent each place it appears2 7,c7 in paragraph 7#i7-- 7i7 by striking the women and inserting such parent each place it appears2 7ii7 by striking units and inserting unit2 and 7iii7 by striking of parents and inserting of the parents of such parent2 7,d7 in paragraph 7#aj71 by inserting 1 ,indian tribes1 or tribal organizations after entities2 and 7,e7 in paragraph 7#aa7-- 7i7 by striking the women and inserting such parent2 and 7ii7 by striking their children and inserting the children of such parent2 7#f7 in subsection 7f77#a71 in the matter proceeding subparagraph 7,a7 by inserting 1 ,indian tribes1 or tribal organizations after public or private entities2 7#g7 in subsection 7g7-- 7,a7 by striking identify women and inserting identify caregiver parents2 and 7,b7 by striking the women and inserting such parents2 7#h7 in subsection 7h77#a71 by striking pregnant and postpartum women and inserting caregiver parents2 7#i7 in subsection 7j7-- 7,a7 in the matter proceeding paragraph 7#a7-- 7i7 by striking to on behalf and inserting to or on behalf2 and 7ii7 by striking woman and inserting caregiver parent2 7,b7 in paragraph 7#b71 by striking the woman and inserting such parent2 and 7,c7 in paragraph 7#c71 by striking woman and inserting parent2 7#aj7 in subsection 7k77#b71 by striking women and inserting caregiver parents-- 7#aa7 in subsection 7l71 by striking such agreements and inserting the funding agreements under this section2 7#ab7 by amending subsection 7m7 to read as follows3 7m7 ,use of funds2 ,priority for certain areas served 7#a7 ,use of funds ,a funding agreement for an award under subsection 7a7 for an applicant is that funds awarded under subsection 7a7 to such applicant shall be used for programs according to the following order of priority3 7,a7 ,for a program that provides services to caregiver parents who are pregnant and postpartum women4 7,b7 ,for a program that provides services to caregiver parents who are single parents and the sole caregivers with respect to their children4 7,c7 ,for a program that provides services to any caregiver parents4 7#b7 ,priority for certain areas served ,in making awards under subsection 7a71 the ,director shall give priority to any entity1 tribe1 or organization that agrees to use the award for a program serving an area that-- 7,a7 is an area determined by the ,director to have a shortage of family-based substance abuse treatment options2 or 7,b7 is determined by the ,director to have high rates of addiction to heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 or phencyclidine4 2 7#ac7 in subsection 7p7-- 7,a7 by striking ,october #a1 #aiid and inserting ,january #a1 #bjad2 7,b7 by striking ,committee on ,labor and ,human ,resources and inserting ,committee on ,health1 ,education1 ,labor1 and ,pensions2 and 7,c7 by striking the third sentence2 7#ad7 in subsection 7q7-- 7,a7 by redesignating paragraphs 7#b71 7#c71 7#d71 and 7#e7 as paragraphs 7#c71 7#d71 7#e71 and 7#f71 respectively2 7,b7 by inserting after paragraph 7#a7 the following new paragraph3 7#b7 ,the term caregiver parent means1 with respect to a child1 a parent or legal guardian with whom the child resides1 and includes a pregnant woman4 2 and 7,c7 by amending paragraph 7#c71 as redesignated by subparagraph 7,a7 of this paragraph1 to read as follows3 7#c7 ,the term eligible caregiver parent means a caregiver parent who has been admitted to a program operated pursuant to subsection 7a74 2 and 7#ae7 in subsection 7r71 by striking to fiscal years #bjja through #bjjc and inserting for fiscal years #bjad through #bjah4 #e4 ,effectiveness of stimulant treatment methods 7a7 ,research ,the ,director of the ,national ,institute on ,drug ,abuse shall conduct research1 directly or through contract with another entity1 on the effectiveness of the use of agonist and antagonist drugs to reduce the problems associated with stimulant abuse1 including cocaine and methamphetamine abuse4 7b7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years #bjad through #bjah4 #f4 ,,iom ,study on drug treatments for stimulant abuse 7a7 ,report ,the ,secretary of ,health and ,human ,services shall seek to enter into a contract with the ,institute of ,medicine of the ,national ,academies to complete a literature review and submit a report to ,congress on the effectiveness of agonist and antagonist drugs for the treatment of stimulant abuse1 including cocaine and methamphetamine abuse4 7b7 ,authorization of appropriations ,there are authorized to be appropriated such sums as may be necessary to carry out this section for fiscal years #bjad through #bjah4 #g4 ,,gao ,evaluation of the impact of this legislation 7a7 ,study on the level of funding for treatment ,the ,comptroller ,general of the ,united ,states shall conduct a study on-- 7#a7 the impact of the programs authorized by this ,act 7including the amendments made by this ,act7 on the effectiveness and availability of treatment for heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse2 7#b7 whether the level of ,federal funding available for the treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse meets1 exceeds1 or is less than the amount necessary to provide adequate treatment for such abuse2 and 7#c7 the impact of effective treatment of heroin1 cocaine1 methamphetamine1 #c1d-methylenedioxymethamphetamine1 and phencyclidine abuse on cost savings due to the reduced need for criminal justice and other services4 7b7 ,reports 7#a7 ,interim report ,not later than the last day of the two-year period beginning on the date of enactment of this ,act1 the ,comptroller ,general shall submit to ,congress a report on the interim findings of the study under subsection 7a74 7#b7 ,final report ,not later than #c years after the date on which the report under paragraph 7#a7 is submitted to ,congress1 the ,comptroller ,general shall submit to ,congress a report on the findings of the study under subsection 7a74 #h4 ,no additional appropriations ,this ,act1 and the amendments made by this ,act1 shall not be construed to increase the amount of appropriations that are authorized to be approved for any fiscal year4