,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aihc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bf1 #bjai,mr4   
,m>key 7= himself1 ,ms4 ,murk[ski1 ,mr4 
,book]1 & ,ms4 ,w>r57 introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ! ,judici>y  ,a ,,bill    
,to au?orize ! ,attorney ,g5]al to make 
grants to1 & ent] into coop]ative       
agreem5ts )1 ,/ates & units ( local     
gov]nm5t to develop1 implem5t1 or exp&  
#a or m programs to provide             
m$ication-assi/$ treatm5t to individuals
 :o h opioid use disord] & are inc>c]at$
 )9 ! jurisdictions ( ! ,/ates or units 
( local gov]nm5t4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,community         
,re-,entry ?r\gh ,addiction ,treatm5t to
 ,enhance ,opportunities ,act or z !    
,,create ,opportunities ,act4  #b4      
,m$ication-assi/$ ,treatm5t ,corrections
 & ,community ,re5try ,program  7a7     
,def9itions ,9 ?is section--  7#a7 ! t]m
 ,attorney ,g5]al means ! ,attorney     
,g5]al1 act+ ?r\gh ! ,director ( !      

,national ,in/itute ( ,corrections2     
7#b7 ! t]m c]tifi$ recov]y coa* means an
 individual--  7,a7 ) k (1 or exp]i5ce  
)1 recov]y f a sub/ance use disord]2 &  
7,b7 :o--  7i7 has complet$ tra9+ ?r\gh1
 & is det]m9$ to be 9 good /&+ by-- 7,i7
 a s+le ,/ate ag5cy2 or  7,,ii7 a       
recov]y community organization t is     
capable ( conduct+ t tra9+ & mak+ t     
det]m9ation2 &  7ii7 meets ! crit]ia    
specifi$ by ! ,attorney ,g5]al1 9       
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 = qualify+ z a c]tifi$ 
recov]y coa* = ! purposes ( ?is ,act2   
7#c7 ! t]m correctional facility has !  
mean+ giv5 ! t]m 9 section #ija ( title 
,i ( ! ,omnibus ,crime ,control & ,safe 
,/reets ,act ( #aifh 7#cd ,u4,s4,c4     
#ajbea72  7#d7 ! t]m cov]$ grant or     
coop]ative agreem5t means a grant       
receiv$1 or coop]ative agreem5t ent]$   
into1 "u ! ,program2  7#e7 ! t]m cov]$  
program means a program--  7,a7 to      
provide m$ication-assi/$ treatm5t to    
individuals :o h opioid use disord] &   

are inc>c]at$ )9 ! jurisdiction ( !     
,/ate or unit ( local gov]nm5t c>ry+ out
 ! program2 &  7,b7 t is develop$1      
implem5t$1 or exp&$ ?r\gh a cov]$ grant 
or coop]ative agreem5t2  7#f7 ! t]m     
m$ication-assi/$ treatm5t means ! use ( 
#a or m drugs1 or #a or m comb9ations ( 
drugs1 t h be5 approv$ "u ! ,f$]al      
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cja et seq47 or section #cea 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bfb7 = ! treatm5t ( an opioid
 use disord]1 9 comb9ation )            
evid5ce-bas$ c\nsel+ & behavioral       
!rapies1 su* z psy*osocial c\nsel+1     
ov]se5 by #a or m social "w pr(essionals
 & #a or m qualifi$ cl9icians1 to       
provide a compreh5sive approa* to !     
treatm5t ( sub/ance use disord]s2  7#g7 
! t]m nonpr(it organization means an    
organization t is describ$ 9 section    
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf & is exempt f taxation "u       
section #eja7;a7 ( su* ,code2  7#h7 !   
t]m ,panel means ! ,m$ication-assi/$    

,treatm5t ,corrections & ,community     
,re5try ,application ,review ,panel     
e/abli%$ "u subsection 7e77#b72  7#i7 ! 
t]m p>ticipant means an individual :o   
p>ticipates 9 a cov]$ program2  7#aj7 ! 
t]m political appo9tee has ! mean+ giv5 
! t]m 9 section #gad7;h7 ( title #ch1   
,unit$ ,/ates ,code2  7#aa7 ! t]m       
,program means ! ,m$ication-assi/$      
,treatm5t ,corrections & ,community     
,re5try ,program e/abli%$ "u subsection 
7b72  7#ab7 ! t]m psy*osocial means !   
int]relation ( social factors &         
individual ?\ght & behavior2  7#ac7 !   
t]m recov]y community organization has !
 mean+ giv5 ! t]m 9 section #edg ( !    
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;ee-#b72  7#ad7 ! t]m s+le
 ,/ate ag5cy means1 ) respect to a ,/ate
 or unit ( local gov]nm5t1 ! s+le ,/ate 
ag5cy id5tifi$ by ! ,/ate1 or ! ,/ate 9 
:i* ! unit ( local gov]nm5t is locat$1 9
 ! plan submitt$ by t ,/ate "u section  
#aicb7;b77#a77;,a77i7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            

#cjjx-#cb7;b77#a77;,a77i772  7#ae7 ! t]m
 ,/ate means-- 7,a7 ea* ,/ate ( ! ,unit$
 ,/ates2  7,b7 ! ,di/rict ( ,columbia2 &
  7,c7 ea* commonweal?1 t]ritory1 or    
possession ( ! ,unit$ ,/ates2 &  7#af7 !
 t]m unit ( local gov]nm5t has ! mean+  
giv5 ! t]m 9 section #ija ( title ,i ( !
 ,omnibus ,crime ,control & ,safe       
,/reets ,act ( #aifh 7#cd ,u4,s4,c4     
#ajbea71 except t su* t]m also includes 
a tribal organization1 z def9$ 9 section
 #d ( ! ,indian ,self-,det]m9ation &    
,education ,assi/ance ,act 7#be         
,u4,s4,c4 #ecjd74  7b7 ,au?orization ,n 
lat] ?an #ij days aft] ! date ( enactm5t
 ( ?is ,act1 ! ,attorney ,g5]al1 9      
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 %all e/abli% a         
program--  7#a7 t %all be kn[n z !      
,m$ication-assi/$ ,treatm5t ,corrections
 & ,community ,re5try ,program2 &  7#b7 
"u :i* ! ,attorney ,g5]al--  7,a7 may   
make grants to1 & ent] into coop]ative  
agreem5ts )1 ,/ates or units ( local    
gov]nm5t to develop1 implem5t1 or exp&  

#a or m programs to provide             
m$ication-assi/$ treatm5t t meets ! /&>d
 ( c>e g5]ally accept$ = ! treatm5t (   
opioid use disord] to individuals :o h  
opioid use disord] & are inc>c]at$ )9 ! 
jurisdictions ( ! ,/ates or units (     
local gov]nm5t2 &  7,b7 %all e/abli% a  
work+ relation%ip ) #a or m kn[l$geable 
corrections organizations ) exp]tise 9  
security1 m$ical heal?1 m5tal heal?1 &  
addiction c>e to ov]see & support       
implem5tation ( ! program1 includ+ ?r\gh
 ! use ( evid5ce-bas$ cl9ical practices4
  7c7 ,purposes ,! purposes ( ! ,program
 are to-- 7#a7 develop m$ication-assi/$ 
treatm5t programs 9 consultation )      
nonpr(it organizations & community      
organizations t are qualifi$ to provide 
te*nical support = ! programs2  7#b7    
r$uce ! risk ( ov]dose to p>ticipants   
aft] ! p>ticipants are releas$ f        
inc>c]ation2 &  7#c7 r$uce ! rate (     
re9c>c]ation4  7d7 ,program requirem5ts 
,9 c>ry+ out a cov]$ program1 a ,/ate or
 unit ( local gov]nm5t %all--  7#a7 9   

provid+ m$ication-assi/$ treatm5t "u !  
cov]$ program1 (f] to p>ticipants #b or 
m drugs t--  7,a7 h be5 approv$ "u !    
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cja et seq47 or section 
#cea ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bfb7 = ! treatm5t ( an  
opioid use disord]2 &  7,b7 d n conta9 !
 same active moiety2 &  7#b7 use--  7,a7
 scre5+ tools ) psy*ometric reliability 
& validity t provide useful cl9ical data
 to guide ! long-t]m treatm5t (         
p>ticipants :o h--  7i7 opioid use      
disord]2 or  7ii7 co-occurr+ opioid use 
disord] & m5tal disord]s2  7,b7 at ea*  
correctional facility at :i* ! cov]$    
program is c>ri$ out1 a suffici5t numb] 
( p]sonnel1 z det]m9$ by ! ,attorney    
,g5]al 9 light ( ! numb] ( individuals  
inc>c]at$ at ! correctional facility & !
 numb] ( ^? individuals :o !            
correctional facility has scre5$ &      
id5tifi$ z hav+ opioid use disord]1 to--
  7i7 monitor p>ticipants ) active      
opioid use disord] :o beg9 p>ticipation 

9 ! cov]$ program :ile demon/rat+1 or   
develop1 signs & symptoms ( opioid      
)drawal2  7ii7 provide evid5ce-bas$     
m$ically manag$ )drawal c>e or assi/ance
 to ! p>ticipants describ$ 9 clause 7i72
  7iii7 prescribe or o!rwise disp5se--  
7,i7 ! drugs t are (f]$ "u ! cov]$      
program1 z requir$ "u p>agraph 7#a72 &  
7,,ii7 naloxone or any o!r em]g5cy      
opioid antagoni/ approv$ by !           
,commission] ( ,food & ,drugs to treat  
opioid ov]dose2 &  7iv7 discuss )       
p>ticipants ! risks & b5efits (1 &      
diff]5ces among1 ! opioid antagoni/1    
opioid agoni/1 & p>tial agoni/ drugs us$
 to treat opioid use disord]2 &  7,c7 a 
c]tifi$ recov]y coa*1 social "w         
pr(essional1 or o!r qualifi$ cl9ician   
:o1 9 ord] to support ! su/a9$ recov]y (
 p>ticipants1 %all "w ) p>ticipants :o  
are recov]+ f opioid use disord]4  7e7  
,application  7#a7 ,9 g5]al ,a ,/ate or 
unit ( local gov]nm5t desir+ a cov]$    
grant or coop]ative agreem5t %all submit
 to ! ,attorney ,g5]al an application   

t--  7,a7 %all include-- 7i7 a          
description (--  7,i7 ! objectives ( !  
m$ication-assi/$ treatm5t program t !   
applicant w develop1 implem5t1 or exp&  
"u ! cov]$ grant or coop]ative agreem5t2
  7,,ii7 ! activities t ! applicant w   
c>ry out "u ! cov]$ program2  7,,iii7 h[
 ! activities describ$ "u subclause     
7,,ii7 w a*ieve ! objectives describ$ 9 
subclause 7,i72 &  7,,iv7 ! outrea* &   
education compon5t ( ! cov]$ program t !
 applicant w c>ry out 9 ord] to enc\rage
 maximum p>ticipation 9 ! cov]$ program2
  7ii7 if1 "u ! cov]$ program t !       
applicant w c>ry out1 ! applicant w n1 9
 provid+ m$ication-assi/$ treatm5t1 (f] 
to p>ticipants n less ?an #a drug t uses
 an opioid antagoni/1 n less ?an #a drug
 t uses an opioid agoni/1 & n less ?an  
#a drug t uses an opioid p>tial agoni/1 
an explanation ( :y ! applicant is      
unable to or *ooses n to (f] a drug t   
uses an opioid antagoni/1 a drug t uses 
an opioid agoni/1 or a drug t uses an   
opioid p>tial agoni/1 z applicable2     

7iii7 a plan =-- 7,i7 measur+ progress 9
 a*iev+ ! objectives describ$ 9 clause  
7i77,i71 includ+ a /rategy to collect   
data t c be us$ to measure t progress2  
7,,ii7 collaborat+ ) ! s+le ,/ate ag5cy 
= ! applicant or #a or m nonpr(it       
organizations 9 ! community ( !         
applicant to help ensure t--  7aa7 if   
p>ticipants s desire1 p>ticipants h     
cont9uity ( c>e aft] release f          
inc>c]ation ) respect to ! =m (         
m$ication-assi/$ treatm5t ! p>ticipants 
receiv$ dur+ inc>c]ation1 includ+--     
7,,aa7 by work+ ) community s]vice      
provid]s to assi/ eligible p>ticipants1 
be=e release f inc>c]ation 9 regi/]+ = !
 ,m$icaid program "u title ,,xix ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq47 or o!r m9imum ess5tial   
cov]age1 z def9$ 9 section #ejjj;,a7f7 (
 ! ,int]nal ,rev5ue ,code ( #aihf2 &    
7,,bb7 if a p>ticipant _c af=d1 or does 
n qualify =1 heal? insurance t provides 
cov]age ) respect to enrollm5t 9 a      
m$ication-assi/$ treatm5t program1 & if 

! p>ticipant _c pay ! co/ ( enroll+ 9 a 
m$ication-assi/$ treatm5t program1 by   
work+ ) units ( local gov]nm5t1 nonpr(it
 organizations1 opioid use disord]      
treatm5t provid]s1 & entities c>ry+ out 
programs "u sub/ance use disord] grants 
to1 be=e ! p>ticipant is releas$ f      
inc>c]ation1 id5tify a res\rce1 o!r ?an 
! applicant or ! cov]$ program to be    
c>ri$ out by ! applicant1 t may be us$  
to pay ! co/ ( enroll+ ! p>ticipant 9 a 
m$ication-assi/$ treatm5t program2  7bb7
 m$ications are securely /or$2 &  7cc7  
protocols relat+ to div]sion are        
ma9ta9$2 &  7,,iii7 ) respect to ea*    
community 9 :i* a correctional facility 
at :i* a cov]$ program w be c>ri$ out is
 locat$1 collaborat+ ) ,/ate ag5cies    
responsible = ov]see+ programs relat+ to
 sub/ance use disord] & local public    
heal? (ficials & nonpr(it organizations 
9 ! community to help ensure t          
m$ication-assi/$ treatm5t provid$ at ea*
 correctional facility at :i* ! cov]$   
program w be c>ri$ out is also available

 at locations t are n correctional      
facilities 9 ^? communities1 to !       
greate/ ext5t practicable2 &  7iv7 a    
c]tification t-- 7,i7 ea* correctional  
facility at :i* ! cov]$ program w be    
c>ri$ out has access to a suffici5t     
numb] ( cl9icians :o are lic5s$ to      
prescribe or o!rwise disp5se to         
p>ticipants ! drugs = ! treatm5t (      
opioid use disord] requir$ to be (f]$ "u
 subsection 7d77#a71 :i* may include    
cl9icians :o use telem$ic9e1 9          
accordance ) regulations issu$ by !     
,adm9i/rator ( ! ,drug ,en=cem5t        
,adm9i/ration1 to provide s]vices "u !  
cov]$ program2 &  7,,ii7 ! cov]$ program
 w provide evid5ce-bas$ c\nsel+ &       
behavioral !rapies1 :i* may include     
c\nsel+ & !rapy adm9i/]$ ?r\gh ! use (  
telem$ic9e1 z appropriate1 to           
p>ticipants z "p ( ! m$ication-assi/$   
treatm5t provid$ "u ! cov]$ program2 &  
7,b7 may include a /atem5t indicat+ !   
numb] ( p>ticipants t ! applicant       
expects to s]ve ?r\gh ! cov]$ program4  

7#b7 ,m$ication-,assi/$ ,treatm5t       
,corrections & ,community ,re5try       
,application ,review ,panel  7,a7 ,9    
g5]al ,n lat] ?an #fj days aft] ! date (
 enactm5t ( ?is ,act1 ! ,attorney ,g5]al
 %all e/abli% a ,m$ication-assi/$       
,treatm5t ,corrections & ,community     
,re5try ,application ,review ,panel t   
%all--  7i7 be compos$ ( n few] ?an #aj 
individuals & n m ?an #ae individuals2 &
  7ii7 include--  7,i7 #a or m          
employees1 :o are n political appo9tees1
 (-- 7aa7 ! ,dep>tm5t ( ,ju/ice2  7bb7 !
 ,drug ,en=cem5t ,adm9i/ration2  7cc7 ! 
,sub/ance ,abuse & ,m5tal ,heal? ,s]vice
 ,adm9i/ration2  7dd7 ! ,national ,c5t] 
= ,injury ,prev5tion & ,control at !    
,c5t]s = ,disease ,control & ,prev5tion2
 &  7ee7 ! ,(fice ( ,national ,drug     
,control ,policy2 &  7,,ii7 o!r         
/akehold]s :o--  7aa7 h exp]t k relat+  
to ! opioid epidemic1 drug treatm5t1 or 
community addiction s]vices2 &  7bb7    
repres5t law en=cem5t organizations &   
public heal? entities4  7,b7 ,duties    

7i7 ,9 g5]al ,! ,panel %all-- 7,i7      
review & evaluate applications = cov]$  
grants & coop]ative agreem5ts2 &  7,,ii7
 make recomm5dations to ! ,attorney     
,g5]al relat+ to ! aw>d+ ( cov]$ grants 
& coop]ative agreem5ts4  7ii7 ,rural    
communities ,9 review+ & evaluat+       
applications "u clause 7i71 ! ,panel    
%all take into consid]ation ! unique    
circum/ances1 includ+ ! lack ( res\rces 
relat+ to ! treatm5t ( opioid use       
disord]1 fac$ by rural ,/ates & units ( 
local gov]nm5t4  7,c7 ,t]m9ation ,!     
,panel %all t]m9ate on ! la/ day (      
fiscal ye> #bjbc4  7#c7 ,publication (  
crit]ia 9 ,f$]al ,regi/] ,n lat] ?an #ij
 days aft] ! date ( enactm5t ( ?is ,act1
 ! ,attorney ,g5]al1 9 consultation ) ! 
,panel1 %all publi% 9 ! ,f$]al ,regi/]--
  7,a7 ! process ?r\gh :i* applications 
submitt$ "u p>agraph 7#a7 %all be       
submitt$ & evaluat$2 &  7,b7 ! crit]ia  
us$ 9 aw>d+ cov]$ grants & coop]ative   
agreem5ts4  7f7 ,duration ,a cov]$ grant
 or coop]ative agreem5t %all be = a     

p]iod ( n m ?an #d ye>s1 except t !     
,attorney ,g5]al may ext5d ! t]m ( a    
cov]$ grant or coop]ative agreem5t bas$ 
on outcome data or ext5uat+ circum/ances
 relat+ to ! cov]$ program c>ri$ out "u 
! cov]$ grant or coop]ative agreem5t4   
7g7 ,report  7#a7 ,9 g5]al ,n lat] ?an  
#b ye>s aft] ! date on :i* a ,/ate or   
unit ( local gov]nm5t is aw>d$ a cov]$  
grant or coop]ative agreem5t1 & ea* ye> 
!reaft] until ! date t is #a ye> aft] ! 
date on :i* ! p]iod ( ! cov]$ grant or  
coop]ative agreem5t ends1 ! ,/ate or    
unit ( local gov]nm5t %all submit a     
report to ! ,attorney ,g5]al t includes 
in=mation relat+ to ! cov]$ program     
c>ri$ out by ! ,/ate or unit ( local    
gov]nm5t1 includ+ in=mation relat+ to-- 
7,a7 ! goals ( ! cov]$ program2  7,b7   
any evid5ce-bas$ int]v5tions c>ri$ out  
"u ! cov]$ program2  7,c7 outcomes ( !  
cov]$ program1 :i* %all-- 7i7 be report$
 9 a mann] t di/+ui%es ! outcomes bas$  
on ! categories (1 ) respect to !       
p>ticipants 9 ! cov]$ program--  7,i7 ! 

race ( ! p>ticipants2 &  7,,ii7 ! g5d] (
 ! p>ticipants2 &  7ii7 include         
in=mation relat+ to ! rate (            
re9c>c]ation among p>ticipants 9 ! cov]$
 program2 &  7,d7 exp5ditures "u ! cov]$
 program4  7#b7 ,publication  7,a7      
,aw>dee ,a ,/ate or unit ( local        
gov]nm5t t submits a report "u p>agraph 
7#a7 %all make ! report publicly        
available on--  7i7 ! website ( ea*     
correctional facility at :i* ! ,/ate or 
unit ( local gov]nm5t c>ri$ out ! cov]$ 
grant program2 &  7ii7 if a correctional
 facility at :i* ! ,/ate or unit ( local
 gov]nm5t c>ri$ out ! cov]$ grant       
program does n op]ate a website1 !      
website ( ! ,/ate or unit ( local       
gov]nm5t4  7,b7 ,attorney ,g5]al ,!     
,attorney ,g5]al %all make ea* report   
receiv$ "u p>agraph 7#a7 publicly       
available on ! website ( ! ,national    
,in/itute ( ,corrections4  7#c7         
,submission to ,congress ,n lat] ?an #b 
ye>s aft] ! date on :i* ! ,attorney     
,g5]al aw>ds ! fir/ cov]$ grant or      

coop]ative agreem5t1 & ea* ye> !reaft]1 
! ,attorney ,g5]al %all submit to !     
,committee on ! ,judici>y ( ! ,s5ate & !
 ,committee on ! ,judici>y ( ! ,h\se (  
,repres5tatives a summ>y & compilation (
 ! reports t ! ,attorney ,g5]al has     
receiv$ "u p>agraph 7#a7 dur+ ! ye>     
prec$+ ! date on :i* ! ,attorney ,g5]al 
submits ! summ>y & compilation4  7h7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ #ej1jjj1jjj  
to c>ry out ?is section = ea* ( fiscal  
ye>s #bjbj ?r\gh #bjbc4