,,ii  #aaeth ,,congress  #ast ,session  
,s4 #bbgj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,december #ba1 
#bjag ,mr4 ,daines 7for himself1 ,ms4   
,harris1 ,mr4 ,merkley1 ,ms4 ,klobuchar1
 ,ms4 ,murkowski1 and ,ms4 ,baldwin7    
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
make improvements to the account for the
 ,state response to the opioid abuse    
crisis to improve tribal health4  #a4   
,short title  ,this ,act may be cited as
 the ,mitigating the ,methamphetamine   
,epidemic and ,promoting ,tribal ,health
 ,act or the ,mitigating ,,meth ,act4   
#b4 ,account for the ,state response to 
the opioid abuse crisis ,section #ajjc  
of the #bast ,century ,cures ,act 7#db  
,u4,s4,c4 #bij;ee-#c note7 is amended-- 
7#a7 in subsection 7b7--  7,a7 in       
paragraph 7#a71 by inserting and ,tribal
 after ,state2  7,b7 in paragraph       
7#b77;,a77ii71 by striking #ejj1jjj1jjj 

and inserting #ebe1jjj1jjj2 and  7,c7 in
 paragraph 7#c77;,b71 by inserting and  
,tribal after ,state2  7#b7 in          
subsection 7c7--  7,a7 in paragraph     
7#a7-- 7i7 in the paragraph heading1 by 
striking ,state response to the opioid  
and inserting state and tribal response 
to the opioid2  7ii7 in the first       
sentence1 by inserting and ,indian      
tribes and ,tribal organizations 7as the
 terms #8,indian tribes' and #8tribal   
organizations' are defined in the       
,indian ,self-,determination and        
,education ,assistance ,act7 after      
grants to ,states2 and  7iii7 in the    
second sentence1 by inserting and       
,tribes after ,states each place that   
such term appears2  7,b7 in paragraph   
7#b7--  7i7 in the matter preceding     
subparagraph 7,a7-- 7,i7 by inserting 1 
,tribe1 or ,tribal organization after to
 a ,state2  7,,ii7 by inserting or      
,tribal after by the ,state2 and        
7,,iii7 by inserting or by a ,tribe or  
,tribal organization after et seq472    

7ii7 in subparagraph 7,a71 by inserting 
and ,tribal after ,state2  7iii7 in     
subparagraph 7,e71 by inserting or      
,tribe after as the ,state2 and  7,c7 by
 adding at the end the following3  7#c7 
,other substances ,a ,state or ,indian  
tribe may use grants awarded under this 
section for prevention and treatment of 
the use of other substances such as     
methamphetamine1 if the use of such     
other substances is determined by the   
,state or tribe to have a substantial   
public health impact on the ,state or   
tribe4  2 and  7#c7 in subsection 7d71  
by inserting 1 ,tribe1 or tribal        
organization after ,a ,state4