Alcohol Abuse, Drug Abuse, and Mental Health Amendments of 1984

(Conference report filed in House, H. Rept. 98-1123) Alcohol and Drug Abuse and Mental Health Amendments of 1984 - Title I: Amendments to Title XIX of the Public Health Service Act - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol, drug abuse, and mental health services block grants. Revises block grant allocation provisions to provide States with a minimum allotment equal to FY 1984 levels, and to allocate appropriations in excess of such amounts based on population and per capita income. Permits direct grant payments to Indian tribes or tribal organizations. Directs the Secretary of Health and Human Services to provide for an independent review (by a nongovernmental entity) of block grant distributions to determine whether a more equitable formula can be devised. Requires: (1) consultation with State and local officials; and (2) a report to Congress by October 1, 1986. Requires participating States to: (1) use 75 percent of post FY 1984 grants for prevention, treatment, and rehabilitation projects; (2) make funds available for local mental health centers through FY 1987; and (3) use specified funds for alcohol and drug abuse services for women, and for mental health services for severely disturbed children and adolescents, and for mental health services to underserved areas or populations. Requires the Secretary to report annually to the appropriate congressional committees regarding such youth and women's services. Authorizes States to use funds to establish: (1) comprehensive mental health plans; and (2) mental health services planning councils to service as advocates for the mentally ill, and to monitor such mental health plans. Revises existing block grant audit provisions to: (1) make audits biennial (currently annual); (2) permit a single financial and compliance audit of each entity; and (3) require that audit reports be made available to the Secretary, the State legislature, and to the public (currently only to the Secretary). Requires the Secretary to work with appropriate national organizations to develop model data collection criteria. Authorizes community mental health centers to use block grant funds to provide psychosocial rehabilitation services. Directs the Secretary: (1) acting through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration, to provide technical assistance for States and public and nonprofit entities receiving alcohol, drug abuse, and mental health services block grant funds; and (2) to perform related data collection. Title II: Amendments to Title V of the Public Health Service Act - Replaces the existing National Panel on Alcohol, Drug Abuse, and Mental Health with an Alcohol, Drug Abuse, and Mental Health Advisory Board. Directs such Board to assess the national needs for alcoholism, drug abuse, and mental health services and the extent to which such needs are being met by State, local, and private programs and programs under title V and part B of title XIX of such Act. Requires an annual report to the appropriate congressional committees. Sets forth related membership and operating provisions, including the use of consultants. Directs the Secretary, acting through the Alcohol, Drug Abuse, and Mental Health Administration, to make grants to schools of social work and of the health professions for training in the identification and treatment of alcohol and drug abuse. Retitles the Associate Director of Minority Concerns as the Associate Director for Special Populations. Includes women among the priority populations. Authorizes the Secretary, acting through the National Institute of Mental Health, to make grants for mental health services demonstration projects, including research. Limits such grants to three years, unless extended by the Secretary. Authorizes FY 1985 through 1987 appropriations. Authorizes grants for comprehensive mental health plans. Authorizes FY 1985 and 1986 appropriations for the National Institute of Drug Abuse and the National Institute of Alcohol Abuse and Alcoholism. Includes research on the effects of alcohol and drug abuse upon women among such Institutes' priority projects. Requires the Secretary, acting through such Institutes, to prepare alcohol and drug abuse public service television announcements. Authorizes the Secretary, acting through such Institutes, to make alcohol and drug abuse demonstration project grants. Limits such grants to three years. Requires the Secretary to submit a comprehensive alcohol abuse and alcoholism prevention plan to Congress by October 1, 1985. Requires such report to include: (1) a model program; (2) an analysis of the social and economic costs of alcoholism and alcohol abuse; (3) an assessment of existing treatment and rehabilitation needs, and related personnel needs; (4) a statement of specific goals and objectives; and (5) estimates of public and private resources. Title III: Other Amendments - Amends the definition of "detoxification treatment" under the Controlled Substances Act to increase the maximum number of treatment days from 21 to 180. Requires the Secretary to promulgate related implementing regulations within 90 days. Repeals title III of the Drug Abuse Prevention, Treatment, and Rehabilitation Act. Amends the Public Health Service Act to require that members be appointed to the National Advisory Council on Alcohol Abuse and Alcoholism who have an expertise in the fields of alcoholism and alcohol abuse prevention, research, and treatment.

(Measure passed House, amended(inserted Text of H.R. 5603 as passed House)) Title I: Alcohol and Drug Abuse and Mental Health Services - Alcohol Abuse, Drug Abuse, and Mental Health Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol and drug abuse and mental health services block grants. Revises block grant allocation provisions to provide States with a minimum allotment equal to FY 1984 levels, and to allocate appropriations in excess of such amounts based on population and per capita income. Permits direct grant payments to Indian tribes or tribal organizations. Requires participating States to: (1) make funds available for local mental health centers through FY 1987; (2) collect data on alcohol and drug abuse and mental illness; (3) develop a comprehensive mental health plan; and (4) use 75 percent of post FY 1984 grants for prevention, treatment, and rehabilitation projects; and (5) use specified funds for alcohol and drug abuse services for women and for mental health services for severely disturbed children and adolescents. Requires the Secretary of Health and Human Services to report annually to the appropriate congressional committees regarding such youth and women's services. Permits participating States to establish a State mental health services planning council to serve as an advocate for the mentally ill, and to monitor the State comprehensive mental health plan. Authorizes community mental health centers to use block grant funds to provide psychosocial rehabilitation services. Revises existing block grant audit provisions to: (1) permit a single financial and compliance audit of each entity; (2) require compliance with standards established by the Comptroller General; and (3) permit biennial audits if the State operates on such a basis. Directs the Secretary, through FY 1987, to administer such block grants through the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration. Establishes in such Administration an Associate Administrator for Special Populations to identify and include the needs of minorities and women in the Administration's programs. Establishes the Alcohol, Drug Abuse, and Mental Health Strategy Council to periodically assess and advise regarding the national needs for alcohol and drug abuse and mental health services and the extent to which such needs are being met by existing programs. Requires an annual report to the appropriate congressional committees. Authorizes the use of consultants. Authorizes the Secretary to make grants for demonstration projects, data collection, and technical assistance. Requires the Secretary to make grants to medical schools for training in the identification and treatment of alcohol and drug abuse. Authorizes FY 1985 and 1986 appropriations for alcohol and drug abuse research. Requires the Secretary to present to Congress by April 15, 1985, a comprehensive national plan to combat alcoholism and alcohol abuse. Repeals title III of the Drug Abuse Prevention, Treatment, and Rehabilitation Act. Amends the definition of "detoxification treatment" under the Controlled Substances Act to increase the maximum number of treatment days from 21 to 180. Requires the Secretary to promulgate related implementing regulations within 90 days. Title II: Developmental Disabilities Assistance - Amends the Developmental Disabilities Assistance and Bill of Rights Act to increase FY 1984 authorizations of appropriations, and authorize FY 1985 through 1988 appropriations for: (1) the protection and advocacy of individual rights, including related reports; (2) university affiliated demonstration and training grants; (3) State allotments; and (4) other demonstration projects which have national significance or are conducted in more than one State or involve more than one Federal agency or department. Includes: (1) prevention activities within the definition of "services for persons with developmental disabilities"; and (2) certain entities providing training or disseminating information within the definition of "satellite center." Requires the: (1) Secretary to report annually to Congress regarding State activities funded under such Act, and to make the report public; and (2) States to report annually to the Secretary. Requires States to provide assurances to the Secretary that the implementing agency will not be redesignated unless there is good cause for such action and unless notice has been given to affected developmentally-disabled persons or their representatives. Increases minimum university affiliated facility grants from $150,000 to $200,000. Makes the existing $75,000 minimum satellite center grant effective for all such centers. Revises State and territorial allotment provisions. Requires State application plans to provide for manpower assessment activities. Limits funds for such purposes to not more than ten percent of priority service funds.

(Measure passed Senate, amended) Alcohol and Drug Abuse and Mental Health Services Block Grant Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol, drug abuse, and mental health services (ADMS) block grants. Repeals the limit on amounts that may be used for job assistance and retraining of employees adversely affected by changes in mental health service delivery. Provides that if ADMS block grant appropriations exceed a prior year's funding level, additional funds would: (1) first be allocated so that no State would receive less than 50 percent of what it would receive if all such funds were allocated on the basis of population; and (2) then be allocated according to the existing formula. Directs the Secretary of Health and Human Services to provide for an independent review (by a nongovernmental entity) of FY 1982 through 1984 block grant distributions to determine whether a more equitable formula can be devised. Requires: (1) consultation with State and local officials; and (2) a report to Congress by October 1, 1985. Extends through FY 1987 the requirement that States use 85 percent of their grants for mental health, alcohol, and drug abuse activities as prescribed by such Act. Requires States to give special attention to alcohol and drug abuse programs among women, and to coordinate such activities with the women's alcohol and drug abuse prevention and treatment grants established by this Act. Makes existing annual audit requirements biennial. Requires the Secretary to work with appropriate national organizations to develop model data collection criteria. Repeals: (1) annual State reporting requirements; and (2) specified transitional provisions. Establishes a grant program for the prevention and treatment of alcoholism and of alcohol and drug abuse among women. Authorizes FY 1985 through 1987 appropriations. Applies specified administrative provisions of such Act to such program. Authorizes the Secretary to make grants for mental health services demonstration projects, including related research activities. Limits such grants to three years, unless extended by the Secretary. Authorizes FY 1985 through 1987 appropriations. Authorizes the Secretary to make grants for comprehensive mental health coordinating plans. Requires a report to Congress by October 1, 1986. Requires the Secretary to provide technical assistance to States and to conduct data collection activities.

(Reported to Senate from the Committee on Labor and Human Resources with amendment, S. Rept. 98-381) Alcohol and Drug Abuse and Mental Health Services Block Grant Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol, drug abuse, and mental health services (ADMS) block grants. Repeals the limit on amounts that may be used for job assistance and retraining of employees adversely affected by changes in mental health services delivery. Provides that if ADMS block grant appropriations exceed a prior year's funding level, additional funds would: (1) first be allocated so that no State would receive less than 50 percent of what it would receive if all such funds were allocated on the basis of population; and (2) then be allocated according to the existing formula. Directs the Secretary of Health and Human Services to provide for an independent review (by a nongovernmental entity) of FY 1982 through 1984 block grant distributions to determine whether a more equitable formula can be devised. Requires: (1) consultation with State and local officials; and (2) a report to Congress by October 1, 1985. Extends through FY 1987 the requirement that States use 85 percent of their grants for mental health, alcohol, and drug abuse activities as prescribed by such Act. Requires States to give special attention to alcohol and drug abuse programs among women, and to coordinate such activities with the women's alcohol and drug abuse prevention and treatment grants established by this Act. Makes existing annual audit requirements biennial. Requires the Secretary to work with appropriate national organizations to develop model data collection criteria. Repeals: (1) annual State reporting requirements; and (2) specified transitional provisions. Establishes a grant program for the prevention and treatment of alcoholism and of alcohol and drug abuse among women. Authorizes FY 1985 through 1987 appropriations. Applies specified administrative provisions of such Act to such program. Authorizes the Secretary to make grants for mental health services demonstration projects, including related research activities. Limits such grants to three years, unless extended by the Secretary. Authorizes FY 1985 through 1987 appropriations. Authorizes the Secretary to make grants for comprehensive mental health coordinating plans. Requires a report to Congress by October 1, 1986. Requires the Secretary to provide technical assistance to States and to conduct data collection activities.

Alcohol and Drug Abuse and Mental Health Service Block Grant Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol, drug abuse, and mental health services block grants. Replaces the existing training grant allocation formula (divided between States and public and private nonprofit entities) with an overall State grant. Requires the Secretary of Health and Human Services to: (1) review the FY 1982 through 1984 allocation of funds to States to determine if a more equitable distribution formula can be devised; and (2) report to Congress by April 1, 1985. Makes existing annual audit requirements biennial. Requires the Secretary to work with appropriate national organizations to develop model data collection criteria. Repeals: (1) annual State reporting requirements; and (2) specified transitional provisions. Authorizes FY 1985 through 1987 additional appropriations for State programs for the treatment and prevention of alcohol and drug abuse among women.