,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #ejjj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #aj1 #bjbj    
,mr4 ,portman 7= himself1 ,mr4          
,:iteh\se1 ,ms4 ,klobu*>1 ,ms4          
,cantwell1 & ,mrs4 ,%ahe57 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
provide support ) respect to ! prev5tion
 (1 treatm5t =1 & recov]y f1 sub/ance   
use disord]4  #a4 ,%ort title2 table (  
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,,c>a #b4j ,act ( #bjbj4    
7b7 ,table ( cont5ts ,! table ( cont5ts 
= ?is ,act is z foll[s3 ,sec4 #a4 ,%ort 
title2 table ( cont5ts4 ,sec4 #b4       
,f9d+s4 ,,title ,i--,rese>*1 education1 
& prev5tion ,sec4 #aja4 ,national       
,education ,campaign4 ,sec4 #ajb4       
,rese>* into non-opioid pa9 managem5t4  
,sec4 #ajc4 ,long-t]m treatm5t outcomes 
rese>*4 ,sec4 #ajd4 ,national           
,commission = ,excell5ce on             
,po/-,ov]dose ,response4 ,sec4 #aje4    

,work=ce = prev5tion4 ,sec4 #ajf4       
,reau?orization ( community-bas$        
coalition enhancem5t grants to address  
local drug crises4 ,,title              
,,ii--,treatm5t ,sec4 #bja4 ,?ree-day   
limit on opioid prescriptions4 ,sec4    
#bjb4 ,evid5ce-bas$ sub/ance use disord]
 treatm5t & int]v5tion demon/rations4   
,sec4 #bjc4 ,national y\? & "y adult    
recov]y initiative4 ,sec4 #bjd4 ,improv+
 treatm5t = pregnant1 po/p>tum1 & p>5t+ 
wom54 ,sec4 #bje4 ,require ! use (      
prescription drug monitor+ programs4    
,sec4 #bjf4 ,prescrib] education4 ,sec4 
#bjg4 ,prohibition ( utilization control
 policies or proc$ures =                
m$ication-assi/$ treatm5t "u ,m$icaid4  
,sec4 #bjh4 ,pilot program on exp&+     
access to treatm5t4 ,sec4 #bji4         
,reau?orization ( ,,prac ,ed grant      
program4 ,,title ,,iii--,recov]y        
,subtitle ,a--,g5]al provisions ,sec4   
#cja4 ,build+ communities ( recov]y4    
,sec4 #cjb4 ,m$ication-assi/$ treatm5t =
 recov]y f sub/ance use disord]4 ,sec4  

#cjc4 ,recov]y 9 ! workplace4 ,sec4     
#cjd4 ,teleheal? = recov]y support      
s]vices4 ,subtitle ,b--,recov]y h\s+    
,sec4 #caa4 ,cl>ify+ ! role ( ,,samhsa 9
 promot+ ! availability ( high-quality  
recov]y h\s+4 ,sec4 #cab4 ,develop+     
guidel9es = ,/ates to promote !         
availability ( high-quality recov]y     
h\s+4 ,sec4 #cac4 ,coord9ation ( ,f$]al 
activities to promote ! availability (  
high-quality recov]y h\s+4 ,sec4 #cad4  
,,nas /udy4 ,sec4 #cae4 ,grants = ,/ates
 to promote ! availability ( high       
quality recov]y h\s+4 ,sec4 #caf4       
,au?orization ( appropriations4 ,sec4   
#cag4 ,reputable provid]s & analy/s (   
recov]y h\s+ s]vices def9ition4 ,sec4   
#cah4 ,te*nical correction4 ,,title     
,,iv--,crim9al ju/ice ,sec4 #dja4       
,m$ication-assi/$ ,treatm5t ,corrections
 & ,community ,re5try ,program4 ,sec4   
#djb4 ,deflection & pre-arre/ div]sion4 
,sec4 #djc4 ,h\s+4 ,sec4 #djd4 ,vet]ans 
treatm5t c\rts4  #b4 ,f9d+s ,congress   
f9ds z foll[s3 7#a7 ,9 ! #aihjs &       

#aiijs1 ph>maceutical companies began   
develop+ new drugs = pa9 treatm5t1      
includ+ ext5d$ release oxycodone4 ,^!   
companies aggressively m>ket$ ^! drugs  
to ! m$ical community z a way to address
 "u-treatm5t ( physical pa94 ,drug      
companies di/ribut$ #gf1jjj1jjj1jjj     
oxycodone & hydrocodone pa9 pills       
nationwide f #bjjf to #bjab4  7#b7 ,!   
comb9ation ( a ris+ numb] (             
prescriptions1 mis9=mation ab\t !       
addictive prop]ties ( prescription      
opioids1 & ! p]ception t prescription   
drugs are less h>mful ?an illicit drugs 
has caus$ an increase 9 drug misuse4    
7#c7 ,z legitimate production & illegal 
div]sion ( opioids skyrocket$1 s did !  
numb] ( opioid ov]dose dea?s4 ,f #aiii  
to #bjag1 almo/ #bah1jjj p di$ 9 !      
,unit$ ,/ates f ov]doses relat$ to      
prescription opioids4 ,m rec5tly1       
f5tanyl1 a p[]ful syn!tic opioid1       
surpass$ prescription opioids z ! mo/   
le?al ov]dose sub/ance & n[ is l9k$ to  
ne>ly #c times z _m dea?s4  7#d7 ,!     

scale ( ! opioid crisis is /agg]+3 7,a7 
,9 #bjah1 approximately #aj1cjj1jjj p 9 
! ,unit$ ,/ates age #ab & old] misus$   
opioids4  7,b7 ,on av]age1 #acj p 9 !   
,unit$ ,/ates die e day f an opioid     
ov]dose4  7,c7 ,! opioid crisis has co/ 
! ,unit$ ,/ates economy at lea/         
#fca1jjj1jjj1jjj4  7,d7 ,f #bjac to     
#bjag1 ! numb] ( *ildr5 9 fo/] c>e      
nationwide increas$ #aj p]c5t to ne>ly  
#ddb1iie4 ,p>5tal drug use 0 cit$ z a   
factor 9 #cf p]c5t ( cases4  7#e7 ,!    
opioid crisis has also l$ to a cascade (
 o!r negative heal? impacts4 ,= example1
 syr+e %>+ among p :o inject drugs has  
l$ to increases 9 hepatitis ,c virus    
infections & infective endoc>ditis1 z   
well z localiz$ ,,hiv outbreaks4  7#f7  
,! ,unit$ ,/ates heal? c>e sy/em has    
/ruggl$ to cat* up to ! crisis3 7,a7 ,! 
majority ( p 9 ! ,unit$ ,/ates ) an     
opioid use disord] d n receive sub/ance 
use treatm5t1 & _m :o d receive su*     
treatm5t d n receive evid5ce-bas$       
treatm5t4 ,al?\gh m$ication-assi/$      

treatm5t has be5 endors$ by ! ,national 
,in/itutes ( ,heal? & ! ,_w ,heal?      
,organization1 only "o-?ird ( treatm5t  
programs (f] any ( ! #c drugs approv$ by
 ! ,food & ,drug ,adm9i/ration = !      
treatm5t ( opioid use disord]1 & j #f   
p]c5t ( m$ication-(f]+ facilities       
provide all #c4  7,b7 ,facilities t     
provide m$ications = ! treatm5t ( opioid
 disord] are conc5trat$ 9 ! ,nor!a/ &   
,s\?we/1 leav+ _m ( ! areas hit h>de/ by
 ! opioid crisis )\t access to          
evid5ce-bas$ treatm5t4 ,! ne$ is        
p>ticul>ly acute 9 rural areas1 :i* (t5 
d n h en\gh provid]s to meet ! dem&4    
7,c7 ,unlike o!r heal? c>e ne$s1        
sub/ance use treatm5t is l>gely fund$ by
 ,/ate & local rev5ues & ,f$]al block   
grants1 r ?an ! ,m$ic>e program1 !      
,m$icaid program1 & private insurance4  
7,d7 ,:ile new sub/ances1 p>ticul>ly    
syn!tic drugs1 cont9ue to make inroads  
into communities 9 ! ,unit$ ,/ates1     
fund+ /reams are (t5 d$icat$ to p>ticul>
 sub/ances1 limit+ provid]s' ability to 

adapt to *ang+ ne$s4  7,e7 ,! /igma     
associat$ ) sub/ance use disord] prev5ts
 p f seek+ treatm5t4 ,too (t51 p ent]   
sub/ance use treatm5t only aft] committ+
 a crim9al (f5se1 :e!r ?r\gh a c\rt     
m&ate1 z a condition ( p>ole or         
probation sup]vision1 or z a condition (
 rega9+ employm5t aft] conviction4 ,9   
#bjjc1 #cf p]c5t ( all sub/ance use     
treatm5t admissions1 #dj p]c5t ( all    
alcohol abuse treatm5t admissions1 & #eg
 p]c5t ( all m>ijuana use treatm5t      
admissions 7 ref]rals f ! crim9al ju/ice
 sy/em4  7,f7 ,! /igma ( sub/ance use   
disord] also limits p's ability to f9d  
jobs & h\s+4 ,^! ob/acles are exac]bat$ 
by ! crim9alization ( sub/ance use      
disord]--ev5 convictions = drug         
possession = p]sonal use c create       
lifelong collat]al consequ5ces4 ,!      
abs5ce ( /able h\s+ & employm5t make x  
ev5 m difficult = p to live drug free4  
7#g7 ,n all p 9 ! ,unit$ ,/ates h equal 
access to sub/ance use treatm5t 9 !     
community4 ,curr5t rese>* has f\nd t    

,black & ,lat9x ,am]icans are less      
likely to receive sub/ance use treatm5t 
:5 controll+ = o!r relevant factors1 l  
socioeconomic /atus4  7#h7 ,inadequate  
access to sub/ance use treatm5t c       
exac]bate o!r heal? disp>ities4         
,individuals ) sub/ance use disord]s h  
high] rates ( suicide attempts ?an      
individuals 9 ! g5]al population1 high  
heal? c>e exp5ses1 & significant        
disability4  7#i7 ,a compreh5sive public
 heal? approa* t tackles bo? ! causes & 
! consequ5ces ( sub/ance use disord] is 
necess>y to /em ! tide4  ,i ,rese>*1    
education1 & prev5tion  #aja4 ,national 
,education ,campaign ,section #ajb ( !  
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7#db ,u4,s4,c4 #bij;bb-#be;g7  
is am5d$-- 7#a7 9 subsection 7a71 by    
ins]t+ or o!r controll$ sub/ances 7z    
def9$ 9 section #ajb ( ! ,controll$     
,sub/ances ,act 7#ba ,u4,s4,c4 #hjb77   
aft] opioids ea* place su* t]m appe>s2  
7#b7 9 subsection 7b71 by /rik+ opioid  
ea* place x appe>s & ins]t+ sub/ance2   

7#c7 9 subsection 7c7-- 7,a7 9 p>agraph 
7#b71 by /rik+ & at ! end2  7,b7 9      
p>agraph 7#c71 by /rik+ ! p]iod & ins]t+
 a semicolon2 &  7,c7 by add+ at ! end !
 foll[+3  7#d7 use de/igmatiz+ language 
promot+ humane & culturally compet5t 7z 
def9$ 9 section #ajb ( ! ,developm5tal  
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 treatm5t ( all individuals :o  
face sub/ance use disord]1 includ+ su*  
individuals :o use m$ication-assi/$     
treatm5t = recov]y purposes2  7#e7      
educate /akehold]s on ! evid5ce base &  
validation ( h>m r$uction & :]e to obta9
 h>m r$uction s]vices2  7#f7 include    
in=mation ab\t polysub/ance use2 &  7#g7
 include in=mation ab\t prev5tion &     
treatm5t us+ m$ication-assi/$ treatm5t &
 recov]y4  2 &  7#d7 by add+ at ! end ! 
foll[+3  7d7 ,au?orization (            
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjba ?r\gh #bjbf4  4  #ajb4       

,rese>* into non-opioid pa9 managem5t   
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices1 act+ ?r\gh ! ,director 
( ! ,national ,in/itutes ( ,heal? & !   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all c>ry out rese>* )   
respect to non-opioid me?ods ( pa9      
managem5t1 includ+ non-ph>maceutical    
rem$ies = pa9 & integrative m$ic9e      
solutions4  7b7 ,au?orization (         
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjba ?r\gh #bjbf4  #ajc4 ,long-t]m
 treatm5t outcomes rese>*  7a7 ,9 g5]al 
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all aw>d grants to eligible entities to
 c>ry out evid5ce-bas$1 long-t]m        
outcomes rese>*1 ov] #e-ye> p]iods1 =   
diff]5t modalities ( treatm5t = sub/ance
 use disord]4 ,su* rese>* %all measure  
mortality1 morbidity1 physical &        
emotional heal?1 employm5t1 /able h\s+1 
crim9al ju/ice involvem5t1 family       
relation%ips1 & o!r quality-(-life      

measures4 ,su* rese>* %all di/+ui%      
outcomes bas$ on race1 g5d]1 &          
socioeconomic /atus1 z well z any o!r   
relevant *>act]i/ics4  7b7 ,au?orization
 ( appropriations ,to c>ry out ?is      
section1 !re are au?oriz$ to be         
appropriat$ su* sums z may be necess>y4 
#ajd4 ,national ,commission = ,excell5ce
 on ,po/-,ov]dose ,response  7a7 ,9     
g5]al ,! ,assi/ant ,secret>y ( ,heal? & 
,human ,s]vices = ,m5tal ,heal? &       
,sub/ance ,use 7ref]r$ to 9 ?is section 
z ! ,assi/ant ,secret>y71 9 consultation
 ) ! ,director ( ! ,(fice ( ,national   
,drug ,control ,policy1 & ! ,presid5t ( 
! ,national ,academy ( ,m$ic9e1 %all    
e/abli% an advisory commission1 to be   
kn[n z ! ,national ,commission =        
,excell5ce on ,po/-,ov]dose ,response1  
t-- 7#a7 provides evid5ce1 practical    
tools1 & o!r res\rces = rese>*]s &      
evaluators1 cl9icians & cl9ical teams1  
quality improvem5t exp]ts1 & heal?c>e   
decision mak]s to improve ! quality &   
safety ( c>e = drug ov]doses & sub/ance 

use disord]2  7#b7 advises ! individuals
 describ$ 9 p>agraph 7#a7 on-- 7,a7 h[  
to a*ieve equitable outcomes across race
 & socioeconomic /atus2 &  7,b7 h[ to   
effectively & appropriately control     
avoidable hospital admissions1 em]g5cy  
dep>tm5t admissions1 & o!r adv]se ev5ts 
relat$ to sub/ance use disord] c>e2 &   
7#c7 develops culturally compet5t 7z    
def9$ 9 section #ajb ( ! ,developm5tal  
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 be/ practices & cl9ical        
practice guidel9es4  7b7 ,memb]%ip ,!   
memb]s ( ! commission e/abli%$ "u       
subsection 7a7 %all include-- 7#a7 a    
repres5tative ( ! ,sub/ance ,abuse &    
,m5tal ,heal? ,s]vices ,adm9i/ration2   
7#b7 a repres5tative ( ! ,(fice (       
,national ,drug ,control ,policy2  7#c7 
a repres5tative ( ! ,national ,academy (
 ,m$ic9e2  7#d7 a repres5tative ( !     
,national ,in/itute on ,drug ,abuse2    
7#e7 a sub/ance use disord] speciali/   
appo9t$ by ! ,assi/ant ,secret>y2  7#f7 

a pe] recov]y speciali/ appo9t$ by !    
,assi/ant ,secret>y2 &  7#g7 any o!r    
individual t ! ,assi/ant ,secret>y      
det]m9es appropriate4  7c7 ,sunset ,!   
commission e/abli%$ "u subsection 7a7   
%all t]m9ate on ! date t is #aj ye>s    
aft] ! date ( enactm5t ( ?is ,act4      
#aje4 ,work=ce = prev5tion ,subp>t #b ( 
"p ,b ( title ,v ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#ba 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  #eai;,e4 ,employm5t & tra9+    
s]vices  7a7 ,9 g5]al ,! ,director ( !  
,prev5tion ,c5t] %all-- 7#a7 n lat] ?an 
#cj days aft] ! date ( enactm5t ( ?is   
,act1 ann\nce an opportunity to apply = 
grants or contracts aw>d$ to support !  
activities describ$ 9 subsection 7b72 & 
7#b7 f ! funds appropriat$ "u subsection
 7c71 n lat] ?an #de days aft] ! date on
 :i* an entity submits an application t 
meets ! requirem5ts ( ! ,secret>y "u ?is
 section1 aw>d funds "u ?is section to  
su* entity4  7b7 ,use ( funds ,an entity
 t receives funds "u ?is section %all   

use ! funds to support employm5t & tra9+
 s]vices = sub/ance use treatm5t        
pr(essionals1 includ+ pe] recov]y       
speciali/s4  7c7 ,au?orization (        
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjba ?r\gh #bjbf4  4  #ajf4       
,reau?orization ( community-bas$        
coalition enhancem5t grants to address  
local drug crises ,section #ajc7;i7 ( ! 
,compreh5sive ,addiction & ,recov]y ,act
 ( #bjaf 7#ba ,u4,s4,c4 #aecf7;i77 is   
am5d$ by /rik+ !re are au?oriz$ to be   
appropriat$ #e1jjj1jjj = ea* ( fiscal   
ye>s #bjag ?r\gh #bjba4 & ins]t+ !      
foll[+3 !re are au?oriz$ to be          
appropriat$-- 7#a7 #e1jjj1jjj = ea* (   
fiscal ye>s #bjag ?r\gh #bjbj2 &  7#b7  
#aj1jjj1jjj = ea* ( fiscal ye>s #bjba   
?r\gh #bjbf4  4  ,,ii ,treatm5t  #bja4  
,?ree-day limit on opioid prescriptions 
,section #cjc ( ! ,controll$ ,sub/ances 
,act 7#ba ,u4,s4,c4 #hbc7 is am5d$ by   
add+ at ! end ! foll[+3  7l7 ,?ree-,day 

limit on opioid prescriptions  7#a7     
,def9itions ,9 ?is subsection-- 7,a7 !  
t]m acute pa9-- 7i7 means pa9 ) abrupt  
onset & caus$ by an injury or o!r       
process t is n ongo+2 &  7ii7 does n    
include-- 7,i7 *ronic pa92  7,,ii7 pa9  
be+ treat$ z "p ( canc] c>e2  7,,iii7   
hospice or o!r end-(-life c>e2 or       
7,,iv7 pa9 be+ treat$ z "p ( palliative 
c>e2 &  7,b7 ! t]m sub/ance use treatm5t
 opioid prescription means a            
prescription-- 7i7 = an opioid drug 9   
s*$ule ,,ii1 ,,iii1 or ,,iv approv$ by !
 ,food & ,drug ,adm9i/ration = an       
indication = ! treatm5t ( sub/ance use  
disord]2 &  7ii7 t is = ! treatm5t (    
sub/ance use disord]4  7#b7 ,?ree-day   
limit ,! ,attorney ,g5]al may n regi/]1 
or r5ew ! regi/ration (1 a practition]  
"u subsection 7f7 :o is lic5s$ "u ,/ate 
law to prescribe controll$ sub/ances 9  
s*$ule ,,ii1 ,,iii1 or ,,iv1 unless !   
practition] submits to ! ,attorney      
,g5]al1 = ea* su* regi/ration or r5ewal 
reque/1 a c]tification t ! practition]1 

dur+ ! applicable regi/ration p]iod1 w n
 prescribe any opioid 9 s*$ule ,,ii1    
,,iii1 or ,,iv1 o!r ?an a sub/ance use  
disord] treatm5t opioid prescription1 = 
! initial treatm5t ( acute pa9 9 an     
am\nt 9 excess ( a #c-;day supply4  4   
#bjb4 ,evid5ce-bas$ sub/ance use disord]
 treatm5t & int]v5tion demon/rations    
,section #ead;,b ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#aj7
 is am5d$-- 7#a7 9 subsection 7a71 by   
add+ at ! end ! foll[+3  7#c7 ,use (    
funds = tra9+ ,funds aw>d$ "u p>agraph  
7#a7 may be us$ by a recipi5t = tra9+   
em]g5cy room te*nicians1 physicians1    
nurses1 or o!r heal? c>e pr(essionals on
 id5tify+ ! pres5ce ( sub/ance use      
disord]s1 & h[ effectively to engage )1 
int]v5e ) respect to1 & ref] pati5ts =  
assessm5t & specializ$ sub/ance use     
disord] c>e1 includ+ m$ication-assi/$   
treatm5t & c>e = co-occurr+ disord]s4  2
  7#b7 9 subsection 7d71 by ins]t+ 1 &  
,indian tribes & tribal organizations 7z
 def9$ 9 section #d ( ! ,indian         

,self-,det]m9ation & ,education         
,assi/ance ,act7 be=e ! p]iod ( ! fir/  
s5t5ce2 &  7#c7 9 subsection 7f71 by    
ins]t+ be=e ! p]iod ! foll[+3 1 &       
#cjj1jjj1jjj = ea* ( fiscal ye>s #bjba  
?r\gh #bjbf4  #bjc4 ,national y\? & "y  
adult recov]y initiative  7a7           
,def9itions ,9 ?is section3 7#a7        
,eligible entity ,! t]m eligible entity 
means-- 7,a7 a high s*ool t has be5     
accr$it$ z a sub/ance use recov]y high  
s*ool or t is seek+ to e/abli% or exp&  
sub/ance use recov]y support s]vices2   
7,b7 an in/itution ( high] education2   
7,c7 a recov]y program at an in/itution 
( high] education2  7,d7 a nonpr(it     
organization2 or  7,e7 a te*nical       
assi/ance c5t] t c help grantees in/all 
recov]y support s]vice programs aim$ at 
y\? & "y adults :i* include recov]y     
coa*+1 job tra9+1 transportation1       
l9kages to community-bas$ s]vices &     
supports1 regul>ly s*$ul$ alt]native pe]
 gr\p activities1 life-skills education1
 m5tor+1 & lead]%ip developm5t4  7#b7   

,high s*ool ,! t]m high s*ool has !     
mean+ giv5 ! t]m 9 section #haja ( !    
,elem5t>y & ,second>y ,education ,act ( 
#aife 7#bj ,u4,s4,c4 #ghja74  7#c7      
,in/itution ( high] education ,! t]m    
in/itution ( high] education has ! mean+
 giv5 ! t]m 9 section #aja ( ! ,high]   
,education ,act ( #aife 7#bj ,u4,s4,c4  
#ajja74  7#d7 ,recov]y program ,! t]m   
recov]y program means a program-- 7,a7  
to help y\? or "y adults :o are recov]+ 
f sub/ance use disord]s to initiate1    
/abilize1 & ma9ta9 heal?y & productive  
lives 9 ! community2 &  7,b7 t includes 
pe]-to-pe] support deliv]$ by           
individuals ) liv$ exp]i5ce 9 recov]y1 &
 communal activities to build recov]y   
skills & supportive social networks4    
7b7 ,grants au?oriz$ ,! ,assi/ant       
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 9 consultation ) ! ,secret>y (    
,education1 %all aw>d grants1 on a      
competitive basis1 to eligible entities 
to enable ! eligible entities to-- 7#a7 
provide culturally compet5t 7z def9$ 9  

section #ajb ( ! ,developm5tal          
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 sub/ance use recov]y support   
s]vices to y\? & "y adults enroll$ 9    
high s*ool or an in/itution ( high]     
education2  7#b7 help build communities 
( support = y\? & "y adults 9 sub/ance  
use recov]y ?r\gh a spectrum (          
activities su* z c\nsel+1 job tra9+1    
recov]y coa*+1 alt]native pe] gr\ps1    
life-skills work%ops1 family support    
gr\ps1 & heal? & wellness-ori5t$ social 
activities2 &  7#c7 enc\rage initiatives
 design$ to help y\? & "y adults a*ieve 
& su/a9 recov]y f sub/ance use disord]s4
  7c7 ,application ,an eligible entity  
desir+ a grant "u ?is section %all      
submit to ! ,assi/ant ,secret>y = ,m5tal
 ,heal? & ,sub/ance ,use an application 
at su* "t1 9 su* mann]1 & conta9+ su*   
in=mation z ! ,assi/ant ,secret>y may   
require4  7d7 ,pref]5ce ,9 aw>d+ grants 
"u subsection 7b71 ! ,assi/ant ,secret>y
 = ,m5tal ,heal? & ,sub/ance ,use %all  

give pref]5ce to eligible entities t    
propose to s]ve /ud5ts f areas ) s*ools 
s]v+ a high p]c5tage ( *ildr5 :o are    
c\nt$ "u section #aabd7;c7 ( ! ,elem5t>y
 & ,second>y ,education ,act ( #aife    
7#bj ,u4,s4,c4 #fccc7;c774  7e7 ,use (  
funds ,grants aw>d$ "u subsection 7b7   
may be us$ = activities to develop1     
support1 or ma9ta9 sub/ance use recov]y 
support s]vices = y\? or "y adults1     
includ+-- 7#a7 ! developm5t & ma9t5ance 
( a d$icat$ physical space = recov]y    
programs2  7#b7 hir+ d$icat$ /aff = !   
provision ( recov]y programs2  7#c7     
provid+ heal? & wellness-ori5t$ social  
activities & community engagem5t2  7#d7 
! e/abli%m5t ( a sub/ance use recov]y   
high s*ool2  7#e7 ! coord9ation ( a pe] 
deliv]$ sub/ance use recov]y program )--
 7,a7 sub/ance use disord] treatm5t     
programs & sy/ems t utilize culturally  
compet5t 7z def9$ 9 section #ajb ( !    
,developm5tal ,disabilities ,assi/ance &
 ,bill ( ,rights ,act ( #bjjj 7#db      
,u4,s4,c4 #aejjb77 s]vices t reflect !  

communities !y s]ve2  7,b7 provid]s (   
m5tal heal? s]vices2  7,c7 prim>y c>e   
provid]s2  7,d7 ! crim9al ju/ice sy/em1 
includ+ ! juv5ile ju/ice sy/em2  7,e7   
employ]s2  7,f7 recov]y h\s+ s]vices2   
7,g7 *ild welf>e s]vices2  7,h7 high    
s*ools2 &  7,i7 in/itutions ( high]     
education2  7#f7 ! developm5t (         
pe]-to-pe] support programs or s]vices  
deliv]$ by individuals ) liv$ exp]i5ce 9
 sub/ance use disord] recov]y2 &  7#g7  
any additional activity t helps y\? or  
"y adults a*ieve recov]y f sub/ance use 
disord]s4  7f7 ,res\rce c5t] ,!         
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use %all e/abli% a res\rce   
c5t] to provide te*nical support to     
recipi5ts ( grants "u ?is section4  7g7 
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ #aj1jjj1jjj =
 ea* ( fiscal ye>s #bjba ?r\gh #bjbf4   
#bjd4 ,improv+ treatm5t = pregnant1     
po/p>tum1 & p>5t+ wom5 ,section #ejh ( !
 ,public ,heal? ,s]vice ,act 7#db       
,u4,s4,c4 #bij;bb-#a7 is am5d$-- 7#a7 9 

subsection 7m7-- 7,a7 by /rik+ %all give
 priority & ins]t+ %all give-- 7#a7     
priority  2  7,b7 by /rik+ ! p]iod at ! 
end & ins]t+ 2 &2 &  7,c7 by add+ at !  
end ! foll[+3  7#b7 pref]5ce to an      
applicant t agrees to-- 7,a7 all[       
p>ticipation 9 ! program support$ by !  
aw>d by individuals tak+ a drug or      
comb9ation ( drugs approv$ by ! ,food & 
,drug ,adm9i/ration = m$ication-assi/$  
treatm5t1 includ+ su* individuals tak+  
an opioid agoni/2  7,b7 provide         
culturally compet5t s]vices 7z def9$ 9  
section #ajb ( ! ,developm5tal          
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj72  7,c7 ensure     
flexible l5g?s ( /ay 9 ! treatm5t       
program2 &  7,d7 use pe] recov]y        
advocates 9 ! program support$ by !     
aw>d4  2  7#b7 9 subsection 7p71 by     
ins]t+ 1 & demographic data on !        
individuals s]v$ by programs fund$ "u   
?is section & case outcomes1 z report$  
to ! ,director by aw>d recipi5ts be=e ! 
p]iod at ! end ( ! ?ird s5t5ce2 &  7#c7 

9 subsection 7s71 by /rik+ #bi1ica1jjj =
 ea* ( fiscal ye>s #bjai ?r\gh #bjbc &  
ins]t+ #ajj1jjj1jjj = ea* ( fiscal ye>s 
#bjba ?r\gh #bjbf4  #bje4 ,require ! use
 ( prescription drug monitor+ programs  
7a7 ,def9itions ,9 ?is section3 7#a7    
,controll$ sub/ance ,! t]m controll$    
sub/ance has ! mean+ giv5 ! t]m 9       
section #ajb ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hjb74  7#b7 ,cov]$ 
,/ate ,! t]m cov]$ ,/ate means a ,/ate t
 receives fund+ "u ! ,h>old ,rog]s      
,prescription ,drug ,monitor+ ,program  
e/abli%$ "u ! ,dep>tm5ts ( ,comm]ce1    
,ju/ice1 & ,/ate1 ! ,judici>y1 & ,relat$
 ,ag5cies ,appropriations ,act1 #bjjb   
7,public ,law #ajg-gg2 #aae ,/at4 #gdh71
 "u ?is ,act 7or an am5dm5t made by ?is 
,act71 or "u ! controll$ sub/ance       
monitor+ program "u section #cii,o ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g-#c74  7#c7 ,disp5s] ,! 
t]m disp5s]-- 7,a7 means a p]son lic5s$ 
or o!rwise au?oriz$ by a ,/ate to deliv]
 a prescription drug product to a pati5t

 or an ag5t ( ! pati5t2 &  7,b7 does n  
include a p]son involv$ 9 ov]sight or   
paym5t = prescription drugs4  7#d7      
,,pdmp ,! t]m ,,pdmp means a            
prescription drug monitor+ program4     
7#e7 ,practition] ,! t]m practition]    
means a practition] regi/]$ "u section  
#cjc7;f7 ( ! ,controll$ ,sub/ances ,act 
7#ba ,u4,s4,c4 #hbc7;f77 to prescribe1  
adm9i/]1 or disp5se controll$ sub/ances4
  7#f7 ,/ate ,! t]m ,/ate means ea* ( ! 
sev]al ,/ates & ! ,di/rict ( ,columbia4 
7b7 ,9 g5]al ,beg9n+ #a ye> aft] ! date 
( enactm5t ( ?is ,act1 ea* cov]$ ,/ate  
%all require-- 7#a7 ea* prescrib+       
practition] )9 ! cov]$ ,/ate or _!      
designee1 :o %all be lic5s$ or regi/]$  
heal?c>e pr(essionals or o!r employees  
:o report directly to ! practition]1 to 
consult ! ,,pdmp ( ! cov]$ ,/ate be=e   
initiat+ treatm5t ) a prescription = a  
controll$ sub/ance li/$ 9 s*$ule ,,ii1  
,,iii1 or ,,iv ( section #bjb7;c7 ( !   
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hab7;c771 & e #c mon?s       

!reaft] z long z ! treatm5t cont9ues2   
7#b7 ! ,,pdmp ( ! cov]$ ,/ate to provide
 proactive notification to a practition]
 :5 patt]ns indicative ( controll$      
sub/ance misuse1 includ+ opioid misuse1 
are detect$2  7#c7 ea* disp5s] )9 !     
cov]$ ,/ate to report ea* prescription =
 a controll$ sub/ance disp5s$ by !      
disp5s] to ! ,,pdmp n lat] ?an #bd h\rs 
aft] ! controll$ sub/ance is disp5s$ to 
! pati5t2  7#d7 t ! ,,pdmp make         
available a qu>t]ly de-id5tifi$ data set
 & an annual report = public & private  
use1 includ+ use by heal?c>e provid]s1  
heal? plans & heal? b5efits             
adm9i/rators1 ,/ate ag5cies1 & rese>*]s1
 :i* %all1 at a m9imum1 meet requirem5ts
 e/abli%$ by ! ,attorney ,g5]al1 9      
coord9ation ) ! ,secret>y ( ,heal? &    
,human ,s]vices2  7#e7 ea* ,/ate ag5cy t
 adm9i/]s ! ,,pdmp to-- 7,a7 proactively
 analyze data available ?r\gh ! ,,pdmp2 
&  7,b7 provide reports to prescrib]    
lic5s+ bo>ds describ+ any prescrib+     
practition] t repeat$ly fall outside (  

expect$ norms or /&>d practices = !     
prescrib+ practition]'s field2 &  7#f7 t
 ! data conta9$ 9 ! ,,pdmp ( ! cov]$    
,/ate be made available to o!r ,/ates4  
7c7 ,noncompliance ,if a cov]$ ,/ate    
fails to comply ) subsection 7a71 !     
,attorney ,g5]al or ! ,secret>y ( ,heal?
 & ,human ,s]vices may )hold grant funds
 f be+ aw>d$ to ! cov]$ ,/ate "u !      
,h>old ,rog]s ,prescription ,drug       
,monitor+ ,program e/abli%$ "u !        
,dep>tm5ts ( ,comm]ce1 ,ju/ice1 & ,/ate1
 ! ,judici>y1 & ,relat$ ,ag5cies        
,appropriations ,act1 #bjjb 7,public    
,law #ajg-gg2 #aae ,/at4 #gdh71 "u ?is  
,act 7or an am5dm5t made by ?is ,act71  
or "u ! controll$ sub/ance monitor+     
program "u section #cii,o ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#c74  #bjf4 ,prescrib] education 
7a7 ,9 g5]al ,section #cjc ( !          
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc71 z am5d$ by section     
#bja1 is am5d$-- 7#a7 9 subsection 7f71 
9 ! matt] prec$+ p>agraph 7#a71 by /rik+

 ,! ,attorney ,g5]al %all regi/] &      
ins]t+ ,subject to subsection 7m71 !    
,attorney ,g5]al %all regi/]2 &  7#b7 by
 add+ at ! end ! foll[+3  7m7 ,prescrib]
 education  7#a7 ,def9itions ,9 ?is     
subsection-- 7,a7 ! t]m cov]$ ag5t or   
employee means an ag5t or employee ( a  
cov]$ facility :o-- 7i7 prescribes      
controll$ sub/ances = humans "u !       
regi/ration ( ! facility "u ?is "p2 &   
7ii7 is a m$ical resid5t2  7,b7 ! t]m   
cov]$ facility means a practition]-- 7i7
 t is a hospital or o!r in/itution2     
7ii7 t is lic5s$ "u ,/ate law to        
prescribe controll$ sub/ances2 &  7iii7 
"u ^: regi/ration "u ?is "p ag5ts or    
employees ( ! practition] prescribe     
controll$ sub/ances2  7,c7 ! t]m cov]$  
individual practition] means a          
practition] :o-- 7i7 is an individual2  
7ii7 is n a vet]9>ian2 &  7iii7 is      
lic5s$ "u ,/ate law to prescribe        
controll$ sub/ances2 &  7,d7 ! t]m      
specifi$ cont9u+ education topics       
means-- 7i7 alt]natives to opioids = pa9

 managem5t2  7ii7 palliative c>e2  7iii7
 sub/ance use disord]2  7iv7 adv]se     
ev5ts2  7v7 pot5tial = dep5d5ce2  7vi7  
tol]ance2  7vii7 prescrib+ contra9dicat$
 sub/ances2  7viii7 m$ication-assi/$    
treatm5t2  7ix7 culturally compet5t 7z  
def9$ 9 section #ajb ( ! ,developm5tal  
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 s]vices2  7x7 bias & /igma 9   
prescrib+ tr5ds2 &  7xi7 any o!r topic t
 ! ,attorney ,g5]al det]m9es            
appropriate4  7#b7 ,c]tification (      
cont9u+ education  7,a7 ,individual     
practition]s ,z a condition ( grant+ or 
r5ew+ ! regi/ration ( a cov]$ individual
 practition] "u ?is "p to disp5se       
controll$ sub/ances 9 s*$ule ,,ii1      
,,iii1 ,,iv1 or ,v1 ! ,attorney ,g5]al  
%all require ! practition] to c]tify t1 
dur+ ! #c-ye> p]iod prec$+ ! date ( !   
grant or r5ewal ( regi/ration1 !        
practition] complet$ c\rse "w or tra9+ f
 an organization accr$it$ by !          
,accr$itation ,c\ncil = ,cont9u+ ,m$ical

 ,education 7commonly kn[n z ! ,,accme71
 or by a ,/ate m$ical society accr$itor 
recogniz$ by ! ,,accme1 t includ$ n few]
 ?an #c h\rs ( cont5t on ! specifi$     
cont9u+ education topics4  7,b7         
,facilities ,z a condition ( grant+ or  
r5ew+ ! regi/ration ( a cov]$ facility  
"u ?is "p to disp5se controll$ sub/ances
 9 s*$ule ,,ii1 ,,iii1 ,,iv1 or ,v1 !   
,attorney ,g5]al %all require ! cov]$   
facility to c]tify t ! facility does n  
all[ a cov]$ ag5t or employee to        
prescribe controll$ sub/ances = humans  
"u ! regi/ration ( ! facility unless1   
dur+ ! prec$+ #c-ye> p]iod1 ! cov]$ ag5t
 or employee complet$ c\rse "w or tra9+ 
f an organization accr$it$ by !         
,accr$itation ,c\ncil = ,cont9u+ ,m$ical
 ,education 7commonly kn[n z ! ,,accme71
 or a ,/ate m$ical society accr$itor    
recogniz$ by ! ,,accme1 t includ$ n few]
 ?an #c h\rs ( cont5t on ! specifi$     
cont9u+ education topics4  4  7b7       
,effective date ,subsection 7m7 (       
section #cjc ( ! ,controll$ ,sub/ances  

,act 7#ba ,u4,s4,c4 #hbc71 z add$ by    
subsection 7a71 %all apply to any grant 
or r5ewal ( regi/ration describ$ 9 su*  
subsection 7m7 t occurs on or aft] !    
date t is #b ye>s aft] ! date ( enactm5t
 ( ?is ,act4  #bjg4 ,prohibition (      
utilization control policies or         
proc$ures = m$ication-assi/$ treatm5t "u
 ,m$icaid ,section #aije ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acif;d7  
is am5d$-- 7#a7 9 subsection 7a7-- 7,a7 
9 ! matt] prec$+ p>agraph 7#a71 by mov+ 
! m>g9 ( clause 7xvi7 #d ems to ! left2 
&  7,b7 9 p>agraph 7#bi71 by ins]t+ & to
 ! ext5t all[$ 9 p>agraph 7#c7 ( su*    
subsection aft] p>agraph 7#a7 ( su*     
subsection2 &  7#b7 9 subsection 7ee71  
by add+ at ! end ! foll[+ new p>agraph3 
7#c7 ,prohibition ( utilization control 
policies or proc$ures = m$ication-assi/$
 treatm5t ,z a condition = a ,/ate      
receiv+ paym5ts "u section #aijc7;a7 =  
m$ical assi/ance = m$ication-assi/$     
treatm5t1 a ,/ate may n impose any      
utilization control policies or         

proc$ures 7z def9$ by ! ,secret>y71     
includ+ prior au?orization requirem5ts1 
) respect to su* treatm5t4  4  #bjh4    
,pilot program on exp&+ access to       
treatm5t ,! ,secret>y ( ,heal? & ,human 
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y7 %all e/abli% a #e-ye> pilot  
program 9 n less ?an #e div]se regions  
to /udy ! use ( mobile me?adone cl9ics 9
 rural & und]s]v$ environm5ts4 ,at ! end
 ( ! pilot program1 ! ,secret>y %all    
report to ,congress on ! program        
outcomes1 includ+ ! numb] ( p s]v$ & !  
demographics ( p s]v$1 includ+ race &   
income4  #bji4 ,reau?orization ( ,,prac 
,ed grant program ,to c>ry out !        
,practition] ,education grant program   
e/abli%$ by ! ,sub/ance ,abuse & ,m5tal 
,heal? ,s]vices ,adm9i/ration1 !re is   
au?oriz$ to be appropriat$ su* sums z   
may be necess>y = ea* ( fiscal ye>s     
#bjba ?r\gh #bjbf4  ,,iii ,recov]y  ,a  
,g5]al provisions  #cja4 ,build+        
communities ( recov]y  7a7 ,9 g5]al     
,section #edg ( ! ,public ,heal? ,s]vice

 ,act 7#db ,u4,s4,c4 #bij;ee-#b7 is     
am5d$-- 7#a7 by /rik+ subsection 7c72   
7#b7 by r$esignat+ subsection 7d7 z     
subsection 7c72  7#c7 9 subsection 7c7  
7z s r$esignat$7-- 7,a7 9 p>agraph 7#a71
 by /rik+ & at ! end2  7,b7 9 p>agraph  
7#b77;,c77iv71 by /rik+ ! p]iod & ins]t+
 2 &2 &  7,c7 by add+ at ! & ! foll[+3  
7#c7 may be us$ z provid$ = 9 subsection
 7d74  2  7#d7 by ins]t+ aft] subsection
 7c7 7z s r$esignat$71 ! foll[+3  7d7   
,e/abli%m5t ( regional te*nical         
assi/ance c5t]s  7#a7 ,9 g5]al ,grants  
aw>d$ "u subsection 7b7 may be us$ to   
provide = ! e/abli%m5t ( regional       
te*nical assi/ance c5t]s to provide     
regional te*nical assi/ance = ! foll[+3 
7,a7 ,implem5tation ( regionally driv5  
pe] deliv]$ sub/ance use disord] recov]y
 support s]vices be=e1 dur+1 aft]1 or 9 
lieu ( sub/ance use disord] treatm5t4   
7,b7 ,e/abli%m5t ( recov]y community    
organizations4  7,c7 ,e/abli%m5t (      
recov]y community c5t]s4  7,d7 ,naloxone
 tra9+ & dissem9ation4  7,e7 ,developm5t

 ( connections betwe5 recov]y support   
s]vices1 community organizations1 &     
community c5t]s & ! broad] m$ical       
community4  7,f7 ,e/abli%m5t ( onl9e    
recov]y support s]vices1 ) p>ity to     
physical heal? s]vices4  7,g7           
,developm5t ( recov]y wellness plans to 
address p]ceiv$ b>ri]s to recov]y1      
includ+ social det]m9ants ( heal?4  7,h7
 ,e/abli%m5t ( culturally compet5t 7z   
def9$ 9 section #ajb ( ! ,developm5tal  
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj7 treatm5t programs 
to engage ) racially & e?nically div]se 
pati5ts4  7#b7 ,eligible entities ,to be
 eligible to receive a grant "u p>agraph
 7#a71 an entity %all be-- 7,a7 a       
national nonpr(it entity ) a network (  
local affiliates & p>tn]s t are         
geographically & organizationally       
div]se2 or  7,b7 a national nonpr(it    
organization e/abli%$ by individuals 9  
p]sonal & family recov]y1 s]v+          
prev5tion1 treatm5t1 recov]y1 payor1    
fai?-bas$1 & crim9al ju/ice /akehold]s 9

 ! implem5tation ( local sub/ance use   
disord] & recov]y initiatives4  7#c7    
,pref]5ce ,9 aw>d+ grants "u subsection 
7b71 ! ,secret>y %all give pref]5ce to  
organizations t-- 7,a7 provide          
culturally compet5t 7z def9$ 9 section  
#ajb ( ! ,developm5tal ,disabilities    
,assi/ance & ,bill ( ,rights ,act (     
#bjjj7 s]vices2  7,b7 all[ p>ticipation 
by individuals receiv+ m$ication-assi/$ 
treatm5t t involves prescription drugs  
approv$ by ! ,food & ,drug ,adm9i/ration
 7at lea/ "o ( :i* is an opioid agoni/72
 &  7,c7 use pe] recov]y advocates4  2 &
  7#e7 9 subsection 7f71 by /rik+ #bjbc 
& ins]t+ #bjbj1 & #bjj1jjj1jjj = ea* (  
fiscal ye>s #bjba ?r\gh #bjbf4  7b7     
,cont9u+ c>e & community support ,to    
ma9ta9 recov]y  7#a7 ,9 g5]al ,!        
,secret>y %all aw>d grants to pe]       
recov]y support s]vices1 = ! purposes ( 
provid+ cont9u+ c>e & ongo+ community   
support = individuals to ma9ta9 recov]y 
f sub/ance use disord]s4  7#b7          
,def9ition ,= purposes ( ?is subsection1

 ! t]m pe] recov]y support s]vices means
 an indep5d5t nonpr(it organization t   
provides pe] recov]y support s]vices1   
?r\gh cr$5tial$ pe] support             
pr(essionals4  7#c7 ,au?orization (     
appropriations ,!re are au?oriz$ to be  
appropriat$1 = ea* ( fiscal ye>s #bjba  
?r\gh #bjbf1 #ej1jjj1jjj = purposes (   
aw>d+ grants "u p>agraph 7#a74  #cjb4   
,m$ication-assi/$ treatm5t = recov]y f  
sub/ance use disord]  7a7 ,9 g5]al      
,section #cjc7;g7 ( ! ,controll$        
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77
 is am5d$-- 7#a7 by /rik+ p>agraph 7#b72
  7#b7 by /rik+ 7g77#a7 ,except z       
provid$ 9 p>agraph 7#b71 practition]s :o
 disp5se n>cotic drugs to individuals = 
ma9t5ance treatm5t or detoxification    
treatm5t & ins]t+ 7g7 ,practition]s :o  
disp5se n>cotic drugs 7o!r ?an n>cotic  
drugs 9 s*$ule ,,iii1 ,,iv1 or ,v7 to   
individuals = ma9t5ance treatm5t or     
detoxification treatm5t2  7#c7 by       
r$esignat+ subp>agraphs 7,a71 7,b71 &   
7,c7 z p>agraphs 7#a71 7#b71 & 7#c71    

respectively2 &  7#d7 9 p>agraph 7#b71 z
 r$esignat$1 by r$esignat+ clauses 7i7 &
 7ii7 z subp>agraphs 7,a7 & 7,b71       
respectively4  7b7 ,te*nical & con=m+   
edits  7#a7 ,section #cjd ( ! ,controll$
 ,sub/ances ,act 7#ba ,u4,s4,c4 #hbd7 is
 am5d$-- 7,a7 9 subsection 7a71 by /rik+
 #cjc7;g77#a7 ea* place x appe>s &      
ins]t+ #cjc7;g72 &  7,b7 9 subsection   
7d77#a71 by /rik+ #cjc7;g77#a7 & ins]t+ 
#cjc7;g74  7#b7 ,section #cji;,a7a7 ( ! 
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbi;a7a77 is am5d$ by /rik+  
p>agraph 7#b7 & ins]t+ ! foll[+3  7#b7 !
 controll$ sub/ance-- 7,a7 is a n>cotic 
drug 9 s*$ule ,,iii1 ,,iv1 or ,v to be  
adm9i/]$ = ! purpose ( ma9t5ance or     
detoxification treatm5t2 &  7,b7 is to  
be adm9i/]$ by injection or             
implantation2  4  7#c7 ,section         
#ebj;,e-#d7;c7 ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4             
#bij;bb-#cf;d7c77 is am5d$1 9 ! matt]   
prec$+ p>agraph 7#a71 by /rik+ in=mation
 on any qualifi$ practition] t is       

c]tifi$ to prescribe m$ication = opioid 
dep5d5cy "u section #cjc7;g77#b77;,b7 ( 
! ,controll$ ,sub/ances ,act & ins]t+   
in=mation on any practition] :o         
prescribes n>cotic drugs 9 s*$ule ,,iii1
 ,,iv1 or ,v ( section #bjb ( !         
,controll$ ,sub/ances ,act = ! purpose (
 ma9t5ance or detoxification treatm5t4  
7#d7 ,section #edd7;a77#c7 ( ! ,public  
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;dd-#c7 is am5d$ by /rik+ any       
practition] disp5s+ n>cotic drugs       
pursuant to section #cjc7;g7 ( !        
,controll$ ,sub/ances ,act & ins]t+ any 
practition] disp5s+ n>cotic drugs = !   
purpose ( ma9t5ance or detoxification   
treatm5t4  7#e7 ,section                
#ahcc7;bb77#c77;,b7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#aciel7bb77#c77;,b77 is am5d$ by /rik+  
fir/ receives a waiv] "u section        
#cjc7;g7 ( ! ,controll$ ,sub/ances ,act 
on or aft] ,janu>y #a1 #bjai & ins]t+   
fir/ beg9s prescrib+ n>cotic drugs 9    
s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb

 ( ! ,controll$ ,sub/ances ,act = !     
purpose ( ma9t5ance or detoxification   
treatm5t on or aft] ,janu>y #a1 #bjai4  
7#f7 ,section #ahcd7o77#c77;,c77ii7 ( ! 
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7o77#c77;,c77ii77 is am5d$ by     
/rik+ fir/ receives a waiv] "u section  
#cjc7;g7 ( ! ,controll$ ,sub/ances ,act 
on or aft] ,janu>y #a1 #bjai & ins]t+   
fir/ beg9s prescrib+ n>cotic drugs 9    
s*$ule ,,iii1 ,,iv1 or ,v ( section #bjb
 ( ! ,controll$ ,sub/ances ,act = !     
purpose ( ma9t5ance or detoxification   
treatm5t on or aft] ,janu>y #a1 #bjai4  
7#g7 ,section #ahff;,f7c77#c7 ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acie;cc-#f7;c77#c77 is am5d$-- 7,a7 9  
subp>agraph 7,a71 by ins]t+ & at ! end2 
7,b7 9 subp>agraph 7,b71 by /rik+ 2 & & 
ins]t+ a p]iod2 &  7,c7 by /rik+        
subp>agraph 7,c74  7#h7 ,section        
#aijc7;aa77#b77;,c7 ( ! ,social         
,security ,act 7#db ,u4,s4,c4           
#acif;b7aa77#b77;,c77 is am5d$-- 7,a7 9 
clause 7i71 by ins]t+ & at ! end2  7,b7 

by /rik+ clause 7ii72 &  7,c7 by        
r$esignat+ clause 7iii7 z clause 7ii74  
#cjc4 ,recov]y 9 ! workplace ,x is !    
s5se ( ,congress t an employee :o is    
tak+ opioid antagoni/1 opioid agoni/1 or
 p>tial agoni/ drugs z "p ( a           
m$ication-assi/$ treatm5t program %all n
 be 9 violation ( a drug-free workplace 
requirem5t4  #cjd4 ,teleheal? = recov]y 
support s]vices  7a7 ,fund+ = ! te/+ (  
inc5tive paym5ts = behavioral heal?     
provid]s = adoption & use ( c]tifi$     
electronic heal? record te*nology ,9    
addition to am\nts appropriat$ "u       
subsection 7f7 ( section #aace;,a ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#acieacae;a71 !re are au?oriz$ to be    
appropriat$ to ! ,c5t] = ,m$ic>e &      
,m$icaid ,innovation su* sums z may be  
necess>y = fiscal ye> #bjba to design1  
implem5t1 & evaluate ! model "u         
subsection 7b77#b77;,b77xxv7 ( su*      
section4 ,am\nts appropriat$ "u ! prec$+
 s5t5ce %all rema9 available until      
exp5d$4  7b7 ,teleheal? = sub/ance use  

disord] treatm5t  7#a7 ,sub/ance use    
disord] s]vices furni%$ ?r\gh teleheal? 
"u ,m$ic>e ,section #ahcd7m77#g7 ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#aciem7m77#g77 is am5d$ by add+ at ! end
 ! foll[+3 ,) respect to teleheal?      
s]vices describ$ 9 ! prec$+ s5t5ce t are
 furni%$ on or aft] ,janu>y #a1 #bjbj1  
no?+ %all preclude ! furni%+ ( su*      
s]vices ?r\gh audio or telephone only   
te*nologies 9 ! case :]e a physician or 
practition] has already conduct$ an     
9-p]son m$ical evaluation or a teleheal?
 evaluation t utilizes bo? audio &      
visual capabilities ) ! eligible        
teleheal? individual44  7#b7 ,controll$ 
sub/ances disp5s$ by means ( ! int]net  
,section #cji7;e77#b7 ( ! ,controll$    
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbi7;e77#b77 is am5d$-- 7,a7 9         
subp>agraph 7,a77i7-- 7i7 by /rik+ at   
lea/ #a 9-p]son m$ical evaluation &     
ins]t+ ! foll[+3 at lea/-- 7,i7 #a      
9-p]son m$ical evaluation  2 &  7ii7 by 
add+ at ! end ! foll[+3  7,,ii7 =       

purposes ( prescrib+ a controll$        
sub/ance 9 s*$ule ,,iii or ,,iv1 #a     
teleheal? evaluation2 or  2 &  7,b7 by  
add+ at ! end ! foll[+3  7,d7 7i7 ,! t]m
 teleheal? evaluation means a m$ical    
evaluation t is conduct$ 9 accordance ) 
applicable ,f$]al & ,/ate laws by a     
practition] 7o!r ?an a ph>maci/7 :o is  
at a location remote f ! pati5t & is    
communicat+ ) ! pati5t us+ a            
telecommunications sy/em ref]r$ to 9    
section #ahcd7m7 ( ! ,social ,security  
,act 7#db ,u4,s4,c4 #aciem7m77 t        
includes1 at a m9imum1 audio & video    
equipm5t p]mitt+ two-way1 real-"t       
int]active communication betwe5 ! pati5t
 & di/ant site practition]4  7ii7 ,no?+ 
9 clause 7i7 %all be con/ru$ to imply t 
#a teleheal? evaluation demon/rates t a 
prescription has be5 issu$ = a          
legitimate m$ical purpose )9 ! usual    
c\rse ( pr(essional practice4  7iii7 ,a 
practition] :o prescribes ! drugs or    
comb9ation ( drugs t are cov]$ "u       
section #cjc7;g77#b77;,c7 us+ ! au?ority

 "u subp>agraph 7,a77i77,,ii7 ( ?is     
p>agraph %all adh]e to nationally       
recogniz$ evid5ce-bas$ guidel9es = !    
treatm5t ( pati5ts ) opioid use disord]s
 & a div]sion control plan1 z ^? t]ms   
are def9$ 9 section #h4b ( title #db1   
,code ( ,f$]al ,regulations1 z 9 effect 
on ! date ( enactm5t ( ?is subp>agraph4 
4  ,b ,recov]y h\s+  #caa4 ,cl>ify+ !   
role ( ,,samhsa 9 promot+ ! availability
 ( high-quality recov]y h\s+ ,section   
#eja7;d7 ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;aa7 is am5d$-- 7#a7
 9 p>agraph 7#bd77;,e71 by /rik+ & at ! 
end2  7#b7 9 p>agraph 7#be71 by /rik+ ! 
p]iod at ! end & ins]t+ 2 &2 &  7#c7 by 
add+ at ! end ! foll[+3  7#bf7          
collaborate ) national accr$it+ entities
 & reputable provid]s & analy/s (       
recov]y h\s+ s]vices & all relevant     
,f$]al ag5cies1 includ+ ! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices1 ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 o!r 
(fices & ag5cies )9 ! ,dep>tm5t ( ,heal?
 & ,human ,s]vices1 ! ,(fice ( ,national

 ,drug ,control ,policy1 ! ,dep>tm5t (  
,ju/ice1 ! ,dep>tm5t ( ,h\s+ & ,urban   
,developm5t1 & ! ,dep>tm5t (            
,agriculture1 to promote ! availability 
( high-quality recov]y h\s+ =           
individuals ) a sub/ance use disord]4  4
  #cab4 ,develop+ guidel9es = ,/ates to 
promote ! availability ( high-quality   
recov]y h\s+  7a7 ,9 g5]al ,n lat] ?an  
#a ye> aft] ! date ( ! enactm5t ( ?is   
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices1 act+ ?r\gh ! ,assi/ant        
,secret>y = ,m5tal ,heal? & ,sub/ance   
,use1 %all develop1 & publi% on !       
,int]net website ( ! ,sub/ance ,abuse & 
,m5tal ,heal? ,s]vices ,adm9i/ration1   
cons5sus-bas$ guidel9es & nationally    
recogniz$ /&>ds = ,/ates to promote !   
availability ( high-quality recov]y h\s+
 = individuals ) a sub/ance use disord]4
 ,su* guidel9es %all-- 7#a7 be develop$ 
9 consultation ) national accr$it+      
entities & reputable provid]s & analy/s 
( recov]y h\s+ s]vices & be consi/5t ) !
 be/ practices develop$ "u section #eej 

( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bij;ee-#e72 &  7#b7 to !     
ext5t practicable1 build on exi/+ be/   
practices & sugge/$ guidel9es develop$  
previ\sly by ! ,sub/ance ,abuse & ,m5tal
 ,heal? ,s]vices ,adm9i/ration4  7b7    
,public comm5t p]iod ,be=e f9aliz+      
guidel9es "u subsection 7a71 ! ,secret>y
 ( ,heal? & ,human ,s]vices %all provide
 = a public comm5t p]iod4  7c7          
,exclusion ( guidel9e on treatm5t       
s]vices ,9 develop+ ! guidel9es "u      
subsection 7a71 ! ,secret>y may n       
include any guidel9e or /&>d ) respect  
to sub/ance use disord] treatm5t        
s]vices4  7d7 ,sub/ance use disord]     
treatm5t s]vices ,9 ?is section1 ! t]m  
sub/ance use disord] treatm5t s]vices   
means items or s]vices furni%$ = !      
treatm5t ( a sub/ance use disord]1      
includ+-- 7#a7 m$ications approv$ by !  
,food & ,drug ,adm9i/ration = use 9 su* 
treatm5t1 exclud+ ea* su* m$ication us$ 
to prev5t or treat a drug ov]dose2  7#b7
 ! adm9i/]+ ( su* m$ications2  7#c7     

recomm5dations = su* treatm5t2  7#d7    
cl9ical assessm5ts & ref]rals2  7#e7    
c\nsel+ ) a physician1 psy*ologi/1 or   
m5tal heal? pr(essional 7includ+        
individual & gr\p !rapy72 &  7#f7       
toxicology te/+4  #cac4 ,coord9ation (  
,f$]al activities to promote !          
availability ( high-quality recov]y h\s+
 ,section #eej ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7 
is am5d$-- 7#a7 by r$esignat+           
subsections 7e71 7f71 & 7g7 z           
subsections 7h71 7i71 & 7j71            
respectively2 &  7#b7 by ins]t+ aft]    
subsection 7d7 ! foll[+3  7e7           
,coord9ation ( ,f$]al activities ,to    
promote ! availability ( high-,quality  
recov]y h\s+ = individuals ) a sub/ance 
use disord]  7#a7 ,9 g5]al ,! ,secret>y1
 act+ ?r\gh ! ,assi/ant ,secret>y1 & !  
,secret>y ( ! ,dep>tm5t ( ,h\s+ & ,urban
 ,developm5t1 %all conv5e & s]ve z !    
co-*airs ( an int]ag5cy work+ gr\p      
compos$ ( repres5tatives ( ea* ( !      
,f$]al ag5cies describ$ 9 p>agraph 7#b7 

7ref]r$ to 9 ?is section z ! work+ gr\p7
 = ! foll[+ purposes3 7,a7 ,to increase 
collaboration1 coop]ation1 &            
consultation among su* ,f$]al ag5cies1 )
 respect to promot+ ! availability (    
high-quality recov]y h\s+4  7,b7 ,to    
align ! ef=ts ( su* ag5cies & avoid     
duplication ( su* ef=ts by su* ag5cies4 
7,c7 ,to develop objectives1 priorities1
 & a long- t]m plan = support+ ,/ate1   
,tribal1 & local ef=ts ) respect to !   
op]ation ( high-quality recov]y h\s+ t  
is consi/5t ) ! be/ practices develop$  
"u ?is section4  7,d7 ,to coord9ate     
inspection & en=cem5t among ,f$]al &    
,/ate ag5cies4  7,e7 ,to coord9ate data 
collection on ! quality ( recov]y h\s+4 
7#b7 ,f$]al ag5cies describ$ ,! ,f$]al  
ag5cies describ$ 9 ?is p>agraph are !   
foll[+3 7,a7 ,! ,dep>tm5t ( ,heal? &    
,human ,s]vices4  7,b7 ,! ,c5t]s =      
,m$ic>e  ,m$icaid ,s]vices4  7,c7 ,!    
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration4  7,d7 ,! ,heal? 
,res\rces & ,s]vices ,adm9i/ration4     

7,e7 ,! ,indian ,heal? ,s]vice4  7,f7 ,!
 ,dep>tm5t ( ,h\s+ & ,urban ,developm5t4
  7,g7 ,! ,dep>tm5t ( ,agriculture4     
7,h7 ,! ,dep>tm5t ( ,ju/ice4  7,i7 ,!   
,(fice ( ,national ,drug ,control       
,policy4  7,j7 ,! ,bureau ( ,indian     
,affairs4  7,k7 ,any o!r su* ag5cy or   
subag5cy z ! *air det]m9es necess>y &   
appropriate4  7#c7 ,meet+s ,! work+ gr\p
 %all meet on a qu>t]ly basis4  7#d7    
,reports to ,congress ,beg9n+ n lat] ?an
 #a ye> aft] ! date ( ! enactm5t ( ?is  
section & annually !reaft]1 ! work+ gr\p
 %all submit to ! ,committee on ,heal?1 
,education1 ,labor1 & ,p5sions1 !       
,committee on ,agriculture1 ,nutrition1 
& ,=e/ry1 & ! ,committee on ,f9ance ( ! 
,s5ate & ! ,committee on ,en]gy &       
,comm]ce1 ! ,committee on ,ways &       
,means1 ! ,committee on ,agriculture1 & 
! ,committee on ,f9ancial ,s]vices ( !  
,h\se ( ,repres5tatives a report        
describ+ ! "w ( ! work+ gr\p & any      
recomm5dations ( ! work+ gr\p to improve
 ,f$]al1 ,/ate1 or local policy )       

respect to recov]y h\s+ op]ations4  4   
#cad4 ,,nas /udy ,section #eej ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;ee-#e71 z am5d$ by       
section #cac1 is fur!r am5d$ by ins]t+  
aft] subsection 7e7 7z ins]t$ by su*    
section #cac7 ! foll[+3  7f7 ,,nas /udy 
& report  7#a7 ,9 g5]al ,! ,secret>y1   
act+ ?r\gh ! ,assi/ant ,secret>y1 %all  
ent] into an arrangem5t ) ! ,national   
,academy ( ,sci5ces "u :i* ! ,national  
,academy agrees to conduct a /udy on--  
7,a7 ! availability 9 ! ,unit$ ,/ates ( 
high-quality recov]y h\s+ & :e!r t      
availability meets ! dem& = su* h\s+ 9 !
 ,unit$ ,/ates2 &  7,b7 ,/ate1 ,tribal1 
& local regulation & ov]sight ( recov]y 
h\s+4  7#b7 ,report ,! arrangem5t "u    
p>agraph 7#a7 %all provide = ! ,national
 ,academy ( ,sci5ces to submit1 n lat]  
?an #a ye> aft] ! date ( ! enactm5t (   
?is subsection1 a report t conta9s--    
7,a7 ! results ( ! /udy "u su* p>agraph2
  7,b7 ! ,national ,academy's           
recomm5dations = ,f$]al1 ,/ate1 & local 

policies to promote ! availability (    
high-quality recov]y h\s+ 9 ! ,unit$    
,/ates2  7,c7 recomm5dations = ,f$]al1  
,/ate1 & local policies to improve data 
collection on ! quality ( recov]y h\s+2 
7,d7 recomm5dations = recov]y h\s+      
quality metrics2  7,e7 recomm5dations to
 elim9ate re/rictions by recov]y        
resid5ces t exclude individuals :o take 
prescrib$ m$ications = opioid use       
disord]2 &  7,f7 a summ>y ( allegations1
 ass]tions1 or =mal legal actions on !  
,/ate & local levels by gov]nm5ts &     
non-gov]nm5tal organizations ) respect  
to ! op5+ & op]ation ( recov]y          
resid5ces4  7#c7 ,consultation ,9       
conduct+ ! /udy "u ?is subsection1 !    
,national ,academy ( ,sci5ces %all      
consult ) national accr$it+ entities &  
reputable provid]s & analy/s ( recov]y  
h\s+ s]vices4  4  #cae4 ,grants = ,/ates
 to promote ! availability ( high       
quality recov]y h\s+ ,section #eej ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;ee-#e71 z am5d$ by       

sections #cac & #cad is fur!r am5d$ by  
ins]t+ aft] subsection 7f7 7z ins]t$ by 
su* section #cad7 ! foll[+3  7g7 ,grants
 = implem5t+ national recov]y h\s+ be/  
practices  7#a7 ,9 g5]al ,! ,secret>y   
%all aw>d grants to ,/ates 7& political 
subdivisions !re(71 ,tribes1 &          
t]ritories-- 7,a7 = ! provision (       
te*nical assi/ance by national accr$it+ 
entities & reputable provid]s & analy/s 
( recov]y h\s+ s]vices to implem5t !    
guidel9es1 nationally recogniz$ /&>ds1 &
 recomm5dations develop$ "u section #cab
 ( ! ,,c>a #b4j ,act ( #bjbj & ?is      
section2 &  7,b7 to promote !           
availability ( high-quality recov]y h\s+
 = individuals ) a sub/ance use disord] 
& practices to ma9ta9 h\s+ quality long 
t]m4  7#b7 ,/ate en=cem5t plans ,beg9n+ 
n lat] ?an #ij days aft] ! date ( !     
enactm5t ( ?is p>agraph & e #b ye>s     
!reaft]1 z a condition on ! receipt ( a 
grant "u p>agraph 7#a71 ea* ,/ate 7or   
political subdivisions !re(71 ,tribe1 or
 t]ritory receiv+ su* a grant %all      

submit to ! ,secret>y1 & make publicly  
available on a publicly accessible      
,int]net website ( ! ,/ate 7or political
 subdivisions !re(71 ,tribe1 or         
t]ritory1 ! plan ( ! ,/ate 7or political
 subdivisions !re(71 ,tribe1 or         
t]ritory1 ) respect to ! promotion (    
high-quality recov]y h\s+ = individuals 
) a sub/ance use disord] locat$ )9 !    
jurisdiction ( su* ,/ate 7or political  
subdivisions !re(71 ,tribe1 or t]ritory1
 & h[ su* plan is consi/5t ) ! be/      
practices develop$ "u ?is section &     
guidel9es develop$ "u section #cab ( !  
,,c>a #b4j ,act ( #bjbj4  7#c7 ,review (
 accr$it+ entities ,! ,secret>y %all    
p]iodically review ! accr$it+ entities  
provid+ te*nical assi/ance pursuant to  
p>agraph 7#a77;,a74  4  #caf4           
,au?orization ( appropriations ,section 
#eej ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bij;ee-#e71 z am5d$ by  
sections #cac1 #cad1 & #cae1 is fur!r   
am5d$ by am5d+ subsection 7j7 7z        
r$esignat$ by su* section #cac7 to read 

z foll[s3  7j7 ,au?orization (          
appropriations  7#a7 ,9 g5]al ,to c>ry  
out ?is section1 !re is au?oriz$ to be  
appropriat$-- 7,a7 #b1jjj1jjj = fiscal  
ye> #bjba2 &  7,b7 #aa1jjj1jjj = ea* (  
fiscal ye>s #bjbb ?r\gh #bjbf4  7#b7    
,res]vations ( funds ,= ea* ( fiscal    
ye>s #bjba ?r\gh #bjbf1 ( ! am\nts      
appropriat$ "u p>agraph 7#a7 = su*      
fiscal ye>1 ! ,secret>y %all res]ve--   
7,a7 n less ?an #a1jjj1jjj to c>ry out  
subsection 7e72  7,b7 n less ?an        
#a1jjj1jjj to c>ry out subsection 7f72 &
  7,c7 n less ?an #aj1jjj1jjj to c>ry   
out subsection 7g74  4  #cag4 ,reputable
 provid]s & analy/s ( recov]y h\s+      
s]vices def9ition ,section #eej7;i7 ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;ee-#e7;i771 z r$esignat$ 
by section #cac1 is am5d$ by add+ at !  
end ! foll[+3  7#d7 ,! t]m reputable    
provid]s & analy/s ( recov]y h\s+       
s]vices means recov]y h\s+ s]vice       
provid]s & analy/s t-- 7,a7 use         
evid5ce-bas$ approa*es2  7,b7 act 9     

accordance ) guidel9es issu$ by !       
,assi/ant ,secret>y = ,m5tal ,heal? &   
,sub/ance ,use2  7,c7 h n be5 f\nd      
guilty ( heal? c>e fraud by ! ,dep>tm5t 
( ,ju/ice2 &  7,d7 h n be5 f\nd to h    
violat$ ,f$]al1 ,/ate1 or local codes ( 
conduct ) respect to recov]y h\s+ =     
individuals ) a sub/ance use disord]4  4
  #cah4 ,te*nical correction ,title ,v (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #bij;aa et seq47 is am5d$--   
7#a7 by r$esignat+ section #eej 7relat+ 
to ,sobriety ,treatm5t & ,recov]y       
,teams7 7#db ,u4,s4,c4 #bij;ee-#aj71 z  
add$ by section #hbad ( ,public ,law    
#aae-bga1 z section #eej;,a2 &  7#b7    
mov+ su* section s x appe>s aft] section
 #eej 7relat+ to ,national ,recov]y     
,h\s+ ,be/ ,practices74  ,,iv ,crim9al  
ju/ice  #dja4 ,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 ( 
any drug or comb9ation ( drugs 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   
7f77#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 & sub/ance   
use disord] c>e to ov]see & support     
implem5tation ( ! program1 includ+ ?r\gh
 ! use ( evid5ce-bas$ cl9ical practices4
  7c7 ,use ( funds = infra/ructure ,9   
develop+1 implem5t+1 or exp&+ a         
m$ication-assi/$ treatm5t program "u    
subsection 7b77#b77;,a71 a ,/ate or unit
 ( local gov]nm5t may use funds f a     
grant or coop]ative agreem5t "u t       
subsection to develop ! infra/ructure   
necess>y to provide ! m$ication-assi/$  
treatm5t1 su* z-- 7#a7 e/abli%+ safe    
/orage facilities = ! drugs us$ 9 !     
treatm5t2 &  7#b7 obta9+ appropriate    
lic5ses = ! individuals :o w adm9i/] !  
treatm5t4  7d7 ,purposes ,! purposes ( !

 ,program are to-- 7#a7 develop         
culturally compet5t 7z def9$ 9 section  
#ajb ( ! ,developm5tal ,disabilities    
,assi/ance & ,bill ( ,rights ,act (     
#bjjj 7#db ,u4,s4,c4 #aejjb77           
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$uce !  
rate ( re9c>c]ation4  7e7 ,program      
requirem5ts ,9 c>ry+ out a cov]$        
program1 a ,/ate or unit ( local        
gov]nm5t-- 7#a7 %all ensure t ea*       
individual :o is newly inc>c]at$ at a   
correctional facility at :i* ! cov]$    
program is c>ri$ out1 & :o 0 receiv+    
m$ication-assi/$ treatm5t be=e be+      
inc>c]at$1 cont9ues to receive          
m$ication-assi/$ treatm5t :ile          
inc>c]at$2  7#b7 9 provid+              
m$ication-assi/$ treatm5t "u ! cov]$    
program1 %all (f] to p>ticipants ea*    

type ( drug t has be5 approv$ "u !      
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cja et seq47 or section 
#cea ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bfb7 = ! treatm5t ( an  
opioid use disord]2 &  7#c7 %all use--  
7,a7 scre5+ tools ) psy*ometric         
reliability & validity t provide useful 
cl9ical data to guide ! long-t]m        
treatm5t ( p>ticipants :o h-- 7i7 opioid
 use disord]2 or  7ii7 co-occurr+ opioid
 use disord] & m5tal disord]s2  7,b7 at 
ea* correctional facility at :i* ! cov]$
 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 :om !           
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 &  7v7    
prep>e a plan = release1 includ+        
connect+ p>ticipants ) m5tal heal? &    
sub/ance use treatm5t programs1 m$ical  
c>e1 public b5efits1 & h\s+2 &  7,c7 a  
c]tifi$ 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  7f7  
,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
 &  7,v7 h[ ! applicant w develop       
connections to culturally compet5t 7z   
def9$ 9 section #ajb ( ! ,developm5tal  
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 sub/ance use & m5tal heal?     
treatm5t provid]s1 m$ical pr(essionals1 
nonpr(it organizations1 & o!r ,/ate     
ag5cies 9 ord] to plan = p>ticipants to 
receive a cont9uum ( c>e & appropriate  
wrap-ar\nd s]vices aft] release f       

inc>c]ation2  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 7e77#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 culturally compet5t 7z def9$ 
9 section #ajb ( ! ,developm5tal        
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 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 heal?
 equity1 culturally compet5t 7z def9$ 9 
section #ajb ( ! ,developm5tal          
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 c>e1 or community sub/ance use 
disord] 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  7g7 ,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   
7h7 ,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]$
 program1 if available2 &  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$+ ! date on :i* ! ,attorney ,g5]al 
submits ! summ>y & compilation4  7i7    
,au?orization ( appropriations ,!re are 
au?oriz$ to be appropriat$ #ej1jjj1jjj  
to c>ry out ?is section = ea* ( fiscal  
ye>s #bjba ?r\gh #bjbf4  #djb4          
,deflection & pre-arre/ div]sion  7a7   
,f9d+s ,congress f9ds ! foll[+3 7#a7    
,law en=cem5t (fic]s & o!r fir/         
respond]s are at ! front l9e ( ! opioid 
epidemic4 ,h[ev]1 a traditional law     
en=cem5t response to sub/ance use (t5   
fails to disrupt ! cycle ( addiction &  
arre/1 or r$uce ! risk ( ov]dose4  7#b7 
,law en=cem5t-assi/$ div]sion &         
deflection programs h ! pot5tial to     
improve public heal?1 decrease ! numb] (
 p ent]+ ! crim9al ju/ice sy/em =       
l[-level (f5ses1 & address racial       
disp>ities4  7#c7 ,accord+ to ! ,bureau 
( ,ju/ice ,assi/ance ( ! ,dep>tm5t (    

,ju/ice1 ,five pa?ways h be5 mo/        
commonly associat$ ) opioid ov]dose     
prev5tion & div]sion to treatm5t4 ,! #e 
pa?ways are-- 7,a7 self-ref]ral1 9 :i*--
 7i7 an individual volunt>ily initiates 
contact ) a fir/ respond]1 su* z a law  
en=cem5t (fic]1 firefight]1 or em]g5cy  
m$ical s]vices pr(essional1 = a treatm5t
 ref]ral 7)\t fe> ( arre/72 &  7ii7 !   
fir/ respond] p]sonally introduces !    
individual to a treatm5t provid]        
7commonly kn[n z a w>m h&(f72  7,b7     
active outrea*1 9 :i* a law en=cem5t    
(fic] or o!r fir/ respond]-- 7i7        
id5tifies or seeks out individuals 9 ne$
 ( sub/ance use disord] treatm5t2 &     
7ii7 makes a w>m h&(f ( su* an          
individual to a treatm5t provid]1 :o    
engages ! individual 9 treatm5t2  7,c7  
naloxone plus1 9 :i* a law en=cem5t     
(fic] or o!r fir/ respond] engages an   
individual 9 treatm5t z "p ( an ov]dose 
response2  7,d7 (fic] prev5tion ref]ral1
 9 :i* a law en=cem5t (fic] or o!r fir/ 
respond] initiates treatm5t engagem5t ) 

an individual1 b no crim9al *>ges are   
fil$ aga9/ ! individual2 &  7,e7 (fic]  
int]v5tion ref]ral1 9 :i*-- 7i7 a law   
en=cem5t (fic] or o!r fir/ respond]     
initiates treatm5t engagem5t ) an       
individual2 &  7ii7 7,i7 crim9al *>ges  
are fil$ aga9/ ! individual & held 9    
abeyance2 or  7,,ii7 a citation is issu$
 to ! individual4  7#d7 ,z ( ! date (   
enactm5t ( ?is ,act1 !re are no national
 be/ practices or guidel9es = law       
en=cem5t-assi/$ div]sion & deflection   
programs4  7b7 ,use ( ,byrne ,,jag funds
 = deflection & div]sion programs       
,section #eja ( title ,i ( ! ,omnibus   
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajaeb7 is am5d$-- 
7#a7 9 subsection 7a77#a77;,e71 by      
ins]t+ be=e ! p]iod at ! end ! foll[+3 1
 includ+ law en=cem5t-assi/$ deflection 
programs & law en=cem5t-assi/$ pre-arre/
 & pre-book+ div]sion programs 7z ^?    
t]ms are def9$ 9 subsection 7h772 &     
7#b7 by add+ at ! end ! foll[+3  7h7    
,law en=cem5t-,assi/$ deflection        

programs & law en=cem5t-,assi/$         
pre-,arre/ & pre-,book+ div]sion        
programs  7#a7 ,def9itions ,9 ?is       
subsection3 7,a7 ,cov]$ grant ,! t]m    
cov]$ grant means a grant = a deflection
 or div]sion program aw>d$ "u subsection
 7a77#a77;,e74  7,b7 ,deflection or     
div]sion program ,! t]m deflection or   
div]sion program means a law            
en=cem5t-assi/$ deflection program or a 
law en=cem5t-assi/$ pre-arre/ or        
pre-book+ div]sion1 includ+ programs    
:]e-- 7i7 an individual volunt>ily      
initiates contact ) a fir/ respond] = a 
treatm5t ref]ral )\t fe> ( arre/ &      
receives a w>m h&(f to treatm5t2  7ii7 a
 law en=cem5t (fic] or o!r fir/ respond]
 id5tifies or seeks out individuals 9   
ne$ ( sub/ance use treatm5t & a w>m h&(f
 is made to a treatm5t provid]1 :o      
engages !m 9 treatm5t2  7iii7 a law     
en=cem5t (fic] or o!r fir/ respond]     
engages an individual 9 treatm5t z "p ( 
an ov]dose response2  7iv7 a law        
en=cem5t (fic] or o!r fir/ respond]     

initiates treatm5t engagem5t1 b no      
crim9al *>ges are fil$2  7v7 a law      
en=cem5t (fic] or o!r fir/ respond]     
initiates treatm5t engagem5t2 &_/or     
7vi7 *>ges are fil$ & held 9 abeyance or
 a citation is issu$4  7,c7 ,law        
en=cem5t-assi/$ deflection program ,!   
t]m law en=cem5t-assi/$ deflection      
program means a program "u :i* a law    
en=cem5t (fic]1 :5 enc\nt]+ an          
individual :o is n engag$ 9 crim9al     
activity b appe>s to h a sub/ance use   
disord] or m5tal heal? disord]1 in/ead (
 tak+ no action at ! "t ( contact or    
tak+ action at a lat] "t1 attempts to   
connect ! individual to sub/ance use    
disord] treatm5t provid]s or m5tal heal?
 treatm5t provid]s-- 7i7 )\t ! use (    
co]cion or fe> ( arre/2 &  7ii7 us+     
e/abli%$ pa?ways = connections to local1
 community-bas$ treatm5t4  7,d7 ,law    
en=cem5t-assi/$ pre-arre/ or pre-book+  
div]sion program ,! t]m law             
en=cem5t-assi/$ pre-arre/ or pre-book+  
div]sion program means a program-- 7i7  

"u :i* a law en=cem5t (fic]1 :5 enc\nt]+
 an individual :o has committ$ an (f5se 
t is nonviol5t & is n a crime aga9/ a   
p]son1 & ! prim>y cause ( :i* appe>s to 
be bas$ on a sub/ance use disord] or !  
m5tal heal? disord] ( ! individual1     
in/ead ( arre/+ ! individual1 or in/ead 
( book+ ! individual aft] hav+ arre/$ ! 
individual1 attempts to connect !       
individual to sub/ance use disord]      
treatm5t provid]s or m5tal heal?        
treatm5t provid]s-- 7,i7 )\t ! use (    
co]cion2 &  7,,ii7 us+ e/abli%$ pa?ways 
= connections to local1 community-bas$  
treatm5t2  7ii7 "u :i*1 9 ! case (      
pre-arre/ div]sion1 a law en=cem5t (fic]
 describ$ 9 clause 7i7 may decide to--  
7,i7 issue a civil citation2 or  7,,ii7 
take no action ) respect to ! (f5se =   
:i* ! (fic] w\ld o!rwise h arre/$ !     
individual describ$ 9 clause 7i72 &     
7iii7 t may au?orize a law en=cem5t     
(fic] to ref] an individual to sub/ance 
use disord] treatm5t provid]s or m5tal  
heal? treatm5t provid]s if ! individual 

appe>s to h a sub/ance use disord] or   
m5tal heal? disord] & ! (fic] suspects !
 individual ( *ronic violations ( law b 
lacks probable cause to arre/ !         
individual 7commonly kn[n z a social    
contact ref]ral74  7#b7 ,s5se (         
,congress reg>d+ deflection or div]sion 
programs ,x is ! s5se ( ,congress t a   
deflection or div]sion program fund$ "u 
?is subp>t %\ld n exclude individuals :o
 are *ronically expos$ to ! crim9al     
ju/ice sy/em4  7#c7 ,reports to         
,attorney ,g5]al ,n lat] ?an #b ye>s    
aft] ! date on :i* a ,/ate or unit (    
local gov]nm5t is aw>d$ a cov]$ grant1 &
 ea* ye> !reaft] until ! date t is #a   
ye> aft] ! date on :i* ! p]iod ( ! cov]$
 grant ends1 ! ,/ate or unit ( local    
gov]nm5t %all submit a report to !      
,attorney ,g5]al t includes in=mation   
relat+ to ! deflection or div]sion      
program c>ri$ out by ! ,/ate or unit (  
local gov]nm5t1 includ+ in=mation relat+
 to-- 7,a7 ! goals ( ! deflection or    
div]sion program2  7,b7 any evid5ce-bas$

 int]v5tions c>ri$ out "u ! deflection  
or div]sion program2  7,c7 outcomes ( ! 
deflection or div]sion program1 :i*     
%all-- 7i7 be report$ 9 a mann] t       
di/+ui%es ! outcomes bas$ on !          
categories (1 ) respect to ! p>ticipants
 9 ! deflection or div]sion 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 !      
deflection or div]sion program1 if      
available2 &  7,d7 exp5ditures "u !     
deflection or div]sion program4  4  7c7 
,te*nical assi/ance grant program  7#a7 
,def9itions ,9 ?is subsection-- 7,a7 !  
t]m deflection or div]sion program has !
 mean+ giv5 ! t]m 9 subsection 7h7 (    
section #eja ( title ,i ( ! ,omnibus    
,crime ,control & ,safe ,/reets ,act (  
#aifh 7#cd ,u4,s4,c4 #ajaeb71 z add$ by 
subsection 7b72 &  7,b7 ! t]ms ,/ate &  
unit ( local gov]nm5t h ! mean+s giv5 ^?
 t]ms 9 section #ija ( title ,i ( !     
,omnibus ,crime ,control & ,safe ,/reets

 ,act ( #aifh 7#cd ,u4,s4,c4 #ajbea74   
7#b7 ,grant au?oriz$ ,! ,attorney ,g5]al
 %all aw>d a s+le grant to an entity )  
significant exp]i5ce 9 work+ ) law      
en=cem5t ag5cies1 community-bas$        
treatm5t provid]s1 & o!r community-bas$ 
human s]vice provid]s to develop or     
adm9i/] bo? div]sion & deflection       
programs1 to promote & maximize !       
effectiv5ess & racial equity (          
deflection or div]sion programs1 9 ord] 
to-- 7,a7 help ,/ate & units ( local    
gov]nm5t laun* & exp& deflection or     
div]sion programs2  7,b7 develop be/    
practices = deflection or div]sion      
teams1 :i* %all include-- 7i7           
recomm5dations on community input &     
engagem5t 9 ord] to implem5t deflection 
or div]sion programs z rapidly z        
possible & ) reg>d to ! p>ticul> ne$s ( 
a community1 includ+ regul> community   
meet+s & o!r me*anisms = engagem5t )--  
7,i7 law en=cem5t ag5cies2  7,,ii7      
community-bas$ treatm5t provid]s & o!r  
community-bas$ human s]vice provid]s2   

7,,iii7 ! recov]y community2 &  7,,iv7 !
 community at-l>ge2 &  7ii7 !           
implem5tation ( metrics to measure      
community satisfaction conc]n+ !        
mean+ful p>ticipation & int]action ( !  
community ) ! deflection or div]sion    
program & program /akehold]s2  7,c7     
develop & publi% a tra9+ & te*nical     
assi/ance tool kit = deflection or      
div]sion = public education purposes2   
7,d7 dissem9ate uni=m crit]ia & /&>ds = 
! deliv]y ( deflection or div]sion      
program s]vices2 &  7,e7 develop outcome
 measures t c be us$ to cont9u\sly in=m 
& improve social1 cl9ical1 f9ancial &   
racial equity outcomes4  7#c7 ,t]m ,!   
t]m ( ! grant aw>d$ "u p>agraph 7#b7    
%all be #e ye>s4  7#d7 ,au?orization (  
appropriations ,!re are au?oriz$ to be  
appropriat$ to ! ,attorney ,g5]al       
#cj1jjj1jjj = ! grant "u p>agraph 7#b74 
#djc4 ,h\s+ ,section #egf ( ! ,quality  
,h\s+ & ,"w ,responsibility ,act ( #aiih
 7#db ,u4,s4,c4 #acffa et seq47 is am5d$
 by /rik+ subsections 7a71 7b71 & 7c7 & 

ins]t+ ! foll[+3  7a7 ,ineligibility (  
illegal drug us]s & alcohol abus]s      
,not)/&+ any o!r provision ( law1 a     
public h\s+ ag5cy or an own] ( f$]ally  
assi/$ h\s+1 z det]m9$ by ! ,secret>y1  
may only prohibit admission to ! program
 or admission to f$]ally assi/$ h\s+ =  
an individual :om ! public h\s+ ag5cy or
 own] det]m9es is illegally us+ a       
controll$ sub/ance or abus+ alcohol if !
 ag5cy or own] det]m9es t ! individual  
is us+ ! controll$ sub/ance or abus+    
alcohol 9 a mann] t int]f]es ) ! heal?  
or safety ( o!r resid5ts4  7b7 ,au?ority
 ,to d5y admission to crim9al (f5d]s    
7#a7 ,9 g5]al ,except z provid$ 9       
subsection 7a71 9 addition to any o!r   
au?ority to scre5 applicants1 & subject 
to p>agraphs 7#b7 & 7#c7 ( ?is          
subsection1 a public h\s+ ag5cy or an   
own] ( f$]ally assi/$ h\s+ may only     
prohibit admission to ! program or to   
f$]ally assi/$ h\s+ = an individual bas$
 on crim9al activity ( ! individual if !
 public h\s+ ag5cy or own] det]m9es t ! 

individual1 dur+ a reasonable "t prec$+ 
! date on :i* ! individual w\ld o!rwise 
be select$ = admission1 0 convict$ ( a  
crime involv+ conduct t ?reat5s ! heal? 
or safety ( o!r resid5ts4  7#b7         
,exceptions & limitations ,a conviction 
t has be5 vacat$1 a conviction ! record 
( :i* has be5 seal$ or expung$1 or a    
conviction = a crime committ$ by an     
individual :5 ! individual 0 less ?an   
#ah ye>s ( age1 %all n be gr\nds = d5ial
 ( admission "u p>agraph 7#a74  7#c7    
,admission policy  7,a7 ,factors to     
consid] ,9 evaluat+ ! crim9al hi/ory (  
an individual "u p>agraph 7#a71 a public
 h\s+ ag5cy or an own] ( f$]ally assi/$ 
h\s+ %all consid]-- 7i7 :e!r an (f5se ( 
:i* ! individual 0 convict$ be>s a      
relation%ip to ! safety & security ( o!r
 resid5ts2  7ii7 ! level ( viol5ce1 if  
any1 ( an (f5se ( :i* ! individual 0    
convict$2  7iii7 ! l5g? ( "t s9ce a     
conviction2  7iv7 ! numb] ( convictions2
  7v7 if ! individual is 9 recov]y = a  
sub/ance use disord]1 :e!r ! individual 

0 "u ! influ5ce ( alcohol or illegal    
drugs at ! "t ( an (f5se2 &  7vi7 any   
rehabilitation ef=ts t ! individual has 
und]tak5 s9ce ! "t ( a conviction1      
includ+ completion ( a sub/ance use     
treatm5t program4  7,b7 ,writt5 policy  
,a public h\s+ ag5cy or an own] (       
f$]ally assi/$ h\s+ %all e/abli% & make 
available to applicants a writt5        
admission policy t enum]ates ! specific 
factors1 includ+ ! factors describ$ 9   
subp>agraph 7,a71 t w be consid]$ :5 !  
public h\s+ ag5cy or own] evaluates !   
crim9al hi/ory ( an individual "u       
p>agraph 7#a74  4  #djd4 ,vet]ans       
treatm5t c\rts ,section #biia ( title ,i
 ( ! ,omnibus ,crime ,control & ,safe   
,/reets ,act ( #aifh 7#cd ,u4,s4,c4     
#ajfea7 is am5d$-- 7#a7 9 subsection    
7a7-- 7,a7 9 p>agraph 7#b7-- 7i7 9 !    
matt] prec$+ subp>agraph 7,a7-- 7,i7 by 
ins]t+ 1 sub/ance use disord]1 aft]     
m5tal heal?2 &  7,,ii7 by ins]t+ or     
adults or juv5iles ) sub/ance use       
disord]s aft] m5tally ill adults or     

juv5iles2  7ii7 9 subp>agraph 7,a71 by  
ins]t+ or sub/ance use aft] m5tal heal?2
 &  7iii7 9 subp>agraph 7,b71 by ins]t+ 
or sub/ance use aft] m5tal heal?2  7,b7 
9 p>agraph 7#d7-- 7i7 9 subp>agraph     
7,a71 by ins]t+ or sub/ance use disord] 
aft] m5tal heal?2 &  7ii7 9 subp>agraph 
7,c71 by ins]t+ or (f5d]s ) sub/ance use
 disord]s aft] m5tally ill (f5d]s2  7,c7
 9 p>agraph 7#e7-- 7i7 9 ! head+1 by    
ins]t+ or sub/ance use disord] aft]     
,m5tal heal?2  7ii7 by /rik+ m5tal heal?
 ag5cy & ins]t+ m5tal heal? or sub/ance 
use ag5cy2 &  7iii7 by ins]t+ 1 sub/ance
 use s]vices1 aft] m5tal heal? s]vices2 
7,d7 9 p>agraph 7#i7-- 7i7 9 subp>agraph
 7,a7-- 7,i7 9 clause 7i7-- 7aa7 9      
subclause 7,i71 by ins]t+ 1 a sub/ance  
use disord]1 aft] a m5tal illness2 &    
7bb7 9 subclause 7,,ii71 by ins]t+ 1    
sub/ance use disord]1 aft] m5tal        
illness2 &  7,,ii7 9 clause 7ii77,,ii71 
by ins]t+ or sub/ance use aft] m5tal    
heal?2  7,e7 by r$esignat+ p>agraph     
7#aa7 z p>agraph 7#ab72 &  7,f7 by      

ins]t+ aft] p>agraph 7#aj7 ! foll[+3    
7#aa7 ,sub/ance use c\rt ,! t]m sub/ance
 use c\rt means a judicial program t    
meets ! requirem5ts ( "p ,,ee ( ?is     
title4  2  7#b7 9 subsection 7b7-- 7,a7 
9 p>agraph 7#b7-- 7i7 9 subp>agraph     
7,a71 by ins]t+ 1 sub/ance use c\rts1   
aft] m5tal heal? c\rts2  7ii7 9         
subp>agraph 7,b7-- 7,i7 by ins]t+ m5tal 
heal? disord]s1 sub/ance use disord]s1  
or be=e co-occurr+ m5tal illness &      
sub/ance use problems2 &  7,,ii7 by     
/rik+ illnesses & ins]t+ disord]s1      
illnesses1 or problems2  7iii7 9        
subp>agraph 7,c7-- 7,i7 9 ! matt] prec$+
 clause 7i7-- 7aa7 by /rik+ m5tal heal? 
ag5cies & ins]t+ m5tal heal? or sub/ance
 use ag5cies2 &  7bb7 by /rik+ &1 :]e   
appropriate1 & ins]t+ or2 &  7,,ii7 9   
clause 7i71 by ins]t+ 1 sub/ance use    
disord]s1 aft] m5tal illness2 &  7iv7 9 
subp>agraph 7,d71 by ins]t+ or (f5d] ) a
 sub/ance use disord] aft] m5tally ill  
(f5d]2 &  7,b7 9 p>agraph 7#e7-- 7i7 9  
subp>agraph 7,b7-- 7,i7 9 clause 7i7--  

7aa7 by ins]t+ or sub/ance use c\rt aft]
 m5tal heal? c\rt2 &  7bb7 by /rik+     
m5tal heal? ag5cy & ins]t+ m5tal heal?  
or sub/ance use ag5cy2 &  7,,ii7 9      
clause 7ii71 by /rik+ & sub/ance use    
s]vices = individuals ) co-occurr+ m5tal
 heal? & sub/ance use disord]s & ins]t+ 
or sub/ance use s]vices2  7ii7 9        
subp>agraph 7,c7-- 7,i7 9 clause        
7i77,i71 by ins]t+ 1 sub/ance use       
disord]s1 aft] m5tal illness2  7,,ii7 9 
clause 7ii7-- 7aa7 9 subclause 7,,ii71  
by ins]t+ 1 sub/ance use1 aft] m5tal    
heal?12  7bb7 9 subclause 7,v71 by /rik+
 m5tal heal? s]vices & ins]t+ m5tal     
heal? or sub/ance use s]vices2 &  7cc7 9
 subclause 7,,vi71 by ins]t+ or         
individuals ) sub/ance use disord]s aft]
 m5tally ill individuals2  7iii7 9      
subp>agraph 7,d71 by ins]t+ or (f5d]s ) 
sub/ance use disord]s aft] m5tally ill  
(f5d]s2  7iv7 9 subp>agraph 7,e71 by    
ins]t+ or sub/ance use disord]s aft]    
m5tal illness2  7v7 9 subp>agraph 7,h71 
by /rik+ & m5tal heal? & ins]t+ 1 m5tal 

heal?1 & sub/ance use2 &  7vi7 9        
subp>agraph 7,i7-- 7,i7 9 clause 7i7--  
7aa7 9 ! head+1 by ins]t+ 1 sub/ance use
 c\rts1 aft] ,m5tal heal? c\rts2  7bb7  
by ins]t+ or sub/ance use c\rts aft]    
m5tal heal? c\rts2 &  7cc7 by ins]t+ or 
"p ,,ee1 z applicable1 aft] "p ,v2 &    
7,,ii7 9 clause 7iv71 by ins]t+ or      
sub/ance use aft] m5tal heal?2  7#c7 9  
subsection 7c7-- 7,a7 9 p>agraph 7#a71  
by ins]t+ 1 (f5d]s ) sub/ance use       
disord]s1 aft] m5tally ill (f5d]s2  7,b7
 9 p>agraph 7#b71 by ins]t+ & (f5d]s )  
sub/ance use disord]s aft] m5tally ill  
(f5d]s2 &  7,c7 9 p>agraph 7#c71 by     
ins]t+ or sub/ance use c\rts aft] m5tal 
heal? c\rts2  7#d7 9 subsection 7e7--   
7,a7 9 p>agraph 7#a71 by ins]t+ or      
sub/ance use disord]s aft] m5tal        
illness2 &  7,b7 9 p>agraph 7#d71 by    
ins]t+ or sub/ance use disord]s aft]    
m5tal illness2  7#e7 9 subsection 7h7-- 
7,a7 9 ! head+1 by ins]t+ & (f5d]s )    
sub/ance use disord]s aft] m5tally ill  
(f5d]s2  7,b7 9 p>agraph 7#a7-- 7i7 9   

subp>agraph 7,a71 by ins]t+ or sub/ance 
use disord]s aft] m5tal illnesses2  7ii7
 9 subp>agraph 7,c71 by ins]t+ or (f5d]s
 ) sub/ance use disord]s aft] m5tally   
ill (f5d]s2  7iii7 9 subp>agraph 7,d7-- 
7,i7 by ins]t+ or sub/ance use aft]     
m5tal heal?2 &  7,,ii7 by ins]t+ or     
(f5d]s ) sub/ance use disord]s aft]     
m5tally ill (f5d]s2  7iv7 9 subp>agraph 
7,e71 by ins]t+ or sub/ance use disord]s
 aft] m5tal illnesses2 &  7v7 9         
subp>agraph 7,f71 by ins]t+ 1 sub/ance  
use disord]s1 aft] m5tal heal? disord]s2
 &  7,c7 9 p>agraph 7#b71 by ins]t+ or  
sub/ance use disord]s aft] m5tal        
illnesses2  7#f7 9 subsection 7i77#b7-- 
7,a7 9 subp>agraph 7,b7-- 7i7 by        
r$esignat+ clauses 7i71 7ii71 & 7iii7 z 
subclauses 7,i71 7,,ii71 & 7,,iii71 &   
adju/+ ! m>g9s accord+ly2  7ii7 9 !     
matt] prec$+ subclause 7,i71 z s        
r$esignat$1 by /rik+ %all give priority 
to applications t-- & ins]t+ ! foll[+3  
%all give priority to-- 7i7 applications
 t--  2 &  7iii7 by /rik+ ! p]iod at !  

end & ins]t+ ! foll[+3 2 & 7ii7         
applications to e/abli% or exp& vet]ans 
treatm5t c\rt programs t-- 7,i7 all[    
p>ticipation by a vet]an receiv+ any    
type ( m$ication-assi/$ treatm5t t      
involves ! use ( any drug or comb9ation 
( drugs t h be5 approv$ "u ! ,f$]al     
,food1 ,drug1 & ,cosmetic ,act 7#ba     
,u4,s4,c4 #cja et seq47 or section #cea 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bfb7 = ! treatm5t ( an opioid
 use disord]2  7,,ii7 foll[ ! ,adult    
,drug ,c\rt ,be/ ,practice ,/&>ds       
publi%$ by ! ,national ,association (   
,drug ,c\rt ,pr(essionals2 &  7,,iii7   
provide culturally compet5t 7z def9$ 9  
section #ajb ( ! ,developm5tal          
,disabilities ,assi/ance & ,bill (      
,rights ,act ( #bjjj 7#db ,u4,s4,c4     
#aejjb77 s]vices4  2 &  7,b7 by add+ at 
! end ! foll[+3  7,c7 ,disclosure &     
report+ requirem5ts  7i7 ,requirem5ts = 
vet]ans treatm5t c\rt program grantees  
,an applicant t receives a grant "u ?is 
subsection to e/abli% or exp& a vet]ans 

treatm5t c\rt program %all-- 7,i7       
disclose to ! ,attorney ,g5]al any      
contract or relation%ip betwe5 !        
applicant & a local treatm5t provid]2   
7,,ii7 track & report to ! ,attorney    
,g5]al ! numb] ( ref]rals to local      
treatm5t provid]s provid$ by ! program2 
&  7,,iii7 track & report to ! ,attorney
 ,g5]al1 ) respect to ea* p>ticipant 9 !
 program-- 7aa7 ea* *>ge br\ght aga9/ ! 
p>ticipant2  7bb7 ! demographics ( !    
p>ticipant2 &  7cc7 ! outcome ( !       
p>ticipant's case4  7ii7 ,attorney      
,g5]al report ,! ,attorney ,g5]al %all  
p]iodically submit to ,congress a report
 conta9+ ! in=mation report$ to !       
,attorney ,g5]al "u clause 7i74  7,d7   
,s5se ( ,congress reg>d+ vet]ans        
treatm5t c\rt programs ,x is ! s5se (   
,congress t a vet]ans treatm5t c\rt     
program t receives fund+ f a grant "u   
?is subsection %\ld n exclude           
individuals :o are *ronically expos$ to 
! crim9al ju/ice sy/em4  2  7#g7 9      
subsection 7j7-- 7,a7 9 p>agraph 7#a71  

by ins]t+ or sub/ance use disord]s aft] 
m5tal illness2 &  7,b7 9 p>agraph       
7#b77;,a71 by ins]t+ or sub/ance use    
disord]s aft] m5tal illnesses2  7#h7 9  
subsection 7k77#c77;,a77i77,i77aa71 by  
ins]t+ or sub/ance use disord]s aft]    
m5tal illnesses2  7#i7 9 subsection     
7l7-- 7,a7 9 p>agraph 7#a77;,b77ii71 by 
ins]t+ or sub/ance use disord] aft]     
m5tal illness ea* place t t]m appe>s2 & 
7,b7 9 p>agraph 7#b7-- 7i7 9 subp>agraph
 7,c77iii71 by ins]t+ or sub/ance use   
aft] m5tal heal?2 &  7ii7 9 subp>agraph 
7,d71 by /rik+ m5tal heal? or & ins]t+  
m5tal heal? disord]s1 sub/ance use      
disord]s1 or2 &  7#aj7 9 subsection     
7o77#c7-- 7,a7 by /rik+ ,limitation &   
ins]t+ ,vet]ans2  7,b7 by /rik+ ,n m ?an
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designat$1 by /rik+ ?is section & ins]t+
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 ! foll[+3  7,b7 ,additional fund+ ,9   
addition to ! am\nts au?oriz$ "u        
p>agraph 7#a71 !re are au?oriz$ to be   

appropriat$ to ! ,dep>tm5t ( ,ju/ice to 
c>ry out subsection 7i7 #bj1jjj1jjj =   
ea* ( fiscal ye>s #bjba ?r\gh #bjbf4  4