S 450 ISCommentsClose CommentsPermalink

To understand and comprehensively address the oral health problems associated with methamphetamine use.CommentsClose CommentsPermalink

February 13, 2009CommentsClose CommentsPermalink

Mr. BAUCUS (for himself, Ms. STABENOW, Mr. TESTER, Mr. CONRAD, Mr. JOHNSON, and Mr. SCHUMER) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and PensionsCommentsClose CommentsPermalink

To understand and comprehensively address the oral health problems associated with methamphetamine use.CommentsClose CommentsPermalink

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled,CommentsClose CommentsPermalink

SECTION 1. SHORT TITLE; PURPOSES.

(a) Short Title- This Act may be cited as the ‘Meth Mouth Prevention and Community Recovery Act’.CommentsClose CommentsPermalink





(b) Purposes- The purposes of this Act are--CommentsClose CommentsPermalink





(1) to investigate and report on all aspects of meth mouth, including its causes, public health impact, innovative models for its prevention, and new and improved methods for its treatment;CommentsClose CommentsPermalink





(2) to ensure dentists and allied dental personnel are able to recognize the signs of substance abuse in their patients, discuss the nature of addiction as it relates to oral health and dental care, and facilitate appropriate help for patients (and family members of patients) who are affected by a substance use disorder;CommentsClose CommentsPermalink





(3) to determine whether, how, and to what degree educating youth about meth mouth is an effective strategy for preventing or reducing the prevalence of methamphetamine use; andCommentsClose CommentsPermalink





(4) to underscore the many ways that dentists and other oral health professionals can contribute to the general health of their patients, their communities, and the country as a whole.CommentsClose CommentsPermalink

SEC. 2. TABLE OF CONTENTS.

The table of contents for this Act is as follows:CommentsClose CommentsPermalink





Sec. 1. Short title; purposes.CommentsClose CommentsPermalink





Sec. 2. Table of contents.CommentsClose CommentsPermalink

TITLE I--EVIDENCE-BASED PREVENTION

Sec. 101. Findings; purpose; definitions.CommentsClose CommentsPermalink





Sec. 102. Methamphetamine prevention demonstration projects.CommentsClose CommentsPermalink





Sec. 103. Education for American Indian and Alaska native children.CommentsClose CommentsPermalink





Sec. 104. Authorization of appropriations.CommentsClose CommentsPermalink

TITLE II--METH MOUTH RESEARCH INVESTMENT ACT

Sec. 201. Findings; purpose; definitions.CommentsClose CommentsPermalink





Sec. 202. Research on substance abuse, oral health, and dental care.CommentsClose CommentsPermalink





Sec. 203. Study of methamphetamine-related oral health costs.CommentsClose CommentsPermalink





Sec. 204. Authorization of appropriations.CommentsClose CommentsPermalink

TITLE III--SUBSTANCE ABUSE EDUCATION FOR DENTAL PROFESSIONALS

Sec. 301. Findings; purpose; definitions.CommentsClose CommentsPermalink





Sec. 302. Substance abuse training for dental professionals.CommentsClose CommentsPermalink





Sec. 303. Authorization of appropriations.CommentsClose CommentsPermalink

TITLE I--EVIDENCE-BASED PREVENTIONCommentsClose CommentsPermalink

SEC. 101. FINDINGS; PURPOSE; DEFINITIONS.

(a) Findings- The Congress finds as follows:CommentsClose CommentsPermalink





(1) According to the Substance Abuse and Mental Health Services Administration, first-time methamphetamine use is most likely to occur between the ages of 18 and 25. Prevention efforts must therefore begin during the teen years.CommentsClose CommentsPermalink





(2) Most young people do not realize that methamphetamine use can quickly leave their teeth blackened, stained, rotting, and crumbling or falling apart and that the treatment options are often limited.CommentsClose CommentsPermalink





(3) By educating youth about meth mouth, oral health advocates can play a substantial role in helping to prevent first-time methamphetamine use.CommentsClose CommentsPermalink





(b) Purpose- The purpose of this title is to provide for a number of projects to evaluate whether, how, and to what degree educating youth about meth mouth is an effective strategy for preventing or reducing methamphetamine use.CommentsClose CommentsPermalink





(c) Definitions- In this title:CommentsClose CommentsPermalink





(1) ANTI-DRUG COALITION- The term ‘anti-drug coalition’ has the meaning given to the term ‘eligible coalition’ in section 1023 of the National Narcotics Leadership Act of 1988 (21 U.S.C. 1523).CommentsClose CommentsPermalink





(2) DENTAL ORGANIZATION- The term ‘dental organization’ means a group of persons organized to represent the art and science of dentistry or who are otherwise associated for the primary purpose of advancing the public’s oral health.CommentsClose CommentsPermalink





(3) DIRECTOR- The term ‘Director’ means the Director of the Center for Substance Abuse Prevention.CommentsClose CommentsPermalink





(4) ELEMENTARY SCHOOL; SECONDARY SCHOOL- The terms ‘elementary school’ and ‘secondary school’ have the meanings given to such terms in section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7801).CommentsClose CommentsPermalink





(5) INDIAN; INDIAN TRIBE; TRIBAL ORGANIZATION- The terms ‘Indian’, ‘Indian tribe’, and ‘tribal organization’ have the meanings given to such terms in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b).CommentsClose CommentsPermalink





(6) METH MOUTH- The term ‘meth mouth’ means a distinct and often severe pattern of oral decay that is commonly associated with methamphetamine use.CommentsClose CommentsPermalink





(7) SUBSTANCE USE DISORDER- The term ‘substance use disorder’ means any harmful pattern of alcohol or drug use that leads to clinically significant impairment in physical, psychological, interpersonal, or vocational functioning.CommentsClose CommentsPermalink





(8) YOUTH- The term ‘youth’ has the meaning given to such term in section 1023 of the National Narcotics Leadership Act of 1988 (21 U.S.C. 1523).CommentsClose CommentsPermalink

SEC. 102. METHAMPHETAMINE PREVENTION DEMONSTRATION PROJECTS.

(a) In General- In carrying out section 519E of the Public Health Service Act (42 U.S.C. 290bb-25e), the Director of the Center for Substance Abuse Prevention shall make grants to public and private nonprofit entities to enable such entities to determine whether, how, and to what degree educating youth about meth mouth is an effective strategy for preventing or reducing methamphetamine use.CommentsClose CommentsPermalink





(b) Use of Funds-CommentsClose CommentsPermalink





(1) MANDATORY USES- Amounts awarded under this title shall be used for projects that focus on, or include specific information about, the oral health risks associated with methamphetamine use.CommentsClose CommentsPermalink





(2) AUTHORIZED USES- Amounts awarded under this title may be used--CommentsClose CommentsPermalink





(A) to develop or acquire instructional aids to enhance the teaching and learning process (including audiovisual items, computer-based multimedia, supplemental print material, and similar resources);CommentsClose CommentsPermalink





(B) to develop or acquire promotional items to be used for display or distribution on school campuses (including posters, flyers, brochures, pamphlets, message-based apparel, buttons, stickers, and similar items);CommentsClose CommentsPermalink





(C) to facilitate or directly furnish school-based instruction concerning the oral health risks associated with methamphetamine use;CommentsClose CommentsPermalink





(D) to train State and local health officials, health professionals, members of anti-drug coalitions, parents, and others how to carry messages about the oral health risks associated with methamphetamine use to youth; andCommentsClose CommentsPermalink





(E) to support other activities deemed appropriate by the Director.CommentsClose CommentsPermalink





(c) Grant Eligibility-CommentsClose CommentsPermalink





(1) APPLICATION- To be eligible for grants under this title, an entity shall prepare and submit an application at such time, in such manner, and containing such information as the Director may reasonably require.CommentsClose CommentsPermalink





(2) CONTENTS- Each application submitted pursuant to paragraph (1) shall include--CommentsClose CommentsPermalink





(A) a description of the objectives to be attained;CommentsClose CommentsPermalink





(B) a description of the manner in which the grant funds will be used; andCommentsClose CommentsPermalink





(C) a plan for evaluating the project’s success using methods that are evidence-based.CommentsClose CommentsPermalink





(3) PREFERENCE- In awarding grants under this title, the Director shall give preference to applicants that intend to--CommentsClose CommentsPermalink





(A) collaborate with one or more dental organizations;CommentsClose CommentsPermalink





(B) partner with one or more anti-drug coalitions; andCommentsClose CommentsPermalink





(C) coordinate their activities with one or more national, State, or local methamphetamine prevention campaigns or oral health promotion initiatives.CommentsClose CommentsPermalink





(d) Limitations-CommentsClose CommentsPermalink





(1) GRANT AMOUNTS- The amount of an award under this title may not exceed $50,000 per grantee.CommentsClose CommentsPermalink





(2) DURATION- The Director shall award grants under this title for a period not to exceed 3 years.CommentsClose CommentsPermalink





(e) Evaluation and Dissemination- The Director shall collect and widely disseminate information about the effectiveness of the demonstration projects assisted under this title.CommentsClose CommentsPermalink

SEC. 103. EDUCATION FOR AMERICAN INDIAN AND ALASKA NATIVE CHILDREN.

Not less than 5 percent of the funds appropriated pursuant to section 104 for a fiscal year shall be awarded to Indian tribes and tribal organizations for the purpose of educating Indian youth about the oral health risks associated with methamphetamine use.CommentsClose CommentsPermalink

SEC. 104. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated for the purpose of carrying out this title $1,000,000 for each of fiscal years 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.CommentsClose CommentsPermalink

TITLE II--METH MOUTH RESEARCH INVESTMENT ACTCommentsClose CommentsPermalink

SEC. 201. FINDINGS; PURPOSE; DEFINITIONS.

(a) Findings- The Congress finds as follows:CommentsClose CommentsPermalink





(1) As the number of regular methamphetamine users has increased, so has a peculiar set of dental problems linked to the drug. The condition (known as ‘meth mouth’) develops rapidly and is attributed to the drug’s acidic nature, its ability to dry the mouth, the tendency of users to grind and clench their teeth, and a drug-induced craving for sugar-laden soft drinks.CommentsClose CommentsPermalink





(2) Meth mouth is regarded by many as an anecdotal phenomenon. Few peer-reviewed studies have been published that examine its causes, its physical effects, its prevalence, or its public health costs.CommentsClose CommentsPermalink





(3) Enhanced research would help to identify the prevalence and scope of meth mouth. Such research would also help determine how substances of abuse can damage the teeth and other oral tissues, and offer the possibility of developing new and improved prevention, harm-reduction, and cost management strategies.CommentsClose CommentsPermalink





(b) Purpose- The purpose of this title is to provide for enhanced research examining all aspects of meth mouth, including its causes, its public health impact, innovative models for its prevention, and new and improved methods for its treatment.CommentsClose CommentsPermalink





(c) Definitions- In this title:CommentsClose CommentsPermalink





(1) CLINICAL RESEARCH; HEALTH SERVICES RESEARCH- The terms ‘clinical research’ and ‘health services research’ shall have the meanings given to such terms in section 409 of the Public Health Service Act (42 U.S.C. 284d).CommentsClose CommentsPermalink





(2) INDIAN; INDIAN TRIBE; TRIBAL ORGANIZATION- The terms ‘Indian’, ‘Indian tribe’, and ‘tribal organization’ shall have the meanings given to such terms in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 450b).CommentsClose CommentsPermalink





(3) METH MOUTH- The term ‘meth mouth’ means a distinct and often severe pattern of oral decay that is commonly associated with methamphetamine use.CommentsClose CommentsPermalink





(4) PUBLIC HEALTH RESEARCH- The term ‘public health research’ means research that focuses on population-based health measures.CommentsClose CommentsPermalink





(5) SECRETARY- The term ‘Secretary’ means the Secretary of Health and Human Services.CommentsClose CommentsPermalink





(6) SUBSTANCE USE DISORDER- The term ‘substance use disorder’ means any harmful pattern of alcohol or drug use that leads to clinically significant impairment in physical, psychological, interpersonal, or vocational functioning.CommentsClose CommentsPermalink

SEC. 202. RESEARCH ON SUBSTANCE ABUSE, ORAL HEALTH, AND DENTAL CARE.

(a) Expansion of Activity- In carrying out part A of title III of the Public Health Service Act (42 U.S.C. 241 et seq.), the Secretary shall expand and intensify the clinical research, health services research, and public health research on associations between substance use disorders, oral health, and the provision of dental care.CommentsClose CommentsPermalink





(b) Administration- In carrying out subsection (a), the Secretary--CommentsClose CommentsPermalink





(1) may enter into contracts or agreements with other Federal agencies, including interagency agreements, to delegate authority for the execution of grants and for such other activities as may be necessary to carry out this section;CommentsClose CommentsPermalink





(2) may carry out this section directly or through grants or cooperative agreements with State, local, and territorial units of government, Indian tribes, and tribal organizations, or other public or nonprofit private entities; andCommentsClose CommentsPermalink





(3) may request and use such information, data, and reports from any Federal, State, local, or private entity as may be required to carry out this section, with the consent of such entity.CommentsClose CommentsPermalink

SEC. 203. STUDY OF METHAMPHETAMINE-RELATED ORAL HEALTH COSTS.

(a) In General- In carrying out section 202, the Secretary shall conduct a study to determine whether, how, and to what degree methamphetamine use affects the demand for (and provision of) dental care. The study shall account for both genders, all racial and ethnic groups (and subgroups), and persons of all ages and from all geographic areas as appropriate for the scientific goals of the research.CommentsClose CommentsPermalink





(b) Report- Not later than 1 year after the date of enactment of this Act, the Secretary shall publish a special report detailing the results of the study described in subsection (a), with findings that address--CommentsClose CommentsPermalink





(1) the prevalence and severity of oral health problems believed to be associated with methamphetamine use;CommentsClose CommentsPermalink





(2) the criteria most commonly used to determine whether a patient’s oral health problems are associated with methamphetamine use;CommentsClose CommentsPermalink





(3) the therapies most commonly used to treat patients with meth mouth;CommentsClose CommentsPermalink





(4) the clinical prognosis for patients who received care for meth mouth; andCommentsClose CommentsPermalink





(5) the financial impact of meth mouth on publicly financed dental programs.CommentsClose CommentsPermalink

SEC. 204. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated for the purpose of carrying out this title, $200,000 for each of fiscal years 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.CommentsClose CommentsPermalink

TITLE III--SUBSTANCE ABUSE EDUCATION FOR DENTAL PROFESSIONALSCommentsClose CommentsPermalink

SEC. 301. FINDINGS; PURPOSE; DEFINITIONS.

(a) Findings- The Congress finds as follows:CommentsClose CommentsPermalink





(1) The use of certain therapeutic agents in dental treatment can jeopardize the health and affect the relapse potential of patients with substance use disorders.CommentsClose CommentsPermalink





(2) Screening patients for substance abuse is not a common practice among dentists, according to several peer-reviewed articles published in the ‘Journal of the American Dental Association’. Limited time, inadequate training, and the potential for alienating patients are among the reasons often cited.CommentsClose CommentsPermalink





(3) Dentists receive little formal education and training in screening patients for substance abuse, discussing the nature of addiction as it relates to oral health and dental care, and facilitating appropriate help for patients, and family members of patients, who are affected by a substance use disorder.CommentsClose CommentsPermalink





(4) The American Dental Association maintains that dentists should be knowledgeable about substance use disorders in order to safely administer and prescribe controlled substances and other medications. The American Dental Association further recommends that dentists become familiar with their community’s substance abuse treatment resources and be able to make referrals when indicated.CommentsClose CommentsPermalink





(5) Training can greatly increase the degree to which dentists, allied dental personnel, and other health professionals can screen patients for substance abuse, discuss the nature of addiction as it relates to oral health and dental care, and facilitate appropriate help for patients, and family members of patients, who are affected by a substance use disorder.CommentsClose CommentsPermalink





(b) Purpose- The purpose of this title is to provide for enhanced training and technical assistance to ensure that dentists and allied dental personnel are able to recognize the signs of substance abuse in their patients, discuss the nature of addiction as it relates to oral health and dental care, and facilitate appropriate help for patients, and family members of patients, who are affected by a substance use disorder.CommentsClose CommentsPermalink





(c) Definitions- For the purposes of this title:CommentsClose CommentsPermalink





(1) ALLIED DENTAL PERSONNEL- The term ‘allied dental personnel’ means individuals who assist the dentist in the provision of oral health care services to patients, including dental assistants, dental hygienists, and dental laboratory technicians who are employed in dental offices or other patient care facilities.CommentsClose CommentsPermalink





(2) CONTINUING EDUCATION- The term ‘continuing education’ means extracurricular learning activities (including classes, lecture series, conferences, workshops, seminars, correspondence courses, and other programs) whose purpose is to incorporate the latest advances in science, clinical, and professional knowledge into the practice of health care (and whose completion is often a condition of professional licensing).CommentsClose CommentsPermalink





(3) CONTINUING EDUCATION CREDIT- The term ‘continuing education credit’ means a unit of study that is used to officially certify or recognize the successful completion of an activity that is consistent with professional standards for continuing education.CommentsClose CommentsPermalink

SEC. 302. SUBSTANCE ABUSE TRAINING FOR DENTAL PROFESSIONALS.

(a) In General- In carrying out title V of the Public Health Service Act (42 U.S.C. 290 et seq.), the Administrator of the Substance Abuse and Mental Health Services Administration shall support training and offer technical assistance to ensure that dentists and allied dental personnel are prepared to--CommentsClose CommentsPermalink





(1) recognize signs of alcohol or drug addiction in their patients and the family members of their patients;CommentsClose CommentsPermalink





(2) discuss the nature of substance abuse as it relates to their area of expertise;CommentsClose CommentsPermalink





(3) understand how certain dental therapies can affect the relapse potential of substance dependent patients; andCommentsClose CommentsPermalink





(4) help those affected by a substance use disorder to find appropriate treatment for their condition.CommentsClose CommentsPermalink





(b) Continuing Education Credits- The Administrator of the Substance Abuse and Mental Health Services Administration may collaborate with professional accrediting bodies--CommentsClose CommentsPermalink





(1) to develop and support substance abuse training courses for oral health professionals; andCommentsClose CommentsPermalink





(2) to encourage that the activities described in paragraph (1) be recognized for continuing education purposes.CommentsClose CommentsPermalink

SEC. 303. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated for the purpose of carrying out this title, $500,000 for each of fiscal years 2010 through 2012. Amounts authorized to be appropriated under this section are in addition to any other amounts authorized to be appropriated for such purpose.CommentsClose CommentsPermalink