ADAMHA Reorganization Act

enactedUnited States· United States Congress· EN

Introduced

17 June 1991

Last action

10 July 1992 · President

Status

Became Public Law No: 102-321.

Summary

Alcohol, Drug Abuse, and Mental Health Administration Reorganization Act of 1991 - Title I: Administration and Institutes - Subtitle A: Restructuring - Amends the Public Health Service Act to remove provisions relating to the administration, institutes, and research of the Alcohol, Drug Abuse, and Mental Health Administration. Establishes, as an agency of the Public Health Service, the Alcohol, Drug Abuse and Mental Health Services Administration (ADAMHSA). Sets forth its general duties. Authorizes appropriations. Mandates: (1) grants to prevent and treat substance abuse among high risk youth; (2) grants for providing pregnant and postpartum women and their children substance abuse prevention, education, and treatment services, including primary health care, comprehensive social services, support services, counseling, housing, and case management; (3) grants to improve the provision of substance abuse treatment services, including through focusing on specified populations, treatment and vocational training in exchange for service, projects operated by community and migrant health centers, and treatment campus projects; (4) grants for drug and alcohol treatment services to individuals under criminal justice supervision; (5) grants to increase the number of full-time substance abuse treatment and prevention providers and the number of health professionals providing treatment and prevention as a component of primary health care; and (6) grants to States to expand their substance abuse treatment capacity. Authorizes appropriations. Authorizes: (1) grants or contracts for outreach to intravenous drug abusers to prevent exposure to and transmission of the etiologic agent for acquired immune deficiency syndrome; (2) grants, contracts, and cooperative agreements to develop and expand mental health and substance abuse treatment for homeless individuals; and (3) grants to communities for the development of comprehensive long-term strategies for the prevention of substance abuse and evaluation of different community approaches to such prevention. Authorizes appropriations. Authorizes grants for demonstration projects for: (1) community services for seriously mentally ill individuals and their families, seriously emotionally and mentally disturbed children and youth and their families, and seriously mentally ill homeless and elderly individuals; (2) the prevention of youth suicide; (3) recognition, assessment, treatment, and clinical management of depressive disorders; (4) the prevention of sex offenses and treatment and assistance to sex offense victims; (5) mental health services to family violence victims; and (6) prevention services for individuals at risk of developing mental illness. Authorizes appropriations. Requires: (1) the appointment of one or more advisory councils for ADAMHSA; (2) peer review of services grants, cooperative agreements, and contracts administered through ADAMHSA. Requires peer review approval for assistance under, and both peer review and advisory council approval for assistance over, a specified amount. Mandates a process to respond to misconduct in projects receiving funds under specified provisions. Authorizes and regulates the use of experts and consultants. Establishes within ADAMHSA the Office for Special Populations to take specified actions with regard to women, minorities, and the elderly. Establishes in the National Institutes of Health the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Drug Abuse (NIDA), and the National Institute of Mental Health (NIMH), requiring comprehensive research on cause, diagnosis, epidemiology, prevention, and treatment, including services research. Authorizes appropriations. Includes in the purpose of NIMH the study of psychological, social, and legal factors that influence behavior. Authorizes grants, cooperative agreements, and contracts through NIAAA, NIDA, and NIMH relating to research and demonstrations relative to the cause, diagnosis, treatment, control, and prevention of mental illness and substance abuse. Directs the Secretary of Health and Human Services to establish, through NIAAA, NIDA, and NIMH, National Health and Substance Abuse Education Programs to disseminate information on improved treatment and family assistance methods and to support training. Authorizes the Secretary, through NIAAA and NIDA, to designate National Substance Abuse Research Centers for interdisciplinary research on substance abuse and other biomedical, behavioral, and social issues. Mandates annual grants to Centers. Establishes in NIDA the Medication Development Program to take specified steps regarding: (1) medication to treat the symptoms and disease of alcohol and drug abuse and addiction and related mental disorders; and (2) supporting training in such areas. Mandates related grants or contracts and cooperative agreements. Subtitle B: Miscellaneous Provisions - Replaces provisions titled "Miscellaneous Provisions Relating to Substance Abuse and Mental Health" with provisions directing the Secretary, through the ADAMHSA Administrator, as feasible and on request of a State, to make technical assistance available for specified purposes, including: (1) program management and evaluation; (2) accreditation or licensure of facilities and personnel; and (3) improving the scope of mental health and substance abuse health insurance offered in the State. Makes the Secretary, through the Administrator, responsible for fostering substance abuse prevention and treatment programs and services in State and local governments and private industry. Mandates: (1) development of model programs suitable for replication on a cost-effective basis in different types of businesses and governmental entities; and (2) dissemination of information on the model programs. Prohibits denial or deprivation of Federal civilian employment or a Federal professional or other license or right solely on the grounds of prior substance abuse, except for employment in specified Federal agencies, any other Federal department or agency designated for purposes of national security by the President, or any Federal position determined to be sensitive. Prohibits discrimination against substance abusers who are suffering from medical conditions in admission or treatment, solely because of their substance abuse, by any private or public general hospital, or outpatient facility receiving any Federal support. Prohibits disclosure of patient information maintained in connection with substance abuse prevention, training, treatment, or research which is conducted or assisted by any Federal department or agency, subject to specified exceptions. Provides for monetary penalties. Mandates: (1) data collection on the national incidence and prevalence of the various forms of mental illness and substance abuse; and (2) competitive grants for epidemiological and longitudinal studies of infants and the families of infants with fetal cocaine and fetal alcohol syndromes. Authorizes appropriations. Provides, if the Secretary determines that a disease or disorder within the jurisdiction of ADAMHSA constitutes a public health emergency, for: (1) expediting peer and advisory committee review; (2) waiving advertising requirements for proposals for contracts; (3) increasing existing grants and contracts; and (4) disseminating information. Subtitle C: Transfer Provisions - Provides for the transfer from the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) to: (1) ADAMHSA of authorities, responsibilities, services, personnel, assets, liabilities, orders, regulations, legal actions, and other matters; and (2) the appropriate Directors of NIAAA, NIDA, and NIMH all research related functions of ADAMHA. Subtitle D: Conforming Amendments - Amends specified provisions of the Public Health Service Act relating to projects for assistance in transition from homelessness and provisions relating to alternative utilization of military facilities to substitute references to the Administrator of ADAMHSA for references to: (1) the Director of the National Institute of Mental Health; and (2) the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse. Directs the Secretary to carry out provisions relating to alcohol and drug abuse and mental health services block grants through the Administrator. Subtitle E: Miscellaneous Provisions - Directs the Secretary to try to get alternative Federal funding for grantees receiving assistance under the community youth activity program under the Anti-Drug Abuse Act of 1988. Requires that the peer review systems, advisory councils, and scientific advisory committees used by NIAAA, NIDA, and NIMH before the transfer of those Institutes to NIH be used by those Institutes after the transfer. Title II: Reauthorization and Improvement of Alcohol and Drug Abuse and Mental Health Service Block Grant Program - Authorizes appropriations for the alcohol and drug abuse and mental health service block grant provisions of the Public Health Service Act. Revises the formula for determining the amount of block grant allotments. Requires that unobligated block grant funds remain available to a State if the Secretary finds that the funds were obligated but subsequently unobligated due to the State's diligence in carrying out the purposes of such provisions. Directs (currently, authorizes) the Secretary to waive a requirement (to spend at least 50 percent of specified funds reserved to carry out certain drug abuse activities) if the Secretary determines that the incidence of intravenous drug abuse in a State does not require that level of funding. Allows block grant allotments to be used for: (1) grants to community health centers for services relating to seriously (currently, chronically) mentally ill individuals; (2) grants to underserved populations of mentally ill individuals in State and local correctional facilities; (3) renovation that makes land or a facility suitable for use under such block grant provisions, including removing hazards or making the land or facility accessible to disabled persons; and (4) programs of treatment for adult and juvenile substance abusers in State and local criminal and juvenile justice systems. Replaces provisions prohibiting the use of block grant funds for the distribution of needles or bleach in connection with the use of illegal drugs with a provision prohibiting the use of such funds for any program prohibited by specified provisions (relating to needle or syringe distribution) of the Health Omnibus Programs Extension of 1988. Amends provisions limiting the percentage of block grant funds a State may use for administration to prohibit including in administrative expenses reasonable expenses incurred for training. Prohibits substance abuse treatment facilities and mental health treatment facilities receiving assistance under Public Health Service Act block grant provisions from discriminating against mentally ill substance abusers. Requires a State to maintain spending levels for alcohol and drug abuse and community mental health services at least at the level (currently, the average level) the State maintained during the previous two years. Removes a provision allowing waiver of that requirement due to extraordinary economic conditions in the State. Adds a requirement that the State mental health planning council comment on the State plan required under specified provisions. Requires a State, on request of the council, to submit the comments to the Secretary with the State plan. Requires development and implementation by a State, and annual approval by the Secretary, of a statewide Substance Abuse Prevention and Treatment Plan. Directs the Secretary, in making grants under existing provisions for the development of State comprehensive mental health services plans, act through the Administrator of ADAMHSA. Title III: Studies - Requires the Director of the NIDA to report to specified congressional committees on the role of the private sector in the development of anti-addiction medications, including legislative proposals designed to encourage private sector development of such medications. Requires the Commissioner of the Food and Drug Administration to report to specified congressional committees on the process by which anti-addiction medications receive marketing approval. Declares that it is the sense of the Congress that the Medications Development Division of the NIDA shall devote special attention and adequate resources to the development of specified medications relating to drug abuse. Requires the Directors of NIAAA, NIDA, and NIMH to establish a panel of independent experts in pharmacotherapeutic treatment of drug addiction to report to the appropriate congressional committees on the national strategy for developing such treatments. Requires the report to be made available to the public. Directs the Secretary to report to the appropriate congressional committees on a uniform definition of "serious mental illness." Requires the ADAMHSA Administrator, acting jointly with the NIMH Director, to report to the appropriate congressional committees on the most effective methods for, and the obstacles to, providing mental health services to individuals residing in correctional facilities.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

17 June 1991
Introduced
Read twice and referred to the Committee on Labor and Human Resources.
Source: IntroReferral
17 June 1991
Introduced
Introduced in Senate
Source: IntroReferral
25 June 1991
Committee
Committee on Labor and Human Resources. Hearings held. Hearings printed: S.Hrg. 102-223.
Source: Committee
17 July 1991
Reported
Committee on Labor and Human Resources. Ordered to be reported with an amendment in the nature of a substitute favorably.
Source: Committee
30 July 1991
Calendars
Placed on Senate Legislative Calendar under General Orders. Calendar No. 195.
Source: Calendars
30 July 1991
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 102-131.
Source: Committee
30 July 1991
Reported
Committee on Labor and Human Resources. Reported to Senate by Senator Kennedy with an amendment in the nature of a substitute. With written report No. 102-131.
Source: Committee
2 August 1991
Floor
Measure laid before Senate by unanimous consent.
Source: Floor
2 August 1991
Passed
Passed/agreed to in Senate: Passed Senate with an amendment by Voice Vote.
Source: Floor
11 September 1991
Floor
Held at the desk.
Source: Floor
11 September 1991
Floor
Received in the House.
Source: Floor
11 September 1991
Floor
Message on Senate action sent to the House.
Source: Floor
24 March 1992
Floor
Message on House action received in Senate and held at desk: House amendments to Senate bill and House requests a conference.
Source: Floor
24 March 1992
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
24 March 1992
Floor
By unanimous consent, the Speaker reserved the authority to make additional appointment of conferees.
Source: Floor
24 March 1992
ResolvingDifferences
The Chair appointed conferees: Dingell, Waxman, Rowland, Lent, and Bliley.
Source: ResolvingDifferences
24 March 1992
Passed
On motion that the House insist upon its amendments, and request a conference Agreed to without objection.
Source: ResolvingDifferences
24 March 1992
ResolvingDifferences
Mr. Waxman asked unanimous consent that the House insist upon its amendments, and request a conference.
Source: ResolvingDifferences
24 March 1992
Floor
A similar measure H.R. 3698 was laid on the table without objection.
Source: Floor
24 March 1992
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
24 March 1992
Passed
The title of the measure was amended. Agreed to without objection.
Source: Floor
24 March 1992
Passed
On passage Passed without objection.
Source: Floor
24 March 1992
Passed
Passed/agreed to in House: On passage Passed without objection.
Source: Floor
24 March 1992
Passed
The House struck all after the enacting clause and inserted in lieu thereof the provisions of a similar measure H.R. 3698. Agreed to without objection.
Source: Floor
24 March 1992
Floor
Considered by unanimous consent.
Source: Floor
24 March 1992
Floor
Mr. Waxman asked unanimous consent to take from the Speaker's table and consider.
Source: Floor
25 March 1992
Passed
Senate agreed to request for conference. Appointed conferees. Kennedy; Pell; Metzenbaum; Dodd; Harkin; Adams; Hatch; Coats; Thurmond; Durenberger.
Source: ResolvingDifferences
25 March 1992
Passed
Senate disagreed to the House amendments by Voice Vote.
Source: Floor
25 March 1992
Passed
Resolving differences -- Senate actions: Senate disagreed to the House amendments by Voice Vote.
Source: NotUsed
26 March 1992
Floor
Message on Senate action sent to the House.
Source: Floor
12 May 1992
Passed
Conferees agreed to file conference report.
Source: ResolvingDifferences
12 May 1992
Passed
Conference committee actions: Conferees agreed to file conference report.
Source: ResolvingDifferences
14 May 1992
ResolvingDifferences
Conference papers: Senate report and managers' statement held at the desk in Senate.
Source: ResolvingDifferences
14 May 1992
ResolvingDifferences
Conference report H. Rept. 102-522 filed.
Source: ResolvingDifferences
14 May 1992
ResolvingDifferences
Conference report filed: Conference report H. Rept. 102-522 filed.
Source: ResolvingDifferences
19 May 1992
Vote
On motion to suspend the rules and agree to the conference report Failed by the Yeas and Nays (2/3 required): 264 - 148 (Roll No. 128).
Source: ResolvingDifferences
19 May 1992
Vote
Conference report disagreed to in House: On motion to suspend the rules and agree to the conference report Failed by the Yeas and Nays (2/3 required): 264 - 148 (Roll No. 128).
Source: ResolvingDifferences
19 May 1992
ResolvingDifferences
The House preceeded to consider the conference report H.Rept. 102-522 as unfinished business.
Source: ResolvingDifferences
19 May 1992
Floor
DEBATE - The House proceeded with forty minutes of debate.
Source: Floor
19 May 1992
ResolvingDifferences
Mr. Waxman moved to suspend the rules and agree to the conference report, H. Rept. 102-522.
Source: ResolvingDifferences
21 May 1992
Reported
Rules Committee Resolution H. Res. 467 Reported to House. Rule provides for consideration of the conference report to S. 1306. All points of order against the conference report and against its consideration are waived.
Source: Floor
28 May 1992
Vote
On motion to recommit with instructions to conference committee Agreed to by the Yeas and Nays: 214 - 157 (Roll no. 150).
Source: ResolvingDifferences
28 May 1992
Passed
Motions to reconsider laid on the table Agreed to without objection.
Source: ResolvingDifferences
28 May 1992
Floor
The previous question on the motion to recommit with instructions to conference committee was ordered without objection.
Source: Floor
28 May 1992
ResolvingDifferences
Mr. Gingrich moved to recommit with instructions to the conference committee.
Source: ResolvingDifferences
28 May 1992
ResolvingDifferences
The previous question was ordered without objection.
Source: ResolvingDifferences
28 May 1992
Floor
DEBATE - Pursuant to the provisions of H. Res. 467, the House proceeded with one hour of debate on the conference report.
Source: Floor
28 May 1992
ResolvingDifferences
Mr. Waxman brought up conference report H. Rept. 102-522 for consideration under the provisions of H. Res. 467.
Source: ResolvingDifferences
28 May 1992
Passed
Rule H. Res. 467 passed House.
Source: Floor
3 June 1992
ResolvingDifferences
Conference report H. Rept. 102-546 filed.
Source: ResolvingDifferences
3 June 1992
ResolvingDifferences
Conference report filed: Conference report H. Rept. 102-546 filed.
Source: ResolvingDifferences
3 June 1992
ResolvingDifferences
Conference papers: Senate report and managers' statement held at the desk in Senate.
Source: ResolvingDifferences
4 June 1992
Floor
Motion to proceed to conference report accompanying S.1306 made in Senate.
Source: Floor
4 June 1992
ResolvingDifferences
Conference papers: official papers held at the desk in Senate.
Source: ResolvingDifferences
9 June 1992
Vote
Conference report agreed to in Senate: Senate agreed to conference report by Yea-Nay Vote. 86-8. Record Vote No: 119.
Source: ResolvingDifferences
9 June 1992
Vote
Motion to table the motion to recommit the conference report accompanying S.1306 agreed to in Senate by Yea-Nay Vote. 79-14. Record Vote No: 116.
Source: Floor
9 June 1992
ResolvingDifferences
Conference report considered in Senate.
Source: ResolvingDifferences
10 June 1992
Floor
Message on Senate action sent to the House.
Source: Floor
11 June 1992
Reported
Rules Committee Resolution H. Res. 479 Reported to House. Rule provides for consideration of the conference report to S. 1306. All points of order against the conference report and against its consideration are waived. The conference report shall be considered as waived when called up for consideration.
Source: Floor
1 July 1992
Passed
Motion to reconsider laid on the table Agreed to without objection.
Source: Floor
1 July 1992
Vote
On agreeing to the conference report Agreed to by the Yeas and Nays: 358 - 60 (Roll no. 253).
Source: ResolvingDifferences
1 July 1992
Vote
Conference report agreed to in House: On agreeing to the conference report Agreed to by the Yeas and Nays: 358 - 60 (Roll no. 253).
Source: ResolvingDifferences
1 July 1992
ResolvingDifferences
The previous question was ordered without objection.
Source: ResolvingDifferences
1 July 1992
Floor
Message on House action received in Senate.
Source: Floor
1 July 1992
Floor
DEBATE - The House proceeded with one hour of general debate on the conference report.
Source: Floor
1 July 1992
ResolvingDifferences
Mr. Waxman brought up conference report H. Rept. 102-546 for consideration under the provisions of H. Res. 479.
Source: ResolvingDifferences
1 July 1992
Passed
Rule H. Res. 479 passed House.
Source: Floor
2 July 1992
Floor
Presented to President.
Source: Floor
2 July 1992
President
Presented to President.
Source: President
10 July 1992
Became law
Became Public Law No: 102-321.
Source: President
10 July 1992
Became law
Signed by President.
Source: BecameLaw
10 July 1992
President
Signed by President.
Source: President

Votes

9 June 1992 · Conference Report Agreed to · On the Conference Report S. 1306 · Conference Report Agreed to · Official source

Yes 86 · No 8 · Abstain — · Absent/not voting 6

Showing the first 4 recorded positions. Vote totals above are complete.

9 June 1992 · Motion to Table Motion to Recommit Agreed to · On the Motion to Table the Motion to Recommit S. 1306 · Motion to Table Motion to Recommit Agreed to · Official source

Yes 79 · No 14 · Abstain — · Absent/not voting 7

Showing the first 4 recorded positions. Vote totals above are complete.

Versions

Engrossed Amendment House · — · Download file
Enrolled Bill · — · Download file
Engrossed in Senate · — · Download file
Introduced in Senate · — · Download file
Reported to Senate · — · Download file

Documents

10 official files

Reported to Senate (text)

View file Download file

This file cannot be previewed here. Use View or Download.

Leesvertaling

Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.

Vertaal naar

Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Reported to Senate (text)
Reported to Senate · EN
View Download Open at official source
Introduced in Senate (text)
Introduced in Senate · EN
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Engrossed in Senate (text)
Engrossed in Senate · EN
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Enrolled Bill (text)
Enrolled Bill · EN
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Engrossed Amendment House (text)
Engrossed Amendment House · EN
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Public Law (PDF)
Public Law · EN · 11 July 1992
View Download Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Conference report filed in House
summary · EN · 3 June 1992
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Passed House amended
summary · EN · 24 March 1992
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Passed Senate amended
summary · EN · 2 August 1991
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.
Introduced in Senate
summary · EN · 17 June 1991
Open at official source
Leesvertaling
Vertaal dit document naar jouw taal. PoliticalRepo bewaart geen aparte kopie per EU-taal.
Vertaal naar
Documentvertaling op verzoek met downloadbare PDF (logo + link naar de officiële bron). Het bronbestand blijft leidend.

Related records

Related across the Repo ecosystem

Direct relationships are identifier-backed. Topic context means shared TopicMembership — not a citation and not causation.

Direct relationships

Legal framework · ADAMHA Reorganization Act · S. 1306 (102nd) · US

Identifier matchPROJECTS_FROM
Same us record 102-s-1306 projected from PoliticalRepo US row.
ADAMHA Reorganization Act

Sources

PoliticalRepo is an index and interpretation layer, not the authoritative legal source.

Official source: https://www.congress.gov/bill/102nd-congress/senate-bill/1306
Open data entity: https://api.congress.gov/v3/bill/102/s/1306
us · 102-s-1306 · source updated 21 April 2025