,,ii  #aae? ,,congress  #b;d ,session   
,s4 #bdcg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #ae1 #bjah    
,ms4 ,baldw9 7= h]self1 ,mrs4 ,%ahe51   
,ms4 ,smi?1 ,ms4 ,heitkamp1 ,mr4 ,br[n1 
,ms4 ,hassan1 ,mr4 ,man*91 ,ms4 ,w>r51  
,ms4 ,klobu*>1 ,ms4 ,/ab5[1 ,mr4        
,nelson1 ,mr4 ,k+1 ,mr4 ,c>d91 ,mr4     
,te/]1 ,mr4 ,ka9e1 & ,mr4 ,udall7       
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to reau?orize & improve !   
#ba/ ,c5tury ,cures opioid grant        
program4  #a4 ,%ort title  ,?is ,act may
 be cit$ z ! ,opioid ,response          
,enhancem5t ,act4  #b4 ,opioid grant    
program reau?orization  7a7 ,9 g5]al    
,section #ajjc ( ! #ba/ ,c5tury ,cures  
,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is 
am5d$-- 7#a7 9 subsection 7b7--  7,a7 9 
p>agraph 7#b77;,a71 by add+ at ! end !  
foll[+3  7iii7 ,= ea* ( fiscal ye>s     
#bjai ?r\gh #bjbc1 #b1jjj1jjj1jjj4  2 & 
7,b7 9 p>agraph 7#c7-- 7i7 9 subp>agraph

 7,a7--  7,i7 by /rik+ #bjag & #bjah &  
ins]t+ #bjai ?r\gh #bjbc2 &  7,,ii7 by  
ins]t+ aft] p>agraph 7#b77;,a71 !       
foll[+3 & 9 ea* ( ! fiscal ye>s #bjai   
?r\gh #bjbc1 !re is au?oriz$ to be      
appropriat$ f ! ,acc\nt to ! ,secret>y1 
= ! grant program describ$ 9 subsection 
7c77#c71 #djj1jjj1jjj12 &  7ii7 9       
subp>agraph 7,b71 by /rik+ #bjag & #bjah
 & ins]t+ #bjai ?r\gh #bjbc2  7#b7 9    
subsection 7c7--  7,a7 9 p>agraph 7#a7--
 7i7 by ins]t+ & ,tribal entities aft]  
grants to ,/ates2  7ii7 by ins]t+ &     
,tribal entities aft] pref]5ce to       
,/ates2 &  7iii7 by ins]t+ or ,tribal   
entities be=e ! p]iod at ! end2  7,b7 9 
p>agraph 7#b7-- 7i7 9 ! matt] prec$+    
subp>agraph 7,a7--  7,i7 by ins]t+ 1    
includ+ activities support$ by          
community-bas$ organizations & c\nties1 
aft] c>ry+ out activities2 &  7,,ii7 by 
/rik+ to a ,/ate2  7ii7 9 subp>agraph   
7,e71 by ins]t+ or ,tribal entity aft]  
,/ate ea* place t su* t]m appe>s2 &     
7iii7 by add+ at ! end ! foll[+3  7,f7  

,9 addition to c>ry+ out activities     
relat$ to address+ ! opioid epidemic1 a 
,/ate or ,tribal entity may use grants  
aw>d$ "u ?is section = c>ry+ out        
public-heal? activities relat$ to       
address+ o!r sub/ance abuse1 z det]m9$  
appropriate & z det]m9$ to be a         
sub/antial or simil> public heal? ?reat 
z ! opioid epidemic by ! ,/ate or       
,tribal entity4  2 &  7,c7 by add+ at ! 
end ! foll[+3  7#c7 ,t>get$ response    
enhancem5t grants  7,a7 ,9 g5]al        
,subject to ! availability (            
appropriations1 ! ,secret>y %all use #ej
 p]c5t ( ! am\nt transf]r$ "u subsection
 7b77#b77;,a77iii7 9 ea* fiscal ye> to  
aw>d supplem5tal fund+ grants to at lea/
 #aj ,/ates & ,tribal entities1 to exp& 
& enhance grant activities requir$ "u   
?is subsection4 ,9 aw>d+ su* grants1 !  
,secret>y %all give pref]5ce to areas ( 
greate/ ne$1 includ+ z indicat$ by high]
 mortality rates associat$ ) opioid     
ov]doses4  7,b7 ,use ( funds ,grants    
aw>d$ to a ,/ate or ,tribal entity "u   

?is p>agraph %all be us$ = c>ry+ out    
activities to supplem5t activities      
o!rwise c>ri$ out "u ?is subsection to  
exp& & enhance prev5tion1 treatm5t1 &   
recov]y support ef=ts 9 ,/ates & ,tribal
 entities h>de/ hit by ! opioid         
epidemic1 :i* may include public        
heal?-relat$ activities su* z ! foll[+3 
7i7 ,expansion ( evid5ce-bas$ /rategies 
= ! provision ( prev5tion1 treatm5t1 &  
recov]y support s]vices = individuals ) 
opioid use disord]s4  7ii7 ,expansion & 
enhancem5t ( integrat$ sy/ems ( c>e1    
includ+ ! co-location ( s]vices to      
address ! prim>y & behavioral heal?c>e  
ne$s ( individuals ) opioid use         
disord]s4  7iii7 ,expansion ( ef=ts to  
di/ribute ov]dose rev]sal drugs &       
educate fir/ respond]s & o!r relevant   
community memb]s on ! use ( su* drugs to
 prev5t ov]dose-relat$ dea?s4  7iv7     
,expansion ( any activity au?oriz$ "u ! 
,/ate or ,tribal entity grant "u        
p>agraph 7#a7 to address ! ,/ate's or   
,tribal entity's specific ne$s relat$ to

 combatt+ ! opioid crisis4  7#d7 ,set   
aside ,( ! am\nt made available = ea*   
fiscal ye> to aw>d grants "u p>agraph   
7#a71 n less ?an #aj p]c5t ( su* am\nt 9
 ea* su* fiscal ye> %all be provid$ to  
,tribal entities4  2  7#c7 by r$esignat+
 subsections 7d7 ?r\gh 7f7 z subsections
 7e7 ?r\gh 7g71 respectively2  7#d7 by  
ins]t+ aft] subsection 7c71 ! foll[+3   
7d7 ,te*nical assi/ance ,! ,secret>y    
%all provide ,/ate ag5cies & ,tribal    
entities1 z applicable ?r\gh ! ,tribal  
,tra9+ & ,te*nical ,assi/ance ,c5t]1 )  
te*nical assi/ance conc]n+--  7#a7      
application & submission proc$ures &    
aw>d managem5t activities2  7#b7 enhanc+
 outrea* & direct support to rural &    
und]s]v$ communities & provid]s 9       
address+ ! opioid crisis2 &  7#c7       
/r5g!n+ data collection data %>+        
activities to help improve surveillance4
  2  7#e7 9 subsection 7e7 7z s         
r$esignat$71 by ins]t+ %all prioritize  
provid+ su* funds directly to local     
communities & c\nties to address !      

opioid crisis 9 areas ( unmet ne$ & aft]
 subsection 7c72 &  7#f7 by add+ at !   
end ! foll[+3  7h7 ,tribal entity ,9 ?is
 section1 ! t]m ,tribal entity means an 
,indian tribe 7z def9$ 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 
a tribal organization 7z def9$ 9 su*    
section71 or a consortium ( su* a tribe 
& organization4  4  7b7 ,additional     
am\nts = fiscal ye> #bjah ,9 addition to
 am\nts o!rwise made available = grants 
"u section #ajjc7;c7 ( ! #ba/ ,c5tury   
,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c   
note7 = fiscal ye> #bjah1 !re are       
appropriat$ #a1ejj1jjj1jjj = su* grants 
9 su* fiscal ye>1 ( :i*1 #ejj1jjj1jjj   
%all be us$ = grants "u section         
#ajjc7;c77#c7 ( su* ,act4