,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cajf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,octob] #bd1 #bjbc,mr4 
,cassidy introduc$ ! foll[+ bill2 :i* 0 
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to reau?orize c]ta9 programs
 "u ! ,sub/ance ,use-,disord] ,prev5tion
 t ,promotes ,opioid ,recov]y &         
,treatm5t = ,pati5ts & ,communities     
,act1 & = o!r purposes4  #a4 ,%ort      
title2 table ( cont5ts  7a7 ,%ort title 
,?is ,act may be cit$ z ! ,,support =   
,pati5ts & ,communities ,reau?orization 
,act ( #bjbc4  7b7 ,table ( cont5ts ,!  
table ( cont5ts = ?is ,act is z foll[s3 
,sec4 #a4 ,%ort title2 table (          
cont5ts4,,title                         
,i--,reauthorizations,sec4 #aja4 ,fir/  
respond] tra9+4,sec4 #ajb4 ,resid5tial  
treatm5t programs = pregnant & po/p>tum 
wom54,sec4 #ajc4 ,pr5atal & po/natal    
heal?4,sec4 #ajd4 ,loan repaym5t program
 = sub/ance use disord] treatm5t        
work=ce4,sec4 #aje4 ,y\? prev5tion &    

recov]y4,sec4 #ajf4 ,compreh5sive opioid
 recov]y c5t]s4,sec4 #ajg4 ,,cdc        
surveillance & data collection = *ild1  
y\?1 & adult trauma4,sec4 #ajh4 ,task   
=ce to develop be/ practices =          
trauma-in=m$ id5tification1 ref]ral1 &  
support4,sec4 #aji4 ,donald ,j4 ,coh5   
,national *ild traumatic /ress          
initiative4,sec4 #aaj4 ,surveillance &  
education reg>d+ infections associat$ ) 
illicit drug use & o!r risk             
factors4,sec4 #aaa4 ,build+ communities 
( recov]y4,sec4 #aab4 ,pe] support      
te*nical assi/ance c5t]4,sec4 #aac4     
,prev5t+ ov]doses ( controll$           
sub/ances4,sec4 #aad4 ,,c>e] ,act4,sec4 
#aae4 ,grants to improve trauma support 
s]vices & m5tal heal? c>e = *ildr5 & y\?
 9 educational sett+s4,,title ,,ii--,o!r
 provisions,sec4 #bja4 ,deliv]y ( a     
controll$ sub/ance by a ph>macy4,sec4   
#bjb4 ,regulations relat+ to a special  
regi/ration = telem$ic9e4,sec4 #bjc4    
,guidance on at-home drug disposal      
sy/ems4,sec4 #bjd4 ,report on at-home   

drug disposal sy/ems4,sec4 #bje4 ,ensur+
 ,/ate *oice 9 ,,pdmp sy/ems4,sec4 #bjf4
 ,m5tal heal? p>ity4,sec4 #bjg4 ,/ate   
guidance on cov]age = individuals )     
s]i\s m5tal illness & *ildr5 ) s]i\s    
emotional di/urbance4,sec4 #bjh4        
,community m5tal heal? s]vices block    
grant s]vice provid]s4,sec4 #bji4       
,reports & /udies on m$ication treatm5ts
 = opioid use disord]4,sec4 #baj4 ,,fasd
 ,respect ,act4  ,i ,reau?orizations    
#aja4 ,fir/ respond] tra9+ ,section     
#edf7;h7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;ee-#a7;h77 is am5d$
 by /rik+ #cf1jjj1jjj = ea* ( fiscal    
ye>s #bjai ?r\gh #bjbc & ins]t+         
#ef1jjj1jjj = ea* ( fiscal ye>s #bjbd   
?r\gh #bjbh4  #ajb4 ,resid5tial treatm5t
 programs = pregnant & po/p>tum wom5    
,section #ejh7s7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#bij;bb-#a7s77 is am5d$ by /rik+        
#bi1ica1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc & ins]t+ #ch1ica1jjj = ea* (
 fiscal ye>s #bjbd ?r\gh #bjbh4  #ajc4  

,pr5atal & po/natal heal? ,section      
#cag,l7d7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bdg;b-#ac7;d77 is  
am5d$ by /rik+ #bjai ?r\gh #bjbc &      
ins]t+ #bjbd ?r\gh #bjbh4  #ajd4 ,loan  
repaym5t program = sub/ance use disord] 
treatm5t work=ce ,section #gha7;j7 ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bie;h7j77 is am5d$ by /rik+  
#be1jjj1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc & ins]t+ #dj1jjj1jjj = ea* (
 fiscal ye>s #bjbd ?r\gh #bjbh4  #aje4  
,y\? prev5tion & recov]y ,section       
#gajb7;c77#i7 ( ! ,,support = ,pati5ts &
 ,communities ,act 7#db ,u4,s4,c4       
#bij;bb-#g;a7c77#i77 is am5d$ by /rik+  
#bjai ?r\gh #bjbc & ins]t+ #bjbd ?r\gh  
#bjbh4  #ajf4 ,compreh5sive opioid      
recov]y c5t]s ,section #eeb7;j7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;ee-#g7;j77 is am5d$ by   
/rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd  
?r\gh #bjbh4  #ajg4 ,,cdc surveillance &
 data collection = *ild1 y\?1 & adult   
trauma ,section #gaca7;e7 ( ! ,,support 

= ,pati5ts & ,communities ,act 7#db     
,u4,s4,c4 #bdbt7e77 is am5d$ by /rik+   
#b1jjj1jjj = ea* ( fiscal ye>s #bjai    
?r\gh #bjbc & ins]t+ #i1jjj1jjj = ea* ( 
fiscal ye>s #bjbd ?r\gh #bjbh4  #ajh4   
,task =ce to develop be/ practices =    
trauma-in=m$ id5tification1 ref]ral1 &  
support ,section #gacb7;i7 ( ! ,,support
 = ,pati5ts & ,communities ,act 7,public
 ,law #aae-bga7 is am5d$ by /rik+ #bjbc 
& ins]t+ #bjbh4  #aji4 ,donald ,j4 ,coh5
 ,national *ild traumatic /ress         
initiative ,section #ehb7;j7 ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#bij;hh-#a7;j77 7relat+ to grants to    
address ! problems ( p]sons :o exp]i5ce 
viol5ce-relat$ /ress7 is am5d$ by /rik+ 
#fc1hhg1jjj = ea* ( fiscal ye>s #bjai   
?r\gh #bjbc & ins]t+ #ic1hhg1jjj = ea* (
 fiscal ye>s #bjbd ?r\gh #bjbh4  #aaj4  
,surveillance & education reg>d+        
infections associat$ ) illicit drug use 
& o!r risk factors ,section #cag,n7d7 ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bdg;b-#ae7;d77 is am5d$ by   

/rik+ #bjai ?r\gh #bjbc & ins]t+ #bjbd  
?r\gh #bjbh4  #aaa4 ,build+ communities 
( recov]y ,section #edg7;f7 ( ! ,public 
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;ee-#b7;f77 is am5d$ by /rik+       
#e1jjj1jjj = ea* ( fiscal ye>s #bjai    
?r\gh #bjbc & ins]t+ #af1jjj1jjj = ea* (
 fiscal ye>s #bjbd ?r\gh #bjbh4  #aab4  
,pe] support te*nical assi/ance c5t]    
,section #edg;,a7e7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bij;ee-#b;a7e77 is am5d$ by /rik+      
#a1jjj1jjj = ea* ( fiscal ye>s #bjai    
?r\gh #bjbc & ins]t+ #b1jjj1jjj = ea* ( 
fiscal ye>s #bjbd ?r\gh #bjbh4  #aac4   
,prev5t+ ov]doses ( controll$ sub/ances 
,section #cib;,a7e7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bhj;b-#a7;e77 is am5d$ by /rik+        
#dif1jjj1jjj = ea* ( fiscal ye>s #bjai  
?r\gh #bjbc & ins]t+ #eje1egi1jjj = ea* 
( fiscal ye>s #bjbd ?r\gh #bjbh4  #aad4 
,,c>e] ,act  7a7 ,9 g5]al ,section #gahc
 ( ! ,,support = ,pati5ts & ,communities
 ,act 7#db ,u4,s4,c4 #bij;ee-#h7 is     

am5d$-- 7#a7 9 ! section head+1 by      
ins]t+ 2 treatm5t1 recov]y1 & work=ce   
support grants aft] ,,c>e] ,act2  7#b7 9
 subsection 7b71 by ins]t+ ea* be=e = a 
p]iod2  7#c7 9 subsection 7c7-- 7,a7 9  
p>agraph 7#a71 by /rik+ ! rates describ$
 9 p>agraph 7#b7 & ins]t+ ! av]age rates
 = cal5d> ye>s #bjah ?r\gh #bjbb        
describ$ 9 p>agraph 7#b72 &  7,b7 by    
am5d+ p>agraph 7#b7 to read z foll[s3   
7#b7 ,rates ,! rates describ$ 9 ?is     
p>agraph are ! foll[+3 7,a7 ,! highe/   
age-adju/$ av]age rates ( drug ov]dose  
dea?s = cal5d> ye>s #bjah ?r\gh #bjbb   
bas$ on data f ! ,c5t]s = ,disease      
,control & ,prev5tion1 includ+1 if      
necess>y1 provisional data = cal5d> ye> 
#bjbb4  7,b7 ,! highe/ av]age rates (   
unemploym5t = cal5d> ye>s #bjah ?r\gh   
#bjbb bas$ on data provid$ by ! ,bureau 
( ,labor ,/ati/ics4  7,c7 ,! l[e/ av]age
 labor =ce p>ticipation rates = cal5d>  
ye>s #bjah ?r\gh #bjbb bas$ on data     
provid$ by ! ,bureau ( ,labor ,/ati/ics4
  2  7#d7 9 subsection 7g7-- 7,a7 9 ea* 

( p>agraphs 7#a7 & 7#c71 by r$esignat+  
subp>agraphs 7,a7 & 7,b7 z clauses 7i7 &
 7ii71 respectively1 & adju/+ ! m>g9s   
accord+ly2  7,b7 by r$esignat+ p>agraphs
 7#a7 ?r\gh 7#c7 z subp>agraphs 7,a7    
?r\gh 7,c71 respectively1 & adju/+ !    
m>g9s accord+ly2  7,c7 9 ! matt] prec$+ 
subp>agraph 7,a7 7z s r$esignat$71 by   
/rik+ ,an entity & ins]t+ ! foll[+3     
7#a7 ,9 g5]al ,an entity  2 &  7,d7 by  
add+ at ! end ! foll[+3  7#b7           
,transportation s]vices ,an entity      
receiv+ a grant "u ?is section may use n
 m ?an #e p]c5t ( ! funds = provid+     
transportation = individuals to         
p>ticipate 9 an activity support$ by a  
grant "u ?is section1 :i* transportation
 %all be to or f a place ( "w or a place
 :]e ! individual is receiv+ vocational 
education or job tra9+ s]vices or       
receiv+ s]vices directly l9k$ to        
treatm5t ( or recov]y f a sub/ance use  
disord]4  7#c7 ,limitation ,! ,secret>y 
may n require an entity to1 or give     
priority to an entity t plans to1 use ! 

funds ( a grant "u ?is section =        
activities t are n specifi$ 9 ?is       
subsection4  2  7#e7 9 subsection       
7i77#b71 by ins]t+ 1 :i* %all include   
employm5t & e>n+s outcomes describ$ 9   
subclauses 7,i7 & 7,,iii7 ( section     
#aaf7;b77#b77;,a77i7 ( ! ,work=ce       
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cada7;b77#b77;,a77i77 )      
respect to ! p>ticipation ( su*         
individuals ) a sub/ance use disord] 9  
programs & activities fund$ by ! grant  
"u ?is section aft] subsection 7g72     
7#f7 9 subsection 7j7-- 7,a7 9 p>agraph 
7#a71 by ins]t+ = grants aw>d$ prior to 
! date ( enactm5t ( ! ,,support =       
,pati5ts & ,communities ,reau?orization 
,act ( #bjbc aft] grant p]iod "u ?is    
section2 &  7,b7 9 p>agraph 7#b7-- 7i7 9
 ! matt] prec$+ subp>agraph 7,a71 by    
/rik+ #b ye>s aft] submitt+ ! prelim9>y 
report requir$ "u p>agraph 7#a7 & ins]t+
 ,septemb] #cj1 #bjbh2 &  7ii7 9        
subp>agraph 7,a71 by /rik+ 7g77#c7 &    
ins]t+ 7g77#a77;,c72 &  7#g7 9          

subsection 7k71 by /rik+ #e1jjj1jjj =   
ea* ( fiscal ye>s #bjai ?r\gh #bjbc &   
ins]t+ #ab1jjj1jjj = ea* ( fiscal ye>s  
#bjbd ?r\gh #bjbh4  7b7 ,cl]ical am5dm5t
 ,! table ( cont5ts 9 section #a7;b7 ( !
 ,,support = ,pati5ts & ,communities    
,act 7,public ,law #aae-bga2 #acb ,/at4 
#chid7 is am5d$ by /rik+ ! item relat+  
to section #gahc & ins]t+ ! foll[+3     
,sec4 #gahc4 ,,c>e] ,act2 treatm5t1     
recov]y1 & work=ce support grants4  4   
#aae4 ,grants to improve trauma support 
s]vices & m5tal heal? c>e = *ildr5 & y\?
 9 educational sett+s ,section #gacd ( !
 ,,support = ,pati5ts & ,communities    
,act 7#db ,u4,s4,c4 #bhj;h-#g7 is       
am5d$-- 7#a7 9 subsection 7c7-- 7,a7 by 
/rik+ p>agraph 7#b72  7,b7 by r$esignat+
 p>agraphs 7#c7 ?r\gh 7#h7 z p>agraphs  
7#b7 ?r\gh 7#g71 respectively2  7,c7 9  
subp>agraph 7,a7 ( p>agraph 7#b71 z s   
r$esignat$1 by /rik+ 1 includ+ ?r\gh    
social & emotional le>n+2 &  7,d7 9     
p>agraph 7#c71 z s r$esignat$1 by ins]t+
 1 provid$ t ! /ud5ts' records are own$ 

& ma9ta9$ by ! s*ool1 aft] community    
s*ool2  7#b7 9 subsection 7d77#d7-- 7,a7
 9 subp>agraph 7,a71 by /rik+ 2 & &     
ins]t+ a semicolon2  7,b7 9 subp>agraph 
7,b71 by /rik+ ! p]iod & ins]t+ a       
semicolon2 &  7,c7 by add+ at ! end !   
foll[+3  7,c7 p>5ts & gu>dians w be     
in=m$ ( :at trauma support s]vices &    
m5tal heal? c>e are available to _!     
/ud5ts & :at s]vices & c>e _! /ud5ts    
receive1 & w receive updates on _!      
/ud5ts' s]vices & c>e2 &  7,d7 p>5ts &  
gu>dians w h access to all docum5ts     
relat$ to ! trauma support s]vices &    
m5tal heal? c>e t _! /ud5t receives4  2 
7#c7 9 subsection 7f77#a71 by ins]t+ 1  
includ+ an assessm5t ( h[ p>5ts or      
gu>dians ( /ud5ts are engag$ 9 ! design 
(1 & in=m$ 9 ! provision (1 trauma      
support s]vices & m5tal heal? c>e 9 _!  
/ud5t's s*ool be=e ! semicolon2 &  7#d7 
9 subsection 7l71 by /rik+ #bjai ?r\gh  
#bjbc & ins]t+ #bjbd ?r\gh #bjbh4  ,,ii 
,o!r provisions  #bja4 ,deliv]y ( a     
controll$ sub/ance by a ph>macy ,section

 #cji;,a7a7 ( ! ,controll$ ,sub/ances   
,act 7#ba ,u4,s4,c4 #hbi;a7a77 is am5d$ 
by /rik+ p>agraph 7#b7 & ins]t+ !       
foll[+3  7#b7 ! controll$ sub/ance is a 
drug 9 s*$ule ,,iii1 ,,iv1 or ,v & is-- 
7,a7 to be adm9i/]$ = ! purpose (       
initiation1 ma9t5ance1 or detoxification
 treatm5t2 or  7,b7 subject to risk     
evaluation & mitigation /rategy pursuant
 to section #eje-a ( ! ,f$]al ,food1    
,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4  
#cee-a71 :i* may require ! drug to be   
adm9i/]$ ) po/-adm9i/ration monitor+ by 
a heal? c>e pr(essional2  4  #bjb4      
,regulations relat+ to a special        
regi/ration = telem$ic9e ,n lat] ?an #a 
ye> aft] ! date ( enactm5t ( ?is ,act1 !
 ,attorney ,g5]al1 9 consultation ) !   
,secret>y ( ,heal? & ,human ,s]vices1   
%all promulgate ! f9al regulations      
requir$ "u section #caa7;h77#b7 ( !     
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hca7;h77#b774  #bjc4         
,guidance on at-home drug disposal      
sy/ems  7a7 ,9 g5]al ,n lat] ?an "o ye> 

aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is section z ! ,secret>y7 
%all publi% guidance to facilitate ! use
 ( at-home safe disposal sy/ems =       
applicable drugs1 includ+ = su* at-home 
safe disposal sy/ems t ! ,secret>y may  
require z a "p ( a risk evaluation &    
mitigation /rategy "u section #eje-a ( !
 ,f$]al ,food1 ,drug1 & ,cosmetic ,act  
7#ba ,u4,s4,c4 #cee-a74  7b7 ,cont5ts ,!
 guidance "u subsection 7a7 %all        
include-- 7#a7 recomm5d$ /&>ds =        
effective at-home drug disposal sy/ems  
to meet ! public heal? or               
non-retrievability /&>d2  7#b7 recomm5d$
 in=mation to include z in/ruction = use
 to dissem9ate ) at-home drug disposal  
sy/ems2  7#c7 be/ practices &           
educational tools to support ! use ( an 
at-home drug disposal sy/em2 &  7#d7    
recomm5d$ use ( lic5s$ heal? provid]s = 
! dissem9ation ( education1 in/ruction1 
& at-home drug disposal sy/ems4  7c7    
,updates ,! ,secret>y %all update !     

guidance "u ?is section n less frequ5tly
 ?an e #e ye>s4  #bjd4 ,report on       
at-home drug disposal sy/ems  7a7 ,/udy 
,n lat] ?an #fj days aft] ! date (      
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 9 consultation
 ) ! ,adm9i/rator ( ! ,drug ,en=cem5t   
,adm9i/ration1 %all ent] into an        
agreem5t ) ! ,national ,academies (     
,sci5ces1 ,eng9e]+1 & ,m$ic9e to-- 7#a7 
conv5e a committee ( exp]ts to exam9e   
/eps to improve access to at-home drug  
disposal sy/ems1 includ+ review+-- 7,a7 
comm]cially available at-home drug      
disposal sy/ems2  7,b7 curr5t ,/ate1    
local1 & private programs provid+       
education & 9-home drug disposal sy/ems2
  7,c7 academic /udies & real _w te/+   
reg>d+ drug disposal sy/em compliance1  
effectiv5ess1 & usage1 & any *all5ges   
associat$ ) su* sy/ems2 &  7,d7 any     
b>ri]s to di/ribution ( at-home drug    
disposal sy/ems2 &  7#b7 issue an exp]t 
cons5sus report t sets =? be/ practices 
= educational res\rces to in=m          

di/ribution & use ( at-home drug        
disposal sy/ems4  7b7 ,report ,^u       
completion ( ! cons5sus report "u       
subsection 7a77#b71 ! ,heal? & ,m$ic9e  
,division ( ! ,national ,academies (    
,sci5ces1 ,eng9e]+1 & ,m$ic9e %all      
transmit a copy ( ! report to-- 7#a7 !  
,secret>y ( ,heal? & ,human ,s]vices2   
7#b7 ! ,commission] ( ,food & ,drugs2   
7#c7 ! ,adm9i/rator ( ! ,drug ,en=cem5t 
,adm9i/ration2  7#d7 ! ,committee on    
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate2 &  7#e7 ! ,committee on      
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives4  #bje4 ,ensur+ ,/ate   
*oice 9 ,,pdmp sy/ems ,section #cii,o7h7
 ( ! ,public ,heal? ,s]vice ,act 7#db   
,u4,s4,c4 #bhj;g-#c7;h77 is am5d$ by    
add+ ! foll[+3  7#e7 ,ensur+ ,/ate *oice
 ,no?+ 9 ?is section %all be con/ru$    
to-- 7,a7 direct1 require or enc\rage a 
,/ate to use a specific int]/ate data   
%>+ program2  7,b7 limit or prohibit !  
discretion ( a ,,pdmp to utilize        
int]op]ability connections ( its *oice2 

7,c7 p]mit1 enc\rage1 or o!rwise        
condition ,f$]al f9ancial assi/ance to  
,/ates bas$ ^u ! use ( op5 ar*itecture1 
o!r ?an nationally recogniz$1           
cons5sus-bas$ /&>ds1 by ,,pdmp sy/ems or
 contract$ v5dors2 or  7,d7 limit or    
prohibit ! discretion ( ,/ates to       
utilize ,f$]al f9ancial assi/ance       
receiv$ "u ?is section to ent] into     
arrangem5ts ) v5dors ( _! *oice 9 ord]  
to c>ry out a program "u ?is section4  4
  #bjf4 ,m5tal heal? p>ity  7a7 ,9 g5]al
 ,n lat] ?an ,janu>y #a1 #bjbe1 !       
,inspector ,g5]al ( ! ,dep>tm5t (       
,labor1 9 coord9ation ) ! ,inspector    
,g5]al ( ! ,dep>tm5t ( ,heal? & ,human  
,s]vices1 %all report to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
( ! ,s5ate & ! ,committee on ,en]gy &   
,comm]ce & ! ,committee on ,education & 
! ,work=ce ( ! ,h\se ( ,repres5tatives  
on ! foll[+3 7#a7 ,! non-quantitative   
treatm5t limit 7ref]r$ to 9 ?is section 
z ,,nqtl7 requirem5ts ) respect to m5tal
 heal? & sub/ance use disord] b5efits "u

 gr\p heal? plans & heal? insurance     
issu]s "u section #bgbf7;a77#h7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#bf7;a77#h771 section 
#gab7;a77#h7 ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;a7a77#h771 & section    
#ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf 7ref]r$ to 9 ?is section z !   
,,nqtl comp>ative analysis requirem5ts71
 & ! requirem5ts = ! ,secret>y ( ,heal? 
& ,human ,s]vices1 ! ,secret>y ( ,labor1
 & ! ,secret>y ( ! ,treasury to issue   
regulations1 a compliance program guide1
 & additional guidance docum5ts & tools 
provid+ guidance relat+ to m5tal heal?  
p>ity requirem5ts "u section #bgbf7;a7 (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;gg-#bf7;a771 section     
#gab7;a7 ( ! ,employee ,retirem5t       
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;a7a771 & section        
#ihab7;a7 ( ! ,int]nal ,rev5ue ,code (  
#aihf4  7#b7 ,) respect to ! ,,nqtl     
comp>ative analysis requirem5ts describ$

 9 p>agraph 7#a71 an analysis ( !       
actions tak5 by ! ,secret>y ( ,labor1 ! 
,secret>y ( ! ,treasury1 & ! ,secret>y (
 ,heal? & ,human ,s]vices to provide    
guidance to ensure t gr\p heal? plans & 
heal? insurance issu]s c fully comply ) 
m5tal heal? p>ity requirem5ts "u section
 #bgbf ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #cjj;gg-#bf1 section #gab
 ( ! ,employee ,retirem5t ,income       
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aahe;a71 & section #ihab ( ! ,int]nal  
,rev5ue ,code ( #aihf & ! ,,nqtl        
comp>ative analysis requirem5ts describ$
 9 p>agraph 7#a71 includ+ an analysis   
(-- 7,a7 ! ext5t to :i* ! ,secret>y (   
,labor1 ! ,secret>y ( ! ,treasury1 & !  
,secret>y ( ,heal? & ,human ,s]vices h  
fulfill$ ! requirem5t "u section        
#bjc7;b7 ( division ,,bb ( !            
,consolidat$ ,appropriations ,act1 #bjba
 7,public ,law #aaf-bfj7 to issue !     
specific guidance & regulations p]ta9+  
to ! requirem5ts = gr\p heal? plans &   
heal? insurance issu]s to demon/rate    

compliance ) ! ,,nqtl comp>ative        
analysis requirem5ts2 &  7,b7 :e!r      
suffici5t guidance & examples f !       
,dep>tm5t ( ,labor & ,dep>tm5t ( ,heal? 
& ,human ,s]vices1 & ! ,dep>tm5t ( !    
,treasury exi/ to guide & assi/ gr\p    
heal? plans & heal? insurance issu]s 9  
comply+ ) ! requirem5ts to demon/rate   
compliance ) m5tal heal? p>ity ,,nqtl   
comp>ative analysis requirem5ts_/"u su* 
sections #bgbf7;a77#h71 #gab7;a77#h71 & 
#ihab7;a77#h74  7#c7 ,a review ( !      
en=cem5t processes ( ! ,dep>tm5t (      
,labor & ! ,dep>tm5t ( ,heal? & ,human  
,s]vices to evaluate ! consi/5cy (      
int]pretation ( ! requirem5ts "u section
 #bgbf7;a77#h7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#cjj;gg-#bf7;a77#h71 section            
#gab7;a77#h7 ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe;a7a77#h771 & section    
#ihab7;a77#h7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf1 9 p>ticul> ) respect to       
processes utiliz$ = en=cem5t1 actions or

 inactions t con/itute noncompliance1 & 
avoidance among ! ag5cies ( duplication 
( en=cem5t1 includ+ an evaluation (     
compliance ) section #ajd ( ! ,heal?    
,insurance ,portability & ,acc\ntability
 ,act ( #aiif 7,public ,law #ajd-aia74  
7#d7 ,a review ( ! implem5tation1 by !  
,dep>tm5t ( ,labor1 ,dep>tm5t ( ,heal? &
 ,human ,s]vices1 & ,dep>tm5t ( !       
,treasury1 ( m5tal heal? p>ity          
requirem5ts "u section #bgbf ( ! ,public
 ,heal? ,s]vice ,act 7#db ,u4,s4,c4     
#cjj;gg-#bf71 section #gab ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aahe;a71 & section
 #ihab ( ! ,int]nal ,rev5ue ,code (     
#aihf1 includ+ all su* requirem5ts 9    
effect ?r\gh ! enactm5t ( ! ,m5tal      
,heal? ,p>ity ,act ( #aiif 7,public ,law
 #ajd-bjd71 ! ,paul ,well/one & ,pete   
,dom5ici ,m5tal ,heal? ,p>ity &         
,addiction ,equity ,act ( #bjjh 7,public
 ,law #aaj-dfj71 ! #ba/ ,c5tury ,cures  
,act 7,public ,law #aad-bee71 & !       
,consolidat$ ,appropriations ,act1 #bjbc

 7,public ,law #aag-cbh7 7includ+ any   
am5dm5ts made by su* ,acts71 & includ+ )
 respect to ! tim+ ( all actions1 delays
 ( any actions1 reasons = any su*       
delays1 m&at$ requirem5ts t 7 met only  
once b n ea* "t su* requirem5ts 7 m&at$4
  7b7 ,def9itions ,9 ?is section1 ! t]ms
 gr\p heal? plan & heal? insurance issu]
 h ! mean+s giv5 su* t]ms 9 section #gcc
 ( ! ,employee ,retirem5t ,income       
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aaia;b74  #bjg4 ,/ate guidance on      
cov]age = individuals ) s]i\s m5tal     
illness & *ildr5 ) s]i\s emotional      
di/urbance  7a7 ,review ( use ( c]ta9   
fund+ ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is ,act1 ! ,secret>y (      
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all conduct a review ( 
! use by ,/ates ( funds made available  
"u ! ,community ,m5tal ,heal? ,s]vices  
,block ,grant program "u subp>t ,i ( "p 
,b ( title ,,xix ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #cjjx et    

seq47 = ,fir/ ,episode ,psy*osis        
activities4 ,su* review %all consid] !  
foll[+3 7#a7 ,h[ ! ,/ates use funds =   
evid5ce-bas$ treatm5ts & s]vices1 su* z 
coord9at$ specialty c>e1 accord+ to !   
/&>d ( c>e = individuals ) e>ly s]i\s   
m5tal illness1 includ+ ! compreh5siv5ess
 ( su* treatm5ts to include all aspects 
( ! recomm5d$ int]v5tion4  7#b7 ,h[     
,/ate m5tal heal? dep>tm5ts are         
coord9at+ ) ,/ate ,m$icaid dep>tm5ts 9 !
 deliv]y ( ! treatm5ts & s]vices        
describ$ 9 p>agraph 7#a74  7#c7 ,:at    
p]c5tage ( ! ,/ate fund+ "u ! block     
grant program is be+ appli$ t[>d ,fir/  
,episode ,psy*osis 9 excess ( #aj p]c5t 
( ! am\nt ( ! grant1 z brok5 d[n on a   
,/ate-by-,/ate basis4 ,! review %all    
also id5tify any ,/ates t fail to exp5d 
! requir$ #aj p]c5t ( block grant funds 
on activities relat+ to e>ly s]i\s m5tal
 illness1 includ+ ,fir/ ,episode        
,psy*osis4  7#d7 ,h[ _m individuals are 
s]v$ by ! exp5ditures describ$ 9        
p>agraph 7#c71 brok5 d[n on a p]-capita 

basis4  7#e7 ,h[ ! funds are us$ to rea*
 individuals 9 und]s]v$ populations1    
includ+ individuals 9 rural areas &     
individuals f m9ority gr\ps4  7b7       
,report & guidance  7#a7 ,report ,n lat]
 ?an #f mon?s aft] ! completion ( !     
review "u subsection 7a71 ! ,secret>y ( 
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use1 %all submit to !        
,committee on ,appropriations1 !        
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions1 & ! ,committee on   
,f9ance ( ! ,s5ate & to ! ,committee on 
,appropriations & ! ,committee on ,en]gy
 & ,comm]ce ( ! ,h\se ( ,repres5tatives 
a report on ! f9d+s made z a result ( ! 
review conduct$ "u subsection 7a74 ,su* 
report %all include any recomm5dations )
 respect to any *anges to ! ,community  
,m5tal ,heal? ,s]vices ,block ,grant    
program1 includ+ ! set aside requir$ =  
,fir/ ,episode ,psy*osis1 t w\ld        
facilitate improv$ outcomes = ! t>get$  
population involv$4  7#b7 ,guidance ,n  

lat] ?an #a ye> aft] ! date on :i* !    
report is submitt$ "u p>agraph 7#a71 !  
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,assi/ant ,secret>y =      
,m5tal ,heal? & ,sub/ance ,use1 %all    
update ! guidance provid$ to ,/ates "u !
 ,community ,m5tal ,heal? ,s]vices      
,block ,grant program bas$ on ! f9d+s & 
recomm5dations ( ! report4  7c7         
,additional guidance ,! ,director ( !   
,national ,in/itute ( ,m5tal ,heal? %all
 coord9ate ) ! ,assi/ant ,secret>y =    
,m5tal ,heal? & ,sub/ance ,use 9 provid+
 guidance to ,/ate grantees & provid]   
subgrantees ab\t rese>* advances 9 !    
deliv]y ( s]vices = ,fir/ ,episode      
,psy*osis "u ! ,community ,m5tal ,heal? 
,s]vices ,block ,grant program4  7d7    
,guidance = ,/ates relat+ to cov]age    
recomm5dations ( heal? c>e s]vices &    
int]v5tions = individuals ) s]i\s m5tal 
illness & *ildr5 ) s]i\s emotional      
di/urbance ,n lat] ?an #b ye>s aft] !   
date ( enactm5t ( ?is ,act1 !           
,adm9i/rator ( ! ,c5t]s = ,m$ic>e       

,m$icaid ,s]vices1 jo9tly ) ! ,assi/ant 
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use & ! ,director ( ! ,national        
,in/itute ( ,m5tal ,heal?-- 7#a7 %all   
provide updat$ guidance to ,/ates       
conc]n+-- 7,a7 cov]age recomm5dations   
relat+ to evid5ce-bas$ heal? c>e        
s]vices1 su* z coord9at$ specialty c>e1 
& int]v5tions = individuals ) e>ly s]i\s
 m5tal illness1 includ+ ,fir/ ,episode  
,psy*osis2 &  7,b7 ! mann] 9 :i* ,f$]al 
fund+ provid$ to ,/ates ?r\gh programs  
adm9i/]$ by su* ag5cies1 includ+ !      
,community ,m5tal ,heal? ,s]vices ,block
 ,grant program "u subp>t ,i ( "p ,b (  
title ,,xix ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #cjjx et seq471 may 
be coord9at$ to support individuals )   
s]i\s m5tal illness & s]i\s emotional   
di/urbance2 &  7#b7 may /reaml9e        
relevant ,/ate report+ requirem5ts if   
su* /reaml9+ w\ld result 9 mak+ x easi] 
= ,/ates to coord9ate fund+ "u !        
programs describ$ 9 p>agraph 7#a77;,b7  
to improve treatm5ts = individuals )    

s]i\s m5tal illness & s]i\s emotional   
di/urbance4  #bjh4 ,community m5tal     
heal? s]vices block grant s]vice        
provid]s ,subp>t ,i ( "p ,b ( title     
,,xix ( ! ,public ,heal? ,s]vice ,act is
 am5d$-- 7#a7 9 section #aiac7;b77#a7   
7#db ,u4,s4,c4 #cjjx-#b7;b77#a771 by    
ins]t+ 1 & :i* may include1 at !        
discretion ( ! ,/ate1 appropriate       
programs op]at$ by =-pr(it entities aft]
 consum]-direct$ programs2 &  7#b7 9    
section #aiaf7;a77#e7 7#db ,u4,s4,c4    
#cjjx-#e7;a77#e771 by ins]t+ 1 or a     
=-pr(it entity select$ by a ,/ate       
pursuant to section #aiac7;b77#a7 be=e !
 p]iod at ! end4  #bji4 ,reports &      
/udies on m$ication treatm5ts = opioid  
use disord]  7a7 ,,nih report to        
,congress on me?adone treatm5t ,n lat]  
?an #b ye>s aft] ! date ( enactm5t ( ?is
 ,act1 ! ,director ( ! ,national        
,in/itutes ( ,heal? %all-- 7#a7 submit  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     

,h\se ( ,repres5tatives a report on     
ongo+ & new cl9ical /udies conduct$ or  
fund$ by ! ,national ,in/itutes ( ,heal?
 on ! access to1 safety (1 & efficacy ( 
me?adone treatm5t = opioid use disord] 9
 accr$it$ & c]tifi$ opioid treatm5t     
programs & 9 o!r programs or sett+s2 &  
7#b7 brief ! ,committee on ,heal?1      
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives    
on-- 7,a7 int]im results f ! /udies     
describ$ 9 p>agraph 7#a72 &  7,b7 any   
b>ri]s t may prev5t adequate & timely   
enrollm5t ( pati5ts 9 any new cl9ical   
/udy describ$ 9 p>agraph 7#a74  7b7     
,/udy on m$ication treatm5ts = opioid   
use disord]s ,! ,secret>y ( ,heal? &    
,human ,s]vices1 act+ ?r\gh ! ,assi/ant 
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 %all-- 7#a7 /udy-- 7,a7 ! e>ly    
impact on access to m$ication treatm5t =
 opioid use disord] & opioid-relat$     
ov]dose dea?s ?r\gh bupr5orph9e         
prescrib+ pursuant to section #cjc7;g7 (

 ! ,controll$ ,sub/ances ,act 7#ba      
,u4,s4,c4 #hbc7;g771 z am5d$ by section 
#abfb ( title ,i ( division ,,ff ( !    
,m5tal ,heal? & ,well-,be+ ,act ( #bjbb2
  7,b7 ! preval5ce ( pati5ts ) opioid   
use disord]1 9 ea* ,sub/ate region1 z   
def9$ by ! ,national ,survey on ,drug   
,use & ,heal? ( ! ,sub/ance ,abuse &    
,m5tal ,heal? ,s]vices ,adm9i/ration2 & 
7,c7 a survey ( retail ph>macies        
nationwide1 disaggregat$ by ,/ate1 to   
det]m9e :i* ph>macies s]ve z me?adone   
disp5s+ units = opioid treatm5t         
programs2 &  7#b7 submit to ! ,committee
 on ,heal?1 ,education1 ,labor1 &       
,p5sions ( ! ,s5ate & ! ,committee on   
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives-- 7,a7 n lat] ?an #c    
ye>s aft] ! date ( enactm5t ( ?is ,act1 
an initial report on ! /udy "u p>agraph 
7#a72 &  7,b7 n lat] ?an #d ye>s aft] ! 
date ( enactm5t ( ?is ,act1 a f9al      
report on ! /udy "u p>agraph 7#a74      
#baj4 ,,fasd ,respect ,act  7a7 ,9 g5]al
 ,"p ,o ( title ,,iii ( ! ,public ,heal?

 ,s]vice ,act 7#db ,u4,s4,c4 #bhj;f et  
seq47 is am5d$-- 7#a7 by am5d+ ! "p     
head+ to read z foll[s3 ,fetal alcohol  
spectrum disord]s prev5tion & s]vices   
program2  7#b7 9 section #cii;,h 7#db   
,u4,s4,c4 #bhj;f7-- 7,a7 9 ! section    
head+1 by /rik+ ,e/abli%m5t ( fetal     
alcohol syndrome prev5tion & ins]t+     
,fetal alcohol spectrum disord]s        
prev5tion1 int]v5tion12  7,b7 by /rik+  
,fetal ,alcohol ,syndrome & ,fetal      
,alcohol ,effect ea* place x appe>s &   
ins]t+ ,,fasd2  7,c7 9 subsection 7a7-- 
7i7 by am5d+ ! head+ to read z foll[s3  
,9 g5]al2  7ii7 9 ! matt] prec$+        
p>agraph 7#a7-- 7,i7 by ins]t+ or       
cont9ue activities to support aft] %all 
e/abli%2  7,,ii7 by /rik+ ,,fasd 7z     
am5d$ by subp>agraph 7,b77 & ins]t+     
fetal alcohol spectrum disord]s 7ref]r$ 
to 9 ?is section z ,,fasd72  7,,iii7 by 
/rik+ prev5tion1 int]v5tion & ins]t+    
aw>5ess1 prev5tion1 id5tification1      
int]v5tion12 &  7,,iv7 by /rik+ t %all &
 ins]t+ 1 :i* may2  7iii7 9 p>agraph    

7#a7-- 7,i7 9 subp>agraph 7,a7-- 7aa7 by
 /rik+ m$ical s*ools & ins]t+ heal?     
pr(essions s*ools2 &  7bb7 by ins]t+    
infants1 aft] provision ( s]vices =2 &  
7,,ii7 9 subp>agraph 7,d71 by /rik+     
m$ical & m5tal & ins]t+ ag5cies provid+2
  7iv7 9 p>agraph 7#b7-- 7,i7 9 ! matt] 
prec$+ subp>agraph 7,a71 by /rik+ a     
prev5tion & diagnosis program to support
 cl9ical /udies1 demon/rations & o!r    
rese>* z appropriate & ins]t+ support+ &
 conduct+ rese>* on ,,fasd1 z           
appropriate1 includ+2 &  7,,ii7 9       
subp>agraph 7,b7-- 7aa7 by /rik+        
prev5tion s]vices & int]v5tions =       
pregnant1 alcohol-dep5d5t wom5 & ins]t+ 
culturally & l+ui/ically in=m$          
evid5ce-bas$ or practice-bas$           
int]v5tions & appropriate societal      
supports = prev5t+ pr5atal alcohol      
exposure1 :i* may co-occur ) exposure to
 o!r sub/ances2 &  7bb7 by /rik+ 2 & &  
ins]t+ a semicolon2  7v7 by /rik+       
p>agraph 7#c7 & ins]t+ ! foll[+3  7#c7  
integrat+ into surveillance practice an 

evid5ce-bas$ /&>d case def9ition = fetal
 alcohol spectrum disord]s &1 9         
collaboration ) o!r ,f$]al & outside    
p>tn]s1 support organizations (         
appropriate m$ical & m5tal heal?        
pr(essionals 9 _! developm5t & ref9em5t 
( evid5ce-bas$ cl9ical diagno/ic        
guidel9es & crit]ia = all fetal alcohol 
spectrum disord]s2 &  7#d7 build+ ,/ate 
& ,tribal capacity = ! id5tification1   
treatm5t1 & support ( individuals )     
,,fasd & _! families1 :i* may include-- 
7,a7 utiliz+ & adapt+ exi/+ ,f$]al1     
,/ate1 or ,tribal programs to include   
,,fasd id5tification & ,,fasd-in=m$     
support2  7,b7 develop+ & exp&+ scre5+ &
 diagno/ic capacity = ,,fasd2  7,c7     
develop+1 implem5t+1 & evaluat+ t>get$  
,,fasd-in=m$ int]v5tion programs =      
,,fasd2  7,d7 increas+ aw>5ess ( ,,fasd2
  7,e7 provid+ tra9+ ) respect to ,,fasd
 = pr(essionals across relevant sectors2
 &  7,f7 dissem9at+ in=mation ab\t      
,,fasd & support s]vices to affect$     
individuals & _! families4  2  7,d7 9   

subsection 7b7-- 7i7 by /rik+ describ$ 9
 section #cii;,i2  7ii7 by /rik+ ,!     
,secret>y & ins]t+ ! foll[+3  7#a7 ,9   
g5]al ,! ,secret>y  2 &  7iii7 by add+  
at ! end ! foll[+3  7#b7 ,eligible      
entities ,to be eligible to receive a   
grant1 or ent] into a coop]ative        
agreem5t or contract1 "u ?is section1 an
 entity %all-- 7,a7 be a ,/ate1 ,indian 
,tribe or ,tribal organization1 local   
gov]nm5t1 sci5tific or academic         
in/itution1 or nonpr(it organization2 & 
7,b7 prep>e & submit to ! ,secret>y an  
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require1 includ+ a description ( !      
activities t ! entity int5ds to c>ry out
 us+ am\nts receiv$ "u ?is section4     
7#c7 ,additional application cont5ts ,! 
,secret>y may require t an entity us+   
am\nts f a grant1 coop]ative agreem5t1  
or contract "u ?is section = an activity
 "u subsection 7a77#d7 include 9 !      
application = su* am\nts submitt$ "u    
p>agraph 7#b77;,b7-- 7,a7 a designation 

( an individual to s]ve z a ,,fasd ,/ate
 or ,tribal coord9ator ( su* activity2 &
  7,b7 a description ( an advisory      
committee ! entity w e/abli% to provide 
guidance = ! entity on develop+ &       
implem5t+ a /atewide or ,tribal /rategic
 plan to prev5t ,,fasd & provide = !    
id5tification1 treatm5t1 & support (    
individuals ) ,,fasd & _! families4  2  
7,e7 by /rik+ subsections 7c7 & 7d72 &  
7,f7 by add+ at ! end ! foll[+3  7c7    
,def9ition ( ,,fasd-,in=m$ ,= purposes (
 ?is section1 ! t]m ,,fasd-in=m$1 )     
respect to support or an int]v5tion     
program1 means t su* support or         
int]v5tion program uses culturally &    
l+ui/ically in=m$ evid5ce-bas$ or       
practice-bas$ int]v5tions & appropriate 
societal supports to support an improv$ 
quality ( life = an individual ) ,,fasd 
& ! family ( su* individual4  2 &  7#c7 
by /rik+ sections #cii;,i1 #cii;,j1 &   
#cii,k 7#db ,u4,s4,c4 #bhj;f-#a1        
#bhj;f-#b1 #bhj;f-#c7 & ins]t+ ! foll[+3
  #cii;,i4 ,fetal alcohol spectrum      

disord]s ,c5t]s = ,excell5ce  7a7 ,9    
g5]al ,! ,secret>y %all1 z appropriate1 
aw>d grants1 coop]ative agreem5ts1 or   
contracts to public or nonpr(it entities
 ) demon/rat$ exp]tise 9 ! prev5tion (1 
id5tification (1 & int]v5tion s]vices ) 
respect to1 fetal alcohol spectrum      
disord]s 7ref]r$ to 9 ?is section z     
,,fasd7 & o!r relat$ adv]se conditions4 
,su* aw>ds %all be = ! purposes (       
e/abli%+ ,fetal ,alcohol ,spectrum      
,disord]s ,c5t]s = ,excell5ce to build  
local1 ,tribal1 ,/ate1 & national       
capacities to prev5t ! occurr5ce (      
,,fasd & o!r relat$ adv]se conditions1 &
 to respond to ! ne$s ( individuals )   
,,fasd & _! families by c>ry+ out !     
programs describ$ 9 subsection 7b74  7b7
 ,programs ,an entity receiv+ an aw>d "u
 subsection 7a7 may use su* aw>d = !    
foll[+ purposes3 7#a7 ,initiat+ or exp&+
 diagno/ic capacity = ,,fasd by increas+
 scre5+1 assessm5t1 id5tification1 &    
diagnosis4  7#b7 ,develop+ & support+   
public aw>5ess & outrea* activities1    

includ+ ! use ( a range ( m$ia & public 
outrea*1 to raise public aw>5ess ( !    
risks associat$ ) alcohol consumption   
dur+ pregnancy1 ) ! goals ( r$uc+ !     
preval5ce ( ,,fasd & improv+ !          
developm5tal1 heal? 7includ+ m5tal      
heal?71 & educational outcomes (        
individuals ) ,,fasd & support+ families
 c>+ = individuals ) ,,fasd4  7#c7 ,act+
 z a cle>+h\se = evid5ce-bas$ res\rces  
on ,,fasd prev5tion1 id5tification1 &   
culturally & l+ui/ically in=m$ be/      
practices1 includ+ ! ma9t5ance ( a      
national data-bas$ directory on         
,,fasd-specific s]vices 9 ,/ates1       
,indian ,tribes1 & local communities1 & 
dissem9at+ ongo+ rese>* & develop+      
res\rces on ,,fasd to help in=m sy/ems (
 c>e = individuals ) ,,fasd across _!   
lifespan4  7#d7 ,increas+ aw>5ess &     
und]/&+ ( efficaci\s1 evid5ce-bas$      
alcohol & o!r sub/ance scre5+ tools to  
prev5t ,,fasd & culturally & l+ui/ically
 appropriate evid5ce-bas$ int]v5tion    
s]vices & be/ practices1 :i* may include

 by conduct+ national1 regional1 ,/ate1 
,tribal1 or pe] cross-,/ate web9>s1     
work%ops1 or conf]5ces = tra9+ community
 lead]s1 m$ical & m5tal heal? & sub/ance
 use disord] pr(essionals1 education &  
disability pr(essionals1 families1 law  
en=cem5t p]sonnel1 judges1 individuals  
work+ 9 f9ancial assi/ance programs1    
social s]vice p]sonnel1 *ild welf>e     
pr(essionals1 & o!r s]vice provid]s4    
7#e7 ,improv+ capacity = ,/ate1 ,tribal1
 & local affiliates d$icat$ to ,,fasd   
aw>5ess1 prev5tion1 & id5tification &   
family & individual support programs &  
s]vices4  7#f7 ,provid+ te*nical        
assi/ance to grantees "u section        
#cii;,h1 z appropriate4  7#g7 ,c>ry+ out
 o!r functions1 z appropriate4  7c7     
,application ,to be eligible = a grant1 
contract1 or coop]ative agreem5t "u ?is 
section1 an entity %all submit to !     
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7d7             
,subcontract+ ,a public or private      

nonpr(it entity may c>ry out ! foll[+   
activities requir$ "u ?is section ?r\gh 
contracts or coop]ative agreem5ts ) o!r 
public & private nonpr(it entities )    
demon/rat$ exp]tise 9 ,,fasd3 7#a7      
,prev5tion activities4  7#b7 ,scre5+ &  
id5tification4  7#c7 ,res\rce developm5t
 & dissem9ation1 tra9+ & te*nical       
assi/ance1 adm9i/ration1 & support (    
,,fasd p>tn] networks4  7#d7 ,int]v5tion
 s]vices4  #cii;,j4 ,au?orization (     
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is "p su* sums 
z may be necess>y = ea* ( fiscal ye>s   
#bjbd ?r\gh #bjbh4  4  7b7 ,report ,n   
lat] ?an #d ye>s aft] ! date ( enactm5t 
( ?is ,act1 ! ,secret>y ( ,heal? &      
,human ,s]vices %all submit to !        
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report on !   
ef=ts ( ! ,dep>tm5t ( ,heal? & ,human   
,s]vices to advance public aw>5ess on1 &
 facilitate ! id5tification ( be/       

practices relat$ to1 fetal alcohol      
spectrum disord]s id5tification1        
prev5tion1 treatm5t1 & support4  7c7    
,te*nical am5dm5t ,section #eai;,d ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb-#be;d7 is repeal$4