,,ii #aaeth ,,congress #b;d ,session ,s4 #bdcg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,february #ae1 #bjah ,ms4 ,baldwin 7for herself1 ,mrs4 ,shaheen1 ,ms4 ,smith1 ,ms4 ,heitkamp1 ,mr4 ,brown1 ,ms4 ,hassan1 ,mr4 ,manchin1 ,ms4 ,warren1 ,ms4 ,klobuchar1 ,ms4 ,stabenow1 ,mr4 ,nelson1 ,mr4 ,king1 ,mr4 ,cardin1 ,mr4 ,tester1 ,mr4 ,kaine1 and ,mr4 ,udall7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to reauthorize and improve the #bast ,century ,cures opioid grant program4 #a4 ,short title ,this ,act may be cited as the ,opioid ,response ,enhancement ,act4 #b4 ,opioid grant program reauthorization 7a7 ,in general ,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#b77;,a71 by adding at the end the following3 7iii7 ,for each of fiscal years #bjai through #bjbc1 #b1jjj1jjj1jjj4 2 and 7,b7 in paragraph 7#c7-- 7i7 in subparagraph 7,a7-- 7,i7 by striking #bjag and #bjah and inserting #bjai through #bjbc2 and 7,,ii7 by inserting after paragraph 7#b77;,a71 the following3 and in each of the fiscal years #bjai through #bjbc1 there is authorized to be appropriated from the ,account to the ,secretary1 for the grant program described in subsection 7c77#c71 #djj1jjj1jjj12 and 7ii7 in subparagraph 7,b71 by striking #bjag and #bjah and inserting #bjai through #bjbc2 7#b7 in subsection 7c7-- 7,a7 in paragraph 7#a7-- 7i7 by inserting and ,tribal entities after grants to ,states2 7ii7 by inserting and ,tribal entities after preference to ,states2 and 7iii7 by inserting or ,tribal entities before the period at the end2 7,b7 in paragraph 7#b7-- 7i7 in the matter preceding subparagraph 7,a7-- 7,i7 by inserting 1 including activities supported by community-based organizations and counties1 after carrying out activities2 and 7,,ii7 by striking to a ,state2 7ii7 in subparagraph 7,e71 by inserting or ,tribal entity after ,state each place that such term appears2 and 7iii7 by adding at the end the following3 7,f7 ,in addition to carrying out activities related to addressing the opioid epidemic1 a ,state or ,tribal entity may use grants awarded under this section for carrying out public-health activities related to addressing other substance abuse1 as determined appropriate and as determined to be a substantial or similar public health threat as the opioid epidemic by the ,state or ,tribal entity4 2 and 7,c7 by adding at the end the following3 7#c7 ,targeted response enhancement grants 7,a7 ,in general ,subject to the availability of appropriations1 the ,secretary shall use #ej percent of the amount transferred under subsection 7b77#b77;,a77iii7 in each fiscal year to award supplemental funding grants to at least #aj ,states and ,tribal entities1 to expand and enhance grant activities required under this subsection4 ,in awarding such grants1 the ,secretary shall give preference to areas of greatest need1 including as indicated by higher mortality rates associated with opioid overdoses4 7,b7 ,use of funds ,grants awarded to a ,state or ,tribal entity under this paragraph shall be used for carrying out activities to supplement activities otherwise carried out under this subsection to expand and enhance prevention1 treatment1 and recovery support efforts in ,states and ,tribal entities hardest hit by the opioid epidemic1 which may include public health-related activities such as the following3 7i7 ,expansion of evidence-based strategies for the provision of prevention1 treatment1 and recovery support services for individuals with opioid use disorders4 7ii7 ,expansion and enhancement of integrated systems of care1 including the co-location of services to address the primary and behavioral healthcare needs of individuals with opioid use disorders4 7iii7 ,expansion of efforts to distribute overdose reversal drugs and educate first responders and other relevant community members on the use of such drugs to prevent overdose-related deaths4 7iv7 ,expansion of any activity authorized under the ,state or ,tribal entity grant under paragraph 7#a7 to address the ,state's or ,tribal entity's specific needs related to combatting the opioid crisis4 7#d7 ,set aside ,of the amount made available for each fiscal year to award grants under paragraph 7#a71 not less than #aj percent of such amount in each such fiscal year shall be provided to ,tribal entities4 2 7#c7 by redesignating subsections 7d7 through 7f7 as subsections 7e7 through 7g71 respectively2 7#d7 by inserting after subsection 7c71 the following3 7d7 ,technical assistance ,the ,secretary shall provide ,state agencies and ,tribal entities1 as applicable through the ,tribal ,training and ,technical ,assistance ,center1 with technical assistance concerning-- 7#a7 application and submission procedures and award management activities2 7#b7 enhancing outreach and direct support to rural and underserved communities and providers in addressing the opioid crisis2 and 7#c7 strengthening data collection data sharing activities to help improve surveillance4 2 7#e7 in subsection 7e7 7as so redesignated71 by inserting shall prioritize providing such funds directly to local communities and counties to address the opioid crisis in areas of unmet need and after subsection 7c72 and 7#f7 by adding at the end the following3 7h7 ,tribal entity ,in this section1 the term ,tribal entity means an ,indian tribe 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd771 a tribal organization 7as defined in such section71 or a consortium of such a tribe and organization4 4 7b7 ,additional amounts for fiscal year #bjah ,in addition to amounts otherwise made available for grants under section #ajjc7;c7 of the #bast ,century ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 for fiscal year #bjah1 there are appropriated #a1ejj1jjj1jjj for such grants in such fiscal year1 of which1 #ejj1jjj1jjj shall be used for grants under section #ajjc7;c77#c7 of such ,act4