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                                                      PRINTER'S NO. 4767

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 3008 Session of 2004


        INTRODUCED BY KENNEY AND BROWNE, NOVEMBER 18, 2004

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           NOVEMBER 18, 2004

                                     AN ACT

     1  Amending the act of April 14, 1972 (P.L.221, No.63), entitled,
     2     as amended, "An act establishing the Pennsylvania Advisory
     3     Council on Drug and Alcohol Abuse; imposing duties on the
     4     Department of Health to develop and coordinate the
     5     implementation of a comprehensive health, education and
     6     rehabilitation program for the prevention and treatment of
     7     drug and alcohol abuse and drug and alcohol dependence;
     8     providing for emergency medical treatment; providing for
     9     treatment and rehabilitation alternatives to the criminal
    10     process for drug and alcohol dependence; and making repeals,"
    11     further providing for the financial stability of community
    12     drug and alcohol programs.

    13     The General Assembly of the Commonwealth of Pennsylvania
    14  hereby enacts as follows:
    15     Section 1.  Section 4 of the act of April 14, 1972 (P.L.221,
    16  No.63), known as the Pennsylvania Drug and Alcohol Abuse Control
    17  Act, amended December 20, 1985 (P.L.529, No.119), is amended to
    18  read:
    19     Section 4.  Department's Powers and Responsibilities.--(a)
    20  The department shall develop and adopt a State plan for the
    21  control, prevention, intervention, treatment, rehabilitation,
    22  research, education, and training aspects of drug and alcohol


     1  abuse and dependence problems. The State plan shall include, but
     2  not be limited to, provision for:
     3     (1)  Coordination of the efforts of all State agencies in the
     4  control, prevention, intervention, treatment, rehabilitation,
     5  research, education, and training aspects of drug and alcohol
     6  abuse and dependence problems so as to avoid duplications and
     7  inconsistencies in the efforts of the agencies.
     8     (2)  Coordination of all health and rehabilitation efforts to
     9  deal with the problem of drug and alcohol abuse and dependence,
    10  including, but not limited to, those relating to vocational
    11  rehabilitation, manpower development and training, senior
    12  citizens, law enforcement assistance, parole and probation
    13  systems, jails and prisons, health research facilities, mental
    14  retardation facilities and community mental health centers,
    15  juvenile delinquency, health professions, educational
    16  assistance, hospital and medical facilities, social security,
    17  community health services, education professions development,
    18  higher education, Commonwealth employes health benefits,
    19  economic opportunity, comprehensive health planning, elementary
    20  and secondary education, highway safety and the civil service
    21  laws.
    22     (3)  Encouragement of the formation of local agencies and
    23  local coordinating councils, and promotion of cooperation, and
    24  coordination among such groups, and encouragement of
    25  communication of ideas and recommendations from such groups to
    26  the council.
    27     (4)  Development of model drug and alcohol abuse and
    28  dependence control plans for local government, utilizing the
    29  concepts incorporated in the State plan. The model plans shall
    30  be reviewed on a periodic basis but not less than once a year,
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     1  and revised to keep them current. They shall specify how all
     2  types of community resources and existing Federal and
     3  Commonwealth legislation may be utilized.
     4     (5)  Assistance and consultation to local governments, public
     5  and private agencies, institutions, and organizations, and
     6  individuals with respect to the prevention and treatment of drug
     7  and alcohol abuse and dependence, including coordination of
     8  programs among them.
     9     (6)  Cooperation with organized medicine to disseminate
    10  medical guidelines for the use of drugs and controlled
    11  substances in medical practice.
    12     (7)  Coordination of research, scientific investigations,
    13  experiments, and studies relating to the cause, epidemiology,
    14  sociological aspects, toxicology, pharmacology, chemistry,
    15  effects on health, dangers to public health, prevention,
    16  diagnosis and treatment of drug and alcohol abuse and
    17  dependence.
    18     (8)  Investigation of methods for the more precise detection
    19  and determination of alcohol and controlled substances in urine
    20  and blood samples, and by other means, and publication on a
    21  current basis of uniform methodology for such detections and
    22  determinations.
    23     Any information obtained through scientific investigation or
    24  research conducted pursuant to this act shall be used in ways so
    25  that no name or identifying characteristics of any person shall
    26  be divulged without the approval of the department and the
    27  consent of the person concerned. Persons engaged in research
    28  pursuant to this section shall protect the privacy of
    29  individuals who are the subject of such research by withholding
    30  from all persons not connected with the conduct of such research
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     1  the names or other identifying characteristics of such
     2  individuals. Persons engaged in such research shall protect the
     3  privacy of such individuals and may not be compelled in any
     4  State, civil, criminal, administrative, legislative, or other
     5  proceeding to identify such individuals.
     6     (9)  Establishment of training programs for professional and
     7  nonprofessional personnel with respect to drug and alcohol abuse
     8  and dependence, including the encouragement of such programs by
     9  local governments.
    10     (10)  Development of a model curriculum, including the
    11  provision of relevant data and other information, for
    12  utilization by elementary and secondary schools for instructing
    13  children, and for parent-teachers' associations, adult education
    14  centers, private citizen groups, or other State and local
    15  sources, for instruction of parents and other adults, about drug
    16  and alcohol abuse and dependence.
    17     (11)  Preparation of a broad variety of educational,
    18  prevention and intervention material for use in all media, to
    19  reach all segments of the population, that can be utilized by
    20  public and private agencies, institutions, and organizations in
    21  educational programs with respect to drug and alcohol abuse and
    22  dependence.
    23     (12)  Establishment of educational courses, including the
    24  provision of relevant data and other information, on the causes
    25  and effects of, and treatment for, drug and alcohol abuse and
    26  dependence, for law enforcement officials (including prosecuting
    27  attorneys, court personnel, the judiciary, probation and parole
    28  officers, correctional officers and other law enforcement
    29  personnel), welfare, vocational rehabilitation, and other State
    30  and local officials who come in contact with drug abuse and
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     1  dependence problems.
     2     (13)  Recruitment, training, organization and employment of
     3  professional and other persons, including former drug and
     4  alcohol abusers and dependent persons, to organize and
     5  participate in programs of public education.
     6     (14)  Treatment and rehabilitation services for male and
     7  female juveniles and adults who are charged with, convicted of,
     8  or serving a criminal sentence for any criminal offense under
     9  the law of this Commonwealth. Provision of similar services
    10  shall be made for juveniles adjudged to be delinquent, dependent
    11  or neglected. These services shall include but are not limited
    12  to: (i) emergency medical services; (ii) inpatient services; and
    13  (iii) intermediate care, rehabilitative and outpatient services.
    14     The State plan shall give priority to developing community
    15  based drug or alcohol abuse treatment services in a cooperative
    16  manner among State and local governmental agencies and
    17  departments and public and private agencies, institutions and
    18  organizations. Consideration shall be given to supportive
    19  medical care, services, or residential facilities for drug or
    20  alcohol dependent persons for whom treatment has repeatedly
    21  failed and for whom recovery is unlikely.
    22     The department shall develop as part of the State plan and
    23  require the establishment of a system of emergency medical
    24  services for persons voluntarily seeking treatment, for persons
    25  admitted and committed pursuant to the provisions of section 5
    26  of this act, and for persons charged with a crime under
    27  Pennsylvania law. Upon the establishment of such emergency
    28  medical services, the department, by regulation, shall require
    29  that appropriate emergency medical services be made available to
    30  all drug and alcohol abusers who are arrested for a crime under
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     1  Pennsylvania law.
     2     The State plan shall further provide standards for the
     3  approval by the relevant State agency for all private and public
     4  treatment and rehabilitative facilities, which may include but
     5  are not limited to State hospitals and institutions, public and
     6  private general hospitals, community mental health centers or
     7  their contracting agencies, and public and private drug or
     8  alcohol dependence and drug and alcohol abuse and dependence
     9  treatment and rehabilitation centers.
    10     (15)  Grants and contracts from the appropriate State
    11  department or agency for the prevention, intervention and
    12  treatment of drug and alcohol dependence. The grants and
    13  contracts may include assistance to local governments and public
    14  and private agencies, institutions, and organizations for
    15  prevention, intervention, treatment, rehabilitation, research,
    16  education and training aspects of the drug and alcohol abuse and
    17  dependence problems with the Commonwealth. Any grant made or
    18  contract entered into by a department or agency shall be
    19  pursuant to the functions allocated to that department or agency
    20  by the State plan.
    21     (16)  Preparation of general regulations for, and operation
    22  of, programs supported with assistance under this act.
    23     (17)  Establishment of priorities for deciding allocation of
    24  the funds under this act.
    25     (17.1)  An annual cost-of-living adjustment, at a minimum,
    26  based on the projected Home Health Market Basket Index for wage
    27  earners developed for the department for the plan year, and
    28  applied to the single county authorities for use in drug and
    29  alcohol prevention, intervention and treatment programs.
    30     (18)  An annual cost-of-living adjustment appropriated by the
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     1  General Assembly. The cost-of-living adjustment shall be based
     2  on the projected Home Health Market Basket Index for wage
     3  earners. The department shall allocate these funds to the single
     4  county authorities for use in drug and alcohol prevention,
     5  intervention and treatment programs.
     6     [(18)] (19)  Review the administration and operation of
     7  programs under this act, including the effectiveness of such
     8  programs in meeting the purposes for which they are established
     9  and operated, and make annual reports of its findings.
    10     [(19)] (20)  Evaluate the programs and projects carried out
    11  under this act and disseminate the results of such evaluations.
    12     [(20)] (21)  Establish such advisory committees as the
    13  department may deem necessary to assist the department in
    14  fulfilling its responsibilities under this act.
    15     (b)  In developing the State plan initially, and prior to its
    16  amendment annually, the department shall hold a public hearing
    17  at least thirty days prior to the adoption of the initial State
    18  plan and subsequent amendments and shall afford thereby all
    19  interested persons an opportunity to present their views thereon
    20  either orally or in writing. The department, through its staff,
    21  shall consult and collaborate with appropriate Federal and State
    22  and local departments, boards, agencies and governmental units,
    23  and with appropriate public and private agencies, institutions,
    24  groups and organizations. Otherwise the promulgation of the
    25  State plan shall conform to the procedure contained in the
    26  Commonwealth Documents Law.
    27     (c)  The department in accordance with the State plan shall
    28  allocate the responsibility for all services, programs and other
    29  efforts provided for therein among the appropriate departments,
    30  agencies and other State personnel. The department, through its
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     1  employes, shall have the power and its duty shall be to
     2  implement compliance with the provisions of the State plan and
     3  to coordinate all such efforts.
     4     (e)  The department shall gather and publish statistics
     5  pertaining to drug and alcohol abuse and dependence and
     6  promulgate regulations, specifying uniform statistics to be
     7  obtained, records to be maintained and reports to be submitted,
     8  by public and private departments, agencies, organizations,
     9  practitioners, and other persons with respect to drug and
    10  alcohol abuse and dependence, and related problems. Such
    11  statistics and reports shall not reveal the identity of any
    12  patient or drug or alcohol dependent person or other
    13  confidential information.
    14     (f)  The department shall establish an information center,
    15  which will attempt to gather and contain all available published
    16  and unpublished data and information on the problems of drug and
    17  alcohol abuse and dependence. All Commonwealth departments and
    18  agencies shall send to the department any data and information
    19  pertinent to the cause, prevention, diagnosis and treatment of
    20  drug and alcohol abuse and dependence, and the toxicology,
    21  pharmacology, effects on the health of drug and alcohol abusers
    22  and danger to the public health of alcohol, drugs and controlled
    23  substances, and the department shall make such data and
    24  information widely available.
    25     (g)  To facilitate the effectuation of the purposes of this
    26  act, the department shall require all appropriate local and
    27  State departments, agencies, institutions and others engaged in
    28  implementing the State plan to submit as often as necessary, but
    29  no less often than annually, reports detailing the activities
    30  and effects of the efforts of the aforementioned and
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     1  recommending appropriate amendments to the State plan. The
     2  department may direct a performance audit of any activity
     3  engaged in pursuant to the State plan.
     4     (h)  The department shall submit an annual report to the
     5  General Assembly which shall specify the actions taken and
     6  services provided and funds expended under each provision of
     7  this act and an evaluation of their effectiveness, and which
     8  shall contain the current State plan. The department shall
     9  submit such additional reports as may be requested by the
    10  General Assembly and such recommendations as will further the
    11  prevention, treatment, and control of drug and alcohol abuse and
    12  dependence.
    13     (i)  The department shall make provision for facilities in
    14  each city or region or catchment area which shall provide
    15  information about the total Commonwealth drug and alcohol abuse
    16  and drug and alcohol dependency programs and services.
    17     (j)  The department shall have the power to promulgate the
    18  rules and regulations necessary to carry out the provisions of
    19  this act.
    20     Section 2.  This act shall take effect immediately.







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