text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Improving Treatment for Pregnant and 
  Postpartum Women Act of 2016''.
  
  SEC. 2. REAUTHORIZATION OF RESIDENTIAL TREATMENT PROGRAMS FOR PREGNANT 
                AND POSTPARTUM WOMEN.
  
      Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
  amended--
              (1) in subsection (p), in the first sentence, by inserting 
          ``(other than subsection (r))'' after ``section''; and
              (2) in subsection (r), by striking ``such sums'' and all 
          that follows through ``2003'' and inserting ``$16,900,000 for 
          each of fiscal years 2017 through 2021''.
  
  SEC. 3. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE ABUSE AGENCIES.
  
      (a) In General.--Section 508 of the Public Health Service Act (42 
  U.S.C. 290bb-1) is amended--
              (1) by redesignating subsection (r), as amended by section 
          2, as subsection (s); and
              (2) by inserting after subsection (q) the following new 
          subsection:
      ``(r) Pilot Program for State Substance Abuse Agencies.--
              ``(1) In general.--From amounts made available under 
          subsection (s), the Director of the Center for Substance Abuse 
          Treatment shall carry out a pilot program under which 
          competitive grants are made by the Director to State substance 
          abuse agencies to--
                      ``(A) enhance flexibility in the use of funds 
                  designed to support family-based services for pregnant 
                  and postpartum women with a primary diagnosis of a 
                  substance use disorder, including opioid use disorders;
                      ``(B) help State substance abuse agencies address 
                  identified gaps in services furnished to such women 
                  along the continuum of care, including services 
                  provided to women in nonresidential based settings; and
                      ``(C) promote a coordinated, effective, and 
                  efficient State system managed by State substance abuse 
                  agencies by encouraging new approaches and models of 
                  service delivery.
              ``(2) Requirements.--In carrying out the pilot program 
          under this subsection, the Director shall--
                      ``(A) require State substance abuse agencies to 
                  submit to the Director applications, in such form and 
                  manner and containing such information as specified by 
                  the Director, to be eligible to receive a grant under 
                  the program;
                      ``(B) identify, based on such submitted 
                  applications, State substance abuse agencies that are 
                  eligible for such grants;
                      ``(C) require services proposed to be furnished 
                  through such a grant to support family-based treatment 
                  and other services for pregnant and postpartum women 
                  with a primary diagnosis of a substance use disorder, 
                  including opioid use disorders;
                      ``(D) not require that services furnished through 
                  such a grant be provided solely to women that reside in 
                  facilities;
                      ``(E) not require that grant recipients under the 
                  program make available through use of the grant all 
                  services described in subsection (d); and
                      ``(F) consider not applying requirements described 
                  in paragraphs (1) and (2) of subsection (f) to 
                  applicants, depending on the circumstances of the 
                  applicant.
              ``(3) Required services.--
                      ``(A) In general.--The Director shall specify a 
                  minimum set of services required to be made available 
                  to eligible women through a grant awarded under the 
                  pilot program under this subsection. Such minimum set--
                              ``(i) shall include requirements described 
                          in subsection (c) and be based on the 
                          recommendations submitted under subparagraph 
                          (B); and
                              ``(ii) may be selected from among the 
                          services described in subsection (d) and 
                          include other services as appropriate.
                      ``(B) Stakeholder input.--The Director shall 
                  convene and solicit recommendations from stakeholders, 
                  including State substance abuse agencies, health care 
                  providers, persons in recovery from substance abuse, 
                  and other appropriate individuals, for the minimum set 
                  of services described in subparagraph (A).
              ``(4) Duration.--The pilot program under this subsection 
          shall not exceed 5 years.
              ``(5) Evaluation and report to congress.--The Director of 
          the Center for Behavioral Health Statistics and Quality shall 
          fund an evaluation of the pilot program at the conclusion of 
          the first grant cycle funded by the pilot program. The Director 
          of the Center for Behavioral Health Statistics and Quality, in 
          coordination with the Director of the Center for Substance 
          Abuse Treatment shall submit to the relevant committees of 
          jurisdiction of the House of Representatives and the Senate a 
          report on such evaluation. The report shall include at a 
          minimum outcomes information from the pilot program, including 
          any resulting reductions in the use of alcohol and other drugs; 
          engagement in treatment services; retention in the appropriate 
          level and duration of services; increased access to the use of 
          medications approved by the Food and Drug Administration for 
          the treatment of substance use disorders in combination with 
          counseling; and other appropriate measures.
              ``(6) State substance abuse agencies defined.--For purposes 
          of this subsection, the term `State substance abuse agency' 
          means, with respect to a State, the agency in such State that 
          manages the Substance Abuse Prevention and Treatment Block 
          Grant under part B of title XIX.''.
      (b) Funding.--Subsection (s) of section 508 of the Public Health 
  Service Act (42 U.S.C. 290bb-1), as amended by section 2 and 
  redesignated by subsection (a), is further amended by adding at the end 
  the following new sentence: ``Of the amounts made available for a year 
  pursuant to the previous sentence to carry out this section, not more 
  than 25 percent of such amounts shall be made available for such year 
  to carry out subsection (r), other than paragraph (5) of such 
  subsection. Notwithstanding the preceding sentence, no funds shall be 
  made available to carry out subsection (r) for a fiscal year unless the 
  amount made available to carry out this section for such fiscal year is 
  more than the amount made available to carry out this section for 
  fiscal year 2016.''.
  
  SEC. 4. CUT-GO COMPLIANCE.
  
      Subsection (f) of section 319D of the Public Health Service Act (42 
  U.S.C. 247d-4) is amended by striking ``through 2018'' and inserting 
  ``through 2016, $133,300,000 for fiscal year 2017, and $138,300,000 for 
  fiscal year 2018''.
  
              Passed the House of Representatives May 11, 2016.
  
              Attest:
  
                                                   KAREN L. HAAS,
  
                                                                   Clerk.
target: (This measure has not been amended since it was reported to the House on May 10, 2016.  Improving Treatment for Pregnant and Postpartum Women Act of 2016 (Sec. 2) This bill amends the Public Health Service Act to extend support for residential substance abuse treatment programs for pregnant and postpartum women through FY2021. (Sec. 3) The Center for Substance Abuse Treatment must carry out a pilot program to make grants to state substance abuse agencies to support services for pregnant and postpartum women who have a primary diagnosis of a substance use disorder, including opioid use disorders (opioids are drugs with effects similar to opium, such as heroin and certain pain medications). The Center for Behavioral Health Statistics and Quality must fund an evaluation of the pilot program. (Sec. 4) As an offset, the bill reduces the authorization of appropriations for Centers for Disease Control and Prevention facilities for FY2017.
feat_title: Improving Treatment for Pregnant and Postpartum Women Act of 2016