Support for Individuals and Families Impacted by Fetal Alcohol Spectrum Disorder
Section 104 · Sec. 104 ·
What this chapter is about
This part rewrites a whole piece of an older health law. It sets up a program on harm from drinking during pregnancy. The program teaches people, finds the harm early, and helps families. It can give out grants. It also sets a top amount of money and calls for a report.
The document says “is amended”Who acts: CongressHow: statuteSec. 104 in the PDF
What the document says
“Part O of title III of the Public Health Service Act (42 U.S.C. 280f et seq.) is amended to read as follows:”
The section replaces Part O of title III of the Public Health Service Act in full. The replacement part is titled Fetal Alcohol Spectrum Disorder Prevention and Services Program and contains three sections, numbered 399H, 399I and 399J.
What the document actually says
“Part O of title III of the Public Health Service Act (42 U.S.C. 280f et seq.) is amended to read as follows:”
That sentence, in plain words
A whole piece of an older law is thrown out. New words take its place. The new words follow right after.
What this is about
When a law is rewritten this way, the old words stop counting. Only the new words apply. The new part has three sections.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 104 in the PDF
What the document says
“The Secretary shall establish or continue activities to support a comprehensive fetal alcohol spectrum disorders (referred to in this section as `FASD') education, prevention, identification, intervention, and services delivery program, which may include--”
New section 399H of the Public Health Service Act directs the Secretary to establish or continue a program covering education, prevention, identification, intervention and service delivery for fetal alcohol spectrum disorders. The list that follows names public awareness work, research, State and Tribal capacity building, and applied research on services.
What the document actually says
“The Secretary shall establish or continue activities to support a comprehensive fetal alcohol spectrum disorders (referred to in this section as `FASD') education, prevention, identification, intervention, and services delivery program, which may include--”
That sentence, in plain words
The Secretary must run a program. It deals with harm from drinking while pregnant. The program teaches, finds the harm, and helps people.
What this is about
FASD is short for fetal alcohol spectrum disorders. Those are lasting problems that can come from drinking during pregnancy. The law uses the short form all the way through.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “can”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 104 in the PDF
What the document says
“The Secretary may award grants, cooperative agreements and contracts and provide technical assistance to eligible entities to carry out subsection (a).”
New section 399H(b)(1) of the Public Health Service Act permits the Secretary to award grants, cooperative agreements and contracts, and to provide technical assistance, to carry out the program in subsection (a).
What the document actually says
“The Secretary may award grants, cooperative agreements and contracts and provide technical assistance to eligible entities to carry out subsection (a).”
That sentence, in plain words
The Secretary can hand out money to do this work. The Secretary can also give help and advice.
What this is about
A grant is money for a job. Some deals mean the government works right beside the group. Technical help is advice, not cash.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
“To be eligible to receive a grant, or enter into a cooperative agreement or contract, under this section, an entity shall--”
New section 399H(b)(2) of the Public Health Service Act limits eligibility to a State, Indian Tribe or Tribal organization, local government, scientific or academic institution, or nonprofit organization, and requires an application describing the activities the entity intends to carry out. Section 399H(b)(3) permits the Secretary to require the applicant to name a State or Tribal coordinator and describe an advisory committee.
What the document actually says
“To be eligible to receive a grant, or enter into a cooperative agreement or contract, under this section, an entity shall--”
That sentence, in plain words
A group must meet two tests to get this money. It must be the right kind of group. It must also send in a form.
What this is about
The right kinds of group are named in the law. They are States, Tribes, local governments, schools, and nonprofit groups. The form says what the group plans to do.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
“the term `FASD-informed', with respect to support or an intervention program, means that such support or intervention program uses culturally and linguistically informed evidence-based or practice-based interventions and appropriate resources to support an improved quality of life for an individual with FASD and the family of such individual.”
New section 399H(c) of the Public Health Service Act defines the term FASD-informed for purposes of that section.
What the document actually says
“the term `FASD-informed', with respect to support or an intervention program, means that such support or intervention program uses culturally and linguistically informed evidence-based or practice-based interventions and appropriate resources to support an improved quality of life for an individual with FASD and the family of such individual.”
That sentence, in plain words
The law says what one term means. A program is FASD-informed if it uses methods shown to work. It must also fit the way people live and speak.
What this is about
Definitions matter because the same words appear elsewhere in the part. Where they do, this is the meaning that counts.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 104 in the PDF
What the document says
“The Secretary shall award grants, contracts, or cooperative agreements, as the Secretary determines appropriate, to public or nonprofit private entities with demonstrated expertise in the field of fetal alcohol spectrum disorders”
New section 399I of the Public Health Service Act directs the Secretary to make awards to public or nonprofit private entities with demonstrated expertise in the field, for building local, Tribal, State and nationwide capacity to prevent the occurrence of the disorders. The programs named include public education, acting as a clearinghouse, raising awareness of screening tools, and giving technical help to recipients under section 399H.
What the document actually says
“The Secretary shall award grants, contracts, or cooperative agreements, as the Secretary determines appropriate, to public or nonprofit private entities with demonstrated expertise in the field of fetal alcohol spectrum disorders”
That sentence, in plain words
The Secretary must give money to groups that know this field well. The money goes to build skill across the country.
What this is about
This is a second stream of money. The first goes to States and Tribes to do the work. This one goes to expert groups that help the others.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “is amended”Who acts: CongressHow: statuteSec. 104 in the PDF
What the document says
“There are authorized to be appropriated to carry out this part $12,500,000 for each of fiscal years 2026 through 2030.”
New section 399J of the Public Health Service Act sets a ceiling of $12,500,000 for each of fiscal years 2026 through 2030 for the whole of the rewritten part.
What the document actually says
“There are authorized to be appropriated to carry out this part $12,500,000 for each of fiscal years 2026 through 2030.”
That sentence, in plain words
The top amount for this part is $12,500,000 a year. That runs from 2026 through 2030.
What this is about
One ceiling covers both programs in the part. Congress must still vote to pay out the money.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
The document says “shall”Who acts: Secretary of Health and Human ServicesHow: statuteSec. 104 in the PDF
What the document says
“the Secretary of Health and Human Services shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report containing--”
The section directs the Secretary to report, not later than four years after enactment and every year after that, on the activities carried out under sections 399H and 399I, how they are evaluated, and how they support people with the disorders.
What the document actually says
“the Secretary of Health and Human Services shall prepare and submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report containing--”
That sentence, in plain words
The Secretary must send a report to two groups in Congress. The first one is due four years out. After that one comes every year.
What this is about
The report says what the program did. It says how the work was judged. It also says how people were helped.
No action is recorded against this proposal. That is not evidence that none has been taken, and nobody has yet read it against the record. See what the tracker does not yet cover.
Reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, Public Law 119-44, sec. 104, 139 Stat. 671 (2025). https://www.govinfo.gov/content/pkg/PLAW-119publ44/html/PLAW-119publ44.htm
This page
“Support for Individuals and Families Impacted by Fetal Alcohol Spectrum Disorder,” Reauthorize certain programs that provide for opioid use disorder prevention, treatment, and recovery, section 104. Read the Mandate, https://readthemandate.org/pl-119-44/section-104/ (retrieved August 26, 2026).
Cite the document when the claim is about what the document says. Cite this page when the indexing, the wording or the record of what has happened is what is being relied on.
What This Page Covers, and What It Leaves Out
Each distinct thing the rewritten Part O does: the program the Secretary must establish or continue, the grants and technical assistance the Secretary may award, what an applicant must be and must submit, the definition the part supplies, the separate awards for building capacity, the spending ceiling, and the report to Congress.
The internal cross references of the rewritten part are not recorded one by one, and the lists of example activities inside each program are recorded in summary rather than item by item.
The section works by rewriting Part O of title III of the Public Health Service Act, and refers out to sections 3001 and 3004 of that Act elsewhere in this law. Neither the older Part O nor the rest of the Public Health Service Act is indexed here, so nothing is recorded about what the replaced text said.
