Page images
PDF
EPUB

and, in case neither of these is the State mental
health authority, a showing that the application has
been approved and recommended by such authority;

(D) a showing that under regulations of the Sec-
retary prescribing the manner of determining prior-
ities the project is entitled to priority over other proj-
ects for treatment of alcoholism, if any, within the
State, and is in accordance with such criteria, includ-
ing the willingness and ability to provide satisfactory
alternatives to custodial care, as the Secretary may
determine to be appropriate for purposes of this sec-
tion; and

(E) a showing that adequate provision has been made for compliance with regulations of the Secretary prescribed under section 203 (4) relating to furnishing needed services for persons unable to pay therefor and for compliance with State standards for operation and maintenance.

(b) The amount of any such grant with respect to any project shall be such percentage of the cost thereof, but not in excess of 6623 per centum (or 90 per centum in the case of a facility providing services for persons in an area designated by the Secretary as an urban or rural poverty area) as the Secretary may determine.

STAFFING GRANTS

SEC. 242. (a) Grants from appropriations under sec- 42 U.S.C. 2688g tion 261 may be made to any public or nonprofit private agency or organization to assist it in meeting, for the temporary periods specified in this section, a portion of the costs (determined pursuant to regulations of the Secretary) of compensation of professional and technical personnel for the initial operation of new facilities for the prevention and treatment of alcoholism or of new services in existing facilities for the prevention or treatment of alcoholism.

(b) (1) Grants under this part for such costs for any facility may be made only for the period beginning with the first day of the first month for which such a grant is made and ending with the close of eight years after such first day; and, except as provided in paragraph (2), such grants with respect to any facility may not exceed 80 per centum of such costs for each of the first two years after such first day, 75 per centum of such costs for the third

1 Sec. 242 (b) amended by sec. 303 (a) and (b) of P.L. 91-211; sec. 303(b) stated:

"(b) In the case of any alcoholism prevention and treatment facility, specialized facility for alcoholics, or treatment facility for narcotic addicts, for which a staffing grant was made under section 242, 243, or 251 of the Community Mental Health Centers Act before July 1, 1970, the provisions of subsection (b) of sec. 242 of such Act (as amended by subsec. (a) of this section) shall, with respect to costs incurred after June 30, 1970, apply to the same extent as if such subsec. (b) had been in effect on the date a staffing grant for such center or facility was initially made."

42 U.S.C. 2688h

year after such first day, 60 per centum of such costs for the fourth year after such first day, 45 per centum of such costs for the fifth year after such first day, and 30 per centum of such costs for each of the next three years after such first day.

(2) In the case of any such facility providing services for persons in an area designated by the Secretary as an urban or rural poverty area, such grants with respect to any such facility may not exceed 90 per centum of such costs for each of the first two years after such first day, 80 per centum of such costs for the third year after such first day, 75 per centum of such costs for the fourth and fifth years after such first day, and 70 per centum of such costs for each of the next three years after such first day.

(c) In making such grants, the Secretary shall take into account the relative needs of the several States for alcoholism programs, the relative financial needs of the applicants, and the relative populations of the areas to be served by the applicants.

(d) A grant under this section may be made only upon an application which meets the requirements for approval under section 221(a), other than paragraph (3) thereof, and only if (1) a grant was made under part A or section 241 to assist in financing the construction of the facility, or (2) the type of service to be provided with the aid of a grant under this section was not previously being provided by the facility with respect to which such application is made.

SPECIALIZED FACILITIES

SEC. 243. (a) Grants from appropriations under section 261 may also be made to public or nonprofit private agencies or organizations for projects for the construction or leasing of specialized facilities (including facilities for emergency medical services, intermediate care services, or outpatient services, and post-hospitalization treatment facilities) for the treatment of alcoholics requiring care in such facilities, and for the costs, determined pursuant to regulations of the Secretary, of compensation of professional and technical personnel for the initial operation of such facilities constructed with grants made under part A or this section or of new services in existing specialized facilities for the treatment of

alcoholics.

(b) Grants may be made under subsection (a) only with respect to (1) facilities which are a part of or affiliated with a community mental health center providing at least those essential elements of comprehensive community mental health services which are prescribed by the Secretary, or (2) where there is no such center serving the community in which such facilities are to be situated, facilities with respect to which satisfactory provision (as determined by the Secretary) has been made for appro

priate utilization of existing community resources needed for an adequate program of prevention and treatment of alcoholism.

(c) Grants made under subsection (a) for the costs of compensation of professional and technical personnel may not exceed the percentages of such costs, and may be made only for the periods, prescribed for grants for such costs under section 242.

(d) Before a grant may be made under subsection (a) for a project for the construction of a facility for the treatment of alcoholics the Secretary must find that the application for such grant meets the requirement of section 205(a) (5) (relating to the payment of prevailing wages). The amount of any such grant with respect to any project shall be such percentage of the cost thereof, but not in excess of 6623 per centum (or 90 per centum in the case of a facility providing services for persons in an area designated by the Secretary as an urban or rural poverty area), as the Secretary may determine.

PROJECTS ELIGIBLE UNDER REGULAR PROGRAM

SEC. 244. Nothing in this part shall be construed to 42 U.S.C. 26881 preclude approval under part A or B of a grant for a project for the construction or initial staffing of a facility for the prevention and treatment of alcoholism.

PAYMENTS

SEC. 245. Payments of grants under this part may be 42 U.S.C. 2688j made in advance or by way of reimbursement, and on

such terms and conditions and in such installments, as the Secretary may determine.

DIRECT GRANTS FOR SPECIAL PROJECTS

2688j-1

SEC. 246. The Secretary is authorized during the pe- 42 U.S.C. riod beginning July 1, 1970, and ending June 30, 1973, to make grants to any public or nonprofit private agency or organization to cover part or all of the cost of (1) developing specialized training programs or materials relating to the provision of public health services for the prevention or treatment of alcoholism, or developing inservice training or short-term or refresher courses with respect to the provision of such services; (2) training personnel to operate, supervise, and administer such services; (3) conducting surveys and field trials to evaluate the adequacy of the programs for the prevention and treatment of alcoholism within the several States with a view to determining ways and means of improving, extending, and expanding such programs; and (4) programs for treatment and rehabilitation of alcoholics which the Secretary determines are of special signifi

88-065 O 73 24 (Vol. 1)

42 U.S.C. 26883-2

cance because they demonstrate new or relatively effective or efficient methods of delivery of services to such alcoholics.

GRANTS AND CONTRACTS FOR THE PREVENTION AND TREAT-
MENT OF ALCOHOL ABUSE AND ALCOHOLISM

SEC. 247. (a) The Secretary, acting through the National Institute on Alcohol Abuse and Alcoholism, may make grants to public and private nonprofit agencies, organizations, and institutions and may enter into contracts with public and private agencies, organizations, and institutions, and individuals

(1) to conduct demonstration, service, and evaluation projects,

(2) to provide education and training,

(3) to provide programs and services in cooperation with schools, courts, penal institutions, and other public agencies, and

(4) to provide counseling and education activities on an individual or community basis,

for the prevention and treatment of alcohol abuse and alcoholism and for the rehabilitation of alcohol abusers and alcoholics.

(b) Projects for which grants or contracts are made under this section shall, whenever possible, be community based, provide a comprehensive range of services, and be integrated with, and involve the active participation of, a wide range of public and nongovernmental agencies, organizations, institutions, and individuals.

(c) (1) In administering the provisions of this section, the Secretary shall require coordination of all applications for programs in a State.

(2) Each applicant from within a State, upon filing its application with the Secretary for a grant or contract under this section, shall submit a copy of its application for review by the State agency designated under section 303 of the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970, if such agency exists. Such State agency shall be given not more than thirty days from the date of receipt of the application to submit to the Secretary, in writing, an evaluation of the project set forth in the application. Such evaluation shall include comments on the relationship of the project to other projects pending and approved and to the State comprehensive plan for treatment and prevention of alcohol abuse and alcoholism under such section 303. The State shall furnish the applicant a copy of any such evaluation.

(3) Approval of any application for a grant or contract by the Secretary, including the eararking of financial assistance for a program or project, may be granted

only if the application substantially meets a set of criteria established by the Secretary that—

(A) provide that the activities and services for which assistance under this section is sought will be substantially administered by or under the supervision of the applicant;

(B) provide for such methods of administration as are necessary for the proper and efficient operation of such programs or projects;

(C) provide for such fiscal control and fund accounting procedures as may be necessary to assure proper disbursement of and accounting for Federal funds paid to the applicant; and

(D) provide reasonable assurance that Federal funds made available under this section for any period will be so used as to supplement and increase, to the extent feasible and practical, the level of State, local, and other non-Federal funds that would in the absence of such Federal funds be made available for the programs described in this section, and will in no event supplant such State, local, and other nonFederal funds.

(d) To carry out the purposes of this section, there are authorized to be appropriated $30,000,000 for the fiscal year ending June 30, 1971, $40,000,000 for the fiscal year ending June 30, 1972, and $50,000,000 for the fiscal year ending June 30, 1973.

PART D-NARCOTIC ADDICTION, DRUG ABUSE, AND DRUG
DEPENDENCE PREVENTION AND REHABILITATION

SEC. 251. (a) Grants from appropriations under sec- 42 U.S.C. 2688k tion 261 may be made to public or nonprofit private agencies and organizations to assist them in meeting the costs of construction or leasing of treatment facilities (including facilities for emergency medical services, intermediate care services, or outpatient services, or posthospitalization treatment facilities) for narcotic addicts and other persons with drug abuse and drug dependence problems within the States, and to assist them in meeting the costs, determined pursuant to regulations of the Secretary, of compensation of professional and technical personnel for the initial operation of such facilities constructed or leased with grants made under part A or this part or of new services in existing treatment facilities for narcotic addicts, and other persons with drug abuse and drug dependence problems.

(b) The grant program for construction or leasing of facilities authorized by subsection (a) shall be carried out consistently with the grant program under part A except to the extent, in the judgment of the Secretary, special considerations make differences appropriate; but (1) be

« PreviousContinue »