Washington Roundup

December 12, 2003

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House of Representatives Approves FY 2004 Omnibus Funding Bill that WouldAllocate Major Funding Increases for Drug and Alcohol Treatment and Research Programs and Restore Major Cuts to Prevention Programs; Senate Vote on Bill Expected in January, after Winter Recess

This week, the House of Representatives approved on a 242 to 176 vote the FY 2004 omnibus

appropriations bill that includes the Labor, Health and Human Services and Education bill that funds drug and alcohol treatment, prevention, education and research programs. Despite the final bill including a .59 percent across-the-board cut for all programs, the bill would provide significant new funding for drug and alcohol treatment and research, including $35 million for the Substance Abuse Prevention and Treatment Block Grant and $105 million for the Center for Substance Abuse Treatment, including $100 million for the Administration’s drug treatment voucher initiative, “Access to Recovery.” The Access to Recovery program’s funding level represents the House’s full original allocation, a significant amount of funding for a new program in this tough fiscal environment. The Substance Abuse Prevention and Treatment Block Grant received a funding increase that fell between what the House and Senate originally proposed.

Additionally, the bill would beat back the Administration’s proposed cut to the Center for Substance Abuse Prevention with an allocation of $200 million, $3 million above the FY 2003 funding level and slightly more that the House and Senate bills originally allocated. While the bill would cut $24 million from the Safe and Drug Free Schools and Communities’ State Grants Program, the final program funding level is a dramatic improvement over the $47 million cut the Senate bill and Bush Administration’s budget originally proposed.

Both the National Institutes on Drug Abuse (NIDA) and Alcohol Abuse and Alcoholism (NIAAA) would receive funding increases, with NIDA receiving a $35 million increase over FY 2003 funding and NIAAA receiving a $15 million increase. Both of these funding increases are slightly more generous than what the House bill allocated.

Senate Majority Leader Bill Frist (R-TN) originally was hoping to have the Senate vote on the bill this week by unanimous consent (no Senator objecting to the bill’s passage.) However, Senator Robert Byrd (D-WV), Ranking Member of the Senate Appropriations Committee, and Senate Minorty Leader Tom Daschle (D-SD) objected to the Senate passing the bill in this manner. Therefore, the Senate will not consider the omnibus appropriations bill until Congress returns from its winter holiday recess on January 20, 2004.

OVERVIEW OF DRUG AND ALCOHOL TREATMENT, PREVENTION, EDUCATION, AND RESEARCH PROGRAM FUNDING

Program

FY 2003
Funding Level

FY 2004 President's Budget Request FY 2004
 House
Funding Recommendation
FY 2004
 Senate
Funding Recommendation
FY 2004 Conference Funding Recommendation (Before .59% Cut)
Substance Abuse Prevention and Treatment Block Grant $1.754 billion $1.785 billion $1.775 billion
(21 million increase)
$1.803 billion
(50 million increase)
$1.789 billion
(35 million increase)
Center for Substance Abuse Prevention (CSAP) $197 million $148 million $198 million
(1 million increase)
$194 million
(3 million cut)
$200 million
(3 million increase)
Center for Substance Abuse Treatment (CSAT) $317 million $557 million $417 million
(100 million allocated to Drug Treatment Voucher Program)
$327 million
(10 million increase- no funding for the Drug Treatment Voucher Program)
$422 million
(105 million increase, including $100 million for the Drug Treatment Voucher Program)
National Institute on Drug Abuse (NIDA) $962 million $996 million $996 million
(34 million increase)
$998 million
(36 million increase)
$997 million
(35 million increase)
National Institute on Alcoholism (NIAAA) $416 million $430 million $430 million
(34 million increase)
$431 million
(15 million increase)
$431 million
(35 million increase)
Safe and Drug Free Schools and Communities Program (SDFSC) $624 million $69 million $624 million
(no change)
$577 million
(47 million cut t the State Grants program - see below)
$600 million
(2 million cut to the State Grants- See below)
State Grants Program (SDFSC subtotal) $469 million $422 million $469 million
(no change)
$422 million
(47 million cut)
$445 million
(24 million cut)

Representative Danny K. Davis (D-IL) Introduces Legislation
 That Would Expand Mental and Behavioral Health Service Centers on
 Campuses Nationwide

Representative Danny K. Davis (D-IL) recently introduced legislation in the House of Representatives that would amend the Higher Education Act of 1965 to provide funds for campus mental and behavioral health service centers. The purpose of this bill is to increase access to, and enhance the range of, mental and behavioral health services for students at centers on campuses so as to ensure that college students have the support necessary to successfully complete their studies. After being introduced, this bill was referred to the Committee on Education and the Workforce.

This bill, the Campus Care and Counseling Act, would provide grants to any mental health service center located on the campus of an institution of higher education that provides mental and behavioral health services to students. Eligible entities may include entities such as college counseling centers, college and university psychological service centers, mental health units, and psychology training clinics. Funds provided by this grant may be used for one or more of the following activities:

• Intervention programs for developmental, transitional, and adjustment issues that affect students as they matriculate and graduate from college;

• Addressing issues related to binge drinking and the associated behavioral health risks;

• Providing services for students with mental and behavioral health problems that impede academic performance;

• Self-management skills (for behavioral and emotional self regulation);

• Management of chronic mental illness;

• Assessment and intervention for depressive disorders, and suicidal and self-harming behaviors;

• Assessment and treatment of anxiety disorders;

• Prevention programs for depression, anxiety, suicide, and domestic violence;

• Assessment, treatment, and education for eating disorders;

• Treatment of sexual trauma;

• Psychological education for parents of college students;

• Hiring of appropriately trained staff;

• Strengthening and expanding psychology doctoral internships and postdoctoral residency programs; and

• Supporting the use of evidence-based and emerging best practices and evaluating outcomes in order to provide information and training to other campus counseling and mental health centers around the nation.

The next issue of the Washington Weekly Roundup will appear on January 23, 2004, after Congress returns from its winter holiday recess.