“(a) Definition.—In this part, the terms ‘fetal alcohol spectrum disorders’ and ‘FASD’ mean the range of effects that can occur in an individual who is prenatally exposed to alcohol. Such effects may include physical, mental, behavioral, and learning disabilities, with possible lifelong implications.

“(b) Research on fetal alcohol spectrum disorders and related conditions.—

“(1) IN GENERAL.—The Secretary, acting through the Director of the National Institutes of Health and in coordination with the Interagency Coordinating Committee on Fetal Alcohol Spectrum Disorders under section 399H–1, shall—

“(A) establish a research agenda for FASD; and

“(B) award grants, contracts, or cooperative agreements to public or private nonprofit entities to pay all or part of carrying out research under such agenda.

“(2) TYPES OF RESEARCH.—In carrying out paragraph (1), the Secretary, acting through the Director of the National Institute of Alcohol Abuse and Alcoholism (referred to in this part as the ‘Director of the Institute’), shall continue to conduct and expand national and international research in coordination with other Federal agencies that includes—

“(A) the most promising avenues of research in FASD diagnosis, intervention, and prevention;

“(B) factors that may mitigate the effects of fetal alcohol exposure; and

“(C) other research that the Director of the Institute determines to be appropriate with respect to conditions that develop as a result of in-utero substance exposure.

“(c) Surveillance, public health research, and prevention activities.—

“(1) IN GENERAL.—The Secretary, acting through the Director of the National Center on Birth Defects and Developmental Disabilities of the Centers for Disease Control and Prevention, shall facilitate surveillance, public health research, and prevention of FASD in accordance with this subsection.

“(2) SURVEILLANCE, PUBLIC HEALTH RESEARCH, AND PREVENTION.—In carrying out this subsection, the Secretary shall—

“(A) integrate into clinical practice the evidence-based standard case definition for diagnosis of fetal alcohol syndrome and, in collaboration with the Director of the Institute, the Director of the Centers for Disease Control and Prevention, the Interagency Coordinating Committee on Fetal Alcohol Spectrum Disorders established under section 399H–1, researchers, and other experts in the field, develop standard, evidence-based clinical diagnostic guidelines, and criteria for all other fetal alcohol spectrum disorders;

“(B) conduct applied public health prevention research to identify evidence-based strategies for reducing alcohol-exposed pregnancies in women at high risk for alcohol-exposed pregnancies;

“(C) disseminate and provide the necessary training and support to implement evidence-based strategies developed under subparagraph (B) to—

“(i) hospitals, Federally-qualified health centers, residential and outpatient substance use treatment programs, and other appropriate health care providers;

“(ii) educational settings;

“(iii) social work and child welfare offices;

“(iv) foster care providers and adoption agencies;

“(v) State offices and other agencies providing services to individuals with disabilities;

“(vi) mental health treatment facilities; and

“(vii) other entities that the Secretary determines to be appropriate;

“(D) conduct activities related to risk factor surveillance, including the biannual monitoring and reporting of alcohol consumption among pregnant women and women of childbearing age;

“(E) disseminate and evaluate brief behavioral intervention strategies and referrals aimed at preventing alcohol-exposed pregnancies among women of childbearing age in special settings, including clinical primary health centers, outpatient clinics, child welfare agencies, and correctional facilities and recovery campuses;

“(F) disseminate comprehensive alcohol and pregnancy and FASD information, resources, and services to families and caregivers, professionals, and the public; and

“(G) coordinate with affiliated State and local systems and organizations on activities with respect to the prevention of FASD and related conditions for pregnant mothers.

“(d) Building State FASD systems.—

“(1) IN GENERAL.—The Secretary, acting through the Administrator of the Health Resources and Services Administration, shall award grants, contracts, or cooperative agreements to States for the purpose of developing and implementing a statewide FASD strategic plan, establishing or expanding statewide programs of surveillance, screening and diagnosis, prevention, and clinical intervention and support for individuals with FASD and their families.

“(2) ELIGIBILITY.—To be eligible to receive a grant, contract, or cooperative agreement under paragraph (1), a State shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require. The application shall include—

“(A) evidence of the establishment of a State advisory group composed of State agencies, local governmental entities, and Indian Tribes and Tribal organizations; and

“(B) private sector stakeholders whose purpose is to develop a statewide strategic plan and make recommendations for the prevention of FASD, screening and diagnosis, and clinical intervention and support for individuals with FASD and their families.

“(3) STRATEGIC PLAN.—The statewide strategic plan required under paragraph (1) shall include—

“(A) identification of existing State and local programs and systems that could be used to identify and assist individuals with FASD, related conditions, and prevent alcohol consumption during pregnancy;

“(B) identification of barriers to access to FASD diagnostic services or to programs to assist individuals with FASD or women at risk for substance abuse and alcohol-exposed pregnancies; and

“(C) proposals to eliminate barriers to prevention and treatment programs.

“(4) RESTRICTIONS ON AND USE OF FUNDS.—Amounts received under a grant, contract, or cooperative agreement under paragraph (1) shall be used for one or more of the following activities:

“(A) Providing educational and supportive services to families of individuals and families with FASD.

“(B) Establishing a statewide surveillance system.

“(C) Including FASD education in State, medical, and health care (including mental health care) university programs.

“(D) Collecting, analyzing, and interpreting data.

“(E) Developing, implementing, and evaluating population-based and targeted prevention programs for FASD, including public awareness campaigns.

“(F) Referring individuals with FASD to appropriate support services.

“(G) Implementing recommendations from relevant agencies and organizations, including the State advisory group, on the identification and prevention of FASD, and intervention programs or services for individuals with FASD.

“(H) Providing training to health care (including mental health care) providers on the prevention, identification, and treatment of FASD.

“(I) Disseminating information about FASD and the availability of support services to families and individuals with FASD.

“(J) Other activities, as the Secretary determines appropriate.

“(5) OTHER CONTRACTS AND AGREEMENTS.—A State may carry out activities under paragraph (4) through contracts or cooperative agreements with public and private nonprofit entities with a demonstrated expertise in FASD prevention and intervention services.

“(e) Promoting community partnerships.—

“(1) IN GENERAL.—The Secretary, acting through the Administrator of Health and Resource Services and Administration, shall award grants, contracts, or cooperative agreements to eligible entities to enable such entities to establish, enhance, or improve community partnerships for the purpose of collaborating on common objectives and integrating the services available to individuals with FASD such as surveillance, screening, prevention, treatment, and support services.

“(2) ELIGIBLE ENTITIES.—To be eligible to receive a grant, contract, or cooperative agreement under paragraph (1), a entity shall—

“(A) be a public or private nonprofit entity, which may be—

“(i) a health care provider or health professional;

“(ii) a primary or secondary school;

“(iii) a social work or child welfare office;

“(iv) an incarceration, detainment facility, or judicial system for juveniles and adults;

“(v) an FASD organization, parent-led group, or other organization that supports and advocates for individuals with FASD;

“(vi) an Indian Tribe or Tribal organization;

“(vii) an early childhood intervention facility;

“(viii) any other entity the Secretary determines to be appropriate; or

“(ix) a consortium of any of the entities described in clauses (i) through (viii); and

“(B) prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may require, including assurances that the entity submitting the application does, at the time of application, or will, within a reasonable amount of time from the date of application, include substantive participation of a broad range of entities that work with or provide services for individuals with FASD.

“(3) ACTIVITIES.—An eligible entity shall use amounts received under a grant, contract, or cooperative agreement under this subsection to carry out one or more of the following activities:

“(A) Integrating FASD services into existing programs and services available in the community.

“(B) Conducting a needs assessment to identify services that are not available in a community.

“(C) Developing and implementing community-based initiatives to prevent, screen, diagnose, treat, and provide support services to individuals with FASD and their families.

“(D) Disseminating information about FASD and the availability of support services.

“(E) Developing and implementing a community-wide public awareness and outreach campaign focusing on the dangers of drinking alcohol while pregnant.

“(F) Providing mentoring or other support to families of individuals with FASD.

“(G) Other activities, as the Secretary determines appropriate.

“(f) Development of best practices and models of care.—

“(1) IN GENERAL.—The Secretary, in coordination with the Administrator of Health Resources Services Administration, shall award grants to States, Indian Tribes and Tribal organizations, nongovernmental organizations, and institutions of higher education for the establishment of pilot projects to identify and implement best practices for—

“(A) providing early childhood intervention or educating children with FASD, including—

“(i) activities and programs designed specifically for the identification, treatment, and education of such children; and

“(ii) curricula development and credentialing of teachers, administrators, and social workers who implement such programs and provide early childhood intervention;

“(B) educating judges, attorneys, probation officers, social workers, child advocates, law enforcement officers, prison wardens, alternative incarceration administrators, and incarceration officials on how to screen, identify, treat, and support individuals with FASD within the child welfare, juvenile, and criminal justice systems, including—

“(i) programs designed specifically for the identification, treatment, and education of individuals with FASD; and

“(ii) curricula development and credentialing within the justice and child welfare systems for individuals who implement such programs;

“(C) educating adoption or foster care agency officials about available and necessary services for children with FASD, including—

“(i) programs designed specifically for screening and identification, treatment, and education of individuals with FASD; and

“(ii) education and training for potential adoptive or foster parents of a child with FASD; and

“(D) educating health and mental health, and substance use, providers about available and necessary services for children with FASD, including—

“(i) programs designed specifically for screening and identification, and both health and mental health treatment, of individuals with FASD; and

“(ii) curricula development and credentialing within the health and mental health and substance abuse systems for individuals who implement such programs.

“(2) APPLICATION.—To be eligible for a grant under paragraph (1), an entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may reasonably require.

“(g) Transitional services.—

“(1) IN GENERAL.—The Secretary, in coordination with the Administrator of the Health Resources and Services Administration, shall award demonstration grants, contracts, and cooperative agreements to States, Indian Tribes and Tribal organizations, and nongovernmental organizations for the purpose of establishing integrated systems for providing transitional services for adults affected by prenatal alcohol exposure and evaluating the effectiveness of such services.

“(2) APPLICATION.—To be eligible for a grant, contract, or cooperative agreement under paragraph (1), an entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may reasonably require, including specific credentials relating to education, skills, training, and continuing educational requirements relating to FASD.

“(3) ALLOWABLE USES.—An entity shall use amounts received under a grant, contract, or cooperative agreement under paragraph (1) to carry out one or more of the following activities:

“(A) Provide housing assistance to, or specialized housing for, adults with FASD.

“(B) Provide vocational training and placement services for adults with FASD.

“(C) Provide medication monitoring services for adults with FASD.

“(D) Provide training and support to organizations providing family services or mental health programs and other organizations that work with adults with FASD.

“(E) Establish and evaluate housing models specially designed for adults with FASD.

“(F) Other services or programs, as the Secretary determines appropriate.

“(h) Authorization of appropriations.—There are authorized to be appropriated to carry out this section, such sums as may be necessary for each of fiscal years 2020 through 2025.”.

“(a) In general.—The Secretary may make awards of grants, cooperative agreements, or contracts to public and nonprofit private entities, including Indian tribes and tribal organizations, to provide services to individuals diagnosed with fetal alcohol syndrome or alcohol-related birth defects.

“(b) Use of funds.—An award under subsection (a) may, subject to subsection (d), be used to—

“(1) screen and test individuals to determine the type and level of services needed;

“(2) develop a comprehensive plan for providing services to the individual;

“(3) provide mental health counseling;

“(4) provide substance abuse prevention services and treatment, if needed;

“(5) coordinate services with other social programs including social services, justice system, educational services, health services, mental health and substance abuse services, financial assistance programs, vocational services and housing assistance programs;

“(6) provide vocational services;

“(7) provide health counseling;

“(8) provide housing assistance;

“(9) parenting skills training;

“(10) overall case management;

“(11) supportive services for families of individuals with Fetal Alcohol Syndrome and other prenatal alcohol-related disorders;

“(12) provide respite care for caretakers of individuals with Fetal Alcohol Syndrome and other prenatal alcohol-related disorders;

“(13) recruit and train mentors for individuals with Fetal Alcohol Syndrome and other prenatal alcohol-related disorders;

“(14) provide educational and supportive services to families of individuals with Fetal Alcohol Spectrum Disorders; and

“(15) provide other services and programs, to the extent authorized by the Secretary after consideration of recommendations made by the Interagency Coordinating Committee on Fetal Alcohol Spectrum Disorders.

“(c) Requirements.—To be eligible to receive an award under subsection (a), an applicant shall—

“(1) demonstrate that the program will be part of a coordinated, comprehensive system of care for such individuals;

“(2) demonstrate an established communication with other social programs in the community including social services, justice system, financial assistance programs, health services, educational services, mental health and substance abuse services, vocational services and housing assistance services;

“(3) show a history of working with individuals with fetal alcohol syndrome or alcohol-related birth defects;

“(4) provide assurance that the services will be provided in a culturally and linguistically appropriate manner; and

“(5) provide assurance that at the end of the 5-year award period, other mechanisms will be identified to meet the needs of the individuals and families served under such award.

“(d) Relationship to payments under other programs.—An award may be made under subsection (a) only if the applicant involved agrees that the award will not be expended to pay the expenses of providing any service under this section to an individual to the extent that payment has been made, or can reasonably be expected to be made, with respect to such expenses—

“(1) under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or

“(2) by an entity that provides health services on a prepaid basis.

“(e) Duration of awards.—With respect to an award under subsection (a), the period during which payments under such award are made to the recipient may not exceed 5 years.

“(f) Evaluation.—The Secretary shall evaluate each project carried out under subsection (a) and shall disseminate the findings with respect to each such evaluation to appropriate public and private entities.

“(g) Funding.—

“(1) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of fiscal years 2020 through 2025.

“(2) ALLOCATION.—Of the amounts appropriated under paragraph (1) for a fiscal year, not less than $300,000 shall, for purposes relating to fetal alcohol syndrome and alcohol-related birth defects, be made available for collaborative, coordinated interagency efforts with the National Institute on Alcohol Abuse and Alcoholism, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the Health Resources and Services Administration, the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Department of Education, and the Department of Justice.”.

“(a) In general.—The Secretary, in consultation with the Assistant Secretary for Mental Health and Substance Use, the Administrator of the Health Research and Services Administration, and the Director of the Centers for Disease Control and Prevention, shall make an award of a grant, cooperative agreement, or contract to a public or nonprofit entity with demonstrated expertise in FASD awareness, prevention and intervention services. Such award shall be for the purpose of establishing an FASD Center of Excellence to build local, State, and national capacities to prevent the occurrence of FASD, including disorders and birth defects related to combined abuse of alcohol and other substances, and to respond to the needs of individuals and their families that carry out the following:

“(1) Initiating or expanding diagnostic capacity of FASD by increasing screening, identification, and diagnosis of individuals with FASD in clinical practices, educational settings, child welfare, and juvenile and correctional systems.

“(2) Providing an internet-based resource center that disseminates ongoing technical assistance, resource development, and peer and cross-State training on FASD.

“(3) Conducting media outreach and media training to raise public awareness of the risks associated with alcohol consumption during pregnancy with the purpose of reducing the prevalence of FASD.

“(4) Acting as a clearinghouse on FASD prevention and intervention practices and services and maintaining a national resource directory.

“(5) Developing and disseminating information and resources for training community leaders, mental health and substance abuse professionals, families, law enforcement personnel, judges, health professionals, persons working in financial assistance programs, social service personnel, child welfare professionals, and other service providers on the implications of FASD and the early identification of and referral for such conditions.

“(6) Building capacity for State and local affiliates dedicated to FASD awareness and prevention efforts.

“(7) Supporting a speakers bureau and other public awareness activities, including social media, for enhanced FASD awareness and prevention efforts.

“(8) Providing technical assistance to communities for replicating exemplary comprehensive systems of care for individuals with FASD developed under section 399H(e).

“(9) Providing technical assistance to communities for replicating best practice pilot projects developed under section 399H(f).

“(10) Providing technical assistance to States in developing statewide FASD strategic plans, establishing or expanding statewide programs of surveillance, screening and diagnosis, prevention, and clinical intervention and support for individuals with FASD and their families under section 399H(d).

“(11) Developing a comprehensive FASD database of clinics across the United States, in accordance with applicable privacy requirements.

“(12) Carrying out other functions, to the extent authorized by the Secretary, after consideration of recommendations of the Interagency Coordinating Committee on Fetal Alcohol Spectrum Disorders in the national strategic plan under section 399H–1(b)(4).

“(b) Application.—To be eligible for a grant, contract, or cooperative agreement under paragraph (1), an entity shall prepare and submit to the Secretary an application at such time, in such manner, and containing such information as the Secretary may reasonably require, including specific credentials relating to FASD resource development and dissemination, care coordination and the coordination of clinical services, technical assistance, administration of partner networks, and other such FASD-specific expertise.

“(c) Subcontracting.—A public or private nonprofit may carry out the activities under subsection (a) through contracts or cooperative agreements with other public and private nonprofit entities with demonstrated expertise in FASD prevention and intervention services.

“(d) Authorization of appropriations.—There are authorized to be appropriated to carry out this section such sums as may be necessary for each of fiscal years 2020 through 2025.”.