,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cjjf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #c1 #bjbc,mr4  
,m>key introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to ensure compreh5sive      
wrap>\nd s]vices = families impact$ by  
sub/ance use disord]s1 & = o!r purposes4
  #a4 ,%ort title ,?is ,act may be cit$ 
z ! ,sub/ance ,use ,disord] & ,family   
,engagem5t 9 ,recov]y ,act or ! ,,safe 9
 ,recov]y ,act4  #b4 ,ensur+ c>e & no   
undue family sep>ation ( families       
impact$ by sub/ance use disord]  7a7 ,9 
g5]al ,section #ejc ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #gjc7 is  
am5d$ by add+ at ! end ! foll[+ new     
subsection3  7d7 ,limitations on        
toxicology te/+ to detect sub/ance use  
7#a7 ,9 g5]al ,z a condition ( receiv+  
paym5ts "u ?is section1 ea* ,/ate-- 7,a7
 %all n require ! bir?+ p>5t ( an infant
 :o is id5tifi$ z be+ affect$ by        
sub/ance abuse or )drawal symptoms      

result+ f pr5atal drug exposure or a    
,fetal ,alcohol ,spectrum ,disord] to   
und]go toxicology te/+ to detect        
sub/ance use unless ! p>5t-- 7i7 gives  
cle> & in=m$ cons5t prior to su* te/+2 &
  7ii7 is able to access1 if necess>y = 
purposes ( giv+ su* cons5t1             
int]pretation s]vices & reasonable      
accommodations = disabilities2  7,b7    
%all ensure t a pregnant or po/p>tum    
individual tak+ a prescription drug1    
includ+ a prescription drug = ! treatm5t
 ( a sub/ance use disord]1 9 accordance 
) ! recomm5dations ( ! prescrib+        
practition]1 %all n be subject to       
inve/igations ( *ild abuse & neglect on 
! basis t su* individual is tak+ su*    
prescription drug2  7,c7 %all ensure t--
 7i7 any toxicology te/+ to detect      
sub/ance use t is provid$ to a pregnant 
or po/p>tum individual tak+ a           
prescription drug1 includ+ a            
prescription drug = ! treatm5t ( a      
sub/ance use disord]1 9 accordance ) !  
recomm5dations ( ! prescrib+ practition]

 is cons5t$ to by ! pregnant or po/p>tum
 individual 9 accordance ) subp>agraph  
7,a72 &  7ii7 su* te/+ 7& ! results (   
su* te/+7 %all n affect ! individual's  
access to c>e or public assi/ance & %all
 n be ! sole factor 9 a family sep>ation
 det]m9ation involv+ ! individual2 &    
7,d7 %all ensure t any heal? c>e provid]
 involv$ 9 ! deliv]y or c>e ( an infant 
id5tifi$ z be+ affect$ by sub/ance abuse
 or )drawal symptoms result+ f pr5atal  
drug exposure1 or a ,fetal ,alcohol     
,spectrum ,disord]1 is n requir$ to     
notify ! *ild protective s]vices sy/em (
 ! ,/ate or any unit ( local gov]nm5t ( 
! ,/ate ( ! occurr5ce ( su* condition 9 
su* infant if su* condition is ! result 
( ! bir?+ p>5t ( ! infant tak+ a        
prescription drug1 includ+ a            
prescription drug = ! treatm5t ( a      
sub/ance use disord]1 9 accordance ) !  
recomm5dations ( ! prescrib+            
practition]1 & su* provid] has no o!r   
reason to suspect t ! infant is 9 imm95t
 dang] ( abuse or neglect4  7#b7        

,def9ition ( prescription drug ,9 ?is   
subsection1 ! t]m prescription drug     
means a drug approv$ "u section #eje ( !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act  
7#ba ,u4,s4,c4 #cee7 or lic5s$ "u       
section #cea ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bfb7 t is subject  
to section #ejc7;b77#a7 ( ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cec7;b77#a774  4  7b7        
,effective date ,! am5dm5t made by ?is  
section %all take effect on ! date t is 
#b ye>s aft] ! date ( enactm5t ( ?is    
,act4  #c4 ,ensur+ a :ole-(-gov]nm5t    
approa* ?r\gh a ,f$]al int]ag5cy task   
=ce to support families impact$ by      
sub/ance use disord]s  7a7 ,e/abli%m5t  
,!re is e/abli%$ )9 ! ,f$]al ,gov]nm5t  
an int]ag5cy task =ce to improve-- 7#a7 
ef=ts1 res\rces1 & s]vices ( ! ,f$]al   
,gov]nm5t to support families impact$ by
 sub/ance use disord]s2  7#b7 !         
utilization ( su* ef=ts1 res\rces1 &    
s]vices2 &  7#c7 /rategies to /reaml9e !
 provision ( compreh5sive wrap>\nd c>e =

 families impact$ by sub/ance use       
disord]s4  7b7 ,memb]%ip  7#a7          
,composition ,! task =ce %all be compos$
 ( ! heads ( ! foll[+ ,f$]al dep>tm5ts &
 ag5cies1 or _! designees3 7,a7 ,!      
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4    
7,b7 ,! ,sub/ance ,abuse & ,m5tal ,heal?
 ,s]vices ,adm9i/ration4  7,c7 ,! ,ag5cy
 = ,heal?c>e ,rese>* & ,quality4  7,d7  
,! ,c5t]s = ,disease ,control &         
,prev5tion4  7,e7 ,! ,indian ,heal?     
,s]vice4  7,f7 ,! ,dep>tm5t ( ,vet]ans  
,affairs4  7,g7 ,! ,national ,in/itutes 
( ,heal?4  7,h7 ,! ,food & ,drug        
,adm9i/ration4  7,i7 ,! ,heal? ,res\rces
 & ,s]vices ,adm9i/ration4  7,j7 ,!     
,dep>tm5t ( ,def5se4  7,k7 ,! ,(fice (  
,m9ority ,heal? ( ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices4  7,l7 ,! ,adm9i/ration
 = ,*ildr5 & ,families4  7,m7 ,! ,(fice 
( ! ,assi/ant ,secret>y = ,plann+ &     
,evaluation ( ! ,dep>tm5t ( ,heal? &    
,human ,s]vices4  7,n7 ,! ,(fice =      
,civil ,rights ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices4  7,o7 ,! ,(fice (      

,juv5ile ,ju/ice & ,del9qu5cy ,prev5tion
 ( ! ,dep>tm5t ( ,ju/ice4  7,p7 ,!      
,(fice ( ,community ,ori5t$ ,polic+     
,s]vices ( ! ,dep>tm5t ( ,ju/ice4  7,q7 
,! ,national ,c5t] = ,education         
,evaluation & ,regional ,assi/ance ( !  
,dep>tm5t ( ,education4  7,r7 ,!        
,national ,c5t] = ,special ,education   
,rese>* ( ! ,in/itute ( ,education      
,sci5ce4  7,s7 ,! ,(fice ( ,elem5t>y &  
,second>y ,education ( ! ,dep>tm5t (    
,education4  7,t7 ,! ,(fice = ,civil    
,rights ( ! ,dep>tm5t ( ,education4     
7,u7 ,! ,(fice ( ,special ,education &  
,rehabilitative ,s]vices ( ! ,dep>tm5t (
 ,education4  7,v7 ,! ,bureau ( ,indian 
,affairs ( ! ,dep>tm5t ( ! ,int]ior4    
7,w7 ,! ,vet]ans ,heal? ,adm9i/ration ( 
! ,dep>tm5t ( ,vet]ans ,affairs4  7,x7  
,! ,(fice ( ,special ,ne$s ,assi/ance   
,programs ( ! ,dep>tm5t ( ,h\s+ & ,urban
 ,developm5t4  7,y7 ,! ,(fice ( ,head   
,/>t ( ! ,adm9i/ration = ,*ildr5 &      
,families4  7,z7 ,! ,*ildr5's ,bureau ( 
! ,adm9i/ration = ,*ildr5 & ,families4  

7,,aa7 ,! ,bureau ( ,indian ,education (
 ! ,dep>tm5t ( ! ,int]ior4  7,,bb7 ,su* 
o!r ,f$]al ag5cies z ! ,secret>ies      
det]m9e to be appropriate4  7#b7 ,date (
 appo9tm5ts ,! heads ( ,f$]al dep>tm5ts 
& ag5cies %all appo9t ! correspond+     
memb]s ( ! task =ce n lat] ?an #fj days 
aft] ! date ( enactm5t ( ?is ,act4  7#c7
 ,*airp]son ,! task =ce %all be *air$ by
 ! ,secret>y ( ,heal? & ,human ,s]vices4
  7c7 ,duties ,! int]ag5cy task =ce %all
 c>ry out ea* ( ! foll[+ activities3    
7#a7 ,solicit input f /akehold]s1       
includ+ frontl9e s]vice provid]s1       
educators1 m5tal heal? pr(essionals1    
rese>*]s1 exp]ts 9 infant1 *ild1 & y\?  
trauma1 *ild welf>e pr(essionals1 p 9   
recov]y1 & ! public1 9 ord] to in=m !   
activities "u ?is subsection4  7#b7     
,compile a compreh5sive li/ ( all ,f$]al
 ,gov]nm5t ef=ts1 res\rces1 & s]vices to
 support families impact$ by sub/ance   
use disord]s4  7#c7 ,assess !           
effectiv5ess ( c>e1 s]vices1 & res\rces 
available to families impact$ by        

sub/ance use disord]s4  7#d7 ,analyze & 
make recomm5dations = means ( elim9at+  
b>ri]s t prev5t individuals ) sub/ance  
use disord]s f ent]+ & rema9+ 9 c>e = ! 
disord] involv$4  7#e7 ,analyze & make  
recomm5dations = means ( elim9at+ b>ri]s
 to social s]vices = individuals )      
sub/ance use disord]s & _! families4    
7#f7 ,provide recomm5dations =          
effectively /reaml9+ ! provision (      
compreh5sive wrap>\nd c>e = families    
impact$ by sub/ance use disord]s4  7#g7 
,recomm5d a plan = address+ !           
compreh5sive wrap>\nd c>e ne$s (        
families impact$ by sub/ance use        
disord]s & specifically address 9 ! plan
 ! ne$s ( populations mo/               
disproportionately affect$4  7#h7 ,o!r  
activities z det]m9$ appropriate by !   
,secret>y4  7d7 ,op]at+ plan ,n lat] ?an
 #abj days aft] ! date ( enactm5t ( ?is 
,act1 ! task =ce %all hold ! fir/ meet+4
 ,n lat] ?an #b ye>s aft] su* date (    
enactm5t1 ! task =ce %all submit to !   
,secret>y ( ,education1 ! ,secret>y (   

,heal? & ,human ,s]vices1 ! ,secret>y ( 
,labor1 ! ,secret>y ( ! ,int]ior1 !     
,attorney ,g5]al1 & ,congress an op]at+ 
plan = c>ry+ out ! activities ( ! task  
=ce describ$ 9 subsection 7c74 ,su*     
op]at+ plan %all include-- 7#a7 a li/ ( 
specific activities t ! task =ce plans  
to c>ry out = purposes ( c>ry+ out      
duties describ$ 9 subsection 7c71 :i*   
may include public engagem5t2  7#b7 a   
plan = c>ry+ out ! activities "u        
subsection 7c72  7#c7 a li/ ( memb]s ( !
 task =ce & o!r individuals :o are n    
memb]s ( ! task =ce t may be consult$ to
 c>ry out su* activities2  7#d7 an      
explanation ( ,f$]al ag5cy involvem5t & 
coord9ation ne$$ to c>ry out su*        
activities1 includ+ any /atutory or     
regulatory b>ri]s to su* coord9ation2   
7#e7 a budget = c>ry+ out su*           
activities2  7#f7 a propos$ timel9e =   
implem5t+ recomm5dations & ef=ts        
id5tifi$ "u subsection 7c72 &  7#g7 o!r 
in=mation t ! task =ce det]m9es         
appropriate z relat$ to its duties4  7e7

 ,f9al report ,n lat] ?an #c ye>s aft] !
 date ( enactm5t ( ?is ,act1 ! ,secret>y
 %all submit to ,congress & ! g5]al     
public a f9al report t conta9s ! f9d+s &
 recomm5dations 7includ+ ! recomm5d$    
plan describ$ 9 subsection 7c77#g77 ( ! 
task =ce4  7f7 ,additional reports ,9   
addition to ! f9al report "u subsection 
7e71 ! task =ce %all submit-- 7#a7 a    
report to ,congress id5tify+ any        
recomm5dations id5tifi$ "u subsection   
7c7 t require additional legislative    
au?ority to implem5t2 &  7#b7 a report  
to ! ,gov]nors describ+ opportunities = 
local- & ,/ate-level p>tn]%ips1         
pr(essional developm5t1 or be/ practices
 to support families impact$ by sub/ance
 use disord]s4  7g7 ,sunset ,! task =ce 
%all sunset on ! date t is #fj days aft]
 ! submission ( ! report "u subsection  
7e71 b n lat] ?an ,septemb] #cj1 #bjbh4 
7h7 ,def9ition ( compreh5sive wrap>\nd  
c>e ,9 ?is section1 ! t]m compreh5sive  
wrap>\nd c>e includes cl9ical1 ancill>y 
heal?1 m5tal heal?1 sub/ance use        

disord]1 & social support s]vices1 to   
address a sub/ance use disord]4  #d4    
,increas+ access to behavioral heal? c>e
 ?r\gh community heal? c5t]s  7a7       
,requir$ prim>y heal? s]vices  7#a7 ,9  
g5]al ,section #ccj7;b7 ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bed;b7b77 is am5d$-- 7,a7 9 p>agraph   
7#a77;,a77i7-- 7i7 9 subclause 7,,iv71  
by /rik+ 2 & & ins]t+ a semicolon2  7ii7
 9 subclause 7,v71 by /rik+ ! semicolon 
& ins]t+ 2 &2 &  7iii7 by add+ at ! end 
! foll[+3  7,,vi7 behavioral & m5tal    
heal? & sub/ance use disord] s]vices2  2
  7,b7 9 p>agraph 7#a77;,a77ii71 by     
ins]t+ 1 includ+ su* ref]rals to c]tifi$
 community behavioral heal? c5t]s be=e !
 semicolon2 &  7,c7 9 p>agraph 7#b7--   
7i7 by /rik+ subp>agraph 7,a72 &  7ii7  
by r$esignat+ subp>agraphs 7,b7 ?r\gh   
7,d7 z subp>agraphs 7,a7 ?r\gh 7,c71    
respectively4  7#b7 ,fund+ ,= purposes (
 assi/+ heal? c5t]s 9 incorporat+       
behavioral & m5tal heal? & sub/ance use 
disord] s]vices into ! requir$ prim>y   

heal? s]vices (f]$ by su* c5t]s1 !re is 
appropriat$ to ! ,secret>y ( ,heal? &   
,human ,s]vices1 out ( am\nts 9 !       
,treasury n o!rwise appropriat$1        
#ejj1jjj1jjj = fiscal ye> #bjbe1 to     
rema9 available until exp5d$4  7#c7     
,report ,n lat] ?an #a ye> aft] ! date t
 is #c ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,secret>y ( ,heal? & ,human    
,s]vices %all submit a report to        
,congress on-- 7,a7 ! impact t !        
am5dm5ts made by p>agraph 7#a7 has _h on
 access to behavioral & m5tal heal? &   
sub/ance use disord] s]vices2 &  7,b7   
employee recruitm5t & ret5tion =        
behavioral & m5tal heal? & sub/ance use 
disord] provid]s1 includ+ = heal? c5t]s1
 c]tifi$ community behavioral heal?     
c5t]s1 & o!r community c>e sett+s4  7b7 
,environm5tal ju/ice communities        
,section #ajejc ( ! ,pati5t ,protection 
& ,af=dable ,c>e ,act 7#db ,u4,s4,c4    
#bed;b-#b7 is am5d$-- 7#a7 9 subsection 
7b77#a7-- 7,a7 9 subp>agraph 7,e71 by   
/rik+ & at ! end2 &  7,b7 by add+ at !  

end ! foll[+3  7,g7 #acj1jjj1jjj1jjj = !
 p]iod ( fiscal ye>s #bjbd ?r\gh #bjbh4 
7f7 ,environm5tal ju/ice communities ,! 
,secret>y %all ensure t n less ?an #ej  
p]c5t ( ! am\nts appropriat$ "u         
subsection 7b77#a7 = fiscal ye> #bjbd or
 any fiscal ye> !reaft] are aw>d$ to    
entities = use ) respect to projects or 
sites locat$ 9 or s]v+ communities )    
significant repres5tation ( communities 
( color1 l[-income communities1 or      
,tribal & ,indig5\s communities t       
exp]i5ce1 or are at risk ( exp]i5c+1    
high] or m adv]se human heal? or        
environm5tal effects4  7g7 ,prohibition 
,no am\nts made available "u ?is section
 may be us$ = any activity t is subject 
to ! report+ requirem5ts set =? 9       
section #bjc7;a7 ( ! ,labor-,managem5t  
,report+ & ,disclosure ,act ( #aiei 7#bi
 ,u4,s4,c4 #dcc7;a774  4  #e4 ,improv+  
outcomes = pregnant & po/p>tum pati5ts )
 sub/ance use disord] & paym5ts to      
inc5tivize c>e = opioid use disord]  7a7
 ,9 g5]al ,section #ahff;,f7b77#a7 ( !  

,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc-#f7;b77#a7 is am5d$ by add+ at 
! end ! foll[+ new subp>agraph3  7,g7   
,improves outcomes = pregnant & po/p>tum
 individuals ) opioid use disord]4  4   
7b7 ,paym5ts ,section #ahff;,f7e77#a7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#acie;cc-#f7;e77#a7 is am5d$-- 7#a7 9   
subp>agraph 7,a71 by ins]t+ pregnancy & 
po/p>tum s]vices & aft] includ+2 &  7#b7
 9 subp>agraph 7,b7-- 7,a7 9 clause     
7iii71 by /rik+ &2  7,b7 9 clause 7iv71 
by /rik+ ! p]iod & ins]t+ 2 &2 &  7,c7  
by add+ at ! end ! foll[+ new clause3   
7v7 pay a high] p] applicable b5efici>y 
p] mon? c>e managem5t fee = an          
applicable b5efici>y :o receives        
pregnancy or po/p>tum s]vices f a       
p>ticipant4  4  7c7 ,effective date ,!  
am5dm5ts made by ?is section %all take  
effect on ,janu>y #a1 #bjbd1 & %all     
apply to s]vices furni%$ on or aft] t   
date4  #f4 ,increas+ access to wrap>\nd 
s]vices = *ildr5 f families impact$ by  
sub/ance use disord]  7a7 ,grants ,!    

,head ,/>t ,act is am5d$ by ins]t+ aft] 
section #fde;,a 7#db ,u4,s4,c4 #ihdj;a7 
! foll[+3  #fde;,b4 ,*ildr5 f families  
impact$ by sub/ance use disord]  7a7    
,grants  7#a7 ,9 g5]al ,! ,secret>y %all
 make grants1 9 accordance ) p>agraph   
7#b71 to ,head ,/>t & ,e>ly ,head ,/>t  
ag5cies to enable ! ag5cies to provide  
compreh5sive heal?1 educational1        
nutritional1 social1 & o!r s]vices to   
*ildr5 9 ,head ,/>t & ,e>ly ,head ,/>t  
programs1 respectively1 f families      
impact$ by sub/ance use disord]1 or     
ref]r+ ! *ildr5 to su* s]vices1 to      
assure be/ outcomes = ! heal?1 wellness1
 & s*ool read9ess ( ! *ildr54  7#b7     
,=mula ,! ,secret>y %all make ^? grants1
 to fund ! activities describ$ 9        
p>agraph 7#a7 = a fiscal ye>1 by-- 7,a7 
us+ ! am\nt appropriat$ "u subsection   
7c7 = t fiscal ye>2 &  7,b7 di/ribut+ t 
am\nt 9 accordance ) clauses 7i7 7)     
respect to additional fund+ = !         
compreh5sive s]vices describ$ 9 p>agraph
 7#a77 & 7ii7 ( section                 

#fdj7;a77#d77;,c74  7b7 ,con/ruction ,a 
ref]5ce 9 ?is sub*apt] 7o!r ?an ?is     
section7 to funds appropriat$ or provid$
 "u ?is sub*apt] %all n be consid]$ to  
include funds appropriat$ or provid$ "u 
?is section4  7c7 ,au?orization (       
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#fj1jjj1jjj = fiscal ye> #bjbd & ea*    
subsequ5t fiscal ye>4  4  7b7 ,con=m+   
am5dm5t ,section #fci ( ! ,head ,/>t    
,act 7#db ,u4,s4,c4 #ihcd7 is am5d$ by  
/rik+ section #feg;,b & ins]t+ sections 
#fde;,b & #feg;,b4  #g4 ,coord9at+      
rese>* ( ! ,national ,in/itutes ( ,heal?
 ,"p ,a ( title ,,iv ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bha et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #djd,p4 ,rese>* ) respect to   
co-occurr+ pregnancy & sub/ance use     
disord] ,! ,director ( ! ,national      
,in/itutes ( ,heal? %all e/abli% a      
consortium on pregnancy1 po/p>tum       
recov]y1 & sub/ance use disord] rese>*  
to e/abli% rese>* priorities & /ew>d    

rese>* activities across ! national     
rese>* in/itutes & national c5t]s to    
und]/& & mitigate ! h>ms ( sub/ance use 
disord] = pregnant & po/p>tum pati5ts & 
_! *ildr54  4  #h4 ,ensur+ ! use ( be/  
available m$ical practices ?r\gh a ,,gao
 report on cl9ical guidel9es = treat+   
pregnant & p>5t+ pati5ts ) sub/ance use 
disord] & _! *ildr5 ,! ,comptroll]      
,g5]al ( ! ,unit$ ,/ates %all-- 7#a7    
conduct a /udy assess+-- 7,a7 ! ext5t to
 :i* cl9ical guidel9es = treat+ pregnant
 & p>5t+ pati5ts ) sub/ance use disord] 
& _! *ildr5 are implem5t$2  7,b7 any    
sy/emic & o!r b>ri]s to ensur+ t pati5ts
 & *ildr5 describ$ 9 subp>agraph 7,a7   
get access to up-to-date c>e t addresses
 ! complexity ( co-occurr+ sub/ance use 
disord] & pregnancy2 &  7,c7 access to  
treatm5t = pregnant & po/p>tum          
individuals ) sub/ance use disord] & !  
impacts ( int]actions ) *ild welf>e     
sy/ems2 &  7#b7 n lat] ?an #b ye>s aft] 
! date ( enactm5t ( ?is ,act1 submit a  
report to ,congress on ! results ( su*  

/udy4