,,ii #aaeth ,,congress #b;d ,session ,s4 #bfdf ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,april #aa1 #bjah ,mr4 ,brown 7for himself and ,mrs4 ,capito7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to establish a pilot program administered by the ,secretary of ,labor1 in collaboration with the ,secretary of ,health and ,human ,services1 to award competitive grants to counties 7or other equivalent entities7 and ,tribal entities to administer combined workforce training and drug addiction treatment and recovery programs1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,collectively ,achieving ,recovery and ,employment ,act of #bjah or the ,,care ,act4 #b4 ,pilot program for combined workforce training and drug addiction treatment and recovery 7a7 ,definitions ,in this section3 7#a7 ,covered entity ,the term covered entity means a county 7or other equivalent entity as determined by the ,secretary7 or a ,tribal entity4 7#b7 ,eligible drug addiction treatment participant ,the term eligible drug addiction treatment participant means a nonprofit or public health care entity that meets the requirements under subsection 7d74 7#c7 ,eligible workforce training participant ,the term eligible workforce training participant means a nonprofit or public workforce training entity that meets the requirements under subsection 7e74 7#d7 ,full range of drug addiction treatment and recovery services ,the term full range of drug addiction treatment and recovery services includes-- 7,a7 providing medication-assisted treatment to treat addiction involving opioids1 including-- 7i7 not less than #a opioid antagonist medication approved by the ,food and ,drug ,administration2 and 7ii7 not less than #a opioid agonist 7or partial agonist7 medication approved by the ,food and ,drug ,administration2 7,b7 providing counseling with respect to such treatment1 which shall include discussing with patients the risks of1 benefits of1 and alternatives to such treatment2 7,c7 recovery support services1 including peer recovery support services2 and 7,d7 referral services and case management programs4 7#e7 ,local board ,the term local board has the meaning given such term in section #c of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cajb74 7#f7 ,secretary ,except as otherwise provided1 the term ,secretary means the ,secretary of ,labor1 in collaboration with the ,assistant ,secretary for ,mental ,health and ,substance ,use of the ,department of ,health and ,human ,services4 7#g7 ,tribal entity ,the term ,tribal entity includes ,indian tribes1 ,tribal organizations1 ,alaska ,native entities1 ,indian-controlled organizations serving ,indians1 and ,native ,hawaiian organizations1 within the meaning of such terms in section #aff of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cbba74 7b7 ,establishment ,the ,secretary shall establish a pilot program to award competitive grants during each of fiscal years #bjai through #bjbd to covered entities to administer combined workforce training and drug addiction treatment and recovery programs4 7c7 ,applications 7#a7 ,in general ,a covered entity desiring a grant under this section shall submit an application to the ,secretary in such form1 in such manner1 and containing such information as the ,secretary may reasonably require4 7#b7 ,partnership 7,a7 ,in general ,each application shall1 in addition to the contents required under paragraph 7#c71 demonstrate that the covered entity will partner with-- 7i7 at least one eligible drug addiction treatment participant that meets the requirements under subsection 7d71 to provide drug addiction treatment services for individuals through the workforce training and drug addiction treatment and recovery program2 and 7ii7 at least one eligible workforce training participant that meets the requirements under subsection 7e71 which shall include at least one local board1 to provide training services for individuals through such program4 7,b7 ,fiscal agent ,the covered entity shall1 for purposes of carrying out the grant1 serve as the fiscal agent of the partnership described in subparagraph 7,a74 7#c7 ,contents ,in order to be selected for a grant under this section1 an application submitted under this subsection shall-- 7,a7 identify any eligible drug addiction treatment participant that is partnering with the covered entity as described in paragraph 7#b77;,a77i72 7,b7 identify any eligible workforce training participant1 including at least one local board1 that is partnering with the covered entity as described in paragraph 7#b77;,a77ii72 and 7,c7 provide a detailed description of the services under subsection 7f7 that will be provided under the workforce training and drug addiction treatment and recovery program to individuals with varying drug addictions and varying workforce skills1 and demonstrate that the applicant1 and any partners identified under subparagraphs 7,a7 and 7,b71 will use the grant to provide such services4 7d7 ,eligible drug addiction treatment participants 7#a7 ,in general ,to meet the requirements under this subsection to be an eligible drug addiction treatment participant1 an entity shall be a nonprofit or public health care entity and-- 7,a7 comply with all licensing and certification requirements of the ,state department of health2 7,b7 demonstrate that it has strong community partnerships1 including a partnership with ,state and local public health authorities2 7,c7 subject to paragraph 7#b7-- 7i7 provide the full range of drug addiction treatment and recovery services2 7ii7 demonstrate the ability to provide such services on an ongoing basis1 including after the workforce training has started2 and 7iii7 demonstrate the ability to provide such services concurrent with job training services2 and 7,d7 accept health insurance for such services1 including coverage under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq471 and have established policies to ensure nondiscrimination based on the ability of a patient to pay4 7#b7 ,contracting providers ,an eligible drug addiction treatment participant may contract with or refer to another health care provider 7or health care providers7 to meet the requirements under paragraph 7#a77;,c7 if such provider 7or providers7 is a nonprofit or public health care entity that meets the requirements described in subparagraphs 7,a71 7,b71 and 7,d7 of paragraph 7#a74 7e7 ,eligible workforce training participants ,to meet the requirements under this subsection to be an eligible workforce training participant1 a nonprofit or public workforce training entity shall-- 7#a7 demonstrate that it has a relationship with employers in the area and has provided training that reflects the skill needs of such employers2 7#b7 have experience providing workforce training for individuals of all workforce skill levels2 7#c7 if such entity is not a local board1 demonstrate that it has a relationship with a local board included in the partnership under subsection 7c77#b77;,a77ii72 and 7#d7 demonstrate the ability to provide ongoing workforce training concurrent with drug addiction treatment4 7f7 ,permissible uses of funds ,a covered entity that receives a grant under this section shall use the grant funds for one or more of the following3 7#a7 ,drug addiction treatment services identified by the ,american ,society of ,addiction ,medicine as best practices1 including health 7including mental health7 services1 drug addiction and recovery services1 or any other forms of outpatient treatment that may impact addiction and related1 underlying1 or complicating conditions4 7#b7 ,services to provide drug referrals to other providers of relevant health care services that are not provided through the drug addiction treatment and recovery program4 7#c7 ,career services that provide workers with a range of services1 including training and job placement assistant1 including soft skills training1 in-depth interviewing practice and evaluation1 and career planning1 job coaching1 and job matching services4 7#d7 ,providing ongoing job training services that are concurrent with drug addiction treatment services1 including work-based training strategies1 traditional classroom training1 and services to connect employers and workers on-the-job or customized training programs and apprenticeships4 7#e7 ,payments and fees for employment and training-related applications1 tests1 and certifications4 7#f7 ,linkages to community services1 including services offered by organizations partnering with the covered entity that are designed to support individuals participating in the workforce training and drug addiction treatment and recovery program4 7#g7 ,individual wraparound services to provide maximum support for such individuals4 7#h7 ,individual case management services for such individuals1 including-- 7,a7 assessing the extent to which services provided through the drug addiction treatment and recovery program are appropriate for the individual2 7,b7 ensuring that any services provided through such program are provided in a coordinated manner2 and 7,c7 assistance in establishing eligibility for assistance under ,federal1 ,state1 or local programs providing health services 7including mental health services71 housing services1 employment services1 educational services1 transportation services1 or social services4 7g7 ,grant period ,each grant awarded under this section shall be for a period of #c years4 ,any funds awarded through such grant that are not expended by the end of the grant period shall be returned to the fund established under subsection 7h74 7h7 ,funding 7#a7 ,fund ,there is established in the ,treasury a fund1 consisting of the amounts transferred under paragraph 7#b7 and any unused funds returned to the fund under subsection 7g71 to be used1 without further appropriation1 by the ,secretary to carry out the pilot program under this section4 7#b7 ,transfers 7,a7 ,workforce development funds 7i7 ,amount ,out of any unobligated amounts made available for the programs described in clause 7ii71 the ,secretary of ,labor shall1 not later than #cj days after the date of enactment of this ,act1 transfer #ej1jjj1jjj to the fund established under paragraph 7#a74 7ii7 ,programs ,the programs described in this clause are each of the following3 7,i7 ,the reentry employment opportunities program under section #afi of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cbbd74 7,,ii7 ,the national dislocated worker grants under section #agj of such ,act 7#bi ,u4,s4,c4 #cbbe74 7,b7 ,substance ,abuse and ,mental ,health ,services ,administration funds ,out of any unobligated amounts made available for the programs authorized under section #eji of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb-#b71 the ,secretary of ,health and ,human ,services shall1 not later than #cj days after the date of enactment of this ,act1 transfer #ej1jjj1jjj to the fund established under paragraph 7#a74 7#c7 ,availability ,amounts transferred under paragraph 7#b7 to the fund shall remain available for the ,secretary to make grants under this section through ,september #cj1 #bjbd4 ,any amounts remaining in the fund1 or returned under subsection 7g7 to the fund1 after such date shall be returned to the general fund of the ,treasury4 7i7 ,reporting ,the ,secretary shall establish reporting requirements for covered entities receiving grants under this section to report to the ,secretary on how such entities used their grant funds4 ,such requirements shall include reporting on-- 7#a7 the percentage of such funds used for addiction treatment and recovery and the percentage of such funds used for workforce training2 and 7#b7 outcomes resulting from the use of the grant funds1 including data on job placement1 retention1 and addiction recovery4 #c4 ,amendment to ,workforce ,innovation and ,opportunity ,act ,section #acd7;d7 of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cagd7;d77 is amended by adding at the end the following3 7#f7 ,workforce training and drug addiction treatment and recovery program ,funds allocated to a local area for adults under paragraph 7#b77;,a7 or 7#c71 as appropriate1 of section #acc7;b71 and funds allocated to the local area for dislocated workers under section #acc7;b77#b77;,b71 may be used to carry out a workforce training and drug addiction treatment and recovery program under section #b of the ,collectively ,achieving ,recovery and ,employment ,act of #bjah if the local board is participating in the program under that section4 4