,,ii #aadth ,,congress #ast ,session ,s4 #bbbf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,november #c1 #bjae ,ms4 ,ayotte 7for herself1 ,mr4 ,whitehouse1 ,mrs4 ,capito1 and ,ms4 ,klobuchar7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 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 women4 #a4 ,short title ,this ,act may be cited as the ,improving ,treatment for ,pregnant and ,postpartum ,women ,act of #bjae4 #b4 ,improving treatment for pregnant and postpartum women 7a7 ,in general ,section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended-- 7#a7 in subsection 7a71 by inserting 7referred to in this section as the ,director7 after ,director of the ,center for ,substance ,abuse ,treatment2 7#b7 in subsection 7p71 by inserting 7other than subsection 7r77 after this section2 and 7#c7 in subsection 7r71 by striking such sums and all that follows through #bjjc and inserting such sums as may be necessary for each of fiscal years #bjaf through #bjbj4 7b7 ,pilot program grants for ,state substance abuse agencies ,section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7 is amended-- 7#a7 by redesignating subsection 7r7 as subsection 7s72 and 7#b7 by inserting after subsection 7q7 the following3 7r7 ,pilot program for state substance abuse agencies 7#a7 ,in general ,from amounts made available under subsection 7s71 the ,director shall carry out a pilot program under which the ,director makes competitive grants to ,state substance abuse agencies to-- 7,a7 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 disorder1 including opioid use disorders2 7,b7 help ,state substance abuse agencies address identified gaps in services furnished to such women along the continuum of care1 including services provided to women in non-residential based settings2 and 7,c7 promote a coordinated1 effective1 and efficient ,state system managed by ,state substance abuse agencies by encouraging new approaches and models of service delivery that are evidence-based4 7#b7 ,requirements ,in carrying out the pilot program under this subsection1 the ,director-- 7,a7 shall require ,state substance abuse agencies to submit to the ,director applications1 in such form and manner and containing such information as specified by the ,director1 to be eligible to receive a grant under the program2 7,b7 shall identify1 based on such submitted applications1 ,state substance abuse agencies that are eligible for such grants2 7,c7 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 disorder1 including opioid use disorders2 7,d7 notwithstanding subsection 7a77#a71 shall not require that services furnished through such a grant be provided solely to women that reside in facilities2 7,e7 shall not require that grant recipients under the program make available all services described in subsection 7d72 and 7,f7 may waive the requirements of subsection 7f71 depending on the circumstances of the grantee4 7#c7 ,required services 7,a7 ,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 subsection4 ,such minimum services-- 7i7 shall include the requirements described in subsection 7c72 7ii7 may include any of the services described in subsection 7d72 7iii7 may include other services1 as appropriate2 and 7iv7 shall be based on the recommendations submitted under subparagraph 7,b7 7,b7 ,stakeholder input ,the ,director shall convene and solicit recommendations from stakeholders1 including ,state substance abuse agencies1 health care providers1 persons in recovery from substance abuse1 and other appropriate individuals1 for the minimum services described in subparagraph 7,a74 7#d7 ,duration ,the pilot program under this subsection shall not exceed #e years4 7#e7 ,evaluation and report to ,congress 7,a7 ,in general ,out of amounts made available to the ,center for ,behavioral ,health ,statistics and ,quality1 the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in cooperation with the recipients of grants under this subsection1 shall conduct an evaluation of the pilot program1 beginning one year after the date on which a grant is first awarded under this subsection4 ,the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in coordination with the ,director of the ,center for ,substance ,abuse ,treatment1 not later than #abj days after completion of such evaluation1 shall submit to the relevant ,committees of the ,senate and the ,house of ,representatives a report on such evaluation4 7,b7 ,contents ,the report to ,congress under subparagraph 7,a7 shall include1 at a minimum1 outcomes information from the pilot program1 including any resulting reductions in the use of alcohol and other drugs1 engagement in treatment services1 retention in the appropriate level and duration of services1 increased access to the use of drugs approved by the ,food and ,drug ,administration for the treatment of substance use disorders in combination with counseling1 and other appropriate measures4 7#f7 ,state substance abuse agencies defined ,for purposes of this subsection1 the term ,state substance abuse agency means1 with respect to a ,state1 the agency in such ,state that manages the ,substance ,abuse ,prevention and ,treatment ,block ,grant under part ,b of title ,,xix4 4 7c7 ,funding ,subsection 7s7 of section #ejh of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a71 as amended by subsection 7a7 and redesignated by subsection 7b77#a71 is further amended by adding at the end the following new sentence3 ,of the amounts made available for a year pursuant to the previous sentence to carry out this section1 not more than #be percent of such amounts shall be made available for such year to carry out subsection 7r744