Us Congress 2023-2024 Regular Session

Us Congress Senate Bill SB2433 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	II
2	2	118THCONGRESS
3	3	1
4	4	STSESSION S. 2433
5	5	To reauthorize certain programs under the Substance Use-Disorder Preven-
6	6	tion that Promotes Opioid Recovery and Treatment for Patients and
7	7	Communities Act, and for other purposes.
8	8	IN THE SENATE OF THE UNITED STATES
9	9	JULY20, 2023
10	10	Mr. C
11	11	ASSIDYintroduced the following bill; which was read twice and referred
12	12	to the Committee on Health, Education, Labor, and Pensions
13	13	A BILL
14	14	To reauthorize certain programs under the Substance Use-
15	15	Disorder Prevention that Promotes Opioid Recovery and
16	16	Treatment for Patients and Communities Act, and for
17	17	other purposes.
18	18	Be it enacted by the Senate and House of Representa-1
19	19	tives of the United States of America in Congress assembled, 2
20	20	SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3
21	21	(a) S
22	22	HORTTITLE.—This Act may be cited as the 4
23	23	‘‘SUPPORT for Patients and Communities Reauthoriza-5
24	24	tion Act of 2023’’. 6
25	25	(b) T
26	26	ABLE OFCONTENTS.—The table of contents for 7
27	27	this Act is as follows: 8
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31	31	Sec. 1. Short title; table of contents.
32	32	TITLE I—REAUTHORIZATIONS
33	33	Sec. 101. First responder training.
34	34	Sec. 102. Pilot program for public health laboratories to detect fentanyl and
35	35	other synthetic opioids.
36	36	Sec. 103. Residential treatment programs for pregnant and postpartum women.
37	37	Sec. 104. Prenatal and postnatal health.
38	38	Sec. 105. Plans of safe care.
39	39	Sec. 106. Loan repayment program for substance use disorder treatment work-
40	40	force.
41	41	Sec. 107. Youth prevention and recovery.
42	42	Sec. 108. Comprehensive opioid recovery centers.
43	43	Sec. 109. CDC surveillance and data collection for child, youth, and adult trau-
44	44	ma.
45	45	Sec. 110. Task force to develop best practices for trauma-informed identifica-
46	46	tion, referral, and support.
47	47	Sec. 111. Donald J. Cohen National child traumatic stress initiative.
48	48	Sec. 112. Surveillance and education regarding infections associated with illicit
49	49	drug use and other risk factors.
50	50	Sec. 113. Building communities of recovery.
51	51	Sec. 114. Peer support technical assistance center.
52	52	Sec. 115. Preventing overdoses of controlled substances.
53	53	Sec. 116. CAREER Act.
54	54	TITLE II—OTHER PROVISIONS
55	55	Sec. 201. Delivery of a controlled substance by a pharmacy.
56	56	Sec. 202. Regulations relating to a special registration for telemedicine.
57	57	Sec. 203. Review of at-home drug disposal systems.
58	58	Sec. 204. Report on at-home drug disposal systems.
59	59	Sec. 205. Ensuring State choice in PDMP systems.
60	60	Sec. 206. Mental health parity.
61	61	Sec. 207. State guidance on coverage for individuals with serious mental illness
62	62	and children with serious emotional disturbance.
63	63	Sec. 208. Community mental health services block grant service providers.
64	64	Sec. 209. Reports and studies on medication treatments for opioid use disorder.
65	65	Sec. 210. FASD Respect Act.
66	66	TITLE I—REAUTHORIZATIONS 1
67	67	SEC. 101. FIRST RESPONDER TRAINING. 2
68	68	Section 546(h) of the Public Health Service Act (42 3
69	69	U.S.C. 290ee–1(h)) is amended by striking ‘‘2019 through 4
70	70	2023’’ and inserting ‘‘2024 through 2028’’. 5
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74	74	SEC. 102. PILOT PROGRAM FOR PUBLIC HEALTH LABORA-1
75	75	TORIES TO DETECT FENTANYL AND OTHER 2
76	76	SYNTHETIC OPIOIDS. 3
77	77	Section 7011(d) of the SUPPORT for Patients and 4
78	78	Communities Act (42 U.S.C. 247d–10 note) is amended 5
79	79	by striking ‘‘2019 through 2023’’ and inserting ‘‘2024 6
80	80	through 2028’’. 7
81	81	SEC. 103. RESIDENTIAL TREATMENT PROGRAMS FOR 8
82	82	PREGNANT AND POSTPARTUM WOMEN. 9
83	83	Section 508(s) of the Public Health Service Act (42 10
84	84	U.S.C. 290bb–1(s)) is amended by striking ‘‘2019 through 11
85	85	2023’’ and inserting ‘‘2024 through 2028’’. 12
86	86	SEC. 104. PRENATAL AND POSTNATAL HEALTH. 13
87	87	Section 317L(d) of the Public Health Service Act (42 14
88	88	U.S.C. 247b–13(d)) is amended by striking ‘‘2019 15
89	89	through 2023’’ and inserting ‘‘2024 through 2028’’. 16
90	90	SEC. 105. PLANS OF SAFE CARE. 17
91	91	Section 105(a)(7)(H) of the Child Abuse Prevention 18
92	92	and Treatment Act (42 U.S.C. 5106(a)(7)(H)) is amend-19
93	93	ed by striking ‘‘2023’’ and inserting ‘‘2028’’. 20
94	94	SEC. 106. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 21
95	95	USE DISORDER TREATMENT WORKFORCE. 22
96	96	Section 781(j) of the Public Health Service Act (42 23
97	97	U.S.C. 295h(j)) is amended by striking ‘‘2019 through 24
98	98	2023’’ and inserting ‘‘2024 through 2028’’. 25
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102	102	SEC. 107. YOUTH PREVENTION AND RECOVERY. 1
103	103	Section 7102(c)(9) of the SUPPORT for Patients 2
104	104	and Communities Act (42 U.S.C. 290bb–7a(c)(9)) is 3
105	105	amended by striking ‘‘2019 through 2023’’ and inserting 4
106	106	‘‘2024 through 2028’’. 5
107	107	SEC. 108. COMPREHENSIVE OPIOID RECOVERY CENTERS. 6
108	108	Section 552(j) of the Public Health Service Act (42 7
109	109	U.S.C. 290ee–7(j)) is amended by striking ‘‘2019 through 8
110	110	2023’’ and inserting ‘‘2024 through 2028’’. 9
111	111	SEC. 109. CDC SURVEILLANCE AND DATA COLLECTION FOR 10
112	112	CHILD, YOUTH, AND ADULT TRAUMA. 11
113	113	Section 7131(e) of the SUPPORT for Patients and 12
114	114	Communities Act (42 U.S.C. 242t(e)) is amended by strik-13
115	115	ing ‘‘2019 through 2023’’ and inserting ‘‘2024 through 14
116	116	2028’’. 15
117	117	SEC. 110. TASK FORCE TO DEVELOP BEST PRACTICES FOR 16
118	118	TRAUMA-INFORMED IDENTIFICATION, RE-17
119	119	FERRAL, AND SUPPORT. 18
120	120	Section 7132(i) of the SUPPORT for Patients and 19
121	121	Communities Act (Public Law 115–271) is amended by 20
122	122	striking ‘‘2023’’ and inserting ‘‘2028’’. 21
123	123	SEC. 111. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 22
124	124	STRESS INITIATIVE. 23
125	125	Section 582(j) of the Public Health Service Act (42 24
126	126	U.S.C. 290hh–1(j)) (relating to grants to address the 25
127	127	problems of persons who experience violence-related 26
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131	131	stress) is amended by striking ‘‘2019 through 2023’’ and 1
132	132	inserting ‘‘2024 through 2028’’. 2
133	133	SEC. 112. SURVEILLANCE AND EDUCATION REGARDING IN-3
134	134	FECTIONS ASSOCIATED WITH ILLICIT DRUG 4
135	135	USE AND OTHER RISK FACTORS. 5
136	136	Section 317N(d) of the Public Health Service Act (42 6
137	137	U.S.C. 247b–15(d)) is amended by striking ‘‘2019 7
138	138	through 2023’’ and inserting ‘‘2024 through 2028’’. 8
139	139	SEC. 113. BUILDING COMMUNITIES OF RECOVERY. 9
140	140	Section 547(f) of the Public Health Service Act (42 10
141	141	U.S.C. 290ee–2(f)) is amended by striking ‘‘2019 through 11
142	142	2023’’ and inserting ‘‘2024 through 2028’’. 12
143	143	SEC. 114. PEER SUPPORT TECHNICAL ASSISTANCE CEN-13
144	144	TER. 14
145	145	Section 547A(e) of the Public Health Service Act (42 15
146	146	U.S.C. 290ee–2a(e)) is amended by striking ‘‘2019 16
147	147	through 2023’’ and inserting ‘‘2024 through 2028’’. 17
148	148	SEC. 115. PREVENTING OVERDOSES OF CONTROLLED SUB-18
149	149	STANCES. 19
150	150	Section 392A(e) of the Public Health Service Act (42 20
151	151	U.S.C. 280b–1(e)) is amended by striking ‘‘2019 through 21
152	152	2023’’ and inserting ‘‘2024 through 2028’’. 22
153	153	SEC. 116. CAREER ACT. 23
154	154	Section 7183(k) of the SUPPORT for Patients and 24
155	155	Communities Act (42 U.S.C. 290ee–8(k)) is amended by 25
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159	159	striking ‘‘2019 through 2023’’ and inserting ‘‘2024 1
160	160	through 2028’’. 2
161	161	TITLE II—OTHER PROVISIONS 3
162	162	SEC. 201. DELIVERY OF A CONTROLLED SUBSTANCE BY A 4
163	163	PHARMACY. 5
164	164	Section 309A(a) of the Controlled Substances Act 6
165	165	(21 U.S.C. 829a(a)) is amended by striking paragraph (2) 7
166	166	and inserting the following: 8
167	167	‘‘(2) the controlled substance is a drug in 9
168	168	schedule II, III, IV, or V and is— 10
169	169	‘‘(A) to be administered for the purpose of 11
170	170	initiation, maintenance, or detoxification treat-12
171	171	ment; or 13
172	172	‘‘(B) subject to conditions of approval im-14
173	173	posed by the Food and Drug Administration 15
174	174	pursuant to section 505–1 of the Federal Food, 16
175	175	Drug, and Cosmetic Act (21 U.S.C. 355–1), 17
176	176	which may require the drug to be administered 18
177	177	with post-administration monitoring by a health 19
178	178	care professional;’’. 20
179	179	SEC. 202. REGULATIONS RELATING TO A SPECIAL REG-21
180	180	ISTRATION FOR TELEMEDICINE. 22
181	181	Not later than 1 year after the date of enactment 23
182	182	of this Act, the Attorney General, in consultation with the 24
183	183	Secretary of Health and Human Services, shall promul-25
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187	187	gate the final regulations required under section 311(h)(2) 1
188	188	of the Controlled Substances Act (21 U.S.C. 831(h)(2)). 2
189	189	SEC. 203. REVIEW OF AT-HOME DRUG DISPOSAL SYSTEMS. 3
190	190	Section 505–1 of the Federal Food, Drug, and Cos-4
191	191	metic Act (21 U.S.C. 355–1) is amended by adding at the 5
192	192	end the following: 6
193	193	‘‘(n) A
194	194	T-HOMEDRUGDISPOSALSTANDARDS AND 7
195	195	S
196	196	YSTEMS.— 8
197	197	‘‘(1) E
198	198	STABLISHMENT OF AT -HOME DRUG DIS-9
199	199	POSAL STANDARDS.—Not later than one year after 10
200	200	the date of enactment of the SUPPORT for Patients 11
201	201	and Communities Reauthorization Act of 2023, the 12
202	202	Secretary shall publish guidance to facilitate the use 13
203	203	of at-home safe disposal systems for drugs subject to 14
204	204	a risk evaluation and mitigation strategy that in-15
205	205	cludes an element described in subsection (e)(4). 16
206	206	‘‘(2) G
207	207	UIDANCE.—The guidance under para-17
208	208	graph (1) shall include— 18
209	209	‘‘(A) recommended standards for effective 19
210	210	at-home disposal systems to meet the public 20
211	211	health or non-retrievability standard; 21
212	212	‘‘(B) recommended information to include 22
213	213	as instruction for use to disseminate with at- 23
214	214	home disposal systems; and 24
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218	218	‘‘(C) best practices and educational tools 1
219	219	to support the use of an at-home disposal sys-2
220	220	tem. 3
221	221	‘‘(3) U
222	222	PDATES.—The Secretary shall update 4
223	223	the guidance under this subsection not less fre-5
224	224	quently than every 5 years.’’. 6
225	225	SEC. 204. REPORT ON AT-HOME DRUG DISPOSAL SYSTEMS. 7
226	226	Subsection (n) of section 505–1 of the Federal Food, 8
227	227	Drug, and Cosmetic Act (21 U.S.C. 355–1), as added by 9
228	228	section 5, is amended by adding at the end the following: 10
229	229	‘‘(4) R
230	230	EPORT ON AT-HOME DRUG DISPOSAL 11
231	231	SYSTEMS.— 12
232	232	‘‘(A) I
233	233	N GENERAL.—Not later than one 13
234	234	year after the date of enactment of the SUP-14
235	235	PORT for Patients and Communities Reauthor-15
236	236	ization Act of 2023, the Secretary, in consulta-16
237	237	tion with the Administrator of the Drug En-17
238	238	forcement Administration, shall issue a report 18
239	239	outlining steps to improve access to at-home 19
240	240	drug disposal systems. 20
241	241	‘‘(B) R
242	242	EPORT.—The report required under 21
243	243	subparagraph (A) shall include— 22
244	244	‘‘(i) a review of commercially available 23
245	245	at-home drug disposal systems; 24
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249	249	‘‘(ii) current usage of at-home drug 1
250	250	disposal systems; 2
251	251	‘‘(iii) any barriers to development, in-3
252	252	cluding information necessary to independ-4
253	253	ently verify deactivation of appropriate 5
254	254	drugs and challenges with real world test-6
255	255	ing; 7
256	256	‘‘(iv) any barriers to distribution of 8
257	257	at-home drug disposal systems; and 9
258	258	‘‘(v) best practices for educational re-10
259	259	sources to inform distribution and use of 11
260	260	at-home drug disposal systems.’’. 12
261	261	SEC. 205. ENSURING STATE CHOICE IN PDMP SYSTEMS. 13
262	262	Section 399O(h) of the Public Health Service Act (42 14
263	263	U.S.C. 280g–3(h)) is amended by adding the following: 15
264	264	‘‘(5) E
265	265	NSURING STATE CHOICE .—Nothing in 16
266	266	this section shall be construed to— 17
267	267	‘‘(A) direct, require or encourage a State 18
268	268	to use a specific interstate data sharing pro-19
269	269	gram; 20
270	270	‘‘(B) limit or prohibit the discretion of a 21
271	271	PDMP to utilize interoperability connections of 22
272	272	its choice; 23
273	273	‘‘(C) permit, encourage, or otherwise con-24
274	274	dition Federal financial assistance to States 25
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278	278	based upon the use of open architecture by 1
279	279	PDMP systems or contracted vendors; or 2
280	280	‘‘(D) limit or prohibit the discretion of 3
281	281	States to utilize Federal financial assistance re-4
282	282	ceived under this section to enter into arrange-5
283	283	ments with vendors of their choice in order to 6
284	284	carry out a program under this section.’’. 7
285	285	SEC. 206. MENTAL HEALTH PARITY. 8
286	286	(a) I
287	287	NGENERAL.—Not later than January 1, 2025, 9
288	288	the Inspector General of the Department of Labor, in co-10
289	289	ordination with the Inspector General of the Department 11
290	290	of Health and Human Services, shall report to the Com-12
291	291	mittee on Health, Education, Labor, and Pensions of the 13
292	292	Senate and the Committee on Energy and Commerce and 14
293	293	the Committee on Education and the Workforce of the 15
294	294	House of Representatives on the following: 16
295	295	(1) The non-quantitative treatment limit (re-17
296	296	ferred to in this section as ‘‘NQTL’’) requirements 18
297	297	with respect to mental health and substance use dis-19
298	298	order benefits under group health plans and health 20
299	299	insurance issuers under section 2726(a)(8) of the 21
300	300	Public Health Service Act (42 U.S.C. 300gg– 22
301	301	26(a)(8)), section 712(a)(8) of the Employee Retire-23
302	302	ment Income Security Act of 1974 (29 U.S.C. 24
303	303	1185a(a)(8)), and section 9812(a)(8) of the Internal 25
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307	307	Revenue Code of 1986 (referred to in this section as 1
308	308	the ‘‘NQTL comparative analysis requirements’’), 2
309	309	and the requirements for the Secretary of Health 3
310	310	and Human Services, the Secretary of Labor, and 4
311	311	the Secretary of the Treasury to issue regulations, 5
312	312	a compliance program guide, and additional guid-6
313	313	ance documents and tools providing guidance relat-7
314	314	ing to mental health parity requirements under sec-8
315	315	tion 2726(a) of the Public Health Service Act (42 9
316	316	U.S.C. 300gg–26(a)), section 712(a) of the Em-10
317	317	ployee Retirement Income Security Act of 1974 (29 11
318	318	U.S.C. 1185a(a)), and section 9812(a) of the Inter-12
319	319	nal Revenue Code of 1986. 13
320	320	(2) With respect to the NQTL comparative 14
321	321	analysis requirements described in paragraph (1), an 15
322	322	analysis of the actions taken by the Secretary of 16
323	323	Labor, the Secretary of the Treasury, and the Sec-17
324	324	retary of Health and Human Services to provide 18
325	325	guidance to ensure that group health plans and 19
326	326	health insurance issuers can fully comply with men-20
327	327	tal health parity requirements under section 2726 of 21
328	328	the Public Health Service Act (42 U.S.C. 300gg–26, 22
329	329	section 712 of the Employee Retirement Income Se-23
330	330	curity Act of 1974 (29 U.S.C. 1185a), and section 24
331	331	9812 of the Internal Revenue Code of 1986 and the 25
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335	335	NQTL comparative analysis requirements described 1
336	336	in paragraph (1), including an analysis of— 2
337	337	(A) the extent to which the Secretary of 3
338	338	Labor, the Secretary of the Treasury, and the 4
339	339	Secretary of Health and Human Services have 5
340	340	fulfilled the requirement under section 203(b) 6
341	341	of division BB of the Consolidated Appropria-7
342	342	tions Act, 2021 (Public Law 116–260) to issue 8
343	343	the specific guidance and regulations pertaining 9
344	344	to the requirements for group health plans and 10
345	345	health insurance issuers to demonstrate compli-11
346	346	ance with the NQTL comparative analysis re-12
347	347	quirements; and 13
348	348	(B) whether sufficient guidance and exam-14
349	349	ples from the Department of Labor and De-15
350	350	partment of Health and Human Services, and 16
351	351	the Department of the Treasury exist to guide 17
352	352	and assist group health plans and health insur-18
353	353	ance issuers in complying with the requirements 19
354	354	to demonstrate compliance with mental health 20
355	355	parity NQTL comparative analysis require-21
356	356	ments/under such sections 2726(a)(8), 22
357	357	712(a)(8), and 9812(a)(8). 23
358	358	(3) A review of the enforcement processes of 24
359	359	the Department of Labor and the Department of 25
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363	363	Health and Human Services to evaluate the consist-1
364	364	ency of interpretation of the requirements under sec-2
365	365	tion 2726(a)(8) of the Public Health Service Act (42 3
366	366	U.S.C. 300gg–26(a)(8)), section 712(a)(8) of the 4
367	367	Employee Retirement Income Security Act of 1974 5
368	368	(29 U.S.C. 1185a(a)(8)), and section 9812(a)(8) of 6
369	369	the Internal Revenue Code of 1986, in particular 7
370	370	with respect to processes utilized for enforcement, 8
371	371	actions or inactions that constitute noncompliance, 9
372	372	and avoidance among the agencies of duplication of 10
373	373	enforcement, including an evaluation of compliance 11
374	374	with section 104 of the Health Insurance Portability 12
375	375	and Accountability Act of 1996 (Public Law 104– 13
376	376	191). 14
377	377	(4) A review of the implementation, by the De-15
378	378	partment of Labor, Department of Health and 16
379	379	Human Services, and Department of the Treasury, 17
380	380	of mental health parity requirements under section 18
381	381	2726 of the Public Health Service Act (42 U.S.C. 19
382	382	300gg–26), section 712 of the Employee Retirement 20
383	383	Income Security Act of 1974 (29 U.S.C. 1185a), 21
384	384	and section 9812 of the Internal Revenue Code of 22
385	385	1986, including all such requirements in effect 23
386	386	through the enactment of the Mental Health Parity 24
387	387	Act of 1996 (Public Law 104–204), the Paul 25
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391	391	Wellstone and Pete Domenici Mental Health Parity 1
392	392	and Addiction Equity Act of 2008 (Public Law 110– 2
393	393	460), the 21st Century Cures Act (Public Law 114– 3
394	394	255), and the Consolidated Appropriations Act, 4
395	395	2023 (Public Law 117–328) (including any amend-5
396	396	ments made by such Acts), and including with re-6
397	397	spect to the timing of all actions, delays of any ac-7
398	398	tions, reasons for any such delays, mandated re-8
399	399	quirements that were met only once but not each 9
400	400	time such requirements were mandated. 10
401	401	(b) D
402	402	EFINITIONS.—In this section, the terms ‘‘group 11
403	403	health plan’’ and ‘‘health insurance issuer’’ have the 12
404	404	meanings given such terms in section 733 of the Employee 13
405	405	Retirement Income Security Act of 1974 (29 U.S.C. 14
406	406	1191b). 15
407	407	SEC. 207. STATE GUIDANCE ON COVERAGE FOR INDIVID-16
408	408	UALS WITH SERIOUS MENTAL ILLNESS AND 17
409	409	CHILDREN WITH SERIOUS EMOTIONAL DIS-18
410	410	TURBANCE. 19
411	411	(a) R
412	412	EVIEW OFUSE OFCERTAINFUNDING.—Not 20
413	413	later than 180 days after the date of enactment of this 21
414	414	Act, the Secretary of Health and Human Services, acting 22
415	415	through the Assistant Secretary for Mental Health and 23
416	416	Substance Use, shall conduct a review of the use by States 24
417	417	of funds made available under the Community Mental 25
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421	421	Health Services Block Grant program under subpart I of 1
422	422	part B of title XIX of the Public Health Service Act (42 2
423	423	U.S.C. 300x et seq.) for First Episode Psychosis activities. 3
424	424	Such review shall consider the following: 4
425	425	(1) How the States use funds for evidence- 5
426	426	based treatments and services according to the 6
427	427	standard of care for individuals with serious mental 7
428	428	illness, including the comprehensiveness of such 8
429	429	treatments to include all aspects of the rec-9
430	430	ommended intervention. 10
431	431	(2) How State mental health departments are 11
432	432	coordinating with State Medicaid departments in the 12
433	433	delivery of the treatments and services described in 13
434	434	paragraph (1). 14
435	435	(3) What percentage of the State funding under 15
436	436	the block grant program is being applied toward 16
437	437	First Episode Psychosis in excess of 10 percent of 17
438	438	the amount of the grant, as broken down on a State- 18
439	439	by-State basis. The review shall also identify any 19
440	440	States that fail to expend the required 10 percent of 20
441	441	block grant funds on First Episode Psychosis activi-21
442	442	ties. 22
443	443	(4) How many individuals are served by the ex-23
444	444	penditures described in paragraph (3), broken down 24
445	445	on a per-capita basis. 25
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449	449	(5) How the funds are used to reach individuals 1
450	450	in underserved populations, including individuals in 2
451	451	rural areas and individuals from minority groups. 3
452	452	(b) R
453	453	EPORT ANDGUIDANCE.— 4
454	454	(1) R
455	455	EPORT.—Not later than 6 months after 5
456	456	the completion of the review under subsection (a), 6
457	457	the Secretary of Health and Human Services, acting 7
458	458	through the Assistant Secretary for Mental Health 8
459	459	and Substance Use, shall submit to the Committee 9
460	460	on Appropriations, the Committee on Health, Edu-10
461	461	cation, Labor, and Pensions, and the Committee on 11
462	462	Finance of the Senate and to the Committee on Ap-12
463	463	propriations and the Committee on Energy and 13
464	464	Commerce of the House of Representatives a report 14
465	465	on the findings made as a result of the review con-15
466	466	ducted under subsection (a). Such report shall in-16
467	467	clude any recommendations with respect to any 17
468	468	changes to the Community Mental Health Services 18
469	469	Block Grant program, including the set aside re-19
470	470	quired for First Episode Psychosis, that would facili-20
471	471	tate improved outcomes for the targeted population 21
472	472	involved. 22
473	473	(2) G
474	474	UIDANCE.—Not later than 1 year after 23
475	475	the date on which the report is submitted under 24
476	476	paragraph (1), the Secretary of Health and Human 25
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479	479	•S 2433 IS
480	480	Services, acting through the Assistant Secretary for 1
481	481	Mental Health and Substance Use, shall update the 2
482	482	guidance provided to States under the Community 3
483	483	Mental Health Services Block Grant program based 4
484	484	on the findings and recommendations of the report. 5
485	485	(c) T
486	486	ECHNICALASSISTANCE.—The Director of the 6
487	487	National Institute of Mental Health shall coordinate with 7
488	488	the Assistant Secretary for Mental Health and Substance 8
489	489	Use in providing technical assistance to State grantees 9
490	490	and provider subgrantees in the delivery of services for 10
491	491	First Episode Psychosis under the Community Mental 11
492	492	Health Services Block Grant program. 12
493	493	(d) G
494	494	UIDANCE FORSTATESRELATING TOCOVERAGE 13
495	495	R
496	496	ECOMMENDATIONS OF HEALTHCARESERVICES AND 14
497	497	I
498	498	NTERVENTIONS FOR INDIVIDUALSWITHSERIOUSMEN-15
499	499	TALILLNESS ANDCHILDRENWITHSERIOUSEMOTIONAL 16
500	500	D
501	501	ISTURBANCE.—Not later than 2 years after the date of 17
502	502	enactment of this Act, the Administrator of the Centers 18
503	503	for Medicare & Medicaid Services, jointly with the Assist-19
504	504	ant Secretary for Mental Health and Substance Use and 20
505	505	the Director of the National Institute of Mental Health— 21
506	506	(1) shall provide updated guidance to States 22
507	507	concerning— 23
508	508	(A) coverage recommendations relating to 24
509	509	health care services and interventions for indi-25
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512	512	•S 2433 IS
513	513	viduals with serious mental illness, specifically 1
514	514	First Episode Psychosis; and 2
515	515	(B) the manner in which Federal funding 3
516	516	provided to States through programs adminis-4
517	517	tered by such agencies, including the Commu-5
518	518	nity Mental Health Services Block Grant pro-6
519	519	gram under subpart I of part B of title XIX of 7
520	520	the Public Health Service Act (42 U.S.C. 300x 8
521	521	et seq.), may be coordinated to support individ-9
522	522	uals with serious mental illness and serious 10
523	523	emotional disturbance; and 11
524	524	(2) may streamline relevant State reporting re-12
525	525	quirements if such streamlining would result in mak-13
526	526	ing it easier for States to coordinate funding under 14
527	527	the programs described in paragraph (1)(B) to im-15
528	528	prove treatments for individuals with serious mental 16
529	529	illness and serious emotional disturbance. 17
530	530	SEC. 208. COMMUNITY MENTAL HEALTH SERVICES BLOCK 18
531	531	GRANT SERVICE PROVIDERS. 19
532	532	Subpart I of part B of title XIX of the Public Health 20
533	533	Service Act is amended— 21
534	534	(1) in section 1913(b)(1) (42 U.S.C. 300x– 22
535	535	2(b)(1)), by inserting ‘‘, and which may include, at 23
536	536	the discretion of the State, appropriate programs op-24
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539	539	•S 2433 IS
540	540	erated by for-profit entities’’ after ‘‘consumer-di-1
541	541	rected programs’’; and 2
542	542	(2) in section 1916(a)(5) (42 U.S.C. 300x– 3
543	543	5(a)(5)), by inserting ‘‘, or a for-profit entity se-4
544	544	lected by a State pursuant to section 1913(b)(1)’’ 5
545	545	before the period at the end. 6
546	546	SEC. 209. REPORTS AND STUDIES ON MEDICATION TREAT-7
547	547	MENTS FOR OPIOID USE DISORDER. 8
548	548	(a) NIH S
549	549	TUDY ONMETHADONETREATMENT.—Not 9
550	550	later than 6 months after the date of the enactment of 10
551	551	this Act, and every 6 months thereafter, the Director of 11
552	552	the National Institutes of Health— 12
553	553	(1) shall submit to the Committee on Health, 13
554	554	Education, Labor, and Pensions of the Senate and 14
555	555	the Committee on Energy and Commerce of the 15
556	556	House of Representatives a report on ongoing and 16
557	557	new clinical studies conducted or funded by the Na-17
558	558	tional Institutes of Health on the access to, safety 18
559	559	of, and efficacy of methadone treatment for opioid 19
560	560	use disorder in accredited and certified opioid treat-20
561	561	ment programs and in other programs or settings; 21
562	562	and 22
563	563	(2) in conjunction with the Administrator of the 23
564	564	Drug Enforcement Administration, shall brief the 24
565	565	Committee on Health, Education, Labor, and Pen-25
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568	568	•S 2433 IS
569	569	sions of the Senate and the Committee on Energy 1
570	570	and Commerce of the House of Representatives on— 2
571	571	(A) interim results from the studies de-3
572	572	scribed in paragraph (1); and 4
573	573	(B) any barriers that may prevent ade-5
574	574	quate and timely enrollment of patients in any 6
575	575	new clinical study described in paragraph (1). 7
576	576	(b) S
577	577	TUDY ON MEDICATIONTREATMENTS FOR 8
578	578	O
579	579	PIOIDUSEDISORDERS.—The Secretary of Health and 9
580	580	Human Services, acting through the Assistant Secretary 10
581	581	for Mental Health and Substance Use, shall— 11
582	582	(1) study— 12
583	583	(A) the early impact on access to medica-13
584	584	tion treatment for opioid use disorder and 14
585	585	opioid-related overdose deaths through 15
586	586	buprenorphine prescribing pursuant to section 16
587	587	303(g) of the Controlled Substances Act (21 17
588	588	U.S.C. 823(g)), as amended by section 1262 of 18
589	589	title I of division FF of the Mental Health and 19
590	590	Well-Being Act of 2022; 20
591	591	(B) an updated analysis of the effect of 21
592	592	methadone on opioid-related overdose death 22
593	593	rates, disaggregated by State; 23
594	594	(C) the number of patients with opioid use 24
595	595	disorder who are prescribed no medication for 25
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598	598	•S 2433 IS
599	599	such disorder, and the number of patients with 1
600	600	opioid use disorder who are prescribed 2
601	601	naltrexone, buprenorphine, or methadone, re-3
602	602	spectively, at each opioid treatment program; 4
603	603	(D) the prevalence of patients with opioid 5
604	604	use disorder, disaggregated by county and the 6
605	605	number of patients with opioid use disorder in 7
606	606	each county; 8
607	607	(E) the number of addiction psychiatrists 9
608	608	and addiction medicine physicians within a 10
609	609	county who are not affiliated with an opioid 11
610	610	treatment program and, with respect to such 12
611	611	psychiatrists and physicians— 13
612	612	(i) whether such providers accept new 14
613	613	patients; 15
614	614	(ii) which types of health insurance 16
615	615	are accepted by such providers; and 17
616	616	(iii) wait times for new appointments; 18
617	617	and 19
618	618	(F) a survey of retail pharmacies nation-20
619	619	wide, disaggregated by State, to determine 21
620	620	which pharmacies serve as methadone dis-22
621	621	pensing units for opioid treatment programs, 23
622	622	and which such pharmacies are interested in 24
623	623	stocking or dispensing methadone; and 25
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626	626	•S 2433 IS
627	627	(2) submit to the Committee on Health, Edu-1
628	628	cation, Labor, and Pensions of the Senate and the 2
629	629	Committee on Energy and Commerce of the House 3
630	630	of Representatives— 4
631	631	(A) not later than the earlier of 18 months 5
632	632	after the date of the enactment of this Act or 6
633	633	June 1, 2025, an initial report on the study 7
634	634	under paragraph (1); and 8
635	635	(B) not later than December 31, 2025, a 9
636	636	final report on the study under paragraph (1). 10
637	637	SEC. 210. FASD RESPECT ACT. 11
638	638	(a) I
639	639	NGENERAL.—Part O of title III of the Public 12
640	640	Health Service Act (42 U.S.C. 280f et seq.) is amended— 13
641	641	(1) by amending the part heading to read as 14
642	642	follows: ‘‘
643	643	FETAL ALCOHOL SPECTRUM DIS -15
644	644	ORDERS PREVENTION AND SERVICES PRO -16
645	645	GRAM’’; 17
646	646	(2) in section 399H (42 U.S.C. 280f)— 18
647	647	(A) in the section heading, by striking 19
648	648	‘‘
649	649	ESTABLISHMENT OF FETAL ALCOHOL 20
650	650	SYNDROME PREVENTION ’’ and inserting 21
651	651	‘‘
652	652	FETAL ALCOHOL SPECTRUM DISORDERS 22
653	653	PREVENTION , INTERVENTION ,’’; 23
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656	656	•S 2433 IS
657	657	(B) by striking ‘‘Fetal Alcohol Syndrome 1
658	658	and Fetal Alcohol Effect’’ each place it appears 2
659	659	and inserting ‘‘FASD’’; 3
660	660	(C) in subsection (a)— 4
661	661	(i) by amending the heading to read 5
662	662	as follows: ‘‘I
663	663	NGENERAL’’; 6
664	664	(ii) in the matter preceding paragraph 7
665	665	(1)— 8
666	666	(I) by inserting ‘‘or continue ac-9
667	667	tivities to support’’ after ‘‘shall estab-10
668	668	lish’’; 11
669	669	(II) by striking ‘‘FASD’’ (as 12
670	670	amended by subparagraph (B)) and 13
671	671	inserting ‘‘fetal alcohol spectrum dis-14
672	672	orders (referred to in this section as 15
673	673	‘FASD’)’’; 16
674	674	(III) by striking ‘‘prevention, 17
675	675	intervention’’ and inserting ‘‘aware-18
676	676	ness, prevention, identification, inter-19
677	677	vention,’’; and 20
678	678	(IV) by striking ‘‘that shall’’ and 21
679	679	inserting ‘‘, which may’’; 22
680	680	(iii) in paragraph (1)— 23
681	681	(I) in subparagraph (A)— 24
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684	684	•S 2433 IS
685	685	(aa) by striking ‘‘medical 1
686	686	schools’’ and inserting ‘‘health 2
687	687	professions schools’’; and 3
688	688	(bb) by inserting ‘‘infants,’’ 4
689	689	after ‘‘provision of services for’’; 5
690	690	and 6
691	691	(II) in subparagraph (D), by 7
692	692	striking ‘‘medical and mental’’ and in-8
693	693	serting ‘‘agencies providing’’; 9
694	694	(iv) in paragraph (2)— 10
695	695	(I) in the matter preceding sub-11
696	696	paragraph (A), by striking ‘‘a preven-12
697	697	tion and diagnosis program to support 13
698	698	clinical studies, demonstrations and 14
699	699	other research as appropriate’’ and in-15
700	700	serting ‘‘supporting and conducting 16
701	701	research on FASD, as appropriate, in-17
702	702	cluding’’; 18
703	703	(II) in subparagraph (B)— 19
704	704	(aa) by striking ‘‘prevention 20
705	705	services and interventions for 21
706	706	pregnant, alcohol-dependent 22
707	707	women’’ and inserting ‘‘culturally 23
708	708	and linguistically informed evi-24
709	709	dence-based or practice-based 25
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712	712	•S 2433 IS
713	713	interventions and appropriate so-1
714	714	cietal supports for preventing 2
715	715	prenatal alcohol exposure, which 3
716	716	may co-occur with exposure to 4
717	717	other substances’’; and 5
718	718	(bb) by striking ‘‘; and’’ and 6
719	719	inserting a semicolon; 7
720	720	(v) by striking paragraph (3) and in-8
721	721	serting the following: 9
722	722	‘‘(3) integrating into surveillance practice an 10
723	723	evidence-based standard case definition for fetal al-11
724	724	cohol syndrome and, in collaboration with other Fed-12
725	725	eral and outside partners, support organizations of 13
726	726	appropriate medical and mental health professionals 14
727	727	in their development and refinement of evidence- 15
728	728	based clinical diagnostic guidelines and criteria for 16
729	729	all fetal alcohol spectrum disorders; and 17
730	730	‘‘(4) building State and Tribal capacity for the 18
731	731	identification, treatment, and support of individuals 19
732	732	with FASD and their families, which may include— 20
733	733	‘‘(A) utilizing and adapting existing Fed-21
734	734	eral, State, or Tribal programs to include 22
735	735	FASD identification and FASD-informed sup-23
736	736	port; 24
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739	739	•S 2433 IS
740	740	‘‘(B) developing and expanding screening 1
741	741	and diagnostic capacity for FASD; 2
742	742	‘‘(C) developing, implementing, and evalu-3
743	743	ating targeted FASD-informed intervention 4
744	744	programs for FASD; 5
745	745	‘‘(D) increasing awareness of FASD; 6
746	746	‘‘(E) providing training with respect to 7
747	747	FASD for professionals across relevant sectors; 8
748	748	and 9
749	749	‘‘(F) disseminating information about 10
750	750	FASD and support services to affected individ-11
751	751	uals and their families.’’; 12
752	752	(D) in subsection (b)— 13
753	753	(i) by striking ‘‘described in section 14
754	754	399I’’; 15
755	755	(ii) by striking ‘‘The Secretary’’ and 16
756	756	inserting the following: 17
757	757	‘‘(1) I
758	758	N GENERAL.—The Secretary’’; and 18
759	759	(iii) by adding at the end the fol-19
760	760	lowing: 20
761	761	‘‘(2) E
762	762	LIGIBLE ENTITIES.—To be eligible to re-21
763	763	ceive a grant, or enter into a cooperative agreement 22
764	764	or contract, under this section, an entity shall— 23
765	765	‘‘(A) be a State, Indian Tribe or Tribal or-24
766	766	ganization, local government, scientific or aca-25
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769	769	•S 2433 IS
770	770	demic institution, or nonprofit organization; 1
771	771	and 2
772	772	‘‘(B) prepare and submit to the Secretary 3
773	773	an application at such time, in such manner, 4
774	774	and containing such information as the Sec-5
775	775	retary may require, including a description of 6
776	776	the activities that the entity intends to carry 7
777	777	out using amounts received under this section. 8
778	778	‘‘(3) A
779	779	DDITIONAL APPLICATION CONTENTS .— 9
780	780	The Secretary may require that an entity using 10
781	781	amounts from a grant, cooperative agreement, or 11
782	782	contract under this section for an activity under sub-12
783	783	section (a)(4) include in the application for such 13
784	784	amounts submitted under paragraph (2)(B)— 14
785	785	‘‘(A) a designation of an individual to 15
786	786	serve as a FASD State or Tribal coordinator of 16
787	787	such activity; and 17
788	788	‘‘(B) a description of an advisory com-18
789	789	mittee the entity will establish to provide guid-19
790	790	ance for the entity on developing and imple-20
791	791	menting a statewide or Tribal strategic plan to 21
792	792	prevent FASD and provide for the identifica-22
793	793	tion, treatment, and support of individuals with 23
794	794	FASD and their families.’’; 24
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798	798	(E) by striking subsections (c) and (d); 1
799	799	and 2
800	800	(F) by adding at the end the following: 3
801	801	‘‘(c) D
802	802	EFINITION OFFASD-INFORMED.—For pur-4
803	803	poses of this section, the term ‘FASD-informed’, with re-5
804	804	spect to support or an intervention program, means that 6
805	805	such support or intervention program uses culturally and 7
806	806	linguistically informed evidence-based or practice-based 8
807	807	interventions and appropriate societal supports to support 9
808	808	an improved quality of life for an individual with FASD 10
809	809	and the family of such individual.’’; and 11
810	810	(3) by striking sections 399I, 399J, and 399K 12
811	811	(42 U.S.C. 280f–1, 280f–2, 280f–3) and inserting 13
812	812	the following: 14
813	813	‘‘SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CEN-15
814	814	TERS FOR EXCELLENCE. 16
815	815	‘‘(a) I
816	816	NGENERAL.—The Secretary shall, as appro-17
817	817	priate, award grants, cooperative agreements, or contracts 18
818	818	to public or nonprofit entities with demonstrated expertise 19
819	819	in the prevention of, identification of, and intervention 20
820	820	services with respect to, fetal alcohol spectrum disorders 21
821	821	(referred to in this section as ‘FASD’) and other related 22
822	822	adverse conditions. Such awards shall be for the purposes 23
823	823	of establishing Fetal Alcohol Spectrum Disorders Centers 24
824	824	for Excellence to build local, Tribal, State, and national 25
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828	828	capacities to prevent the occurrence of FASD and other 1
829	829	related adverse conditions, and to respond to the needs 2
830	830	of individuals with FASD and their families by carrying 3
831	831	out the programs described in subsection (b). 4
832	832	‘‘(b) P
833	833	ROGRAMS.—An entity receiving an award 5
834	834	under subsection (a) may use such award for the following 6
835	835	purposes: 7
836	836	‘‘(1) Initiating or expanding diagnostic capacity 8
837	837	for FASD by increasing screening, assessment, iden-9
838	838	tification, and diagnosis. 10
839	839	‘‘(2) Developing and supporting public aware-11
840	840	ness and outreach activities, including the use of a 12
841	841	range of media and public outreach, to raise public 13
842	842	awareness of the risks associated with alcohol con-14
843	843	sumption during pregnancy, with the goals of reduc-15
844	844	ing the prevalence of FASD and improving the de-16
845	845	velopmental, health (including mental health), and 17
846	846	educational outcomes of individuals with FASD and 18
847	847	supporting families caring for individuals with 19
848	848	FASD. 20
849	849	‘‘(3) Acting as a clearinghouse for evidence- 21
850	850	based resources on FASD prevention, identification, 22
851	851	and culturally and linguistically informed best prac-23
852	852	tices, including the maintenance of a national data- 24
853	853	based directory on FASD-specific services in States, 25
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857	857	Indian Tribes, and local communities, and dissemi-1
858	858	nating ongoing research and developing resources on 2
859	859	FASD to help inform systems of care for individuals 3
860	860	with FASD across their lifespan. 4
861	861	‘‘(4) Increasing awareness and understanding 5
862	862	of efficacious, evidence-based FASD screening tools 6
863	863	and culturally- and linguistically-appropriate evi-7
864	864	dence-based intervention services and best practices, 8
865	865	which may include by conducting national, regional, 9
866	866	State, Tribal, or peer cross-State webinars, work-10
867	867	shops, or conferences for training community lead-11
868	868	ers, medical and mental health and substance use 12
869	869	disorder professionals, education and disability pro-13
870	870	fessionals, families, law enforcement personnel, 14
871	871	judges, individuals working in financial assistance 15
872	872	programs, social service personnel, child welfare pro-16
873	873	fessionals, and other service providers. 17
874	874	‘‘(5) Improving capacity for State, Tribal, and 18
875	875	local affiliates dedicated to FASD awareness, pre-19
876	876	vention, and identification and family and individual 20
877	877	support programs and services. 21
878	878	‘‘(6) Providing technical assistance to grantees 22
879	879	under section 399H, as appropriate. 23
880	880	‘‘(7) Carrying out other functions, as appro-24
881	881	priate. 25
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884	884	•S 2433 IS
885	885	‘‘(c) APPLICATION.—To be eligible for a grant, con-1
886	886	tract, or cooperative agreement under this section, an enti-2
887	887	ty shall submit to the Secretary an application at such 3
888	888	time, in such manner, and containing such information as 4
889	889	the Secretary may require. 5
890	890	‘‘(d) S
891	891	UBCONTRACTING.—A public or private non-6
892	892	profit entity may carry out the following activities required 7
893	893	under this section through contracts or cooperative agree-8
894	894	ments with other public and private nonprofit entities with 9
895	895	demonstrated expertise in FASD: 10
896	896	‘‘(1) Prevention activities. 11
897	897	‘‘(2) Screening and identification. 12
898	898	‘‘(3) Resource development and dissemination, 13
899	899	training and technical assistance, administration, 14
900	900	and support of FASD partner networks. 15
901	901	‘‘(4) Intervention services. 16
902	902	‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 17
903	903	‘‘There are authorized to be appropriated to carry out 18
904	904	this part such sums as may be necessary for each of fiscal 19
905	905	years 2024 through 2028.’’. 20
906	906	(b) R
907	907	EPORT.—Not later than 4 years after the date 21
908	908	of enactment of this Act, the Secretary of Health and 22
909	909	Human Services shall submit to the Committee on Health, 23
910	910	Education, Labor, and Pensions of the Senate and the 24
911	911	Committee on Energy and Commerce of the House of 25
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914	914	•S 2433 IS
915	915	Representatives a report on the efforts of the Department 1
916	916	of Health and Human Services to advance public aware-2
917	917	ness on, and facilitate the identification of best practices 3
918	918	related to, fetal alcohol spectrum disorders identification, 4
919	919	prevention, treatment, and support. 5
920	920	(c) T
921	921	ECHNICALAMENDMENT.—Section 519D of the 6
922	922	Public Health Service Act (42 U.S.C. 290bb–25d) is re-7
923	923	pealed. 8
924	924	Æ
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