Us Congress 2023-2024 Regular Session

Us Congress Senate Bill SB3106 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. 3106
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	OCTOBER24, 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. Residential treatment programs for pregnant and postpartum women.
35	35	Sec. 103. Prenatal and postnatal health.
36	36	Sec. 104. Loan repayment program for substance use disorder treatment work-
37	37	force.
38	38	Sec. 105. Youth prevention and recovery.
39	39	Sec. 106. Comprehensive opioid recovery centers.
40	40	Sec. 107. CDC surveillance and data collection for child, youth, and adult trau-
41	41	ma.
42	42	Sec. 108. Task force to develop best practices for trauma-informed identifica-
43	43	tion, referral, and support.
44	44	Sec. 109. Donald J. Cohen National child traumatic stress initiative.
45	45	Sec. 110. Surveillance and education regarding infections associated with illicit
46	46	drug use and other risk factors.
47	47	Sec. 111. Building communities of recovery.
48	48	Sec. 112. Peer support technical assistance center.
49	49	Sec. 113. Preventing overdoses of controlled substances.
50	50	Sec. 114. CAREER Act.
51	51	Sec. 115. Grants to improve trauma support services and mental health care
52	52	for children and youth in educational settings.
53	53	TITLE II—OTHER PROVISIONS
54	54	Sec. 201. Delivery of a controlled substance by a pharmacy.
55	55	Sec. 202. Regulations relating to a special registration for telemedicine.
56	56	Sec. 203. Guidance on at-home drug disposal systems.
57	57	Sec. 204. Report on at-home drug disposal systems.
58	58	Sec. 205. Ensuring State choice in PDMP systems.
59	59	Sec. 206. Mental health parity.
60	60	Sec. 207. State guidance on coverage for individuals with serious mental illness
61	61	and children with serious emotional disturbance.
62	62	Sec. 208. Community mental health services block grant service providers.
63	63	Sec. 209. Reports and studies on medication treatments for opioid use disorder.
64	64	Sec. 210. FASD Respect Act.
65	65	TITLE I—REAUTHORIZATIONS 1
66	66	SEC. 101. FIRST RESPONDER TRAINING. 2
67	67	Section 546(h) of the Public Health Service Act (42 3
68	68	U.S.C. 290ee–1(h)) is amended by striking ‘‘$36,000,000 4
69	69	for each of fiscal years 2019 through 2023’’ and inserting 5
70	70	‘‘$56,000,000 for each of fiscal years 2024 through 6
71	71	2028’’. 7
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75	75	SEC. 102. RESIDENTIAL TREATMENT PROGRAMS FOR 1
76	76	PREGNANT AND POSTPARTUM WOMEN. 2
77	77	Section 508(s) of the Public Health Service Act (42 3
78	78	U.S.C. 290bb–1(s)) is amended by striking ‘‘$29,931,000 4
79	79	for each of fiscal years 2019 through 2023’’ and inserting 5
80	80	‘‘$38,931,000 for each of fiscal years 2024 through 6
81	81	2028’’. 7
82	82	SEC. 103. PRENATAL AND POSTNATAL HEALTH. 8
83	83	Section 317L(d) of the Public Health Service Act (42 9
84	84	U.S.C. 247b–13(d)) is amended by striking ‘‘2019 10
85	85	through 2023’’ and inserting ‘‘2024 through 2028’’. 11
86	86	SEC. 104. LOAN REPAYMENT PROGRAM FOR SUBSTANCE 12
87	87	USE DISORDER TREATMENT WORKFORCE. 13
88	88	Section 781(j) of the Public Health Service Act (42 14
89	89	U.S.C. 295h(j)) is amended by striking ‘‘$25,000,000 for 15
90	90	each of fiscal years 2019 through 2023’’ and inserting 16
91	91	‘‘$40,000,000 for each of fiscal years 2024 through 17
92	92	2028’’. 18
93	93	SEC. 105. YOUTH PREVENTION AND RECOVERY. 19
94	94	Section 7102(c)(9) of the SUPPORT for Patients 20
95	95	and Communities Act (42 U.S.C. 290bb–7a(c)(9)) is 21
96	96	amended by striking ‘‘2019 through 2023’’ and inserting 22
97	97	‘‘2024 through 2028’’. 23
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101	101	SEC. 106. COMPREHENSIVE OPIOID RECOVERY CENTERS. 1
102	102	Section 552(j) of the Public Health Service Act (42 2
103	103	U.S.C. 290ee–7(j)) is amended by striking ‘‘2019 through 3
104	104	2023’’ and inserting ‘‘2024 through 2028’’. 4
105	105	SEC. 107. CDC SURVEILLANCE AND DATA COLLECTION FOR 5
106	106	CHILD, YOUTH, AND ADULT TRAUMA. 6
107	107	Section 7131(e) of the SUPPORT for Patients and 7
108	108	Communities Act (42 U.S.C. 242t(e)) is amended by strik-8
109	109	ing ‘‘$2,000,000 for each of fiscal years 2019 through 9
110	110	2023’’ and inserting ‘‘$9,000,000 for each of fiscal years 10
111	111	2024 through 2028’’. 11
112	112	SEC. 108. TASK FORCE TO DEVELOP BEST PRACTICES FOR 12
113	113	TRAUMA-INFORMED IDENTIFICATION, RE-13
114	114	FERRAL, AND SUPPORT. 14
115	115	Section 7132(i) of the SUPPORT for Patients and 15
116	116	Communities Act (Public Law 115–271) is amended by 16
117	117	striking ‘‘2023’’ and inserting ‘‘2028’’. 17
118	118	SEC. 109. DONALD J. COHEN NATIONAL CHILD TRAUMATIC 18
119	119	STRESS INITIATIVE. 19
120	120	Section 582(j) of the Public Health Service Act (42 20
121	121	U.S.C. 290hh–1(j)) (relating to grants to address the 21
122	122	problems of persons who experience violence-related 22
123	123	stress) is amended by striking ‘‘$63,887,000 for each of 23
124	124	fiscal years 2019 through 2023’’ and inserting 24
125	125	‘‘$93,887,000 for each of fiscal years 2024 through 25
126	126	2028’’. 26
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130	130	SEC. 110. SURVEILLANCE AND EDUCATION REGARDING IN-1
131	131	FECTIONS ASSOCIATED WITH ILLICIT DRUG 2
132	132	USE AND OTHER RISK FACTORS. 3
133	133	Section 317N(d) of the Public Health Service Act (42 4
134	134	U.S.C. 247b–15(d)) is amended by striking ‘‘2019 5
135	135	through 2023’’ and inserting ‘‘2024 through 2028’’. 6
136	136	SEC. 111. BUILDING COMMUNITIES OF RECOVERY. 7
137	137	Section 547(f) of the Public Health Service Act (42 8
138	138	U.S.C. 290ee–2(f)) is amended by striking ‘‘$5,000,000 9
139	139	for each of fiscal years 2019 through 2023’’ and inserting 10
140	140	‘‘$16,000,000 for each of fiscal years 2024 through 11
141	141	2028’’. 12
142	142	SEC. 112. PEER SUPPORT TECHNICAL ASSISTANCE CEN-13
143	143	TER. 14
144	144	Section 547A(e) of the Public Health Service Act (42 15
145	145	U.S.C. 290ee–2a(e)) is amended by striking ‘‘$1,000,000 16
146	146	for each of fiscal years 2019 through 2023’’ and inserting 17
147	147	‘‘$2,000,000 for each of fiscal years 2024 through 2028’’. 18
148	148	SEC. 113. PREVENTING OVERDOSES OF CONTROLLED SUB-19
149	149	STANCES. 20
150	150	Section 392A(e) of the Public Health Service Act (42 21
151	151	U.S.C. 280b–1(e)) is amended by striking ‘‘$496,000,000 22
152	152	for each of fiscal years 2019 through 2023’’ and inserting 23
153	153	‘‘$505,579,000 for each of fiscal years 2024 through 24
154	154	2028’’. 25
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158	158	SEC. 114. CAREER ACT. 1
159	159	(a) I
160	160	NGENERAL.—Section 7183 of the SUPPORT 2
161	161	for Patients and Communities Act (42 U.S.C. 290ee–8) 3
162	162	is amended— 4
163	163	(1) in the section heading, by inserting ‘‘; 5
164	164	TREATMENT , RECOVERY, AND WORKFORCE 6
165	165	SUPPORT GRANTS ’’ after ‘‘CAREER ACT’’; 7
166	166	(2) in subsection (b), by inserting ‘‘each’’ before 8
167	167	‘‘for a period’’; 9
168	168	(3) in subsection (c)— 10
169	169	(A) in paragraph (1), by striking ‘‘the 11
170	170	rates described in paragraph (2)’’ and inserting 12
171	171	‘‘the average rates for calendar years 2018 13
172	172	through 2022 described in paragraph (2)’’; and 14
173	173	(B) by amending paragraph (2) to read as 15
174	174	follows: 16
175	175	‘‘(2) R
176	176	ATES.—The rates described in this para-17
177	177	graph are the following: 18
178	178	‘‘(A) The highest age-adjusted average 19
179	179	rates of drug overdose deaths for calendar years 20
180	180	2018 through 2022 based on data from the 21
181	181	Centers for Disease Control and Prevention, in-22
182	182	cluding, if necessary, provisional data for cal-23
183	183	endar year 2022. 24
184	184	‘‘(B) The highest average rates of unem-25
185	185	ployment for calendar years 2018 through 2022 26
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189	189	based on data provided by the Bureau of Labor 1
190	190	Statistics. 2
191	191	‘‘(C) The lowest average labor force par-3
192	192	ticipation rates for calendar years 2018 through 4
193	193	2022 based on data provided by the Bureau of 5
194	194	Labor Statistics.’’; 6
195	195	(4) in subsection (g)— 7
196	196	(A) in each of paragraphs (1) and (3), by 8
197	197	redesignating subparagraphs (A) and (B) as 9
198	198	clauses (i) and (ii), respectively, and adjusting 10
199	199	the margins accordingly; 11
200	200	(B) by redesignating paragraphs (1) 12
201	201	through (3) as subparagraphs (A) through (C), 13
202	202	respectively, and adjusting the margins accord-14
203	203	ingly; 15
204	204	(C) in the matter preceding subparagraph 16
205	205	(A) (as so redesignated), by striking ‘‘An enti-17
206	206	ty’’ and inserting the following: 18
207	207	‘‘(1) I
208	208	N GENERAL.—An entity’’; and 19
209	209	(D) by adding at the end the following: 20
210	210	‘‘(2) T
211	211	RANSPORTATION SERVICES .—An entity 21
212	212	receiving a grant under this section may use not 22
213	213	more than 5 percent of the funds for providing 23
214	214	transportation for individuals to participate in an ac-24
215	215	tivity supported by a grant under this section, which 25
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219	219	transportation shall be to or from a place of work 1
220	220	or a place where the individual is receiving voca-2
221	221	tional education or job training services or receiving 3
222	222	services directly linked to treatment of or recovery 4
223	223	from a substance use disorder. 5
224	224	‘‘(3) L
225	225	IMITATION.—The Secretary may not re-6
226	226	quire an entity to, or give priority to an entity that 7
227	227	plans to, use the funds of a grant under this section 8
228	228	for activities that are not specified in this sub-9
229	229	section.’’; 10
230	230	(5) in subsection (i)(2), by inserting ‘‘, which 11
231	231	shall include employment and earnings outcomes de-12
232	232	scribed in subclauses (I) and (III) of section 13
233	233	116(b)(2)(A)(i) of the Workforce Innovation and 14
234	234	Opportunity Act (29 U.S.C. 3141(b)(2)(A)(i)) with 15
235	235	respect to the participation of such individuals with 16
236	236	a substance use disorder in programs and activities 17
237	237	funded by the grant under this section’’ after ‘‘sub-18
238	238	section (g)’’; 19
239	239	(6) in subsection (j)— 20
240	240	(A) in paragraph (1), by inserting ‘‘for 21
241	241	grants awarded prior to the date of enactment 22
242	242	of the SUPPORT for Patients and Commu-23
243	243	nities Reauthorization Act of 2023’’ after 24
244	244	‘‘grant period under this section’’; and 25
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248	248	(B) in paragraph (2)— 1
249	249	(i) in the matter preceding subpara-2
250	250	graph (A), by striking ‘‘2 years after sub-3
251	251	mitting the preliminary report required 4
252	252	under paragraph (1)’’ and inserting ‘‘Sep-5
253	253	tember 30, 2028’’; and 6
254	254	(ii) in subparagraph (A), by striking 7
255	255	‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 8
256	256	(7) in subsection (k), by striking ‘‘$5,000,000 9
257	257	for each of fiscal years 2019 through 2023’’ and in-10
258	258	serting ‘‘$12,000,000 for each of fiscal years 2024 11
259	259	through 2028’’. 12
260	260	(b) C
261	261	LERICALAMENDMENT.—The table of contents 13
262	262	in section 1(b) of the SUPPORT for Patients and Com-14
263	263	munities Act (Public Law 115–271; 132 Stat. 3894) is 15
264	264	amended by striking the item relating to section 7183 and 16
265	265	inserting the following: 17
266	266	‘‘Sec. 7183. CAREER Act; treatment, recovery, and workforce support
267	267	grants.’’.
268	268	SEC. 115. GRANTS TO IMPROVE TRAUMA SUPPORT SERV-
269	269	18
270	270	ICES AND MENTAL HEALTH CARE FOR CHIL-19
271	271	DREN AND YOUTH IN EDUCATIONAL SET-20
272	272	TINGS. 21
273	273	Section 7134 of the SUPPORT for Patients and 22
274	274	Communities Act (42 U.S.C. 280h–7) is amended— 23
275	275	(1) in subsection (c)— 24
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279	279	(A) by striking paragraph (2); 1
280	280	(B) by redesignating paragraphs (3) 2
281	281	through (8) as paragraphs (2) through (7), re-3
282	282	spectively; 4
283	283	(C) in subparagraph (A) of paragraph (2), 5
284	284	as so redesignated, by striking ‘‘, including 6
285	285	through social and emotional learning’’; and 7
286	286	(D) in paragraph (3), as so redesignated, 8
287	287	by inserting ‘‘, provided that the students’ 9
288	288	records are owned and maintained by the 10
289	289	school,’’ after ‘‘community school’’; 11
290	290	(2) in subsection (d)(4)— 12
291	291	(A) in subparagraph (A), by striking ‘‘; 13
292	292	and’’ and inserting a semicolon; 14
293	293	(B) in subparagraph (B), by striking the 15
294	294	period and inserting a semicolon; and 16
295	295	(C) by adding at the end the following: 17
296	296	‘‘(C) parents and guardians will be in-18
297	297	formed of what trauma support services and 19
298	298	mental health care are available to their stu-20
299	299	dents and what services and care their students 21
300	300	receive, and will receive updates on their stu-22
301	301	dents’ services and care; and 23
302	302	‘‘(D) parents and guardians will have ac-24
303	303	cess to all documents related to the trauma 25
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306	306	•S 3106 IS
307	307	support services and mental health care that 1
308	308	their student receives.’’; 2
309	309	(3) in subsection (f)(1), by inserting ‘‘, includ-3
310	310	ing an assessment of how parents or guardians of 4
311	311	students are engaged in the design of, and informed 5
312	312	in the provision of, trauma support services and 6
313	313	mental health care in their student’s school’’ before 7
314	314	the semicolon; and 8
315	315	(4) in subsection (l), by striking ‘‘2019 through 9
316	316	2023’’ and inserting ‘‘2024 through 2028’’. 10
317	317	TITLE II—OTHER PROVISIONS 11
318	318	SEC. 201. DELIVERY OF A CONTROLLED SUBSTANCE BY A 12
319	319	PHARMACY. 13
320	320	Section 309A(a) of the Controlled Substances Act 14
321	321	(21 U.S.C. 829a(a)) is amended by striking paragraph (2) 15
322	322	and inserting the following: 16
323	323	‘‘(2) the controlled substance is a drug in 17
324	324	schedule III, IV, or V and is— 18
325	325	‘‘(A) to be administered for the purpose of 19
326	326	initiation, maintenance, or detoxification treat-20
327	327	ment; or 21
328	328	‘‘(B) subject to risk evaluation and mitiga-22
329	329	tion strategy pursuant to section 505–1 of the 23
330	330	Federal Food, Drug, and Cosmetic Act (21 24
331	331	U.S.C. 355–1), which may require the drug to 25
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335	335	be administered with post-administration moni-1
336	336	toring by a health care professional;’’. 2
337	337	SEC. 202. REGULATIONS RELATING TO A SPECIAL REG-3
338	338	ISTRATION FOR TELEMEDICINE. 4
339	339	Not later than 1 year after the date of enactment 5
340	340	of this Act, the Attorney General, in consultation with the 6
341	341	Secretary of Health and Human Services, shall promul-7
342	342	gate the final regulations required under section 311(h)(2) 8
343	343	of the Controlled Substances Act (21 U.S.C. 831(h)(2)). 9
344	344	SEC. 203. GUIDANCE ON AT-HOME DRUG DISPOSAL SYS-10
345	345	TEMS. 11
346	346	(a) I
347	347	NGENERAL.—Not later than one year after the 12
348	348	date of enactment of this Act, the Secretary of Health and 13
349	349	Human Services (referred to in this section as the ‘‘Sec-14
350	350	retary’’) shall publish guidance to facilitate the use of at- 15
351	351	home safe disposal systems for applicable drugs, including 16
352	352	for such at-home safe disposal systems that the Secretary 17
353	353	may require as a part of a risk evaluation and mitigation 18
354	354	strategy under section 505–1 of the Federal Food, Drug, 19
355	355	and Cosmetic Act (21 U.S.C. 355–1). 20
356	356	(b) C
357	357	ONTENTS.—The guidance under subsection (a) 21
358	358	shall include— 22
359	359	(1) recommended standards for effective at- 23
360	360	home drug disposal systems to meet the public 24
361	361	health or non-retrievability standard; 25
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364	364	•S 3106 IS
365	365	(2) recommended information to include as in-1
366	366	struction for use to disseminate with at-home drug 2
367	367	disposal systems; 3
368	368	(3) best practices and educational tools to sup-4
369	369	port the use of an at-home drug disposal system; 5
370	370	and 6
371	371	(4) recommended use of licensed health pro-7
372	372	viders for the dissemination of education, instruc-8
373	373	tion, and at-home drug disposal systems. 9
374	374	(c) U
375	375	PDATES.—The Secretary shall update the guid-10
376	376	ance under this section not less frequently than every 5 11
377	377	years. 12
378	378	SEC. 204. REPORT ON AT-HOME DRUG DISPOSAL SYSTEMS. 13
379	379	(a) S
380	380	TUDY.—Not later than 60 days after the date 14
381	381	of enactment of this Act, the Secretary of Health and 15
382	382	Human Services, in consultation with the Administrator 16
383	383	of the Drug Enforcement Administration, shall enter into 17
384	384	an agreement with the National Academies of Sciences, 18
385	385	Engineering, and Medicine to— 19
386	386	(1) convene a committee of experts to examine 20
387	387	steps to improve access to at-home drug disposal 21
388	388	systems, including reviewing— 22
389	389	(A) commercially available at-home drug 23
390	390	disposal systems; 24
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394	394	(B) current State, local, and private pro-1
395	395	grams providing education and in-home drug 2
396	396	disposal systems; 3
397	397	(C) academic studies and real world test-4
398	398	ing regarding drug disposal system compliance, 5
399	399	effectiveness, and usage, and any challenges as-6
400	400	sociated with such systems; and 7
401	401	(D) any barriers to distribution of at-home 8
402	402	drug disposal systems; and 9
403	403	(2) issue an expert consensus report that sets 10
404	404	forth best practices for educational resources to in-11
405	405	form distribution and use of at-home drug disposal 12
406	406	systems. 13
407	407	(b) R
408	408	EPORT.—Upon completion of the consensus re-14
409	409	port under subsection (a)(2), the Health and Medicine Di-15
410	410	vision of the National Academies of Sciences, Engineering, 16
411	411	and Medicine shall transmit a copy of the report to— 17
412	412	(1) the Secretary of Health and Human Serv-18
413	413	ices; 19
414	414	(2) the Commissioner of Food and Drugs; 20
415	415	(3) the Administrator of the Drug Enforcement 21
416	416	Administration; 22
417	417	(4) the Committee on Health, Education, 23
418	418	Labor, and Pensions of the Senate; and 24
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422	422	(5) the Committee on Energy and Commerce of 1
423	423	the House of Representatives. 2
424	424	SEC. 205. ENSURING STATE CHOICE IN PDMP SYSTEMS. 3
425	425	Section 399O(h) of the Public Health Service Act (42 4
426	426	U.S.C. 280g–3(h)) is amended by adding the following: 5
427	427	‘‘(5) E
428	428	NSURING STATE CHOICE .—Nothing in 6
429	429	this section shall be construed to— 7
430	430	‘‘(A) direct, require or encourage a State 8
431	431	to use a specific interstate data sharing pro-9
432	432	gram; 10
433	433	‘‘(B) limit or prohibit the discretion of a 11
434	434	PDMP to utilize interoperability connections of 12
435	435	its choice; 13
436	436	‘‘(C) permit, encourage, or otherwise con-14
437	437	dition Federal financial assistance to States 15
438	438	based upon the use of open architecture, other 16
439	439	than nationally recognized, consensus-based 17
440	440	standards, by PDMP systems or contracted 18
441	441	vendors; or 19
442	442	‘‘(D) limit or prohibit the discretion of 20
443	443	States to utilize Federal financial assistance re-21
444	444	ceived under this section to enter into arrange-22
445	445	ments with vendors of their choice in order to 23
446	446	carry out a program under this section.’’. 24
447	447	VerDate Sep 11 2014 01:59 Oct 25, 2023 Jkt 049200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\S3106.IS S3106
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449	449	•S 3106 IS
450	450	SEC. 206. MENTAL HEALTH PARITY. 1
451	451	(a) I
452	452	NGENERAL.—Not later than January 1, 2025, 2
453	453	the Inspector General of the Department of Labor, in co-3
454	454	ordination with the Inspector General of the Department 4
455	455	of Health and Human Services, shall report to the Com-5
456	456	mittee on Health, Education, Labor, and Pensions of the 6
457	457	Senate and the Committee on Energy and Commerce and 7
458	458	the Committee on Education and the Workforce of the 8
459	459	House of Representatives on the following: 9
460	460	(1) The non-quantitative treatment limit (re-10
461	461	ferred to in this section as ‘‘NQTL’’) requirements 11
462	462	with respect to mental health and substance use dis-12
463	463	order benefits under group health plans and health 13
464	464	insurance issuers under section 2726(a)(8) of the 14
465	465	Public Health Service Act (42 U.S.C. 300gg– 15
466	466	26(a)(8)), section 712(a)(8) of the Employee Retire-16
467	467	ment Income Security Act of 1974 (29 U.S.C. 17
468	468	1185a(a)(8)), and section 9812(a)(8) of the Internal 18
469	469	Revenue Code of 1986 (referred to in this section as 19
470	470	the ‘‘NQTL comparative analysis requirements’’), 20
471	471	and the requirements for the Secretary of Health 21
472	472	and Human Services, the Secretary of Labor, and 22
473	473	the Secretary of the Treasury to issue regulations, 23
474	474	a compliance program guide, and additional guid-24
475	475	ance documents and tools providing guidance relat-25
476	476	ing to mental health parity requirements under sec-26
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479	479	•S 3106 IS
480	480	tion 2726(a) of the Public Health Service Act (42 1
481	481	U.S.C. 300gg–26(a)), section 712(a) of the Em-2
482	482	ployee Retirement Income Security Act of 1974 (29 3
483	483	U.S.C. 1185a(a)), and section 9812(a) of the Inter-4
484	484	nal Revenue Code of 1986. 5
485	485	(2) With respect to the NQTL comparative 6
486	486	analysis requirements described in paragraph (1), an 7
487	487	analysis of the actions taken by the Secretary of 8
488	488	Labor, the Secretary of the Treasury, and the Sec-9
489	489	retary of Health and Human Services to provide 10
490	490	guidance to ensure that group health plans and 11
491	491	health insurance issuers can fully comply with men-12
492	492	tal health parity requirements under section 2726 of 13
493	493	the Public Health Service Act (42 U.S.C. 300gg–26, 14
494	494	section 712 of the Employee Retirement Income Se-15
495	495	curity Act of 1974 (29 U.S.C. 1185a), and section 16
496	496	9812 of the Internal Revenue Code of 1986 and the 17
497	497	NQTL comparative analysis requirements described 18
498	498	in paragraph (1), including an analysis of— 19
499	499	(A) the extent to which the Secretary of 20
500	500	Labor, the Secretary of the Treasury, and the 21
501	501	Secretary of Health and Human Services have 22
502	502	fulfilled the requirement under section 203(b) 23
503	503	of division BB of the Consolidated Appropria-24
504	504	tions Act, 2021 (Public Law 116–260) to issue 25
505	505	VerDate Sep 11 2014 23:33 Oct 25, 2023 Jkt 049200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\S3106.IS S3106
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507	507	•S 3106 IS
508	508	the specific guidance and regulations pertaining 1
509	509	to the requirements for group health plans and 2
510	510	health insurance issuers to demonstrate compli-3
511	511	ance with the NQTL comparative analysis re-4
512	512	quirements; and 5
513	513	(B) whether sufficient guidance and exam-6
514	514	ples from the Department of Labor and De-7
515	515	partment of Health and Human Services, and 8
516	516	the Department of the Treasury exist to guide 9
517	517	and assist group health plans and health insur-10
518	518	ance issuers in complying with the requirements 11
519	519	to demonstrate compliance with mental health 12
520	520	parity NQTL comparative analysis require-13
521	521	ments/under such sections 2726(a)(8), 14
522	522	712(a)(8), and 9812(a)(8). 15
523	523	(3) A review of the enforcement processes of 16
524	524	the Department of Labor and the Department of 17
525	525	Health and Human Services to evaluate the consist-18
526	526	ency of interpretation of the requirements under sec-19
527	527	tion 2726(a)(8) of the Public Health Service Act (42 20
528	528	U.S.C. 300gg–26(a)(8), section 712(a)(8) of the 21
529	529	Employee Retirement Income Security Act of 1974 22
530	530	(29 U.S.C. 1185a(a)(8)), and section 9812(a)(8) of 23
531	531	the Internal Revenue Code of 1986, in particular 24
532	532	with respect to processes utilized for enforcement, 25
533	533	VerDate Sep 11 2014 01:59 Oct 25, 2023 Jkt 049200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\S3106.IS S3106
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535	535	•S 3106 IS
536	536	actions or inactions that constitute noncompliance, 1
537	537	and avoidance among the agencies of duplication of 2
538	538	enforcement, including an evaluation of compliance 3
539	539	with section 104 of the Health Insurance Portability 4
540	540	and Accountability Act of 1996 (Public Law 104– 5
541	541	191). 6
542	542	(4) A review of the implementation, by the De-7
543	543	partment of Labor, Department of Health and 8
544	544	Human Services, and Department of the Treasury, 9
545	545	of mental health parity requirements under section 10
546	546	2726 of the Public Health Service Act (42 U.S.C. 11
547	547	300gg–26), section 712 of the Employee Retirement 12
548	548	Income Security Act of 1974 (29 U.S.C. 1185a), 13
549	549	and section 9812 of the Internal Revenue Code of 14
550	550	1986, including all such requirements in effect 15
551	551	through the enactment of the Mental Health Parity 16
552	552	Act of 1996 (Public Law 104–204), the Paul 17
553	553	Wellstone and Pete Domenici Mental Health Parity 18
554	554	and Addiction Equity Act of 2008 (Public Law 110– 19
555	555	460), the 21st Century Cures Act (Public Law 114– 20
556	556	255), and the Consolidated Appropriations Act, 21
557	557	2023 (Public Law 117–328) (including any amend-22
558	558	ments made by such Acts), and including with re-23
559	559	spect to the timing of all actions, delays of any ac-24
560	560	tions, reasons for any such delays, mandated re-25
561	561	VerDate Sep 11 2014 01:59 Oct 25, 2023 Jkt 049200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\S3106.IS S3106
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563	563	•S 3106 IS
564	564	quirements that were met only once but not each 1
565	565	time such requirements were mandated. 2
566	566	(b) D
567	567	EFINITIONS.—In this section, the terms ‘‘group 3
568	568	health plan’’ and ‘‘health insurance issuer’’ have the 4
569	569	meanings given such terms in section 733 of the Employee 5
570	570	Retirement Income Security Act of 1974 (29 U.S.C. 6
571	571	1191b). 7
572	572	SEC. 207. STATE GUIDANCE ON COVERAGE FOR INDIVID-8
573	573	UALS WITH SERIOUS MENTAL ILLNESS AND 9
574	574	CHILDREN WITH SERIOUS EMOTIONAL DIS-10
575	575	TURBANCE. 11
576	576	(a) R
577	577	EVIEW OFUSE OFCERTAINFUNDING.—Not 12
578	578	later than 1 year after the date of enactment of this Act, 13
579	579	the Secretary of Health and Human Services, acting 14
580	580	through the Assistant Secretary for Mental Health and 15
581	581	Substance Use, shall conduct a review of the use by States 16
582	582	of funds made available under the Community Mental 17
583	583	Health Services Block Grant program under subpart I of 18
584	584	part B of title XIX of the Public Health Service Act (42 19
585	585	U.S.C. 300x et seq.) for First Episode Psychosis activities. 20
586	586	Such review shall consider the following: 21
587	587	(1) How the States use funds for evidence- 22
588	588	based treatments and services, such as coordinated 23
589	589	specialty care, according to the standard of care for 24
590	590	individuals with early serious mental illness, includ-25
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593	593	•S 3106 IS
594	594	ing the comprehensiveness of such treatments to in-1
595	595	clude all aspects of the recommended intervention. 2
596	596	(2) How State mental health departments are 3
597	597	coordinating with State Medicaid departments in the 4
598	598	delivery of the treatments and services described in 5
599	599	paragraph (1). 6
600	600	(3) What percentage of the State funding under 7
601	601	the block grant program is being applied toward 8
602	602	First Episode Psychosis in excess of 10 percent of 9
603	603	the amount of the grant, as broken down on a State- 10
604	604	by-State basis. The review shall also identify any 11
605	605	States that fail to expend the required 10 percent of 12
606	606	block grant funds on activities relating to early seri-13
607	607	ous mental illness, including First Episode Psy-14
608	608	chosis. 15
609	609	(4) How many individuals are served by the ex-16
610	610	penditures described in paragraph (3), broken down 17
611	611	on a per-capita basis. 18
612	612	(5) How the funds are used to reach individuals 19
613	613	in underserved populations, including individuals in 20
614	614	rural areas and individuals from minority groups. 21
615	615	(b) R
616	616	EPORT ANDGUIDANCE.— 22
617	617	(1) R
618	618	EPORT.—Not later than 6 months after 23
619	619	the completion of the review under subsection (a), 24
620	620	the Secretary of Health and Human Services, acting 25
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623	623	•S 3106 IS
624	624	through the Assistant Secretary for Mental Health 1
625	625	and Substance Use, shall submit to the Committee 2
626	626	on Appropriations, the Committee on Health, Edu-3
627	627	cation, Labor, and Pensions, and the Committee on 4
628	628	Finance of the Senate and to the Committee on Ap-5
629	629	propriations and the Committee on Energy and 6
630	630	Commerce of the House of Representatives a report 7
631	631	on the findings made as a result of the review con-8
632	632	ducted under subsection (a). Such report shall in-9
633	633	clude any recommendations with respect to any 10
634	634	changes to the Community Mental Health Services 11
635	635	Block Grant program, including the set aside re-12
636	636	quired for First Episode Psychosis, that would facili-13
637	637	tate improved outcomes for the targeted population 14
638	638	involved. 15
639	639	(2) G
640	640	UIDANCE.—Not later than 1 year after 16
641	641	the date on which the report is submitted under 17
642	642	paragraph (1), the Secretary of Health and Human 18
643	643	Services, acting through the Assistant Secretary for 19
644	644	Mental Health and Substance Use, shall update the 20
645	645	guidance provided to States under the Community 21
646	646	Mental Health Services Block Grant program based 22
647	647	on the findings and recommendations of the report. 23
648	648	(c) A
649	649	DDITIONALGUIDANCE.—The Director of the 24
650	650	National Institute of Mental Health shall coordinate with 25
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653	653	•S 3106 IS
654	654	the Assistant Secretary for Mental Health and Substance 1
655	655	Use in providing guidance to State grantees and provider 2
656	656	subgrantees about research advances in the delivery of 3
657	657	services for First Episode Psychosis under the Community 4
658	658	Mental Health Services Block Grant program. 5
659	659	(d) G
660	660	UIDANCE FORSTATESRELATING TOCOVERAGE 6
661	661	R
662	662	ECOMMENDATIONS OF HEALTHCARESERVICES AND 7
663	663	I
664	664	NTERVENTIONS FOR INDIVIDUALSWITHSERIOUSMEN-8
665	665	TALILLNESS ANDCHILDRENWITHSERIOUSEMOTIONAL 9
666	666	D
667	667	ISTURBANCE.—Not later than 2 years after the date of 10
668	668	enactment of this Act, the Administrator of the Centers 11
669	669	for Medicare & Medicaid Services, jointly with the Assist-12
670	670	ant Secretary for Mental Health and Substance Use and 13
671	671	the Director of the National Institute of Mental Health— 14
672	672	(1) shall provide updated guidance to States 15
673	673	concerning— 16
674	674	(A) coverage recommendations relating to 17
675	675	evidence-based health care services, such as co-18
676	676	ordinated specialty care, and interventions for 19
677	677	individuals with early serious mental illness, in-20
678	678	cluding First Episode Psychosis; and 21
679	679	(B) the manner in which Federal funding 22
680	680	provided to States through programs adminis-23
681	681	tered by such agencies, including the Commu-24
682	682	nity Mental Health Services Block Grant pro-25
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685	685	•S 3106 IS
686	686	gram under subpart I of part B of title XIX of 1
687	687	the Public Health Service Act (42 U.S.C. 300x 2
688	688	et seq.), may be coordinated to support individ-3
689	689	uals with serious mental illness and serious 4
690	690	emotional disturbance; and 5
691	691	(2) may streamline relevant State reporting re-6
692	692	quirements if such streamlining would result in mak-7
693	693	ing it easier for States to coordinate funding under 8
694	694	the programs described in paragraph (1)(B) to im-9
695	695	prove treatments for individuals with serious mental 10
696	696	illness and serious emotional disturbance. 11
697	697	SEC. 208. COMMUNITY MENTAL HEALTH SERVICES BLOCK 12
698	698	GRANT SERVICE PROVIDERS. 13
699	699	Subpart I of part B of title XIX of the Public Health 14
700	700	Service Act is amended— 15
701	701	(1) in section 1913(b)(1) (42 U.S.C. 300x– 16
702	702	2(b)(1)), by inserting ‘‘, and which may include, at 17
703	703	the discretion of the State, appropriate programs op-18
704	704	erated by for-profit entities’’ after ‘‘consumer-di-19
705	705	rected programs’’; and 20
706	706	(2) in section 1916(a)(5) (42 U.S.C. 300x– 21
707	707	5(a)(5)), by inserting ‘‘, or a for-profit entity se-22
708	708	lected by a State pursuant to section 1913(b)(1)’’ 23
709	709	before the period at the end. 24
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712	712	•S 3106 IS
713	713	SEC. 209. REPORTS AND STUDIES ON MEDICATION TREAT-1
714	714	MENTS FOR OPIOID USE DISORDER. 2
715	715	(a) NIH R
716	716	EPORT TOCONGRESS ON METHADONE 3
717	717	T
718	718	REATMENT.—Not later than 2 years after the date of 4
719	719	enactment of this Act, the Director of the National Insti-5
720	720	tutes of Health shall— 6
721	721	(1) submit to the Committee on Health, Edu-7
722	722	cation, Labor, and Pensions of the Senate and the 8
723	723	Committee on Energy and Commerce of the House 9
724	724	of Representatives a report on ongoing and new clin-10
725	725	ical studies conducted or funded by the National In-11
726	726	stitutes of Health on the access to, safety of, and ef-12
727	727	ficacy of methadone treatment for opioid use dis-13
728	728	order in accredited and certified opioid treatment 14
729	729	programs and in other programs or settings; and 15
730	730	(2) brief the Committee on Health, Education, 16
731	731	Labor, and Pensions of the Senate and the Com-17
732	732	mittee on Energy and Commerce of the House of 18
733	733	Representatives on— 19
734	734	(A) interim results from the studies de-20
735	735	scribed in paragraph (1); and 21
736	736	(B) any barriers that may prevent ade-22
737	737	quate and timely enrollment of patients in any 23
738	738	new clinical study described in paragraph (1). 24
739	739	(b) S
740	740	TUDY ON MEDICATIONTREATMENTS FOR 25
741	741	O
742	742	PIOIDUSEDISORDERS.—The Secretary of Health and 26
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745	745	•S 3106 IS
746	746	Human Services, acting through the Assistant Secretary 1
747	747	for Mental Health and Substance Use, shall— 2
748	748	(1) study— 3
749	749	(A) the early impact on access to medica-4
750	750	tion treatment for opioid use disorder and 5
751	751	opioid-related overdose deaths through 6
752	752	buprenorphine prescribing pursuant to section 7
753	753	303(g) of the Controlled Substances Act (21 8
754	754	U.S.C. 823(g)), as amended by section 1262 of 9
755	755	title I of division FF of the Mental Health and 10
756	756	Well-Being Act of 2022; 11
757	757	(B) the prevalence of patients with opioid 12
758	758	use disorder, in each Substate region, as de-13
759	759	fined by the National Survey on Drug Use and 14
760	760	Health of the Substance Abuse and Mental 15
761	761	Health Services Administration; and 16
762	762	(C) a survey of retail pharmacies nation-17
763	763	wide, disaggregated by State, to determine 18
764	764	which pharmacies serve as methadone dis-19
765	765	pensing units for opioid treatment programs; 20
766	766	and 21
767	767	(2) submit to the Committee on Health, Edu-22
768	768	cation, Labor, and Pensions of the Senate and the 23
769	769	Committee on Energy and Commerce of the House 24
770	770	of Representatives— 25
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773	773	•S 3106 IS
774	774	(A) not later than 3 years after the date 1
775	775	of enactment of this Act, an initial report on 2
776	776	the study under paragraph (1); and 3
777	777	(B) not later than 4 years after the date 4
778	778	of enactment of this Act, a final report on the 5
779	779	study under paragraph (1). 6
780	780	SEC. 210. FASD RESPECT ACT. 7
781	781	(a) I
782	782	NGENERAL.—Part O of title III of the Public 8
783	783	Health Service Act (42 U.S.C. 280f et seq.) is amended— 9
784	784	(1) by amending the part heading to read as 10
785	785	follows: ‘‘
786	786	FETAL ALCOHOL SPECTRUM DIS -11
787	787	ORDERS PREVENTION AND SERVICES PRO -12
788	788	GRAM’’; 13
789	789	(2) in section 399H (42 U.S.C. 280f)— 14
790	790	(A) in the section heading, by striking 15
791	791	‘‘
792	792	ESTABLISHMENT OF FETAL ALCOHOL 16
793	793	SYNDROME PREVENTION ’’ and inserting 17
794	794	‘‘
795	795	FETAL ALCOHOL SPECTRUM DISORDERS 18
796	796	PREVENTION , INTERVENTION ,’’; 19
797	797	(B) by striking ‘‘Fetal Alcohol Syndrome 20
798	798	and Fetal Alcohol Effect’’ each place it appears 21
799	799	and inserting ‘‘FASD’’; 22
800	800	(C) in subsection (a)— 23
801	801	(i) by amending the heading to read 24
802	802	as follows: ‘‘I
803	803	NGENERAL’’; 25
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806	806	•S 3106 IS
807	807	(ii) in the matter preceding paragraph 1
808	808	(1)— 2
809	809	(I) by inserting ‘‘or continue ac-3
810	810	tivities to support’’ after ‘‘shall estab-4
811	811	lish’’; 5
812	812	(II) by striking ‘‘FASD’’ (as 6
813	813	amended by subparagraph (B)) and 7
814	814	inserting ‘‘fetal alcohol spectrum dis-8
815	815	orders (referred to in this section as 9
816	816	‘FASD’)’’; 10
817	817	(III) by striking ‘‘prevention, 11
818	818	intervention’’ and inserting ‘‘aware-12
819	819	ness, prevention, identification, inter-13
820	820	vention,’’; and 14
821	821	(IV) by striking ‘‘that shall’’ and 15
822	822	inserting ‘‘, which may’’; 16
823	823	(iii) in paragraph (1)— 17
824	824	(I) in subparagraph (A)— 18
825	825	(aa) by striking ‘‘medical 19
826	826	schools’’ and inserting ‘‘health 20
827	827	professions schools’’; and 21
828	828	(bb) by inserting ‘‘infants,’’ 22
829	829	after ‘‘provision of services for’’; 23
830	830	and 24
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833	833	•S 3106 IS
834	834	(II) in subparagraph (D), by 1
835	835	striking ‘‘medical and mental’’ and in-2
836	836	serting ‘‘agencies providing’’; 3
837	837	(iv) in paragraph (2)— 4
838	838	(I) in the matter preceding sub-5
839	839	paragraph (A), by striking ‘‘a preven-6
840	840	tion and diagnosis program to support 7
841	841	clinical studies, demonstrations and 8
842	842	other research as appropriate’’ and in-9
843	843	serting ‘‘supporting and conducting 10
844	844	research on FASD, as appropriate, in-11
845	845	cluding’’; and 12
846	846	(II) in subparagraph (B)— 13
847	847	(aa) by striking ‘‘prevention 14
848	848	services and interventions for 15
849	849	pregnant, alcohol-dependent 16
850	850	women’’ and inserting ‘‘culturally 17
851	851	and linguistically informed evi-18
852	852	dence-based or practice-based 19
853	853	interventions and appropriate so-20
854	854	cietal supports for preventing 21
855	855	prenatal alcohol exposure, which 22
856	856	may co-occur with exposure to 23
857	857	other substances’’; and 24
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860	860	•S 3106 IS
861	861	(bb) by striking ‘‘; and’’ and 1
862	862	inserting a semicolon; 2
863	863	(v) by striking paragraph (3) and in-3
864	864	serting the following: 4
865	865	‘‘(3) integrating into surveillance practice an 5
866	866	evidence-based standard case definition for fetal al-6
867	867	cohol spectrum disorders and, in collaboration with 7
868	868	other Federal and outside partners, support organi-8
869	869	zations of appropriate medical and mental health 9
870	870	professionals in their development and refinement of 10
871	871	evidence-based clinical diagnostic guidelines and cri-11
872	872	teria for all fetal alcohol spectrum disorders; and 12
873	873	‘‘(4) building State and Tribal capacity for the 13
874	874	identification, treatment, and support of individuals 14
875	875	with FASD and their families, which may include— 15
876	876	‘‘(A) utilizing and adapting existing Fed-16
877	877	eral, State, or Tribal programs to include 17
878	878	FASD identification and FASD-informed sup-18
879	879	port; 19
880	880	‘‘(B) developing and expanding screening 20
881	881	and diagnostic capacity for FASD; 21
882	882	‘‘(C) developing, implementing, and evalu-22
883	883	ating targeted FASD-informed intervention 23
884	884	programs for FASD; 24
885	885	‘‘(D) increasing awareness of FASD; 25
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888	888	•S 3106 IS
889	889	‘‘(E) providing training with respect to 1
890	890	FASD for professionals across relevant sectors; 2
891	891	and 3
892	892	‘‘(F) disseminating information about 4
893	893	FASD and support services to affected individ-5
894	894	uals and their families.’’; 6
895	895	(D) in subsection (b)— 7
896	896	(i) by striking ‘‘described in section 8
897	897	399I’’; 9
898	898	(ii) by striking ‘‘The Secretary’’ and 10
899	899	inserting the following: 11
900	900	‘‘(1) I
901	901	N GENERAL.—The Secretary’’; and 12
902	902	(iii) by adding at the end the fol-13
903	903	lowing: 14
904	904	‘‘(2) E
905	905	LIGIBLE ENTITIES.—To be eligible to re-15
906	906	ceive a grant, or enter into a cooperative agreement 16
907	907	or contract, under this section, an entity shall— 17
908	908	‘‘(A) be a State, Indian Tribe or Tribal or-18
909	909	ganization, local government, scientific or aca-19
910	910	demic institution, or nonprofit organization; 20
911	911	and 21
912	912	‘‘(B) prepare and submit to the Secretary 22
913	913	an application at such time, in such manner, 23
914	914	and containing such information as the Sec-24
915	915	retary may require, including a description of 25
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918	918	•S 3106 IS
919	919	the activities that the entity intends to carry 1
920	920	out using amounts received under this section. 2
921	921	‘‘(3) A
922	922	DDITIONAL APPLICATION CONTENTS .— 3
923	923	The Secretary may require that an entity using 4
924	924	amounts from a grant, cooperative agreement, or 5
925	925	contract under this section for an activity under sub-6
926	926	section (a)(4) include in the application for such 7
927	927	amounts submitted under paragraph (2)(B)— 8
928	928	‘‘(A) a designation of an individual to 9
929	929	serve as a FASD State or Tribal coordinator of 10
930	930	such activity; and 11
931	931	‘‘(B) a description of an advisory com-12
932	932	mittee the entity will establish to provide guid-13
933	933	ance for the entity on developing and imple-14
934	934	menting a statewide or Tribal strategic plan to 15
935	935	prevent FASD and provide for the identifica-16
936	936	tion, treatment, and support of individuals with 17
937	937	FASD and their families.’’; 18
938	938	(E) by striking subsections (c) and (d); 19
939	939	and 20
940	940	(F) by adding at the end the following: 21
941	941	‘‘(c) D
942	942	EFINITION OFFASD-INFORMED.—For pur-22
943	943	poses of this section, the term ‘FASD-informed’, with re-23
944	944	spect to support or an intervention program, means that 24
945	945	such support or intervention program uses culturally and 25
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948	948	•S 3106 IS
949	949	linguistically informed evidence-based or practice-based 1
950	950	interventions and appropriate societal supports to support 2
951	951	an improved quality of life for an individual with FASD 3
952	952	and the family of such individual.’’; and 4
953	953	(3) by striking sections 399I, 399J, and 399K 5
954	954	(42 U.S.C. 280f–1, 280f–2, 280f–3) and inserting 6
955	955	the following: 7
956	956	‘‘SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CEN-8
957	957	TERS FOR EXCELLENCE. 9
958	958	‘‘(a) I
959	959	NGENERAL.—The Secretary shall, as appro-10
960	960	priate, award grants, cooperative agreements, or contracts 11
961	961	to public or nonprofit entities with demonstrated expertise 12
962	962	in the prevention of, identification of, and intervention 13
963	963	services with respect to, fetal alcohol spectrum disorders 14
964	964	(referred to in this section as ‘FASD’) and other related 15
965	965	adverse conditions. Such awards shall be for the purposes 16
966	966	of establishing Fetal Alcohol Spectrum Disorders Centers 17
967	967	for Excellence to build local, Tribal, State, and national 18
968	968	capacities to prevent the occurrence of FASD and other 19
969	969	related adverse conditions, and to respond to the needs 20
970	970	of individuals with FASD and their families by carrying 21
971	971	out the programs described in subsection (b). 22
972	972	‘‘(b) P
973	973	ROGRAMS.—An entity receiving an award 23
974	974	under subsection (a) may use such award for the following 24
975	975	purposes: 25
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978	978	•S 3106 IS
979	979	‘‘(1) Initiating or expanding diagnostic capacity 1
980	980	for FASD by increasing screening, assessment, iden-2
981	981	tification, and diagnosis. 3
982	982	‘‘(2) Developing and supporting public aware-4
983	983	ness and outreach activities, including the use of a 5
984	984	range of media and public outreach, to raise public 6
985	985	awareness of the risks associated with alcohol con-7
986	986	sumption during pregnancy, with the goals of reduc-8
987	987	ing the prevalence of FASD and improving the de-9
988	988	velopmental, health (including mental health), and 10
989	989	educational outcomes of individuals with FASD and 11
990	990	supporting families caring for individuals with 12
991	991	FASD. 13
992	992	‘‘(3) Acting as a clearinghouse for evidence- 14
993	993	based resources on FASD prevention, identification, 15
994	994	and culturally and linguistically informed best prac-16
995	995	tices, including the maintenance of a national data- 17
996	996	based directory on FASD-specific services in States, 18
997	997	Indian Tribes, and local communities, and dissemi-19
998	998	nating ongoing research and developing resources on 20
999	999	FASD to help inform systems of care for individuals 21
1000	1000	with FASD across their lifespan. 22
1001	1001	‘‘(4) Increasing awareness and understanding 23
1002	1002	of efficacious, evidence-based alcohol and other sub-24
1003	1003	stance screening tools to prevent FASD and cul-25
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1006	1006	•S 3106 IS
1007	1007	turally and linguistically appropriate evidence-based 1
1008	1008	intervention services and best practices, which may 2
1009	1009	include by conducting national, regional, State, Trib-3
1010	1010	al, or peer cross-State webinars, workshops, or con-4
1011	1011	ferences for training community leaders, medical and 5
1012	1012	mental health and substance use disorder profes-6
1013	1013	sionals, education and disability professionals, fami-7
1014	1014	lies, law enforcement personnel, judges, individuals 8
1015	1015	working in financial assistance programs, social 9
1016	1016	service personnel, child welfare professionals, and 10
1017	1017	other service providers. 11
1018	1018	‘‘(5) Improving capacity for State, Tribal, and 12
1019	1019	local affiliates dedicated to FASD awareness, pre-13
1020	1020	vention, and identification and family and individual 14
1021	1021	support programs and services. 15
1022	1022	‘‘(6) Providing technical assistance to grantees 16
1023	1023	under section 399H, as appropriate. 17
1024	1024	‘‘(7) Carrying out other functions, as appro-18
1025	1025	priate. 19
1026	1026	‘‘(c) A
1027	1027	PPLICATION.—To be eligible for a grant, con-20
1028	1028	tract, or cooperative agreement under this section, an enti-21
1029	1029	ty shall submit to the Secretary an application at such 22
1030	1030	time, in such manner, and containing such information as 23
1031	1031	the Secretary may require. 24
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1034	1034	•S 3106 IS
1035	1035	‘‘(d) SUBCONTRACTING.—A public or private non-1
1036	1036	profit entity may carry out the following activities required 2
1037	1037	under this section through contracts or cooperative agree-3
1038	1038	ments with other public and private nonprofit entities with 4
1039	1039	demonstrated expertise in FASD: 5
1040	1040	‘‘(1) Prevention activities. 6
1041	1041	‘‘(2) Screening and identification. 7
1042	1042	‘‘(3) Resource development and dissemination, 8
1043	1043	training and technical assistance, administration, 9
1044	1044	and support of FASD partner networks. 10
1045	1045	‘‘(4) Intervention services. 11
1046	1046	‘‘SEC. 399J. AUTHORIZATION OF APPROPRIATIONS. 12
1047	1047	‘‘There are authorized to be appropriated to carry out 13
1048	1048	this part such sums as may be necessary for each of fiscal 14
1049	1049	years 2024 through 2028.’’. 15
1050	1050	(b) R
1051	1051	EPORT.—Not later than 4 years after the date 16
1052	1052	of enactment of this Act, the Secretary of Health and 17
1053	1053	Human Services shall submit to the Committee on Health, 18
1054	1054	Education, Labor, and Pensions of the Senate and the 19
1055	1055	Committee on Energy and Commerce of the House of 20
1056	1056	Representatives a report on the efforts of the Department 21
1057	1057	of Health and Human Services to advance public aware-22
1058	1058	ness on, and facilitate the identification of best practices 23
1059	1059	related to, fetal alcohol spectrum disorders identification, 24
1060	1060	prevention, treatment, and support. 25
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1063	1063	•S 3106 IS
1064	1064	(c) TECHNICALAMENDMENT.—Section 519D of the 1
1065	1065	Public Health Service Act (42 U.S.C. 290bb–25d) is re-2
1066	1066	pealed. 3
1067	1067	Æ
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