,,ii #aag? ,,congress #a/ ,session ,s4 #bija ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #bi1 #bjba,mr4 ,:iteh\se 7= himself & ,mr4 ,portman7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to am5d title ,v ( ! ,public ,heal? ,s]vice ,act to provide = increas$ ov]sight ( recov]y h\s+1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,excell5ce 9 ,recov]y ,h\s+ ,act4 #b4 ,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$icaid ,s]vices1 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration1 o!r (fices & ag5cies )9 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,(fice ( ,national ,drug ,control ,policy1 ! ,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t1 & ! ,dep>tm5t ( ,agriculture1 to promote ! availability ( high-quality recov]y h\s+ = individuals ) a sub/ance use disord]4 4 #c4 ,develop+ guidel9es = /ates to promote ! availability ( high-quality recov]y h\s+ ,title ,v ( ! ,public ,heal? ,s]vice ,act is am5d$ by ins]t+ aft] section #eej ( su* ,act 7#db ,u4,s4,c4 #bij;ee-#e7 ! foll[+3 #eej;,a4 ,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 section1 ! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 %all develop1 & publi% on ! 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$it+ entities1 reputable provid]s & analy/s ( recov]y h\s+ s]vices1 & ,/ates & be consi/5t ) ! be/ practices develop$ "u section #eej2 & 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 %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$ications2 7#c7 recomm5dations = su* treatm5t2 7#d7 cl9ical assessm5ts & ref]rals2 7#e7 c\nsel+ ) a physician1 psy*ologi/1 or m5tal heal? pr(essional 7includ+ individual & gr\p !rapy72 & 7#f7 toxicology te/+4 4 #d4 ,coord9ation ( ,f$]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 7g71 7h71 & 7i71 respectively2 & 7#b7 by ins]t+ aft] subsection 7d7 ! foll[+3 7e7 ,coord9ation ( ,f$]al activities ,to promote ! availability ( high-,quality recov]y h\s+ = individuals ) a sub/ance use disord] 7#a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! ,assi/ant ,secret>y1 & ! ,secret>y ( ,h\s+ & ,urban ,developm5t %all conv5e an int]ag5cy work+ gr\p1 co-*air$ by ! ,assi/ant ,secret>y & ! ,secret>y ( ,h\s+ & ,urban ,developm5t & compris$ ( 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]vices1 includ+-- 7i7 ! ,c5t]s = ,m$ic>e ,m$icaid ,s]vices2 7ii7 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7iii7 ! ,heal? ,res\rces & ,s]vices ,adm9i/ration2 & 7iv7 ! ,indian ,heal? ,s]vice4 7,b7 ,! ,dep>tm5t ( ,h\s+ & ,urban ,developm5t4 7,c7 ,! ,dep>tm5t ( ,agriculture4 7,d7 ,! ,dep>tm5t ( ,ju/ice4 7,e7 ,! ,(fice ( ,national ,drug ,control ,policy4 7,f7 ,! ,bureau ( ,indian ,affairs4 7,g7 ,! ,dep>tm5t ( ,labor4 7,h7 ,any o!r ,f$]al ag5cy z ! co-*airs det]m9e appropriate4 7#c7 ,meet+s ,! work+ gr\p %all meet on a qu>t]ly basis4 7#d7 ,reports to ,congress ,beg9n+ n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is section & annually !reaft]1 ! work+ gr\p %all submit to ! ,committee on ,en]gy & ,comm]ce1 ! ,committee on ,ways & ,means1 ! ,committee on ,agriculture1 & ! ,committee on ,f9ancial ,s]vices ( ! ,h\se ( ,repres5tatives & ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions1 ! ,committee on ,agriculture1 ,nutrition1 & ,=e/ry1 & ! ,committee on ,f9ance ( ! ,s5ate a report describ+ ! "w ( ! work+ gr\p & any recomm5dations ( ! work+ gr\p to improve ,f$]al1 ,/ate1 or local policy ) respect to recov]y h\s+ op]ations4 7#e7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 !re are au?oriz$ to be appropriat$ su* sums z may be necess>y = fiscal ye>s #bjbb ?r\gh #bjbg4 4 #e4 ,,nas /udy & report 7a7 ,9 g5]al ,n lat] ?an #fj days aft] ! date ( enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,assi/ant ,secret>y = ,m5tal ,heal? & ,sub/ance ,use1 %all ent] into an arrangem5t ) ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e to conduct a /udy1 :i* may include a lit]ature review & case /udies z appropriate1 on-- 7#a7 ! quality & effectiv5ess ( recov]y h\s+ 9 ! ,unit$ ,/ates1 includ+ ! 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 7b7 ,topics ,! /udy "u subsection 7a7 %all include a lit]ature review ( /udies t-- 7#a7 exam9e ! quality (1 & effectiv5ess outcomes =1 ! types & *>act]i/ics ( cov]$ recov]y h\s+ programs li/$ 9 subsection 7c72 & 7#b7 id5tify ! rese>* & data gaps t mu/ be fill$ to bett] report on ! quality (1 & effectiv5ess outcomes relat$ to1 cov]$ recov]y h\s+4 7c7 ,type & *>act]i/ics ,! types & *>act]i/ics ( cov]$ recov]y h\s+ programs ref]r$ to 9 subsection 7b7 consi/ ( ! foll[+3 7#a7 ,nonpr(it & =-pr(it cov]$ recov]y h\s+4 7#b7 ,private & public cov]$ recov]y h\s+4 7#c7 ,cov]$ recov]y h\s+ programs t provide s]vices to-- 7,a7 resid5ts on a volunt>y basis2 & 7,b7 resid5ts pursuant to a judicial ord]4 7#d7 ,numb] ( cli5ts s]v$1 disaggregat$ to ! ext5t possible by cov]$ recov]y h\s+ s]v+-- 7,a7 #f or few] recov]+ resid5ts2 7,b7 #aj to #ac recov]+ resid5ts2 & 7,c7 #ah or m recov]+ resid5ts4 7#e7 ,b$room occupancy 9 a h\se1 disaggregat$ to ! ext5t possible by-- 7,a7 s+le room occupancy2 7,b7 #b resid5ts occupy+ #a room2 & 7,c7 m ?an #b resid5ts occupy+ #a room4 7#f7 ,duration ( s]vices receiv$ by cli5ts1 disaggregat$ to ! ext5t possible accord+ to :e!r ! s]vices 7-- 7,a7 #cj days or few]2 7,b7 #ca to #ij days2 7,c7 m ?an #ij days & few] ?an #f mon?s2 or 7,d7 #f mon?s or m4 7#g7 ,c]tification levels ( /aff4 7#h7 ,fraudul5t & abusive practices by op]ators ( cov]$ recov]y h\s+ & inpati5t & outpati5t treatm5t facilities1 bo? individually & 9 conc]t1 includ+-- 7,a7 deceptive or mislead+ m>ket+ practices1 includ+-- 7i7 inaccurate outcomes-bas$ m>ket+2 & 7ii7 m>ket+ bas$ on non-evid5ce-bas$ practices2 7,b7 illegal pati5t brok]+2 7,c7 ?ird-p>ty recruit]s2 7,d7 deceptive or mislead+ m>ket+ practices ( treatm5t facility & recov]y h\s+ onl9e aggregators2 & 7,e7 ! impact ( su* practices on heal? c>e co/s & recov]y rates4 7d7 ,report ,! arrangem5t "u subsection 7a7 %all require1 by n lat] ?an #ah mon?s aft] ! date ( ent]+ into ! agreem5t-- 7#a7 complet+ ! /udy "u su* subsection2 & 7#b7 mak+ publicly available 7includ+ ?r\gh publication on ! int]net7 a report t conta9s-- 7,a7 ! results ( ! /udy2 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 rese>* & data gaps2 7,d7 recomm5dations = recov]y h\s+ quality & effectiv5ess metrics2 7,e7 recomm5d$ me*anisms to collect data on ^? metrics1 includ+ ) respect to rese>* & data gaps2 7,f7 recomm5dations to elim9ate re/rictions by recov]y h\s+ t exclude individuals :o take prescrib$ m$ications = opioid use disord]2 & 7,g7 a summ>y ( allegations1 ass]tions1 or =mal legal actions on ! ,/ate & local levels by gov]nm5ts & nongov]nm5tal organizations ) respect to ! op5+ & op]ation ( recov]y h\s+4 7e7 ,def9itions ,9 ?is subsection3 7#a7 ,! t]m cov]$ recov]y h\s+ means recov]y h\s+ t utilizes comp5sat$ or volunte] onsite /aff :o are n heal? c>e pr(essionals to support resid5ts4 7#b7 ,! t]m effectiv5ess outcomes may include decreas$ sub/ance use1 r$uc$ probability ( relapse or reoccurr5ce1 l[] rates ( inc>c]ation1 high] income1 increas$ employm5t1 & improv$ family function+4 7#c7 ,! t]m heal? c>e pr(essional means an individual :o is lic5s$ or o!rwise au?oriz$ by ! ,/ate to provide heal? c>e s]vices4 7#d7 ,! t]m recov]y h\s+ means a %>$ liv+ environm5t t is or purports to be-- 7,a7 free f alcohol & use ( nonprescrib$ drugs2 & 7,b7 c5t]$ on connection to s]vices t promote su/a9$ recov]y f sub/ance use disord]s4 7f7 ,au?orization ( appropriations ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$ #a1ejj1jjj = fiscal ye> #bjbb4 #f4 ,fill+ rese>* & data gaps ,n lat] ?an #fj days aft] ! completion ( ! /udy "u section #e1 ! ,secret>y ( ,heal? & ,human ,s]vices %all ent] into an agreem5t ) an appropriate entity to conduct su* rese>* z may be necess>y to fill ! rese>* & data gaps id5tifi$ 9 report+ pursuant to su* section4 #g4 ,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 section #d1 is fur!r am5d$ by ins]t+ aft] subsection 7e7 7z ins]t$ by section #d7 ! foll[+3 7f7 ,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 ( ,/ates71 ,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 #c ( ! ,excell5ce 9 ,recov]y ,h\s+ ,act & ?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 subdivision ( a ,/ate71 ,tribe1 or t]ritory receiv+ su* a grant %all submit to ! ,secret>y1 & make publicly available on a publicly accessible website ( ! ,/ate 7or political subdivision ( ! ,/ate71 ,tribe1 or t]ritory-- 7,a7 ! plan ( ! ,/ate 7or political subdivision ( a ,/ate71 ,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 subdivision ( a ,/ate71 ,tribe1 or t]ritory2 & 7,b7 a description ( h[ su* plan is consi/5t ) ! be/ practices develop$ "u ?is section & guidel9es develop$ "u section #eej;,a4 7#c7 ,review ( accr$it+ entities ,! ,secret>y %all p]iodically review1 by develop+ a rubric to evaluate accr$itation1 ! accr$it+ entities provid+ te*nical assi/ance pursuant to p>agraph 7#a77;,a74 7#d7 ,au?orization ( appropriations ,to c>ry out ?is subsection1 !re is au?oriz$ to be appropriat$ #aj1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 4 #h4 ,au?orization ( appropriations ,section #eej ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e71 z am5d$ by sections #d & #g1 is fur!r am5d$ by am5d+ subsection 7i7 7z r$esignat$ by su* section #d7 to read z foll[s3 7i7 ,au?orization ( appropriations 7#a7 ,9 g5]al ,to c>ry out ?is section1 !re is au?oriz$ to be appropriat$-- 7,a7 #b1jjj1jjj = fiscal ye> #bjbb2 & 7,b7 #aa1jjj1jjj = ea* ( fiscal ye>s #bjbc ?r\gh #bjbg4 7#b7 ,res]vations ( funds ,= ea* ( fiscal ye>s #bjbb ?r\gh #bjbg1 ( ! am\nts appropriat$ "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 #aj1jjj1jjj to aw>d grants "u p>agraphs 7#a7 & 7#b7 ( subsection 7f74 4 #i4 ,reputable provid]s & analy/s ( recov]y h\s+ s]vices def9ition ,section #eej7;h7 ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;ee-#e7;i771 z r$esignat$ by section #d1 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>y2 7,c7 h n be5 f\nd guilty ( heal? c>e fraud1 pati5t brok]+1 or false adv]tis+ by ! ,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or a ,m$icaid ,fraud ,control ,unit2 7,d7 h n be5 f\nd to h violat$ ,f$]al1 ,/ate1 or local codes ( conduct ) respect to recov]y h\s+ = individuals ) a sub/ance use disord]2 & 7,e7 d n employ individuals ) a pa/ conviction ( crim9al1 dome/ic1 or sexual viol5ce1 or significant drug di/ribution1 9 ! c>e or sup]vision ( individuals4 4 #aj4 ,te*nical correction ,title ,v ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et seq47 is am5d$-- 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;,b2 & 7#b7 mov+ su* section s x appe>s aft] section #eej;,a 7add$ by section #c ( ?is ,act74