,,ib ,union ,cal5d> ,no4 #dff #aaf? ,,congress #b;d ,session ,h4 ,r4 #bdff ,report ,no4 #aaf-efh ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,may #a1 #bjai,mr4 ,trone 7= himself1 ,mr4 ,arm/rong1 ,ms4 ,%]rill1 & ,mr4 ,riggleman7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,novemb] #ab1 #bjbj;,additional sponsors3 ,mr4 ,br[n ( ,m>yl&1 ,mr4 ,bur*ett1 ,mr4 ,clay1 ,ms4 ,dean1 ,ms4 ,g>cia ( ,texas1 ,ms4 ,jayapal1 ,ms4 ,ku/] ( ,new ,hamp%ire1 ,mrs4 ,lee ( ,nevada1 ,mr4 ,lewis1 ,mrs4 ,mc,bath1 ,mr4 ,price ( ,nor? ,c>ol9a1 ,mr4 ,r\da1 ,mr4 ,veasey1 ,mrs4 ,axne1 ,ms4 ,craig1 ,mr4 ,fo/]1 ,mr4 ,hag$orn1 ,mr4 ,kri%namoor?i1 ,mr4 ,lawson ( ,florida1 ,mrs4 ,luria1 ,mr4 ,morelle1 ,ms4 ,norton1 ,mr4 ,rask91 ,mr4 ,res*5?al]1 ,ms4 ,/ev5s1 ,mrs4 ,trahan1 ,mr4 ,watk9s1 ,ms4 ,wild1 ,ms4 ,muc>sel-,p[ell1 ,mr4 ,cox ( ,cali=nia1 ,ms4 ,h\lahan1 ,mr4 ,lev9 ( ,mi*igan1 ,mr4 ,case1 ,mr4 ,mooney ( ,we/ ,virg9ia1 ,mr4 ,pappas1 ,ms4 ,scanlon1 ,ms4 ,bass1 ,ms4 ,slotk91 ,mr4 ,mc,govern1 ,mr4 ,rupp]sb]g]1 ,mr4 ,h>d] ( ,cali=nia1 ,ms4 ,hill ( ,cali=nia1 ,mr4 ,rose ( ,new ,york1 ,mr4 ,y>mu?1 ,ms4 ,k5dra ,s4 ,horn ( ,oklahoma1 ,ms4 ,spanb]g]1 ,mrs4 ,davis ( ,cali=nia1 ,mr4 ,doggett1 ,mr4 ,mal9[ski1 ,mr4 ,ryan1 ,ms4 ,tlaib1 ,mr4 ,neguse1 ,mr4 ,cr[1 ,mr4 ,mc,adams1 ,mr4 ,kim1 ,mr4 ,baird1 ,mrs4 ,hayes1 ,ms4 ,%alala1 ,ms4 ,br[nley ( ,cali=nia1 ,mr4 ,s>banes1 ,mr4 ,allr$1 ,ms4 ,s*ri]1 ,ms4 ,f9k5au]1 ,mr4 ,david ,scott ( ,georgia1 ,mr4 ,lujn1 & ,mr4 ,johnson ( ,georgia ,novemb] #ab1 #bjbj,report$ ) am5dm5ts2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be printed,strike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic,for text ( introduc$ bill1 see copy ( bill z introduc$ on ,may #a1 #bjai ,a ,,bill ,to ext5d ! ,/ate ,opioid ,response ,grants program1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,/ate ,opioid ,response ,grant ,au?orization ,act ( #bjbj4 #b4 ,grant program = ,/ate & ,tribal response to sub/ance use disord]s ( significance 7a7 ,9 g5]al ,section #ajjc ( ! #ba/ ,c5tury ,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is am5d$ to read z foll[s3 #ajjc4 ,grant program = ,/ate & ,tribal response to sub/ance use disord]s ( significance 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices 7ref]r$ to 9 ?is section z ! ,secret>y7 %all c>ry out ! grant program describ$ 9 subsection 7b7 = purposes ( address+ sub/ance use disord]s ( significance1 includ+ opioid & /imulant use disord]s1 )9 ,/ates1 ,indian ,tribes1 & populations s]v$ by ,tribal organizations4 7b7 ,grants program 7#a7 ,9 g5]al ,subject to ! availability ( appropriations1 ! ,secret>y %all aw>d grants to ,/ates1 ,indian ,tribes1 & ,tribal organizations = ! purpose ( address+ sub/ance use disord]s ( significance1 includ+ opioid & /imulant use disord]s1 )9 su* ,/ates1 su* ,indian ,tribes1 & populations s]v$ by su* ,tribal organizations1 9 accordance ) p>agraph 7#b74 7#b7 ,m9imum allocations2 pref]5ce ,9 aw>d+ grants "u p>agraph 7#a71 ! ,secret>y %all-- 7,a7 ensure t ea* ,/ate & ! ,di/rict ( ,columbia receives n less ?an #d1jjj1jjj2 & 7,b7 give pref]5ce to ,/ates1 ,indian ,tribes1 & ,tribal organizations ) an incid5ce or preval5ce ( opioid use disord]s t is sub/antially high] relative to o!r ,/ates1 o!r ,indian ,tribes1 or o!r ,tribal organizations1 z applicable4 7#c7 ,=mula me?odology ,n less ?an #ae days be=e publi%+ a fund+ opportunity ann\ncem5t ) respect to grants "u ?is section1 ! ,secret>y %all-- 7,a7 develop a =mula me?odology to be foll[$ 9 allocat+ grant funds aw>d$ "u ?is section among grantees2 & 7,b7 submit ! =mula me?odology to-- 7,i7 ! ,committee on ,en]gy & ,comm]ce & ! ,committee on ,appropriations ( ! ,h\se ( ,repres5tatives2 & 7ii7 ! ,committee on ,heal?1 ,education1 ,labor & ,p5sions & ! ,committee on ,appropriations ( ! ,s5ate4 7#d7 ,use ( funds ,grants aw>d$ "u ?is subsection %all be us$ = c>ry+ out activities t supplem5t activities p]ta9+ to sub/ance use disord]s ( significance1 includ+ opioid & /imulant use disord]s1 und]tak5 by ! ,/ate ag5cy responsible = adm9i/]+ ! sub/ance abuse prev5tion & treatm5t block grant "u subp>t ,,ii ( "p ,b ( title ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq471 :i* may include public heal?-relat$ activities su* z ! foll[+3 7,a7 ,implem5t+ prev5tion activities1 & evaluat+ su* activities to id5tify effective /rategies to prev5t sub/ance use disord]s4 7,b7 ,e/abli%+ or improv+ prescription drug monitor+ programs4 7,c7 ,tra9+ = heal? c>e practition]s1 su* z be/ practices = prescrib+ opioids1 pa9 managem5t1 recogniz+ pot5tial cases ( sub/ance abuse1 ref]ral ( pati5ts to treatm5t programs1 prev5t+ div]sion ( controll$ sub/ances1 & ov]dose prev5tion4 7,d7 ,support+ access to heal? c>e s]vices1 includ+-- 7i7 s]vices provid$ by f$]ally c]tifi$ opioid treatm5t programs2 7ii7 outpati5t & resid5tial sub/ance use disord] treatm5t s]vices t utilize m$ication-assi/$ treatm5t1 z appropriate2 or 7iii7 o!r appropriate heal? c>e provid]s to treat sub/ance use disord]s4 7,e7 ,o!r public heal?-relat$ activities1 z ! ,/ate1 ,indian ,tribe1 or ,tribal organization det]m9es appropriate1 relat$ to address+ sub/ance use disord]s )9 ! ,/ate1 ,indian ,tribe1 or ,tribal organization1 includ+ direct+ res\rces 9 accordance ) local ne$s relat$ to sub/ance use disord]s4 7c7 ,acc\ntability & ov]sight ,a ,/ate receiv+ a grant "u subsection 7b7 %all include 9 report+ relat$ to sub/ance abuse submitt$ to ! ,secret>y pursuant to section #aidb ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#eb71 a description (-- 7#a7 ! purposes = :i* ! grant funds receiv$ by ! ,/ate "u su* subsection = ! prec$+ fiscal ye> 7 exp5d$ & a description ( ! activities ( ! ,/ate "u ! grant2 & 7#b7 ! ultimate recipi5ts ( am\nts provid$ to ! ,/ate ?r\gh ! grant4 7d7 ,limitations ,any funds made available pursuant to subsection 7i7-- 7#a7 not)/&+ any transf] au?ority 9 any appropriations ,act1 %all n be us$ = any purpose o!r ?an ! grant program 9 subsection 7b72 & 7#b7 %all be subject to ! same requirem5ts z sub/ance abuse prev5tion & treatm5t programs "u titles ,v & ,,xix ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq41 #cjjw et seq474 7e7 ,indian ,tribes & ,tribal organizations ,! ,secret>y1 9 consultation ) ,indian ,tribes & ,tribal organizations1 %all id5tify & e/abli% appropriate me*anisms = ,indian ,tribes & ,tribal organizations to demon/rate or report ! in=mation z requir$ "u subsections 7b71 7c71 & 7d74 7f7 ,report to ,congress ,n lat] ?an ,septemb] #cj1 #bjbb1 & bi5nially !reaft]1 ! ,secret>y %all submit to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ( ! ,s5ate & ! ,committee on ,en]gy & ,comm]ce ( ! ,h\se ( ,repres5tatives1 & ! ,committees on ,appropriations ( ! ,h\se ( ,repres5tatives & ! ,s5ate1 a report summ>iz+ ! in=mation provid$ to ! ,secret>y 9 reports made pursuant to subsections 7c7 & 7e71 includ+ ! purposes = :i* grant funds are aw>d$ "u ?is section & ! activities ( su* grant recipi5ts4 7g7 ,te*nical assi/ance ,! ,secret>y1 includ+ ?r\gh ! ,tribal ,tra9+ & ,te*nical ,assi/ance ,c5t] ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 %all provide ,/ates1 ,indian ,tribes1 & ,tribal organizations1 z applicable1 ) te*nical assi/ance conc]n+ grant application & submission proc$ures "u ?is section1 aw>d managem5t activities1 & enhanc+ outrea* & direct support to rural & und]s]v$ communities & provid]s 9 address+ sub/ance use disord]s4 7h7 ,def9itions ,9 ?is section3 7#a7 ,indian ,tribe ,! t]m ,indian ,tribe has ! mean+ giv5 ! t]m ,indian tribe 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74 7#b7 ,tribal organization ,! t]m ,tribal organization has ! mean+ giv5 ! t]m tribal organization 9 su* section #d4 7#c7 ,/ate ,! t]m ,/ate has ! mean+ giv5 su* t]m 9 section #aied7;b7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjjx-#fd7;b774 7i7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,= purposes ( c>ry+ out ! grant program "u subsection 7b71 !re is au?oriz$ to be appropriat$ #a1ejj1jjj1jjj = ea* ( fiscal ye>s #bjbj ?r\gh #bjbf1 to rema9 available until exp5d$4 7#b7 ,f$]al adm9i/rative exp5ses ,( ! am\nts made available = ea* fiscal ye> to aw>d grants "u subsection 7b71 ! ,secret>y %all n use m ?an #b p]c5t = ,f$]al adm9i/rative exp5ses1 tra9+1 te*nical assi/ance1 & evaluation4 7#c7 ,set aside ,( ! am\nts made available = ea* fiscal ye> to aw>d grants "u subsection 7b7 = a fiscal ye>1 ! ,secret>y %all-- 7,a7 aw>d #e p]c5t to ,indian ,tribes & ,tribal organizations2 & 7,b7 ( ! rema9+ am\nt1 set aside up to #ae p]c5t = ,/ates ) ! highe/ age-adju/$ rate ( drug ov]dose dea? bas$ on ! ord9al rank+ ( ,/ates accord+ to ! ,director ( ! ,c5t]s = ,disease ,control & ,prev5tion4 4 7b7 ,cl]ical am5dm5t ,! table ( sections 9 section #a7;b7 ( su* ,act is am5d$ by /rik+ ! item relat+ to section #ajjc & ins]t+ ! foll[+3 ,sec4 #ajjc4 ,grant program = ,/ate & ,tribal response to sub/ance use disord]s ( significance4 4 ,am5d ! title s z to read3 ,a bill to am5d ! #ba/ ,c5tury ,cures ,act to reau?orize & exp& a grant program = ,/ate response to ! opioid abuse crisis1 & = o!r purposes44 ,novemb] #ab1 #bjbj,report$ ) am5dm5ts2 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union & ord]$ to be pr9t$