,i #aafth ,,congress #ast ,session ,h4 ,r4 #cdif ,,in ,,the ,,house ,,of ,,representatives ,june #bf1 #bjai,ms4 ,kuster of ,new ,hampshire 7for herself1 ,mr4 ,turner1 ,ms4 ,blunt ,rochester1 and ,mrs4 ,walorski7 introduced the following bill2 which was referred to the ,committee on the ,judiciary ,a ,,bill ,to authorize the ,attorney ,general to make grants to1 and enter into cooperative agreements with1 ,states and units of local government to develop1 implement1 or expand one or more programs to provide medication-assisted treatment to individuals who have opioid use disorder and are incarcerated within the jurisdictions of the ,states or units of local government4 #a4 ,short title ,this ,act may be cited as the ,community ,re-,entry through ,addiction ,treatment to ,enhance ,opportunities ,act or as the ,,create ,opportunities ,act4 #b4 ,medication-,assisted ,treatment ,corrections and ,community ,reentry ,program 7a7 ,definitions ,in this section-- 7#a7 the term ,attorney ,general means the ,attorney ,general1 acting through the ,director of the ,national ,institute of ,corrections2 7#b7 the term certified recovery coach means an individual-- 7,a7 with knowledge of1 or experience with1 recovery from a substance use disorder2 and 7,b7 who-- 7i7 has completed training through1 and is determined to be in good standing by-- 7,i7 a single ,state agency2 or 7,,ii7 a recovery community organization that is capable of conducting that training and making that determination2 and 7ii7 meets the criteria specified by the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 for qualifying as a certified recovery coach for the purposes of this ,act2 7#c7 the term correctional facility has the meaning given the term in section #ija of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbea72 7#d7 the term covered grant or cooperative agreement means a grant received1 or cooperative agreement entered into1 under the ,program2 7#e7 the term covered program means a program-- 7,a7 to provide medication-assisted treatment to individuals who have opioid use disorder and are incarcerated within the jurisdiction of the ,state or unit of local government carrying out the program2 and 7,b7 that is developed1 implemented1 or expanded through a covered grant or cooperative agreement2 7#f7 the term medication-assisted treatment means the use of one or more drugs1 or one or more combinations of drugs1 that have been approved under the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 or section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 for the treatment of an opioid use disorder1 in combination with evidence-based counseling and behavioral therapies1 such as psychosocial counseling1 overseen by one or more social work professionals and one or more qualified clinicians1 to provide a comprehensive approach to the treatment of substance use disorders2 7#g7 the term nonprofit organization means an organization that is described in section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf and is exempt from taxation under section #eja7;a7 of such ,code2 7#h7 the term ,panel means the ,medication-assisted ,treatment ,corrections and ,community ,reentry ,application ,review ,panel established under subsection 7e77#b72 7#i7 the term participant means an individual who participates in a covered program2 7#aj7 the term political appointee has the meaning given the term in section #gad7;h7 of title #ch1 ,united ,states ,code2 7#aa7 the term ,program means the ,medication-,assisted ,treatment ,corrections and ,community ,reentry ,program established under subsection 7b72 7#ab7 the term psychosocial means the interrelation of social factors and individual thought and behavior2 7#ac7 the term recovery community organization has the meaning given the term in section #edg of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b72 7#ad7 the term single ,state agency means1 with respect to a ,state or unit of local government1 the single ,state agency identified by the ,state1 or the ,state in which the unit of local government is located1 in the plan submitted by that ,state under section #aicb7;b77#a77;,a77i7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#cb7;b77#a77;,a77i772 7#ae7 the term ,state means-- 7,a7 each ,state of the ,united ,states2 7,b7 the ,district of ,columbia2 and 7,c7 each commonwealth1 territory1 or possession of the ,united ,states2 and 7#af7 the term unit of local government has the meaning given the term in section #ija of title ,i of the ,omnibus ,crime ,control and ,safe ,streets ,act of #aifh 7#cd ,u4,s4,c4 #ajbea71 except that such term also includes a tribal organization1 as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7b7 ,authorization ,not later than #ij days after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,secretary of ,health and ,human ,services1 shall establish a program-- 7#a7 that shall be known as the ,medication-,assisted ,treatment ,corrections and ,community ,reentry ,program2 and 7#b7 under which the ,attorney ,general-- 7,a7 may make grants to1 and enter into cooperative agreements with1 ,states or units of local government to develop1 implement1 or expand one or more programs to provide medication-assisted treatment that meets the standard of care generally accepted for the treatment of opioid use disorder to individuals who have opioid use disorder and are incarcerated within the jurisdictions of the ,states or units of local government2 and 7,b7 shall establish a working relationship with one or more knowledgeable corrections organizations with expertise in security1 medical health1 mental health1 and addiction care to oversee and support implementation of the program1 including through the use of evidence-based clinical practices4 7c7 ,purposes ,the purposes of the ,program are to-- 7#a7 develop medication-assisted treatment programs in consultation with nonprofit organizations and community organizations that are qualified to provide technical support for the programs2 7#b7 reduce the risk of overdose to participants after the participants are released from incarceration2 and 7#c7 reduce the rate of reincarceration4 7d7 ,program requirements ,in carrying out a covered program1 a ,state or unit of local government shall-- 7#a7 in providing medication-assisted treatment under the covered program1 offer to participants #b or more drugs that-- 7,a7 have been approved under the ,federal ,food1 ,drug1 and ,cosmetic ,act 7#ba ,u4,s4,c4 #cja et seq47 or section #cea of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bfb7 for the treatment of an opioid use disorder2 and 7,b7 do not contain the same active moiety2 and 7#b7 use-- 7,a7 screening tools with psychometric reliability and validity that provide useful clinical data to guide the long-term treatment of participants who have-- 7i7 opioid use disorder2 or 7ii7 co-occurring opioid use disorder and mental disorders2 7,b7 at each correctional facility at which the covered program is carried out1 a sufficient number of personnel1 as determined by the ,attorney ,general in light of the number of individuals incarcerated at the correctional facility and the number of those individuals who the correctional facility has screened and identified as having opioid use disorder1 to-- 7i7 monitor participants with active opioid use disorder who begin participation in the covered program while demonstrating1 or develop1 signs and symptoms of opioid withdrawal2 7ii7 provide evidence-based medically managed withdrawal care or assistance to the participants described in clause 7i72 7iii7 prescribe or otherwise dispense-- 7,i7 the drugs that are offered under the covered program1 as required under paragraph 7#a72 and 7,,ii7 naloxone or any other emergency opioid antagonist approved by the ,commissioner of ,food and ,drugs to treat opioid overdose2 and 7iv7 discuss with participants the risks and benefits of1 and differences among1 the opioid antagonist1 opioid agonist1 and partial agonist drugs used to treat opioid use disorder2 and 7,c7 a certified recovery coach1 social work professional1 or other qualified clinician who1 in order to support the sustained recovery of participants1 shall work with participants who are recovering from opioid use disorder4 7e7 ,application 7#a7 ,in general ,a ,state or unit of local government desiring a covered grant or cooperative agreement shall submit to the ,attorney ,general an application that-- 7,a7 shall include-- 7i7 a description of-- 7,i7 the objectives of the medication-assisted treatment program that the applicant will develop1 implement1 or expand under the covered grant or cooperative agreement2 7,,ii7 the activities that the applicant will carry out under the covered program2 7,,iii7 how the activities described under subclause 7,,ii7 will achieve the objectives described in subclause 7,i72 and 7,,iv7 the outreach and education component of the covered program that the applicant will carry out in order to encourage maximum participation in the covered program2 7ii7 if1 under the covered program that the applicant will carry out1 the applicant will not1 in providing medication-assisted treatment1 offer to participants not less than #a drug that uses an opioid antagonist1 not less than #a drug that uses an opioid agonist1 and not less than #a drug that uses an opioid partial agonist1 an explanation of why the applicant is unable to or chooses not to offer a drug that uses an opioid antagonist1 a drug that uses an opioid agonist1 or a drug that uses an opioid partial agonist1 as applicable2 7iii7 a plan for-- 7,i7 measuring progress in achieving the objectives described in clause 7i77,i71 including a strategy to collect data that can be used to measure that progress2 7,,ii7 collaborating with the single ,state agency for the applicant or one or more nonprofit organizations in the community of the applicant to help ensure that-- 7aa7 if participants so desire1 participants have continuity of care after release from incarceration with respect to the form of medication-assisted treatment the participants received during incarceration1 including-- 7,,aa7 by working with community service providers to assist eligible participants1 before release from incarceration in registering for the ,medicaid program under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq47 or other minimum essential coverage1 as defined in section #ejjj;,a7f7 of the ,internal ,revenue ,code of #aihf2 and 7,,bb7 if a participant cannot afford1 or does not qualify for1 health insurance that provides coverage with respect to enrollment in a medication-assisted treatment program1 and if the participant cannot pay the cost of enrolling in a medication-assisted treatment program1 by working with units of local government1 nonprofit organizations1 opioid use disorder treatment providers1 and entities carrying out programs under substance use disorder grants to1 before the participant is released from incarceration1 identify a resource1 other than the applicant or the covered program to be carried out by the applicant1 that may be used to pay the cost of enrolling the participant in a medication-assisted treatment program2 7bb7 medications are securely stored2 and 7cc7 protocols relating to diversion are maintained2 and 7,,iii7 with respect to each community in which a correctional facility at which a covered program will be carried out is located1 collaborating with ,state agencies responsible for overseeing programs relating to substance use disorder and local public health officials and nonprofit organizations in the community to help ensure that medication-assisted treatment provided at each correctional facility at which the covered program will be carried out is also available at locations that are not correctional facilities in those communities1 to the greatest extent practicable2 and 7iv7 a certification that-- 7,i7 each correctional facility at which the covered program will be carried out has access to a sufficient number of clinicians who are licensed to prescribe or otherwise dispense to participants the drugs for the treatment of opioid use disorder required to be offered under subsection 7d77#a71 which may include clinicians who use telemedicine1 in accordance with regulations issued by the ,administrator of the ,drug ,enforcement ,administration1 to provide services under the covered program2 and 7,,ii7 the covered program will provide evidence-based counseling and behavioral therapies1 which may include counseling and therapy administered through the use of telemedicine1 as appropriate1 to participants as part of the medication-assisted treatment provided under the covered program2 and 7,b7 may include a statement indicating the number of participants that the applicant expects to serve through the covered program4 7#b7 ,medication-,assisted ,treatment ,corrections and ,community ,reentry ,application ,review ,panel 7,a7 ,in general ,not later than #fj days after the date of enactment of this ,act1 the ,attorney ,general shall establish a ,medication-,assisted ,treatment ,corrections and ,community ,reentry ,application ,review ,panel that shall-- 7i7 be composed of not fewer than #aj individuals and not more than #ae individuals2 and 7ii7 include-- 7,i7 one or more employees1 who are not political appointees1 of-- 7aa7 the ,department of ,justice2 7bb7 the ,drug ,enforcement ,administration2 7cc7 the ,substance ,abuse and ,mental ,health ,service ,administration2 7dd7 the ,national ,center for ,injury ,prevention and ,control at the ,centers for ,disease ,control and ,prevention2 and 7ee7 the ,office of ,national ,drug ,control ,policy2 and 7,,ii7 other stakeholders who-- 7aa7 have expert knowledge relating to the opioid epidemic1 drug treatment1 or community addiction services2 and 7bb7 represent law enforcement organizations and public health entities4 7,b7 ,duties 7i7 ,in general ,the ,panel shall-- 7,i7 review and evaluate applications for covered grants and cooperative agreements2 and 7,,ii7 make recommendations to the ,attorney ,general relating to the awarding of covered grants and cooperative agreements4 7ii7 ,rural communities ,in reviewing and evaluating applications under clause 7i71 the ,panel shall take into consideration the unique circumstances1 including the lack of resources relating to the treatment of opioid use disorder1 faced by rural ,states and units of local government4 7,c7 ,termination ,the ,panel shall terminate on the last day of fiscal year #bjbc4 7#c7 ,publication of criteria in ,federal ,register ,not later than #ij days after the date of enactment of this ,act1 the ,attorney ,general1 in consultation with the ,panel1 shall publish in the ,federal ,register-- 7,a7 the process through which applications submitted under paragraph 7#a7 shall be submitted and evaluated2 and 7,b7 the criteria used in awarding covered grants and cooperative agreements4 7f7 ,duration ,a covered grant or cooperative agreement shall be for a period of not more than #d years1 except that the ,attorney ,general may extend the term of a covered grant or cooperative agreement based on outcome data or extenuating circumstances relating to the covered program carried out under the covered grant or cooperative agreement4 7g7 ,report 7#a7 ,in general ,not later than #b years after the date on which a ,state or unit of local government is awarded a covered grant or cooperative agreement1 and each year thereafter until the date that is #a year after the date on which the period of the covered grant or cooperative agreement ends1 the ,state or unit of local government shall submit a report to the ,attorney ,general that includes information relating to the covered program carried out by the ,state or unit of local government1 including information relating to-- 7,a7 the goals of the covered program2 7,b7 any evidence-based interventions carried out under the covered program2 7,c7 outcomes of the covered program1 which shall-- 7i7 be reported in a manner that distinguishes the outcomes based on the categories of1 with respect to the participants in the covered program-- 7,i7 the race of the participants2 and 7,,ii7 the gender of the participants2 and 7ii7 include information relating to the rate of reincarceration among participants in the covered program2 and 7,d7 expenditures under the covered program4 7#b7 ,publication 7,a7 ,awardee ,a ,state or unit of local government that submits a report under paragraph 7#a7 shall make the report publicly available on-- 7i7 the website of each correctional facility at which the ,state or unit of local government carried out the covered grant program2 and 7ii7 if a correctional facility at which the ,state or unit of local government carried out the covered grant program does not operate a website1 the website of the ,state or unit of local government4 7,b7 ,attorney ,general ,the ,attorney ,general shall make each report received under paragraph 7#a7 publicly available on the website of the ,national ,institute of ,corrections4 7#c7 ,submission to ,congress ,not later than #b years after the date on which the ,attorney ,general awards the first covered grant or cooperative agreement1 and each year thereafter1 the ,attorney ,general shall submit to the ,committee on the ,judiciary of the ,senate and the ,committee on the ,judiciary of the ,house of ,representatives a summary and compilation of the reports that the ,attorney ,general has received under paragraph 7#a7 during the year preceding the date on which the ,attorney ,general submits the summary and compilation4 7h7 ,authorization of appropriations ,there is authorized to be appropriated #ej1jjj1jjj to carry out this section for each of fiscal years #bjbj through #bjbc4