,,ii  #aad? ,,congress  #a/ ,session    
,s4 #adaj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ba1 #bjae ,mr4   
,m>key introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to provide grants to       
improve ! treatm5t ( sub/ance use       
disord]s4  #a4 ,%ort title  ,?is ,act   
may be cit$ z ! ,treatm5t & ,recov]y    
,inve/m5t ,act4  #b4 ,opioid treatm5t & 
recov]y initiative ,subp>t #a ( "p ,b ( 
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;bb et seq47 is     
am5d$--  7#a7 by r$esignat+ ! second    
section #ead relat+ to ! me?amphetam9e &
 amphetam9e treatm5t initiative 7#db    
,u4,s4,c4 #bij;bb-#i7 z section #ead;,b2
 &  7#b7 by add+ at ! end ! foll[+3     
#ead;,c4 ,opioid treatm5t & recov]y     
initiative  7a7 ,grants  7#a7 ,au?ority 
to make grants ,! ,director ( ! ,c5t] = 
,sub/ance ,abuse ,treatm5t may aw>d     
grants to ! ,/ate ag5cies responsible = 

adm9i/]+ funds receiv$ "u ! sub/ance    
abuse prev5tion & treatm5t block grant  
program "u title ,,xix1 units ( local   
gov]nm5t t h a high rate1 or h _h a     
rapid increase1 9 ! use (1 or dea?      
relat$ to ! use (1 h]o9 or o!r opioids1 
includ+ prescription opioids1 & ,indian 
tribes or tribal organizations 7z def9$ 
9 section #d ( ! ,indian ,heal? ,c>e    
,improvem5t ,act71 9 ord] to p]mit su*  
entities to exp& evid5ce-bas$ treatm5t  
activities & relat$ recov]y s]vices 9 ! 
specific geographical areas ( su*       
entities :]e !re exi/s a ne$ to address 
! use (1 or dea? relat$ to ! use (1 h]o9
 or o!r opioids4  7#b7 ,recipi5ts       
,grants aw>d$ "u p>agraph 7#a7 %all be  
direct$ to ! sub/ance abuse directors ( 
! ,/ates & ! appropriate tribal gov]nm5t
 au?orities ( ! ,indian tribes4  7#c7   
,nature ( activities ,grant funds aw>d$ 
"u p>agraph 7#a7 %all be us$ =          
activities t are bas$ on reliable       
sci5tific evid5ce ( efficacy 9 !        
treatm5t ( problems relat$ to ! use or  

misuse ( h]o9 or o!r opioids4  7b7      
,geographic di/ribution ,! ,director    
%all ensure t grants aw>d$ "u subsection
 7a7 are di/ribut$ equitably among !    
v>i\s regions ( ! ,unit$ ,/ates & among 
rural1 urban1 & suburban areas t are    
affect$ by ! use ( h]o9 or o!r opioids4 
7c7 ,evaluation & report+ ,a ,/ate      
ag5cy1 unit ( local gov]nm5t1 or ,indian
 tribe or tribal organization receiv+ a 
grant "u subsection 7a7 %all provide !  
,director ) aggregate data & o!r        
in=mation det]m9$ by ! ,director to be  
necess>y to enable ! ,director--  7#a7  
to evaluate ! success ( ! grant program 
involv$ 9 a*iev+ its purposes2 &  7#b7  
to prep>e & submit ! report to ,congress
 on an annual basis4  7d7 ,additional   
activities ,9 c>ry+ out ?is section1 !  
,director %all-- 7#a7 dissem9ate widely 
su* f9d+s d]iv$ f ! evaluation conduct$ 
"u subsection 7c7 z ! ,director consid]s
 appropriate2  7#b7 provide ,/ates1     
,indian tribes1 & tribal organizations1 
& heal? c>e provid]s ) te*nical         

assi/ance 9 connection ) ! provision (  
evid5ce-bas$ treatm5t = problems relat$ 
to h]o9 & o!r opioids2 &  7#c7 give     
priority to applications = grants "u ?is
 section t support recov]y & relat$     
s]vices z a critical compon5t ( ! grant 
program1 includ+ compreh5sive social    
s]vices t assi/ ) h\s+1 employm5t1 or   
education4  7e7 ,au?orization (         
appropriations  7#a7 ,9 g5]al ,!re is   
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #bg1jjj1jjj = fiscal ye>   
#bjaf1 & su* sums z may be necess>y =   
ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4    
7#b7 ,use ( c]ta9 funds ,( ! funds      
appropriat$ to c>ry out ?is section 9   
any fiscal ye> "u p>agraph 7#a71 ! less]
 ( #e p]c5t ( su* funds or #a1jjj1jjj   
%all be available to ! ,director =      
purposes ( c>ry+ out subsection 7c74  4 
#c4 ,grants = enhanc+ prim>y c>e access 
= opioid dep5d5t pregnant & p>5t+ wom5  
,subp>t #a ( "p ,b ( title ,v ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;bb et seq471 z am5d$ by  

section #b1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  #ead;,d4 ,grants =       
enhanc+ prim>y c>e access = opioid      
dep5d5t pregnant & p>5t+ wom5  7a7 ,9   
g5]al ,! ,director ( ! ,c5t] = ,sub/ance
 ,abuse ,treatm5t %all aw>d grants to   
,/ate sub/ance abuse ag5cies1 ,indian   
tribes or tribal organizations 7z def9$ 
9 section #d ( ! ,indian ,heal? ,c>e    
,improvem5t ,act71 & public nonpr(it    
entities = ! purpose ( enhanc+ access to
 prim>y c>e & relat$ s]vices = pregnant 
& p>5t+ wom5 diagnos$ ) opioid dep5d5ce4
  7b7 ,use ( funds ,am\nt aw>d$ "u a    
grant "u subsection 7a7 may be us$ to   
assi/ heal? c>e provid]s or facilities  
c>+ = pregnant & p>5t+ opioid dep5d5t   
wom5 to provide ! foll[+ s]vices3  7#a7 
,cl9ically appropriate trauma in=m$     
g5d]-specific s]vices t are bas$ on     
reliable sci5tific evid5ce ( efficacy 9 
! treatm5t ( problems relat$ to sub/ance
 use disord]4  7#b7 ,pr5atal & po/p>tum 
c>e4  7#c7 ,*ild c>e = infants & o!r    
*ildr5 "u ! age ( #ah ( ! opioid dep5d5t

 woman4  7#d7 ,prev5tion & wellness     
s]vices1 includ+ nutrition education1   
ex]cise in/ruction1 & tra9+ 9 o!r life &
 cop+ skills4  7#e7 ,developm5tal &     
!rapeutic s]vices = *ildr5 ( opioid     
dep5d5t woman4  7#f7 ,dome/ic viol5ce   
s]vices4  7#g7 ,educational s]vices =   
wom5 on prop] c>e = newborns ) neonatal 
ab/95ce syndrome & o!r cl9ical          
indications = newborns relat$ to        
sub/ance use dur+ pregnancy4  7#h7      
,p>5t+ c\rses4  7#i7 ,,hiv_/,,aids &    
,hepatitis ,c c>e & s]vices4  7#aj7     
,d5tal s]vices4  7#aa7 ,recov]y coa*es &
 m5tors t c assi/ 9 support+ ! opioid   
dep5d5t woman 9 a*iev+ long t]m recov]y 
accord+ to ! ne$s ( ! woman4  7#ab7     
,case managem5t s]vices1 includ+        
assi/ance 9 e/abli%+ eligibility =      
public programs1 h\s+ assi/ance1 job    
tra9+1 educational or vocational        
opportunities1 transportation1 & o!r    
relat$ activities4  7c7 ,l5g? ( grant   
,ea* grant aw>d$ "u subsection 7a7 %all 
be = a p]iod ( #e ye>s4  7d7 ,additional

 activities ,! ,director %all--  7#a7   
collect & evaluate data reg>d+          
activities support$ by grants aw>d$ "u  
subsection 7a72  7#b7 give priority 9   
aw>d+ grants to applicants t are meet+ a
 geographical ne$ = sub/ance use disord]
 s]vices = pregnant1 po/p>tum or p>5t+  
wom52 &  7#c7 give priority 9 aw>d+     
grants to entities t are collaborat+ )  
,/ate heal? c>e1 public heal?1 crim9al  
ju/ice1 & *ild welf>e ag5cies z well z  
local ,f$]ally qualifi$ heal? c5t]s = ! 
purpose ( enhanc+ access to prim>y c>e &
 relat$ s]vices = pregnant & p>5t+ wom5 
diagnos$ ) opioid dep5d5ce4  7e7        
,au?orization ( appropriations  7#a7 ,9 
g5]al ,!re is au?oriz$ to be appropriat$
 to c>ry out ?is section1 #ae1jjj1jjj = 
fiscal ye> #bjaf1 & su* sums z may be   
necess>y = ea* ( fiscal ye>s #bjaf ?r\gh
 #bjbj4  7#b7 ,use ( c]ta9 funds ,( !   
funds appropriat$ to c>ry out ?is       
section 9 any fiscal ye>1 ! less] ( #e  
p]c5t ( su* funds or #a1jjj1jjj %all be 
available to ! ,director = purposes (   

c>ry+ out subsection 7d74  4  #d4       
,adolesc5t treatm5t programs ,subp>t #a 
( "p ,b ( title ,v ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et  
seq471 z am5d$ by section #c1 is fur!r  
am5d$ by add+ at ! end ! foll[+3        
#ead;,e4 ,grants to improve access to   
treatm5t & recov]y = adolesc5ts  7a7 ,9 
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t] = ,sub/ance ,abuse  
,treatm5t1 %all aw>d grants1 contracts1 
or coop]ative agreem5ts to eligible     
,/ate sub/ance abuse ag5cies & o!r      
entities det]m9$ appropriate by !       
,director = ! purpose ( increas+ !      
capacity ( sub/ance use disord] treatm5t
 & recov]y s]vices = adolesc5ts4  7b7   
,eligibility ,to be eligible to receive 
a grant1 contract1 or coop]ative        
agreem5t "u subsection 7a7 an entity    
%all--  7#a7 prep>e & submit to !       
,director an application at su* "t1 9   
su* mann]1 & conta9 su* in=mation z !   
,director may require1 includ+ a plan = 
! evaluation ( any activities c>ri$ out 

) ! funds provid$ "u ?is section2  7#b7 
ensure t all entities receiv+ support "u
 ! grant1 contract1 or coop]ative       
agreem5t comply ) all applicable ,/ate  
lic5sure or c]tification requirem5ts    
reg>d+ ! provision ( ! s]vices involv$2 
&  7#c7 provide ! ,director ) p]iodic   
evaluations ( ! progress ( ! activities 
fund$ "u ?is section & an evaluation at 
! completion ( su* activities1 z !      
,director det]m9es to be appropriate4   
7c7 ,priority ,9 aw>d+ grants1          
contracts1 & coop]ative agreem5ts "u    
subsection 7a71 ! ,director %all give   
priority to applicants :o propose to    
fill a demon/rat$ geographic ne$ =      
adolesc5t specific resid5tial treatm5t  
s]vices4  7d7 ,use ( funds ,am\nts aw>d$
 "u grants1 contracts1 or coop]ative    
agreem5ts "u ?is section may be us$ to  
enable heal? c>e provid]s or facilities 
t provide treatm5t & recov]y assi/ance =
 adolesc5ts ) a sub/ance use disord] to 
provide ! foll[+ s]vices3  7#a7         
,individualiz$ pati5t c5t]$ c>e t is    

specific to circum/ances ( ! individual 
pati5t4  7#b7 ,cl9ically appropriate1   
trauma-in=m$1 g5d]-specific & age       
appropriate treatm5t s]vices t are bas$ 
on reliable sci5tific evid5ce ( efficacy
 9 ! treatm5t ( problems relat$ to      
sub/ance use disord]s4  7#c7 ,cl9ically 
appropriate c>e to address treatm5t =   
sub/ance use & any co-occurr+ physical &
 m5tal heal? disord]s at ! same         
location1 & ?r\gh access to prim>y c>e  
s]vices4  7#d7 ,coord9ation ( treatm5t  
s]vices ) recov]y & o!r social support1 
includ+ educational1 vocational tra9+1  
assi/ance ) ! juv5ile ju/ice sy/em1 *ild
 welf>e1 & m5tal heal? ag5cies4  7#e7   
,aft]c>e & long-t]m recov]y support1    
includ+ pe] support s]vices4  7e7       
,duration ( assi/ance ,grants1          
contracts1 & coop]ative agreem5ts aw>d$ 
"u subsection 7a7 %all be = a p]iod ( n 
to exce$ #e ye>s4  7f7 ,additional      
activities ,! ,director %all-- 7#a7     
collect & evaluate ! activities c>ri$   
out ) am\nt receiv$ "u subsection 7a72  

7#b7 dissem9ate widely su* significant  
in=mation d]iv$ f ! evaluation z !      
,secret>y consid]s appropriate4  7g7    
,au?orization ( appropriations  7#a7 ,9 
g5]al ,!re is au?oriz$ to be appropriat$
 to c>ry out ?is section1 #be1jjj1jjj = 
fiscal ye> #bjaf1 & su* sums z may be   
necess>y = ea* ( fiscal ye>s #bjaf ?r\gh
 #bjbj4  7#b7 ,use ( c]ta9 funds ,( !   
funds appropriat$ to c>ry out ?is       
section 9 any fiscal ye>1 ! less] ( #e  
p]c5t ( su* funds or #a1jjj1jjj %all be 
available to ! ,director = purposes (   
c>ry+ out subsection 7f74  4  #e4       
,grants to enhance & exp& recov]y       
support s]vices ,subp>t #a ( "p ,b (    
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;bb et seq471 z     
am5d$ by section #d1 is fur!r am5d$ by  
add+ at ! end ! foll[+3  #ead;,f4       
,grants to enhance & exp& recov]y       
support s]vices  7a7 ,9 g5]al ,!        
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,sub/ance ,abuse & ,m5tal ,heal?       
,s]vices ,adm9i/ration1 %all aw>d grants

 to ,/ate sub/ance abuse ag5cies &      
non-pr(it organizations to develop1     
exp&1 & enhance recov]y support s]vices 
= individuals ) sub/ance use disord]s4  
7b7 ,eligible entities ,9 ! case ( an   
applicant t is n a ,/ate sub/ance abuse 
ag5cy1 to be eligible to receive a grant
 "u ?is section1 ! entity %all--  7#a7  
prep>e & submit to ! ,secret>y an       
application at su* "t1 9 su* mann]1 &   
conta9 su* in=mation z ! ,secret>y may  
require1 includ+ a plan = ! evaluation (
 any activities c>ri$ out ) ! funds     
provid$ "u ?is section2  7#b7 demon/rate
 ! inclusion ( individuals 9 recov]y f a
 sub/ance use disord] 9 lead]%ip levels 
or gov]n+ bodies ( ! entity2  7#c7 h z a
 prim>y mission ! provision ( long-t]m  
recov]y support = sub/ance use disord]s2
 &  7#d7 be accr$it$ by ! ,c\ncil on !  
,accr$itation ( ,pe] ,recov]y ,support  
,s]vices or meet any applicable ,/ate   
c]tification requirem5ts reg>d+ !       
provision ( ! recov]y s]vices involv$4  
7c7 ,use ( funds ,am\nts aw>d$ "u a     

grant "u ?is section %all be us$ to     
provide = ! foll[+ activities3  7#a7    
,educat+ & m5tor+ t assi/s individuals &
 families ) sub/ance use disord]s 9     
navigat+ sy/ems ( c>e4  7#b7 ,pe]       
recov]y support s]vices :i* include pe] 
coa*+ & m5tor+4  7#c7 ,recov]y-focus$   
community education & outrea* programs1 
includ+ tra9+ on ! use ( all =ms (      
opioid ov]dose antagoni/s us$ to c\nt] !
 effects ( an ov]dose4  7#d7 ,tra9+1    
m5tor+1 & education to develop & enhance
 pe] m5tor+ & coa*+4  7#e7 ,programs    
aim$ at id5tify+ & r$uc+ /igma &        
discrim9atory practices t s]ve z b>ri]s 
to sub/ance use disord] recov]y &       
treatm5t ( ^! disord]s4  7#f7 ,develop+ 
p>tn]%ips betwe5 networks t support     
recov]y & o!r community organizations & 
s]vices1 includ+--  7,a7 public &       
private sub/ance use disord] treatm5t   
programs & sy/ems2  7,b7 heal? c>e      
provid]s2  7,c7 recov]y-focus$ addiction
 & recov]y pr(essionals2  7,d7 fai?-bas$
 organizations2  7,e7 organizations     

focus$ on crim9al ju/ice re=m2  7,f7    
s*ools2 &  7,g7 social s]vice ag5cies 9 
! community1 includ+ educational1       
juv5ile ju/ice1 *ild welf>e1 h\s+ &     
m5tal heal? ag5cies4  7d7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to c>ry out ?is section1    
#g1jjj1jjj = fiscal ye> #bjaf1 & su*    
sums z may be necess>y = ea* ( fiscal   
ye>s #bjaf ?r\gh #bjbj4  4  #f4         
,increas+ ! au?orization ( ! sub/ance   
abuse prev5tion & treatm5t block grant  
,section #aice7;a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#cjjx-#ce7;a77 is am5d$ by /rik+        
#b1jjj1jjj1jjj = fiscal ye> #bjja1 & su*
 sums z may be necess>y = ea* ( ! fiscal
 ye>s #bjjb & #bjjc & ins]t+            
#b1bgj1jjj1jjj = fiscal ye> #bjaf4 ,=   
ea* fiscal ye> beg9n+ ) fiscal ye>      
#bjag1 !re are au?oriz$ to be s         
appropriat$1 an am\nt equal to ! am\nt  
au?oriz$ = ! previ\s fiscal ye> "u ?is  
subsection increas$ by ! annual p]c5tage
 increase 9 ! ,consum] ,price ,index =  

su* ye>4  #g4 ,/udy on treatm5t         
infra/ructure ,n lat] ?an "o ye> aft] ! 
date ( enactm5t ( ?is ,act1 !           
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all initiate an evaluation1 & submit to
 ,congress a report1 ( ! 9-pati5t &     
outpati5t treatm5t capacity1            
availability1 & ne$s ( ! ,unit$ ,/ates1 
:i* %all include--  7#a7 ! capacity (   
acute resid5tial or inpati5t            
detoxification programs2  7#b7 !        
capacity ( inpati5t cl9ical /abilization
 programs1 transitional resid5tial      
support s]vices1 & resid5tial           
rehabilitation programs2  7#c7 !        
capacity ( demographic specific         
resid5tial or inpati5t treatm5t         
programs1 su* z ^? design$ = pregnant   
wom5 or adolesc5ts2  7#d7 geographical  
diff]5ces ( ! availability ( resid5tial 
& outpati5t treatm5t & recov]y options =
 sub/ance use disord]s across ! cont9uum
 ( c>e2  7#e7 ! availability (          
resid5tial & outpati5t treatm5t programs
 t (f] treatm5t options bas$ on reliable

 sci5tific evid5ce ( efficacy = !       
treatm5t ( sub/ance use disord]s1       
includ+ ! use ( ,food & ,drug           
,adm9i/ration-approv$ m$ic9es &         
evid5ce-bas$ nonph>macological !rapies2 
7#f7 ! numb] ( pati5ts 9 resid5tial &   
specialty outpati5t treatm5t s]vices =  
sub/ance use disord]s2 &  7#g7 an       
assessm5t ( ! ne$ = resid5tial &        
outpati5t treatm5t = sub/ance use       
disord]s across ! cont9uum ( c>e4