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Senate Amendment 3028

Amendment Text

PAG LIN
  1  1    Amend Senate File 100 as follows:
  1  2    #1.  By striking page 1, line 1 through page 2,
  1  3 line 5 and inserting the following:
  1  4    "Section 1.  Section 125.12, Code 2001, is amended
  1  5 by adding the following new subsections:
  1  6    NEW SUBSECTION.  8.  In addition to the program
  1  7 components listed in subsection 2, the program shall
  1  8 include a program of services for pregnant women and
  1  9 postpartum women who are substance abusers and their
  1 10 children.  The department shall establish an office on
  1 11 perinatal substance abuse to implement the program of
  1 12 services.
  1 13    a.  The office of perinatal substance abuse may do
  1 14 any of the following:
  1 15    (1)  Coordinate pilot projects and planning
  1 16 projects funded by the state which are related to
  1 17 perinatal substance abuse.
  1 18    (2)  Provide technical assistance to counties,
  1 19 public entities, and private entities that are
  1 20 attempting to address the problem of perinatal
  1 21 substance abuse.
  1 22    (3)  Serve as a clearinghouse of information
  1 23 regarding strategies and programs which address
  1 24 perinatal substance abuse.
  1 25    (4)  Encourage innovative responses by public and
  1 26 private entities that are attempting to address the
  1 27 problem of perinatal substance abuse.
  1 28    (5)  Review proposals of, and develop proposals
  1 29 for, state agencies regarding the funding of programs
  1 30 relating to perinatal substance abuse.
  1 31    b.  The office on perinatal substance abuse shall
  1 32 work closely with the council on chemically exposed
  1 33 infants and children established in section 235C.1 in
  1 34 implementing the program of services and in developing
  1 35 a coordinated state strategy for addressing the needs
  1 36 of pregnant women, postpartum women, and their
  1 37 children for substance abuse treatment.
  1 38    c.  The coordinated state strategy shall address
  1 39 the special needs of pregnant women and postpartum
  1 40 women who are substance abusers.  The special needs to
  1 41 be addressed may include but are not limited to all
  1 42 the following:
  1 43    (1)  Provision for medical services, which may
  1 44 include but are not limited to any of the following:
  1 45    (a)  Low-risk and high-risk prenatal care.
  1 46    (b)  Pediatric follow-up care, including preventive
  1 47 infant health care.
  1 48    (c)  Developmental follow-up care.
  1 49    (d)  Nutrition counseling.
  1 50    (e)  Methadone.
  2  1    (f)  Testing and counseling relating to acquired
  2  2 immune deficiency syndrome.
  2  3    (g)  Monthly visits with a physician and surgeon
  2  4 who specializes in treating persons with chemical
  2  5 dependencies.
  2  6    (2)  Provision for nonmedical services which may
  2  7 include but are not limited to any of the following:
  2  8    (a)  Case management.
  2  9    (b)  Individual or group counseling sessions, which
  2 10 occur at least once a week.
  2 11    (c)  Family counseling, including counseling
  2 12 services for partners and children of the women.
  2 13    (d)  Health education services, including perinatal
  2 14 chemical dependency classes, addressing topics that
  2 15 include but are not limited to the effects of drugs on
  2 16 infants, acquired immune deficiency syndrome,
  2 17 addiction in the family, child development, nutrition,
  2 18 self-esteem, and responsible decision making.
  2 19    (e)  Parenting classes.
  2 20    (f)  Adequate child care for participating women.
  2 21    (g)  Encouragement of active participation and
  2 22 support by spouses, domestic partners, family members,
  2 23 and friends.
  2 24    (h)  Opportunities for a women-only treatment
  2 25 environment.
  2 26    (i)  Transportation to outpatient treatment
  2 27 programs.
  2 28    (j)  Follow-up services, which may include but are
  2 29 not limited to assistance with transition into housing
  2 30 in a drug-free environment.
  2 31    (k)  Child development services.
  2 32    (l)  Educational and vocational services for women.
  2 33    (m)  Weekly urine testing.
  2 34    (n)  Special recruitment, training, and support
  2 35 services for foster care parents of chemically exposed
  2 36 infants.
  2 37    (o)  Outreach which reflects the cultural and
  2 38 ethnic diversity of the population served.
  2 39    NEW SUBSECTION.  9.  A county may establish a
  2 40 perinatal substance abuse coordinating council which
  2 41 consists of persons who are experts in the areas of
  2 42 substance abuse, client outreach and intervention with
  2 43 women who are substance abusers, child welfare
  2 44 services, maternal and child health services,
  2 45 developmental services, and representatives from other
  2 46 community-based organizations.  The county board of
  2 47 supervisors may select an agency or department of the
  2 48 county to be the lead agency for perinatal substance
  2 49 abuse efforts.  The coordination efforts provided by
  2 50 the lead agency through the council may include but
  3  1 are not limited to the following:
  3  2    a.  The identification of the extent of the
  3  3 perinatal substance abuse problem in the county based
  3  4 on existing data.
  3  5    b.  The development of coordinated responses by
  3  6 county health and social services agencies and
  3  7 departments which address the problem of perinatal
  3  8 substance abuse in the county.
  3  9    c.  The definition of the elements of an integrated
  3 10 substance abuse recovery system for pregnant women,
  3 11 postpartum women, and their children.
  3 12    d.  The identification of essential support
  3 13 services to be included into the integrated recovery
  3 14 system.
  3 15    e.  The promotion of communitywide understanding of
  3 16 the perinatal substance abuse problem in the county
  3 17 and appropriate responses.
  3 18    f.  The communication with policymakers at both the
  3 19 state and federal level about substance abuse
  3 20 prevention and treatment needs for pregnant women,
  3 21 postpartum women, and their children.
  3 22    g.  The utilization of services which emphasize
  3 23 coordination of treatment services with other health,
  3 24 child welfare, child development, and education
  3 25 services.
  3 26    Sec.    .  REPORT.  The office on perinatal
  3 27 substance abuse created in this Act, in consultation
  3 28 with the council on chemically exposed infants and
  3 29 children, shall evaluate the effectiveness of the
  3 30 coordinated state strategy for addressing the needs of
  3 31 pregnant women, postpartum women, and their children
  3 32 for substance abuse treatment and shall report its
  3 33 findings to the general assembly on or before July 1,
  3 34 2003."
  3 35    #2.  Title page, by striking line 2 and inserting
  3 36 the following:  "for treatment services".
  3 37    #3.  By renumbering as necessary.  
  3 38 
  3 39 
  3 40                               
  3 41 PATRICIA HARPER
  3 42 SF 100.302 79
  3 43 jp/cf
     

Text: S03027                            Text: S03029
Text: S03000 - S03099                   Text: S Index
Bills and Amendments: General Index     Bill History: General Index

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