,i #aagth ,,congress #ast ,session ,h4 ,r4 #daea ,,in ,,the ,,house ,,of ,,representatives ,june #bd1 #bjba,ms4 ,mc,collum 7for herself and ,mr4 ,young7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce1 and in addition to the ,committee on ,education and ,labor1 for a period to be subsequently determined by the ,speaker1 in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned ,a ,,bill ,to amend the ,public ,health ,service ,act to reauthorize and extend the ,fetal ,alcohol ,spectrum ,disorders ,prevention and ,services program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,advancing ,,fasd ,research1 ,services1 and ,prevention ,act or the ,,fasd ,respect ,act4 #b4 ,findings ,congress finds as follows3 7#a7 ,fetal ,alcohol ,spectrum ,disorders 7referred to in this section as ,,fasd71 is a serious and complex public health issue impacting individuals1 families1 and communities throughout the ,united ,states1 regardless of race1 sex1 culture1 or geography4 ,this ,act provides an opportunity for our ,nation to explore strategies to not only prevent the adverse effects of prenatal alcohol exposure 7referred to in this section as ,,pae7 but heal individual1 historical1 and cultural traumas4 7#b7 ,exposure to alcohol has long-lasting consequences for a developing fetus1 which may lead to a range of life-long physical1 mental1 social1 and emotional problems4 ,there is no known safe amount of alcohol use during pregnancy or while trying to get pregnant4 ,there is also no safe time during pregnancy to drink4 ,all types of alcohol are equally harmful1 including all wines and beer4 7#c7 ,the most recent prevalence study identified as many as #a in #bj first graders across the country are affected by ,,pae4 ,given that nearly #de percent of pregnancies are unintended and women often don't know that they are pregnant until they are #f weeks along or more1 it's easy to understand how a woman could drink alcohol while expecting4 ,research shows that solely focusing on individual women's behavior as ,,fasd prevention strategy perpetuates stigma and blame on biological mothers1 individuals impacted by ,,fasd1 and the condition itself4 7#d7 ,although research shows that ,white1 college-educated1 middle- to upper-class women are the most likely group to drink during pregnancy1 one of the common misnomers about ,,fasd is that it is an indigenous issue4 ,continued surveillance1 stigmatization1 and stereotyping of ,indigenous populations may contribute to the misbelief that ,,fasd is over-represented in these communities4 7#e7 ,in their recent landmark survey1 ,lay of the ,land3 ,equality vs4 ,equity1 the ,,fasd ,changemakers1 comprised of young adults with ,,fasd1 documented the social determinants of health that lead to the detrimental health disparities people with ,,fasd often endure1 including victimization resulting in incarceration1 homelessness1 reduced access to health care1 vulnerabilities to substance misuse1 and unemployment4 7#f7 ,the higher prevalence of ,,fasd in criminal justice and foster care systems has been documented4 ,nearly #a out of #d children in juvenile corrections has ,,fasd1 and prevalence estimates among children in the foster care systems range from #bc percent to #fj percent4 ,prevalence in adult corrections ranges from #aa percent to #be percent4 7#g7 ,the ,national ,academy of ,medicine recommendations for a broad ,federal response formed the basis of the ,fetal ,alcohol ,syndrome and ,fetal ,alcohol ,effect ,prevention and ,services ,act of #aiih that authorized #bg1jjj1jjj for a ,national ,task ,force on ,fetal ,alcohol ,syndrome and grant programs at the ,national ,institute on ,alcohol ,abuse and ,alcoholism1 the ,centers for ,disease ,control and ,prevention1 and the ,substance ,abuse and ,mental ,health ,services ,administration4 7#h7 ,in #bjji1 the ,national ,task ,force on ,fetal ,alcohol ,syndrome reported ,,fasd diagnostic capacity and ,,fasd-informed services insufficient in the ,united ,states1 resulting in countless individuals with ,,fasd remaining unrecognized or misdiagnosed4 7#i7 ,despite ,,pae remaining the leading preventable cause of birth defects and neurodevelopmental disabilities in the ,united ,states1 the authority for the ,national ,task ,force on ,fetal ,alcohol ,syndrome expired1 ,,samhsa funding for ,,fasd ended in #bjae1 and other ,federal and ,state ,,fasd-related funding declined4 7#aj7 ,,fasd is preventable4 ,although there is no cure for individuals impacted by ,,fasd1 research shows that intervention services and supports that include social1 environmental1 and educational strategies can prevent subsequent trauma to the individual1 the individual's caregivers1 and society4 7#aa7 ,building coordinated ,state and ,tribal ,,fasd systems of care that offer integrated culturally appropriate services and supports grounded in best practices can mitigate the harms created by historical and cultural trauma4 #c4 ,programs for fetal alcohol spectrum disorders 7a7 ,in general ,part ,o of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;f et seq47 is amended by striking section #cii;,h and inserting the following3 #cii;,h4 ,programs for fetal alcohol spectrum disorders 7a7 ,definition ,in this part-- 7#a7 the term fetal alcohol spectrum disorders or ,,fasd means diagnosable developmental disabilities of a broad range of neurodevelopmental and physical effects that result from prenatal exposure to alcohol4 ,the effects may include lifelong physical1 mental1 behavioral1 social and learning disabilities1 and other problems that impact daily functioning 7such as living independently or holding a job71 as well as overall health and well-being2 and 7#b7 the terms ,indian ,tribe and ,tribal organization have the meanings given the terms ,indian tribe and tribal organization in section #d of the ,indian ,self-,determination and ,education ,assistance ,act4 7b7 ,research on fetal alcohol spectrum disorders and related conditions 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,national ,institutes of ,health1 shall-- 7,a7 establish a research program for ,,fasd2 and 7,b7 award grants1 contracts1 or cooperative agreements to public or private nonprofit entities to pay all or part of carrying out research under such research program4 7#b7 ,types of research ,in carrying out paragraph 7#a71 the ,secretary1 acting through the ,director of the ,national ,institute on ,alcohol ,abuse and ,alcoholism 7referred to in this section as the ,director of the ,institute71 shall continue to conduct and expand national and international research in consultation with other ,federal agencies and outside partners that includes-- 7,a7 the most promising avenues of research in ,,fasd diagnosis1 intervention1 and prevention2 7,b7 factors that may mitigate the effects of prenatal alcohol and other substance exposure including culturally relevant factors and social determinants of health2 and 7,c7 other research that the ,director of the ,institute determines to be appropriate with respect to conditions that develop as a result of prenatal alcohol and other substance exposure4 7#c7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #cj1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7c7 ,surveillance1 public health research1 and prevention activities 7#a7 ,in general ,the ,secretary1 acting through the ,director of the ,national ,center on ,birth ,defects and ,developmental ,disabilities of the ,centers for ,disease ,control and ,prevention1 shall facilitate surveillance1 public health research1 and prevention of ,,fasd in accordance with this subsection4 7#b7 ,surveillance1 public health research and prevention ,in carrying out this subsection1 the ,secretary shall-- 7,a7 integrate into surveillance practice an evidence-based standard case definition for fetal alcohol syndrome and1 in collaboration with other ,federal and outside partners1 support organizations of appropriate medical and mental health professionals in their development and refinement of evidence-based clinical diagnostic guidelines and criteria for all fetal alcohol spectrum disorders2 7,b7 disseminate and provide the necessary training and support to appropriate medical and mental health professionals on the early identification of children with prenatal alcohol or other substance exposure as such children may require ongoing developmental and behavioral surveillance by their primary health care clinician which continues throughout their lifetime to access ongoing treatment and referral problems2 7,c7 support applied public health prevention research to identify culturally appropriate or evidence-based strategies for reducing alcohol and other substance exposed pregnancies in women at high risk of such pregnancies2 7,d7 disseminate and provide the necessary training and support to implement culturally appropriate or evidence-based strategies developed under subparagraph 7,c7 to-- 7i7 hospitals1 federally qualified health centers1 residential and outpatient substance disorder treatment programs1 and other appropriate health care providers2 7ii7 educational settings2 7iii7 social work and child protection service providers2 7iv7 foster care providers and adoption agencies2 7v7 ,state or ,tribal offices and other agencies providing services to individuals with disabilities2 7vi7 mental health treatment facilities2 7vii7 ,indian ,tribes and ,tribal organizations2 7viii7 military medical treatment facility described in section #ajgc;d7c7 of title #aj1 ,united ,states ,code1 and medical centers of the ,department of ,veterans ,affairs2 and 7ix7 other entities that the ,secretary determines to be appropriate2 7,e7 conduct activities related to risk factor surveillance2 7,f7 disseminate and evaluate brief behavioral intervention strategies and referrals aimed at preventing alcohol and substance-exposed pregnancies among women of childbearing age in special settings1 including clinical primary health centers1 outpatient clinics1 child welfare agencies1 and correctional facilities and recovery campuses2 7,g7 document the ,,fasd lived experience and incorporate the perspectives of individuals and their family members affected by ,,fasd and birth mothers of individuals with ,,fasd in the dissemination of information and resources2 7,h7 disseminate comprehensive alcohol and pregnancy and ,,fasd information1 resources1 and services to families and caregivers1 professionals1 and the public through an established national network of affiliated ,,fasd organizations and through organizations serving medical1 behavioral health1 addiction1 disability1 education1 legal and other professionals2 and 7,i7 coordinate ,,fasd activities with affiliated ,state1 ,tribal and local systems and organizations with respect to the prevention of alcohol and other substance-exposed pregnancies4 7#c7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #ac1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7d7 ,building ,state and ,tribal ,,fasd systems 7#a7 ,in general ,the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 shall award grants1 contracts1 or cooperative agreements to ,states and ,indian ,tribes for the purpose of establishing ongoing comprehensive and coordinated ,state and ,tribal ,,fasd multidisciplinary1 diverse coalitions to-- 7,a7 develop systems of care for-- 7i7 the prevention of ,,fasd and other adverse conditions as a result of prenatal substance exposure2 and 7ii7 the identification1 treatment and support of individuals with ,,fasd or other adverse conditions from prenatal substance exposure and support for their families2 7,b7 provide leadership and support in establishing1 expanding or increasing ,state and ,tribal systems capacity in addressing ,,fasd and other adverse conditions as a result of prenatal substance exposure2 and 7,c7 update or develop implementing and evaluating ,state and ,tribal ,,fasd strategic plans to-- 7i7 establish or expand ,state and ,tribal programs of surveillance1 screening1 assessment1 diagnosis1 prevention of ,,fasd and other physical or neurodevelopmental disabilities from prenatal substance exposure2 7ii7 integrate programs related to prevention of ,,fasd and interventions addressing the adverse effects of prenatal alcohol and other substance exposure into existing ,state and ,tribal coordinated systems of care which focus on the social determinants of health1 including systemic racism1 access to the ,medicare program under title ,,xviii of the ,social ,security ,act or to the ,medicaid program under title ,,xix of such ,act1 maternal and early childhood health1 economic security1 food and housing1 education1 justice and corrections1 mental health1 substance use disorder1 child welfare1 developmental disabilities1 and health care2 7iii7 identify across-the-lifetime issues for individuals and families related to ,,fasd and other adverse conditions related to prenatal substance exposure1 including historical and cultural trauma1 child abuse and neglect1 mental health and substance use disorder2 and 7iv7 identify systemic and other barriers to the integration of prenatal alcohol and substance exposure screening1 assessment and identification of ,,fasd into existing systems of care for individuals and families4 7#b7 ,eligibility ,to be eligible to receive a grant1 contract1 or cooperative agreement under paragraph 7#a71 a ,state1 an ,indian ,tribe1 a ,tribal organization1 or a ,state-,tribal collaborative 7referred to in this paragraph as an eligible entity7 shall prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including-- 7,a7 evidence that the eligible entity designated in the application have or will have authority to implement programs described in this subsection2 7,b7 evidence of the establishment of a ,state or ,tribal ,,fasd ,advisory ,group of ,state agencies or ,tribal entities and1 if available1 a ,state affiliate of the ,national ,organization on ,fetal ,alcohol ,syndrome or similar ,tribal or statewide ,,fasd advocacy organization1 to provide the leadership in building ,state or ,tribal capacity in addressing prenatal alcohol and other substance exposure1 including ,,fasd prevention1 identification1 and intervention activities and programming1 including-- 7i7 the formation of a ,,fasd advisory coalition of diverse1 public and private representatives from multiple disciplines that may include-- 7,i7 ,state agencies or ,tribal entities that are responsible for health1 human services1 corrections1 education1 housing1 developmental disabilities1 substance use disorder1 child welfare1 juvenile and adult justice systems1 mental health and any other agency related to the adverse social impact of prenatal alcohol and other substance exposures2 7,,ii7 public and private sector stakeholders1 including individuals with ,,fasd and their caretakers and entities that work with or provide services or support for individuals with ,,fasd and their families1 such as community-based agencies1 law enforcement1 the judiciary1 probation officers1 medical and mental health providers1 substance use disorder counselors1 educators1 child welfare professionals1 and other entities that address individual1 family1 community and society issues related to prenatal alcohol and other substance exposure throughout an individual's lifespan2 and 7ii7 the development of a ,state or ,tribal strategic plan that-- 7,i7 contains recommendations1 action steps1 and deliverables for improving social determinants of health2 7,,ii7 recommends actions for prevention of ,,fasd and other conditions related to prenatal substance exposure2 7,,iii7 integrates culturally appropriate best practices or evidence-based practices on screening1 identification and treatment into existing systems of care2 7,,iv7 provides for ,,fasd-informed clinical and therapeutic interventions2 7,v7 provides for ,,fasd-informed supports and services for families and individuals with ,,fasd and other conditions from prenatal substance exposure across their lifetimes2 7,,vi7 identifies-- 7aa7 existing ,,fasd or other programs related to prenatal substance exposures in the ,state or ,indian ,tribe1 including-- 7,,aa7 ,,fasd primary1 secondary and tertiary prevention programs2 7,,bb7 prenatal screening1 assessment or diagnostic services2 and 7,,cc7 support and service programs for individuals with ,,fasd and their families2 and 7bb7 existing ,state1 local1 and ,tribal programs1 systems1 and funding streams that could be used to identify and assist individuals with ,,fasd and other conditions related to substance exposed pregnancies1 and prevent prenatal exposure to alcohol and other harmful substances2 7cc7 barriers to providing ,,fasd diagnostic services or programs to assist individuals with ,,fasd or reducing alcohol and substance exposed pregnancies for women at risk for alcohol or other substance exposed pregnancies1 and recommendations to reduce or eliminate such barriers2 7dd7 barriers to ,,fasd prevention1 screening1 assessment1 identification1 and treatment programs and to the provision of ,,fasd-informed support services and accommodations across the lifespan1 and recommendations to reduce or eliminate such barriers2 7,,vii7 integrates a public-private partnership of ,state1 ,tribal1 and local communities to develop a comprehensive ,,fasd-informed and engaged systems of care approach that addresses social determinants of health1 including systemic racism on health outcomes1 economic security1 food and housing2 education1 justice1 and health care challenges experienced by individuals who have been diagnosed with ,,fasd or other conditions as result of prenatal substance exposure2 7,,viii7 describes programs of surveillance1 screening1 assessment and diagnosis1 prevention1 clinical intervention and therapeutic and other supports and services for individuals with ,,fasd and their families2 7,,ix7 recognizes the impact of historical1 cultural1 and other trauma of individuals in the design and application of all programming2 and 7,x7 recognizes the lived experiences of birth mothers and those with ,,fasd and their families in the design and application of all programming4 7#c7 ,restrictions on and use of funds ,amounts received under a grant1 contract1 or cooperative agreement under this subsection shall be used for one or more of the following activities3 7,a7 ,establishing or increasing diagnostic capacity in the ,state or ,indian ,tribe to meet the estimated prevalence needs of the ,state or ,indian ,tribe's ,,fasd population4 7,b7 ,providing educational and supportive services to individuals with ,,fasd and other conditions related to prenatal substance exposure and their families4 7,c7 ,establishing a ,,fasd statewide surveillance system4 7,d7 ,including ,,fasd information in ,state medical and mental health care and education programs at schools of higher education4 7,e7 ,collecting1 analyzing1 and interpreting data4 7,f7 ,replicating culturally aware or best practice ,,fasd prevention programs1 including case-management models for pregnant or parenting women with alcohol and other substance use disorders4 7,g7 ,training of primary care and other providers in screening for prenatal alcohol and other substance exposure in prenatal1 pediatric1 early childhood or other child or teenage checkup settings4 7,h7 ,developing1 implementing1 and evaluating population-based and targeted prevention programs for ,,fasd1 including public awareness campaigns4 7,i7 ,increasing capacity of the ,state or ,indian ,tribe to deliver housing1 economic and food security services to adults impacted by ,,fasd or other conditions related to prenatal substance exposure4 7,j7 ,referring individuals with ,,fasd and other conditions related to prenatal substance exposure to appropriate ,,fasd-informed support services4 7,k7 ,providing for ,state and ,tribal ,,fasd coordinators4 7,l7 ,providing training to health care 7including mental health care7 providers on the prevention1 identification and treatment of ,,fasd and other conditions related to prenatal substance exposure across the lifespan4 7,m7 ,providing training to education1 justice1 and social service system professionals to become ,,fasd-informed and ,,fasd-engaged in their practices4 7,n7 ,including ,,fasd in training for workforce development and disability accessibility4 7,o7 ,supporting peer-to-peer certification programs for individuals with ,,fasd4 7,p7 ,developing ,,fasd-informed certification programs4 7,q7 ,disseminating information about ,,fasd and other conditions related to prenatal substance exposure and the availability of support services to families and individuals with ,,fasd and other adverse conditions related to prenatal substance exposure4 7,r7 ,implementing recommendations from relevant agencies and organizations1 including the ,state or ,tribal ,,fasd advisory group1 on the identification and prevention of ,,fasd1 intervention programs or services for individuals with ,,fasd and their families4 7,s7 ,other activities1 as the ,secretary determines appropriate or as recommended by the ,national ,advisory ,council on ,,fasd under section #cii;,h-#a4 7#d7 ,other contracts and agreements ,a ,state may carry out activities under paragraph 7#c7 through contracts or cooperative agreements with another ,state or an ,indian ,tribe1 and with public1 private for-profit or nonprofit entities with a demonstrated expertise in ,,fasd and other conditions related to prenatal substance exposure prevention1 screening and diagnosis1 or intervention services4 7#e7 ,report to ,congress ,not later than #b years after the date on which amounts are first appropriated under paragraph 7#f71 the ,secretary shall prepare and submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report that contains a description of programs carried out under this section4 ,at a minimum1 the report shall contain-- 7,a7 information concerning the number of ,states receiving grants2 7,b7 ,state and ,tribal ,,fasd diagnostic capacity and barriers to achieving diagnostic capacity based on ,state ,,fasd surveillance data or the most recent estimated prevalence of ,,fasd in the ,united ,states2 7,c7 information concerning systemic or other barriers to screening for prenatal alcohol and other substance exposure in existing systems of care1 including-- 7i7 the child welfare system2 7ii7 maternal and early child health care and alcohol and other substance use disorder treatment programs2 7iii7 primary or secondary education systems2 and 7iv7 juvenile and adult systems of justice2 7,d7 information concerning existing ,state1 ,tribal1 local government or community programs and systems of care and funding streams that could be used to identify and assist individuals with ,,fasd and other conditions related to substance exposed pregnancies and the degree to which such programs are ,,fasd-informed or to which there are systemic or other barriers preventing their use2 and 7,e7 information concerning existing ,state1 ,tribal1 local government or community primary1 tertiary1 or secondary prevention programs on prenatal exposure to alcohol and other harmful prenatal substances4 7#f7 ,authorization of appropriations 7,a7 ,in general ,to carry out this subsection1 there is authorized to be appropriated #cb1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7,b7 ,administrative and employment expenses ,of the amount appropriated for a fiscal year under subparagraph 7,a71 #ab1jjj1jjj shall be allocated to ,states and ,indian ,tribes for purposes of covering administrative costs and supporting the employment of ,,fasd ,state and ,tribal coordinators4 7,c7 ,tribal set aside ,up to #bj percent of the grants1 contracts1 or cooperative agreements awarded under this subsection shall be reserved for ,indian ,tribes and ,tribal organizations4 7e7 ,promoting community partnerships 7#a7 ,in general ,the ,secretary1 acting through the ,administrator of ,health ,resources and ,services ,administration1 shall award grants1 contracts1 or cooperative agreements to eligible entities to enable such entities to establish1 enhance1 or improve community partnerships for the purpose of collaborating on common objectives and integrating culturally appropriate best practice services available to individuals with ,,fasd and other conditions related to prenatal substance exposure such as surveillance1 screening1 assessment1 diagnosis1 prevention1 treatment1 and support services4 7#b7 ,eligible entities ,to be eligible to receive a grant1 contract1 or cooperative agreement under paragraph 7#a71 an entity shall-- 7,a7 be a public or private nonprofit entity that is-- 7i7 a health care provider or health professional2 7ii7 a primary or secondary school2 7iii7 a social work or child protection service provider2 7iv7 an incarceration facility1 or ,state or local judicial system for juveniles and adults2 7v7 an ,,fasd organization1 parent-led group1 or other organization that supports and advocates for individuals with ,,fasd and their families2 7vi7 an ,indian ,tribe or ,tribal organization2 7vii7 an early childhood intervention facility2 7viii7 any other entity the ,secretary determines to be appropriate2 or 7ix7 a consortium of any of the entities described in clauses 7i7 through 7viii72 and 7,b7 prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including assurances that the entity submitting the application does1 at the time of application1 or will1 within a reasonable amount of time from the date of application1 provide evidence of substantive participation with a broad range of entities that work with or provide services for individuals with ,,fasd4 7#c7 ,activities ,an eligible entity shall use amounts received under a grant1 contract1 or cooperative agreement under this subsection to carry out one or more of the following activities relating to ,,fasd and other conditions related to prenatal substance exposure3 7,a7 ,integrating ,,fasd-informed and culturally appropriate practices into existing programs and services available in the community4 7,b7 ,conducting a needs assessment to identify services that are not available in a community4 7,c7 ,developing and implementing culturally appropriate1 community-based initiatives to prevent ,,fasd1 and to screen1 assess1 diagnose1 treat1 and provide ,,fasd-informed support services to individuals with ,,fasd and their families4 7,d7 ,disseminating information about ,,fasd and the availability of support services4 7,e7 ,developing and implementing a community-wide public awareness and outreach campaign focusing on the dangers of drinking alcohol while pregnant4 7,f7 ,providing mentoring or other support to individuals with ,,fasd and their families4 7,g7 ,other activities1 as the ,secretary determines appropriate1 or in consideration of recommendations from the ,national ,advisory ,council on ,,fasd established under section #cii;,h-#a4 7#d7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #e1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7f7 ,development of best practices and models of care 7#a7 ,in general ,the ,secretary1 in coordination with the ,administrator of ,health ,resources and ,services ,administration1 shall award grants to ,states1 ,indian ,tribes and ,tribal organizations1 nongovernmental organizations1 and institutions of higher education for the establishment of pilot projects to identify and implement culturally appropriate best practices for-- 7,a7 providing intervention and education of children with ,,fasd1 including-- 7i7 activities and programs designed specifically for the identification1 treatment1 and education of such children2 and 7ii7 curricula development and credentialing of teachers1 administrators1 and social workers who implement such programs and provide childhood interventions2 7,b7 educating professionals within the child welfare1 juvenile and adult criminal justice systems1 including judges1 attorneys1 probation officers1 social workers1 child advocates1 medical and mental health professionals1 substance abuse professionals1 law enforcement officers1 prison wardens or other incarceration administrators1 and administrators of developmental disability1 mental health and alternative incarceration facilities on how to screen1 assess1 identify1 treat and support individuals with ,,fasd or similar conditions related to prenatal substance exposure within these systems1 including-- 7i7 programs designed specifically for the identification1 assessment1 treatment1 and education of individuals with ,,fasd2 and 7ii7 curricula development and credentialing within the adult and juvenile justice and child welfare systems for individuals who implement such programs2 7,c7 educating adoption or foster care agency officials about available and necessary services for children with ,,fasd1 including-- 7i7 programs designed specifically for screening1 assessment and identification1 treatment1 and education of individuals with ,,fasd2 and 7ii7 on-going and consistent education and training for potential adoptive or foster parents of a child with ,,fasd2 7,d7 educating health and mental health and substance use providers about available and necessary services for children with ,,fasd1 including-- 7i7 programs designed specifically for screening and identification1 and both health and mental health treatment1 of individuals with ,,fasd2 and 7ii7 curricula development and credentialing within the health and mental health and substance abuse systems for individuals who implement such programs2 and 7,e7 identifying and implementing culturally appropriate best practice models for reducing alcohol and other substance exposed pregnancies in women at high risk of such pregnancies4 7#b7 ,application ,to be eligible for a grant under paragraph 7#a71 an entity shall prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require4 7#c7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #e1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7g7 ,transitional services 7#a7 ,in general ,the ,secretary1 in coordination with the ,administrator of the ,health ,resources and ,services ,administration and the ,administrator of the ,administration for ,community ,living1 shall award demonstration grants1 contracts1 and cooperative agreements to ,states and local units of government1 ,indian ,tribes and ,tribal organizations1 and nongovernmental organizations for the purpose of establishing integrated systems for providing culturally appropriate best practice transitional services for adults affected by prenatal alcohol or substance exposure and evaluating the effectiveness of such services4 7#b7 ,application ,to be eligible for a grant1 contract1 or cooperative agreement under paragraph 7#a71 an entity shall prepare and submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may reasonably require1 including specific credentials relating to education1 skills1 training1 and continuing educational requirements relating to ,,fasd4 7#c7 ,allowable uses ,an entity shall use amounts received under a grant1 contract1 or cooperative agreement under paragraph 7#a7 to carry out one or more of the following activities3 7,a7 ,provide housing assistance to1 or specialized housing for1 adults with ,,fasd4 7,b7 ,provide ,,fasd-informed vocational training and placement services for adults with ,,fasd4 7,c7 ,provide medication monitoring services for adults with ,,fasd4 7,d7 ,provide ,,fasd-informed training and support to organizations providing family services or mental health programs and other organizations that work with adults with ,,fasd4 7,e7 ,establish and evaluate housing models specially designed for adults with ,,fasd4 7,f7 ,recruit1 train and provide mentors for individuals with ,,fasd4 7,g7 ,other services or programs1 as the ,secretary determines appropriate4 7#d7 ,authorization of appropriations ,to carry out this subsection1 there is authorized to be appropriated #e1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7h7 ,services for individuals with fetal alcohol spectrum disorders 7#a7 ,in general ,the ,secretary1 in coordination the ,assistant ,secretary for ,mental ,health and ,substance ,use1 shall make awards of grants1 cooperative agreements1 or contracts to public and nonprofit private entities1 including ,indian tribes and tribal organizations1 to provide ,,fasd-informed culturally appropriate services to individuals with ,,fasd4 7#b7 ,use of funds ,an award under paragraph 7#a7 may1 subject to paragraph 7#d71 be used to-- 7,a7 screen and test individuals to determine the type and level of services needed2 7,b7 develop a ,,fasd-informed comprehensive plan for providing services to the individuals2 7,c7 provide ,,fasd-informed mental health counseling2 7,d7 provide ,,fasd-informed substance abuse prevention services and treatment1 if needed2 7,e7 coordinate services with other social programs including social services1 justice system1 educational services1 health services1 mental health and substance abuse services1 financial assistance programs1 vocational services and housing assistance programs2 7,f7 provide ,,fasd-informed vocational services2 7,g7 provide ,,fasd-informed health counseling2 7,h7 provide ,,fasd-informed housing assistance2 7,i7 conduct ,,fasd-informed parenting skills training2 7,j7 develop and implement overall ,,fasd-informed case management2 7,k7 provide supportive services for families of individuals with ,,fasd2 7,l7 provide respite care for caretakers of individuals with ,,fasd2 7,m7 recruit1 train and provide mentors for individuals with ,,fasd2 7,n7 provide ,,fasd-informed educational and supportive services to families of individuals with ,,fasd2 and 7,o7 provide other services and programs1 to the extent authorized by the ,secretary after consideration of recommendations made by the ,national ,advisory ,council on ,,fasd4 7#c7 ,requirements ,to be eligible to receive an award under paragraph 7#a71 an applicant shall-- 7,a7 demonstrate that the program will be part of a coordinated1 comprehensive system of care for such individuals2 7,b7 demonstrate an established communication with other social programs in the community including social services1 justice system1 financial assistance programs1 health services1 educational services1 mental health and substance abuse services1 vocational services and housing assistance services2 7,c7 have a qualified staff of medical1 mental health or other professionals with a history of working with individuals with ,,fasd2 7,d7 provide assurance that the services will be provided in a culturally and linguistically appropriate manner2 and 7,e7 provide assurance that at the end of the #e-year award period1 other mechanisms will be identified to meet the needs of the individuals and families served under such award4 7#d7 ,relationship to payments under other programs ,an award may be made under paragraph 7#a7 only if the applicant involved agrees that the award will not be expended to pay the expenses of providing any service under this section to an individual to the extent that payment has been made1 or can reasonably be expected to be made1 with respect to such expenses-- 7,a7 under any ,state compensation program1 under an insurance policy1 or under any ,federal or ,state or ,tribal health benefits programs2 or 7,b7 by an entity that provides health services on a prepaid basis4 7#e7 ,duration of awards ,with respect to any award under paragraph 7#a71 the period during which payments under such award are made to the recipient may not exceed #e years4 7#f7 ,evaluation ,the ,secretary shall evaluate each project carried out under paragraph 7#a7 and shall disseminate the findings with respect to each such evaluation to appropriate public and private entities1 including the ,national ,advisory ,council on ,,fasd4 7#g7 ,funding 7,a7 ,authorization of appropriations ,for the purpose of carrying out this subsection1 there is authorized to be appropriated #aj1jjj1jjj for each fiscal years #bjbb through #bjbg4 7,b7 ,allocation ,of the amounts appropriated under subparagraph 7,a7 for a fiscal year1 not more than #cjj1jjj shall1 for the purposes relating to ,,fasd1 be made available for collaborative1 coordinated interagency efforts with the ,national ,institute on ,alcohol ,abuse and ,alcoholism1 ,national ,institute on ,mental ,health1 the ,eunice ,kennedy ,shriver ,national ,institute of ,child ,health and ,human ,development1 the ,health ,resources and ,services ,administration1 the ,agency for ,healthcare ,research and ,quality1 the ,administration for ,community ,living1 the ,centers for ,disease ,control and ,prevention1 the ,department of ,education1 the ,department of ,justice1 and other agencies1 as determined by the ,secretary4 ,interagency collaborative efforts may include-- 7i7 the evaluation of existing programs for efficacy2 7ii7 the development of new evidence-based or best practice programs for prevention of prenatal alcohol and other substance exposure1 and interventions for individuals with ,,fasd and their families2 7iii7 the facilitation of translation and transition of existing evidence-based1 best practices or culturally appropriate prevention and intervention programs into general and community practice2 and 7iv7 engaging in ,tribal consultation to ensure that ,indian ,tribes and ,tribal organizations are able to develop culturally appropriate services and interventions for prenatal alcohol and other substance exposure1 and interventions for individuals with ,,fasd and other conditions related to prenatal substance exposure and their families4 4 #d4 ,national ,advisory ,council on ,,fsad ,part ,o of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;f et seq471 as amended by section #b1 is further amended by inserting after section #cci;,h the following3 #cii;,h-#a4 ,national ,advisory ,council on ,,fasd 7a7 ,in general ,the ,secretary shall establish an advisory council to be known as the ,national ,advisory ,council on ,,fasd 7referred to in this section as the ,council7 to foster coordination and cooperation among all ,federal and non-,federal members and their constituencies that conduct or support ,,fasd and other conditions related to prenatal substance exposure research1 programs1 and surveillance1 and otherwise meet the general needs of populations actually or potentially impacted by ,,fasd and other conditions related to prenatal substance exposure4 7b7 ,membership ,the ,council shall be composed of #bc members as described in paragraphs 7#a7 and 7#b74 7#a7 ,federal membership ,members of the ,council shall include representatives of the following ,federal agencies3 7,a7 ,the ,national ,institute on ,alcohol ,abuse and ,alcoholism4 7,b7 ,the ,national ,institute on ,drug ,abuse4 7,c7 ,the ,centers for ,disease ,control and ,prevention4 7,d7 ,the ,health ,resources and ,services ,administration4 7,e7 ,the ,substance ,abuse and ,mental ,health ,services ,agency4 7,f7 ,the ,office of ,special ,education and ,rehabilitative ,services4 7,g7 ,the ,office of ,justice ,programs4 7,h7 ,the ,indian ,health ,service4 7,i7 ,the ,interagency ,coordinating ,committee on ,fetal ,alcohol ,spectrum ,disorders4 7,j7 ,the ,agency for ,healthcare ,research and ,quality4 7#b7 ,non-,federal members ,additional non-,federal public and private sector members of the ,council shall be nominated by the ,interagency ,coordinating ,committee on ,fetal ,alcohol ,spectrum ,disorders and appointed by the ,secretary1 and shall be staffed by the ,office of the ,assistant ,secretary for ,planning and ,evaluation of the ,department of ,health and ,human ,service4 ,such members shall include-- 7,a7 at least one individual with ,,fasd or a parent or legal guardian of an individual with ,,fasd2 7,b7 at least one individual or a parent or legal guardian of an individual with a condition related to prenatal substance exposure2 7,c7 at least one birth mother of an individual with ,,fasd2 7,d7 at least one representative from the ,,fasd ,study ,group of the ,research ,society on ,alcoholism2 7,e7 at least one representative of the ,national ,organization on ,fetal ,alcohol ,syndrome2 7,f7 at least one representative of a leading statewide advocacy and service organization for individuals with ,,fasd and their families2 7,g7 at least one representative of the ,,fasd ,center for ,excellence established under section #cii;,h-#c2 7,h7 at least #b representatives from ,state or ,tribal advisory groups receiving an award under section #cii;,h7d72 and 7,i7 representatives with interest and expertise in ,,fasd from the private sector of pediatricians1 obstetricians and gynecologists1 substance abuse and mental health care providers1 family and juvenile court judges and justice and corrections programming and services1 or special education and social work professionals4 7#c7 ,appointment timing ,the members of the ,council described in paragraph 7#b7 shall be appointed by the ,secretary not later than #f months after the date of enactment of the ,advancing ,,fasd ,research1 ,services1 and ,prevention ,act4 7c7 ,functions ,the ,council shall-- 7#a7 advise ,federal1 ,state1 ,tribal and local programs and research concerning ,,fasd and other conditions related to prenatal substance exposure1 including programs and research concerning education and public awareness for relevant service providers1 reducing the incidence of prenatal alcohol and other substance exposure in pregnancies1 medical and mental diagnosis1 interventions for women at-risk of giving birth with ,,fasd and beneficial services and supports for individuals with ,,fasd and their families2 7#b7 coordinate its efforts with the ,interagency ,committee on ,fetal ,alcohol ,spectrum ,disorders2 7#c7 develop a summary of advances in ,,fasd research related to prevention1 treatment1 screening1 diagnosis1 and interventions2 7#d7 make recommendations for the ,,fasd research program to the ,director of the ,national ,institute of ,alcohol ,abuse and ,alcoholism2 7#e7 review the #bjji report of the ,national ,task ,force on ,,fas entitled1 ,a ,call to ,action and other reports on ,,fasd and the adverse impact of prenatal substance exposure2 7#f7 develop a summary of advances in practice and programs relevant to ,,fasd prevention1 treatment1 early screening1 diagnosis1 and interventions2 7#g7 make recommendations on a national agenda to reduce the prevalence and the associated impact of ,,fasd and other conditions related to prenatal substance exposure and improve the quality of life of individuals and families impacted by ,,fasd or the adverse effects of prenatal substance exposure1 including-- 7,a7 proposed ,federal budgetary requirements for ,,fasd research and related services and support activities for individuals with ,,fasd2 7,b7 recommendations to ensure that ,,fasd research1 and services and support activities to the extent practicable1 of the ,department of ,health and ,human ,services and of other ,federal departments and agencies1 are not unnecessarily duplicative2 7,c7 identification of existing ,federal programs that could be used to identify and assist individuals with ,,fasd and other conditions related to substance exposed pregnancies2 7,d7 identification of gaps or barriers for individuals living with1 or impacted by1 ,,fasd in accessing diagnostic1 early intervention1 and support services2 7,e7 identification of prevention strategies1 including education campaigns and options1 such as product warnings and other mechanisms to raise awareness of the risks associated with prenatal alcohol consumption2 7,f7 identification of current diagnostic methods and practices for the identification of ,,fasd and identify gaps or barriers for achieving diagnostic capacity throughout the ,united ,states based on current estimated prevalence of ,,fasd2 7,g7 recommendations for research or other measures to increase diagnostic capacity to meet the needs of the estimated number of individuals with ,,fasd2 7,h7 identification and enhancement of culturally appropriate or best practice approaches and models of care to reduce the incidence of ,,fasd2 and 7,i7 identification and enhancement of best practice approaches and models of care to increase support and treat individuals with ,,fasd1 and to make recommendations for a broad model comprehensive community approach to the overall problem of prenatal alcohol and other harmful substance exposure4 7d7 ,report to ,congress and the ,president ,the ,council shall submit to ,congress and to the ,president-- 7#a7 an update on the summary of advances described in paragraphs 7#c7 and 7#f7 of subsection 7c71 not later than #b years after the date of enactment of the ,advancing ,,fasd ,research1 ,services1 and ,prevention ,act2 7#b7 an update to the national agenda described in subsection 7c77#g71 including any progress made in achieving the objectives outlined in such agenda1 not later than #d years after the date of enactment of such ,act2 and 7#c7 a final report that provides a summary of advances described in paragraphs 7#c7 and 7#f7 of subsection 7c71 and an update to the national agenda described in subsection 7c77#g71 not later than ,september #cj1 #bjbg4 7e7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #b1jjj1jjj for each of fiscal years #bjbb through #bjbg4 4 #e4 ,interagency coordinating committee on fetal alcohol spectrum disorders ,subpart #ad of part ,c of title ,,iv of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhen et seq47 is amended by adding at the end the following3 #dfd,k4 ,interagency coordinating committee on fetal alcohol spectrum disorders 7a7 ,in general ,the ,director of the ,institute shall provide for the continuation of the ,interagency ,coordinating ,committee on ,fetal ,alcohol ,spectrum ,disorders 7referred to in this section as the ,committee7 so that such ,committee may-- 7#a7 coordinate activities conducted by the ,federal ,government on ,,fasd1 including convening meetings1 establishing work groups1 sharing information1 and facilitating and promoting collaborative projects among ,federal agencies1 the ,national ,advisory ,council on ,,fasd established under section #cii;,h-#a1 and outside partners2 7#b7 support organizations of appropriate medical and mental health professionals in their development and refinement of evidence-based clinical diagnostic guidelines and criteria for all fetal alcohol spectrum disorders in collaboration with other ,federal and outside partners1 and 7#c7 develop priority areas considering recommendations from the ,national ,advisory ,council on ,,fasd4 7b7 ,membership ,members of the ,committee shall include representatives of the following ,federal agencies3 7#a7 ,the ,national ,institute on ,alcohol ,abuse and ,alcoholism4 7#b7 ,the ,centers for ,disease ,control and ,prevention4 7#c7 ,the ,health ,resources and ,services ,administration4 7#d7 ,the ,office of the ,assistant ,secretary for ,planning and ,evaluation4 7#e7 ,the ,office of ,juvenile ,justice and ,delinquency ,prevention4 7#f7 ,office of ,justice ,programs of the ,department of ,justice4 7#g7 ,the ,substance ,abuse and ,mental ,health ,services ,administration4 7#h7 ,the ,office of ,special ,education and ,rehabilitation ,services4 7#i7 ,the ,national ,institute on ,drug ,abuse4 7#aj7 ,the ,national ,institute of ,mental ,health4 7#aa7 ,the ,indian ,health ,service4 7#ab7 ,the ,eunice ,kennedy ,shriver ,national ,institute of ,child ,health and ,human ,development4 7#ac7 ,other ,federal agencies with responsibilities related to ,,fasd prevention or treatment or that interact with individuals with ,,fasd1 including education and correctional systems1 alcohol and substance use disorder prevention and treatment programs1 maternal health1 the ,medicare and ,medicaid programs under titles ,,xviii and ,,xix1 respectively1 of the ,social ,security ,act1 child health and welfare1 rehabilitative services1 and labor and housing grant or entitlement programs4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #a1jjj1jjj for each of fiscal years #bjbb through #bjbg4 4 #f4 ,,fasd center for excellence 7a7 ,in general ,part ,o of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;f et seq471 as amended by section #d1 is further amended by inserting after section #cci;,h-#b the following3 #cii;,h-#b4 ,,fasd center for excellence 7a7 ,in general ,the ,secretary1 acting through the ,administrator of the ,health ,resources and ,services ,administration1 and in consultation with the ,assistant ,secretary for ,mental ,health and ,substance ,use1 the ,director of the ,centers for ,disease ,control1 and the ,chair of the ,interagency ,coordinating ,committee on ,fetal ,alcohol ,spectrum ,disorders1 shall award up to #d grants1 cooperative agreements1 or contracts to public or nonprofit entities with demonstrated expertise in ,,fasd prevention1 identification1 and intervention services and other adverse conditions related to prenatal substance exposure4 ,such awards shall be for the purposes of establishing a ,,fasd ,center for ,excellence to build local1 ,tribal1 ,state1 and national capacities to prevent the occurrence of ,,fasd and other adverse conditions related to exposure to substances1 and to respond to the needs of individuals with ,,fasd and their families by carrying out the programs described in subsection 7b74 7b7 ,programs ,an entity receiving an award under subsection 7a7 may use such award for any of the following programs3 7#a7 ,increasing ,,fasd diagnostic capacity ,initiating or expanding diagnostic capacity of ,,fasd by increasing screening1 assessment1 identification1 and diagnosis in settings such as clinical practices1 educational settings1 child welfare1 and juvenile out-of-home placement facilities and adult correctional systems4 7#b7 ,public awareness ,developing and supporting national public awareness and outreach activities1 including the use of all types of media and public outreach1 and the formation of a diverse speakers bureau to raise public awareness of the risks associated with alcohol consumption during pregnancy with the purpose of reducing the prevalence of ,,fasd and improving the quality of life for those living with ,,fasd and their families4 7#c7 ,resources and training 7,a7 ,clearinghouse ,acting as a clearinghouse for resources on ,,fasd prevention1 identification1 and culturally aware best practices1 including the maintenance of a national data-based directory on ,,fasd-specific services in ,states1 ,indian ,tribes1 and local communities4 7,b7 ,internet-based center ,providing an internet-based center that disseminates ongoing research and resource development on ,,fasd in administering systems of care for individuals with ,,fasd across their lifespan4 7,c7 ,intervention services and best practices ,increasing awareness and understanding of efficacious ,,fasd screening tools and culturally appropriate intervention services and best practices by-- 7i7 maintaining a diverse national speakers bureau2 and 7ii7 conducting national1 regional1 ,state1 ,tribal1 or peer cross-,state webinars1 workshops1 or conferences for training community leaders1 medical and mental health and substance abuse professionals1 education and disability professionals1 families1 law enforcement personnel1 judges1 individuals working in financial assistance programs1 social service personnel1 child welfare professionals1 and other service providers4 7,d7 ,building capacity ,building capacity for ,state1 ,tribal1 and local affiliates dedicated to ,,fasd awareness1 prevention1 and identification and family and individual support programs and services4 7#d7 ,technical assistance ,providing technical assistance to-- 7,a7 communities for replicating and adapting exemplary comprehensive systems of care for individuals with ,,fasd developed under section #cii;,h7d7 and for replicating and adapting culturally appropriate best or model projects of care developed under section #cii;,h7f72 7,b7 ,states and ,indian ,tribes in developing statewide or ,tribal ,,fasd strategic plans1 establishing or expanding statewide programs of surveillance1 screening and diagnosis1 prevention1 and clinical intervention1 and support for individuals with ,,fasd and their families under section #cii;,h7d72 and 7,c7 ,indian ,tribes and ,tribal organizations in engaging in tribal consultation to ensure that such ,tribes and ,tribal organizations are able to develop culturally appropriate services and interventions for individuals with ,,fasd and other conditions related to prenatal substance exposure and their families4 7#e7 ,other functions ,carrying out other functions1 to the extent authorized by the ,secretary1 after consideration of recommendations of the ,national ,advisory ,council on ,,fasd4 7c7 ,application ,to be eligible for a grant1 contract1 or cooperative agreement under this section1 an entity shall submit to the ,secretary an application at such time1 in such manner1 and containing such information as the ,secretary may require1 including specific credentials relating to ,,fasd expertise and experience relevant to the application's proposed activity1 including development of ,,fasd public awareness activities and resources2 ,,fasd resource development1 dissemination1 and training2 coordination of ,,fasd-informed services1 technical assistance1 administration of ,,fasd partner networks1 and other ,,fasd-specific expertise4 7d7 ,subcontracting ,a public or private nonprofit may carry out the activities under subsection 7a7 through contracts or cooperative agreements with other public and private nonprofit entities with demonstrated expertise in-- 7#a7 ,,fasd prevention activities2 7#b7 ,,fasd screening and identification2 7#c7 ,,fasd resource1 development1 dissemination1 training and technical assistance1 administration and support of ,,fasd partner networks2 and 7#d7 intervention services4 7e7 ,authorization of appropriations ,there is authorized to be appropriated to carry out this section #h1jjj1jjj for each of fiscal years #bjbb through #bjbg4 4 #g4 ,department of ,education and ,department of ,justice programs 7a7 ,prevention1 identification1 intervention1 and services in the education system 7#a7 ,general rule ,the ,secretary of ,education shall address education-related issues with respect to children with ,,fasd1 in accordance with this subsection4 7#b7 ,specific responsibilities ,the ,secretary of ,education shall direct the ,office of ,special ,education and ,rehabilitative ,services to-- 7,a7 support the development1 collection1 and dissemination 7through the internet website of the ,department of ,education1 at teacher-to-teacher workshops1 through in-service trainings1 and through other means7 of culturally appropriate best practices that are ,,fasd-informed in the education and support of children with ,,fasd 7including any special techniques on how to assist these children in both special and traditional educational settings1 and including such practices that incorporate information concerning the identification1 behavioral supports1 teaching1 and learning associated with ,,fasd7 to-- 7i7 education groups such as the ,national ,association of ,school ,boards1 the ,national ,education ,association1 the ,american ,federation of ,teachers1 the ,national ,association of ,elementary ,school ,principals1 the ,national ,association of ,secondary ,school ,principals and national groups of special education teachers2 7ii7 recipients of a grant under the #bast ,century ,community ,learning ,center program established under part ,b of title ,,iv of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #gaga et seq47 and other after school program personnel2 and 7iii7 parent teacher associations1 parent information and training centers1 and other appropriate parent education organizations2 7,b7 ensure that1 in administering the ,individuals with ,disabilities ,education ,act 7#bj ,u4,s4,c4 #adjj et seq471 parents1 educators1 and advocates for children with disabilities are aware that children with ,,fasd have the right to access general curriculum under the least restrictive environment2 7,c7 collaborate with other ,federal agencies to include information or activities relating to prenatal alcohol and other harmful substance exposure in programs related to maternal health and health education2 and 7,d7 support efforts by peer advisory networks of adolescents in schools to discourage the use of alcohol and other harmful substances while pregnant or when considering getting pregnant4 7#c7 ,definition ,for purposes of this subsection1 the term ,,fasd has the meaning given such term in section #cii;,h7a7 of the ,public ,health ,service ,act1 as added by section #c4 7#d7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this subsection #e1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7b7 ,prevention1 identification1 intervention and services in the justice system 7#a7 ,in general ,the ,attorney ,general shall address justice-related issues with respect to youth and adults with ,,fasd and other neurodevelopmental conditions as a result of prenatal substance exposure1 in accordance with this subsection4 7#b7 ,requirements ,the ,attorney ,general1 acting through the ,office of ,juvenile ,justice and ,delinquency ,prevention and the ,bureau of ,justice ,initiatives1 shall-- 7,a7 develop screening and assessment procedures and conduct trainings on demonstration ,,fasd surveillance projects in adult and juvenile correction facilities in collaboration with the ,national ,center on ,birth ,defects and ,developmental ,disabilities and assistance from appropriate medical and mental health professionals2 7,b7 provide culturally appropriate support and technical assistance to justice systems professionals in developing training curricula on how to most effectively identify and interact with individuals with ,,fasd or similar neurodevelopmental disorders in the adult and juvenile justice systems1 and such support may include providing information about the prevention1 assessment1 identification and treatment of these disorders into justice professionals' credentialing or continuing education requirements2 7,c7 provide culturally appropriate technical assistance to adult and juvenile systems in addressing the integration of prenatal alcohol and substance exposure history into existing validated screening and assessment instruments2 7,d7 provide culturally appropriate technical assistance and support on the education of justice system professionals1 including judges1 attorneys1 probation officers1 child advocates1 law enforcement officers1 prison wardens and other incarceration officials1 medical and mental health professionals1 and administrators of developmental disability1 mental health and alternative incarceration facilities on how to screen1 assess1 identify1 treat1 respond and support individuals with ,,fasd and other conditions as a result of substance exposure within the justice systems1 including-- 7i7 programs designed specifically for the identification1 assessment1 treatment1 and education of those with ,,fasd2 7ii7 curricula development and credentialing of teachers1 administrators1 and social workers who implement such programs2 and 7iii7 how ,,fasd and other neurodevelopmental disorders impact an individual's interaction with law enforcement and whether diversionary sentencing options are more appropriate for such individuals2 7,e7 conduct a study on the practices and procedures within the criminal justice system for identifying and treatment of juvenile and adult offenders with neurodevelopmental disabilities1 such as ,,fasd1 the impact of ,,fasd on offenders' cognitive skills and adaptive functioning1 and identify alternative culturally appropriate methods of treatment and incarceration that have been demonstrated to be more effective for such offenders2 and 7,f7 collaborate with professionals with ,,fasd expertise and implement ,,fasd-informed transition programs for adults and juveniles with ,,fasd who are released from adult and juvenile correctional facilities4 7#c7 ,access for ,,bop inmates ,the ,attorney ,general shall direct the ,reentry ,services ,division at the ,bureau of ,prisons to ensure that each inmate with ,,fasd or a similar neurodevelopmental disorder who is in the custody of the ,bureau of ,prisons have access to ,,fasd-informed culturally appropriate services upon re-entry1 including programs1 resources1 and activities for adults with ,,fasd1 to facilitate the successful reintegration into their communities upon release4 7#d7 ,authorization of appropriations ,for the purpose of carrying out this subsection1 there are authorized to be appropriated #b1jjj1jjj for each of fiscal years #bjbb through #bjbg4 7c7 ,definition ,for purposes of this section1 the term ,,fasd has the meaning given such term in section #cii;,h7a7 of the ,public ,health ,service ,act1 as amended by section #c4