,,ib ,union ,calendar ,no4 #dff #aafth ,,congress #b;d ,session ,h4 ,r4 #bdff ,report ,no4 #aaf-efh ,,in ,,the ,,house ,,of ,,representatives ,may #a1 #bjai,mr4 ,trone 7for himself1 ,mr4 ,armstrong1 ,ms4 ,sherrill1 and ,mr4 ,riggleman7 introduced the following bill2 which was referred to the ,committee on ,energy and ,commerce ,november #ab1 #bjbj;,additional sponsors3 ,mr4 ,brown of ,maryland1 ,mr4 ,burchett1 ,mr4 ,clay1 ,ms4 ,dean1 ,ms4 ,garcia of ,texas1 ,ms4 ,jayapal1 ,ms4 ,kuster of ,new ,hampshire1 ,mrs4 ,lee of ,nevada1 ,mr4 ,lewis1 ,mrs4 ,mc,bath1 ,mr4 ,price of ,north ,carolina1 ,mr4 ,rouda1 ,mr4 ,veasey1 ,mrs4 ,axne1 ,ms4 ,craig1 ,mr4 ,foster1 ,mr4 ,hagedorn1 ,mr4 ,krishnamoorthi1 ,mr4 ,lawson of ,florida1 ,mrs4 ,luria1 ,mr4 ,morelle1 ,ms4 ,norton1 ,mr4 ,raskin1 ,mr4 ,reschenthaler1 ,ms4 ,stevens1 ,mrs4 ,trahan1 ,mr4 ,watkins1 ,ms4 ,wild1 ,ms4 ,mucarsel-,powell1 ,mr4 ,cox of ,california1 ,ms4 ,houlahan1 ,mr4 ,levin of ,michigan1 ,mr4 ,case1 ,mr4 ,mooney of ,west ,virginia1 ,mr4 ,pappas1 ,ms4 ,scanlon1 ,ms4 ,bass1 ,ms4 ,slotkin1 ,mr4 ,mc,govern1 ,mr4 ,ruppersberger1 ,mr4 ,harder of ,california1 ,ms4 ,hill of ,california1 ,mr4 ,rose of ,new ,york1 ,mr4 ,yarmuth1 ,ms4 ,kendra ,s4 ,horn of ,oklahoma1 ,ms4 ,spanberger1 ,mrs4 ,davis of ,california1 ,mr4 ,doggett1 ,mr4 ,malinowski1 ,mr4 ,ryan1 ,ms4 ,tlaib1 ,mr4 ,neguse1 ,mr4 ,crow1 ,mr4 ,mc,adams1 ,mr4 ,kim1 ,mr4 ,baird1 ,mrs4 ,hayes1 ,ms4 ,shalala1 ,ms4 ,brownley of ,california1 ,mr4 ,sarbanes1 ,mr4 ,allred1 ,ms4 ,schrier1 ,ms4 ,finkenauer1 ,mr4 ,david ,scott of ,georgia1 ,mr4 ,lujn1 and ,mr4 ,johnson of ,georgia ,november #ab1 #bjbj,reported with amendments2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed,strike out all after the enacting clause and insert the part printed in italic,for text of introduced bill1 see copy of bill as introduced on ,may #a1 #bjai ,a ,,bill ,to extend the ,state ,opioid ,response ,grants program1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,state ,opioid ,response ,grant ,authorization ,act of #bjbj4 #b4 ,grant program for ,state and ,tribal response to substance use disorders of significance 7a7 ,in general ,section #ajjc of the #bast ,century ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is amended to read as follows3 #ajjc4 ,grant program for ,state and ,tribal response to substance use disorders of significance 7a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary7 shall carry out the grant program described in subsection 7b7 for purposes of addressing substance use disorders of significance1 including opioid and stimulant use disorders1 within ,states1 ,indian ,tribes1 and populations served by ,tribal organizations4 7b7 ,grants program 7#a7 ,in general ,subject to the availability of appropriations1 the ,secretary shall award grants to ,states1 ,indian ,tribes1 and ,tribal organizations for the purpose of addressing substance use disorders of significance1 including opioid and stimulant use disorders1 within such ,states1 such ,indian ,tribes1 and populations served by such ,tribal organizations1 in accordance with paragraph 7#b74 7#b7 ,minimum allocations2 preference ,in awarding grants under paragraph 7#a71 the ,secretary shall-- 7,a7 ensure that each ,state and the ,district of ,columbia receives not less than #d1jjj1jjj2 and 7,b7 give preference to ,states1 ,indian ,tribes1 and ,tribal organizations with an incidence or prevalence of opioid use disorders that is substantially higher relative to other ,states1 other ,indian ,tribes1 or other ,tribal organizations1 as applicable4 7#c7 ,formula methodology ,not less than #ae days before publishing a funding opportunity announcement with respect to grants under this section1 the ,secretary shall-- 7,a7 develop a formula methodology to be followed in allocating grant funds awarded under this section among grantees2 and 7,b7 submit the formula methodology to-- 7,i7 the ,committee on ,energy and ,commerce and the ,committee on ,appropriations of the ,house of ,representatives2 and 7ii7 the ,committee on ,health1 ,education1 ,labor and ,pensions and the ,committee on ,appropriations of the ,senate4 7#d7 ,use of funds ,grants awarded under this subsection shall be used for carrying out activities that supplement activities pertaining to substance use disorders of significance1 including opioid and stimulant use disorders1 undertaken by the ,state agency responsible for administering the substance abuse prevention and treatment block grant under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 which may include public health-related activities such as the following3 7,a7 ,implementing prevention activities1 and evaluating such activities to identify effective strategies to prevent substance use disorders4 7,b7 ,establishing or improving prescription drug monitoring programs4 7,c7 ,training for health care practitioners1 such as best practices for prescribing opioids1 pain management1 recognizing potential cases of substance abuse1 referral of patients to treatment programs1 preventing diversion of controlled substances1 and overdose prevention4 7,d7 ,supporting access to health care services1 including-- 7i7 services provided by federally certified opioid treatment programs2 7ii7 outpatient and residential substance use disorder treatment services that utilize medication-assisted treatment1 as appropriate2 or 7iii7 other appropriate health care providers to treat substance use disorders4 7,e7 ,other public health-related activities1 as the ,state1 ,indian ,tribe1 or ,tribal organization determines appropriate1 related to addressing substance use disorders within the ,state1 ,indian ,tribe1 or ,tribal organization1 including directing resources in accordance with local needs related to substance use disorders4 7c7 ,accountability and oversight ,a ,state receiving a grant under subsection 7b7 shall include in reporting related to substance abuse submitted to the ,secretary pursuant to section #aidb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#eb71 a description of-- 7#a7 the purposes for which the grant funds received by the ,state under such subsection for the preceding fiscal year were expended and a description of the activities of the ,state under the grant2 and 7#b7 the ultimate recipients of amounts provided to the ,state through the grant4 7d7 ,limitations ,any funds made available pursuant to subsection 7i7-- 7#a7 notwithstanding any transfer authority in any appropriations ,act1 shall not be used for any purpose other than the grant program in subsection 7b72 and 7#b7 shall be subject to the same requirements as substance abuse prevention and treatment programs under titles ,v and ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;aa et seq41 #cjjw et seq474 7e7 ,indian ,tribes and ,tribal organizations ,the ,secretary1 in consultation with ,indian ,tribes and ,tribal organizations1 shall identify and establish appropriate mechanisms for ,indian ,tribes and ,tribal organizations to demonstrate or report the information as required under subsections 7b71 7c71 and 7d74 7f7 ,report to ,congress ,not later than ,september #cj1 #bjbb1 and biennially thereafter1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives1 and the ,committees on ,appropriations of the ,house of ,representatives and the ,senate1 a report summarizing the information provided to the ,secretary in reports made pursuant to subsections 7c7 and 7e71 including the purposes for which grant funds are awarded under this section and the activities of such grant recipients4 7g7 ,technical assistance ,the ,secretary1 including through the ,tribal ,training and ,technical ,assistance ,center of the ,substance ,abuse and ,mental ,health ,services ,administration1 shall provide ,states1 ,indian ,tribes1 and ,tribal organizations1 as applicable1 with technical assistance concerning grant application and submission procedures under this section1 award management activities1 and enhancing outreach and direct support to rural and underserved communities and providers in addressing substance use disorders4 7h7 ,definitions ,in this section3 7#a7 ,indian ,tribe ,the term ,indian ,tribe has the meaning given the term ,indian tribe in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,tribal organization ,the term ,tribal organization has the meaning given the term tribal organization in such section #d4 7#c7 ,state ,the term ,state has the meaning given such term in section #aied7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#fd7;b774 7i7 ,authorization of appropriations 7#a7 ,in general ,for purposes of carrying out the grant program under subsection 7b71 there is authorized to be appropriated #a1ejj1jjj1jjj for each of fiscal years #bjbj through #bjbf1 to remain available until expended4 7#b7 ,federal administrative expenses ,of the amounts made available for each fiscal year to award grants under subsection 7b71 the ,secretary shall not use more than #b percent for ,federal administrative expenses1 training1 technical assistance1 and evaluation4 7#c7 ,set aside ,of the amounts made available for each fiscal year to award grants under subsection 7b7 for a fiscal year1 the ,secretary shall-- 7,a7 award #e percent to ,indian ,tribes and ,tribal organizations2 and 7,b7 of the remaining amount1 set aside up to #ae percent for ,states with the highest age-adjusted rate of drug overdose death based on the ordinal ranking of ,states according to the ,director of the ,centers for ,disease ,control and ,prevention4 4 7b7 ,clerical amendment ,the table of sections in section #a7;b7 of such ,act is amended by striking the item relating to section #ajjc and inserting the following3 ,sec4 #ajjc4 ,grant program for ,state and ,tribal response to substance use disorders of significance4 4 ,amend the title so as to read3 ,a bill to amend the #bast ,century ,cures ,act to reauthorize and expand a grant program for ,state response to the opioid abuse crisis1 and for other purposes44 ,november #ab1 #bjbj,reported with amendments2 committed to the ,committee of the ,whole ,house on the ,state of the ,union and ordered to be printed