PRINTER'S NO. 271

THE GENERAL ASSEMBLY OF PENNSYLVANIA


SENATE BILL

No. 263 Session of 1993


        INTRODUCED BY JONES, WILLIAMS, BELAN, BODACK, AFFLERBACH,
           REIBMAN, SCHWARTZ AND MUSTO, JANUARY 25, 1993

        REFERRED TO PUBLIC HEALTH AND WELFARE, JANUARY 25, 1993

                                     AN ACT

     1  Amending the act of April 9, 1929 (P.L.177, No.175), entitled
     2     "An act providing for and reorganizing the conduct of the
     3     executive and administrative work of the Commonwealth by the
     4     Executive Department thereof and the administrative
     5     departments, boards, commissions, and officers thereof,
     6     including the boards of trustees of State Normal Schools, or
     7     Teachers Colleges; abolishing, creating, reorganizing or
     8     authorizing the reorganization of certain administrative
     9     departments, boards, and commissions; defining the powers and
    10     duties of the Governor and other executive and administrative
    11     officers, and of the several administrative departments,
    12     boards, commissions, and officers; fixing the salaries of the
    13     Governor, Lieutenant Governor, and certain other executive
    14     and administrative officers; providing for the appointment of
    15     certain administrative officers, and of all deputies and
    16     other assistants and employes in certain departments, boards,
    17     and commissions; and prescribing the manner in which the
    18     number and compensation of the deputies and all other
    19     assistants and employes of certain departments, boards and
    20     commissions shall be determined," providing for the
    21     establishment by the Department of Health of residential drug
    22     and alcohol treatment programs for pregnant women and mothers
    23     and their dependent children; and providing for certain
    24     training programs.

    25     The General Assembly of the Commonwealth of Pennsylvania
    26  hereby enacts as follows:
    27     Section 1.  The act of April 9, 1929 (P.L.177, No.175), known
    28  as The Administrative Code of 1929, is amended by adding


     1  sections to read:
     2     Section 2123.  Residential Drug and Alcohol Treatment
     3  Programs for Pregnant Women and Mothers and Their Dependent
     4  Children.--(a)  The Department of Health shall have the power,
     5  and its duty shall be, to make grants to provide residential
     6  drug and alcohol treatment and related services for pregnant
     7  women, mothers and their dependent children and mothers who do
     8  not have custody of their children where there is a reasonable
     9  likelihood that the children will be returned to them if the
    10  mother participates satisfactorily in the treatment program.
    11  Grant moneys shall only be used for treatment and related
    12  services provided to residents of this Commonwealth by drug and
    13  alcohol treatment programs licensed by the Department of Health
    14  which provide the following services:
    15     (1)  Residential treatment services for women and their
    16  children, subject to reasonable limitations on the number and
    17  ages of the children, provided in a therapeutic community
    18  setting and, including, but not limited to:
    19     (i)  onsite addiction and substance abuse education,
    20  counseling and treatment;
    21     (ii)  onsite individual, group and family counseling;
    22     (iii)  onsite drug and alcohol prevention and education
    23  activities for children approved by the Office of Drug and
    24  Alcohol Programs of the Department of Health;
    25     (iv)  onsite special counseling for children of alcoholics
    26  and addicts;
    27     (v)  involvement with Alcoholics Anonymous, Narcotics
    28  Anonymous, support groups for children of alcoholics and
    29  addicts, and other support groups; and
    30     (vi)  activities which enhance self-esteem and self-
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     1  sufficiency.
     2     (2)  Onsite parenting skills counseling and training.
     3     (3)  Access to school for children and mothers where
     4  appropriate, including, but not limited to, securing documents
     5  necessary for registration.
     6     (4)  Job counseling and referral to existing job training
     7  programs.
     8     (5)  Onsite day care for children when the mother is
     9  attending counseling, school or a job training program and when
    10  the mother is at a job or looking for a job and at other times
    11  as the department deems appropriate.
    12     (6)  Referral and linkage to other needed services including,
    13  but not limited to, health care.
    14     (7)  Onsite structured reentry counseling and activities.
    15     (8)  Referral to outpatient counseling upon discharge from
    16  the residential program.
    17     (b)  Treatment programs choosing to serve women and children
    18  coming from only one county or group of counties covered by one
    19  single county authority may only apply for funds under this
    20  section through that single county authority. Treatment programs
    21  choosing to serve women and children coming from several
    22  counties which are beyond the area covered by any one single
    23  county authority may apply for funds directly to the Department
    24  of Health. In those cases where treatment programs apply
    25  directly to the Department of Health, the Department of Health
    26  shall inform the single county authorities of those programs in
    27  their jurisdiction being considered for funding to provide the
    28  services listed in this section and shall give the single county
    29  authorities an opportunity to comment on these funding proposals
    30  prior to the department making a decision to award funding.
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     1     (c)  The Department of Health shall require programs
     2  receiving funds under this section to collect and provide to the
     3  department information concerning the number of women and
     4  children denied treatment or placed on waiting lists and may
     5  require such data and other information as the department deems
     6  useful in determining the effectiveness of the treatment
     7  programs. Confidentiality of records regarding identifiable
     8  individuals enrolled in treatment programs funded under this
     9  section shall be maintained.
    10     (d)  Contributions by counties or single county authorities
    11  shall not be required as a condition for receiving grants for
    12  programs funded under this section, but the Department of Health
    13  may require counties or single county authorities to make
    14  commitments to provide outpatient intervention, referral and
    15  aftercare services to women whose residential treatment is
    16  funded under this section upon completion of their residential
    17  treatment.
    18     (e)  The Department of Health shall annually convene a
    19  meeting of all recipients of funds for programs funded under
    20  this section and other interested parties so that the department
    21  may receive input regarding ways to improve and expand treatment
    22  services and prevention activities for pregnant women, mothers
    23  and young children.
    24     (f)  The Department of Health shall report annually to the
    25  Governor and the General Assembly as to its activities and
    26  expenditures under this section, the activities of recipients of
    27  funds under this section, the number of women and children
    28  served, the number of women and children denied treatment or
    29  placed on waiting lists, the recommendations in summary form
    30  made at the annual meeting provided for in subsection (e) and
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     1  the recommendations of the department.
     2     (g)  As used in this section and section 2124, the term
     3  "single county authority" means the agency designated by the
     4  local authorities in a county or counties to plan, fund and
     5  administer drug and alcohol treatment, prevention and
     6  intervention activities in that county or those counties.
     7     (h)  As used in this section, the term "therapeutic community
     8  setting" means a drug-free, residential, nonhospital treatment
     9  program using therapeutic community principles as the underlying
    10  philosophy.
    11     Section 2124.  Staff Training and Referral Mechanisms.--The
    12  Department of Health shall have the power, and its duty shall
    13  be:
    14     (a)  To establish on a demonstration basis, programs to train
    15  the staff of child protective services agencies, counseling
    16  programs and shelters for victims of domestic violence,
    17  recipients of funds under the High Risk Maternity Program or the
    18  Federal Maternal and Child Health Block Grant and community or
    19  State health care centers in order to identify those pregnant
    20  women and mothers, for whom these agencies are already providing
    21  services, who are in need of drug or alcohol treatment; and
    22     (b)  To establish referral networks and mechanisms between
    23  these agencies and the single county authorities and appropriate
    24  drug and alcohol treatment programs.
    25     Section 2.  This act shall take effect in 60 days.




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