,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #ceff  ,,in ,,the ,,house ,,of  
,,representatives  ,july #bh1 #bjag,mrs4
 ,bustos 7for herself1 ,mr4 ,crawford1  
,mr4 ,marshall1 ,mr4 ,evans1 and ,ms4   
,kuster of ,new ,hampshire7 introduced  
the following bill2 which was referred  
to the ,committee on ,agriculture  ,a   
,,bill  ,to strengthen resources to     
combat the heroin and opioid epidemic in
 rural communities across ,america4  #a4
 ,short title ,this ,act may be cited as
 the ,addiction ,recovery for ,rural    
,communities ,act4  #b4 ,distance       
learning and telemedicine ,section      
#bccc7;c7 of the ,food1 ,agriculture1   
,conservation1 and ,trade ,act of #aiij 
7#g ,u4,s4,c4 #iej;aaa-#b7;c77 is       
amended by adding at the end the        
following3  7#e7 ,substance use disorder
 treatment services  7,a7 ,in general   
,subject to subparagraph 7,b71 the      
,secretary shall make available not less
 than #bj percent of amounts made       
available under section #bcce;,a for    

financial assistance under this chapter 
for substance use disorder treatment    
services4  7,b7 ,exception ,in the case 
of a fiscal year for which the          
,secretary determines that there are not
 sufficient qualified applicants to     
receive financial assistance for        
substance use disorder treatment        
services to reach the #bj-percent       
requirement under subparagraph 7,a71 the
 ,secretary may make available less than
 #bj percent of amounts made available  
under section #bcce;,a for those        
services4  4  #c4 ,community facilities 
direct loans and grants ,section        
#cjf7;a7 of the ,consolidated ,farm and 
,rural ,development ,act 7#g ,u4,s4,c4  
#aibf7;a77 is amended by adding at the  
end the following3  7#bg7 ,direct loans 
and grants for substance use disorder   
treatment services  7,a7 ,selection     
priority ,in selecting recipients of    
loans or grants 7not including loans    
guaranteed by the ,secretary7 for the   
development of essential community      

facilities under this section1 the      
,secretary shall give priority to       
entities eligible for those loans or    
grants--  7i7 to develop facilities to  
provide substance use disorder          
7including opioid substance use         
disorder7-- 7,i7 prevention services2   
7,,ii7 treatment services2  7,,iii7     
recovery services2 or  7,,iv7 any       
combination of those services2 and  7ii7
 that employ staff that have appropriate
 expertise and training in how to       
identify and treat individuals with     
substance use disorders4  7,b7 ,use of  
funds ,an eligible entity described in  
subparagraph 7,a7 that receives a loan  
or grant described in that subparagraph 
may use the loan or grant funds for the 
development of telemedicine facilities  
and systems to provide telemedicine for 
substance use disorder treatment4  4    
#d4 ,rural health and safety education  
programs  7a7 ,in general ,section      
#ejb7;i7 of the ,rural ,development ,act
 of #aigb 7#g ,u4,s4,c4 #bffb7;i77 is   

amended-- 7#a7 by redesignating         
paragraph 7#e7 as paragraph 7#f72 and   
7#b7 by inserting after paragraph 7#d7  
the following3  7#e7 ,substance use     
disorder education and prevention ,in   
making grants under this subsection1 the
 ,secretary shall give priority to an   
applicant that will use the grant for   
substance use disorder education and    
treatment and the prevention of         
substance use disorder4  4  7b7         
,technical amendments ,title ,v of the  
,rural ,development ,act of #aigb 7#g   
,u4,s4,c4 #bffa et seq47 7as amended by 
subsection 7a77 is amended--  7#a7 in   
section #ejb1 in the matter preceding   
subsection 7a71 by inserting 7referred  
to in this title as the ,secretary7     
after ,agriculture2 and  7#b7 by        
striking ,secretary of ,agriculture each
 place it appears 7other than in section
 #ejb in the matter preceding subsection
 7a77 and inserting ,secretary4