,,ii ,calendar ,no4 #cfi #aadth ,,congress #b;d ,session ,s4 #ebd ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #ab1 #bjae,mr4 ,whitehouse 7for himself1 ,mr4 ,portman1 ,ms4 ,klobuchar1 ,ms4 ,ayotte1 ,mr4 ,coons1 ,mr4 ,kirk1 ,mr4 ,nelson1 ,ms4 ,warren1 ,mr4 ,franken1 ,mrs4 ,feinstein1 ,mr4 ,schumer1 ,mrs4 ,gillibrand1 ,ms4 ,collins1 ,mr4 ,hatch1 ,mr4 ,graham1 ,ms4 ,baldwin1 ,mr4 ,menendez1 ,mrs4 ,shaheen1 ,mr4 ,king1 ,mr4 ,manchin1 ,mr4 ,blumenthal1 ,mr4 ,leahy1 ,mrs4 ,capito1 ,mr4 ,donnelly1 ,mr4 ,sullivan1 ,mr4 ,heinrich1 ,mr4 ,tester1 ,mr4 ,rubio1 ,mr4 ,udall1 ,mr4 ,durbin1 ,mr4 ,grassley1 ,mr4 ,cornyn1 and ,mr4 ,blunt7 introduced the following bill2 which was read twice and referred to the ,committee on the ,judiciary ,february #bb1 #bjaf,reported by ,mr4 ,grassley1 with an amendment,strike out all after the enacting clause and insert the part printed in italic ,a ,,bill ,to authorize the ,attorney ,general to award grants to address the national epidemics of prescription opioid abuse and heroin use4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,comprehensive ,addiction and ,recovery ,act of #bjae4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,sec4 #b4 ,findings4,sec4 #c4 ,definitions4,,title ,i--,prevention and education,sec4 #aja4 ,development of best prescribing practices4,sec4 #ajb4 ,national education campaign4,sec4 #ajc4 ,community-based coalition enhancement grants to address local drug crises4,,title ,,ii--,law enforcement and treatment,sec4 #bja4 ,treatment alternative to incarceration programs4,sec4 #bjb4 ,law enforcement naloxone training and implementation demonstration4,sec4 #bjc4 ,prescription drug take back expansion4,,title ,,iii--,treatment and recovery,sec4 #cja4 ,evidence-based opioid and heroin treatment and interventions demonstration4,sec4 #cjb4 ,criminal justice medication assisted treatment and interventions demonstration4,sec4 #cjc4 ,national youth recovery initiative4,sec4 #cjd4 ,building communities of recovery4,,title ,,iv--,addressing collateral consequences,sec4 #dja4 ,correctional education demonstration grant program4,sec4 #djb4 ,revision of ,,fafsa form4,sec4 #djc4 ,national ,task ,force on ,recovery and ,collateral ,consequences4,,title ,v--,addiction and treatment services for women1 families1 and veterans,sec4 #eja4 ,authority to award competitive grants to address opioid and heroin abuse by pregnant and parenting female offenders4,sec4 #ejb4 ,grants for family-based substance abuse treatment4,sec4 #ejc4 ,veterans' treatment courts4,,title ,,vi--,incentivizing ,state comprehensive initiatives to address opioid and heroin abuse,sec4 #fja4 ,state demonstration grants for comprehensive opioid abuse response4,,title ,,vii--,offset2 ,,gao report,sec4 #gja4 ,offset4,sec4 #gjb4 ,,gao report on ,,imd exclusion4 #b4 ,findings ,congress finds the following3 7#a7 ,the abuse of heroin and prescription painkillers is having a devastating effect on public health and safety in communities across the ,united ,states4 ,according to the ,centers for ,disease ,control and ,prevention1 drug overdose deaths now surpass traffic crashes in the number of deaths caused by injury in the ,united ,states4 ,in #bjaa1 an average of about #aaj people in the ,united ,states died from drug overdose every day4 7#b7 ,law enforcement officials and treatment experts throughout the country report that many prescription opioid users have turned to heroin as a cheaper or more easily obtained alternative to prescription drugs4 7#c7 ,opioid pain relievers are the most widely misused or abused controlled prescription drugs 7commonly referred to as ,c,p,ds7 and are involved in most ,,cpd-related overdose incidents4 ,according to the ,drug ,abuse ,warning ,network 7commonly known as ,,dawn71 the estimated number of emergency department visits involving nonmedical use of prescription opiates or opioids increased by #aab percent between #bjjf and #bjaj1 from #hd1fga to #agi1ghg4 7#d7 ,according to a report by the ,national ,association of ,state ,alcohol and ,drug ,abuse ,directors 7commonly referred to as ,,nasadad71 #cg ,states reported an increase in admissions to treatment for heroin use during the past #b years1 while admissions to treatment for prescription opiates increased #ejj percent from #bjjj to #bjab4 7#e7 ,substance use disorders are a treatable disease4 ,discoveries in the science of addiction have led to advances in the treatment of substance use disorders that help people stop abusing drugs and prescription medications and resume their productive lives4 7#f7 ,according to the ,national ,survey on ,drug ,use and ,health1 approximately #bb1gjj1jjj people in the ,united ,states needed substance use disorder treatment in #bjac1 but only #b1ejj1jjj people received it4 ,furthermore1 current treatment services are not adequate to meet demand4 ,according to a report commissioned by ,,samhsa1 there are approximately #cb providers for every #a1jjj individuals needing substance use disorder treatment4 ,in some ,states1 the ratio is much lower4 7#g7 ,effective substance abuse prevention can yield major economic dividends4 7#h7 ,according to the ,national ,institute on ,drug ,abuse1 when schools and communities properly implement science-validated substance abuse prevention programs1 abuse of alcohol1 tobacco1 and illicit drugs is reduced4 ,such programs help teachers1 parents1 and healthcare professionals shape the perceptions of youths about the risks of drug abuse4 7#i7 ,diverting individuals with substance use disorders from criminal justice systems into community-based treatment can save billions of dollars and prevent sizeable numbers of crimes1 arrests1 and re-incarcerations over the course of those individuals' lives4 7#aj7 ,according to the ,drug ,enforcement ,agency1 more than #a1gjj tons of expired1 unwanted prescription medications have been collected during the past #ca_/b years1 following the enactment of the ,secure and ,responsible ,drug ,disposal ,act of #bjaj 7,public ,law #aaa-bgc2 #abd ,stat4 #bheh74 7#aa7 ,research shows that combining treatment medications with behavioral therapy is the best way to facilitate success for most patients4 ,treatment approaches must be tailored to address the drug abuse patterns and drug-related medical1 psychiatric1 and social problems of each individual4 ,different types of medications may be useful at different stages of treatment or recovery to help a patient stop using drugs1 stay in treatment1 and avoid relapse4 7#ab7 ,research indicates that combating the opioid crisis1 including abuse of prescription painkillers and1 increasingly1 heroin1 requires a multi-pronged approach that involves reducing drug diversion1 expanding delivery of existing treatments 7including medication assisted treatments71 expanding access to overdose medications and interventions1 and the development of new medications for pain that can augment the existing treatment arsenal4 7#ac7 ,individuals with mental illness1 especially severe mental illness1 are at considerably higher risk for substance abuse than the general population1 and the presence of a mental illness complicates recovery from substance abuse4 #c4 ,definitions ,in this ,act-- 7#a7 the term medication assisted treatment means the use1 for problems relating to heroin and other opioids1 of medications approved by the ,food and ,drug ,administration in combination with counseling and behavioral therapies2 7#b7 the term ,,ondcp ,recovery ,branch means the ,recovery ,branch of the ,office of ,national ,drug ,control ,policy2 7#c7 the term opioid means any drug having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability2 and 7#d7 the term ,state means any ,state of the ,united ,states1 the ,district of ,columbia1 the ,commonwealth of ,puerto ,rico1 and any territory or possession of the ,united ,states4 ,i ,prevention and education #aja4 ,development of best prescribing practices 7a7 ,inter-,agency task force ,not later than #abj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 in cooperation with the ,secretary of ,veterans ,affairs1 the ,secretary of ,defense1 and the ,administrator of the ,drug ,enforcement ,administration1 shall convene a ,pain ,management ,best ,practices ,inter-,agency ,task ,force 7referred to in this section as the task force74 7b7 ,membership ,the task force shall be comprised of-- 7#a7 representatives of-- 7,a7 the ,department of ,health and ,human ,services2 7,b7 the ,department of ,veterans ,affairs2 7,c7 the ,department of ,defense2 7,d7 the ,drug ,enforcement ,administration2 7,e7 the ,centers for ,disease ,control and ,prevention2 7,f7 the ,institute of ,medicine2 and 7,g7 the ,office of ,national ,drug ,control ,policy2 7#b7 the ,director of the ,national ,institutes of ,health2 7#c7 physicians1 dentists1 and non-physician prescribers2 7#d7 pharmacists2 7#e7 experts in the fields of pain research and addiction research2 7#f7 representatives of-- 7,a7 pain management professional organizations2 7,b7 the mental health treatment community2 7,c7 the addiction treatment community2 7,d7 pain advocacy groups2 and 7,e7 groups with expertise around overdose reversal2 and 7#g7 other stakeholders1 as the ,secretary determines appropriate4 7c7 ,duties ,the task force shall-- 7#a7 not later than #ahj days after the date on which the task force is convened under subsection 7a71 develop best practices for pain management 7including chronic and acute pain7 and prescribing pain medication1 taking into consideration-- 7,a7 existing pain management research2 7,b7 recommendations from relevant conferences2 7,c7 ongoing efforts at the ,state and local levels and by medical professional organizations to develop improved pain management strategies2 and 7,d7 the management of high-risk populations1 other than populations who suffer pain1 who-- 7i7 may use or be prescribed benzodiazepines1 alcohol1 and diverted opioids2 or 7ii7 receive opioids in the course of medical care2 7#b7 solicit and take into consideration public comment on the practices developed under paragraph 7#a71 amending such best practices if appropriate2 and 7#c7 develop a strategy for disseminating information about the best practices developed under paragraphs 7#a7 and 7#b7 to prescribers1 health professionals1 pharmacists1 ,state medical boards1 and other parties1 as the ,secretary determines appropriate4 7d7 ,limitation ,the task force shall not have rulemaking authority4 7e7 ,report ,not later than #bgj days after the date on which the task force is convened under subsection 7a71 the task force shall submit to ,congress a report that includes-- 7#a7 the strategy for disseminating best practices developed under subsection 7c72 7#b7 the results of a feasibility study on linking best practices developed under subsection 7c7 to receiving and renewing registrations under section #cjc7;f7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;f772 and 7#c7 recommendations on how to apply best practices developed under subsection 7c7 to improve prescribing practices at medical facilities1 including medical facilities of the ,veterans ,health ,administration4 #ajb4 ,national education campaign ,title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgaa et seq47 is amended by adding at the end the following3 ,,mm ,drug treatment grants #cjca4 ,definitions ,in this part-- 7#a7 the term civil liability protection law means a ,state law that protects from civil liability individuals who give aid on a voluntary basis in an emergency to individuals who are ill1 in peril1 or otherwise incapacitated2 7#b7 the term medication assisted treatment means the use1 for problems relating to heroin and other opioids1 of medications approved by the ,food and ,drug ,administration in combination with counseling and behavioral therapies2 7#c7 the term opioid means any drug having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability2 and 7#d7 the term ,single ,state ,authority for ,substance ,abuse has the meaning given the term in section #bja7;e7 of the ,second ,chance ,act of #bjjg 7#db ,u4,s4,c4 #ageba7;e774 #cjcb4 ,national education campaign 7a7 ,definitions ,in this section-- 7#a7 the term eligible entity means a ,state1 unit of local government1 or nonprofit organization2 and 7#b7 the terms elementary school and secondary school have the meaning given those terms in section #iaja of the ,elementary and ,secondary ,education ,act of #aife 7#bj ,u4,s4,c4 #ghja74 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services1 the ,director of the ,office of ,national ,drug ,control ,policy1 the ,secretary of ,education1 the ,administrator of the ,substance ,abuse and ,mental ,health ,services ,administration1 and the ,director of the ,centers for ,disease ,control and ,prevention1 may make grants to eligible entities to expand educational efforts to prevent abuse of opioids1 heroin1 and other substances of abuse1 understand addiction as a chronic disease1 and promote treatment and recovery1 including-- 7#a7 parent and caretaker-focused prevention efforts1 including-- 7,a7 the development of research-based community education online and social media materials with an accompanying toolkit that can be disseminated to communities to educate parents and other caretakers of teens on-- 7i7 how to educate teens about opioid and heroin abuse2 7ii7 how to intervene if a parent thinks or knows their teen is abusing opioids or heroin2 7iii7 signs of opioid or heroin overdose2 and 7iv7 the use of naloxone to prevent death from opioid or heroin overdose2 7,b7 the development of detailed digital and print educational materials to accompany the online and social media materials and toolkit described in subparagraph 7,a72 7,c7 the development and dissemination of public service announcements to-- 7i7 raise awareness of heroin and opioid abuse among parents and other caretakers2 7ii7 motivate parents and other caretakers to visit online educational materials on heroin and opioid abuse2 and 7iii7 provide information for public health agencies and nonprofit organizations that provide overdose reversal and prevention services and community referrals2 and 7,d7 the dissemination of educational materials to the media through-- 7i7 a town hall or panel discussion with experts2 7ii7 a press release2 7iii7 an online news release2 7iv7 a media tour2 and 7v7 sharable infographics2 7#b7 prevention efforts focused on teenagers1 young adults1 and college students1 including the development of-- 7,a7 a national digital campaign2 7,b7 a community education toolkit for use by community coalitions2 7,c7 evidence-based resources for prevention and treatment professionals targeting individuals who are between #ah and #bd years of age1 including college students2 and 7,d7 technical support centers for prevention and treatment professionals1 elementary and secondary school-based professionals1 and college-based professionals1 including recovery staff1 to implement and sustain evidence-based educational and prevention programs2 7#c7 campaigns to inform individuals about available resources to aid in recovery from substance use disorder2 7#d7 encouragement of individuals in or seeking recovery from substance use disorder to enter the health care system2 or 7#e7 adult-focused awareness efforts1 including efforts focused on older adults1 relating to prescription medication disposal1 opioid and heroin abuse1 signs of overdose1 and the use of naloxone for reversal4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program funded with a grant under this section2 7,b7 specifically explain how the measurements described in subparagraph 7,a7 will provide valid measures of the impact of the program described in subparagraph 7,a72 7,c7 describe how the program described in subparagraph 7,a7 could be broadly replicated if demonstrated to be effective2 7,d7 demonstrate that all planned services will be research-informed1 which may include evidence-based practices documented in-- 7i7 the report of the ,institute of ,medicine entitled ,preventing ,mental1 ,emotional1 and ,behavioral ,disorders ,among ,young ,people2 or 7ii7 the ,national ,registry of ,effective ,programs and ,practices 7commonly referred to as ,,nrepp7 of the ,substance ,abuse and ,mental ,health ,administration2 and 7,e7 demonstrate that the eligible entity will effectively integrate and sustain the program described in subparagraph 7,a7 into curriculum or community outreach efforts4 7d7 ,use of funds ,a grantee shall use a grant received under this section for expenses of educational efforts to-- 7#a7 prevent abuse of opioids1 heroin1 alcohol1 and other drugs2 or 7#b7 promote treatment and recovery4 7e7 ,duration ,the ,attorney ,general shall award grants under this section for a period not to exceed #b years4 7f7 ,priority consideration with respect to ,states ,in awarding grants to ,states under this section1 the ,attorney ,general shall give priority to a ,state that provides civil liability protection for first responders1 health professionals1 and family members administering naloxone to counteract opioid overdoses by-- 7#a7 enacting legislation that provides such civil liability protection2 or 7#b7 providing a certification by the attorney general of the ,state that the attorney general has-- 7,a7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,b7 concluded that the law described in subparagraph 7,a7 provides adequate civil liability protection applicable to such persons4 7g7 ,information sharing ,the ,office of the ,attorney ,general1 in coordination with the ,substance ,abuse and ,mental ,health ,services ,administration and the ,department of ,education1 shall review existing evidence-based programs and emerging practices and programs and provide information to schools and communities about such programs and practices4 7h7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #b1ejj1jjj for each of fiscal years #bjaf through #bjbj4 4 #ajc4 ,community-based coalition enhancement grants to address local drug crises ,part ,,mm of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as added by section #ajb1 is amended by adding at the end the following3 #cjcc4 ,community-based coalition enhancement grants to address local drug crises 7a7 ,definitions ,in this section-- 7#a7 the term ,drug-,free ,communities ,act of #aiig means chapter #b of the ,national ,narcotics ,leadership ,act of #aihh 7#ba ,u4,s4,c4 #aeba et seq472 7#b7 the term eligible entity means an organization that-- 7,a7 on or before the date of submitting an application for a grant under this section1 receives or has received a grant under the ,drug-,free ,communities ,act of #aiig2 and 7,b7 has documented1 using local data1 rates of abuse of opioids at levels that are-- 7i7 significantly higher than the national average as determined by the ,attorney ,general 7including appropriate consideration of the ,monitoring the ,future ,survey published by the ,national ,institute on ,drug ,abuse and the ,national ,survey on ,drug ,use and ,health by the ,substance ,abuse and ,mental ,health ,service ,administration72 or 7ii7 higher than the national average1 as determined by the ,attorney ,general 7including appropriate consideration of the surveys described in clause 7i771 over a sustained period of time2 and 7#c7 the term local drug crisis means1 with respect to the area served by an eligible entity-- 7,a7 a sudden increase in the abuse of opioids1 as documented by local data2 or 7,b7 the abuse of prescription medications1 specifically opioids1 that is significantly higher than the national average1 over a sustained period of time1 as documented by local data4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,director1 may make grants to eligible entities to implement comprehensive community-wide strategies that address local drug crises within the area served by the eligible entity4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,as part of an application for a grant under this section1 the ,attorney ,general shall require an eligible entity to submit a detailed1 comprehensive1 multi-sector plan for addressing the local drug crisis within the area served by the eligible entity4 7d7 ,use of funds ,an eligible entity shall use a grant received under this section-- 7#a7 for programs designed to implement comprehensive community-wide prevention strategies to address local drug crisis in the area served by the eligible entity1 in accordance with the plan submitted under subsection 7c77#b72 and 7#b7 to obtain specialized training and technical assistance from the organization funded under section #d of ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note74 7e7 ,grant amounts and duration 7#a7 ,amounts ,the ,attorney ,general may not award a grant under this section for a fiscal year in an amount that exceeds-- 7,a7 the amount of non-,federal funds raised by the eligible entity1 including in-kind contributions1 for that fiscal year2 or 7,b7 #ge1jjj4 7#b7 ,duration ,the ,attorney ,general shall award grants under this section for a period not to exceed #d years4 7f7 ,supplement not supplant ,an eligible entity shall use ,federal funds received under this section only to supplement the funds that would1 in the absence of those ,federal funds1 be made available from other ,federal and non-,federal sources for the activities described in this section1 and not to supplant those funds4 7g7 ,evaluation ,a grant under this section shall be subject to the same evaluation requirements and procedures as the evaluation requirements and procedures imposed on the recipient of a grant under the ,drug-,free ,communities ,act of #aiig4 7h7 ,limitation on administrative expenses ,not more than #h percent of the amounts made available pursuant to subsection 7i7 for a fiscal year may be used by the ,attorney ,general to pay for administrative expenses4 7i7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 ,,ii ,law enforcement and treatment #bja4 ,treatment alternative to incarceration programs ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #ajc1 is amended by adding at the end the following3 #cjcd4 ,treatment alternative to incarceration programs 7a7 ,definitions ,in this section-- 7#a7 the term eligible entity means a ,state1 unit of local government1 ,indian tribe1 or nonprofit organization2 and 7#b7 the term eligible participant means an individual who-- 7,a7 comes into contact with the juvenile justice system or criminal justice system or is arrested or charged with an offense2 7,b7 has a history of or a current-- 7i7 substance use disorder2 7ii7 mental illness2 or 7iii7 co-occurring mental illness and substance use disorders2 and 7,c7 has been approved for participation in a program funded under this section by1 as applicable depending on the stage of the criminal justice process1 the relevant law enforcement agency or prosecuting attorney1 defense attorney1 probation or corrections official1 judge1 or representative from the relevant mental health or substance abuse agency4 7b7 ,program authorized ,the ,attorney ,general may make grants to eligible entities to develop1 implement1 or expand a treatment alternative to incarceration program for eligible participants1 including-- 7#a7 pre-booking treatment alternative to incarceration programs1 including-- 7,a7 law enforcement training on substance use disorders1 mental illness1 and co-occurring mental illness and substance use disorders2 7,b7 receiving centers as alternatives to incarceration of eligible participants2 7,c7 specialized response units for calls related to substance use disorders1 mental illness1 and co-occurring mental illness and substance use disorders2 and 7,d7 other arrest and pre-booking treatment alternative to incarceration models2 and 7#b7 post-booking treatment alternative to incarceration programs1 including-- 7,a7 specialized clinical case management2 7,b7 pre-trial services related to substances use disorders1 mental illness1 and co-occurring mental illness and substance use disorders2 7,c7 prosecutor and defender based programs2 7,d7 specialized probation2 7,e7 programs utilizing the ,american ,society of ,addiction ,medicine patient placement criteria2 7,f7 treatment and rehabilitation programs and recovery support services2 and 7,g7 drug courts1 ,,dwi courts1 and veterans treatment courts4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 provide extensive evidence of collaboration with ,state and local government agencies overseeing health1 community corrections1 courts1 prosecution1 substance abuse1 mental health1 victims services1 and employment services1 and with local law enforcement agencies2 7,b7 demonstrate consultation with the ,single ,state ,authority for ,substance ,abuse2 7,c7 demonstrate that evidence-based treatment practices will be utilized2 and 7,d7 demonstrate that evidenced-based screening and assessment tools will be utilized to place participants in the treatment alternative to incarceration program4 7d7 ,requirements ,each eligible entity awarded a grant for a treatment alternative to incarceration program under this section shall-- 7#a7 determine the terms and conditions of participation in the program by eligible participants1 taking into consideration the collateral consequences of an arrest1 prosecution1 or criminal conviction2 7#b7 ensure that each substance abuse and mental health treatment component is licensed and qualified by the relevant jurisdiction2 7#c7 for programs described in subsection 7b77#b71 organize an enforcement unit comprised of appropriately trained law enforcement professionals under the supervision of the ,state1 tribal1 or local criminal justice agency involved1 the duties of which shall include-- 7,a7 the verification of addresses and other contacts of each eligible participant who participates or desires to participate in the program2 and 7,b7 if necessary1 the location1 apprehension1 arrest1 and return to court of an eligible participant in the program who has absconded from the facility of a treatment provider or has otherwise violated the terms and conditions of the program1 consistent with ,federal and ,state confidentiality requirements2 7#d7 notify the relevant criminal justice entity if any eligible participant in the program absconds from the facility of the treatment provider or otherwise violates the terms and conditions of the program1 consistent with ,federal and ,state confidentiality requirements2 7#e7 submit periodic reports on the progress of treatment or other measured outcomes from participation in the program of each eligible offender participating in the program to the relevant ,state1 tribal1 or local criminal justice agency2 7#f7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program1 and specifically explain how such measurements will provide valid measures of the impact of the program2 and 7#g7 describe how the program could be broadly replicated if demonstrated to be effective4 7e7 ,use of funds ,an eligible entity shall use a grant received under this section for expenses of a treatment alternative to incarceration program1 including-- 7#a7 salaries1 personnel costs1 equipment costs1 and other costs directly related to the operation of the program1 including the enforcement unit2 7#b7 payments for treatment providers that are approved by the relevant ,state or tribal jurisdiction and licensed1 if necessary1 to provide needed treatment to eligible offenders participating in the program1 including medication assisted treatment1 aftercare supervision1 vocational training1 education1 and job placement2 and 7#c7 payments to public and nonprofit private entities that are approved by the ,state or tribal jurisdiction and licensed1 if necessary1 to provide alcohol and drug addiction treatment and mental health treatment to eligible offenders participating in the program4 7f7 ,supplement not supplant ,an eligible entity shall use ,federal funds received under this section only to supplement the funds that would1 in the absence of those ,federal funds1 be made available from other ,federal and non-,federal sources for the activities described in this section1 and not to supplant those funds4 7g7 ,geographic distribution ,the ,attorney ,general shall ensure that1 to the extent practicable1 the geographical distribution of grants under this section is equitable and includes a grant to an eligible entity in-- 7#a7 each ,state2 7#b7 rural1 suburban1 and urban areas2 and 7#c7 tribal jurisdictions4 7h7 ,priority consideration with respect to ,states ,in awarding grants to ,states under this section1 the ,attorney ,general shall give priority to a ,state that provides civil liability protection for first responders1 health professionals1 and family members administering naloxone to counteract opioid overdoses by-- 7#a7 enacting legislation that provides such civil liability protection2 or 7#b7 providing a certification by the attorney general of the ,state that the attorney general has-- 7,a7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,b7 concluded that the law described in subparagraph 7,a7 provides adequate civil liability protection applicable to such persons4 7i7 ,reports and evaluations 7#a7 ,in general ,each fiscal year1 each recipient of a grant under this section during that fiscal year shall submit to the ,attorney ,general a report on the outcomes of activities carried out using that grant in such form1 containing such information1 and on such dates as the ,attorney ,general shall specify4 7#b7 ,contents ,a report submitted under paragraph 7#a7 shall-- 7,a7 describe best practices for treatment alternatives2 and 7,b7 identify training requirements for law enforcement officers who participate in treatment alternative to incarceration programs4 7j7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 #bjb4 ,law enforcement naloxone training and implementation demonstration ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #bja1 is amended by adding at the end the following3 #cjce4 ,law enforcement naloxone training and implementation demonstration 7a7 ,definition ,in this section1 the term eligible entity means a ,state1 local1 or tribal law enforcement agency4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services and the ,director of the ,office of ,national ,drug ,control ,policy1 may make grants to eligible entities to create a demonstration law enforcement program to prevent opioid and heroin overdose death4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program funded with a grant under this section1 and specifically explain how such measurements will provide valid measures of the impact of the program2 7,b7 describe how the program could be broadly replicated if demonstrated to be effective2 7,c7 identify the governmental and community agencies that the program will coordinate2 and 7,d7 describe how law enforcement agencies will coordinate with their corresponding ,state substance abuse and mental health agencies to identify protocols and resources that are available to victims and families1 including information on treatment and recovery resources4 7d7 ,use of funds ,an eligible entity shall use a grant received under this section to-- 7#a7 make naloxone available to be carried and administered by law enforcement officers2 7#b7 train and provide resources for law enforcement officers on carrying and administering naloxone for the prevention of opioid and heroin overdose death2 and 7#c7 establish processes1 protocols1 and mechanisms for referral to treatment4 7e7 ,grant amounts and duration 7#a7 ,maximum amount ,the ,attorney ,general may not award a grant under this section in an amount that exceeds #ejj1jjj4 7#b7 ,duration ,the ,attorney ,general shall award grants under this section for a period not to exceed #b years4 7f7 ,technical assistance grants ,the ,attorney ,general shall make a grant for the purpose of providing technical assistance and training on the use of naloxone to reverse overdose deaths and mechanisms for referral to treatment for an eligible entity receiving a grant under this section4 7g7 ,evaluation ,the ,attorney ,general shall conduct an evaluation of grants made under this section to determine-- 7#a7 the number of officers equipped with naloxone for the prevention of fatal opioid and heroin overdose2 7#b7 the number of opioid and heroin overdoses reversed by officers receiving training and supplies of naloxone through a grant received under this section2 7#c7 the number of calls for service related to opioid and heroin overdose2 7#d7 the extent to which overdose victims and families receive information about treatment services and available data describing treatment admissions2 and 7#e7 the research1 training1 and naloxone supply needs of law enforcement and first responder agencies1 including those agencies that are not receiving grants under this section4 7h7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 #bjc4 ,prescription drug take back expansion ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #bjb1 is amended by adding at the end the following3 #cjcf4 ,prescription drug take back expansion 7a7 ,definition ,in this section1 the term eligible entity means-- 7#a7 a ,state1 local1 or tribal law enforcement agency2 7#b7 a manufacturer1 distributor1 or reverse distributor of prescription medications2 7#c7 a retail pharmacy2 7#d7 a registered narcotic treatment program2 7#e7 a hospital or clinic with an on-site pharmacy2 7#f7 an eligible long-term care facility2 or 7#g7 any other entity authorized by the ,drug ,enforcement ,administration to dispose of prescription medications4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,administrator of the ,drug ,enforcement ,administration1 the ,secretary of ,health and ,human ,services1 and the ,director of the ,office of ,national ,drug ,control ,policy1 may make grants to eligible entities to expand or make available disposal sites for unwanted prescription medications4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program funded with a grant under this section1 and specifically explain how such measurements will provide valid measures of the impact of the program2 7,b7 describe how the program could be broadly replicated if demonstrated to be effective2 and 7,c7 identify the governmental and community agencies that will coordinate the program4 7d7 ,use of funds ,an eligible entity shall use a grant received under this section for-- 7#a7 expenses of a prescription drug disposal site1 including materials and resources2 7#b7 implementing disposal procedures and processes2 7#c7 implementing community education strategies1 including community education materials and resources2 7#d7 replicating a prescription drug take back initiative throughout multiple jurisdictions2 and 7#e7 training of law enforcement officers and other community participants4 7e7 ,grant amounts and duration 7#a7 ,maximum amount ,the ,attorney ,general may not award a grant under this section in an amount that exceeds #bej1jjj4 7#b7 ,duration ,the ,attorney ,general shall award grants under this section for a period not to exceed #b years4 7f7 ,technical assistance grant ,the ,attorney ,general shall make a grant to a national nonprofit organization to provide technical assistance and training for an eligible entity receiving a grant under this section4 7g7 ,evaluation 7#a7 ,in general ,the ,attorney ,general shall make a grant for evaluation of the performance of each eligible entity receiving a grant under this section4 7#b7 ,reports ,each fiscal year1 the recipient of a grant under this subsection shall submit to the ,attorney ,general a report that evaluates-- 7,a7 the effectiveness of the prescription drug take back program of each eligible entity receiving a grant under this section2 and 7,b7 the effect of disposal efforts on drug circulation4 7h7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #b1ejj1jjj for each of fiscal years #bjaf through #bjbj4 4 ,,iii ,treatment and recovery #cja4 ,evidence-based opioid and heroin treatment and interventions demonstration ,subpart #a of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is amended-- 7#a7 by redesignating section #ead 7#db ,u4,s4,c4 #bij;bb-#i71 as added by section #cfcb of the ,methamphetamine ,anti-,proliferation ,act of #bjjj 7,public ,law #ajf-caj2 #aad ,stat4 #abcf71 as section #ead;,b2 and 7#b7 by adding at the end the following3 #ead;,c4 ,evidence-based opioid and heroin treatment and interventions demonstration 7a7 ,grants 7#a7 ,authority to make grants ,the ,director of the ,center for ,substance ,abuse ,treatment 7referred to in this section as the ,director7 may award grants to ,state substance abuse agencies1 units of local government1 nonprofit organizations1 and ,indian tribes or tribal organizations 7as defined in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc77 that have a high rate1 or have had a rapid increase1 in the use of heroin or other opioids1 in order to permit such entities to expand activities1 including an expansion in the availability of medication assisted treatment1 with respect to the treatment of addiction in the specific geographical areas of such entities where there is a rate or rapid increase in the use of heroin or other opioids4 7#b7 ,recipients ,the entities receiving grants under paragraph 7#a7 shall be selected by the ,director4 7#c7 ,nature of activities ,the grant funds awarded under paragraph 7#a7 shall be used for activities that are based on reliable scientific evidence of efficacy in the treatment of problems related to heroin or other opioids4 7b7 ,geographic distribution ,the ,director shall ensure that grants awarded under subsection 7a7 are distributed equitably among the various regions of the ,nation and among rural1 urban1 and suburban areas that are affected by the use of heroin or other opioids4 7c7 ,additional activities ,the ,director shall-- 7#a7 evaluate the activities supported by grants awarded under subsection 7a72 7#b7 disseminate widely such significant information derived from the evaluation as the ,director considers appropriate2 7#c7 provide ,states1 ,indian tribes and tribal organizations1 and providers with technical assistance in connection with the provision of treatment of problems related to heroin and other opioids2 and 7#d7 fund only those applications that specifically support recovery services as a critical component of the grant program4 7d7 ,definition ,the term medication assisted treatment means the use1 for problems relating to heroin and other opioids1 of medications approved by the ,food and ,drug ,administration in combination with counseling and behavioral therapies4 7e7 ,authorization of appropriations 7#a7 ,in general ,there are authorized to be appropriated to carry out this section #ab1jjj1jjj for fiscal year #bjaf and such sums as may be necessary for each of fiscal years #bjaf through #bjbj4 7#b7 ,use of certain funds ,of the funds appropriated to carry out this section in any fiscal year1 the lesser of #e percent of such funds or #a1jjj1jjj shall be available to the ,director for purposes of carrying out subsection 7c74 4 #cjb4 ,criminal justice medication assisted treatment and interventions demonstration ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #bjc1 is amended by adding at the end the following3 #cjcg4 ,criminal justice medication assisted treatment and interventions demonstration 7a7 ,definitions ,in this section-- 7#a7 the term criminal justice agency means a ,state1 local1 or tribal-- 7,a7 court2 7,b7 prison2 7,c7 jail2 or 7,d7 other agency that performs the administration of criminal justice1 including prosecution1 pretrial services1 and community supervision2 and 7#b7 the term eligible entity means a ,state1 unit of local government1 or ,indian tribe4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services and the ,director of the ,office of ,national ,drug ,control ,policy1 may make grants to eligible entities to implement medication assisted treatment programs through criminal justice agencies4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,attorney ,general-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 certify that each medication assisted treatment program funded with a grant under this section has been developed in consultation with the ,single ,state ,authority for ,substance ,abuse2 and 7,b7 describe how data will be collected and analyzed to determine the effectiveness of the program described in subparagraph 7,a74 7d7 ,use of funds ,an eligible entity shall use a grant received under this section for expenses of-- 7#a7 a medication assisted treatment program1 including the expenses of prescribing medications recognized by the ,food and ,drug ,administration for opioid treatment in conjunction with psychological and behavioral therapy2 7#b7 training criminal justice agency personnel and treatment providers on medication assisted treatment2 7#c7 cross-training personnel providing behavioral health and health services1 administration of medicines1 and other administrative expenses1 including required reports2 and 7#d7 the provision of recovery coaches who are responsible for providing mentorship and transition plans to individuals reentering society following incarceration or alternatives to incarceration4 7e7 ,grant amounts and duration 7#a7 ,maximum amount ,the ,attorney ,general may not award a grant under this section in an amount that exceeds #gej1jjj4 7#b7 ,duration ,the ,attorney ,general shall award grants under this section for a period not to exceed #b years4 7f7 ,priority consideration with respect to ,states ,in awarding grants to ,states under this section1 the ,attorney ,general shall give priority to a ,state that provides civil liability protection for first responders1 health professionals1 and family members administering naloxone to counteract opioid overdoses by-- 7#a7 enacting legislation that provides such civil liability protection2 or 7#b7 providing a certification by the attorney general of the ,state that the attorney general has-- 7,a7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,b7 concluded that the law described in subparagraph 7,a7 provides adequate civil liability protection applicable to such persons4 7g7 ,technical assistance ,the ,attorney ,general1 in coordination with the ,director of the ,national ,institute on ,drug ,abuse and the ,secretary of ,health and ,human ,services1 shall provide technical assistance and training for an eligible entity receiving a grant under this section4 7h7 ,reports 7#a7 ,in general ,an eligible entity receiving a grant under this subsection shall submit a report to the ,attorney ,general on the outcomes of each grant received under this section for individuals receiving medication assisted treatment1 based on-- 7,a7 the recidivism of the individuals2 7,b7 the treatment outcomes of the individuals1 including maintaining abstinence from illegal1 unauthorized1 and unprescribed or undispensed opioids and heroin2 7,c7 a comparison of the cost of providing medication assisted treatment to the cost of incarceration or other participation in the criminal justice system2 7,d7 the housing status of the individuals2 and 7,e7 the employment status of the individuals4 7#b7 ,contents and timing ,each report described in paragraph 7#a7 shall be submitted annually in such form1 containing such information1 and on such dates as the ,attorney ,general shall specify4 7i7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 #cjc4 ,national youth recovery initiative 7a7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means-- 7,a7 a high school that has been accredited as a recovery high school by the ,association of ,recovery ,schools2 7,b7 an accredited high school that is seeking to establish or expand recovery support services2 7,c7 an institution of higher education2 7,d7 a recovery program at a nonprofit collegiate institution2 or 7,e7 a nonprofit organization4 7#b7 ,institution of higher education ,the term institution of higher education has the meaning given the term in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,recovery program ,the term recovery program-- 7,a7 means a program to help individuals who are recovering from substance use disorders to initiate1 stabilize1 and maintain healthy and productive lives in the community2 and 7,b7 includes peer-to-peer support and communal activities to build recovery skills and supportive social networks4 7b7 ,grants authorized ,the ,,ondcp ,recovery ,branch1 in consultation with the ,secretary of ,education1 may award grants to eligible entities to enable the entities to-- 7#a7 provide substance use recovery support services to young people in high school and enrolled in institutions of higher education2 7#b7 help build communities of support for young people in recovery through a spectrum of activities such as counseling and healthy and wellness-oriented social activities2 and 7#c7 encourage initiatives designed to help young people achieve and sustain recovery from substance use disorders4 7c7 ,use of funds ,grants awarded under subsection 7b7 may be used for activities to develop1 support1 and maintain youth recovery support services1 including-- 7#a7 the development and maintenance of a dedicated physical space for recovery programs2 7#b7 dedicated staff for the provision of recovery programs2 7#c7 healthy and wellness-oriented social activities and community engagement2 7#d7 establishment of recovery high schools2 7#e7 coordination of recovery programs with-- 7,a7 substance use disorder treatment programs and systems2 7,b7 providers of mental health services2 7,c7 primary care providers2 7,d7 the criminal justice system1 including the juvenile justice system2 7,e7 employers2 7,f7 housing services2 7,g7 child welfare services2 7,h7 institutions of secondary higher education and institutions of higher education2 and 7,i7 other programs or services related to the welfare of an individual in recovery from a substance use disorder2 7#f7 the development of peer-to-peer support programs or services2 and 7#g7 additional activities that help youths and young adults to achieve recovery from substance use disorders4 7d7 ,resource center ,the ,,ondcp ,recovery ,branch shall establish a resource center to provide technical support to recipients of grants under this section4 7e7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #c1jjj1jjj for fiscal year #bjaf and each of the #e succeeding fiscal years4 #cjd4 ,building communities of recovery 7a7 ,definition ,in this section1 the term recovery community organization means an independent nonprofit organization that-- 7#a7 mobilizes resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from substance use disorders2 and 7#b7 is wholly or principally governed by people in recovery for substance use disorders who reflect the community served4 7b7 ,grants authorized ,the ,,ondcp ,recovery ,branch1 in consultation with the ,substance ,abuse and ,mental ,health ,services ,administration1 may award grants to recovery community organizations to enable such organizations to develop1 expand1 and enhance recovery services4 7c7 ,maximum grant amount ,the ,,ondcp ,recovery ,branch may not award a grant under this section in an amount that exceeds #bjj1jjj4 7d7 ,federal share ,the ,federal share of the costs of a program funded by a grant under this section may not exceed #ej percent4 7e7 ,use of funds ,grants awarded under subsection 7b7-- 7#a7 shall be used to develop1 expand1 and enhance community and statewide recovery support services2 and 7#b7 may be used to-- 7,a7 advocate for individuals in recovery from substance use disorders2 7,b7 build connections between recovery networks1 between recovery community organizations1 and with other recovery support services1 including-- 7i7 substance use disorder treatment programs and systems2 7ii7 providers of mental health services2 7iii7 primary care providers2 7iv7 the criminal justice system2 7v7 employers2 7vi7 housing services2 7vii7 child welfare agencies2 and 7viii7 other recovery support services that facilitate recovery from substance use disorders2 7,c7 reduce the stigma associated with substance use disorders2 7,d7 conduct public education and outreach on issues relating to substance use disorders and recovery1 including-- 7i7 how to identify the signs of addiction2 7ii7 the resources that are available for individuals struggling with addiction2 7iii7 the resources that are available to help support individuals in recovery2 and 7iv7 information on the medical consequences of substance use disorders1 including neonatal abstinence syndrome and potential infection with human immunodeficiency virus and viral hepatitis2 and 7,e7 carry out other activities that strengthen the network of community support for individuals in recovery4 7f7 ,resource center ,the ,,ondcp ,recovery ,branch shall establish a resource center to provide technical assistance to recipients of grants under this section and to provide information to individuals seeking to support people in recovery from substance use disorders4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1gjj1jjj in fiscal year #bjaf and each of the #c succeeding fiscal years4 ,,iv ,addressing collateral consequences #dja4 ,correctional education demonstration grant program ,title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgaa et seq47 is amended-- 7#a7 by redesignating part ,,kk as part ,,ll2 7#b7 by redesignating sections #cjaa and #cjab as sections #cjba and #cjbb1 respectively2 and 7#c7 by inserting before part ,,ll1 as redesignated1 the following3 ,,kk ,correctional education demonstration grant program #cjaa4 ,correctional education demonstration grant program 7a7 ,definition ,in this section1 the term eligible entity means a ,state1 unit of local government1 nonprofit organization1 or ,indian tribe4 7b7 ,grant program authorized ,the ,attorney ,general may make grants of not more than #gej1jjj to eligible entities to design1 implement1 and expand educational programs for offenders in prisons1 jails1 and juvenile facilities1 including to pay for-- 7#a7 basic education1 secondary level academic education1 high school equivalency examination preparation1 career technical education1 and ,english as a second language instruction at the basic1 secondary1 or post-secondary levels1 for adult and juvenile populations2 7#b7 screening and assessment of inmates to assess education level1 needs1 occupational interest or aptitude1 risk level1 and other needs1 and case management services2 7#c7 hiring and training of instructors and aides1 reimbursement of non-corrections staff and experts1 reimbursement of stipends paid to inmate tutors or aides1 and the costs of training inmate tutors and aides2 7#d7 instructional supplies and equipment1 including occupational program supplies and equipment to the extent that the supplies and equipment are used for instructional purposes2 7#e7 partnerships and agreements with community colleges1 universities1 and career technology education program providers1 including tuition payments2 7#f7 certification programs providing recognized high school equivalency certificates and industry recognized credentials2 and 7#g7 technology solutions to-- 7,a7 meet the instructional1 assessment1 and information needs of correctional populations2 and 7,b7 facilitate the continued participation of incarcerated students in community-based education programs after the students are released from incarceration4 7c7 ,application ,an eligible entity desiring a grant under this section shall submit to the ,attorney ,general an application in such form and manner1 at such time1 and accompanied by such information as the ,attorney ,general specifies4 7d7 ,priority considerations ,in awarding grants under this section1 the ,attorney ,general shall give priority to applicants that-- 7#a7 assess the level of risk and need of inmates1 including by-- 7,a7 assessing the need for ,english as a second language instruction2 7,b7 conducting educational assessments2 and 7,c7 assessing occupational interests and aptitudes2 7#b7 target educational services to assessed needs1 including academic and occupational at the basic1 secondary1 or post-secondary level2 7#c7 target career technology education programs to-- 7,a7 areas of identified occupational demand2 and 7,b7 employment opportunities in the communities in which students are reasonably expected to reside post-release2 7#d7 include a range of appropriate educational opportunities at the basic1 secondary1 and post-secondary levels2 7#e7 include opportunities for students to attain industry recognized credentials2 7#f7 include partnership or articulation agreements linking institutional education programs with community sited programs provided by adult education program providers and accredited institutions of higher education1 community colleges1 and vocational training institutions2 and 7#g7 explicitly include career pathways models offering opportunities for incarcerated students to develop academic skills1 in-demand occupational skills and credentials1 occupational experience in institutional work programs or work release programs1 and linkages with employers in the community1 so that incarcerated students have opportunities to embark on careers with strong prospects for both post-release employment and advancement in a career ladder over time4 7e7 ,requirements ,an eligible entity desiring a grant under this section shall-- 7#a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate each program funded with a grant under this section1 and specifically explain how such measurements will provide valid measures of the impact of the program2 and 7#b7 describe how the program described in paragraph 7#a7 could be broadly replicated if demonstrated to be effective4 7f7 ,control of internet access ,an entity that receives a grant under this section shall restrict access to the ,internet by prisoners1 as appropriate1 to ensure public safety4 #cjab4 ,authorization of appropriations ,there are authorized to be appropriated #e1jjj1jjj to carry out this part for fiscal years #bjaf through #bjbj4 4 #djb4 ,revision of ,,fafsa form ,section #dhc of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajij7 is amended by adding at the end the following3 7i7 ,convictions ,the ,secretary shall not include any question about the conviction of an applicant for the possession or sale of illegal drugs on the ,,fafsa 7or any other form developed under subsection 7a774 4 #djc4 ,national ,task ,force on ,recovery and ,collateral ,consequences 7a7 ,definition ,in this section1 the term collateral consequence means a penalty1 disability1 or disadvantage-- 7#a7 imposed on an individual as a result of a criminal conviction but not as part of the judgment of the court that imposes the conviction2 or 7#b7 that an administrative agency1 official1 or civil court is authorized1 but not required1 to impose on an individual convicted of a felony1 misdemeanor1 or other criminal offense4 7b7 ,establishment 7#a7 ,in general ,not later than #cj days after the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services 7in this section referred to as the ,secretary7 shall establish a bipartisan task force to be known as the ,task ,force on ,recovery and ,collateral ,consequences 7in this section referred to as the ,task ,force74 7#b7 ,membership 7,a7 ,total number of members ,the ,task ,force shall include #aj members1 who shall be appointed by the ,secretary in accordance with subparagraphs 7,b7 and 7,c74 7,b7 ,members of the task force ,the ,task ,force shall include-- 7i7 members who have national recognition and significant expertise in areas such as health care1 housing1 employment1 substance use disorder1 mental health1 law enforcement1 and law2 7ii7 not fewer than #b members-- 7,i7 who have personally experienced substance abuse or addiction and are in recovery2 and 7,,ii7 not fewer than #a one of whom has benefited from medication assisted treatment2 and 7iii7 to the extent practicable1 members who formerly served as elected officials at the ,state and ,federal levels4 7,c7 ,timing ,the ,secretary shall appoint the members of the ,task ,force not later than #fj days after the date on which the ,task ,force is established under paragraph 7#a74 7#c7 ,chairperson ,the ,task ,force shall select a chairperson or co-chairpersons from among the members of the ,task ,force4 7c7 ,duties of the task force 7#a7 ,in general ,the ,task ,force shall-- 7,a7 identify collateral consequences for individuals with ,federal or ,state drug convictions who are in recovery for substance use disorder2 and 7,b7 determine whether the collateral consequences identified under subparagraph 7,a7 unnecessarily delay individuals in recovery from resuming their personal and professional activities4 7#b7 ,recommendations ,not later than #ahj days after the date of the first meeting of the ,task ,force1 the ,task ,force shall develop recommendations for proposed legislative and regulatory changes to reduce and1 to the extent practicable1 eliminate the collateral consequences identified by the ,task ,force under paragraph 7#a74 7#c7 ,collection of information ,the ,task ,force shall hold hearings1 require the testimony and attendance of witnesses1 and secure information from any department or agency of the ,united ,states in performing the duties under paragraphs 7#a7 and 7#b74 7#d7 ,report ,not later than #a year after the date of the first meeting of the ,task ,force1 the ,task ,force shall submit a report detailing the findings and recommendations of the ,task ,force to-- 7,a7 each relevant committee of ,congress2 7,b7 the head of each relevant department or agency of the ,united ,states2 7,c7 the ,president2 and 7,d7 the ,vice ,president4 ,v ,addiction and treatment services for women1 families1 and veterans #eja4 ,authority to award competitive grants to address opioid and heroin abuse by pregnant and parenting female offenders ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #cjb1 is amended by adding at the end the following3 #cjch4 ,authority to award competitive grants to address opioid and heroin abuse by pregnant and parenting female offenders 7a7 ,definitions ,in this section-- 7#a7 the term ,state criminal justice agency means the agency of the ,state responsible for administering criminal justice funds1 including the ,edward ,byrne ,memorial ,justice ,assistance ,grant ,program under subpart #a of part ,e2 and 7#b7 the term ,state substance abuse agency means the agency of the ,state responsible for the ,state prevention1 treatment1 and recovery system1 including management of the ,substance ,abuse ,prevention and ,treatment ,block ,grant under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq474 7b7 ,purpose and program authority 7#a7 ,grant authorization ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services1 may award competitive grants jointly to a ,state substance abuse agency and a ,state criminal justice agency to address the use of opioids and heroin among pregnant and parenting female offenders in the ,state to promote public safety1 public health1 family permanence1 and well-being4 7#b7 ,purposes and program authority ,a grant under this section shall be used to facilitate or enhance collaboration between the ,state criminal justice and ,state substance abuse systems in order to carry out programs to address the use of opioid and heroin abuse by pregnant and parenting female offenders4 7c7 ,applications 7#a7 ,in general ,a ,state substance abuse agency and ,state criminal justice agency desiring a grant under this section shall jointly submit to the ,attorney ,general an application in such form1 and containing such information1 as the ,attorney ,general may prescribe by regulation or guidelines4 7#b7 ,contents 7,a7 ,in general ,each application for a grant under this section shall contain a plan to expand the services of the ,state for pregnant and parenting female offenders for the use of opioids1 heroin1 and other drugs1 which shall be in accordance with regulations or guidelines established by the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services4 7,b7 ,plan ,a plan submitted under subparagraph 7,a7 shall1 at a minimum1 include-- 7i7 a description of how the applicants will work jointly to address the needs associated with the use of opioids or heroin by pregnant and parenting female offenders to promote family stability and permanence2 7ii7 a description of the nature and the extent of the problem of opioid and heroin use by pregnant and parenting female offenders in the ,state2 7iii7 a certification that the ,state has involved counties and other units of local government1 when appropriate1 in the development1 expansion1 modification1 operation1 or improvement of proposed programs to address the problems associated with opioid and heroin use2 7iv7 a certification that funds received under this section will be used to supplement1 not supplant1 other ,federal1 ,state1 and local funds2 and 7v7 a description of clinically appropriate practices and procedures to-- 7,i7 screen and assess pregnant and parenting female offenders for problems associated with opioids and heroin2 7,,ii7 screen and assess pregnant and parenting female offenders demonstrating problems associated with opioids and heroin for co-occurring mental disorders2 7,,iii7 provide clinically appropriate services1 including medication assisted treatment1 for female offenders and their children in the same location to promote family permanence and self-sufficiency2 and 7,,iv7 provide for a process to enhance or ensure the abilities of the ,state criminal justice agency and ,state substance abuse agency to work together to reunite families when appropriate in the case where family treatment is not provided4 7d7 ,period of grant2 renewal 7#a7 ,period ,a grant under this section shall be for a period of #c years4 7#b7 ,renewal ,a ,state substance abuse agency and a ,state criminal justice agency receiving a grant under this section may apply for and1 after the end of the period of the first grant under this section1 receive #a additional grant under this section4 7e7 ,performance accountability2 reports 7#a7 ,reports ,a ,state substance abuse agency and a ,state criminal justice agency receiving a grant under this section shall jointly submit to the ,attorney ,general a report on the activities carried out under the grant at the end of each fiscal year during the period of the grant4 7#b7 ,evaluation ,not later than #a year after the end of the period of a grant under this section1 the ,attorney ,general shall submit a report to each committee of ,congress with jurisdiction of the program under this section that summarizes the reports of the recipients of the grant and provides recommendations1 if any1 for further legislative action4 7f7 ,training and technical assistance ,the ,attorney ,general shall support ,state substance abuse and ,state criminal justice agencies by developing1 in consultation with ,state substance abuse and ,state criminal justice agencies1 and offering a program of training and technical assistance to assist the agencies in developing programs and protocols-- 7#a7 to implement this section2 and 7#b7 for effectively working across the ,federal and ,state criminal and substance abuse systems4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #e1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 #ejb4 ,grants for family-based substance abuse treatment ,section #bibe of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgigs-#d7 is amended-- 7#a7 by striking ,an entity and inserting 7a7 ,entity ,reports4--,an entity2 and 7#b7 by adding at the end the following3 7b7 ,attorney general report on family-,based substance abuse treatment ,the ,attorney ,general shall submit to ,congress an annual report that describes the number of grants awarded under section #biba7a7 and how such grants are used by the recipients for family-based substance abuse treatment programs that serve as alternatives to incarceration for custodial parents to receive treatment and services as a family4 4 #ejc4 ,veterans' treatment courts ,section #biia of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7 is amended-- 7#a7 by redesignating subsection 7i7 as subsection 7j72 7#b7 by inserting after subsection 7h7 the following3 7i7 ,assisting veterans 7#a7 ,definitions ,in this subsection3 7,a7 ,peer to peer services or programs ,the term peer to peer services or programs means services or programs that connect qualified veterans with other veterans for the purpose of providing support and mentorship to assist qualified veterans in obtaining treatment1 recovery1 stabilization1 or rehabilitation4 7,b7 ,qualified veteran ,the term qualified veteran means a preliminarily qualified offender who-- 7i7 has served on active duty in any branch of the ,armed ,forces1 including the ,national ,guard and reserve components2 and 7ii7 7,i7 was discharged or released from such service under conditions other than dishonorable2 or 7,,ii7 was discharged or released from such service under dishonorable conditions1 if the reason for that discharge or release1 if known1 is attributable to drug use4 7,c7 ,veterans treatment court program ,the term veterans treatment court program means a court program involving collaboration among criminal justice1 veterans1 and mental health and substance abuse agencies that provides qualified veterans with-- 7i7 intensive judicial supervision and case management1 which may include random and frequent drug testing where appropriate2 7ii7 a full continuum of treatment services1 including mental health services1 substance abuse services1 medical services1 and services to address trauma2 7iii7 alternatives to incarceration2 and 7iv7 other appropriate services1 including housing1 transportation1 mentoring1 employment1 job training1 education1 and assistance in applying for and obtaining available benefits4 7#b7 ,veterans assistance program 7,a7 ,in general ,the ,attorney ,general1 in consultation with the ,secretary of ,veterans ,affairs1 may award grants under this subsection to applicants to establish or expand-- 7i7 veterans treatment court programs2 7ii7 peer to peer services or programs for qualified veterans2 7iii7 practices that identify and provide treatment1 rehabilitation1 legal1 transitional1 and other appropriate services to qualified veterans who have been incarcerated2 and 7iv7 training programs to teach criminal justice1 law enforcement1 corrections1 mental health1 and substance abuse personnel how to identify and appropriately respond to incidents involving qualified veterans4 7,b7 ,priority ,in awarding grants under this subsection1 the ,attorney ,general shall give priority to applications that-- 7i7 demonstrate collaboration between and joint investments by criminal justice1 mental health1 substance abuse1 and veterans service agencies2 7ii7 promote effective strategies to identify and reduce the risk of harm to qualified veterans and public safety2 and 7iii7 propose interventions with empirical support to improve outcomes for qualified veterans4 2 and 7#c7 in subsection 7j71 as so redesignated-- 7,a7 by redesignating paragraph 7#b7 as paragraph 7#c72 and 7,b7 by inserting after paragraph 7#a7 the following3 7#b7 ,veterans treatment courts ,in addition to the amounts authorized under paragraph 7#a71 there are authorized to be appropriated to the ,attorney ,general #e1jjj1jjj for each of fiscal years #bjaf through #bjbj to carry out subsection 7i74 4 ,,vi ,incentivizing ,state comprehensive initiatives to address opioid and heroin abuse #fja4 ,state demonstration grants for comprehensive opioid abuse response ,part ,,mm of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh1 as amended by section #eja1 is amended by adding at the end the following3 #cjci4 ,state demonstration grants for comprehensive opioid abuse response 7a7 ,definitions ,in this section-- 7#a7 the term dispenser has the meaning given the term in section #ajb of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hjb72 7#b7 the term prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance does not include a prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance that dispenses the substance-- 7,a7 for use on the premises on which the substance is dispensed2 7,b7 in a hospital emergency room1 when the substance is in short supply2 7,c7 for a certified opioid treatment program2 or 7,d7 in other situations as the ,attorney ,general may reasonably determine2 7#c7 the term prescriber means a dispenser who prescribes a controlled substance1 or the agent of such a dispenser2 and 7#d7 the term schedule ,,ii1 ,,iii1 or ,,iv controlled substance means a controlled substance that is listed on schedule ,,ii1 schedule ,,iii1 or schedule ,,iv of section #bjb7;c7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hab7;c774 7b7 ,planning and implementation grants 7#a7 ,in general ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services and the ,director of the ,office of ,national ,drug ,control ,policy1 may award grants to ,states1 and combinations thereof1 to prepare a comprehensive plan for and implement an integrated opioid abuse response initiative4 7#b7 ,purposes ,a ,state receiving a grant under this section shall establish a comprehensive response to opioid abuse1 which shall include-- 7,a7 prevention and education efforts around heroin and opioid use1 treatment1 and recovery2 7,b7 a comprehensive prescription drug monitoring program to track dispensing of schedule ,,ii1 ,,iii1 or ,,iv controlled substances1 which shall include-- 7i7 data sharing with other ,states by statute1 regulation1 or interstate agreement2 and 7ii7 educating physicians1 residents1 medical students1 and other prescribers of ,schedule ,,ii1 ,,iii1 or ,,iv controlled substances on the prescription drug monitoring program of the ,state2 7,c7 developing1 implementing1 or expanding the prescription drug and opioid addiction treatment program of the ,state by-- 7i7 expanding programs for medication assisted treatment of prescription drug and opioid addiction1 including training for treatment and recovery support providers2 7ii7 developing1 implementing1 or expanding programs for behavioral health therapy for individuals who are in treatment for prescription drug and opioid addiction1 including contingency management1 cognitive behavioral therapy1 and motivational enhancements2 7iii7 developing1 implementing1 or expanding programs to screen individuals who are in treatment for prescription drug and opioid addiction for hepatitis ,c and ,,hiv1 and provide treatment for those individuals if clinically appropriate2 or 7iv7 developing1 implementing1 or expanding programs that provide screening1 early intervention1 and referral to treatment 7commonly referred to as ,,sbirt7 to teenagers and young adults in primary care1 middle schools1 high schools1 universities1 school-based health centers1 and other community-based health care settings frequently accessed by teenagers or young adults2 and 7,d7 developing1 implementing1 and expanding programs to prevent overdose death of prescription medications and opioids4 7#c7 ,planning grant applications 7,a7 ,application 7i7 ,in general ,a ,state desiring a planning grant under this section to prepare a comprehensive plan for an integrated opioid abuse response initiative shall submit to the ,attorney ,general an application in such form1 and containing such information1 as the ,attorney ,general may prescribe by regulation or guidelines4 7ii7 ,requirements ,an application for a planning grant under this section shall1 at a minimum1 include-- 7,i7 a budget and a budget justification for the activities to be carried out using the grant2 7,,ii7 a description of the activities proposed to be carried out using the grant1 including a schedule for completion of such activities2 7,,iii7 outcome measures that will be used to measure the effectiveness of the programs and initiatives to address opioids2 and 7,,iv7 a description of the personnel necessary to complete such activities4 7,b7 ,period2 nonrenewability ,a planning grant under this section shall be for a period of #a year4 ,a ,state may not receive more than #a planning grant under this section4 7,c7 ,amount ,a planning grant under this section may not exceed #ajj1jjj1 except that the ,attorney ,general may1 for good cause1 approve a grant in a higher amount4 7,d7 ,strategic plan and program implementation plan ,a ,state receiving a planning grant under this section shall develop a strategic plan and a program implementation plan4 7#d7 ,implementation grants 7,a7 ,application ,a ,state desiring an implementation grant under this section to implement a comprehensive strategy for addressing opioid abuse shall submit to the ,attorney ,general an application in such form1 and containing such information1 as the ,attorney ,general may prescribe by regulation or guidelines4 7,b7 ,use of funds ,a ,state that receives an implementation grant under this section shall use the grant for the cost of carrying out an integrated opioid abuse response program in accordance with this section1 including for technical assistance1 training1 and administrative expenses4 7,c7 ,requirements ,an integrated opioid abuse response program carried out using an implementation grant under this section shall-- 7i7 ensure that each prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance in the ,state-- 7,i7 registers with the prescription drug monitoring program of the ,state2 and 7,,ii7 consults the prescription drug monitoring program database of the ,state before prescribing a schedule ,,ii1 ,,iii1 or ,,iv controlled substance2 7ii7 ensure that each dispenser of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance in the ,state-- 7,i7 registers with the prescription drug monitoring program of the ,state2 7,,ii7 consults the prescription drug monitoring program database of the ,state before dispensing a schedule ,,ii1 ,,iii1 or ,,iv controlled substance2 and 7,,iii7 reports to the prescription drug monitoring program of the ,state1 at a minimum1 each instance in which a schedule ,,ii1 ,,iii1 or ,,iv controlled substance is dispensed1 with limited exceptions1 as defined by the ,state1 which shall indicate the prescriber by name and ,national ,provider ,identifier2 7iii7 require that1 not fewer than #d times each year1 the ,state agency or agencies that administer the prescription drug monitoring program of the ,state prepare and provide to each prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance an informational report that shows how the prescribing patterns of the prescriber compare to prescribing practices of the peers of the prescriber and expected norms2 7iv7 if informational reports provided to a prescriber under clause 7iii7 indicate that the prescriber is repeatedly falling outside of expected norms or standard practices for the prescriber's field1 direct the prescriber to educational resources on appropriate prescribing of controlled substances2 7v7 ensure that the prescriber licensing board of the ,state receives a report describing any prescribers that repeatedly fall outside of expected norms or standard practices for the prescriber's field1 as described in clause 7iii72 7vi7 require consultation with the ,single ,state ,authority for ,substance ,abuse2 and 7vii7 establish requirements for how data will be collected and analyzed to determine the effectiveness of the program4 7,d7 ,period ,an implementation grant under this section shall be for a period of #b years4 7,e7 ,amount ,the amount of an implementation grant under this section may not exceed #e1jjj1jjj except that the ,attorney ,general may1 for good cause1 approve a grant in a higher amount4 7#e7 ,priority considerations ,in awarding planning and implementation grants under this section1 the ,attorney ,general shall give priority to a ,state that-- 7,a7 provides civil liability protection for first responders1 health professionals1 and family members administering naloxone to counteract opioid overdoses by-- 7i7 enacting legislation that provides such civil liability protection2 or 7ii7 providing a certification by the attorney general of the ,state that the attorney general has-- 7,i7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,,ii7 concluded that the law described in subclause 7,i7 provides adequate civil liability protection applicable to such persons2 7,b7 have in effect legislation or implement a policy under which the ,state shall not terminate1 but may suspend1 enrollment under the ,state plan for medical assistance under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 for an individual who is incarcerated for a period of fewer than #b years2 7,c7 have a process for enrollment in services and benefits necessary by criminal justice agencies to initiate or continue treatment in the community1 under which an individual who is incarcerated may1 while incarcerated1 enroll in services and benefits that are necessary for the individual to continue treatment upon release from incarceration2 7,d7 ensures the capability of data sharing with other ,states1 such as by making data available to a prescription monitoring hub2 7,e7 ensures that data recorded in the prescription drug monitoring program database of the ,state is available within #bd hours1 to the extent possible2 and 7,f7 ensures that the prescription drug monitoring program of the ,state notifies prescribers and dispensers of schedule ,,ii1 ,,iii1 or ,,iv controlled substances when overuse or misuse of such controlled substances by patients is suspected4 7c7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #ae1jjj1jjj for each of fiscal years #bjaf through #bjbj4 4 ,,vii ,offset2 ,,gao report #gja4 ,offset ,it is the sense of ,congress that the amounts expended to carry out this ,act and the amendments made by this ,act should be offset by a corresponding reduction in ,federal non-defense discretionary spending4 #gjb4 ,,gao report on ,,imd exclusion 7a7 ,definition ,in this section1 the term ,medicaid ,institutions for ,mental ,disease exclusion means the prohibition on ,federal matching payments under ,medicaid for patients who have attained age #bb1 but have not attained age #fe1 in an institution for mental diseases under subparagraph 7,b7 of the matter following subsection 7a7 of section #aije of the ,social ,security ,act and subsection 7i7 of such section 7#db ,u4,s4,c4 #acif;d74 7b7 ,report required ,not later than #ahj days after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report on the impact that the ,medicaid ,institutions for ,mental ,disease exclusion has on access to treatment for individuals with a substance use disorder4 7c7 ,elements ,the report required under subsection 7b7 shall include the following3 7#a7 ,an analysis of whether the following policy changes to the ,medicaid ,institutions for ,mental ,disease exclusion would enhance access to treatment for individuals with a substance use disorder3 7,a7 ,removing substance use disorder treatment and facilities from the ,medicaid ,institutions for ,mental ,disease exclusion4 7,b7 ,amending section #aije7;i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7i77 to modestly raise the #af-;bed limit in the definition of an institution for mental diseases under that section4 7,c7 ,repealing the ,medicaid ,institutions for ,mental ,disease exclusion4 7#b7 ,an analysis of whether and to what extent the quality of care for substance use disorder treatment is impacted by the ,medicaid ,institutions for ,mental ,disease exclusion4 7#c7 ,an analysis of barriers in accessing ,state-specific information related to the impact of the ,medicaid ,institutions for ,mental ,disease exclusion on access to treatment4 7#d7 ,an analysis of the difference in cost between treatment for a substance use disorder in a hospital setting compared to a community-based care setting4 7#e7 ,an analysis of the characteristics of institutions for mental diseases 7as defined in section #aije7;i7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7i7771 including the patient capacity of such institutions as well as the type of care setting1 among other characteristics4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,comprehensive ,addiction and ,recovery ,act of #bjaf4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,sec4 #b4 ,findings4,sec4 #c4 ,definitions4,,title ,i--,prevention and education,sec4 #aja4 ,development of best practices for the use of prescription opioids4,sec4 #ajb4 ,awareness campaigns4,sec4 #ajc4 ,community-based coalition enhancement grants to address local drug crises4,,title ,,ii--,law enforcement and treatment,sec4 #bja4 ,treatment alternative to incarceration programs4,sec4 #bjb4 ,first responder training for the use of drugs and devices that rapidly reverse the effects of opioids4,sec4 #bjc4 ,prescription drug take back expansion4,sec4 #bjd4 ,heroin and methamphetamine task forces4,,title ,,iii--,treatment and recovery,sec4 #cja4 ,evidence-based opioid and heroin treatment and interventions demonstration4,sec4 #cjb4 ,criminal justice medication assisted treatment and interventions demonstration4,sec4 #cjc4 ,national youth recovery initiative4,sec4 #cjd4 ,building communities of recovery4,,title ,,iv--,addressing collateral consequences,sec4 #dja4 ,correctional education demonstration grant program4,sec4 #djb4 ,national ,task ,force on ,recovery and ,collateral ,consequences4,,title ,v--,addiction and treatment services for women1 families1 and veterans,sec4 #eja4 ,improving treatment for pregnant and postpartum women4,sec4 #ejb4 ,report on grants for family-based substance abuse treatment4,sec4 #ejc4 ,veterans' treatment courts4,,title ,,vi--,incentivizing ,state comprehensive initiatives to address opioid and heroin abuse,sec4 #fja4 ,state demonstration grants for comprehensive opioid abuse response4,,title ,,vii--,miscellaneous,sec4 #gja4 ,,gao report on ,,imd exclusion4,sec4 #gjb4 ,funding4,sec4 #gjc4 ,conforming amendments4,sec4 #gjd4 ,grant accountability4 #b4 ,findings ,congress finds the following3 7#a7 ,the abuse of heroin and prescription opioid painkillers is having a devastating effect on public health and safety in communities across the ,united ,states4 ,according to the ,centers for ,disease ,control and ,prevention1 drug overdose deaths now surpass traffic crashes in the number of deaths caused by injury in the ,united ,states4 ,in #bjad1 an average of more than #abj people in the ,united ,states died from drug overdoses every day4 7#b7 ,according to the ,national ,institute on ,drug ,abuse 7commonly known as ,,nida71 the number of prescriptions for opioids increased from approximately #gf1jjj1jjj in #aiia to nearly #bjg1jjj1jjj in #bjac1 and the ,united ,states is the biggest consumer of opioids globally1 accounting for almost #ajj percent of the world total for hydrocodone and #ha percent for oxycodone4 7#c7 ,opioid pain relievers are the most widely misused or abused controlled prescription drugs 7commonly referred to as ,c,p,ds7 and are involved in most ,,cpd-related overdose incidents4 ,according to the ,drug ,abuse ,warning ,network 7commonly known as ,,dawn71 the estimated number of emergency department visits involving nonmedical use of prescription opiates or opioids increased by #aab percent between #bjjf and #bjaj1 from #hd1fga to #agi1ghg4 7#d7 ,the use of heroin in the ,united ,states has also spiked sharply in recent years4 ,according to the most recent ,national ,survey on ,drug ,use and ,health1 more than #ijj1jjj people in the ,united ,states reported using heroin in #bjad1 nearly a #ce percent increase from the previous year4 ,heroin overdose deaths more than tripled from #bjaj to #bjad4 7#e7 ,the supply of cheap heroin available in the ,united ,states has increased dramatically as well1 largely due to the activity of ,mexican drug trafficking organizations4 ,the ,drug ,enforcement ,administration 7commonly known as the ,,dea7 estimates that heroin seizures at the ,mexican border have more than doubled since #bjaj1 and heroin production in ,mexico increased #fb percent from #bjac to #bjad4 ,while only #h percent of ,state and local law enforcement officials across the ,united ,states identified heroin as the greatest drug threat in their area in #bjjh1 that number rose to #ch percent in #bjae4 7#f7 ,law enforcement officials and treatment experts throughout the country report that many prescription opioid users have turned to heroin as a cheaper or more easily obtained alternative to prescription drugs4 7#g7 ,according to a report by the ,national ,association of ,state ,alcohol and ,drug ,abuse ,directors 7commonly referred to as ,,nasadad71 #cg ,states reported an increase in admissions to treatment for heroin use during the past #b years1 while admissions to treatment for prescription opiates increased #ejj percent from #bjjj to #bjab4 7#h7 ,research indicates that combating the opioid crisis1 including abuse of prescription painkillers and1 increasingly1 heroin1 requires a multi-pronged approach that involves prevention1 education1 monitoring1 law enforcement initiatives1 reducing drug diversion and the supply of illicit drugs1 expanding delivery of existing treatments 7including medication assisted treatments71 expanding access to overdose medications and interventions1 and the development of new medications for pain that can augment the existing treatment arsenal4 7#i7 ,substance use disorders are a treatable disease4 ,discoveries in the science of addiction have led to advances in the treatment of substance use disorders that help people stop abusing drugs and prescription medications and resume their productive lives4 7#aj7 ,according to the ,national ,survey on ,drug ,use and ,health1 approximately #bb1gjj1jjj people in the ,united ,states needed substance use disorder treatment in #bjac1 but only #b1ejj1jjj people received it4 ,furthermore1 current treatment services are not adequate to meet demand4 ,according to a report commissioned by the ,substance ,abuse and ,mental ,health ,services ,administration 7commonly known as ,,samhsa71 there are approximately #cb providers for every #a1jjj individuals needing substance use disorder treatment4 ,in some ,states1 the ratio is much lower4 7#aa7 ,the overall cost of drug abuse1 from health care- and criminal justice-related costs to lost productivity1 is steep1 totaling more than #gjj1jjj1jjj1jjj a year1 according to ,,nida4 ,effective substance abuse prevention can yield major economic dividends4 7#ab7 ,according to ,,nida1 when schools and communities properly implement science-validated substance abuse prevention programs1 abuse of alcohol1 tobacco1 and illicit drugs is reduced4 ,such programs help teachers1 parents1 and healthcare professionals shape the perceptions of youths about the risks of drug abuse4 7#ac7 ,diverting certain individuals with substance use disorders from criminal justice systems into community-based treatment can save billions of dollars and prevent sizeable numbers of crimes1 arrests1 and re-incarcerations over the course of those individuals' lives4 7#ad7 ,according to the ,,dea1 more than #b1gjj tons of expired1 unwanted prescription medications have been collected since the enactment of the ,secure and ,responsible ,drug ,disposal ,act of #bjaj 7,public ,law #aaa-bgc2 #abd ,stat4 #bheh74 7#ae7 ,faith-based1 holistic1 or drug-free models can provide a critical path to successful recovery for a great number of people in the ,united ,states4 ,the #bjae membership survey conducted by ,alcoholics ,anonymous 7commonly known as ,,aa7 found that #gc percent of ,,aa members were sober longer than #a year and attended #b4e meetings per week4 7#af7 ,research shows that combining treatment medications with behavioral therapy is an effective way to facilitate success for some patients4 ,treatment approaches must be tailored to address the drug abuse patterns and drug-related medical1 psychiatric1 and social problems of each individual4 ,different types of medications may be useful at different stages of treatment or recovery to help a patient stop using drugs1 stay in treatment1 and avoid relapse4 ,patients have a range of options regarding their path to recovery and many have also successfully addressed drug abuse through the use of faith-based1 holistic1 or drug-free models4 7#ag7 ,individuals with mental illness1 especially severe mental illness1 are at considerably higher risk for substance abuse than the general population1 and the presence of a mental illness complicates recovery from substance abuse4 #c4 ,definitions ,in this ,act-- 7#a7 the term medication assisted treatment means the use1 for problems relating to heroin and other opioids1 of medications approved by the ,food and ,drug ,administration in combination with counseling and behavioral therapies2 7#b7 the term opioid means any drug having an addiction-forming or addiction-sustaining liability similar to morphine or being capable of conversion into a drug having such addiction-forming or addiction-sustaining liability2 and 7#c7 the term ,state means any ,state of the ,united ,states1 the ,district of ,columbia1 the ,commonwealth of ,puerto ,rico1 and any territory or possession of the ,united ,states4 ,i ,prevention and education #aja4 ,development of best practices for the use of prescription opioids 7a7 ,definitions ,in this section-- 7#a7 the term ,secretary means the ,secretary of ,health and ,human ,services2 and 7#b7 the term task force means the ,pain ,management ,best ,practices ,inter-,agency ,task ,force convened under subsection 7b74 7b7 ,inter-,agency ,task ,force ,not later than ,december #ad1 #bjah1 the ,secretary1 in cooperation with the ,secretary of ,veterans ,affairs1 the ,secretary of ,defense1 and the ,administrator of the ,drug ,enforcement ,administration1 shall convene a ,pain ,management ,best ,practices ,inter-,agency ,task ,force to review1 modify1 and update1 as appropriate1 best practices for pain management 7including chronic and acute pain7 and prescribing pain medication4 7c7 ,membership ,the task force shall be comprised of-- 7#a7 representatives of-- 7,a7 the ,department of ,health and ,human ,services2 7,b7 the ,department of ,veterans ,affairs2 7,c7 the ,food and ,drug ,administration2 7,d7 the ,department of ,defense2 7,e7 the ,drug ,enforcement ,administration2 7,f7 the ,centers for ,disease ,control and ,prevention2 7,g7 the ,national ,academy of ,medicine2 7,h7 the ,national ,institutes of ,health2 and 7,i7 the ,office of ,national ,drug ,control ,policy2 7#b7 physicians1 dentists1 and non-physician prescribers2 7#c7 pharmacists2 7#d7 experts in the fields of pain research and addiction research2 7#e7 representatives of-- 7,a7 pain management professional organizations2 7,b7 the mental health treatment community2 7,c7 the addiction treatment community2 7,d7 pain advocacy groups2 and 7,e7 groups with expertise around overdose reversal2 and 7#f7 other stakeholders1 as the ,secretary determines appropriate4 7d7 ,duties ,the task force shall-- 7#a7 not later than #ahj days after the date on which the task force is convened under subsection 7b71 review1 modify1 and update1 as appropriate1 best practices for pain management 7including chronic and acute pain7 and prescribing pain medication1 taking into consideration-- 7,a7 existing pain management research2 7,b7 recommendations from relevant conferences2 7,c7 ongoing efforts at the ,state and local levels and by medical professional organizations to develop improved pain management strategies1 including consideration of alternatives to opioids to reduce opioid monotherapy in appropriate cases2 7,d7 the management of high-risk populations1 other than populations who suffer pain1 who-- 7i7 may use or be prescribed benzodiazepines1 alcohol1 and diverted opioids2 or 7ii7 receive opioids in the course of medical care2 and 7,e7 the ,proposed #bjaf ,guideline for ,prescribing ,opioids for ,chronic ,pain issued by the ,centers for ,disease ,control and ,prevention 7#hj ,fed4 ,reg4 #ggcea 7,december #ad1 #bjae77 and any final guidelines issued by the ,centers for ,disease ,control and ,prevention2 7#b7 solicit and take into consideration public comment on the practices developed under paragraph 7#a71 amending such best practices if appropriate2 and 7#c7 develop a strategy for disseminating information about the best practices to stakeholders1 as appropriate4 7e7 ,limitation ,the task force shall not have rulemaking authority4 7f7 ,report ,not later than #bgj days after the date on which the task force is convened under subsection 7b71 the task force shall submit to ,congress a report that includes-- 7#a7 the strategy for disseminating best practices for pain management 7including chronic and acute pain7 and prescribing pain medication1 as reviewed1 modified1 or updated under subsection 7d72 7#b7 the results of a feasibility study on linking the best practices described in paragraph 7#a7 to receiving and renewing registrations under section #cjc7;f7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hbc7;f772 and 7#c7 recommendations for effectively applying the best practices described in paragraph 7#a7 to improve prescribing practices at medical facilities1 including medical facilities of the ,veterans ,health ,administration4 #ajb4 ,awareness campaigns 7a7 ,in general ,the ,secretary of ,health and ,human ,services1 in coordination with the ,attorney ,general1 shall advance the education and awareness of the public1 providers1 patients1 and other appropriate entities regarding the risk of abuse of prescription opioid drugs if such products are not taken as prescribed4 7b7 ,drug-,free ,media ,campaign 7#a7 ,in general ,the ,office of ,national ,drug ,control ,policy1 in coordination with the ,secretary of ,health and ,human ,services and the ,attorney ,general1 shall establish a national drug awareness campaign4 7#b7 ,requirements ,the national drug awareness campaign required under paragraph 7#a7 shall-- 7,a7 take into account the association between prescription opioid abuse and heroin use2 7,b7 emphasize the similarities between heroin and prescription opioids and the effects of heroin and prescription opioids on the human body2 and 7,c7 bring greater public awareness to the dangerous effects of fentanyl when mixed with heroin or abused in a similar manner4 #ajc4 ,community-based coalition enhancement grants to address local drug crises ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq47 is amended by striking section #biig and inserting the following3 #biig4 ,community-based coalition enhancement grants to address local drug crises 7a7 ,definitions ,in this section-- 7#a7 the term ,drug-,free ,communities ,act of #aiig means chapter #b of the ,national ,narcotics ,leadership ,act of #aihh 7#ba ,u4,s4,c4 #aeba et seq472 7#b7 the term eligible entity means an organization that-- 7,a7 on or before the date of submitting an application for a grant under this section1 receives or has received a grant under the ,drug-,free ,communities ,act of #aiig2 and 7,b7 has documented1 using local data1 rates of abuse of opioids or methamphetamines at levels that are-- 7i7 significantly higher than the national average as determined by the ,attorney ,general 7including appropriate consideration of the results of the ,monitoring the ,future ,survey published by the ,national ,institute on ,drug ,abuse and the ,national ,survey on ,drug ,use and ,health published by the ,substance ,abuse and ,mental ,health ,services ,administration72 or 7ii7 higher than the national average1 as determined by the ,attorney ,general 7including appropriate consideration of the results of the surveys described in clause 7i771 over a sustained period of time2 and 7#c7 the term local drug crisis means1 with respect to the area served by an eligible entity-- 7,a7 a sudden increase in the abuse of opioids or methamphetamines1 as documented by local data2 or 7,b7 the abuse of prescription medications1 specifically opioids or methamphetamines1 that is significantly higher than the national average1 over a sustained period of time1 as documented by local data4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,director of the ,office of ,national ,drug ,control ,policy1 may make grants to eligible entities to implement comprehensive community-wide strategies that address local drug crises within the area served by the eligible entity4 7c7 ,application 7#a7 ,in general ,an eligible entity seeking a grant under this section shall submit an application to the ,attorney ,general at such time1 in such manner1 and accompanied by such information as the ,attorney ,general may require4 7#b7 ,criteria ,as part of an application for a grant under this section1 the ,attorney ,general shall require an eligible entity to submit a detailed1 comprehensive1 multi-sector plan for addressing the local drug crisis within the area served by the eligible entity4 7d7 ,use of funds ,an eligible entity shall use a grant received under this section-- 7#a7 for programs designed to implement comprehensive community-wide prevention strategies to address the local drug crisis in the area served by the eligible entity1 in accordance with the plan submitted under subsection 7c77#b72 and 7#b7 to obtain specialized training and technical assistance from the organization funded under section #d of ,public ,law #ajg-hb 7#ba ,u4,s4,c4 #aeba note74 7e7 ,supplement not supplant ,an eligible entity shall use ,federal funds received under this section only to supplement the funds that would1 in the absence of those ,federal funds1 be made available from other ,federal and non-,federal sources for the activities described in this section1 and not to supplant those funds4 7f7 ,evaluation ,a grant under this section shall be subject to the same evaluation requirements and procedures as the evaluation requirements and procedures imposed on the recipient of a grant under the ,drug-,free ,communities ,act of #aiig4 7g7 ,limitation on administrative expenses ,not more than #h percent of the amounts made available pursuant to subsection 7i7 for a fiscal year may be used by the ,attorney ,general to pay for administrative expenses4 4 ,,ii ,law enforcement and treatment #bja4 ,treatment alternative to incarceration programs 7a7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means a ,state1 unit of local government1 ,indian tribe1 or nonprofit organization4 7#b7 ,eligible participant ,the term eligible participant means an individual who-- 7,a7 comes into contact with the juvenile justice system or criminal justice system or is arrested or charged with an offense that is not-- 7i7 a crime of violence1 as defined under applicable ,state law or section #af of title #ah1 ,united ,states ,code2 or 7ii7 a serious drug offense1 as defined under section #ibd7;e77#b77;,a7 of title #ah1 ,united ,states ,code2 7,b7 has a current-- 7i7 substance use disorder2 or 7ii7 co-occurring mental illness and substance use disorder2 and 7,c7 has been approved for participation in a program funded under this section by1 as applicable depending on the stage of the criminal justice process1 the relevant law enforcement agency or prosecuting attorney1 defense attorney1 probation or corrections official1 judge1 or representative from the relevant mental health or substance abuse agency4 7b7 ,program authorized ,the ,secretary of ,health and ,human ,services1 in coordination with the ,attorney ,general1 may make grants to eligible entities to-- 7#a7 develop1 implement1 or expand a treatment alternative to incarceration program for eligible participants1 including-- 7,a7 pre-booking1 including pre-arrest1 treatment alternative to incarceration programs1 including-- 7i7 law enforcement training on substance use disorders and co-occurring mental illness and substance use disorders2 7ii7 receiving centers as alternatives to incarceration of eligible participants2 7iii7 specialized response units for calls related to substance use disorders and co-occurring mental illness and substance use disorders2 and 7iv7 other pre-arrest or pre-booking treatment alternative to incarceration models2 and 7,b7 post-booking treatment alternative to incarceration programs1 including-- 7i7 specialized clinical case management2 7ii7 pre-trial services related to substance use disorders and co-occurring mental illness and substance use disorders2 7iii7 prosecutor and defender based programs2 7iv7 specialized probation2 7v7 programs utilizing the ,american ,society of ,addiction ,medicine patient placement criteria2 7vi7 treatment and rehabilitation programs and recovery support services2 and 7vii7 drug courts1 ,,dwi courts1 and veterans treatment courts2 and 7#b7 facilitate or enhance planning and collaboration between ,state criminal justice systems and ,state substance abuse systems in order to more efficiently and effectively carry out programs described in paragraph 7#a7 that address problems related to the use of heroin and misuse of prescription drugs among eligible participants4 7c7 ,application 7#a7 ,in general ,an eligible entity desiring a grant under this section shall submit an application to the ,secretary of ,health and ,human ,services-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,secretary of ,health and ,human ,services may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 provide extensive evidence of collaboration with ,state and local government agencies overseeing health1 community corrections1 courts1 prosecution1 substance abuse1 mental health1 victims services1 and employment services1 and with local law enforcement agencies2 7,b7 demonstrate consultation with the ,single ,state ,authority for ,substance ,abuse2 7,c7 demonstrate consultation with the ,single ,state criminal justice planning agency2 7,d7 demonstrate that evidence-based treatment practices1 including if applicable the use of medication assisted treatment1 will be utilized2 and 7,e7 demonstrate that evidenced-based screening and assessment tools will be utilized to place participants in the treatment alternative to incarceration program4 7d7 ,requirements ,each eligible entity awarded a grant for a treatment alternative to incarceration program under this section shall-- 7#a7 determine the terms and conditions of participation in the program by eligible participants1 taking into consideration the collateral consequences of an arrest1 prosecution1 or criminal conviction2 7#b7 ensure that each substance abuse and mental health treatment component is licensed and qualified by the relevant jurisdiction2 7#c7 for programs described in subsection 7b77#b71 organize an enforcement unit comprised of appropriately trained law enforcement professionals under the supervision of the ,state1 tribal1 or local criminal justice agency involved1 the duties of which shall include-- 7,a7 the verification of addresses and other contacts of each eligible participant who participates or desires to participate in the program2 and 7,b7 if necessary1 the location1 apprehension1 arrest1 and return to court of an eligible participant in the program who has absconded from the facility of a treatment provider or has otherwise violated the terms and conditions of the program1 consistent with ,federal and ,state confidentiality requirements2 7#d7 notify the relevant criminal justice entity if any eligible participant in the program absconds from the facility of the treatment provider or otherwise violates the terms and conditions of the program1 consistent with ,federal and ,state confidentiality requirements2 7#e7 submit periodic reports on the progress of treatment or other measured outcomes from participation in the program of each eligible participant in the program to the relevant ,state1 tribal1 or local criminal justice agency2 7#f7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program1 and specifically explain how such measurements will provide valid measures of the impact of the program2 and 7#g7 describe how the program could be broadly replicated if demonstrated to be effective4 7e7 ,use of funds ,an eligible entity shall use a grant received under this section for expenses of a treatment alternative to incarceration program1 including-- 7#a7 salaries1 personnel costs1 equipment costs1 and other costs directly related to the operation of the program1 including the enforcement unit2 7#b7 payments for treatment providers that are approved by the relevant ,state or tribal jurisdiction and licensed1 if necessary1 to provide needed treatment to eligible participants in the program1 including medication assisted treatment1 aftercare supervision1 vocational training1 education1 and job placement2 7#c7 payments to public and nonprofit private entities that are approved by the ,state or tribal jurisdiction and licensed1 if necessary1 to provide alcohol and drug addiction treatment and mental health treatment to eligible participants in the program2 and 7#d7 salaries1 personnel costs1 and other costs related to strategic planning among ,state and local government agencies4 7f7 ,supplement not supplant ,an eligible entity shall use ,federal funds received under this section only to supplement the funds that would1 in the absence of those ,federal funds1 be made available from other ,federal and non-,federal sources for the activities described in this section1 and not to supplant those funds4 7g7 ,geographic distribution ,the ,secretary of ,health and ,human ,services shall ensure that1 to the extent practicable1 the geographical distribution of grants under this section is equitable and includes a grant to an eligible entity in-- 7#a7 each ,state2 7#b7 rural1 suburban1 and urban areas2 and 7#c7 tribal jurisdictions4 7h7 ,priority consideration with respect to ,states ,in awarding grants to ,states under this section1 the ,secretary of ,health and ,human ,services shall give priority to-- 7#a7 a ,state that submits a joint application from the substance abuse agencies and criminal justice agencies of the ,state that proposes to use grant funds to facilitate or enhance planning and collaboration between the agencies1 including coordination to better address the needs of incarcerated populations2 and 7#b7 a ,state that-- 7,a7 provides civil liability protection for first responders1 health professionals1 and family members who have received appropriate training in the administration of naloxone in administering naloxone to counteract opioid overdoses2 and 7,b7 submits to the ,secretary a certification by the attorney general of the ,state that the attorney general has-- 7i7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who-- 7,i7 have received appropriate training in the administration of naloxone2 and 7,,ii7 may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7ii7 concluded that the law described in subparagraph 7,a7 provides adequate civil liability protection applicable to such persons4 7i7 ,reports and evaluations 7#a7 ,in general ,each fiscal year1 each recipient of a grant under this section during that fiscal year shall submit to the ,secretary of ,health and ,human ,services a report on the outcomes of activities carried out using that grant in such form1 containing such information1 and on such dates as the ,secretary of ,health and ,human ,services shall specify4 7#b7 ,contents ,a report submitted under paragraph 7#a7 shall-- 7,a7 describe best practices for treatment alternatives2 and 7,b7 identify training requirements for law enforcement officers who participate in treatment alternative to incarceration programs4 7j7 ,funding ,during the #e-year period beginning on the date of enactment of this ,act1 the ,secretary of ,health and ,human ,services shall carry out this section using funds made available to the ,substance ,abuse and ,mental ,health ,services ,administration for ,criminal ,justice ,activities4 #bjb4 ,first responder training for the use of drugs and devices that rapidly reverse the effects of opioids ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #ajc1 is amended by adding at the end the following3 #biih4 ,first responder training for the use of drugs and devices that rapidly reverse the effects of opioids 7a7 ,definition ,in this section-- 7#a7 the terms drug and device have the meanings given those terms in section #bja of the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cba72 7#b7 the term eligible entity means a ,state1 a unit of local government1 or an ,indian tribal government2 7#c7 the term first responder includes a firefighter1 law enforcement officer1 paramedic1 emergency medical technician1 or other individual 7including an employee of a legally organized and recognized volunteer organization1 whether compensated or not71 who1 in the course of professional duties1 responds to fire1 medical1 hazardous material1 or other similar emergencies2 and 7#d7 the term ,secretary means the ,secretary of ,health and ,human ,services4 7b7 ,program authorized ,the ,secretary1 in coordination with the ,attorney ,general1 may make grants to eligible entities to allow appropriately trained first responders to administer an opioid overdose reversal drug to an individual who has-- 7#a7 experienced a prescription opioid or heroin overdose2 or 7#b7 been determined to have likely experienced a prescription opioid or heroin overdose4 7c7 ,application 7#a7 ,in general ,an eligible entity seeking a grant under this section shall submit an application to the ,secretary-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate the program funded with a grant under this section1 and specifically explain how such measurements will provide valid measures of the impact of the program2 7,b7 describe how the program could be broadly replicated if demonstrated to be effective2 7,c7 identify the governmental and community agencies that the program will coordinate2 and 7,d7 describe how law enforcement agencies will coordinate with their corresponding ,state substance abuse and mental health agencies to identify protocols and resources that are available to victims and families1 including information on treatment and recovery resources4 7d7 ,use of funds ,an eligible entity shall use a grant received under this section to-- 7#a7 make such opioid overdose reversal drugs or devices that are approved by the ,food and ,drug ,administration1 such as naloxone1 available to be carried and administered by first responders2 7#b7 train and provide resources for first responders on carrying an opioid overdose reversal drug or device approved by the ,food and ,drug ,administration1 such as naloxone1 and administering the drug or device to an individual who has experienced1 or has been determined to have likely experienced1 a prescription opioid or heroin overdose2 and 7#c7 establish processes1 protocols1 and mechanisms for referral to appropriate treatment4 7e7 ,technical assistance grants ,the ,secretary shall make a grant for the purpose of providing technical assistance and training on the use of an opioid overdose reversal drug1 such as naloxone1 to respond to an individual who has experienced1 or has been determined to have likely experienced1 a prescription opioid or heroin overdose1 and mechanisms for referral to appropriate treatment for an eligible entity receiving a grant under this section4 7f7 ,evaluation ,the ,secretary shall conduct an evaluation of grants made under this section to determine-- 7#a7 the number of first responders equipped with naloxone1 or another opioid overdose reversal drug1 for the prevention of fatal opioid and heroin overdose2 7#b7 the number of opioid and heroin overdoses reversed by first responders receiving training and supplies of naloxone1 or another opioid overdose reversal drug1 through a grant received under this section2 7#c7 the number of calls for service related to opioid and heroin overdose2 7#d7 the extent to which overdose victims and families receive information about treatment services and available data describing treatment admissions2 and 7#e7 the research1 training1 and naloxone1 or another opioid overdose reversal drug1 supply needs of first responder agencies1 including those agencies that are not receiving grants under this section4 7g7 ,rural areas with limited access to emergency medical services ,in making grants under this section1 the ,secretary shall ensure that not less than #be percent of grant funds are awarded to eligible entities that are not located in metropolitan statistical areas1 as defined by the ,office of ,management and ,budget4 4 #bjc4 ,prescription drug take back expansion 7a7 ,definition of covered entity ,in this section1 the term covered entity means-- 7#a7 a ,state1 local1 or tribal law enforcement agency2 7#b7 a manufacturer1 distributor1 or reverse distributor of prescription medications2 7#c7 a retail pharmacy2 7#d7 a registered narcotic treatment program2 7#e7 a hospital or clinic with an on-site pharmacy2 7#f7 an eligible long-term care facility2 or 7#g7 any other entity authorized by the ,drug ,enforcement ,administration to dispose of prescription medications4 7b7 ,program authorized ,the ,attorney ,general1 in coordination with the ,administrator of the ,drug ,enforcement ,administration1 the ,secretary of ,health and ,human ,services1 and the ,director of the ,office of ,national ,drug ,control ,policy1 shall coordinate with covered entities in expanding or making available disposal sites for unwanted prescription medications4 #bjd4 ,heroin and methamphetamine task forces ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #bjb1 is amended by adding at the end the following3 #biii4 ,heroin and methamphetamine task forces ,the ,attorney ,general may make grants to ,state law enforcement agencies for investigative purposes-- 7#a7 to locate or investigate illicit activities through statewide collaboration1 including activities related to-- 7,a7 the distribution of heroin or fentanyl1 or the unlawful distribution of prescription opioids2 or 7,b7 unlawful heroin1 fentanyl1 and prescription opioid traffickers2 and 7#b7 to locate or investigate illicit activities1 including precursor diversion1 laboratories1 or methamphetamine traffickers4 4 ,,iii ,treatment and recovery #cja4 ,evidence-based opioid and heroin treatment and interventions demonstration ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #bjd1 is amended by adding at the end the following3 #biii;,a4 ,evidence-based opioid and heroin treatment and interventions demonstration 7a7 ,definitions ,in this section-- 7#a7 the terms ,indian tribe and tribal organization have the meaning given those terms in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc772 7#b7 the term medication assisted treatment means the use1 for problems relating to heroin and other opioids1 of medications approved by the ,food and ,drug ,administration in combination with counseling and behavioral therapies2 7#c7 the term ,secretary means the ,secretary of ,health and ,human ,services2 and 7#d7 the term ,state substance abuse agency means the agency of a ,state responsible for the ,state prevention1 treatment1 and recovery system1 including management of the ,substance ,abuse ,prevention and ,treatment ,block ,grant under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq474 7b7 ,grants 7#a7 ,authority to make grants ,the ,secretary1 acting through the ,director of the ,center for ,substance ,abuse ,treatment of the ,substance ,abuse and ,mental ,health ,services ,administration1 and in coordination with the ,attorney ,general and other departments or agencies1 as appropriate1 may award grants to ,state substance abuse agencies1 units of local government1 nonprofit organizations1 and ,indian tribes or tribal organizations that have a high rate1 or have had a rapid increase1 in the use of heroin or other opioids1 in order to permit such entities to expand activities1 including an expansion in the availability of medication assisted treatment and other clinically appropriate services1 with respect to the treatment of addiction in the specific geographical areas of such entities where there is a high rate or rapid increase in the use of heroin or other opioids4 7#b7 ,nature of activities ,the grant funds awarded under paragraph 7#a7 shall be used for activities that are based on reliable scientific evidence of efficacy in the treatment of problems related to heroin or other opioids4 7c7 ,geographic distribution ,the ,secretary shall ensure that grants awarded under subsection 7b7 are distributed equitably among the various regions of the ,united ,states and among rural1 urban1 and suburban areas that are affected by the use of heroin or other opioids4 7d7 ,additional activities ,in administering grants under subsection 7b71 the ,secretary shall-- 7#a7 evaluate the activities supported by grants awarded under subsection 7b72 7#b7 disseminate information1 as appropriate1 derived from the evaluation as the ,secretary considers appropriate2 7#c7 provide ,states1 ,indian tribes and tribal organizations1 and providers with technical assistance in connection with the provision of treatment of problems related to heroin and other opioids2 and 7#d7 fund only those applications that specifically support recovery services as a critical component of the grant program4 4 #cjb4 ,criminal justice medication assisted treatment and interventions demonstration 7a7 ,definitions ,in this section-- 7#a7 the term criminal justice agency means a ,state1 local1 or tribal-- 7,a7 court2 7,b7 prison2 7,c7 jail2 or 7,d7 other agency that performs the administration of criminal justice1 including prosecution1 pretrial services1 and community supervision2 7#b7 the term eligible entity means a ,state1 unit of local government1 or ,indian tribe2 and 7#c7 the term ,secretary means the ,secretary of ,health and ,human ,services4 7b7 ,program authorized ,the ,secretary1 in coordination with the ,attorney ,general1 may make grants to eligible entities to implement medication assisted treatment programs through criminal justice agencies4 7c7 ,application 7#a7 ,in general ,an eligible entity seeking a grant under this section shall submit an application to the ,secretary-- 7,a7 that meets the criteria under paragraph 7#b72 and 7,b7 at such time1 in such manner1 and accompanied by such information as the ,secretary may require4 7#b7 ,criteria ,an eligible entity1 in submitting an application under paragraph 7#a71 shall-- 7,a7 certify that each medication assisted treatment program funded with a grant under this section has been developed in consultation with the ,single ,state ,authority for ,substance ,abuse2 and 7,b7 describe how data will be collected and analyzed to determine the effectiveness of the program described in subparagraph 7,a74 7d7 ,use of funds ,an eligible entity shall use a grant received under this section for expenses of-- 7#a7 a medication assisted treatment program1 including the expenses of prescribing medications recognized by the ,food and ,drug ,administration for opioid treatment in conjunction with psychological and behavioral therapy2 7#b7 training criminal justice agency personnel and treatment providers on medication assisted treatment2 7#c7 cross-training personnel providing behavioral health and health services1 administration of medicines1 and other administrative expenses1 including required reports2 and 7#d7 the provision of recovery coaches who are responsible for providing mentorship and transition plans to individuals reentering society following incarceration or alternatives to incarceration4 7e7 ,priority consideration with respect to ,states ,in awarding grants to ,states under this section1 the ,secretary shall give priority to a ,state that-- 7#a7 provides civil liability protection for first responders1 health professionals1 and family members who have received appropriate training in the administration of naloxone in administering naloxone to counteract opioid overdoses2 and 7#b7 submits to the ,secretary a certification by the attorney general of the ,state that the attorney general has-- 7,a7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who-- 7i7 have received appropriate training in the administration of naloxone2 and 7ii7 may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,b7 concluded that the law described in subparagraph 7,a7 provides adequate civil liability protection applicable to such persons4 7f7 ,technical assistance ,the ,secretary1 in coordination with the ,director of the ,national ,institute on ,drug ,abuse and the ,attorney ,general1 shall provide technical assistance and training for an eligible entity receiving a grant under this section4 7g7 ,reports 7#a7 ,in general ,an eligible entity receiving a grant under this section shall submit a report to the ,secretary on the outcomes of each grant received under this section for individuals receiving medication assisted treatment1 based on-- 7,a7 the recidivism of the individuals2 7,b7 the treatment outcomes of the individuals1 including maintaining abstinence from illegal1 unauthorized1 and unprescribed or undispensed opioids and heroin2 7,c7 a comparison of the cost of providing medication assisted treatment to the cost of incarceration or other participation in the criminal justice system2 7,d7 the housing status of the individuals2 and 7,e7 the employment status of the individuals4 7#b7 ,contents and timing ,each report described in paragraph 7#a7 shall be submitted annually in such form1 containing such information1 and on such dates as the ,secretary shall specify4 7h7 ,funding ,during the #e-year period beginning on the date of enactment of this ,act1 the ,secretary shall carry out this section using funds made available to the ,substance ,abuse and ,mental ,health ,services ,administration for ,criminal ,justice ,activities4 #cjc4 ,national youth recovery initiative ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #cja1 is amended by adding at the end the following3 #biii;,b4 ,national youth recovery initiative 7a7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means-- 7,a7 a high school that has been accredited as a recovery high school by the ,association of ,recovery ,schools2 7,b7 an accredited high school that is seeking to establish or expand recovery support services2 7,c7 an institution of higher education2 7,d7 a recovery program at a nonprofit collegiate institution2 or 7,e7 a nonprofit organization4 7#b7 ,institution of higher education ,the term institution of higher education has the meaning given the term in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja74 7#c7 ,recovery program ,the term recovery program-- 7,a7 means a program to help individuals who are recovering from substance use disorders to initiate1 stabilize1 and maintain healthy and productive lives in the community2 and 7,b7 includes peer-to-peer support and communal activities to build recovery skills and supportive social networks4 7b7 ,grants authorized ,the ,secretary of ,health and ,human ,services1 in coordination with the ,secretary of ,education1 may award grants to eligible entities to enable the entities to-- 7#a7 provide substance use recovery support services to young people in high school and enrolled in institutions of higher education2 7#b7 help build communities of support for young people in recovery through a spectrum of activities such as counseling and health- and wellness-oriented social activities2 and 7#c7 encourage initiatives designed to help young people achieve and sustain recovery from substance use disorders4 7c7 ,use of funds ,grants awarded under subsection 7b7 may be used for activities to develop1 support1 and maintain youth recovery support services1 including-- 7#a7 the development and maintenance of a dedicated physical space for recovery programs2 7#b7 dedicated staff for the provision of recovery programs2 7#c7 health- and wellness-oriented social activities and community engagement2 7#d7 establishment of recovery high schools2 7#e7 coordination of recovery programs with-- 7,a7 substance use disorder treatment programs and systems2 7,b7 providers of mental health services2 7,c7 primary care providers and physicians2 7,d7 the criminal justice system1 including the juvenile justice system2 7,e7 employers2 7,f7 housing services2 7,g7 child welfare services2 7,h7 high schools and institutions of higher education2 and 7,i7 other programs or services related to the welfare of an individual in recovery from a substance use disorder2 7#f7 the development of peer-to-peer support programs or services2 and 7#g7 additional activities that help youths and young adults to achieve recovery from substance use disorders4 4 #cjd4 ,building communities of recovery ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #cjc1 is amended by adding at the end the following3 #biii;,c4 ,building communities of recovery 7a7 ,definition ,in this section1 the term recovery community organization means an independent nonprofit organization that-- 7#a7 mobilizes resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from substance use disorders2 and 7#b7 is wholly or principally governed by people in recovery for substance use disorders who reflect the community served4 7b7 ,grants authorized ,the ,secretary of ,health and ,human ,services may award grants to recovery community organizations to enable such organizations to develop1 expand1 and enhance recovery services4 7c7 ,federal share ,the ,federal share of the costs of a program funded by a grant under this section may not exceed #ej percent4 7d7 ,use of funds ,grants awarded under subsection 7b7-- 7#a7 shall be used to develop1 expand1 and enhance community and statewide recovery support services2 and 7#b7 may be used to-- 7,a7 advocate for individuals in recovery from substance use disorders2 7,b7 build connections between recovery networks1 between recovery community organizations1 and with other recovery support services1 including-- 7i7 substance use disorder treatment programs and systems2 7ii7 providers of mental health services2 7iii7 primary care providers and physicians2 7iv7 the criminal justice system2 7v7 employers2 7vi7 housing services2 7vii7 child welfare agencies2 and 7viii7 other recovery support services that facilitate recovery from substance use disorders2 7,c7 reduce the stigma associated with substance use disorders2 7,d7 conduct public education and outreach on issues relating to substance use disorders and recovery1 including-- 7i7 how to identify the signs of addiction2 7ii7 the resources that are available to individuals struggling with addiction and families who have a family member struggling with or being treated for addiction1 including programs that mentor and provide support services to children2 7iii7 the resources that are available to help support individuals in recovery2 and 7iv7 information on the medical consequences of substance use disorders1 including neonatal abstinence syndrome and potential infection with human immunodeficiency virus and viral hepatitis2 and 7,e7 carry out other activities that strengthen the network of community support for individuals in recovery4 4 ,,iv ,addressing collateral consequences #dja4 ,correctional education demonstration grant program ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #cjd1 is amended by adding at the end the following3 #biii;,d4 ,correctional education demonstration grant program 7a7 ,definition ,in this section1 the term eligible entity means a ,state1 unit of local government1 nonprofit organization1 or ,indian tribe4 7b7 ,grant program authorized ,the ,attorney ,general may make grants to eligible entities to design1 implement1 and expand educational programs for offenders in prisons1 jails1 and juvenile facilities1 including to pay for-- 7#a7 basic education1 secondary level academic education1 high school equivalency examination preparation1 career technical education1 and ,english as a second language instruction at the basic1 secondary1 or post-secondary levels1 for adult and juvenile populations2 7#b7 screening and assessment of inmates to assess education level1 needs1 occupational interest or aptitude1 risk level1 and other needs1 and case management services2 7#c7 hiring and training of instructors and aides1 reimbursement of non-corrections staff and experts1 reimbursement of stipends paid to inmate tutors or aides1 and the costs of training inmate tutors and aides2 7#d7 instructional supplies and equipment1 including occupational program supplies and equipment to the extent that the supplies and equipment are used for instructional purposes2 7#e7 partnerships and agreements with community colleges1 universities1 and career technology education program providers2 7#f7 certification programs providing recognized high school equivalency certificates and industry recognized credentials2 and 7#g7 technology solutions to-- 7,a7 meet the instructional1 assessment1 and information needs of correctional populations2 and 7,b7 facilitate the continued participation of incarcerated students in community-based education programs after the students are released from incarceration4 7c7 ,application ,an eligible entity seeking a grant under this section shall submit to the ,attorney ,general an application in such form and manner1 at such time1 and accompanied by such information as the ,attorney ,general specifies4 7d7 ,priority considerations ,in awarding grants under this section1 the ,attorney ,general shall give priority to applicants that-- 7#a7 assess the level of risk and need of inmates1 including by-- 7,a7 assessing the need for ,english as a second language instruction2 7,b7 conducting educational assessments2 and 7,c7 assessing occupational interests and aptitudes2 7#b7 target educational services to assessed needs1 including academic and occupational at the basic1 secondary1 or post-secondary level2 7#c7 target career technology education programs to-- 7,a7 areas of identified occupational demand2 and 7,b7 employment opportunities in the communities in which students are reasonably expected to reside post-release2 7#d7 include a range of appropriate educational opportunities at the basic1 secondary1 and post-secondary levels2 7#e7 include opportunities for students to attain industry recognized credentials2 7#f7 include partnership or articulation agreements linking institutional education programs with community sited programs provided by adult education program providers and accredited institutions of higher education1 community colleges1 and vocational training institutions2 and 7#g7 explicitly include career pathways models offering opportunities for incarcerated students to develop academic skills1 in-demand occupational skills and credentials1 occupational experience in institutional work programs or work release programs1 and linkages with employers in the community1 so that incarcerated students have opportunities to embark on careers with strong prospects for both post-release employment and advancement in a career ladder over time4 7e7 ,requirements ,an eligible entity desiring a grant under this section shall-- 7#a7 describe the evidence-based methodology and outcome measurements that will be used to evaluate each program funded with a grant under this section1 and specifically explain how such measurements will provide valid measures of the impact of the program2 and 7#b7 describe how the program described in paragraph 7#a7 could be broadly replicated if demonstrated to be effective4 7f7 ,control of ,internet access ,an entity that receives a grant under this section may restrict access to the ,internet by prisoners1 as appropriate and in accordance with ,federal and ,state law1 to ensure public safety4 4 #djb4 ,national ,task ,force on ,recovery and ,collateral ,consequences 7a7 ,definition ,in this section1 the term collateral consequence means a penalty1 disability1 or disadvantage imposed on an individual who is in recovery for a substance use disorder 7including by an administrative agency1 official1 or civil court 7 as a result of a ,federal or ,state conviction for a drug-related offense but not as part of the judgment of the court that imposes the conviction4 7b7 ,establishment 7#a7 ,in general ,not later than #cj days after the date of enactment of this ,act1 the ,attorney ,general shall establish a bipartisan task force to be known as the ,task ,force on ,recovery and ,collateral ,consequences 7in this section referred to as the ,task ,force74 7#b7 ,membership 7,a7 ,total number of members ,the ,task ,force shall include #aj members1 who shall be appointed by the ,attorney ,general in accordance with subparagraphs 7,b7 and 7,c74 7,b7 ,members of the task force ,the ,task ,force shall include-- 7i7 members who have national recognition and significant expertise in areas such as health care1 housing1 employment1 substance use disorders1 mental health1 law enforcement1 and law2 7ii7 not fewer than #b members-- 7,i7 who have personally experienced substance abuse or addiction and are in recovery2 and 7,,ii7 not fewer than #a one of whom has benefitted from medication assisted treatment2 and 7iii7 to the extent practicable1 members who formerly served as elected officials at the ,state and ,federal levels4 7,c7 ,timing ,the ,attorney ,general shall appoint the members of the ,task ,force not later than #fj days after the date on which the ,task ,force is established under paragraph 7#a74 7#c7 ,chairperson ,the ,task ,force shall select a chairperson or co-chairpersons from among the members of the ,task ,force4 7c7 ,duties of the task force 7#a7 ,in general ,the ,task ,force shall-- 7,a7 identify collateral consequences for individuals with ,federal or ,state convictions for drug-related offenses who are in recovery for substance use disorder2 and 7,b7 examine any policy basis for the imposition of collateral consequences identified under subparagraph 7,a7 and the effect of the collateral consequences on individuals in recovery from resuming their personal and professional activities4 7#b7 ,recommendations ,not later than #ahj days after the date of the first meeting of the ,task ,force1 the ,task ,force shall develop recommendations1 as it considers appropriate1 for proposed legislative and regulatory changes related to the collateral consequences identified under paragraph 7#a74 7#c7 ,collection of information ,the ,task ,force shall hold hearings1 require the testimony and attendance of witnesses1 and secure information from any department or agency of the ,united ,states in performing the duties under paragraphs 7#a7 and 7#b74 7#d7 ,report 7,a7 ,submission to executive branch ,not later than #a year after the date of the first meeting of the ,task ,force1 the ,task ,force shall submit a report detailing the findings and recommendations of the ,task ,force to-- 7i7 the head of each relevant department or agency of the ,united ,states2 7ii7 the ,president2 and 7iii7 the ,vice ,president4 7,b7 ,submission to ,congress ,the individuals who receive the report under subparagraph 7,a7 shall submit to ,congress such legislative recommendations1 if any1 as those individuals consider appropriate based on the report4 ,v ,addiction and treatment services for women1 families1 and veterans #eja4 ,improving treatment for pregnant and postpartum women ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #dja1 is amended by adding at the end the following3 #biii;,e4 ,improving treatment for pregnant and postpartum women 7a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,director of the ,center for ,substance ,abuse ,treatment1 may carry out a pilot program under which the ,secretary makes competitive grants to ,state substance abuse agencies to-- 7#a7 enhance flexibility in the use of funds designed to support family-based services for pregnant and postpartum women with a primary diagnosis of a substance use disorder1 including opioid use disorders2 7#b7 help ,state substance abuse agencies address identified gaps in services furnished to such women along the continuum of care1 including services provided to women in non-residential based settings2 and 7#c7 promote a coordinated1 effective1 and efficient ,state system managed by ,state substance abuse agencies by encouraging new approaches and models of service delivery that are evidence-based1 including effective family-based programs for women involved with the criminal justice system4 7b7 ,requirements ,in carrying out the pilot program under this section1 the ,secretary-- 7#a7 shall require ,state substance abuse agencies to submit to the ,secretary applications1 in such form and manner and containing such information as specified by the ,secretary1 to be eligible to receive a grant under the program2 7#b7 shall identify1 based on such submitted applications1 ,state substance abuse agencies that are eligible for such grants2 7#c7 shall require services proposed to be furnished through such a grant to support family-based treatment and other services for pregnant and postpartum women with a primary diagnosis of a substance use disorder1 including opioid use disorders2 7#d7 shall not require that services furnished through such a grant be provided solely to women that reside in facilities2 and 7#e7 shall not require that grant recipients under the program make available all services described in section #ejh7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7;d774 7c7 ,required services 7#a7 ,in general ,the ,secretary shall specify minimum services required to be made available to eligible women through a grant awarded under the pilot program under this section4 ,such minimum services-- 7,a7 shall include the requirements described in section #ejh7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7;c772 7,b7 may include any of the services described in section #ejh7;d7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#a7;d772 7,c7 may include other services1 as appropriate2 and 7,d7 shall be based on the recommendations submitted under paragraph 7#b74 7#b7 ,stakeholder input ,the ,secretary shall convene and solicit recommendations from stakeholders1 including ,state substance abuse agencies1 health care providers1 persons in recovery from a substance use disorder1 and other appropriate individuals1 for the minimum services described in paragraph 7#a74 7d7 ,duration ,the pilot program under this section shall not exceed #e years4 7e7 ,evaluation and report to ,congress 7#a7 ,in general ,out of amounts made available to the ,center for ,behavioral ,health ,statistics and ,quality1 the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in cooperation with the recipients of grants under this section1 shall conduct an evaluation of the pilot program1 beginning #a year after the date on which a grant is first awarded under this section4 ,the ,director of the ,center for ,behavioral ,health ,statistics and ,quality1 in coordination with the ,director of the ,center for ,substance ,abuse ,treatment1 not later than #abj days after completion of such evaluation1 shall submit to the relevant ,committees of the ,senate and the ,house of ,representatives a report on such evaluation4 7#b7 ,contents ,the report to ,congress under paragraph 7#a7 shall include1 at a minimum1 outcomes information from the pilot program1 including any resulting reductions in the use of alcohol and other drugs1 engagement in treatment services1 retention in the appropriate level and duration of services1 increased access to the use of drugs approved by the ,food and ,drug ,administration for the treatment of substance use disorders in combination with counseling1 and other appropriate measures4 7f7 ,state substance abuse agency defined ,for purposes of this section1 the term ,state substance abuse agency means1 with respect to a ,state1 the agency in such ,state that manages the substance abuse prevention and treatment block grant program under part ,b of title ,,xix of the ,public ,health ,service ,act4 4 #ejb4 ,report on grants for family-based substance abuse treatment ,section #bibe of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgigs-#d7 is amended-- 7#a7 by striking ,an entity and inserting 7a7 ,entity ,reports4--,an entity2 and 7#b7 by adding at the end the following3 7b7 ,attorney general report on family-,based substance abuse treatment ,the ,attorney ,general shall submit to ,congress an annual report that describes the number of grants awarded under section #biba7a7 and how such grants are used by the recipients for family-based substance abuse treatment programs that serve as alternatives to incarceration for custodial parents to receive treatment and services as a family4 4 #ejc4 ,veterans' treatment courts ,section #biia7;j77#a77;,b77ii7 of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;aa7j77#a77;,b77ii77 is amended-- 7#a7 by inserting 7,i7 after 7ii72 7#b7 in subclause 7,i71 as so designated1 by striking the period and inserting 2 or2 and 7#c7 by adding at the end the following3 7,,ii7 was discharged or released from such service under dishonorable conditions1 if the reason for that discharge or release1 if known1 is attributable to drug use4 4 ,,vi ,incentivizing ,state comprehensive initiatives to address opioid and heroin abuse #fja4 ,state demonstration grants for comprehensive opioid abuse response 7a7 ,definitions ,in this section-- 7#a7 the term dispenser has the meaning given the term in section #ajb of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hjb72 7#b7 the term prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance does not include a prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance that dispenses the substance-- 7,a7 for use on the premises on which the substance is dispensed2 7,b7 in a hospital emergency room1 when the substance is in short supply2 7,c7 for a certified opioid treatment program2 or 7,d7 in other situations as the ,attorney ,general may reasonably determine2 7#c7 the term prescriber means a dispenser who prescribes a controlled substance1 or the agent of such a dispenser2 and 7#d7 the term schedule ,,ii1 ,,iii1 or ,,iv controlled substance means a controlled substance that is listed on schedule ,,ii1 schedule ,,iii1 or schedule ,,iv of section #bjb7;c7 of the ,controlled ,substances ,act 7#ba ,u4,s4,c4 #hab7;c774 7b7 ,planning and implementation grants 7#a7 ,in general ,the ,attorney ,general1 in coordination with the ,secretary of ,health and ,human ,services and in consultation with the ,director of the ,office of ,national ,drug ,control ,policy1 may award grants to ,states1 and combinations thereof1 to prepare a comprehensive plan for and implement an integrated opioid abuse response initiative4 7#b7 ,purposes ,a ,state receiving a grant under this section shall establish a comprehensive response to opioid abuse1 which shall include-- 7,a7 prevention and education efforts around heroin and opioid use1 treatment1 and recovery1 including education of residents1 medical students1 and physicians and other prescribers of schedule ,,ii1 ,,iii1 or ,,iv controlled substances on relevant prescribing guidelines and the prescription drug monitoring program of the ,state 2 7,b7 a comprehensive prescription drug monitoring program to track dispensing of schedule ,,ii1 ,,iii1 or ,,iv controlled substances1 which shall-- 7i7 provide for data sharing with other ,states by statute1 regulation1 or interstate agreement2 and 7ii7 allow for access to all individuals authorized by the ,state to write prescriptions for schedule ,,ii1 ,,iii1 or ,,iv controlled substances on the prescription drug monitoring program of the ,state4 7,c7 developing1 implementing1 or expanding prescription drug and opioid addiction treatment programs by-- 7i7 expanding programs for medication assisted treatment of prescription drug and opioid addiction1 including training for treatment and recovery support providers2 7ii7 developing1 implementing1 or expanding programs for behavioral health therapy for individuals who are in treatment for prescription drug and opioid addiction2 7iii7 developing1 implementing1 or expanding programs to screen individuals who are in treatment for prescription drug and opioid addiction for hepatitis ,c and ,,hiv1 and provide treatment for those individuals if clinically appropriate2 or 7iv7 developing1 implementing1 or expanding programs that provide screening1 early intervention1 and referral to treatment 7commonly known as ,,sbirt 7 to teenagers and young adults in primary care1 middle schools1 high schools1 universities1 school-based health centers1 and other community-based health care settings frequently accessed by teenagers or young adults2 and 7,d7 developing1 implementing1 and expanding programs to prevent overdose death from prescription medications and opioids4 7#c7 ,planning grant applications 7,a7 ,application 7i7 ,in general ,a ,state seeking a planning grant under this section to prepare a comprehensive plan for an integrated opioid abuse response initiative shall submit to the ,attorney ,general an application in such form1 and containing such information1 as the ,attorney ,general may require4 7ii7 ,requirements ,an application for a planning grant under this section shall1 at a minimum1 include-- 7,i7 a budget and a budget justification for the activities to be carried out using the grant2 7,,ii7 a description of the activities proposed to be carried out using the grant1 including a schedule for completion of such activities2 7,,iii7 outcome measures that will be used to measure the effectiveness of the programs and initiatives to address opioids2 and 7,,iv7 a description of the personnel necessary to complete such activities4 7,b7 ,period2 nonrenewability ,a planning grant under this section shall be for a period of #a year4 ,a ,state may not receive more than #a planning grant under this section4 7,c7 ,amount ,a planning grant under this section may not exceed #ajj1jjj4 7,d7 ,strategic plan and program implementation plan ,a ,state receiving a planning grant under this section shall develop a strategic plan and a program implementation plan4 7#d7 ,implementation grants 7,a7 ,application ,a ,state seeking an implementation grant under this section to implement a comprehensive strategy for addressing opioid abuse shall submit to the ,attorney ,general an application in such form1 and containing such information1 as the ,attorney ,general may require4 7,b7 ,use of funds ,a ,state that receives an implementation grant under this section shall use the grant for the cost of carrying out an integrated opioid abuse response program in accordance with this section1 including for technical assistance1 training1 and administrative expenses4 7,c7 ,requirements ,an integrated opioid abuse response program carried out using an implementation grant under this section shall-- 7i7 require that each prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance in the ,state-- 7,i7 registers with the prescription drug monitoring program of the ,state2 and 7,,ii7 consults the prescription drug monitoring program database of the ,state before prescribing a schedule ,,ii1 ,,iii1 or ,,iv controlled substance2 7ii7 require that each dispenser of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance in the ,state-- 7,i7 registers with the prescription drug monitoring program of the ,state2 7,,ii7 consults the prescription drug monitoring program database of the ,state before dispensing a schedule ,,ii1 ,,iii1 or ,,iv controlled substance2 and 7,,iii7 reports to the prescription drug monitoring program of the ,state1 at a minimum1 each instance in which a schedule ,,ii1 ,,iii1 or ,,iv controlled substance is dispensed1 with limited exceptions1 as defined by the ,state1 which shall indicate the prescriber by name and ,national ,provider ,identifier2 7iii7 require that1 not fewer than #d times each year1 the ,state agency or agencies that administer the prescription drug monitoring program of the ,state prepare and provide to each prescriber of a schedule ,,ii1 ,,iii1 or ,,iv controlled substance an informational report that shows how the prescribing patterns of the prescriber compare to prescribing practices of the peers of the prescriber and expected norms2 7iv7 if informational reports provided to a prescriber under clause 7iii7 indicate that the prescriber is repeatedly falling outside of expected norms or standard practices for the prescriber's field1 direct the prescriber to educational resources on appropriate prescribing of controlled substances2 7v7 ensure that the prescriber licensing board of the ,state receives a report describing any prescribers that repeatedly fall outside of expected norms or standard practices for the prescriber's field1 as described in clause 7iii72 7vi7 require consultation with the ,single ,state ,authority for ,substance ,abuse2 and 7vii7 establish requirements for how data will be collected and analyzed to determine the effectiveness of the program4 7,d7 ,period ,an implementation grant under this section shall be for a period of #b years4 7,e7 ,amount ,the amount of an implementation grant under this section may not exceed #e1jjj1jjj4 7#e7 ,priority considerations ,in awarding planning and implementation grants under this section1 the ,attorney ,general shall give priority to a ,state that-- 7,a7 7i7 provides civil liability protection for first responders1 health professionals1 and family members who have received appropriate training in the administration of naloxone in administering naloxone to counteract opioid overdoses2 and 7ii7 submits to the ,attorney ,general a certification by the attorney general of the ,state that the attorney general has-- 7,i7 reviewed any applicable civil liability protection law to determine the applicability of the law with respect to first responders1 health care professionals1 family members1 and other individuals who-- 7aa7 have received appropriate training in the administration of naloxone2 and 7bb7 may administer naloxone to individuals reasonably believed to be suffering from opioid overdose2 and 7,,ii7 concluded that the law described in subclause 7,i7 provides adequate civil liability protection applicable to such persons2 7,b7 has in effect legislation or implements a policy under which the ,state shall not terminate1 but may suspend1 enrollment under the ,state plan for medical assistance under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 for an individual who is incarcerated for a period of fewer than #b years2 7,c7 has a process for enrollment in services and benefits necessary by criminal justice agencies to initiate or continue treatment in the community1 under which an individual who is incarcerated may1 while incarcerated1 enroll in services and benefits that are necessary for the individual to continue treatment upon release from incarceration2 7,d7 ensures the capability of data sharing with other ,states1 such as by making data available to a prescription monitoring hub2 7,e7 ensures that data recorded in the prescription drug monitoring program database of the ,state is available within #bd hours1 to the extent possible2 and 7,f7 ensures that the prescription drug monitoring program of the ,state notifies prescribers and dispensers of schedule ,,ii1 ,,iii1 or ,,iv controlled substances when overuse or misuse of such controlled substances by patients is suspected4 7c7 ,authorization of ,funding ,for each of fiscal years #bjaf through #bjbj1 the ,attorney ,general may use1 from any unobligated balances made available under the heading ,,general ,,administration to the ,department of ,justice in an appropriations ,act1 such amounts as are necessary to carry out this section1 not to exceed #e1jjj1jjj per fiscal year4 ,,vii ,miscellaneous #gja4 ,,gao report on ,,imd exclusion 7a7 ,definition ,in this section1 the term ,medicaid ,institutions for ,mental ,disease exclusion means the prohibition on ,federal matching payments under ,medicaid for patients who have attained age #bb1 but have not attained age #fe1 in an institution for mental diseases under subparagraph 7,b7 of the matter following subsection 7a7 of section #aije of the ,social ,security ,act and subsection 7i7 of such section 7#db ,u4,s4,c4 #acif;d74 7b7 ,report required ,not later than #a year after the date of enactment of this ,act1 the ,comptroller ,general of the ,united ,states shall submit to ,congress a report on the impact that the ,medicaid ,institutions for ,mental ,disease exclusion has on access to treatment for individuals with a substance use disorder4 7c7 ,elements ,the report required under subsection 7b7 shall include a review of what is known regarding-- 7#a7 ,medicaid beneficiary access to substance use disorder treatments in institutions for mental disease2 and 7#b7 the quality of care provided to ,medicaid beneficiaries treated in and outside of institutions for mental disease for substance use disorders4 #gjb4 ,funding ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #eja1 is amended by adding at the end the following3 #biii;,f4 ,funding ,there are authorized to be appropriated to the ,attorney ,general and the ,secretary of ,health and ,human ,services to carry out this part #gg1ijj1jjj for each of fiscal years #bjaf through #bjbj4 4 #gjc4 ,conforming amendments ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq47 is amended-- 7#a7 in the part heading1 by striking ,,confronting ,,use ,,of ,,methamphetamine and inserting ,,comprehensive ,,addiction ,,and ,,recovery2 and 7#b7 in section #biif7;a77#a71 by striking this part and inserting this section4 #gjd4 ,grant accountability 7a7 ,grants under part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh ,part ,,ii of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#db ,u4,s4,c4 #cgig;cc et seq471 as amended by section #gjb1 is amended by adding at the end the following3 #biii;,g4 ,grant accountability 7a7 ,definitions ,in this section-- 7#a7 the term applicable committees-- 7,a7 with respect to the ,attorney ,general and any other official of the ,department of ,justice1 means-- 7i7 the ,committee on the ,judiciary of the ,senate2 and 7ii7 the ,committee on the ,judiciary of the ,house of ,representatives2 and 7,b7 with respect to the ,secretary of ,health and ,human ,services and any other official of the ,department of ,health and ,human ,services1 means-- 7i7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 and 7ii7 the ,committee on ,energy and ,commerce of the ,house of ,representatives2 7#b7 the term covered agency means-- 7,a7 the ,department of ,justice2 and 7,b7 the ,department of ,health and ,human ,services2 and 7#c7 the term covered official means-- 7,a7 the ,attorney ,general2 and 7,b7 the ,secretary of ,health and ,human ,services4 7b7 ,accountability ,all grants awarded by a covered official under this part shall be subject to the following accountability provisions3 7#a7 ,audit requirement 7,a7 ,definition ,in this paragraph1 the term unresolved audit finding means a finding in the final audit report of the ,inspector ,general of a covered agency that the audited grantee has utilized grant funds for an unauthorized expenditure or otherwise unallowable cost that is not closed or resolved within #ab months after the date on which the final audit report is issued4 7,b7 ,audit ,beginning in the first fiscal year beginning after the date of enactment of this section1 and in each fiscal year thereafter1 the ,inspector ,general of a covered agency shall conduct audits of recipients of grants awarded by the applicable covered official under this part to prevent waste1 fraud1 and abuse of funds by grantees4 ,the ,inspector ,general shall determine the appropriate number of grantees to be audited each year4 7,c7 ,mandatory exclusion ,a recipient of grant funds under this part that is found to have an unresolved audit finding shall not be eligible to receive grant funds under this part during the first #b fiscal years beginning after the end of the #ab-month period described in subparagraph 7,a74 7,d7 ,priority ,in awarding grants under this part1 a covered official shall give priority to eligible applicants that did not have an unresolved audit finding during the #c fiscal years before submitting an application for a grant under this part4 7,e7 ,reimbursement ,if an entity is awarded grant funds under this part during the #b-;fiscal-year period during which the entity is barred from receiving grants under subparagraph 7,c71 the covered official that awarded the grant funds shall-- 7i7 deposit an amount equal to the amount of the grant funds that were improperly awarded to the grantee into the ,general ,fund of the ,treasury2 and 7ii7 seek to recoup the costs of the repayment to the fund from the grant recipient that was erroneously awarded grant funds4 7#b7 ,nonprofit organization requirements 7,a7 ,definition ,for purposes of this paragraph and the grant programs under this part1 the term nonprofit organization means an organization that is described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf and is exempt from taxation under section #eja7;a7 of such ,code4 7,b7 ,prohibition ,a covered official may not award a grant under this part to a nonprofit organization that holds money in offshore accounts for the purpose of avoiding paying the tax described in section #eaa7;a7 of the ,internal ,revenue ,code of #aihf4 7,c7 ,disclosure ,each nonprofit organization that is awarded a grant under this part and uses the procedures prescribed in regulations to create a rebuttable presumption of reasonableness for the compensation of its officers1 directors1 trustees1 and key employees1 shall disclose to the applicable covered official1 in the application for the grant1 the process for determining such compensation1 including the independent persons involved in reviewing and approving such compensation1 the comparability data used1 and contemporaneous substantiation of the deliberation and decision4 ,upon request1 a covered official shall make the information disclosed under this subparagraph available for public inspection4 7#c7 ,conference expenditures 7,a7 ,limitation ,no amounts made available to a covered official under this part may be used by the covered official1 or by any individual or entity awarded discretionary funds through a cooperative agreement under this part1 to host or support any expenditure for conferences that uses more than #bj1jjj in funds made available by the covered official1 unless the covered official provides prior written authorization that the funds may be expended to host the conference4 7,b7 ,written authorization ,written authorization under subparagraph 7,a7 shall include a written estimate of all costs associated with the conference1 including the cost of all food1 beverages1 audio-visual equipment1 honoraria for speakers1 and entertainment4 7,c7 ,report 7i7 ,department of ,justice ,the ,deputy ,attorney ,general shall submit to the applicable committees an annual report on all conference expenditures approved by the ,attorney ,general under this paragraph4 7ii7 ,department of ,health and ,human ,services ,the ,deputy ,secretary of ,health and ,human ,services shall submit to the applicable committees an annual report on all conference expenditures approved by the ,secretary of ,health and ,human ,services under this paragraph4 7#d7 ,annual certification ,beginning in the first fiscal year beginning after the date of enactment of this section1 each covered official shall submit to the applicable committees an annual certification-- 7,a7 indicating whether-- 7i7 all audits issued by the ,office of the ,inspector ,general of the applicable agency under paragraph 7#a7 have been completed and reviewed by the appropriate ,assistant ,attorney ,general or ,director1 or the appropriate official of the ,department of ,health and ,human ,services1 as applicable2 7ii7 all mandatory exclusions required under paragraph 7#a77;,c7 have been issued2 and 7iii7 all reimbursements required under paragraph 7#a77;,e7 have been made2 and 7,b7 that includes a list of any grant recipients excluded under paragraph 7#a7 from the previous year4 7c7 ,preventing duplicative grants 7#a7 ,in general ,before a covered official awards a grant to an applicant under this part1 the covered official shall compare potential grant awards with other grants awarded under this part by the covered official to determine if duplicate grant awards are awarded for the same purpose4 7#b7 ,report ,if a covered official awards duplicate grants to the same applicant for the same purpose1 the covered official shall submit to the applicable committees a report that includes-- 7,a7 a list of all duplicate grants awarded1 including the total dollar amount of any duplicate grants awarded2 and 7,b7 the reason the covered official awarded the duplicate grants4 4 7b7 ,other grants 7#a7 ,definitions ,in this subsection-- 7,a7 the term applicable committees-- 7i7 with respect to the ,attorney ,general and any other official of the ,department of ,justice1 means-- 7,i7 the ,committee on the ,judiciary of the ,senate2 and 7,,ii7 the ,committee on the ,judiciary of the ,house of ,representatives2 and 7ii7 with respect to the ,secretary of ,health and ,human ,services and any other official of the ,department of ,health and ,human ,services1 means-- 7,i7 the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate2 and 7,,ii7 the ,committee on ,energy and ,commerce of the ,house of ,representatives2 7,b7 the term covered agency means-- 7i7 the ,department of ,justice2 and 7ii7 the ,department of ,health and ,human ,services2 and 7,c7 the term covered official means-- 7i7 the ,attorney ,general2 and 7ii7 the ,secretary of ,health and ,human ,services4 7#b7 ,accountability ,all grants awarded by a covered official under section #bja1 #cjb1 or #fja shall be subject to the following accountability provisions3 7,a7 ,audit requirement 7i7 ,definition ,in this subparagraph1 the term unresolved audit finding means a finding in the final audit report of the ,inspector ,general of a covered agency that the audited grantee has utilized grant funds for an unauthorized expenditure or otherwise unallowable cost that is not closed or resolved within #ab months after the date on which the final audit report is issued4 7ii7 ,audit ,beginning in the first fiscal year beginning after the date of enactment of this ,act1 and in each fiscal year thereafter1 the ,inspector ,general of a covered agency shall conduct audits of recipients of grants awarded by the applicable covered official under section #bja1 #cjb1 or #fja to prevent waste1 fraud1 and abuse of funds by grantees4 ,the ,inspector ,general shall determine the appropriate number of grantees to be audited each year4 7iii7 ,mandatory exclusion ,a recipient of grant funds under section #bja1 #cjb1 or #fja that is found to have an unresolved audit finding shall not be eligible to receive grant funds under those sections during the first #b fiscal years beginning after the end of the #ab-month period described in clause 7i74 7iv7 ,priority ,in awarding grants under section #bja1 #cjb1 or #fja1 a covered official shall give priority to eligible applicants that did not have an unresolved audit finding during the #c fiscal years before submitting an application for a grant under such section4 7v7 ,reimbursement ,if an entity is awarded grant funds under section #bja1 #cjb1 or #fja during the #b-;fiscal-year period during which the entity is barred from receiving grants under clause 7iii71 the covered official that awarded the funds shall-- 7,i7 deposit an amount equal to the amount of the grant funds that were improperly awarded to the grantee into the ,general ,fund of the ,treasury2 and 7,,ii7 seek to recoup the costs of the repayment to the fund from the grant recipient that was erroneously awarded grant funds4 7,b7 ,nonprofit organization requirements 7i7 ,definition ,for purposes of this subparagraph and the grant programs under sections #bja1 #cjb1 and #fja1 the term nonprofit organization means an organization that is described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf and is exempt from taxation under section #eja7;a7 of such ,code4 7ii7 ,prohibition ,a covered official may not award a grant under this section #bja1 #cjb1 or #fja to a nonprofit organization that holds money in offshore accounts for the purpose of avoiding paying the tax described in section #eaa7;a7 of the ,internal ,revenue ,code of #aihf4 7iii7 ,disclosure ,each nonprofit organization that is awarded a grant under section #bja1 #cjb1 or #fja and uses the procedures prescribed in regulations to create a rebuttable presumption of reasonableness for the compensation of its officers1 directors1 trustees1 and key employees1 shall disclose to the applicable covered official1 in the application for the grant1 the process for determining such compensation1 including the independent persons involved in reviewing and approving such compensation1 the comparability data used1 and contemporaneous substantiation of the deliberation and decision4 ,upon request1 a covered official shall make the information disclosed under this clause available for public inspection4 7,c7 ,conference expenditures 7i7 ,limitation ,no amounts made available to a covered official under section #bja1 #cjb1 or #fja may be used by the covered official1 or by any individual or entity awarded discretionary funds through a cooperative agreement under those sections1 to host or support any expenditure for conferences that uses more than #bj1jjj in funds made available by the covered official1 unless the covered official provides prior written authorization that the funds may be expended to host the conference4 7ii7 ,written authorization ,written authorization under clause 7i7 shall include a written estimate of all costs associated with the conference1 including the cost of all food1 beverages1 audio-visual equipment1 honoraria for speakers1 and entertainment4 7iii7 ,report 7,i7 ,department of ,justice ,the ,deputy ,attorney ,general shall submit to the applicable committees an annual report on all conference expenditures approved by the ,attorney ,general under this subparagraph4 7,,ii7 ,department of ,health and ,human ,services ,the ,deputy ,secretary of ,health and ,human ,services shall submit to the applicable committees an annual report on all conference expenditures approved by the ,secretary of ,health and ,human ,services under this subparagraph4 7,d7 ,annual certification ,beginning in the first fiscal year beginning after the date of enactment of this ,act1 each covered official shall submit to the applicable committees an annual certification-- 7i7 indicating whether-- 7,i7 all audits issued by the ,office of the ,inspector ,general of the applicable agency under subparagraph 7,a7 have been completed and reviewed by the appropriate ,assistant ,attorney ,general or ,director1 or the appropriate official of the ,department of ,health and ,human ,services1 as applicable2 7,,ii7 all mandatory exclusions required under subparagraph 7,a77iii7 have been issued2 and 7,,iii7 all reimbursements required under subparagraph 7,a77v7 have been made2 and 7ii7 that includes a list of any grant recipients excluded under subparagraph 7,a7 from the previous year4 7#c7 ,preventing duplicative grants 7,a7 ,in general ,before a covered official awards a grant to an applicant under section #bja1 #cjb1 or #fja1 the covered official shall compare potential grant awards with other grants awarded under those sections by the covered official to determine if duplicate grant awards are awarded for the same purpose4 7,b7 ,report ,if a covered official awards duplicate grants to the same applicant for the same purpose1 the covered official shall submit to the to the applicable committees a report that includes-- 7i7 a list of all duplicate grants awarded1 including the total dollar amount of any duplicate grants awarded2 and 7ii7 the reason the covered official awarded the duplicate grants4 ,february #bb1 #bjaf,reported with an amendment