Native American Alcohol and Substance Abuse Program Consolidation Act of 2003
Legislative Activity
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Referred to the Subcommittee on Health.
August 8, 2003
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Introduced in Senate
February 4, 2003
Sponsor introductory remarks on measure. (CR S1886)
February 4, 2003
Read twice and referred to the Committee on Indian Affairs. (text of measure as introduced: CR S1886-1888)
February 4, 2003
Committee on Indian Affairs. Hearings held. Hearings printed: S.Hrg. 108-66.
April 9, 2003
Committee on Indian Affairs. Ordered to be reported with an amendment in the nature of a substitute favorably.
May 14, 2003
Committee on Indian Affairs. Reported by Senator Campbell with an amendment in the nature of a substitute. With written report No. 108-75.
June 18, 2003
Placed on Senate Legislative Calendar under General Orders. Calendar No. 143.
June 18, 2003
Passed Senate with an amendment by Unanimous Consent. (consideration: CR S9819-9823; text as reported in Senate: CR S9819-9823; text as passed Senate: CR S9821-9823)
July 23, 2003
Message on Senate action sent to the House.
July 24, 2003
Received in the House.
July 24, 2003 • 10:04 AM
Referred to the Committee on Resources, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
July 24, 2003
Floor Debate
20 membersWhat members said about S. 285 on the floor




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Floor Debate
20 membersWhat members said about S. 285 on the floor
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Bill Text
4 versions available
[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[S. 285 Referred in House (RFH)]
108th CONGRESS
1st Session
S. 285
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 24, 2003
Referred to the Committee on Resources, and in addition to the
Committee on Energy and Commerce, for a period to be subsequently
determined by the Speaker, in each case for consideration of such
provisions as fall within the jurisdiction of the committee concerned
_______________________________________________________________________
AN ACT
To authorize the integration and consolidation of alcohol and substance
abuse programs and services provided by Indian tribal governments, and
for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) Short Title.--This Act may be cited as the ``Native American
Alcohol and Substance Abuse Program Consolidation Act of 2003''.
(b) Table of Contents.--The table of contents of this Act is as
follows:
Sec. 1. Short title; table of contents.
TITLE I--INTEGRATION AND CONSOLIDATION OF ALCOHOL AND SUBSTANCE ABUSE
PROGRAMS AND SERVICES
Sec. 101. Purposes.
Sec. 102. Definitions.
Sec. 103. Plans.
Sec. 104. Programs affected.
Sec. 105. Plan requirements.
Sec. 106. Plan review.
Sec. 107. Plan approval.
Sec. 108. Use of funds for technology.
Sec. 109. Federal responsibilities.
Sec. 110. No reduction in amounts.
Sec. 111. Interagency fund transfers.
Sec. 112. Administration of funds; excess funds.
Sec. 113. Fiscal accountability.
Sec. 114. Report on statutory and other barriers to integration.
Sec. 115. Assignment of Federal personnel to State Indian alcohol and
drug treatment or mental health programs.
TITLE II--REAUTHORIZATION OF CERTAIN INDIAN ALCOHOL AND SUBSTANCE ABUSE
PREVENTION AND TREATMENT PROGRAMS
Sec. 201. Indian Alcohol and Substance Abuse Prevention and Treatment
Act of 1986.
Sec. 202. Effective date.
TITLE I--INTEGRATION AND CONSOLIDATION OF ALCOHOL AND SUBSTANCE ABUSE
PROGRAMS AND SERVICES
SEC. 101. PURPOSES.
The purposes of this title are--
(1) to enable Indian tribes to consolidate and integrate
alcohol and other substance abuse prevention, diagnosis, and
treatment programs, and mental health and related programs, to
provide unified and more effective and efficient services to
Indians afflicted with mental health, alcohol, or other
substance abuse problems;
(2) to recognize that Indian tribes can best determine the
goals and methods for establishing and implementing prevention,
diagnosis, and treatment programs for their communities,
consistent with the policy of self-determination;
(3) to encourage and facilitate the implementation of an
automated clinical information system to complement the Indian
health care delivery system;
(4) to authorize the use of Federal funds to purchase,
lease, license, or provide training for technology for an
automated clinical information system that incorporates
clinical, financial, and reporting capabilities for Indian
behavioral health care programs;
(5) to encourage quality assurance policies and procedures,
and empower Indian tribes through training and use of
technology, to significantly enhance the delivery of, and
treatment results from, Indian behavioral health care programs;
(6) to assist Indian tribes in maximizing use of public,
tribal, human, and financial resources in developing effective,
understandable, and meaningful practices under Indian
behavioral health care programs;
(7) to encourage and facilitate timely and effective
analysis and evaluation of Indian behavioral health care
programs; and
(8) to reauthorize certain Indian alcohol and substance
abuse prevention and treatment programs.
SEC. 102. DEFINITIONS.
In this title:
(1) Automated clinical information system.--The term
``automated clinical information system'' means an automated
computer software system that can be used to manage clinical,
financial, and reporting information for Indian behavioral
health care programs.
(2) Federal agency.--The term ``Federal agency'' has the
meaning given the term ``agency'' in section 551 of title 5,
United States Code.
(3) Indian.--The term ``Indian'' has the meaning given the
term in section 4 of the Indian Self-Determination and
Education Assistance Act (25 U.S.C. 450b).
(4) Indian behavioral health care program.--The term
``Indian behavioral health care program'' means a federally
funded program, for the benefit of Indians, to prevent,
diagnose, or treat, or enhance the ability to prevent,
diagnose, or treat--
(A) mental health problems; or
(B) alcohol or other substance abuse problems.
(5) Indian tribe.--
(A) In general.--The term ``Indian tribe'' has the
meaning given the term in section 4 of the Indian Self
Determination and Education Assistance Act (25 U.S.C.
450b).
(B) Inclusions.--The term ``Indian tribe'', in a
case in which an intertribal consortium, tribal
organization, or Indian health center is authorized to
carry out 1 or more programs, services, functions, or
activities of an Indian tribe under this Act, includes
the intertribal consortium, tribal organization, or
Indian health center.
(6) Secretary.--The term ``Secretary'' means the Secretary
of Health and Human Services.
(7) Substance abuse.--The term ``substance abuse''
includes--
(A) the illegal use or abuse of a drug or an
inhalant; and
(B) the abuse of tobacco or a related product.
SEC. 103. PLANS.
The Secretary, in cooperation with the Secretary of Labor, the
Secretary of the Interior, the Secretary of Education, the Secretary of
Housing and Urban Development, the Attorney General, and the Secretary
of Transportation, as appropriate, shall, on receipt of a plan
acceptable to the Secretary that is submitted by an Indian tribe,
authorize the Indian tribe to carry out a demonstration project to
coordinate, in accordance with the plan, the Indian behavioral health
care programs of the Indian tribe in a manner that integrates the
program services into a single, coordinated, comprehensive program that
uses, to the extent necessary, an automated clinical information system
to better manage administrative and clinical services, costs, and
reporting requirements through the consolidation and integration of
administrative and clinical functions.
SEC. 104. PROGRAMS AFFECTED.
Programs that may be integrated in a demonstration project
described in section 103 are--
(1) an Indian behavioral health care program under which an
Indian tribe is eligible for the receipt of funds under a
statutory or administrative formula;
(2) an Indian behavioral health care program under which an
Indian tribe is eligible for receipt of funds through
competitive or other grants, if--
(A)(i) the Indian tribe provides notice to the
appropriate agency regarding the intentions of the
Indian tribe to include the Indian behavioral health
care program in the plan that the Indian tribe submits
to the Secretary; and
(ii) the agency consents to the inclusion of the
grant in the plan; or
(B)(i) the Indian tribe elects to include the
Indian behavioral health care program in the plan; and
(ii) the administrative requirements contained in
the plan are essentially the same as the administrative
requirements applicable to a grant under the Indian
behavioral health care program; and
(3) an Indian behavioral health care program under which an
Indian tribe is eligible to receive funds under any other
funding scheme.
SEC. 105. PLAN REQUIREMENTS.
A plan of an Indian tribe submitted under section 103 shall--
(1) identify the programs to be integrated;
(2) be consistent with this title;
(3) describe a comprehensive strategy that--
(A) identifies the full range of existing and
potential alcohol and substance abuse and mental health
treatment and prevention programs available on and near
the service area of the Indian tribe; and
(B) may include site and technology assessments and
any necessary computer hardware installation and
support;
(4) describe the manner in which services are to be
integrated and delivered and the results expected under the
plan (including, if implemented, the manner and expected
results of implementation of an automated clinical information
system);
(5) identify the projected expenditures under the plan in a
single budget;
(6) identify the agency or agencies in the Indian tribe to
be involved in the delivery of the services integrated under
the plan;
(7) identify any statutory provisions, regulations,
policies, or procedures that the Indian tribe requests be
waived in order to implement the plan; and
(8) be approved by the governing body of the Indian tribe.
SEC. 106. PLAN REVIEW.
(a) Consultation.--On receipt of a plan from an Indian tribe under
section 103, the Secretary shall consult with--
(1) the head of each Federal agency providing funds to be
used to implement the plan; and
(2) the Indian tribe.
(b) Identification of Waivers.--Each party consulting on the
implementation of a plan under section 101 shall identify any waivers
of statutory requirements or of Federal agency regulations, policies,
or procedures that the party determines to be necessary to enable the
Indian tribe to implement the plan.
(c) Waivers.--Notwithstanding any other provision of law, the head
of a Federal agency may waive any statutory requirement, regulation,
policy, or procedure promulgated by the Federal agency that has been
identified by the Indian tribe or the Federal agency under subsection
(b) unless the head of the affected Federal agency determines that such
a waiver is inconsistent with--
(1) this title;
(2) any statutory requirement applicable to the program to
be integrated under the plan that is specifically applicable to
Indian programs; and
(3) any underlying statutory objective or purpose of a
program to be consolidated under the plan, to such a degree as
would render ineffectual activities funded under the program.
SEC. 107. PLAN APPROVAL.
(a) In General.--Not later than 90 days after the date of receipt
by the Secretary of a plan under section 103, the Secretary shall
inform the Indian tribe that submitted the plan, in writing, of the
approval or disapproval of the plan (including any request for a waiver
that is made as part of the plan).
(b) Disapproval.--
(1) In general.--The Secretary may disapprove a plan if--
(A) the plan does not provide sufficient
information for the Secretary to adequately review the
plan for compliance with this title (including with
respect to information regarding the timing,
availability, and receipt of all program funding to be
consolidated or integrated);
(B) the plan does not comply with this title;
(C) the plan provides for the purchase, lease,
license, or training for, an automated clinical
information system, but the purchase, lease, license,
or training would require aggregate expenditures of
program funding at such a level as would render other
program substantially ineffectual; or
(D)(i) the plan identifies waivers that cannot be
waived under section 106(c); and
(ii) the plan would be rendered substantially
ineffectual without the waivers.
(2) Notice.--If a plan is disapproved under subsection (a),
the Secretary shall--
(A) inform the Indian tribe, in writing, of the
reasons for the disapproval; and
(B) provide the Indian tribe an opportunity--
(i) to amend and resubmit the plan; or
(ii) to petition the Secretary to
reconsider the disapproval (including
reconsidering the disapproval of any waiver
requested by the Indian tribe).
SEC. 108. USE OF FUNDS FOR TECHNOLOGY.
Notwithstanding any requirement applicable to an Indian behavioral
health care program of an Indian tribe that is integrated under a
demonstration project described in section 103, the Indian tribe may
use funds made available under the program to purchase, lease, license,
or provide training for technology for an automated clinical
information system if the purchase, lease, licensing of, or provision
of training is conducted in accordance with a plan approved by the
Secretary under section 106.
SEC. 109. FEDERAL RESPONSIBILITIES.
(a) Responsibilities of the Indian Health Service.--
(1) Memorandum of understanding.--Not later than 180 days
after the date of enactment of this Act, the Secretary, the
Secretary of the Interior, the Secretary of Labor, the
Secretary of Education, the Secretary of Housing and Urban
Development, the Attorney General, and the Secretary of
Transportation shall enter into a memorandum of agreement
providing for the implementation of the plans approved under
section 107.
(2) Coordinating agency.--The coordinating agency under
this title shall be the Indian Health Service.
(3) Responsibilities.--The responsibilities of the
coordinating agency under this title shall include--
(A) the development of a single reporting format--
(i) relating to each plan for a
demonstration project submitted under section
103, which shall be used by an Indian tribe to
report activities carried out under the plan;
and
(ii) relating to the projected expenditures
for the individual plan, which shall be used by
an Indian tribe to report all plan
expenditures;
(B) the development of a single system of Federal
oversight for the plan, which shall be implemented by
the coordinating agency;
(C) the provision of, or arrangement for provision
of, technical assistance to an Indian tribe that is
appropriate to support and implement the plan,
delivered under an arrangement subject to the approval
of the Indian tribe participating in the project
(except that an Indian tribe shall have the authority
to accept or reject the plan for providing the
technical assistance and the technical assistance
provider); and
(D) the convening by an appropriate official of the
coordinating agency (who shall be an official appointed
by and with the advice and consent of the Senate) and a
representative of the Indian tribes that carry out
projects under this title, in consultation with each of
the Indian tribes that participate in projects under
this title, of a meeting at least twice during each
fiscal year, for the purpose of providing an
opportunity for all Indian tribes that carry out
projects under this title to discuss issues relating to
the implementation of this title with officials of each
agency specified in paragraph (1).
(b) Report Requirements.--
(1) In general.--The single reporting format described in
subsection (a)(3)(A) shall be developed by the Secretary in
accordance with this title.
(2) Information.--The single reporting format, together
with records maintained on the consolidated program at the
tribal level, shall contain such information as the Secretary
determines will--
(A) allow the Secretary to determine whether the
Indian tribe has complied with the requirements
incorporated in the approved plan of the Indian tribe;
and
(B) provide assurances to the Secretary that the
Indian tribe has complied with all--
(i) applicable statutory requirements; and
(ii) applicable regulatory requirements
that have not been waived.
SEC. 110. NO REDUCTION IN AMOUNTS.
In no case shall the amount of Federal funds available to an Indian
tribe involved in any project under this title be reduced as a result
of the enactment of this title.
SEC. 111. INTERAGENCY FUND TRANSFERS.
The Secretary, the Secretary of the Interior, the Secretary of
Labor, the Secretary of Education, the Secretary of Housing and Urban
Development, the Attorney General, or the Secretary of Transportation,
as appropriate, may take such action as is necessary to provide for the
interagency transfer of funds otherwise available to an Indian tribe in
order to carry out this title.
SEC. 112. ADMINISTRATION OF FUNDS; EXCESS FUNDS.
(a) Administration of Funds.--
(1) In general.--Program funds shall be administered under
this title in such a manner as to allow for a determination by
the Secretary that funds made available for specific programs
(or an amount equal to the amount used from each program) are
expended on activities authorized under the program.
(2) Separate records not required.--Nothing in this section
requires an Indian tribe--
(A) to maintain separate records tracing any
service provided or activity conducted under the
approved plan of the Indian tribe to the individual
programs under which funds were authorized; or
(B) to allocate expenditures among individual
programs.
(b) Excess Funds.--With respect to administrative costs of carrying
out the approved plan of an Indian tribe under this title--
(1) all administrative costs under the approved plan may be
commingled;
(2) an Indian tribe that carries out a demonstration
program under such an approved plan shall be entitled to
receive reimbursement for the full amount of those costs in
accordance with regulations of each program or department; and
(3) if the Indian tribe, after paying administrative costs
associated with carrying out the approved plans, realizes
excess administrative funds, those funds shall not be counted
for Federal audit purposes if the excess funds are used for the
purposes provided for under this title.
SEC. 113. FISCAL ACCOUNTABILITY.
Nothing in this title affects the authority of the Secretary or the
coordinating agency to safeguard Federal funds in accordance with
chapter 75 of title 31, United States Code.
SEC. 114. REPORT ON STATUTORY AND OTHER BARRIERS TO INTEGRATION.
(a) Preliminary Report.--Not later than 2 years after the date of
enactment of this Act, the Secretary shall submit to the Committee on
Indian Affairs of the Senate and the Committee on Resources of the
House of Representatives a preliminary report that describes the
implementation of this title.
(b) Final Report.--Not later than 5 years after the date of
enactment of this Act, the Secretary shall submit to the Committee on
Indian Affairs of the Senate and the Committee on Resources of the
House of Representatives a final report that--
(1) describes the results of implementation of this title;
and
(2) identifies statutory barriers to the ability of Indian
tribes to integrate more effectively alcohol and substance
abuse services in a manner consistent with this title.
SEC. 115. ASSIGNMENT OF FEDERAL PERSONNEL TO STATE INDIAN ALCOHOL AND
DRUG TREATMENT OR MENTAL HEALTH PROGRAMS.
Any State with an alcohol and substance abuse or mental health
program targeted toward Indian tribes shall be eligible to receive, at
no cost to the State, such Federal personnel assignments as the
Secretary, in accordance with the applicable provisions of subchapter
IV of chapter 33 of title 5, United States Code, determines to be
appropriate to help ensure the success of the program.
TITLE II--REAUTHORIZATION OF CERTAIN INDIAN ALCOHOL AND SUBSTANCE ABUSE
PREVENTION AND TREATMENT PROGRAMS
SEC. 201. INDIAN ALCOHOL AND SUBSTANCE ABUSE PREVENTION AND TREATMENT
ACT OF 1986.
(a) Tribal Action Plans.--
(1) In general.--Section 4206(d) of the Indian Alcohol and
Substance Abuse Prevention and Treatment Act of 1986 (25 U.S.C.
2412(d)) is amended--
(A) by striking ``(1) The Secretary'' and inserting
the following:
``(1) In general.--The Secretary''; and
(B) by striking paragraph (2) and inserting the
following:
``(2) Authorization of appropriations.--There are
authorized to be appropriated to carry out this subsection such
sums as are necessary for each of fiscal years 2004 through
2008.''.
(2) Additional authorization.--Section 4206(f) of the
Indian Alcohol and Substance Abuse Prevention and Treatment Act
of 1986 (25 U.S.C. 2412(f)), is amended--
(A) by striking ``(f)(1) The Secretary'' and
inserting the following:
``(f) Grants for In-School Training Programs.--
``(1) In general.--The Secretary'';
(B) in paragraph (2)--
(i) by striking ``(2) Funds'' and inserting
the following:
``(2) Use of funds.--Funds''; and
(ii) by indenting subparagraphs (A) through
(E) appropriately; and
(C) by striking paragraph (3) and inserting the
following:
``(3) Authorization of appropriations.--There are
authorized to be appropriated to carry out this subsection such
sums as are necessary for each of fiscal years 2004 through
2008.''.
(b) Newsletter.--Section 4210 of the Indian Alcohol and Substance
Abuse Prevention and Treatment Act of 1986 (25 U.S.C. 2416) is amended
by striking subsection (b) and inserting the following:
``(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as are necessary for
each of fiscal years 2004 through 2008.''.
(c) Indian Education Programs.--Section 4212(a) of the Indian
Alcohol and Substance Abuse Prevention and Treatment Act of 1986 (25
U.S.C. 2432(a)) is amended--
(1) in the first sentence, by striking ``The Assistant
Secretary of Indian Affairs'' and inserting the following:
``(1) In general.--The Assistant Secretary of Indian
Affairs'';
(2) in the second sentence, by striking ``The Assistant
Secretary shall'' and inserting the following:
``(2) Defrayment of costs.--The Assistant Secretary
shall''; and
(3) by striking the third sentence and inserting the
following:
``(3) Authorization of appropriations.--There are
authorized to be appropriated to carry out this subsection such
sums as are necessary for each of fiscal years 2004 through
2008.''.
(d) Emergency Shelters.--Section 4213(e) of the Indian Alcohol and
Substance Abuse Prevention and Treatment Act of 1986 (25 U.S.C.
2433(e)) is amended--
(1) by striking paragraphs (1) through (3) and inserting
the following:
``(1) In general.--There are authorized to be appropriated
to carry out planning and design, construction, and renovation
of, or to purchase or lease land or facilities for, emergency
shelters and halfway houses to provide emergency care for
Indian youth, such sums as are necessary for each of fiscal
years 2004 through 2008.
``(2) Staffing and operation.--There is authorized to be
appropriated for staffing and operation of emergency shelters
and halfway houses, described in paragraph (1), $7,000,000 for
each of fiscal years 2004 through 2008.
``(3) Allocation.--
``(A) In general.--The Secretary of the Interior
shall allocate funds made available under this
subsection to Indian tribes on the basis of priority of
need of the Indian tribes.
``(B) Contracting and grants.--Funds allocated
under subparagraph (A) shall be subject to contracting
or available for grants under the Indian Self-
Determination Act (25 U.S.C. 450f et seq.).'';
(2) in paragraph (4), by striking ``(4) Funds'' and
inserting the following:
``(4) Conditions for use.--Funds''; and
(3) in paragraph (5)--
(A) by striking ``(5) Nothing in this Act may be
construed'' and inserting the following:
``(5) Effect on other authority.--Nothing in this Act'';
(B) in subparagraph (A)--
(i) by striking ``to limit'' and inserting
``limits''; and
(ii) by striking ``houses, or'' and
inserting ``houses; or''; and
(C) in subparagraph (B), by striking ``to require''
and inserting ``requires''.
(e) Tohono O'Odham and St. Regis Reservations; Illegal Narcotics
Traffic.--Section 4216(a) of the Indian Alcohol and Substance Abuse
Prevention and Treatment Act of 1986 (25 U.S.C. 2442(a)) is amended by
striking paragraph (3) and inserting the following:
``(3) Authorization of appropriations.--There is authorized
to be appropriated--
``(A) to carry out paragraph (1)(A), $1,000,000 for
each of fiscal years 2004 through 2008; and
``(B) to carry out provisions of this subsection
other than paragraph (1)(A), such sums as are necessary
for each of fiscal years 2004 through 2008.''.
(f) Bureau of Indian Affairs Law Enforcement and Judicial
Training.--Section 4218 of the Indian Alcohol and Substance Abuse
Prevention and Treatment Act of 1986 (25 U.S.C. 2451) is amended by
striking subsection (b) and inserting the following:
``(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as are necessary for
each of fiscal years 2004 through 2008.''.
(g) Juvenile Detention Centers.--Section 4220 of the Indian Alcohol
and Substance Abuse Prevention and Treatment Act of 1986 (25 U.S.C.
2453) is amended by striking subsection (b) and inserting the
following:
``(b) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section such sums as are necessary for
each of fiscal years 2004 through 2008.''.
SEC. 202. EFFECTIVE DATE.
This title and the amendments made by this title take effect on the
date of enactment of this Act.
Passed the Senate July 23 (legislative day, July 21), 2003.
Attest:
EMILY J. REYNOLDS,
Secretary.