,i #aae? ,,congress #b;d ,session ,h4 ,r4 #eede ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,april #ah1 #bjah,mr4 ,cumm+s introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ! ,judici>y1 & ,natural ,res\rces1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to provide em]g5cy assi/ance to ,/ates1 t]ritories1 ,tribal nations1 & local areas affect$ by ! opioid epidemic & to make f9ancial assi/ance available to ,/ates1 t]ritories1 ,tribal nations1 local areas1 & public or private nonpr(it entities to provide = ! developm5t1 organization1 coord9ation1 & op]ation ( m effective & co/ effici5t sy/ems = ! deliv]y ( ess5tial s]vices to individuals ) sub/ance use disord] & _! families4 #a4 ,%ort title2 table ( cont5ts 7a7 ,%ort title ,?is ,act may be cit$ z ! ,compreh5sive ,addiction ,res\rces ,em]g5cy ,act ( #bjah4 7b7 ,table ( cont5ts ,! table ( cont5ts ( ?is ,act is z foll[s3 ,sec4 #a4 ,%ort title2 table ( cont5ts4 ,sec4 #b4 ,purpose4 ,sec4 #c4 ,am5dm5t to ! ,public ,heal? ,s]vice ,act4 ,,title ,,xxxiv--,sub/ance use & opioid heal? res\rces ,subtitle ,a--,sub/ance use & opioid em]g5cy relief grant program ,sec4 #cdja4 ,e/abli%m5t ( program ( grants4 ,sec4 #cdjb4 ,plann+ c\ncil4 ,sec4 #cdjc4 ,am\nt ( grant & use ( am\nts4 ,sec4 #cdjd4 ,application4 ,sec4 #cdje4 ,te*nical assi/ance4 ,sec4 #cdjf4 ,au?orization ( appropriations4 ,subtitle ,b--,/ate & ,tribal sub/ance use disord] prev5tion & int]v5tion grant program ,sec4 #cdaa4 ,e/abli%m5t ( program ( grants4 ,sec4 #cdab4 ,am\nt ( grant & use ( am\nts4 ,sec4 #cdac4 ,application & limitation4 ,sec4 #cdad4 ,te*nical assi/ance4 ,sec4 #cdae4 ,au?orization ( appropriations4 ,subtitle ,c--,o!r grant program ,sec4 #cdba4 ,e/abli%m5t ( grant program4 ,sec4 #cdbb4 ,use ( am\nts4 ,sec4 #cdbc4 ,te*nical assi/ance4 ,sec4 #cdbd4 ,plann+ & developm5t grants4 ,sec4 #cdbe4 ,au?orization ( appropriations4 ,subtitle ,d--,miscellane\s provisions ,sec4 #cdca4 ,special projects ( national significance4 ,sec4 #cdcb4 ,education & tra9+ c5t]s4 ,sec4 #cdcc4 ,o!r provisions4 ,sec4 #cdcd4 ,/&>ds = sub/ance use disord] treatm5t & recov]y facilities4 ,sec4 #cdce4 ,naloxone di/ribution program4 ,sec4 #cdcf4 ,additional fund+ = ! ,national ,in/itutes ( ,heal?4 ,sec4 #cdcg4 ,additional fund+ = improv$ data collection & prev5tion ( infecti\s disease transmission4 ,sec4 #cdch4 ,def9itions4 ,sec4 #d4 ,am5dm5ts to ! ,controll$ ,sub/ances ,act4 #b4 ,purpose ,x is ! purpose ( ?is ,act to provide em]g5cy assi/ance to ,/ates1 t]ritories1 ,tribal nations1 & local areas t are disproportionately affect$ by ! opioid epidemic & to make f9ancial assi/ance available to ,/ates1 t]ritories1 ,tribal nations1 local areas1 & o!r public or private nonpr(it entities to provide = ! developm5t1 organization1 coord9ation1 & op]ation ( m effective & co/ effici5t sy/ems = ! deliv]y ( ess5tial s]vices to individuals & families ) sub/ance use disord]4 #c4 ,am5dm5t to ! ,public ,heal? ,s]vice ,act ,! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja et seq47 is am5d$ by add+ at ! end ! foll[+3 ,,xxxiv ,sub/ance use & opioid heal? res\rces ,a ,sub/ance use & opioid em]g5cy relief grant program #cdja4 ,e/abli%m5t ( program ( grants 7a7 ,9 g5]al ,! ,secret>y1 9 coord9ation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all aw>d grants to eligible localities = ! purpose ( address+ sub/ance use )9 su* localities4 7b7 ,eligibility 7#a7 ,9 g5]al ,to be eligible to receive a grant "u subsection 7a7 a locality %all-- 7,a7 be-- 7i7 a c\nty t c demon/rate t ! rate ( drug ov]dose dea?s p] #ajj1jjj individuals resid+ 9 ! c\nty dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available 0 n less ?an ! rate ( su* dea?s = ! c\nty t rank$ at ! #fg? p]c5tile ( all c\nties1 z det]m9$ by ! ,secret>y2 7ii7 a c\nty t c demon/rate t ! numb] ( drug ov]dose dea?s dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available 0 n less ?an ! numb] ( su* dea?s = ! c\nty t rank$ at ! #ij? p]c5tile ( all c\nties1 z det]m9$ by ! ,secret>y2 or 7iii7 a city t is locat$ )9 a c\nty describ$ 9 clause 7i7 or 7ii71 t meets ! requirem5ts ( p>agraph 7#c72 & 7,b7 submit to ! ,secret>y an application 9 accordance ) section #cdjd4 7#b7 ,multiple contigu\s c\nties ,9 ! case ( an eligible c\nty t is contigu\s to "o or m o!r eligible c\nties )9 ! same ,/ate1 ! gr\p ( c\nties %all-- 7,a7 be consid]$ z a s+le eligible c\nty = purposes ( a grant "u ?is section2 7,b7 submit a s+le application "u section #cdjd2 7,c7 =m a jo9t plann+ c\ncil 7= ! purposes ( section #cdjb72 & 7,d7 e/abli%1 ?r\gh int]gov]nm5tal agreem5ts1 an adm9i/rative me*anism to allocate funds & sub/ance use disord] treatm5t s]vices "u ! grant bas$ on-- 7i7 ! numb] & rate ( drug ov]dose dea?s & nonfatal drug ov]doses 9 ea* ( ! c\nties t compose ! eligible c\nty2 7ii7 ! sev]ity ( ne$ = s]vices 9 ea* su* c\nty2 & 7iii7 ! heal? & support p]sonnel ne$s ( ea* su* c\nty4 7#c7 ,cities & c\nties )9 multiple contigu\s c\nties 7,a7 ,9 g5]al ,a city t is )9 an eligible c\nty describ$ 9 p>agraph 7#a71 or a gr\p ( c\nties t is )9 a gr\p ( c\nties det]m9$ to be an eligible c\nty "u p>agraph 7#b71 %all be eligible to receive a grant "u section #cdja if su* city or c\nty or gr\p ( c\nties meets ! requirem5ts ( subp>agraph 7,b74 7,b7 ,requirem5ts ,a city or c\nty meets ! requirem5ts ( ?is subp>agraph if su* city or c\nty-- 7i7 except z provid$ 9 subp>agraph 7,c71 has a population ( n less ?an #ej1jjj resid5ts2 7ii7 meets ! requirem5ts ( p>agraph 7#a77;,a72 7iii7 submits an application "u section #cdjd2 7iv7 e/abli%es a plann+ c\ncil 7= purposes ( section #cdjb72 & 7v7 e/abli%es an adm9i/rative me*anism to allocate funds & s]vices "u ! grant bas$ on-- 7,i7 ! numb] & rate ( drug ov]dose dea?s & nonfatal drug ov]doses 9 ! city or c\nty2 7,,ii7 ! sev]ity ( ne$ = sub/ance use disord] treatm5t s]vices 9 ! city or c\nty2 & 7,,iii7 ! heal? & support p]sonnel ne$s ( ! city or c\nty4 7,c7 ,population exception ,a city or c\nty or gr\p ( c\nties t does n meet ! requirem5ts ( subp>agraph 7,b77i7 may apply to ! ,secret>y = a waiv] ( su* requirem5t4 ,su* application %all demon/rate-- 7i7 t ! ne$s ( ! population to be s]v$ are di/9ct or t address+ sub/ance use 9 ! s]vice area w\ld be be/ s]v$ by ! =mation ( an indep5d5t c\ncil2 & 7ii7 t ! city or c\nty or gr\p ( c\nties has ! capacity to adm9i/] ! fund+ receiv$ "u ?is subtitle4 7,d7 ,m9imum fund+ ,a city or c\nty t meets ! requirem5t ( ?is p>agraph & receives a grant "u section #cdja %all be entitl$ to an am\nt ( fund+ "u ! grant 9 an am\nt t is n less ?an ! am\nt det]m9$ "u section #cdjc7;a7 ) respect to su* city or c\nty4 7#d7 ,indep5d5t city ,indep5d5t cities t are n locat$ )9 ! t]ritory ( a c\nty %all be treat$ z eligible c\nties = purposes ( ?is subtitle4 7#e7 ,political subdivisions ,) respect to ,/ates t d n h a local c\nty sy/em ( gov]nance1 ! ,secret>y %all det]m9e ! local political subdivisions )9 su* ,/ates t are eligible to receive a grant "u section #cdja & su* subdivisions %all be treat$ z eligible c\nties = purposes ( ?is subtitle4 7#f7 ,det]m9ations :]e !re is a lack ( data ,! ,secret>y %all e/abli% eligibility & allocation crit]ia relat$ to ! preval5ce ( drug ov]dose dea?s1 ! mortality rate f drug ov]doses1 & t provides an equival5t measure ( ne$ = fund+ = cities & c\nties = :i* ! data describ$ 9 p>agraph 7#a77;,a7 or 7#b77;,d77i7 is n available4 7#g7 ,/udy ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is title1 ! ,comptroll] ,g5]al %all conduct a /udy to det]m9e :e!r ! data utiliz$ = purposes ( p>agraph 7#a77;,a7 provides ! mo/ precise measure ( local area ne$ relat$ to sub/ance use & addiction preval5ce & :e!r additional data w\ld provide m precise measures ( sub/ance use & addiction preval5ce 9 local areas4 ,su* /udy %all id5tify b>ri]s to collect+ or analyz+ su* data1 & make recomm5dations = revis+ ! indicators us$ "u su* p>agraph to det]m9e eligibility 9 ord] to direct funds to ! local areas 9 mo/ ne$ ( fund+ to provide assi/ance relat$ to sub/ance use & addiction4 7#h7 ,ref]5ce ,= purposes ( ?is subtitle1 ! t]m eligible local area includes-- 7,a7 a city or c\nty describ$ 9 p>agraph 7#a72 7,b7 multiple contigu\s c\nties describ$ 9 p>agraph 7#b72 7,c7 an indep5d5t locality describ$ 9 p>agraph 7#c72 7,d7 an indep5d5t city describ$ 9 p>agraph 7#d72 & 7,e7 a political subdivision describ$ 9 p>agraph 7#e74 7c7 ,adm9i/ration 7#a7 ,9 g5]al ,assi/ance made available "u a grant aw>d$ "u ?is section %all be direct$ to ! *ief elect$ (ficial ( ! eligible local area :o %all adm9i/] ! grant funds4 7#b7 ,multiple contigu\s c\nties 7,a7 ,9 g5]al ,except z provid$ 9 subp>agraph 7,b71 9 ! case ( an eligible c\nty describ$ 9 subsection 7b77#b71 assi/ance made available "u a grant aw>d$ "u ?is section %all be direct$ to ! *ief elect$ (ficial ( ! p>ticul> c\nty designat$ 9 ! application submitt$ = ! grant "u section #cdjd4 ,su* *ief elect$ (ficial %all be ! adm9i/rator ( ! grant4 7,b7 ,/ate adm9i/ration ,not)/&+ subp>agraph 7,a71 ! eligible c\nty describ$ 9 subsection 7b77#b7 may elect to designate ! *ief elect$ ,/ate (ficial ( ! ,/ate 9 :i* ! eligible c\nty is locat$ z ! adm9i/rator ( ! grant funds4 #cdjb4 ,plann+ c\ncil 7a7 ,e/abli%m5t ,to be eligible to receive a grant "u section #cdja1 ! *ief elect$ (ficial ( ! eligible local area %all e/abli% or designate a sub/ance use disord] treatm5t & s]vices plann+ c\ncil t %all1 to ! maximum ext5t practicable-- 7#a7 be repres5tative ( ! demographics ( ! population ( individuals ) sub/ance use disord] 9 ! area2 & 7#b7 include repres5tatives (-- 7,a7 heal? c>e provid]s1 includ+ f$]ally qualifi$ heal? c5t]s1 rural heal? cl9ics1 ,indian heal? programs z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 urban ,indian organizations z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 ,native ,hawaiian organizations z def9$ 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,act ( #aihh1 & facilities op]at$ by ! ,dep>tm5t ( ,vet]ans ,affairs2 7,b7 community-bas$ heal?1 h>m r$uction1 or addiction s]vice organizations1 includ+1 :]e applicable1 repres5tatives ( ,drug ,free ,communities ,coalition grantees2 7,c7 social s]vice provid]s1 includ+ provid]s ( h\s+ & homelessness s]vices & recov]y resid5ce provid]s2 7,d7 m5tal heal? c>e provid]s2 7,e7 local public heal? ag5cies2 7,f7 law en=cem5t (ficials1 includ+ (ficials f ,high ,int5sity ,drug ,traffick+ ,area program1 :]e applicable2 7,g7 affect$ communities1 includ+ individuals ) sub/ance use disord] or a hi/ory ( sub/ance use disord]1 includ+ individuals 9 recov]y f sub/ance use disord]s2 7,h7 ,/ate gov]nm5ts1 includ+ ! ,/ate ,m$icaid ag5cy & ! ,s+le ,/ate ,ag5cy = ,sub/ance ,abuse ,s]vices2 7,i7 local gov]nm5ts2 7,j7 non-elect$ community lead]s2 7,k7 sub/ance use disord] treatm5t provid]s2 7,l7 ,indian tribes & tribal organizations z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act2 7,m7 urban ,indians z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act2 7,n7 hi/orically und]s]v$ gr\ps & subpopulations2 7,o7 individuals :o 7 =m]ly inc>c]at$2 7,p7 organizations s]v+ individuals :o are curr5tly or 7 =m]ly inc>c]at$2 7,q7 repres5tatives ( ,f$]al ag5cies2 7,r7 repres5tatives ( organizations t provide s]vices to y\? at risk ( sub/ance use2 7,s7 repres5tatives ( m$ical exam9]s or coron]s2 7,t7 repres5tatives ( labor unions & ! workplace community2 & 7,u7 repres5tatives ( local fire dep>tm5ts & em]g5cy m$ical s]vices4 7b7 ,me?od ( provid+ = c\ncil 7#a7 ,9 g5]al ,9 provid+ = a c\ncil = purposes ( subsection 7a71 ! *ief elect$ (ficial ( ! eligible local area may e/abli% ! c\ncil directly or designate an exi/+ entity to s]ve z ! c\ncil1 subject to p>agraph 7#b74 7#b7 ,consid]ation reg>d+ designation ( c\ncil ,9 mak+ a det]m9ation ( :e!r to e/abli% or designate a c\ncil "u p>agraph 7#a71 ! *ief elect$ (ficial %all give priority to ! designation ( an exi/+ entity t has demon/rat$ exp]i5ce 9 ! provision ( heal? & support s]vices to individuals ) sub/ance use disord] )9 ! eligible local area1 t has a /ructure t recognizes ! ,f$]al tru/ responsibility :5 sp5d+ ,f$]al heal? c>e doll>s1 & t has demon/rat$ a commitm5t to respect+ ! obligation ( gov]nm5t ag5cies us+ ,f$]al doll>s to consult ) ,indian tribes & conf] ) ,urban ,indian heal? programs4 7#c7 ,jo9t c\ncil ,! ,secret>y %all e/abli% a process to p]mit an eligible local area t is n contigu\s ) any o!r eligible local area to =m a jo9t plann+ c\ncil ) su* o!r eligible local area or areas1 z long z su* areas are locat$ 9 geographical proximity to ea* o!r1 z det]m9$ by ! ,secret>y1 & submit a jo9t application "u section #cdjd4 7#d7 ,jo9t c\ncil across ,/ate l9es ,eligible local areas may =m a jo9t plann+ c\ncil ) o!r eligible local areas across ,/ate l9es if su* areas are locat$ 9 geographical proximity to ea* o!r1 z det]m9$ by ! ,secret>y1 submit a jo9t application "u section #cdjd1 & e/abli% int]gov]nm5tal agreem5ts to all[ ! adm9i/ration ( ! grant across ,/ate l9es4 7c7 ,memb]%ip ,memb]s ( ! plann+ c\ncil e/abli%$ or designat$ "u subsection 7a7 %all-- 7#a7 be nom9at$ & select$ ?r\gh an op5 process2 7#b7 elect f among _! memb]%ip a *air & vice *air2 7#c7 include at lea/ "o repres5tative f ,indian tribes locat$ )9 any eligible local area t receives fund+ "u ! grant program e/abli%$ 9 section #cdja2 & 7#d7 s]ve no m ?an #c consecutive ye>s on ! plann+ c\ncil4 7d7 ,memb]%ip t]ms ,memb]s ( ! plann+ c\ncil e/abli%$ or designat$ "u subsection 7a7 may s]ve additional t]ms if nom9at$ & select$ ?r\gh ! process e/abli%$ 9 subsection 7c77#a74 7e7 ,duties ,! plann+ c\ncil e/abli%$ or designat$ "u subsection 7a7 %all-- 7#a7 e/abli% priorities = ! allocation ( grant funds )9 ! eligible local area t emphasize r$uc+ drug ov]dose & sub/ance use disord] ?r\gh evid5ce-bas$ int]v5tions 9 bo? community & crim9al ju/ice sett+s & t are bas$ on-- 7,a7 ! use by ! grantee ( sub/ance use disord] treatm5t & int]v5tion /rategies t comply ) be/ practices id5tifi$ by ! ,secret>y2 7,b7 ! demon/rat$ or probable co/-effectiv5ess ( propos$ sub/ance use disord] treatm5t s]vices2 7,c7 ! heal? priorities ( ! communities )9 ! eligible local area t are affect$ by sub/ance use2 7,d7 ! priorities & ne$s ( individuals ) sub/ance use disord]2 & 7,e7 ! availability ( o!r gov]nm5tal & nongov]nm5tal s]vices2 7#b7 ensure ! use ( grant funds are consi/5t ) any exi/+ ,/ate or local plan reg>d+ ! provision ( sub/ance use disord] treatm5t s]vices to individuals ) sub/ance use disord]2 7#c7 9 ! abs5ce ( a ,/ate or local plan1 "w ) local public heal? ag5cies to develop a compreh5sive plan = ! organization & deliv]y ( sub/ance use disord] treatm5t s]vices2 7#d7 regul>ly assess ! effici5cy ( ! adm9i/rative me*anism 9 rapidly allocat+ funds to support evid5ce-bas$ sub/ance use disord] treatm5t s]vices 9 ! areas ( greate/ ne$ )9 ! eligible local area2 7#e7 "w ) local public heal? ag5cies to det]m9e ! size & demographics ( ! population ( individuals ) sub/ance use disord]s & ! types ( sub/ance use t are mo/ preval5t 9 ! eligible local area2 7#f7 "w ) local public heal? ag5cies to det]m9e ! ne$s ( su* population1 includ+ ! ne$ = sub/ance use disord] treatm5t s]vices2 7#g7 "w ) local public ag5cies to det]m9e ! disp>ities 9 access to s]vices among affect$ subpopulations & hi/orically und]s]v$ communities1 includ+ infra/ructure & capacity %ortcom+s ( provid]s t contribute to ^! disp>ities2 7#h7 "w ) local public ag5cies to e/abli% me?ods = obta9+ input on community ne$s & priorities1 includ+ by p>tn]+ ) organizations t s]ve t>get$ communities exp]i5c+ high opioid relat$ heal? disp>ities to ga!r data us+ culturally attun$ data collection me?odologies2 7#i7 coord9ate ) ,f$]al grantees t provide sub/ance use disord] treatm5t s]vices )9 ! eligible local area2 & 7#aj7 annually assess ! effectiv5ess ( ! sub/ance use disord] treatm5t s]vices be+ support$ by ! grant receiv$ by ! eligible local area1 includ+-- 7,a7 r$uctions 9 ! rates ( ov]dose & dea? f sub/ance use disord]s2 7,b7 rates ( discont9uation f sub/ance use disord] treatm5t s]vices2 7,c7 long-t]m outcomes among individuals receiv+ treatm5t = sub/ance use disord]s2 & 7,d7 ! availability ( sub/ance use disord] treatm5t s]vices ne$$ by individuals ) sub/ance use disord]s ov] _! lifetimes4 7f7 ,conflicts ( int]e/ 7#a7 ,9 g5]al ,! plann+ c\ncil "u subsection 7a7 may n be directly involv$ 9 ! adm9i/ration ( a grant "u section #cdja4 7#b7 ,requir$ agreem5ts ,an individual may s]ve on ! plann+ c\ncil "u subsection 7a7 only if ! individual agrees t if ! individual has a f9ancial int]e/ 9 an entity1 if ! individual is an employee ( a public or private entity1 or if ! individual is a memb] ( a public or private organization1 & su* entity or organization is seek+ am\nts f a grant "u section #cdja1 ! individual w n1 ) respect to ! purpose = :i* ! entity seeks su* am\nts1 p>ticipate 7directly or 9 an advisory capacity7 9 ! process ( select+ entities to receive su* am\nts = su* purpose4 7g7 ,grievance proc$ures ,a plann+ c\ncil "u subsection 7a7 %all develop proc$ures = address+ grievances ) respect to fund+ "u ?is subtitle1 includ+ proc$ures = submitt+ grievances t _c be resolv$ to b9d+ arbitration4 ,su* proc$ures %all be describ$ 9 ! by-laws ( ! plann+ c\ncil4 7h7 ,public delib]ations ,) respect to a plann+ c\ncil "u subsection 7a71 9 accordance ) crit]ia e/abli%$ by ! ,secret>y1 ! foll[+ applies3 7#a7 ,! meet+s ( ! c\ncil %all be op5 to ! public & %all be held only aft] adequate notice to ! public4 7#b7 ,! records1 reports1 transcripts1 m9utes1 ag5da1 or o!r docum5ts :i* 7 made available to or prep>$ = or by ! c\ncil %all be available = public inspection & copy+ at a s+le location4 7#c7 ,detail$ m9utes ( ea* meet+ ( ! c\ncil %all be kept4 ,! accuracy ( all m9utes %all be c]tifi$ to by ! *air ( ! c\ncil4 7#d7 ,?is subp>agraph does n apply to any disclosure ( in=mation ( a p]sonal nature t w\ld con/itute a cle>ly unw>rant$ invasion ( p]sonal privacy1 includ+ any disclosure ( m$ical in=mation or p]sonnel matt]s4 #cdjc4 ,am\nt ( grant & use ( am\nts 7a7 ,am\nt ( grant 7#a7 ,grants bas$ on relative ne$ ( area 7,a7 ,9 g5]al ,9 c>ry+ out ?is subtitle1 ! ,secret>y %all make a grant = ea* eligible local area = :i* an application "u section #cdjd has be5 approv$4 ,ea* su* grant %all be made 9 an am\nt det]m9$ 9 accordance ) p>agraph 7#c74 7,b7 ,exp$it$ di/ribution ,n lat] ?an #ij days aft] an appropriation becomes available to c>ry out ?is subtitle = a fiscal ye>1 ! ,secret>y %all disburse #ec p]c5t ( ! am\nt made available "u section #cdjf = c>ry+ out ?is subtitle = su* fiscal ye> ?r\gh grants to eligible local areas "u section #cdja1 9 accordance ) subp>agraphs 7,c7 & 7,d74 7,c7 ,am\nt 7i7 ,9 g5]al ,subject to ! ext5t ( am\nts made available 9 appropriations ,acts1 a grant made = purposes ( ?is subp>agraph to an eligible local area %all be made 9 an am\nt equal to ! product (-- 7,i7 an am\nt equal to ! am\nt available = di/ribution "u subp>agraph 7,b7 = ! fiscal ye> involv$2 & 7,,ii7 ! p]c5tage con/itut$ by ! ratio ( ! di/ribution factor = ! eligible local area to ! sum ( ! respective di/ribution factors = all eligible local areas2 :i* product %all !n1 z applicable1 be increas$ "u subp>agraph 7,d74 7ii7 ,di/ribution factor ,= purposes ( clause 7i77,,ii71 ! t]m di/ribution factor means-- 7,i7 an am\nt equal to-- 7aa7 ! e/imat$ numb] ( drug ov]dose dea?s 9 ! eligible local area1 z det]m9$ "u clause 7iii72 or 7bb7 ! e/imat$ numb] ( non-fatal drug ov]doses 9 ! eligible local area1 z det]m9$ "u clause 7iv72 z det]m9$ by ! ,secret>y bas$ on :i* di/ribution factor 7item 7aa7 or 7bb77 w result 9 ! eligible local area receiv+ ! greate/ am\nt ( funds2 or 7,,ii7 9 ! case ( an eligible local area = :i* ! data describ$ 9 subclause 7,i7 is n available1 an am\nt det]m9$ by ! ,secret>y-- 7aa7 bas$ on o!r data ! ,secret>y det]m9es appropriate2 & 7bb7 t is relat$ to ! preval5ce ( non-fatal drug ov]doses1 drug ov]dose dea?s1 & ! mortality rate f drug ov]doses & provides an equival5t measure ( ne$ = fund+4 7iii7 ,numb] ( drug ov]dose dea?s ,! numb] ( drug ov]dose dea?s det]m9$ "u ?is clause = an eligible c\nty = a fiscal ye> = purposes ( clause 7ii7 is ! numb] ( drug ov]dose dea?s dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available4 7iv7 ,numb] ( non-fatal drug ov]doses ,! numb] ( non-fatal drug ov]dose dea?s det]m9$ "u ?is clause = an eligible c\nty = a fiscal ye> = purposes ( clause 7ii7 may be det]m9$ by us+ data includ+ em]g5cy dep>tm5t syndromic data1 visits1 or o!r em]g5cy m$ical s]vices = drug-relat$ causes dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available4 7v7 ,/udy ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is title1 ! ,comptroll] ,g5]al %all conduct a /udy to det]m9e :e!r ! data utiliz$ = purposes ( clause 7ii7 provide ! mo/ precise measure ( local area ne$ relat$ to sub/ance use & addiction preval5ce 9 local areas & :e!r additional data w\ld provide m precise measures ( sub/ance use & addiction preval5ce 9 local areas4 ,su* /udy %all id5tify b>ri]s to collect+ or analyz+ su* data1 & make recomm5dations = revis+ ! di/ribution factors us$ "u su* clause to det]m9e fund+ levels 9 ord] to direct funds to ! local areas 9 mo/ ne$ ( fund+ to provide sub/ance use disord] treatm5t s]vices4 7vi7 ,r$uctions 9 am\nts ,if a local area t is an eligible local area = a ye> loses su* eligibility 9 a subsequ5t ye> bas$ on ! failure to meet ! requirem5ts ( section #cdja7;b77#a77;,a71 su* area w rema9 eligible to receive-- 7,i7 = su* subsequ5t ye>1 an am\nt equal to #hj p]c5t ( ! am\nt receiv$ "u ! grant 9 ! previ\s ye>2 & 7,,ii7 = ! second su* subsequ5t ye>1 an am\nt equal to #ej p]c5t ( ! am\nt receiv$ 9 ! su* previ\s ye>4 7#b7 ,supplem5tal grants 7,a7 ,9 g5]al ,! ,secret>y %all disburse ! rema9d] ( am\nts n disburs$ "u p>agraph 7#a7 = su* fiscal ye> = ! purpose ( mak+ grants to cities & c\nties ^: application "u section #cdjd-- 7i7 conta9s a report conc]n+ ! dissem9ation ( em]g5cy relief funds "u p>agraph 7#a7 & ! plan = utilization ( su* funds1 if applicable2 7ii7 demon/rates ! ne$ 9 su* local area1 on an objective & quantifi$ basis1 = supplem5tal f9ancial assi/ance to combat sub/ance use disord]2 7iii7 demon/rates ! exi/+ commitm5t ( local res\rces ( ! area1 bo? f9ancial & 9-k9d1 to combat+ sub/ance use disord]2 7iv7 demon/rates ! ability ( ! area to utilize su* supplem5tal f9ancial res\rces 9 a mann] t is imm$iately responsive & co/ effective2 7v7 demon/rates t res\rces w be allocat$ 9 accordance ) ! local demographic incid5ce ( sub/ance use disord]s & drug ov]dose mortality2 7vi7 demon/rates ! inclusiv5ess ( affect$ communities & individuals ) sub/ance use disord]s1 includ+ ^? communities & individuals t are disproportionately affect$ or hi/orically und]s]v$2 7vii7 demon/rates ! mann] 9 :i* ! propos$ s]vices are consi/5t ) ! local ne$s assessm5t & ! /atewide coord9at$ /atem5t ( ne$ requir$ 9 section #cdac7;e72 7viii7 demon/rates success 9 id5tify+ individuals ) sub/ance use disord]s2 & 7ix7 demon/rates t support = sub/ance use disord] treatm5t s]vices is organiz$ to maximize ! value to ! population to be s]v$ ) an appropriate mix ( sub/ance use disord] treatm5t s]vices & att5tion to transition 9 c>e4 7,b7 ,am\nt 7i7 ,9 g5]al ,! am\nt ( ea* grant made = purposes ( ?is p>agraph %all be det]m9$ by ! ,secret>y4 ,9 mak+ su* det]m9ation1 ! ,secret>y %all consid]-- 7,i7 ! rate ( drug ov]dose dea?s p] #ajj1jjj population 9 ! eligible local area2 & 7,,ii7 ! increas+ ne$ = sub/ance use disord] treatm5t s]vices1 includ+ relative rates ( increase 9 ! numb] ( drug ov]doses or drug ov]dose dea?s1 rec5t increases 9 drug ov]doses or drug ov]dose dea?s s9ce data 0 provid$ "u section #cdja7;b71 if applicable4 7ii7 ,demon/rat$ ne$ ,! factors consid]$ by ! ,secret>y 9 det]m9+ :e!r a local area has a demon/rat$ ne$ = purposes ( clause 7i77,,ii7 may include any or all ( ! foll[+3 7,i7 ,! unmet ne$ = sub/ance use disord] treatm5t s]vices1 includ+ factors id5tifi$ 9 subp>agraph 7,b77i77,,ii74 7,,ii7 ,relative rates ( increase 9 ! numb] ( drug ov]doses or drug ov]dose dea?s4 7,,iii7 ,! relative rates ( increase 9 ! numb] ( drug ov]doses or drug ov]dose dea?s )9 new or em]g+ subpopulations4 7,,iv7 ,! curr5t preval5ce ( sub/ance use disord]s4 7,v7 ,relevant factors relat$ to ! co/ & complexity ( deliv]+ sub/ance use disord] treatm5t s]vices to individuals 9 ! eligible local area4 7,,vi7 ,! impact ( co-morbid factors1 includ+ co-occurr+ conditions1 det]m9$ relevant by ! ,secret>y4 7,,vii7 ,! preval5ce ( homelessness among individuals ) sub/ance use disord]s4 7,,viii7 ,! relevant factors t limit access to heal? c>e1 includ+ geographic v>iation1 adequacy ( heal? insurance cov]age1 & language b>ri]s4 7,,ix7 ,! impact ( a decl9e 9 ! am\nt receiv$ pursuant to p>agraph 7#a7 on sub/ance use disord] treatm5t s]vices available to all individuals ) sub/ance use disord]s id5tifi$ & eligible "u ?is subtitle4 7,x7 ,! increas+ incid5ce 9 conditions relat$ to sub/ance use1 includ+ hepatitis ,c1 human immunodefici5cy virus1 hepatitis ,b & o!r infections associat$ ) injection drug use4 7,c7 ,application ( provisions ,a local area t receives a grant "u ?is p>agraph-- 7i7 %all use am\nts receiv$ 9 accordance ) subsection 7b72 7ii7 %all n h to meet ! eligible crit]ia 9 section #cdja7;b72 & 7iii7 %all n h to e/abli% a plann+ c\ncil "u section #cdjb4 7#c7 ,am\nt ( grant to tribal gov]nm5ts 7,a7 ,indian tribes ,9 ?is section1 ! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7,b7 ,=mula grants ,! ,secret>y1 act+ ?r\gh ! ,indian ,heal? ,s]vice1 %all use #aj p]c5t ( ! am\nt available "u section #cdjf = ea* fiscal ye> to provide =mula grants to ,indian tribes disproportionately affect$ by sub/ance use1 9 an am\nt det]m9$ pursuant to a =mula & eligibility crit]ia develop$ by ! ,secret>y 9 consultation ) ,indian tribes1 = ! purposes ( address+ sub/ance use4 7,c7 ,use ( am\nts ,not)/&+ any requirem5ts 9 ?is section1 an ,indian tribe may use am\nts provid$ "u grants aw>d$ "u ?is p>agraph = ! uses id5tifi$ 9 subsection 7b7 & any o!r activities det]m9$ appropriate by ! ,secret>y1 9 consultation ) ,indian tribes4 7b7 ,use ( am\nts 7#a7 ,requirem5ts ,! ,secret>y may n make a grant "u section #cdja to an eligible local area unless ! *ief elect$ (ficial ( ! area agrees t-- 7,a7 ! allocation ( funds & s]vices )9 ! area "u ! grant w be made 9 accordance ) ! priorities e/abli%$ by ! sub/ance use disord] treatm5t s]vices plann+ c\ncil2 & 7,b7 funds provid$ "u ?is grant w be exp5d$ =-- 7i7 prev5tion s]vices describ$ 9 p>agraph 7#c72 7ii7 core m$ical s]vices describ$ 9 p>agraph 7#d72 7iii7 recov]y & support s]vices describ$ 9 p>agraph 7#e72 7iv7 e>ly int]v5tion & engagem5t s]vices describ$ 9 p>agraph 7#f72 7v7 h>m r$uction s]vices describ$ 9 p>agraph 7#g72 7vi7 f9ancial assi/ance ) heal? insurance describ$ 9 p>agraph 7#h72 & 7vii7 adm9i/rative exp5ses describ$ 9 p>agraph 7#aj74 7#b7 ,direct f9ancial assi/ance 7,a7 ,9 g5]al ,an eligible local area %all use am\nts receiv$ "u a grant "u section #cdja to provide direct f9ancial assi/ance to eligible entities = ! purpose ( provid+ prev5tion s]vices1 core m$ical s]vices1 recov]y & support s]vices1 h>m r$uction s]vices1 & e>ly int]v5tion & engagem5t s]vices4 7,b7 ,appropriate entities ,direct f9ancial assi/ance may be provid$ "u subp>agraph 7,a7 to public or nonpr(it private entities1 or private =-pr(it entities if su* entities are ! only available provid] ( quality sub/ance use disord] treatm5t s]vices 9 ! area4 7#c7 ,prev5tion s]vices 7,a7 ,9 g5]al ,= purposes ( ?is subsection1 ! t]m prev5tion s]vices means s]vices1 programs1 or multi-sector /rategies to prev5t sub/ance use disord] 7su* z evid5ce-bas$ education campaigns1 community-bas$ prev5tion programs1 opioid div]sion1 collection & disposal or unus$ opioids1 & s]vices to at-risk populations74 7,b7 ,limit ,an eligible local area may use n to exce$ #bj p]c5t ( ! am\nt ( ! grant "u section #cdja = prev5tion s]vices4 ,an eligible local area may apply to ! ,secret>y = a waiv] ( ?is subp>agraph4 7#d7 ,core m$ical s]vices ,= purposes ( ?is subsection1 ! t]m core m$ical s]vices means ! foll[+ evid5ce-bas$ s]vices provid$ to individuals ) sub/ance use disord] or at risk = develop+ sub/ance use disord]3 7,a7 ,sub/ance use disord] treatm5ts1 includ+ cl9ical /abilization s]vices1 )drawal managem5t & detoxification1 int5sive inpati5t treatm5t1 int5sive outpati5t treatm5t1 all =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5t1 outpati5t treatm5t1 & resid5tial recov]y treatm5t4 7,b7 ,outpati5t & ambulatory heal? s]vices1 includ+ ^? adm9i/]$ by ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics4 7,c7 ,hospice s]vices4 7,d7 ,m5tal heal? s]vices4 7,e7 ,naloxone procurem5t1 di/ribution1 & tra9+4 7,f7 ,ph>maceutical assi/ance & diagno/ic te/+ relat$ to ! managem5t ( sub/ance-use disord]s a co-morbid conditions4 7,g7 ,home & community bas$ heal? s]vices4 7,h7 ,compreh5sive ,case ,managem5t1 includ+ sub/ance use disord] treatm5t adh]5ce s]vices4 7,i7 ,heal? insurance enrollm5t & co/-%>+ assi/ance 9 accordance ) p>agraph 7#h74 7#e7 ,recov]y & support s]vices ,= purposes ( p>agraph 7#a77;,b77ii71 ! t]m recov]y & support s]vices means s]vices1 subject to ! approval ( ! ,secret>y1 t are provid$ to individuals ) sub/ance use disord]1 includ+ resid5tial recov]y treatm5t & h\s+1 includ+ = individuals receiv+ m$ication-assi/$ treatm5t1 long t]m recov]y s]vices1 #bd_/g hotl9e crisis c5t] support1 m$ical transportation s]vices1 respite c>e = p]sons c>+ = individuals ) sub/ance use disord]1 *ild c>e & family s]vices :ile an individual is receiv+ inpati5t treatm5t s]vices or at ! "t ( outpati5t s]vices1 outrea* s]vices1 pe] recov]y s]vices1 nutrition s]vices1 & ref]rals = job tra9+ & c>e] s]vices1 h\s+1 legal s]vices1 & *ild c>e & family s]vices4 7#f7 ,e>ly int]v5tion & engagem5t s]vices ,= purposes ( ?is section1 ! t]m e>ly int]v5tion & engagem5t s]vices means s]vices to provide rapid access to sub/ance use disord] treatm5t1 c\nsel+ provid$ to individuals :o h misus$ sub/ances1 :o h exp]i5c$ an ov]dose1 or are at risk ( develop+ sub/ance use disord]1 & ! provision ( ref]rals to facilitate ! access ( su* individuals to core m$ical s]vices or recov]y & support s]vices4 ,! entities ?r\gh :i* su* s]vices may be provid$ include em]g5cy rooms1 fire dep>tm5ts & em]g5cy m$ical s]vices1 det5tion facilities1 homeless %elt]s1 law en=cem5t ag5cies1 heal? c>e po9ts ( entry specifi$ by eligible local areas1 ,f$]ally qualifi$ heal? c5t]s1 & rural heal? cl9ics4 7#g7 ,h>m r$uction s]vices ,= purposes ( ?is section1 ! t]m h>m r$uction s]vices means evid5ce-bas$ s]vices provid$ to individuals engag+ 9 sub/ance use t r$uce ! risk ( infecti\s disease transmission1 ov]dose1 or dea?1 includ+ by increas+ access to heal? c>e4 7#h7 ,af=dable heal? insurance cov]age ,an eligible local area may use am\nts provid$ "u a grant aw>d$ "u section #cdja to e/abli% a program ( f9ancial assi/ance to assi/ eligible individuals ) sub/ance use disord] 9-- 7,a7 enroll+ 9 heal? insurance cov]age2 or 7,b7 af=d+ heal? c>e s]vices1 includ+ assi/ance pay+ co/-%>+ am\nts1 includ+ premiums4 7#i7 ,requirem5t ( /atus z ,m$icaid provid] 7,a7 ,provision ( s]vice ,subject to p>agraph 7#b71 ! ,secret>y may n make a grant "u section #cdja = ! provision ( sub/ance use disord] treatm5t s]vices "u ?is section 9 an eligible local area unless1 9 ! case ( any su* s]vice t is available pursuant to ! ,/ate plan approv$ "u title ,,xix ( ! ,social ,security ,act = ! ,/ate-- 7i7 ! political subdivision involv$ w provide ! s]vice directly1 & ! political subdivision has ent]$ into a p>ticipation agreem5t "u ! ,/ate plan & is qualifi$ to receive paym5ts "u su* plan2 or 7ii7 ! eligible local area involv$ w ent] into an agreem5t ) a public or nonpr(it private entity "u :i* ! entity w provide ! s]vice1 & ! entity has ent]$ into su* a p>ticipation agreem5t & is qualifi$ to receive su* paym5ts4 7,b7 ,waiv] 7i7 ,9 g5]al ,9 ! case ( an entity mak+ an agreem5t pursuant to subp>agraph 7,a77ii7 reg>d+ ! provision ( sub/ance use disord] treatm5t s]vices1 ! requirem5t e/abli%$ 9 su* subp>agraph %all be waiv$ by ! sub/ance use plann+ c\ncil = ! area involv$ if ! entity does n1 9 provid+ heal? c>e s]vices1 impose a *>ge or accept reimbursem5t available f any ?ird-p>ty payor1 includ+ reimbursem5t "u any insurance policy or "u any ,f$]al or ,/ate heal? b5efits program4 7ii7 ,det]m9ation ,a det]m9ation by ! sub/ance use plann+ c\ncil ( :e!r an entity ref]r$ to 9 clause 7i7 meets ! crit]ia = a waiv] "u su* clause %all be made )\t reg>d to :e!r ! entity accepts volunt>y donations = ! purpose ( provid+ s]vices to ! public4 7#aj7 ,adm9i/ration & plann+ ,an eligible local area %all n use 9 excess ( #aj p]c5t ( am\nts receiv$ "u a grant "u section #cdja = adm9i/ration1 acc\nt+1 report+1 & program ov]sight functions1 includ+ ! developm5t ( sy/ems to improve data collection & data %>+4 7#aa7 ,inc>c]at$ individuals ,am\nts receiv$ "u a grant "u section #cdja may be us$ to provide sub/ance use disord] treatm5t s]vices to curr5tly inc>c]at$ individuals4 #cdjd4 ,application 7a7 ,9 g5]al ,to be eligible to receive a grant "u section #cdja1 an eligible local area %all prep>e & submit to ! ,secret>y an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,secret>y %all require1 includ+-- 7#a7 a complete acc\nt+ ( ! disbursem5t ( any prior grants receiv$ "u ?is subtitle by ! applicant & ! results a*iev$ ?r\gh su* disbursem5ts2 7#b7 a demon/ration ( ! ext5t ( local ne$ = ! funds "u ! grant & a plan = propos$ sub/ance use disord] treatm5t s]vices t is consi/5t ) local ne$s1 includ+ a compreh5sive plan = ! use ( ! grant funds develop$ by ! plann+ c\ncil e/abli%$ "u section #cdjb1 except t ! plann+ c\ncil requirem5t %all n apply ) respect to areas receiv+ supplem5tal grant funds "u section #cdjc7;a77#b72 7#c7 a demon/ration t ! area w use funds 9 a mann] t provides sub/ance use disord] treatm5t s]vices compliant ) ! evid5ce-bas$ /&>ds develop$ 9 accordance ) section #cdcd1 includ+ all =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5ts2 7#d7 in=mation on ! numb] ( individuals likely to be s]v$ by ! funds s\ght1 includ+ demographic data on ! populations to be s]v$2 7#e7 key outcomes t w be measur$ by all entities t receive assi/ance1 z well z an explanation ( h[ ! outcomes w be measur$2 7#f7 a demon/ration t res\rces provid$ "u ! grant w be allocat$ 9 accordance ) ! local demographic incid5ce ( sub/ance use1 includ+ allocations = s]vices = *ildr51 y\?s1 & wom52 7#g7 a demon/ration t funds receiv$ f a grant "u ?is subtitle 9 any prior ye> 7 exp5d$ 9 accordance ) ! priorities e/abli%$ by ! plann+ c\ncil2 7#h7 a demon/ration t at lea/ "o repres5tative f ,indian tribes locat$ )9 any eligible local area are includ$ 9 ! memb]%ip ( a plann+ c\ncil2 7#i7 a demon/ration t ! confid5tiality ( individuals receiv+ sub/ance use disord] treatm5t s]vices w be ma9ta9$ 9 a mann] n inconsi/5t ) applicable law2 & 7#aj7 an explanation ( h[ income1 asset1 & m$ical exp5se crit]ia w be e/abli%$ & appli$ to ^? :o qualify = assi/ance "u ! program "u ?is subtitle4 7b7 ,assurances ,to be eligible to receive a grant "u section #cdja1 ! application submitt$ by ! eligible local area %all include assurances adequate to ensure-- 7#a7 t funds receiv$ "u ! grant w be utiliz$ to supplem5t n supplant o!r ,/ate or local funds made available 9 ! ye> = :i* ! grant is aw>d$ to provide sub/ance use disord] treatm5t s]vices2 7#b7 t ! political subdivisions )9 ! eligible local area w ma9ta9 ! level ( exp5ditures by su* political subdivisions = sub/ance use-relat$ s]vices at a level t is equal to ! level ( su* exp5ditures by su* political subdivisions = ! prec$+ fiscal ye>2 7#c7 t political subdivisions )9 ! eligible local area w n use funds receiv$ "u a grant aw>d$ "u section #cdja 9 ma9ta9+ ! level ( sub/ance use disord] treatm5t s]vices z requir$ 9 p>agraph 7#b72 7#d7 t sub/ance use disord] treatm5t s]vices provid$ ) assi/ance made available "u ! grant w be provid$ )\t reg>d-- 7,a7 to ! ability ( ! individual to pay = su* s]vices2 & 7,b7 to ! curr5t or pa/ heal? condition ( ! individual to be s]v$2 7#e7 t sub/ance use disord] treatm5t s]vices w be provid$ 9 a sett+ t is accessible to l[-income individuals ) sub/ance use disord]1 & to individuals ) sub/ance use disord] resid+ 9 rural areas2 7#f7 t a program ( outrea* w be provid$ to l[-income individuals ) sub/ance use disord] to in=m su* individuals ( sub/ance use disord] treatm5t s]vices1 & to individuals ) sub/ance use disord] resid+ 9 rural areas2 & 7#g7 t funds receiv$ "u a grant aw>d$ "u ?is subtitle w n be utiliz$ to make paym5ts = any item or s]vice to ! ext5t t paym5t has be5 made1 or c reasonably be expect$ to be made1 ) respect to t item or s]vice "u any ,/ate comp5sation program1 "u an insurance policy1 or "u any ,f$]al or ,/ate heal? b5efits program 7except = a program adm9i/]$ by1 or provid+ ! s]vices (1 ! ,indian ,heal? ,s]vice74 7c7 ,requirem5ts reg>d+ imposition ( *>ges = s]vices 7#a7 ,9 g5]al ,! ,secret>y may n make a grant "u section #cdja to an eligible local area unless ! eligible local area provides assurances t 9 ! provision ( sub/ance use disord] treatm5t s]vices ) assi/ance provid$ "u ! grant-- 7,a7 9 ! case ( individuals ) an income less ?an or equal to #ach p]c5t ( ! (ficial pov]ty level1 ! provid] w n impose *>ges on any su* individual = ! s]vices provid$ "u ! grant2 7,b7 9 ! case ( individuals ) an income great] ?an #ach p]c5t ( ! (ficial pov]ty level1 ! provid] w impose a *>ge on ea* su* individual accord+ to a s*$ule ( *>ges made available to ! public2 7,c7 9 ! case ( individuals ) an income great] ?an #ach p]c5t ( ! (ficial pov]ty level b n exce$+ #bjj p]c5t ( su* pov]ty level1 ! provid] w n1 = an cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #e p]c5t ( ! annual gross income ( ! individual2 7,d7 9 ! case ( individuals ) an income great] ?an #bjj p]c5t ( ! (ficial pov]ty level b n exce$+ #cjj p]c5t ( su* pov]ty level1 ! provid] w n1 = any cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #g p]c5t ( ! annual gross income ( ! individual involv$2 7,e7 9 ! case ( individuals ) an income great] ?an #cjj p]c5t ( ! (ficial pov]ty level1 ! provid] w n1 = any cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #ae p]c5t ( ! annual gross income ( ! individual involv$2 & 7,f7 9 ! case ( eligible ,am]ican ,indian & ,alaska ,native individuals z def9$ by section #ddg4ej ( title #db1 ,code ( ,f$]al ,regulations 7z 9 effect on ,july #a1 #bjaj71 ! provid] w n impose any *>ges = sub/ance use disord] treatm5t s]vices1 includ+ any *>ges or co/-%>+ prohibit$ by section #adjb7;d7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act4 7#b7 ,*>ges ,) respect to compliance ) ! assurances made "u p>agraph 7#a71 an eligible local area may1 9 ! case ( individuals subject to a *>ge-- 7,a7 assess ! am\nt ( ! *>ge 9 ! discretion ( ! area1 includ+ impos+ only a nom9al *>ge = ! provision ( sub/ance use disord] treatm5t s]vices1 subject to ! provisions ( ! p>agraph reg>d+ public s*$ules & reg>d+ limitations on ! maximum am\nt ( *>ges2 & 7,b7 take into consid]ation ! total m$ical exp5ses ( individuals 9 assess+ ! am\nt ( ! *>ge1 subject to su* provisions4 7#c7 ,aggregate *>ges ,! ,secret>y may n make a grant "u section #cdja to an eligible local area unless ! area agrees t ! limitations on *>ges = sub/ance use disord] treatm5t s]vices "u ?is subsection applies to ! annual aggregate ( *>ges impos$ = su* s]vices1 h[ev] ! *>ges are *>act]iz$1 includes enrollm5t fees1 premiums1 d$uctibles1 co/ %>+1 co-paym5ts1 co-insurance co/s1 or any o!r *>ges4 7d7 ,indian tribes ,any application requirem5ts = grants di/ribut$ 9 accordance ) section #cdjc7;a77#c7 %all be develop$ by ! ,secret>y 9 consultation ) ,indian tribes4 #cdje4 ,te*nical assi/ance ,! ,secret>y %all1 beg9n+ on ! date ( enactm5t ( ?is title1 provide te*nical assi/ance1 includ+ assi/ance f o!r grantees1 contractors or subcontractors "u ?is title to assi/ newly eligible local areas 9 ! e/abli%m5t ( plann+ c\ncils &1 to assi/ entities 9 comply+ ) ! requirem5ts ( ?is subtitle 9 ord] to make su* areas eligible to receive a grant "u ?is subtitle4 ,! ,secret>y may make plann+ grants available to eligible local areas1 9 an am\nt n to exce$ #ge1jjj = any area1 t is project$ to be eligible = fund+ "u section #cdja 9 ! foll[+ fiscal ye>4 ,su* grant am\nts %all be d$uct$ f ! fir/ ye> =mula aw>d to eligible local areas accept+ su* grants4 #cdjf4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subtitle-- 7#a7 #b1gjj1jjj1jjj = fiscal ye> #bjai2 7#b7 #b1gjj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #b1gjj1jjj1jjj = fiscal ye> #bjba2 7#d7 #b1gjj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #b1gjj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #b1gjj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #b1gjj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #b1gjj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #b1gjj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #b1gjj1jjj1jjj = fiscal ye> #bjbh4 ,b ,/ate & ,tribal sub/ance use disord] prev5tion & int]v5tion grant program #cdaa4 ,e/abli%m5t ( program ( grants ,! ,secret>y1 act+ 9 coord9ation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all aw>d grants to ,/ates1 t]ritories1 & tribal gov]nm5ts = ! purpose ( address+ sub/ance use )9 su* ,/ates4 #cdab4 ,am\nt ( grant & use ( am\nts 7a7 ,am\nt ( grant to ,/ates & t]ritories 7#a7 ,9 g5]al 7,a7 ,exp$it$ di/ribution ,n lat] ?an #ij days aft] an appropriation becomes available1 ! ,secret>y %all disburse #ej p]c5t ( ! am\nt made available "u section #cdae = c>ry+ out ?is subtitle = su* fiscal ye> ?r\gh grants to ,/ates "u section #cdaa1 9 accordance ) subp>agraphs 7,b7 & 7,c74 7,b7 ,m9imum allotm5t ,subject to ! am\nt made available "u section #cdae1 ! am\nt ( a grant "u section #cdaa =-- 7i7 ea* ( ! #ej ,/ates1 ! ,di/rict ( ,columbia1 & ,pu]to ,rico = a fiscal ye> %all be ! great] (-- 7,i7 #b1jjj1jjj2 or 7,,ii7 an am\nt det]m9$ "u ! subp>agraph 7,c72 & 7ii7 ea* t]ritory o!r ?an ,pu]to ,rico = a fiscal ye> %all be ! great] (-- 7,i7 #ejj1jjj2 or 7,,ii7 an am\nt det]m9$ "u ! subp>agraph 7,c74 7,c7 ,det]m9ation 7i7 ,=mula ,= purposes ( subp>agraph 7,b71 ! am\nt ref]r$ to 9 ?is subp>agraph = a ,/ate 7includ+ a t]ritory7 = a fiscal ye> is-- 7,i7 an am\nt equal to ! am\nt made available "u section #cdae = ! fiscal ye> involv$ = grants pursuant to subp>agraph 7,b72 & 7,,ii7 ! p]c5tage con/itut$ by ! sum (-- 7aa7 ! product ( #j4he & ! ratio ( ! ,/ate di/ribution factor = ! ,/ate or t]ritory to ! sum ( ! respective di/ribution factors = all ,/ates2 & 7bb7 ! product ( #j4ae & ! ratio ( ! non-local di/ribution factor = ! ,/ate or t]ritory 7z det]m9$ "u clause 7iv77 to ! sum ( ! respective non-local di/ribution factors = all ,/ates or t]ritories4 7ii7 ,/ate di/ribution factor ,= purposes ( clause 7i77,,ii77aa71 ! t]m ,/ate di/ribution factor means an am\nt equal to-- 7,i7 ! e/imat$ numb] ( drug ov]dose dea?s 9 ! ,/ate1 z det]m9$ "u clause 7iii72 or 7,,ii7 ! numb] ( non-fatal drug ov]doses 9 ! ,/ate1 z det]m9$ "u clause 7iv72 z det]m9$ by ! ,secret>y bas$ on :i* di/ribution factor 7subclause 7,i7 or 7,,ii77 w result 9 ! ,/ate receiv+ ! greate/ am\nt ( funds4 7iii7 ,numb] ( drug ov]doses ,= purposes ( clause 7ii71 ! numb] ( drug ov]dose dea?s det]m9$ "u ?is clause = a ,/ate = a fiscal ye> is ! numb] ( drug ov]dose dea?s dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available4 7iv7 ,numb] ( non-fatal drug ov]doses ,= purposes ( clause 7ii71 ! numb] ( non-fatal drug ov]dose dea?s det]m9$ "u ?is clause = ,/ate = a fiscal ye> = purposes ( clause 7ii7 may be det]m9$ by us+ data includ+ em]g5cy dep>tm5t syndromic data1 visits1 or o!r em]g5cy m$ical s]vices = drug-relat$ causes dur+ ! mo/ rec5t #c-ye> p]iod = :i* su* data are available4 7v7 ,non-local di/ribution factors ,= purposes ( clause 7i77,,ii77bb71 ! t]m non-local di/ribution factor means an am\nt equal to ! sum (-- 7,i7 ! numb] ( drug ov]doses dea?s 9 ! ,/ate involv$1 z det]m9$ "u clause 7iii71 or ! numb] ( non-fatal drug ov]doses 9 ! ,/ate1 bas$ on ! crit]ia us$ by ! ,/ate "u clause 7ii72 less 7,,ii7 ! total numb] ( drug ov]dose dea?s or non-fatal drug ov]doses t are )9 areas 9 su* ,/ate or t]ritory t are eligible c\nties "u section #cdja4 7vi7 ,/udy ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is title1 ! ,comptroll] ,g5]al %all conduct a /udy to det]m9e :e!r ! data utiliz$ = purposes ( clause 7ii7 provides ! mo/ precise measure ( ,/ate ne$ relat$ to sub/ance use & addiction preval5ce & :e!r additional data w\ld provide m precise measures ! levels ( sub/ance use & addiction preval5t 9 ,/ates4 ,su* /udy %all id5tify b>ri]s to collect+ or analyz+ su* data1 & make recomm5dations = revis+ ! di/ribution factors us$ "u su* clause to det]m9e fund+ levels 9 ord] to direct funds to ! ,/ates 9 mo/ ne$ ( fund+ to provide sub/ance use disord] treatm5t s]vices4 7#b7 ,supplem5tal grants 7,a7 ,9 g5]al ,subject to subp>agraph 7,c71 ! ,secret>y %all disburse ! rema9d] ( am\nts n disburs$ "u p>agraph 7#a7 = su* fiscal ye> = ! purpose ( mak+ grants to ,/ates ^: application-- 7i7 conta9s a report conc]n+ ! dissem9ation ( em]g5cy relief funds "u p>agraph 7#a7 & ! plan = utilization ( su* funds2 7ii7 demon/rates ! ne$ 9 su* ,/ate1 on an objective & quantifi$ basis1 = supplem5tal f9ancial assi/ance to combat sub/ance use disord]2 7iii7 demon/rates ! exi/+ commitm5t ( local res\rces ( ! ,/ate1 bo? f9ancial & 9-k9d1 to combat+ sub/ance use disord]2 7iv7 demon/rates ! ability ( ! ,/ate to utilize su* supplem5tal f9ancial res\rces 9 a mann] t is imm$iately responsive & co/ effective2 7v7 demon/rates t res\rces w be allocat$ 9 accordance ) ! local demographic incid5ce ( sub/ances use disord]s & drug ov]dose mortality2 7vi7 demon/rates ! inclusiv5ess ( affect$ communities & individuals ) sub/ance use disord]s1 includ+ ^? communities & individuals t are disproportionately affect$ or hi/orically und]s]v$2 7vii7 demon/rates ! mann] 9 :i* ! propos$ s]vices are consi/5t ) ! local ne$s assessm5t & ! /atewide coord9at$ /atem5t ( ne$ requir$ "u section #cdac7;e72 7viii7 demon/rates success 9 id5tify+ individuals ) sub/ance use disord]s2 & 7ix7 demon/rates t support = sub/ance use disord] treatm5t s]vices is organiz$ to maximize ! value to ! population to be s]v$ ) an appropriate mix ( sub/ance use disord] treatm5t s]vices & att5tion to transition 9 c>e4 7,b7 ,am\nt 7i7 ,9 g5]al ,! am\nt ( ea* grant made = purposes ( ?is p>agraph %all be det]m9$ by ! ,secret>y4 ,9 mak+ su* det]m9ation1 ! ,secret>y %all consid]3 7,i7 ! rate ( drug ov]dose dea?s p] #ajj1jjj population 9 ! ,/ate2 & 7,,ii7 ! increas+ ne$ = sub/ance use disord] treatm5t s]vices1 includ+ relative rates ( increase 9 ! numb] ( drug ov]doses or drug ov]dose dea?s1 or rec5t increases 9 drug ov]doses or drug ov]dose dea?s s9ce ! data 0 report$ "u section #cdac4 7ii7 ,demon/rat$ ne$ ,! factors consid]$ by ! ,secret>y 9 det]m9+ :e!r a ,/ate has a demon/rat$ ne$ = purposes ( subp>agraph 7,a77ii7 may include any or all ( ! foll[+3 7,i7 ,! unmet ne$ = su* s]vices1 includ+ ! factors id5tifi$ 9 clause 7i77,,ii74 7,,ii7 ,relative rates ( increase 9 ! numb] ( drug ov]doses or drug ov]dose dea?s4 7,,iii7 ,! relative rates ( increase 9 ! numb] ( drug dea?s )9 new or em]g+ subpopulations4 7,,iv7 ,! curr5t preval5ce ( sub/ance use disord]s4 7,v7 ,relevant factors relat$ to ! co/ & complexity ( deliv]+ sub/ance use disord] treatm5t s]vices to individuals 9 ! ,/ate4 7,,vi7 ,! impact ( co-morbid factors1 includ+ co-occurr+ conditions1 det]m9$ relevant by ! ,secret>y4 7,,vii7 ,! preval5ce ( homelessness among individuals ) sub/ance use disord]4 7,,viii7 ,! relevant factors t limit access to heal? c>e1 includ+ geographic v>iation1 adequacy ( heal? insurance cov]age1 & language b>ri]s4 7,,ix7 ,! impact ( a decl9e 9 ! am\nt receiv$ pursuant to p>agraph 7#a7 on sub/ance use disord] treatm5t s]vices available to all individuals ) sub/ance use disord]s id5tifi$ & eligible "u ?is subtitle4 7,x7 ,! increas+ incid5ce 9 conditions relat$ to sub/ance use1 includ+ hepatitis ,c1 human immunodefici5cy virus1 hepatitis ,b & o!r infections associat$ ) injection drug use4 7,c7 ,model /&>ds 7i7 ,pref]5ce ,9 det]m9+ :e!r a ,/ate w receive funds "u ?is p>agraph1 except z provid$ 9 clause 7ii71 ! ,secret>y %all give pref]5ce to ,/ates t h adopt$ ! model /&>ds develop$ 9 accordance ) section #cdcd4 7ii7 ,requirem5t ,effective beg9n+ 9 fiscal ye> #bjbe1 ! ,secret>y %all n aw>d a grant "u ?is p>agraph to a ,/ate unless t ,/ate has adopt$ ! model /&>ds develop$ 9 accordance ) section #cdcd4 7#c7 ,am\nt ( grant to tribal gov]nm5ts 7,a7 ,indian tribes ,9 ?is section1 ! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7,b7 ,=mula grants ,! ,secret>y1 act+ ?r\gh ! ,indian ,heal? ,s]vice1 %all use #aj p]c5t ( ! am\nt available "u section #cdae = ea* fiscal ye> to provide =mula grants to ,indian tribes 9 an am\nt det]m9$ pursuant to a =mula & eligibility crit]ia develop$ by ! ,secret>y 9 consultation ) ,indian tribes1 = ! purposes ( address+ sub/ance use4 7,c7 ,use ( am\nts ,not)/&+ any requirem5ts 9 ?is section1 an ,indian tribe may use am\nts provid$ "u grants aw>d$ "u ?is p>agraph = ! uses id5tifi$ 9 subsection 7b7 & any o!r activities det]m9$ appropriate by ! ,secret>y1 9 consultation ) ,indian tribes4 7b7 ,use ( am\nts 7#a7 ,9 g5]al ,a ,/ate may use am\nts provid$ "u grants aw>d$ "u section #cdaa =-- 7,a7 prev5tion s]vices describ$ 9 p>agraph 7#b72 7,b7 core m$ical s]vices describ$ 9 p>agraph 7#c72 7,c7 recov]y & support s]vices describ$ 9 p>agraph 7#d72 7,d7 e>ly int]v5tion & engagem5t s]vices describ$ 9 p>agraph 7#e72 7,e7 h>m r$uction s]vices describ$ 9 p>agraph 7#f72 & 7,f7 adm9i/rative exp5ses describ$ 9 p>agraph 7#h74 7#b7 ,prev5tion s]vices 7,a7 ,9 g5]al ,= purposes ( ?is subsection1 ! t]m prev5tion s]vices means s]vices1 programs1 or multi-sector /rategies to prev5t sub/ance use disord] 7includ+ evid5ce-bas$ education campaigns1 community-bas$ prev5tion programs1 opioid div]sion1 collection & disposal ( unus$ opioids1 & s]vices to at-risk populations74 7,b7 ,limit ,a ,/ate may use n to exce$ #bj p]c5t ( ! am\nt ( ! grant "u section #cdaa = prev5tion s]vices4 ,a ,/ate may apply to ! ,secret>y = a waiv] ( ?is subp>agraph4 7#c7 ,core m$ical s]vices ,= purposes ( ?is subsection1 ! t]m core m$ical s]vices means ! foll[+ evid5ce-bas$ s]vices :5 provid$ to individuals ) sub/ance use disord] or at risk = develop+ sub/ance use disord]3 7,a7 ,sub/ance use disord] treatm5ts1 includ+ cl9ical /abilization s]vices1 )drawal managem5t & detoxification1 int5sive inpati5t treatm5t1 int5sive outpati5t treatm5t1 all =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5t1 outpati5t treatm5t1 & resid5tial recov]y treatm5t4 7,b7 ,outpati5t & ambulatory heal? s]vices1 includ+ ^? adm9i/]$ by ,f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics4 7,c7 ,hospice s]vices4 7,d7 ,m5tal heal? s]vices4 7,e7 ,naloxone procurem5t1 di/ribution1 & tra9+4 7,f7 ,ph>maceutical assi/ance relat$ to ! managem5t ( sub/ance-use disord]s & co-morbid conditions4 7,g7 ,home & community bas$ heal? s]vices4 7,h7 ,compreh5sive ,case ,managem5t & c>e coord9ation1 includ+ treatm5t adh]5ce s]vices4 7,i7 ,heal? insurance enrollm5t & co/-%>+ assi/ance 9 accordance ) subsection 7e74 7#d7 ,recov]y & support s]vices ,= purposes ( p>agraph 7#a77;,c71 ! t]m recov]y & support s]vices means s]vices1 subject to ! approval ( ! ,secret>y1 t are provid$ to individuals ) sub/ance use disord]1 includ+ resid5tial recov]y treatm5t & h\s+1 includ+ = individuals receiv+ m$ication-assi/$ treatm5t1 long t]m recov]y s]vices1 #bd_/g hotl9e crisis c5t] s]vices1 m$ical transportation s]vices1 respite c>e = p]sons c>+ = individuals ) sub/ance use disord]1 *ild c>e & family s]vices :ile an individual is receiv+ inpati5t treatm5t s]vices or at ! "t ( outpati5t s]vices1 outrea* s]vices1 pe] recov]y s]vices1 nutrition s]vices1 & ref]rals = job tra9+ & c>e] s]vices1 h\s+1 legal s]vices1 & *ild c>e & family s]vices4 7#e7 ,e>ly int]v5tion & engagem5t s]vices ,= purposes ( ?is subsection1 ! t]m e>ly int]v5tion & engagem5t s]vices means s]vices to provide rapid access to sub/ance use disord] treatm5t s]vices1 c\nsel+ provid$ to individuals :o h misus$ sub/ances1 :o h exp]i5c$ an ov]dose1 or are at risk ( develop+ sub/ance use disord]1 & ! provision ( ref]rals to facilitate ! access ( su* individuals to core m$ical s]vices or recov]y & support s]vices4 ,! entities ?r\gh :i* su* s]vices may be provid$ include em]g5cy rooms1 fire dep>tm5ts & em]g5cy m$ical s]vices1 det5tion facilities1 homeless %elt]s1 law en=cem5t ag5cies1 heal? c>e po9ts ( entry specifi$ by eligible areas1 ,f$]ally qualifi$ heal? c5t]s1 & rural heal? cl9ics4 7#f7 ,h>m r$uction s]vices ,= purposes ( ?is subsection1 ! t]m h>m r$uction s]vices means evid5ce-bas$ s]vices provid$ to individuals engag+ 9 sub/ance use disord] t r$uce ! risk ( infecti\s disease transmission1 ov]dose1 or dea?1 includ+ by increas+ access to heal? c>e4 7#g7 ,af=dable heal? insurance cov]age ,a ,/ate may use am\nts provid$ "u a grant aw>d$ "u section #cdaa to e/abli% a program ( f9ancial assi/ance to assi/ eligible individuals ) sub/ance use disord] 9-- 7,a7 enroll+ 9 heal? insurance cov]age2 or 7,b7 af=d+ heal? c>e s]vices1 includ+ assi/ance pay+ co/-%>+ am\nts1 includ+ premiums4 7#h7 ,adm9i/ration & plann+ ,a ,/ate %all n use 9 excess ( #aj p]c5t ( am\nts receiv$ "u a grant "u section #cdaa = adm9i/ration1 acc\nt+1 report+1 & program ov]sight functions1 includ+ ! developm5t ( sy/ems to improve data collection & data %>+4 7#i7 ,inc>c]at$ individuals ,am\nts receiv$ "u a grant "u section #cdaa may be us$ to provide sub/ance use disord] treatm5t s]vices to curr5tly inc>c]at$ individuals4 #cdac4 ,application & limitation 7a7 ,application ,to be eligible to receive a grant "u section #cdaa1 a ,/ate %all prep>e & submit to ! ,secret>y an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,secret>y %all require1 includ+-- 7#a7 a complete acc\nt+ ( ! disbursem5t ( any prior grants receiv$ "u ?is subtitle by ! applicant & ! results a*iev$ by ^! exp5ditures2 7#b7 a compreh5sive plan = ! use ( ! grant1 includ+ a demon/ration ( ! ext5t ( local ne$ = ! funds s\ght & a plan = propos$ sub/ance use disord] treatm5t s]vices t is consi/5t ) local ne$s2 7#c7 a demon/ration t ! ,/ate w use funds 9 a mann] t provides sub/ance use disord] treatm5t s]vices compliant ) ! evid5ce-bas$ /&>ds develop$ 9 accordance ) section #cdcd1 includ+ all ,f$]ally-approv$ m$ication-assi/$ treatm5ts2 7#d7 in=mation on ! numb] ( individuals likely to be s]v$ by ! funds s\ght1 includ+ demographic data on ! populations to be s]v$2 7#e7 an id5tification ( key outcomes t w be measur$ by all entities t receive assi/ance1 z well z an explanation ( h[ ! outcomes w be measur$2 7#f7 a demon/ration t res\rces provid$ "u ! grant w be allocat$ 9 accordance ) ! local demographic incid5ce ( sub/ance use1 includ+ allocations = s]vices = *ildr51 y\?s1 & wom52 7#g7 a demon/ration t funds receiv$ f a grant "u ?is subtitle 9 any prior ye> 7 exp5d$ 9 accordance ) ,/ate priorities2 7#h7 a demon/ration t ! confid5tiality ( individuals receiv+ sub/ance use disord] treatm5t s]vices w be ma9ta9$ 9 a mann] n inconsi/5t ) applicable law2 & 7#i7 an explanation ( h[ income1 asset1 & m$ical exp5se crit]ia w be e/abli%$ & appli$ to ^? :o qualify = assi/ance "u ! program4 7b7 ,assurances ,to be eligible to receive a grant "u section #cdja1 ! application submitt$ by an eligible ,/ate %all include assurances adequate to ensure-- 7#a7 t funds receiv$ "u ! grant w be utiliz$ to supplem5t n supplant o!r ,/ate or local funds made available 9 ! ye> = :i* ! grant is aw>d$ to provide sub/ance use disord] treatm5t s]vices to individuals ) sub/ance use disord]2 7#b7 t ! political subdivisions )9 ! ,/ate w ma9ta9 ! level ( exp5ditures by su* political subdivisions = sub/ance use disord] treatm5t s]vices at a level t is equal to ! level ( su* exp5ditures by su* political subdivisions = ! prec$+ fiscal ye>2 7#c7 t political subdivisions )9 ! ,/ate w n use funds receiv$ "u a grant aw>d$ "u section #cdaa 9 ma9ta9+ ! level ( sub/ance use disord] treatm5t s]vices z requir$ 9 p>agraph 7#b72 7#d7 t sub/ance use disord] treatm5t s]vices provid$ ) assi/ance made available "u ! grant w be provid$ )\t reg>d-- 7,a7 to ! ability ( ! individual to pay = su* s]vices2 & 7,b7 to ! curr5t or pa/ heal? condition ( ! individual to be s]v$2 7#e7 t sub/ance use disord] treatm5t s]vices w be provid$ 9 a sett+ t is accessible to l[-income individuals ) sub/ance use disord]s & to individuals ) sub/ance use disord]s resid+ 9 rural areas2 7#f7 t a program ( outrea* w be provid$ to l[-income individuals ) sub/ance use disord]s to in=m su* individuals ( sub/ance use disord] treatm5t s]vices & to individuals ) sub/ance use disord]s resid+ 9 rural areas2 7#g7 t ,indian tribes are includ$ 9 plann+ = ! use ( grant funds & t ! ,f$]al tru/ responsibility is upheld at all levels ( program adm9i/ration2 & 7#h7 t funds receiv$ "u a grant aw>d$ "u ?is section w n be utiliz$ to make paym5ts = any item or s]vice to ! ext5t t paym5t has be5 made1 or c reasonably be expect$ to be made1 ) respect to t item or s]vice "u a ,/ate comp5sation program1 "u an insurance policy1 or "u any ,f$]al or ,/ate heal? b5efits program 7except = a program adm9i/]$ by or provid+ ! s]vices ( ! ,indian ,heal? ,s]vice74 7c7 ,m$icaid ,,imd waiv] application requirem5t ,a ,/ate %all n be eligible to receive a grant "u ?is subtitle = a fiscal ye> unless ! ,/ate-- 7#a7 has 9 effect = ! ye> a waiv] "u section #aaae ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acae7 to provide m$ical assi/ance "u ! ,/ate plan "u title ,,xix ( su* ,act to individuals :o-- 7,a7 h n atta9$ age #fe 7or1 if ! ,/ate provides ! m$ical assi/ance describ$ 9 section #aije7;a77#af7 ( su* ,act1 h atta9$ age #ba b h n atta9$ age #fe72 7,b7 are pati5ts 9 an in/itution = m5tal diseases2 & 7,c7 are eligible = m$ical assi/ance "u ! ,/ate plan2 or 7#b7 has submitt$ an application = ! ye> = su* a waiv]4 7d7 ,requirem5ts reg>d+ imposition ( *>ges = s]vices 7#a7 ,9 g5]al ,! ,secret>y may n make a grant "u section #cdaa to a ,/ate unless ! ,/ate provides assurances t 9 ! provision ( s]vices ) assi/ance provid$ "u ! grant-- 7,a7 9 ! case ( individuals ) an income less ?an or equal to #ach p]c5t ( ! (ficial pov]ty level1 ! provid] w n impose *>ges on any su* individual = ! s]vices provid$ "u ! grant2 7,b7 9 ! case ( individuals ) an income great] ?an #ach p]c5t ( ! (ficial pov]ty level1 ! provid] w impose a *>ge on ea* su* individual accord+ to a s*$ule ( *>ges made available to ! public2 7,c7 9 ! case ( individuals ) an income great] ?an #ach p]c5t ( ! (ficial pov]ty level b n exce$+ #bjj p]c5t ( su* pov]ty level1 ! provid] w n1 = an cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #e p]c5t ( ! annual gross income ( ! individual2 7,d7 9 ! case ( individuals ) an income great] ?an #bjj p]c5t ( ! (ficial pov]ty level b n exce$+ #cjj p]c5t ( su* pov]ty level1 ! provid] w n1 = any cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #g p]c5t ( ! annual gross income ( ! individual involv$2 7,e7 9 ! case ( individuals ) an income great] ?an #cjj p]c5t ( ! (ficial pov]ty level1 ! provid] w n1 = any cal5d> ye>1 impose *>ges 9 an am\nt exce$+ #ae p]c5t ( ! annual gross income ( ! individual involv$2 & 7,f7 9 ! case ( eligible ,am]ican ,indian & ,alaska ,native individuals z def9$ by section #ddg4ej ( title #db1 ,code ( ,f$]al ,regulations 7z 9 effect on ,july #a1 #bjaj71 ! provid] w n impose any *>ges = sub/ance use disord] treatm5t s]vices1 includ+ any *>ges or co/-%>+ prohibit$ by section #adjb7;d7 ( ! ,pati5t ,protection & ,af=dable ,c>e ,act4 7#b7 ,*>ges ,) respect to compliance ) ! assurances made "u p>agraph 7#a71 a ,/ate may1 9 ! case ( individuals subject to a *>ge-- 7,a7 assess ! am\nt ( ! *>ge 9 ! discretion ( ! ,/ate1 includ+ impos+ only a nom9al *>ge = ! provision ( s]vices1 subject to ! provisions ( ! p>agraph reg>d+ public s*$ules & reg>d+ limitations on ! maximum am\nt ( *>ges2 & 7,b7 take into consid]ation ! total m$ical exp5ses ( individuals 9 assess+ ! am\nt ( ! *>ge1 subject to su* provisions4 7#c7 ,aggregate *>ges ,! ,secret>y may n make a grant "u section #cdaa to a ,/ate unless ! ,/ate agrees t ! limitations on *>ges = sub/ance use disord] treatm5t s]vices "u ?is subsection applies to ! annual aggregate ( *>ges impos$ = su* s]vices1 h[ev] ! *>ges are *>act]iz$1 includes enrollm5t fees1 premiums1 d$uctibles1 co/ %>+1 co-paym5ts1 co-insurance co/s1 or any o!r *>ges4 7e7 ,/atewide coord9at$ /atem5t ( ne$ ,a ,/ate %all n be eligible to receive a grant "u ?is subtitle = a fiscal ye> unless ! ,/ate develops & publi%es a /atewide coord9at$ /atem5t ( ne$1 includ+ a demon/ration ( ! ext5t ( ,/ate ne$ = assi/ance 9 address+ addiction & sub/ance use disord] 9 ! ,/ate & id5tify+ priorities = ! deliv]y ( ess5tial s]vices to individuals ) sub/ance use disord] & _! families4 7f7 ,indian tribes ,any application requirem5ts apply+ to grants di/ribut$ 9 accordance ) section #cdab7;c7 %all be develop$ by ! ,secret>y 9 consultation ) ,indian tribes4 #cdad4 ,te*nical assi/ance ,! ,secret>y %all provide te*nical assi/ance 9 adm9i/]+ & coord9at+ ! activities au?oriz$ "u section #cdab1 includ+ te*nical assi/ance = ! developm5t ( ,/ate applications = supplem5t>y grants au?oriz$ 9 section #cbab7;a77#b74 #cdae4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subtitle-- 7#a7 #d1jjj1jjj1jjj = fiscal ye> #bjai2 7#b7 #d1jjj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #d1jjj1jjj1jjj = fiscal ye> #bjba2 7#d7 #d1jjj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #d1jjj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #d1jjj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #d1jjj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #d1jjj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #d1jjj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #d1jjj1jjj1jjj = fiscal ye> #bjbh4 ,c ,o!r grant program #cdba4 ,e/abli%m5t ( grant program 7a7 ,9 g5]al ,! ,secret>y %all aw>d grants to public1 nonpr(it1 & ,native entities = ! purpose ( fund+ core m$ical s]vices1 recov]y & support s]vices1 h>m r$uction s]vices1 adm9i/rative exp5ses1 & e>ly int]v5tion & engagem5t s]vices 9 accordance ) ?is section4 7b7 ,eligibility 7#a7 ,entities ,public1 nonpr(it1 or ,native entities eligible to receive a grant "u subsection 7a7 may include-- 7,a7 f$]ally qualifi$ heal? c5t]s "u section #aije7l77#b77;,b7 ( ! ,social ,security ,act2 7,b7 family plann+ cl9ics2 7,c7 rural heal? cl9ics2 7,d7 ,native entities1 includ+ ,indian heal? programs z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 urban ,indian organizations z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act1 & ,native ,hawaiian organizations z def9$ 9 section #ab ( ! ,native ,hawaiian ,heal? ,c>e ,act ( #aihh2 7,e7 community-bas$ organizations1 cl9ics1 hospitals1 & o!r heal? facilities t provide sub/ance use disord] treatm5t s]vices2 7,f7 o!r nonpr(it entities t provide sub/ance use disord] treatm5t s]vices2 & 7,g7 fai? bas$ organizations t provide sub/ance use disord] treatm5t s]vices4 7#b7 ,und]s]v$ populations ,entities describ$ 9 p>agraph 7#a7 %all s]ve und]s]v$ populations :i* may include m9ority populations & ,indian populations1 ex-(f5d]s1 individuals ) comorbidities includ+ ,,hiv_/,,aids1 hepatitis ,b or ,c1 m5tal illness1 or o!r behavioral heal? disord]s1 l[-income populations1 inn] city populations1 & rural populations4 7#c7 ,application ,to be eligible to receive a grant "u ?is section1 a public or nonpr(it entity describ$ 9 ?is subsection %all prep>e & submit to ! ,secret>y an application 9 su* =m1 & conta9+ su* in=mation1 z ! ,secret>y %all require1 includ+-- 7,a7 a complete acc\nt+ ( ! disbursem5t ( any prior grants receiv$ "u ?is subtitle by ! applicant & ! results a*iev$ by ^! exp5ditures2 7,b7 a compreh5sive plan = ! use ( ! grant1 includ+ a demon/ration ( ! ext5t ( local ne$ = ! funds s\ght & a plan = propos$ sub/ance use disord] treatm5t s]vices t is consi/5t ) local ne$s2 7,c7 a demon/ration t ! grantee w use funds 9 a mann] t provides sub/ance use disord] treatm5t s]vices compliant ) ! evid5ce-bas$ /&>ds develop$ 9 accordance ) section #cdcd1 includ+ all ,f$]ally-approv$ m$ication-assi/$ treatm5ts2 7,d7 in=mation on ! numb] ( individuals likely to be s]v$ by ! funds s\ght1 includ+ demographic data on ! populations to be s]v$2 7,e7 an id5tification ( key outcomes t w be measur$ by all entities t receive assi/ance1 z well z an explanation ( h[ ! outcomes w be measur$2 7,f7 a demon/ration t res\rces provid$ "u ! grant w be allocat$ 9 accordance ) ! local demographic incid5ce ( sub/ance use1 includ+ allocations = s]vices = *ildr51 y\?s1 & wom52 7,g7 a demon/ration t ! confid5tiality ( individuals receiv+ sub/ance use disord] treatm5t s]vices w be ma9ta9$ 9 a mann] n inconsi/5t ) applicable law2 & 7,h7 an explanation ( h[ income1 asset1 & m$ical exp5se crit]ia w be e/abli%$ & appli$ to ^? :o qualify = assi/ance "u ! program4 7c7 ,requirem5t ( /atus z ,m$icaid provid] 7#a7 ,provision ( s]vice ,subject to p>agraph 7#b71 ! ,secret>y may n make a grant "u ?is section = ! provision ( sub/ance use disord] treatm5t s]vices "u ?is section 9 a ,/ate unless1 9 ! case ( any su* s]vice t is available pursuant to ! ,/ate plan approv$ "u title ,,xix ( ! ,social ,security ,act = ! ,/ate-- 7,a7 ! political subdivision involv$ w provide ! sub/ance use disord] treatm5t s]vice directly1 & ! political subdivision has ent]$ into a p>ticipation agreem5t "u ! ,/ate plan & is qualifi$ to receive paym5ts "u su* plan2 or 7,b7 ! political subdivision involv$ w ent] into an agreem5t ) a public or nonpr(it private entity "u :i* ! entity w provide ! sub/ance use disord] treatm5t s]vice1 & ! entity has ent]$ into su* a p>ticipation agreem5t & is qualifi$ to receive su* paym5ts4 7#b7 ,waiv] 7,a7 ,9 g5]al ,9 ! case ( an entity mak+ an agreem5t pursuant to p>agraph 7#a77;,b7 reg>d+ ! provision ( sub/ance use disord] treatm5t s]vices1 ! requirem5t e/abli%$ 9 su* p>agraph %all be waiv$ by ! ,/ate if ! entity does n1 9 provid+ su* s]vices1 impose a *>ge or accept reimbursem5t available f any ?ird-p>ty payor1 includ+ reimbursem5t "u any insurance policy or "u any ,f$]al or ,/ate heal? b5efits program4 7,b7 ,det]m9ation ,a det]m9ation by ! ,/ate ( :e!r an entity ref]r$ to 9 subp>agraph 7,a7 meets ! crit]ia = a waiv] "u su* subp>agraph %all be made )\t reg>d to :e!r ! entity accepts volunt>y donations = ! purpose ( provid+ s]vices to ! public4 7d7 ,am\nt ( grant to ,native entities 7#a7 ,indian tribes ,9 ?is section1 ! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#b7 ,=mula grants ,! ,secret>y1 act+ ?r\gh ! ,indian ,heal? ,s]vice1 %all use #aj p]c5t ( ! am\nt available "u section #cdbe = ea* fiscal ye> to provide grants to ,native entities 9 an am\nt det]m9$ pursuant to crit]ia develop$ by ! ,secret>y 9 consultation ) ,indian tribes1 = ! purposes ( address+ sub/ance use4 7#c7 ,use ( am\nts ,not)/&+ any requirem5ts 9 ?is section1 ,native entities may use am\nts provid$ "u grants aw>d$ "u ?is section = ! uses id5tifi$ 9 section #cdbb & any o!r activities det]m9$ appropriate by ! ,secret>y1 9 consultation ) ,indian tribes4 #cdbb4 ,use ( am\nts 7a7 ,use ( funds ,an entity %all use am\nts receiv$ "u a grant "u section #cdba to provide direct f9ancial assi/ance to eligible entities = ! purpose ( deliv]+ or enhanc+-- 7#a7 prev5tion s]vices describ$ 9 subsection 7b72 7#b7 core m$ical s]vices describ$ 9 subsection 7c72 7#c7 recov]y & support s]vices describ$ 9 subsection 7d72 7#d7 e>ly int]v5tion & engagem5t s]vices describ$ 9 subsection 7e72 7#e7 h>m r$uction s]vices describ$ 9 subsection 7f72 & 7#f7 adm9i/rative exp5ses describ$ 9 subsection 7g74 7b7 ,prev5tion s]vices ,= purposes ( ?is subsection1 ! t]m prev5tion s]vices means s]vices1 programs1 or multi-sector /rategies to prev5t sub/ance use disord]1 includ+ evid5ce-bas$ education campaigns1 community-bas$ prev5tion programs1 opioid div]sion1 collection & disposal ( unus$ opioids1 & s]vices to at-risk populations4 7c7 ,core m$ical s]vices ,= purposes ( ?is section1 ! t]m core m$ical s]vices means ! foll[+ s]vices :5 provid$ to individuals ) sub/ance use disord] or at risk = develop+ sub/ance use disord]3 7#a7 ,sub/ance use disord] treatm5ts1 includ+ cl9ical /abilization s]vices1 )drawal managem5t & detoxification1 int5sive inpati5t treatm5t1 int5sive outpati5t treatm5t1 all =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5t1 & resid5tial recov]y treatm5t4 7#b7 ,outpati5t & ambulatory heal? s]vices1 includ+ ^? adm9i/]$ by f$]ally qualifi$ heal? c5t]s & rural heal? cl9ics4 7#c7 ,hospice s]vices4 7#d7 ,m5tal heal? s]vices4 7#e7 ,naloxone procurem5t1 di/ribution1 & tra9+4 7#f7 ,ph>maceutical assi/ance & diagno/ic te/+ relat$ to ! managem5t ( sub/ance-use disord] & co-morbid conditions4 7#g7 ,home & community bas$ heal? s]vices4 7#h7 ,compreh5sive ,case ,managem5t & c>e coord9ation1 includ+ treatm5t adh]5ce s]vices4 7#i7 ,heal? insurance enrollm5t & co/-%>+ assi/ance 9 accordance ) section #cdab4 7d7 ,recov]y & support s]vices ,= purposes ( subsection 7a77#c71 ! t]m recov]y & support s]vices means s]vices1 subject to ! approval ( ! ,secret>y1 t are provid$ to individuals ) sub/ance use disord]1 includ+ resid5tial recov]y treatm5t & h\s+1 includ+ = individuals receiv+ m$ication-assi/$ treatm5t1 long t]m recov]y s]vices1 #bd_/g hotl9e s]vices1 m$ical transportation s]vices1 respite c>e = p]sons c>+ = individuals ) sub/ance use disord]1 *ild c>e & family s]vices :ile an individual is receiv+ inpati5t treatm5t s]vices or at ! "t ( outpati5t s]vices1 outrea* s]vices1 pe] recov]y s]vices1 nutrition s]vices1 & ref]rals = job tra9+ & c>e] s]vices1 h\s+1 legal s]vices1 & *ild c>e & family s]vices4 7e7 ,e>ly int]v5tion & engagem5t s]vices ,= purposes ( ?is section1 ! t]m e>ly int]v5tion & engagem5t s]vices means s]vices to provide rapid access to sub/ance use disord] treatm5t s]vices1 c\nsel+ provid$ to individuals :o h misus$ sub/ances1 :o h exp]i5c$ an ov]dose1 or are at risk ( develop+ sub/ance use disord] & ! provision ( ref]rals to facilitate ! access ( su* individuals to core m$ical s]vices or recov]y & support s]vices4 ,! entities ?r\gh :i* su* s]vices may be provid$ include em]g5cy rooms1 fire dep>tm5ts & em]g5cy m$ical s]vices1 det5tion facilities1 homeless %elt]s1 law en=cem5t ag5cies1 heal? c>e po9ts ( entry specifi$ by eligible areas1 ,f$]ally qualifi$ heal? c5t]s1 & rural heal? cl9ics4 7f7 ,h>m r$uction s]vices ,= purposes ( ?is subsection1 ! t]m h>m r$uction s]vices means evid5ce-bas$ s]vices provid$ to individuals engag+ 9 sub/ance use t r$uce ! risk ( infecti\s disease transmission1 ov]dose1 or dea?1 includ+ by increas+ access to heal? c>e4 7g7 ,adm9i/ration & plann+ ,an entity %all n use 9 excess ( #aj p]c5t ( am\nts receiv$ "u a grant "u section #cdba = adm9i/ration1 acc\nt+1 report+1 & program ov]sight functions1 includ+ = ! purposes ( develop+ sy/ems to improve data collection & data %>+4 #cdbc4 ,te*nical assi/ance ,! ,secret>y may1 directly or ?r\gh grants or contracts1 provide te*nical assi/ance to nonpr(it private entities & ,native entities reg>d+ ! process ( submitt+ to ! ,secret>y applications = grants "u section #cdba1 & may provide te*nical assi/ance ) respect to ! plann+1 developm5t1 & op]ation ( any program or s]vice c>ri$ out pursuant to su* section4 #cdbd4 ,plann+ & developm5t grants 7a7 ,9 g5]al ,! ,secret>y may provide plann+ grants to public1 nonpr(it private1 & ,native entities = purposes ( assi/+ su* entities 9 exp&+ _! capacity to provide sub/ance use disord] treatm5t s]vices 9 l[-income communities & affect$ subpopulations t are und]s]vic$ ) respect to su* s]vices4 7b7 ,am\nt ,a grant "u ?is section may be made 9 an am\nt n to exce$ #aej1jjj4 #cdbe4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is subtitle-- 7#a7 #ejj1jjj1jjj = fiscal ye> #bjai2 7#b7 #ejj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #ejj1jjj1jjj = fiscal ye> #bjba2 7#d7 #ejj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #ejj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #ejj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #ejj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #ejj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #ejj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #ejj1jjj1jjj = fiscal ye> #bjbh4 ,d ,miscellane\s provisions #cdca4 ,special projects ( national significance 7a7 ,9 g5]al ,! ,secret>y1 act+ 9 consultation ) ! ,director ( ! ,(fice ( ,national ,drug ,control ,policy1 %all aw>d grants to entities to adm9i/] special projects ( national significance to support ! developm5t ( innovative & orig9al models = ! deliv]y ( sub/ance use disord] treatm5t s]vices4 7b7 ,grants ,! ,secret>y %all aw>d grants "u a project "u subsection 7a7 to entities eligible = grants "u subtitles ,a1 ,b1 & ,c bas$ on newly em]g+ ne$s ( individuals receiv+ assi/ance "u ?is title4 7c7 ,replication ,! ,secret>y %all make in=mation conc]n+ successful models or programs develop$ "u ?is section available to grantees "u ?is title = ! purpose ( coord9ation1 replication1 & integration4 ,to facilitate ef=ts "u ?is subsection1 ! ,secret>y may provide = pe]-bas$ te*nical assi/ance = grantees fund$ "u ?is section4 7d7 ,grants to tribal gov]nm5ts 7#a7 ,indian tribes ,9 ?is section1 ! t]m ,indian tribe has ! mean+ giv5 su* t]m 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act4 7#b7 ,use ( funds ,! ,secret>y1 act+ ?r\gh ! ,indian ,heal? ,s]vice1 %all use #aj p]c5t ( ! am\nt available "u ?is section = ea* fiscal ye> to provide grants to ,indian tribes = ! purposes ( support+ ! developm5t ( innovative & orig9al models = ! deliv]y ( sub/ance use disord] treatm5t & s]vices1 includ+ ! developm5t ( culturally-in=m$ c>e models4 7e7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 #ejj1jjj1jjj = fiscal ye> #bjai2 7#b7 #ejj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #ejj1jjj1jjj = fiscal ye> #bjba2 7#d7 #ejj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #ejj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #ejj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #ejj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #ejj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #ejj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #ejj1jjj1jjj = fiscal ye> #bjbh4 #cdcb4 ,education & tra9+ c5t]s 7a7 ,9 g5]al ,! ,secret>y may make grants & ent] into contracts to assi/ public & nonpr(it private entities1 & s*ools1 & academic heal? c5t]s 9 meet+ ! co/ ( projects-- 7#a7 to tra9 heal? p]sonnel1 includ+ practition]s 9 programs "u ?is title & o!r community provid]s1 includ+ c\nselors1 case manag]s1 social work]s1 pe] recov]y coa*es1 & h>m r$uction work]s1 9 ! diagnosis1 treatm5t1 & prev5tion ( sub/ance use disord]s1 includ+ measures = ! prev5tion & treatm5t ( co-occurr+ infecti\s diseases & o!r conditions1 & includ+ 7z applicable to ! type ( heal? pr(essional involv$71 c>e = wom51 pregnant wom51 & *ildr52 7#b7 to tra9 ! faculty ( s*ools ( m$ic9e1 nurs+1 public heal?1 o/eopa?ic m$ic9e1 d5ti/ry1 alli$ heal?1 & m5tal heal? practice to tea* heal? pr(essions /ud5ts to scre5 = & provide = ! ne$s ( individuals ) sub/ance use disord]s or at risk ( sub/ance use2 & 7#c7 to develop & dissem9ate curricula & res\rce mat]ials relat+ to evid5ce-bas$ practices = ! scre5+1 prev5tion1 & treatm5t ( sub/ance use disord]s1 includ+ in=mation ab\t prescrib+ be/ practices1 alt]native pa9 !rapies1 & ,f$]ally-approv$ m$ication-assi/$ treatm5t options4 7b7 ,pref]5ce 9 mak+ grants ,9 mak+ grants "u subsection 7a71 ! ,secret>y %all give pref]5ce to qualifi$ projects t w-- 7#a7 tra91 or result 9 ! tra9+ (1 heal? pr(essionals1 includ+ c\nselors1 case manag]s1 social work]s1 pe] recov]y coa*es1 & h>m r$uction work]s1 :o w provide sub/ance use disord] treatm5ts = und]s]v$ gr\ps1 includ+ m9ority individuals & ,indians ) sub/ance use disord] & o!r individuals :o are at a high risk ( sub/ance use2 7#b7 tra91 or result 9 ! tra9+ (1 m9ority heal? pr(essionals & m9ority alli$ heal? pr(essionals1 includ+ c\nselors1 case manag]s1 social work]s1 pe] recov]y coa*es1 & h>m r$uction work]s1 to provide sub/ance use disord] treatm5t = individuals ) su* disease2 7#c7 tra9 or result 9 ! tra9+ ( individuals1 includ+ c\nselors1 case manag]s1 social work]s1 pe] recov]y coa*es1 & h>m r$uction work]s1 :o w provide sub/ance use disord] treatm5t 9 rural or o!r areas t are und]s]v$ by curr5t treatm5t /ructures2 & 7#d7 tra9 or result 9 ! tra9+ ( heal? pr(essionals & alli$ heal? pr(essionals1 includ+ c\nselors1 case manag]s1 social work]s1 pe] recov]y coa*es1 & h>m r$uction work]s1 to provide treatm5t = infecti\s diseases & m5tal heal? conditions co-occurr+ ) sub/ance use disord]4 7c7 ,native education & tra9+ c5t]s ,! ,secret>y %all use #aj p]c5t ( ! am\nt available "u subsection 7d7 = ea* fiscal ye> to provide grants au?oriz$ "u ?is subtitle to-- 7#a7 tribal colleges & univ]sities2 7#b7 ,indian ,heal? ,s]vice grant fund$ in/itutions2 & 7#c7 ,native p>tn] in/itutions1 includ+ in/itutions ( high] education ) m$ical tra9+ programs t p>tn] ) "o or m ,indian tribes1 tribal organizations1 ,native ,hawaiian organizations1 or tribal colleges & univ]sities to tra9 ,native heal? pr(essionals t w provide sub/ance use disord] treatm5t s]vices 9 ,native communities4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 #djj1jjj1jjj = fiscal ye> #bjai2 7#b7 #djj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #djj1jjj1jjj = fiscal ye> #bjba2 7#d7 #djj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #djj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #djj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #djj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #djj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #djj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #djj1jjj1jjj = fiscal ye> #bjbh4 #cdcc4 ,o!r provisions 7a7 ,m$ication-,assi/$ treatm5t ,! ,secret>y may n make a grant "u ?is title unless ! applicant = ! grant agrees to require all entities (f]+ sub/ance use disord] treatm5t s]vices "u ! grant to (f] all ,f$]ally-approv$ =ms ( m$ication-assi/$ sub/ance use treatm5t = ! sub/ance use disord]s = :i* ! applicant (f]s treatm5t4 7b7 ,waiv] ,! ,secret>y may grant a waiv] ) respect to any requirem5t ( ?is title if ! grant applicant involv$-- 7#a7 submits to ! ,secret>y a ju/ification conta9+ su* in=mation z ! ,secret>y %all require2 & 7#b7 agrees to require all entities (f]+ sub/ance use disord] treatm5t s]vices "u ! grant-- 7,a7 to (f] at lea/ two ,f$]ally-approv$ =ms ( m$ication-assi/$ treatm5t on site2 7,b7 provide c\nsel+ to pati5ts on ! b5efits & risks ( all =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5ts2 & 7,c7 ma9ta9 an affiliation ) a provid] t c prescribe or o!rwise disp5se all o!r =ms ( ,f$]ally-approv$ m$ication-assi/$ treatm5t4 7c7 ,,gao /udy ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is title1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all submit to ,congress a compreh5sive report describ+ any relation%ip betwe5 sub/ance use rates1 pa9 managem5t practices ( ! ,indian ,heal? ,s]vice1 & pati5t reque/ d5ials ?r\gh ! pur*as$_/ref]r$ c>e program ( ! ,indian ,heal? ,s]vice4 #cdcd4 ,/&>ds = sub/ance use disord] treatm5t & recov]y facilities 7a7 ,9 g5]al ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is title1 ! ,secret>y1 9 consultation ) ! ,am]ican ,society ( ,addiction ,m$ic9e1 %all promulgate model /&>ds = ! regulation ( sub/ance use disord] treatm5t s]vices4 7b7 ,cont5ts ,! model /&>ds promulgat$ "u subsection 7a7 %all-- 7#a7 id5tify ! types ( provid]s int5d$ to be cov]$ )\t reg>d to :e!r su* provid]s p>ticipate 9 any ,f$]al heal? c>e program 7z def9$ 9 section #aabh;,b7f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7f777 & %all n include a private practition] :o is already lic5s$ by a ,/ate m$ical lic5s+ bo>d & ^: practice is limit$ to outpati5t c>e2 7#b7 require t all sub/ance use disord] treatm5t s]vices be lic5s$ by ! respective ,/ates = ! levels ( c>e :i* !y provide2 7#c7 id5tify ! pr(essional cr$5tials ne$$ by ea* type ( sub/ance use disord] treatm5t pr(essional2 7#d7 require t pati5ts h access to lic5s$ sub/ance use disord] treatm5t s]vices1 includ+ heal? c>e provid]s & physicians1 = inpati5t & outpati5t c>e2 7#e7 id5tify & develop /rategies = ,/ates to ensure t all sub/ance use disord] pati5ts receive a m$ical assessm5t1 includ+ = co-occurr+ m5tal heal? issues & infecti\s diseases2 7#f7 require ,/ates to implem5t a process to ensure t resid5tial treatm5t provid] qualifications are v]ifi$ by ! s+le ,/ate ag5cy s]v+ z ! prim>y regulator 9 ! ,/ate = sub/ance use disord] treatm5t s]vices 7z requir$ 9 p>agraph 7#ac77 or by an indep5d5t ?ird p>ty ) ! necess>y compet5cies to use evid5ce-bas$ pati5t placem5t assessm5t tools & nationally-recogniz$ program /&>ds1 z applicable2 7#g7 ensure t pati5ts receiv+ sub/ance use disord] treatm5t h access directly1 by ref]ral1 or 9 su* o!r mann] z det]m9$ by ! ,secret>y1 to all ,f$]ally-approv$ m$ication-assi/$ treatm5ts = sub/ance use disord]2 7#h7 develop /&>ds = data report+ & require compilation ( ,/atewide reports2 7#i7 develop /&>ds = lic5s$ provid]s to ensure all pati5ts receive an outpati5t treatm5t & dis*>ge plan2 7#aj7 develop /&>ds = ! c]tification ( recov]y resid5ces t h an ongo+ economic relation%ip ) any comm]cial sub/ance use disord] treatm5t s]vice1 includ+ any relation%ip ) any su* s]vice t includes receiv+ or mak+ ref]rals = sub/ance use disord] treatm5t1 includ+-- 7,a7 application1 inspection1 & r5ewal proc$ures = recov]y resid5ces2 7,b7 fire1 safety1 & heal? /&>ds2 7,c7 /&>ds = equipp+ resid5ces ) naloxone & tra9+ resid5ce own]s1 op]ators1 & employees 9 ! adm9i/ration ( naloxone2 7,d7 /&>ds = recov]y resid5ce own]s & op]ators2 & 7,e7 /&>ds to id5tify1 disqualify f grant fund+1 & ref] to ! appropriate regulatory au?ority any entity engag$ 9 ! solicit+ or receiv+ ( a commission1 b5efit1 bonus1 rebate1 kickback1 or bribe1 directly or indirectly1 9 ca% or 9 k9d1 or engag+ 9 any split-fee arrangem5t1 aim$ at induc+ ! ref]ral ( a pati5t to or f a sub/ance use disord] treatm5t s]vice2 7#aa7 e/abli% a toll-free telephone numb] to h&le compla9ts ab\t recov]y resid5ces2 7#ab7 e/abli% & ma9ta9 on a publicly accessible int]net website a li/ ( all recov]y resid5ces 9 ! ,/ate t h a c]tification 9 effect 9 accordance ) ?is section2 7#ac7 require ! designation ( a s+le ,/ate ag5cy to s]ve z ! prim>y regulator 9 ! ,/ate = sub/ance use disord] treatm5t s]vices2 7#ad7 require a s+le ,/ate ag5cy to implem5t a process to ensure t treatm5t provid] assessm5ts = all sub/ance use disord] treatm5t s]vices1 includ+ levels ( c>e & l5g?-(-/ay recomm5dations1 are v]ifi$ by an indep5d5t ?ird p>ty t has ! necess>y compet5cies to use evid5ce-bas$ pati5t placem5t assessm5t tools & nationally-recogniz$ program /&>ds1 z applicable2 & 7#ae7 consid] exi/+ b>ri]s to sub/ance use disord] treatm5t & s]vice access1 includ+ capacity & infra/ructure ne$s1 z well z access to culturally attun$ s]vices4 7c7 ,annual assessm5t ,beg9n+ ) respect to fiscal ye> #bjba1 ! ,secret>y %all make a det]m9ation ) respect to ea* ,/ate on :e!r ! ,/ate has adopt$ ! model /&>ds promulgat$ 9 accordance ) ?is section4 7d7 ,quality measures ,! ,secret>y %all engage a nonpr(it1 non-p>tisan /&>ds developm5t & quality measurem5t organization to conv5e gov]nm5t regulators1 ,/ate repres5tatives1 consum] repres5tatives1 sub/ance use disord] treatm5t provid]s1 recov]y resid5ce own]s & op]ators1 & pur*as]s ( sub/ance use disord] treatm5ts ex]cis+ lead]%ip 9 quality-bas$ pur*as+ to develop & annually revise a set ( heal? c>e quality measures = sub/ance use disord] treatm5t provid]s & own]s & op]ators ( recov]y resid5ces4 #cdce4 ,naloxone di/ribution program 7a7 ,e/abli%m5t ( program 7#a7 ,9 g5]al ,! ,secret>y %all provide = ! pur*ase & deliv]y ( ,f$]ally-approv$ opioid ov]dose rev]sal drug products on behalf ( ea* ,/ate 7or ,indian tribe z def9$ 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act7 t receives a grant "u subtitle ,b4 ,?is p>agraph con/itutes budget au?ority 9 advance ( appropriations ,acts1 & repres5ts ! obligation ( ! ,f$]al ,gov]nm5t to provide = ! pur*ase & deliv]y to ,/ates ( ! opioid ov]dose rev]sal drug products 9 accordance ) ?is p>agraph4 7#b7 ,special rules :]e opioid ov]dose rev]sal drug products are unavailable ,to ! ext5t t a suffici5t quantity ( opioid ov]dose rev]sal drug products are n available = pur*ase or deliv]y "u p>agraph 7#a71 ! ,secret>y %all provide = ! pur*ase & deliv]y ( ! available opioid ov]dose rev]sal drug products 9 accordance ) priorities e/abli%$ by ! ,secret>y1 ) priority giv5 to ,/ates ) at lea/ "o local area eligible = fund+ "u section #cdja7;a74 7b7 ,negotiation ( contracts ) manufactur]s 7#a7 ,9 g5]al ,= ! purpose ( c>ry+ out ?is section1 ! ,secret>y %all negotiate & ent] into contracts ) manufactur]s ( opioid ov]dose rev]sal drug products consi/5t ) ! requirem5ts ( ?is subsection &1 to ! maximum ext5t practicable1 consolidate su* contract+ ) any o!r contract+ activities conduct$ by ! ,secret>y to pur*ase opioid ov]dose rev]sal drug products4 ,! ,secret>y may ent] into su* contracts "u :i* ! ,f$]al ,gov]nm5t is obligat$ to make outlays1 ! budget au?ority = :i* is n provid$ = 9 advance 9 appropriations ,acts1 = ! pur*ase & deliv]y ( opioid ov]dose rev]sal drug products "u subsection 7a74 7#b7 ,au?ority to decl9e contracts ,! ,secret>y may decl9e to ent] into contracts "u ?is subsection & may modify or ext5d su* contracts4 7#c7 ,contract price 7,a7 ,9 g5]al ,! ,secret>y1 9 negotiat+ ! prices at :i* opioid ov]dose rev]sal drug products w be pur*as$ & deliv]$ f a manufactur] "u ?is subsection1 %all take into acc\nt quantities ( opioid ov]dose rev]sal drug products to be pur*as$ by ,/ates "u ! option "u p>agraph 7#d77;,b74 7,b7 ,negotiation ( disc\nt$ price = opioid ov]dose rev]sal drug products ,) respect to contracts ent]$ into = ! pur*ase ( opioid ov]dose rev]sal drug products on behalf ( ,/ates "u ?is subsection1 ! price = ! pur*ase ( su* drug product %all be a disc\nt$ price negotiat$ by ! ,secret>y4 7#d7 ,product dosage ,all opioid ov]dose rev]sal products pur*as$ "u ?is section %all conta9-- 7,a7 = ea* dose1 ! maximum am\nt ( active ph>maceutical +r$i5t t acts z an opioid receptor antagoni/ z recomm5d$ by ! ,food & ,drug ,adm9i/ration z an initial dose :5 adm9i/]$ by "o ( ! approv$1 label$ r\tes ( adm9i/ration 9 adults2 & 7,b7 a m9imum ( two doses packag$ toge!r4 7#e7 ,quantities & t]ms ( deliv]y ,"u contracts "u ?is subsection-- 7,a7 ! ,secret>y %all provide1 consi/5t ) p>agraph 7#f71 = ! pur*ase & deliv]y on behalf ( ,/ates & ,indian tribes ( quantities ( opioid ov]dose rev]sal drug products2 & 7,b7 ea* ,/ate & ,indian tribe1 at ! option ( ! ,/ate or tribe1 %all be p]mitt$ to obta9 additional quantities ( opioid ov]dose rev]sal drug products 7subject to am\nts specifi$ to ! ,secret>y by ! ,/ate or tribe 9 advance ( negotiations7 ?r\gh pur*as+ ! opioid ov]dose rev]sal drug products f ! manufactur]s at ! applicable price negotiat$ by ! ,secret>y consi/5t ) p>agraph 7#c71 if ! ,/ate or tribe provides to ! ,secret>y su* in=mation 7at a "t & mann] specifi$ by ! ,secret>y1 includ+ 9 advance ( negotiations "u p>agraph 7#a77 z ! ,secret>y det]m9es to be necess>y1 to provide = quantities ( opioid ov]dose rev]sal drug products = ! ,/ate or tribe to pur*ase pursuant to ?is subsection & to det]m9e annually ! p]c5tage ( ! opioid ov]dose rev]sal drug m>ket t is pur*as$ pursuant to ?is section & ?is subp>agraph4 ,! ,secret>y %all ent] into ! initial negotiations n lat] ?an #ahj days aft] ! date ( ! enactm5t ( ?is title4 7#f7 ,*>ges = %ipp+ & h&l+ ,! ,secret>y may ent] into a contract ref]r$ to 9 p>agraph 7#a7 only if ! manufactur] involv$ agrees to submit to ! ,secret>y su* reports z ! ,secret>y det]m9es to be appropriate to assure compliance ) ! contract & if1 ) respect to a ,/ate program "u ?is section t does n provide = ! direct deliv]y ( qualifi$ opioid ov]dose rev]sal drug products1 ! manufactur] involv$ agrees t ! manufactur] w provide = ! deliv]y ( ! opioid ov]dose rev]sal drug products on behalf ( ! ,/ate 9 accordance ) su* program & w n impose any *>ges = ! co/s ( su* deliv]y 7except to ! ext5t su* co/s are provid$ = 9 ! price e/abli%$ "u p>agraph 7#c774 7#g7 ,multiple suppli]s ,9 ! case ( ! opioid ov]dose rev]sal drug product involv$1 ! ,secret>y may1 z appropriate1 ent] into a contract ref]r$ to 9 p>agraph 7#a7 ) ea* manufactur] ( ! opioid ov]dose rev]sal drug product t meets ! t]ms & conditions ( ! ,secret>y = an aw>d ( su* a contract 7includ+ t]ms & conditions reg>d+ safety & quality74 ,) respect to multiple contracts ent]$ into pursuant to ?is p>agraph1 ! ,secret>y may h 9 effect diff]5t prices "u ea* ( su* contracts &1 ) respect to a pur*ase by ,/ates pursuant to p>agraph 7#d77;,b71 ea* eligible ,/ate may *oose :i* ( su* contracts w be applicable to ! pur*ase4 7c7 ,use ( opioid ov]dose rev]sal drug product li/ ,beg9n+ n lat] ?an "o ye> aft] ! fir/ contract has be5 ent]$ into "u ?is section1 ! ,secret>y %all use1 = ! purpose ( ! pur*ase1 deliv]y1 & adm9i/ration ( opioid ov]dose rev]sal drug products "u ?is section1 ! li/ e/abli%$ 7& p]iodically review$ &1 z appropriate1 revis$7 by an advisory committee1 e/abli%$ by ! ,secret>y & locat$ )9 ! ,c5t]s = ,disease ,control & ,prev5tion1 :i* consid]s ! co/ effectiv5ess ( ea* opioid ov]dose rev]sal drug product4 7d7 ,/ate di/ribution ( opioid ov]dose rev]sal drug products ,/ates %all di/ribute opioid ov]dose rev]sal drug products receiv$ "u ?is section to ! foll[+3 7#a7 ,fir/ ,respond]s1 includ+-- 7,a7 all ,/ate1 c\nty1 & local law en=cem5t dep>tm5ts2 7,b7 all ,tribal police dep>tm5ts2 7,c7 all local fire dep>tm5ts1 includ+ c>e] fire dep>tm5ts1 comb9ation fire dep>tm5ts1 & volunte] fire dep>tm5ts2 & 7,d7 all local em]g5cy m$ical s]vices organizations1 includ+ volunte] em]g5cy m$ical s]vices organizations4 7#b7 ,public entities ) au?ority to adm9i/] local public heal? s]vices1 includ+ all local heal? dep>tm5ts1 = ! purposes ( mak+ opioid ov]dose rev]sal drug products available to-- 7,a7 public & nonpr(it entities1 includ+-- 7i7 community-bas$ organizations t provide sub/ance use disord] treatm5ts or h>m r$uction s]vices2 7ii7 nonpr(it entities t provide sub/ance use disord] treatm5ts or h>m r$uction s]vices2 & 7iii7 fai? bas$ organizations t provide sub/ance use disord] treatm5ts or h>m r$uction s]vices2 & 7,b7 ! g5]al public4 7e7 ,/ate requirem5ts ,to be eligible to receive opioid ov]dose rev]sal drugs "u ?is section1 ea* ,/ate %all-- 7#a7 e/abli% a program = di/ribut+ opioid ov]dose rev]sal drug products to fir/ respond]s & entities ) au?ority to adm9i/] local public heal? s]vices1 includ+ local heal? dep>tm5ts2 7#b7 beg9n+ 9 ! second ye> ( ! program1 demon/rate a di/ribution rate ( a m9imum ( #ij p]c5t ( ! opioid ov]dose rev]sal drug products receiv$ "u ?is program2 & 7#c7 c]tify to ! ,secret>y t ! ,/ate has 9 place measures t enhance access to opioid ov]dose rev]sal drug products1 su* z laws t provide civil or discipl9>y immunity = m$ical p]sonnel :o prescribe an opioid ov]dose rev]sal drug product1 ,good ,sam>itan ,laws1 ,?ird ,p>ty ,prescription ,laws1 ,collaborative ,practice ,agreem5ts1 & ,/&+ ,ord]s4 7f7 ,indian tribe requirem5ts ,! ,indian ,heal? ,s]vice1 9 consultation ) ,indian tribes1 %all det]m9e any requirem5ts t %all apply to ,indian tribes receiv+ opioid ov]dose rev]sal drug products made available "u ?is section4 7g7 ,def9itions ,= purposes ( ?is section3 7#a7 ,c>e] fire dep>tm5t ,! t]m c>e] fire dep>tm5t means a fire dep>tm5t t has an all-paid =ce ( firefight+ p]sonnel o!r ?an paid-on-call firefight]s4 7#b7 ,collaborative practice agreem5t ,! t]m ,collaborative ,practice ,agreem5t means an agreem5t "u :i* a ph>maci/ op]ates "u au?ority delegat$ by ano!r lic5s$ practition] ) prescrib+ au?ority4 7#c7 ,comb9ation fire dep>tm5t ,! t]m comb9ation fire dep>tm5t means a fire dep>tm5t t has paid firefight+ p]sonnel & volunte] firefight+ p]sonnel4 7#d7 ,em]g5cy m$ical s]vice ,! t]m em]g5cy m$ical s]vice means res\rces us$ by a public or private nonpr(it lic5s$ entity to deliv] m$ical c>e outside ( a m$ical facility "u em]g5cy conditions t occur z a result ( ! condition ( ! pati5t & includes s]vices deliv]$ 7ei!r on a comp5sat$ or volunte] basis7 by an em]g5cy m$ical s]vices provid] or o!r provid] t is lic5s$ or c]tifi$ by ! ,/ate involv$ z an em]g5cy m$ical te*nician1 a p>am$ic1 or an equival5t pr(essional 7z det]m9$ by ! ,/ate74 7#e7 ,good ,sam>itan ,law ,! t]m ,good ,sam>itan ,law means a law t provides crim9al immunity = a p]son :o adm9i/]s an opioid ov]dose rev]sal drug product1 a p]son :o1 9 good fai?1 seeks m$ical assi/ance = someone exp]i5c+ a drug-relat$ ov]dose1 or a p]son :o exp]i5ces a drug-relat$ ov]dose & is 9 ne$ ( m$ical assi/ance &1 9 good fai?1 seeks su* m$ical assi/ance1 or is ! subject ( su* a good fai? reque/ = m$ical assi/ance4 7#f7 ,indians ,! t]ms ,indian1 ,indian tribe1 tribal organization1 & ,urban ,indian ,heal? ,program h ! mean+s giv5 su* t]ms 9 section #d ( ! ,indian ,heal? ,c>e ,improvem5t ,act4 7#g7 ,manufactur] ,! t]m manufactur] means any corporation1 organization1 or in/itution1 :e!r public or private 7includ+ ,f$]al1 ,/ate1 & local dep>tm5ts1 ag5cies1 & in/rum5talities71 :i* manufactures1 imports1 processes1 or di/ributes "u its label any opioid ov]dose rev]sal drug product4 ,! t]m manufacture means to manufacture1 import1 process1 or di/ribute an opioid ov]dose rev]sal drug4 7#h7 ,opioid ov]dose rev]sal drug product ,! t]m opioid ov]dose rev]sal drug product means a f9i%$ dosage =m t has be5 approv$ by ! ,food & ,drug ,adm9i/ration & t conta9s an active ph>maceutical +r$i5t t acts z an opioid receptor antagoni/4 ,! t]m opioid ov]dose rev]sal drug product includes a comb9ation product1 z def9$ 9 section #c4b7;e7 ( title #ba1 ,code ( ,f$]al ,regulations4 7#i7 ,/&+ ord] ,! t]m /&+ ord] means a non-pati5t-specific ord] cov]+ adm9i/ration ( m$ication by o!rs to a pati5t :o may be unkn[n to ! prescrib] at ! "t ( ! ord]4 7#aj7 ,?ird p>ty prescription ,! t]m ?ird p>ty prescription means an ord] writt5 = m$ication disp5s$ to "o p]son ) ! int5tion t x w be adm9i/]$ to ano!r p]son4 7#aa7 ,volunte] fire dep>tm5t ,! t]m volunte] fire dep>tm5t means a fire dep>tm5t t has an all-volunte] =ce ( firefight+ p]sonnel4 7h7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is suction-- 7#a7 #ejj1jjj1jjj = fiscal ye> #bjai2 7#b7 #ejj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #ejj1jjj1jjj = fiscal ye> #bjba2 7#d7 #ejj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #ejj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #ejj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #ejj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #ejj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #ejj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #ejj1jjj1jjj = fiscal ye> #bjbh4 #cdcf4 ,additional fund+ = ! ,national ,in/itutes ( ,heal? ,!re is au?oriz$ to be appropriat$ to ! ,national ,in/itute ( ,heal? = ! purpose ( conduct+ rese>* on addiction & pa9 relat$ to sub/ance misuse1 includ+ rese>* to develop ov]dose rev]sal drug products1 non-addictive drug products = treat+ pa91 & drug products us$ to treat sub/ance use disord]-- 7#a7 #a1jjj1jjj1jjj = fiscal ye> #bjai2 7#b7 #a1jjj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #a1jjj1jjj1jjj = fiscal ye> #bjba2 7#d7 #a1jjj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #a1jjj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #a1jjj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #a1jjj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #a1jjj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #a1jjj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #a1jjj1jjj1jjj = fiscal ye> #bjbh4 #cdcg4 ,additional fund+ = improv$ data collection & prev5tion ( infecti\s disease transmission 7a7 ,data collection ,! ,c5t]s = ,disease ,control & ,prev5tion %all use a portion ( ! fund+ appropriat$ "u ?is section to ensure t all ,/ates p>ticipate 9 ! ,enhanc$ ,/ate ,opioid ,ov]dose ,surveillance program & to provide te*nical assi/ance to m$ical exam9]s & coron]s to facilitate improv$ data collection on fatal ov]doses ?r\gh su* program4 7b7 ,c5t]s = ,disease ,control & ,prev5tion ,! ,c5t]s = ,disease ,control & ,prev5tion %all use am\nts appropriat$ "u ?is section = ! purpose ( improv+ data on drug ov]dose dea?s & non-fatal drug ov]doses1 surveillance relat$ to addiction & sub/ance use disord]1 & ! prev5tion ( transmission ( infecti\s diseases relat$ to sub/ance use4 7c7 ,tribal epidemiology c5t]s ,!re %all be made available to ! ,indian ,heal? ,s]vice = ! purpose ( fund+ ef=ts by tribal epidemiology c5t]s to improve data on drug ov]dose dea?s & non-fatal drug ov]doses & surveillance relat$ to addiction & sub/ance use disord]1 n less ?an #a4e p]c5t ( ! total am\nt appropriat$ "u ?is section = ea* fiscal ye>4 7d7 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is section-- 7#a7 #djj1jjj1jjj = fiscal ye> #bjai2 7#b7 #djj1jjj1jjj = fiscal ye> #bjbj2 7#c7 #djj1jjj1jjj = fiscal ye> #bjba2 7#d7 #djj1jjj1jjj = fiscal ye> #bjbb2 7#e7 #djj1jjj1jjj = fiscal ye> #bjbc2 7#f7 #djj1jjj1jjj = fiscal ye> #bjbd2 7#g7 #djj1jjj1jjj = fiscal ye> #bjbe2 7#h7 #djj1jjj1jjj = fiscal ye> #bjbf2 7#i7 #djj1jjj1jjj = fiscal ye> #bjbg2 & 7#aj7 #djj1jjj1jjj = fiscal ye> #bjbh4 #cdch4 ,def9itions ,9 ?is title3 7#a7 ,plann+ c\ncil ,! t]m plann+ c\ncil means ! sub/ance use plann+ c\ncil e/abli%$ "u section #cdjb4 7#b7 ,recov]y resid5ce ,! t]m recov]y resid5ce means a resid5tial dwell+ unit1 or o!r =m ( gr\p h\s+1 t is (f]$ or adv]tis$ ?r\gh any means1 includ+ oral1 writt51 electronic1 or pr9t$ means1 by any individual or entity z a resid5ce t provides an evid5ce-bas$1 pe]-support$ liv+ environm5t = individuals und]go+ any type ( sub/ance use disord] treatm5t or :o h receiv$ any type ( sub/ance use disord] treatm5t 9 ! pa/ #c ye>s1 includ+ m$ication-assi/$ treatm5t4 7#c7 ,/ate 7,a7 ,9 g5]al ,! t]m ,/ate means ea* ( ! #ej ,/ates1 ! ,di/rict ( ,columbia1 & ea* ( ! t]ritories4 7,b7 ,t]ritories ,! t]m t]ritory means ea* ( ,am]ican ,samoa1 ,guam1 ! ,commonweal? ( ,pu]to ,rico1 ! ,commonweal? ( ! ,nor!rn ,m>iana ,isl&s1 ! ,virg9 ,isl&s1 ! ,republic ( ! ,m>%all ,isl&s1 ! ,f$]at$ ,/ates ( ,micronesia1 & ,palau4 7#d7 ,sub/ance use disord] treatm5t 7,a7 ,9 g5]al ,! t]m sub/ance use disord] treatm5t means an evid5ce-bas$1 pr(essionally direct$1 delib]ate1 & plann$ regim5 includ+ evaluation1 obs]vation1 m$ical monitor+1 & rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & individual & gr\p c\nsel+1 on an inpati5t or outpati5t basis1 to help pati5ts ) sub/ance use disord] rea* recov]y4 7,b7 ,types ( treatm5t ,sub/ance use disord] treatm5ts %all include ! foll[+3 7i7 ,cl9ical /abilization s]vices1 :i* are evid5ce-bas$ s]vices provid$ 9 secure1 acute c>e facilities 7:i* may be ref]r$ to z addictions receiv+ facilities7 t1 at a m9imum-- 7,i7 provide detoxification & /abilization s]vices2 7,,ii7 are op]at$ #bd h\rs p] day1 #g days p] week2 & 7,,iii7 t s]ve individuals f\nd to be sub/ance use impair$4 ,^! c also be ref]r$ to z ,addictions receiv+ facilities4 7ii7 ,)drawal managem5t & detoxification1 :i* is a s]vice t is provid$ on an inpati5t or an outpati5t basis to assi/ individuals manage ! process ( )draw+ f ! physiological & psy*ological effects ( sub/ance use disord]4 7iii7 ,int5sive inpati5t treatm5t1 :i* is a s]vice t provides a plann$ regim5 ( evid5ce-bas$ evaluation1 obs]vation1 m$ical monitor+1 & evid5ce-bas$ rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & c\nsel+1 #bd h\rs p] day1 #g days p] week1 9 a highly /ructur$1 resid5tial environm5t4 7iv7 ,int5sive outpati5t treatm5t1 :i* is a s]vice t provides a plann$ regim5 ( evid5ce-bas$ evaluation1 obs]vation1 m$ical monitor+1 & evid5ce-bas$ rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & c\nsel+1 9 a /ructur$1 nonresid5tial environm5t at a high] level ( int5sity & duration ?an outpati5t treatm5t4 7v7 ,m$ication-assi/$ treatm5t1 :i* is a s]vice t uses ,f$]ally-approv$ m$ication z au?oriz$ by ,f$]al & ,/ate law1 9 comb9ation ) evid5ce-bas$ m$ical1 rehabilitative1 & c\nsel+ s]vices1 9 ! treatm5t ( individuals :o suff] f sub/ance use disord]4 7vi7 ,outpati5t treatm5t1 :i* is a s]vice t provides a plann$ regim5 ( evid5ce-bas$ evaluation1 obs]vation1 m$ical monitor+1 & evid5ce-bas$ rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & c\nsel+ 9 a /ructur$1 nonresid5tial environm5t by appo9tm5t dur+ s*$ul$ op]at+ h\rs4 7vii7 ,resid5tial recov]y treatm5t1 :i* is a s]vice t provides a plann$ regim5 ( evid5ce-bas$ evaluation1 obs]vation1 m$ical monitor+1 & evid5ce-bas$ rehabilitative s]vices & int]v5tions su* z ph>maco!rapy1 behavioral !rapy1 & c\nsel+ provid$ 9 a /ructur$1 live-9 environm5t )9 a nonhospital sett+ on a #bd-;h\rs-p]-day1 #g-;days-p]-week basis4 7,c7 ,limitation ,sub/ance use disord] treatm5t provid]s %all n include-- 7i7 prev5tion only provid]s2 & 7ii7 a private practition] :o is lic5s$ by a ,/ate m$ical lic5s+ bo>d & ^: practice is limit$ to outpati5t c>e4 7#e7 ,sub/ance use disord] treatm5t s]vices ,! t]m sub/ance use disord] treatm5t s]vices means any prev5tion s]vices1 core m$ical s]vices1 recov]y & support s]vices1 e>ly int]v5tion & engagem5t s]vices1 & h>m r$uction s]vices au?oriz$ "u ?is title4 4 #d4 ,am5dm5ts to ! ,controll$ ,sub/ances ,act 7a7 ,c]tifications ,"p ,c ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hba et seq47 is am5d$ by add+ at ! end ! foll[+3 #cab4 ,c]tifications relat+ to div]sion controls & misbr&+ 7a7 ,def9itions ,9 ?is section-- 7#a7 ! t]m cov]$ disp5s]-- 7,a7 means a disp5s]-- 7i7 t is requir$ to regi/] "u section #cjb7;a77#b72 & 7ii7 disp5ses a controll$ sub/ance 9 s*$ule ,,ii2 & 7,b7 does n include a disp5s] t is-- 7i7 regi/]$ to disp5se opioid agoni/ treatm5t m$ication "u section #cjc7;g77#a72 & 7ii7 op]at+ 9 t capacity2 7#b7 ! t]m cov]$ di/ributor means a di/ributor-- 7,a7 t is requir$ to regi/] "u section #cjb7;a77#a72 & 7,b7 di/ributes a controll$ sub/ance 9 s*$ule ,,ii2 7#c7 ! t]m cov]$ manufactur] means a manufactur]-- 7,a7 t is requir$ to regi/] "u section #cjb7;a77#a72 & 7,b7 manufactures a controll$ sub/ance 9 s*$ule ,,ii2 7#d7 ! t]m cov]$ (fic]1 ) respect to a cov]$ p]son means-- 7,a7 9 ! case ( a cov]$ p]son t is n an individual-- 7i7 ! *ief executive (fic] ( ! cov]$ p]son2 7ii7 ! presid5t ( ! cov]$ p]son2 7iii7 ! *ief m$ical (fic] ( ! cov]$ p]son2 & 7iv7 ! *ief c\nsel ( ! cov]$ p]son2 & 7,b7 9 ! case ( a cov]$ p]son t is an individual1 t individual2 & 7#e7 ! t]m cov]$ p]son means a cov]$ disp5s]1 a cov]$ di/ributor1 or a cov]$ manufactur]4 7b7 ,c]tifications relat+ to div]sion controls ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is section1 & ea* ye> !reaft]1 ea* cov]$ (fic] ( a cov]$ p]son %all submit to ! ,attorney ,g5]al1 = ea* controll$ sub/ance 9 s*$ule ,,ii disp5s$1 di/ribut$1 or manufactur$ by ! cov]$ p]son1 a c]tification-- 7#a7 sign$ by ! cov]$ (fic]2 & 7#b7 c]tify+ t-- 7,a7 ! cov]$ p]son ma9ta9s effective controls aga9/ div]sion ( ! controll$ sub/ance into *annels o!r ?an legitimate m$ical1 sci5tific1 rese>*1 or indu/rial *annels2 7,b7 all in=mation conta9$ 9 any record1 inv5tory1 or report requir$ to be kept or submitt$ to ! ,attorney ,g5]al by ! cov]$ p]son "u section #cjg1 or "u any regulation issu$ "u t section1 is accurate2 & 7,c7 ! cov]$ p]son is 9 compliance ) all applicable requirem5ts "u ,f$]al law relat+ to report+ suspici\s ord]s = controll$ sub/ances4 7c7 ,c]tifications relat+ to misbr&+ ,n lat] ?an #ahj days aft] ! date ( enactm5t ( ?is section1 & ea* ye> !reaft]1 ea* cov]$ (fic] ( a cov]$ manufactur] %all submit to ! ,attorney ,g5]al1 = ea* controll$ sub/ance 9 s*$ule ,,ii manufactur$ by ! cov]$ manufactur]1 a c]tification-- 7#a7 sign$ by ! cov]$ (fic]2 & 7#b7 c]tify+ t ! controll$ sub/ance is n misbr&$1 z describ$ 9 section #ejb ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #ceb74 4 7b7 ,(f5ses ,"p ,d ( title ,,ii ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hda et seq47 is am5d$ by add+ at ! end ! foll[+3 #dbd4 ,c]tifications by cov]$ (fic]s 7a7 ,def9itions ,9 ?is section1 ! t]ms cov]$ disp5s]1 cov]$ di/ributor1 cov]$ manufactur]1 cov]$ (fic]1 & cov]$ p]son h ! mean+s giv5 ^? t]ms 9 section #cab4 7b7 ,(f5ses 7#a7 ,failure to submit c]tifications 7,a7 ,c]tifications relat+ to div]sion controls ,x %all be unlawful = a cov]$ (fic] ( a cov]$ p]son to fail to submit a c]tification requir$ "u section #cab7;b71 )\t reg>d to ! /ate ( m9d ( ! cov]$ (fic]4 7,b7 ,c]tifications relat+ to misbr&+ ,x %all be unlawful = a cov]$ (fic] ( a cov]$ manufactur] to fail to submit a c]tification requir$ "u section #cab7;c71 )\t reg>d to ! /ate ( m9d ( ! cov]$ (fic]4 7#b7 ,submission ( false c]tifications 7,a7 ,false c]tifications relat+ to div]sion controls ,x %all be unlawful = a cov]$ (fic] ( a cov]$ p]son to submit a c]tification requir$ "u section #cab7;b71 )\t reg>d to ! /ate ( m9d ( ! cov]$ (fic]1 t conta9s a mat]ially false /atem5t or repres5tation relat+ to ! in=mation requir$ to be c]tifi$ "u t section = ! ye> = :i* ! c]tification is submitt$4 7,b7 ,false c]tifications relat+ to misbr&+ ,x %all be unlawful = a cov]$ (fic] ( a cov]$ manufactur] to submit a c]tification requir$ "u section #cab7;c71 )\t reg>d to ! /ate ( m9d ( ! cov]$ (fic]1 t conta9s a mat]ially false /atem5t or repres5tation relat+ to ! misbr&+ ( a controll$ sub/ance ) respect to ! ye> = :i* ! c]tification is submitt$4 7c7 ,p5alties 7#a7 ,civil p5alties ,except z provid$ 9 p>agraph 7#b71 a cov]$ (fic] :o violates subsection 7b7 %all be subject to a civil p5alty ( n m ?an #be1jjj4 7#b7 ,crim9al p5alties ,a cov]$ (fic] :o kn[+ly violates subsection 7b77#b7 %all be subject to crim9al p5alties "u section #djc7;d74 7d7 ,compreh5sive ,addiction ,res\rces ,fund 7#a7 ,e/abli%m5t ,!re is e/abli%$ 9 ! ,treasury a fund to be kn[n z ! ,compreh5sive ,addiction ,res\rces ,fund4 7#b7 ,transf] ( am\nts ,!re %all be transf]r$ to ! ,compreh5sive ,addiction ,res\rces ,fund #ajj p]c5t (-- 7,a7 any civil p5alty paid to ! ,unit$ ,/ates "u ?is section2 & 7,b7 any f9e paid to ! ,unit$ ,/ates "u section #djc7;d7 = a kn[+ violation ( subsection 7b77#b7 ( ?is section4 7#c7 ,availability & use ( funds ,am\nts transf]r$ to ! ,compreh5sive ,addiction ,fund "u p>agraph 7#b7 %all-- 7,a7 rema9 available until exp5d$2 & 7,b7 be made available to supplem5t am\nts appropriat$ to c>ry out title ,,xxxiv ( ! ,public ,heal? ,s]vice ,act4 4 7c7 ,crim9al p5alties ,section #djc ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hdc7 is am5d$-- 7#a7 9 subsection 7d77#a7-- 7,a7 by ins]t+ or kn[+ly violates section #dbd7;b77#b7 aft] any p]son :o violates ?is section2 & 7,b7 by /rik+ violation ( ?is section & ins]t+ su* a violation2 & 7#b7 9 subsection 7f7-- 7,a7 9 p>agraph 7#a71 by /rik+ or #daf & ins]t+ or section #daf1 or kn[+ violations ( section #dbd7;b77#b72 & 7,b7 9 p>agraph 7#c71 by ins]t+ or kn[+ violations ( section #dbd7;b77#b7 be=e ! p]iod at ! end4 7d7 ,te*nical & con=m+ am5dm5ts ,! table ( cont5ts = ! ,compreh5sive ,drug ,abuse ,prev5tion & ,control ,act ( #aigj 7,public ,law #ia-eac2 #hd ,/at4 #abcf7 is am5d$-- 7#a7 by ins]t+ aft] ! item relat+ to section #caa ! foll[+3 ,sec4 #cab4 ,c]tifications relat+ to div]sion controls & misbr&+4 2 & 7#b7 by ins]t+ aft] ! item relat+ to section #dbc ! foll[+3 ,sec4 #dbd4 ,c]tifications by cov]$ (fic]s4 4 7e7 ,effective date ,! am5dm5ts made by subsections 7b7 & 7c7 ( ?is section %all take effect on ! date t is #ahj days aft] ! date ( enactm5t ( ?is ,act4