,,ii  #aag? ,,congress  #b;d ,session   
,s4 #cfih  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,febru>y #ag1 #bjbb    
,mrs4 ,%ahe5 7= h]self1 ,mr4 ,leahy1    
,ms4 ,coll9s1 ,mrs4 ,gillibr&1 ,mr4     
,s&]s1 ,mr4 ,k+1 ,ms4 ,hassan1 & ,mr4   
,s*um]7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,environm5t & ,public ,works  ,a ,,bill 
,to am5d title #dj1 ,unit$ ,/ates ,code1
 to modify c]ta9 requirem5ts = ,regional
 ,commissions1 to reau?orize ! ,nor!rn  
,bord] ,regional ,commission1 & = o!r   
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,nor!rn ,bord] ,regional   
,commission ,reau?orization ,act (      
#bjbb4  #b4 ,regional ,commissions      
modifications  7a7 ,memb]%ip (          
,commissions ,section #aecja ( title    
#dj1 ,unit$ ,/ates ,code1 is am5d$--    
7#a7 9 subsection 7b77#b77;,c7-- 7,a7 by
 /rik+ ,an alt]nate memb] & ins]t+ !    
foll[+3  7i7 ,9 g5]al ,an alt]nate memb]
  2 &  7,b7 by add+ at ! end ! foll[+3  
7ii7 ,/ate alt]nates ,if ! alt]nate     

,/ate memb] is unable to vote 9         
accordance ) clause 7i71 ! alt]nate     
,/ate memb] may delegate vot+ au?ority  
to a designee1 subject to ! condition t 
! executive director %all be notifi$1 9 
writ+1 ( ! designation n less ?an #a    
week be=e ! applicable vote is to take  
place4  2 &  7#b7 9 subsection 7f71 by  
/rik+ a ,f$]al employee & ins]t+ an     
employee4  7b7 ,decisions ( ,commissions
 ,section #aecjb ( title #dj1 ,unit$    
,/ates ,code1 is am5d$-- 7#a7 9         
subsection 7a71 by ins]t+ or ,/ate      
alt]nate memb]s1 includ+ designees aft] 
,/ate memb]s2 &  7#b7 by /rik+          
subsection 7c7 & ins]t+ ! foll[+3  7c7  
,quorums  7#a7 ,9 g5]al ,subject to     
p>agraph 7#b71 a ,commission %all       
det]m9e :at con/itutes a quorum = meet+s
 ( ! ,commission4  7#b7 ,requirem5ts    
,any quorum = meet+s ( a ,commission    
%all include-- 7,a7 ! ,f$]al            
,co*airp]son or ! alt]nate ,f$]al       
,co*airp]son2 &  7,b7 a majority ( ,/ate
 memb]s or alt]nate ,/ate memb]s1       

includ+ designees 7exclusive ( memb]s   
repres5t+ ,/ates del9qu5t "u section    
#aecjd7;c77#c77;,c774  4  7c7           
,adm9i/rative p[]s & exp5ses (          
,commissions ,section #aecjd7;a77#i7 (  
title #dj1 ,unit$ ,/ates ,code1 is am5d$
 by /rik+ ma9ta9 a gov]nm5t relations   
(fice 9 ! ,di/rict ( ,columbia &4  7d7  
,meet+s ( ,commissions ,section         
#aecje7;b7 ( title #dj1 ,unit$ ,/ates   
,code1 is am5d$ by /rik+ ) ! ,f$]al     
,co*airp]son & all t foll[s ?r\gh !     
p]iod at ! end & ins]t+ ! foll[+3 8)--  
7#a7 ! ,f$]al ,co*airp]son2 &  7#b7 at  
lea/ a majority ( ! ,/ate memb]s or     
alt]nate ,/ate memb]s 7includ+          
designees7 pres5t 9-p]son or via        
electronic means4  4  #c4 ,economic &   
infra/ructure developm5t grants         
,section #aeeja ( title #dj1 ,unit$     
,/ates ,code1 is am5d$--  7#a7 9        
subsection 7a7-- 7,a7 by r$esignat+     
p>agraphs 7#d7 ?r\gh 7#i7 z p>agraphs   
7#f7 ?r\gh 7#aa71 respectively2 &  7,b7 
by ins]t+ aft] p>agraph 7#c7 ! foll[+3  

7#d7 to design1 build1 implem5t1 or     
upgrade transportation or basic public  
infra/ructure or work=ce capacity to    
support ! adaption to & mitigation (    
climate *all5ges2  7#e7 to promote !    
production ( h\s+ to meet economic      
developm5t & work=ce ne$s2  2 &  7#b7 9 
subsection 7b71 by /rik+ p>agraph 7#a71 
7#b71 7#c71 or 7#g7 & ins]t+ p>agraph   
7#a71 7#b71 7#c71 7#d71 or 7#i74  #d4   
,nor!rn ,bord] ,regional ,commission    
7a7 ,c\nties 9 ,ma9e & ,new ,hamp%ire   
,section #aegcc ( title #dj1 ,unit$     
,/ates ,code1 is am5d$-- 7#a7 9 p>agraph
 7#a71 by ins]t+ ,l9coln1 aft] ,knox12 &
  7#b7 9 p>agraph 7#b71 by ins]t+       
,m]rimack1 aft] ,grafton14  7b7         
,au?orization ( appropriations ,section 
#aegea ( title #dj1 ,unit$ ,/ates ,code1
 is am5d$ by /rik+ subsection 7a7 &     
ins]t+ ! foll[+3  7a7 ,9 g5]al ,!re are 
au?oriz$ to be appropriat$ to ea*       
,commission to c>ry out ?is subtitle--  
7#a7 #ej1jjj1jjj = ea* ( fiscal ye>s    
#bjbb ?r\gh #bjbf2 &  7#b7 #fj1jjj1jjj =

 ea* ( fiscal ye>s #bjbg ?r\gh #bjca4  4
  #e4 ,nor!rn ,=e/ region programs  7a7 
,9 g5]al ,subtitle ,v ( title #dj1      
,unit$ ,/ates ,code1 is am5d$ by add+ at
 ! end ! foll[+3  #aei ,nor!rn ,=e/     
,region ,programs  #aeija4 ,def9itions  
,9 ?is *apt]3 7#a7 ,,nbrc ,! t]m ,,nbrc 
means ! ,nor!rn ,bord] ,regional        
,commission e/abli%$ by section         
#aecja7;a77#c74  7#b7 ,nor!rn ,=e/      
region ,! t]m ,nor!rn ,=e/ region means 
! c\nties includ$ 9 ! ,,nbrc "u section 
#aegcc4  #aeijb4 ,/ate capacity build+  
grant program  7a7 ,def9itions ,9 ?is   
section3  7#a7 ,commission /ate ,! t]m  
,commission ,/ate means ea* ( ! ,/ates (
 ,ma9e1 ,new ,hamp%ire1 ,new ,york1 &   
,v]mont4  7#b7 ,eligible c\nty ,! t]m   
eligible c\nty means a c\nty describ$ 9 
section #aegcc4  7#c7 ,program ,! t]m   
program means ! ,/ate capacity build+   
grant program e/abli%$ "u subsection    
7b74  7b7 ,e/abli%m5t ,! ,,nbrc %all    
e/abli% a ,/ate capacity build+ grant   
program to provide grants to ,commission

 ,/ates to c>ry out ! purpose "u        
subsection 7c74  7c7 ,purpose ,! purpose
 ( ! program is to support ! ef=ts ( !  
,,nbrc-- 7#a7 to bett] support bus9ess  
ret5tion & expansion 9 eligible c\nties2
  7#b7 to create programs to enc\rage   
job creation & work=ce developm5t 9     
eligible c\nties2  7#c7 to prep>e       
economic & infra/ructure plans =        
eligible c\nties2  7#d7 to exp& access  
to high-spe$ broadb& 9 eligible c\nties2
  7#e7 to provide te*nical assi/ance t  
results 9 ,,nbrc inve/m5ts 9            
transportation1 wat]1 wa/ewat]1 & o!r   
critical infra/ructure2  7#f7 to create 
initiatives to increase ! effectiv5ess (
 local developm5t di/ricts 9 eligible   
c\nties2 &  7#g7 to implem5t new or     
innovative economic developm5t practices
 t w bett] position ! eligible c\nties (
 ,commission ,/ates to compete 9 !      
global economy4  7d7 ,use ( funds  7#a7 
,9 g5]al ,funds f a grant "u ! program  
may be us$ to support a project1        
program1 or relat$ exp5se ( !           

,commission ,/ate 9 an eligible c\nty4  
7#b7 ,limitation ,funds f a grant "u !  
program %all n be us$ =--  7,a7 !       
pur*ase ( furniture1 fixtures1 or       
equipm5t2  7,b7 ! comp5sation (--  7i7  
any ,/ate memb] ( ! ,commission 7z      
describ$ 9 section #aecja7;b77#a77;,b772
 or  7ii7 any ,/ate alt]nate memb] ( !  
,commission 7z describ$ 9 section       
#aecja7;b77#b77;,b772 or  7,c7 ! co/ (  
supplant+ exi/+ ,/ate programs4  7e7    
,annual "w plan  7#a7 ,9 g5]al ,= ea*   
fiscal ye>1 be=e provid+ a grant "u !   
program1 ea* ,commission ,/ate %all     
provide to ! ,,nbrc an annual "w plan t 
includes ! propos$ use ( ! grant4  7#b7 
,approval ,no grant "u ! program %all be
 provid$ to a ,commission ,/ate unless !
 ,,nbrc has approv$ ! annual "w plan ( !
 ,/ate4  7f7 ,am\nt ( grant  7#a7 ,9    
g5]al ,! am\nt ( a grant provid$ to a   
,commission ,/ate "u ! program = a      
fiscal ye> %all be bas$ on ! proportion 
t--  7,a7 ! am\nt paid by ! ,commission 
,/ate 7includ+ any am\nts paid on behalf

 ( ! ,commission ,/ate by a nonpr(it    
organization7 = adm9i/rative exp5ses = !
 applicable fiscal ye> 7z det]m9$ "u    
section #aecjd7;c772 be>s to  7,b7 !    
am\nt paid by all ,commission ,/ates    
7includ+ any am\nts paid on behalf ( a  
,commission ,/ate by a nonpr(it         
organization7 = adm9i/rative exp5ses = t
 fiscal ye> 7z det]m9$ "u t section74   
7#b7 ,requirem5t ,to be eligible to     
receive a grant "u ! program = a fiscal 
ye>1 a ,commission ,/ate 7or a nonpr(it 
organization on behalf ( ! ,commission  
,/ate7 %all pay ! am\nt ( adm9i/rative  
exp5ses ( ! ,commission ,/ate = !       
applicable fiscal ye> 7z det]m9$ "u     
section #aecjd7;c774  7#c7 ,approval ,= 
ea* fiscal ye>1 a grant provid$ "u !    
program %all be approv$ & made available
 z "p ( ! approval ( ! annual budget ( !
 ,,nbrc4  7g7 ,grant availability ,funds
 f a grant "u ! program %all be         
available only dur+ ! fiscal ye> = :i* !
 grant is provid$4  7h7 ,report ,ea*    
fiscal ye>1 ea* ,commission ,/ate %all  

submit to ! ,,nbrc & make publicly      
available a report t describes ! use ( !
 grant funds & ! impact ( ! program 9 ! 
,commission ,/ate4  7i7 ,cont9uation (  
program ,! program "u ?is section %all  
be a cont9uation ( ! program "u section 
#fcjd7;c7 ( ! ,agriculture ,improvem5t  
,act ( #bjah 7#dj ,u4,s4,c4 #aeeja note2
 ,public ,law #aae-ccd7 7z 9 effect on !
 day be=e ! date ( enactm5t ( ?is       
section74  7j7 ,fund+  7#a7 ,9 g5]al    
,!re is au?oriz$ to be appropriat$ to   
c>ry out ?is section #e1jjj1jjj = ea* ( 
fiscal ye>s #bjai ?r\gh #bjbh4  7#b7    
,supplem5t1 n supplant ,funds made      
available to c>ry out ?is section %all  
supplem5t & n supplant funds made       
available = ! ,,nbrc & o!r activities ( 
! ,,nbrc4  #aeijc4 ,demon/ration heal?  
projects  7a7 ,purpose ,to demon/rate ! 
value ( adequate heal? facilities &     
s]vices to ! economic developm5t ( !    
,nor!rn ,=e/ region1 ! ,,nbrc may make  
grants = ! plann+1 con/ruction1         
equipm5t1 & op]ation ( demon/ration     

heal?1 nutrition1 & *ild c>e projects1  
includ+ hospitals1 regional heal?       
diagno/ic & treatm5t c5t]s1 & o!r       
facilities & s]vices necess>y = !       
purposes ( ?is section4  7b7 ,plann+    
grants  7#a7 ,au?ority to provide am\nts
 & make grants ,! ,,nbrc may make grants
 = exp5ses ( plann+ necess>y = !        
developm5t & op]ation ( demon/ration    
heal? projects = ! ,nor!rn ,=e/ region4 
7#b7 ,maximum ,,nbrc contributions ,!   
maximum ,,nbrc contributions = a grant =
 ! con/ruction or equipm5t ( any        
compon5t ( a demon/ration heal? project 
%all be made 9 accordance ) section     
#aeeja7;d74  7#c7 ,s\rces ( assi/ance ,!
 ,,nbrc contribution may be provid$     
entirely f am\nts au?oriz$ "u ?is       
section or 9 comb9ation ) am\nts provid$
 "u o!r ,f$]al grant programs4  7#d7    
,f$]al %>e ,not)/&+ any provision ( law 
limit+ ! ,f$]al %>e 9 o!r ,f$]al grant  
programs describ$ 9 p>agraph 7#c71      
am\nts appropriat$ to c>ry out ?is      
section may be us$ to increase ! ,f$]al 

%>e to ! maximum p]c5tage co/ ( a grant 
au?oriz$ by p>agraph 7#b74  7c7         
,con/ruction & equipm5t grants  7#a7    
,additional uses = con/ruction grants   
,grants "u ?is section = con/ruction may
 also be us$ =-- 7,a7 ! acquisition (   
privately own$ facilities--  7i7 n      
op]at$ = pr(it2 or  7ii7 previ\sly      
op]at$ = pr(it if ! ,,nbrc f9ds t heal? 
s]vices w\ld n o!rwise be provid$ 9 !   
area s]v$ by ! facility if ! acquisition
 is n made2 &  7,b7 initial equipm5t4   
7#b7 ,/&>ds = mak+ grants ,grants "u ?is
 section = con/ruction %all be made 9   
accordance ) section #aeeja & %all n be 
incompatible ) ! applicable provisions (
 title ,,vi ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bia et seq471 !    
,developm5tal ,disabilities ,assi/ance &
 ,bill ( ,rights ,act ( #bjjj 7#db      
,u4,s4,c4 #aejja et seq471 & o!r laws   
au?oriz+ grants = ! con/ruction (       
heal?-relat$ facilities1 )\t reg>d to   
any provisions 9 ^? laws relat+ to      
appropriation au?orization ceil+s or to 

allotm5ts among ! ,/ates4  7#c7 ,maximum
 ,,nbrc contributions ,! maximum ,,nbrc 
contributions = a grant = ! con/ruction 
or equipm5t ( any compon5t ( a          
demon/ration heal? project %all be made 
9 accordance ) section #aeeja7;d74  7#d7
 ,s\rces ( assi/ance ,! ,,nbrc          
contribution may be provid$ entirely f  
am\nts au?oriz$ "u ?is section or 9     
comb9ation ) am\nts provid$ "u o!r      
,f$]al grant programs = ! con/ruction or
 equipm5t ( heal?-relat$ facilities4    
7#e7 ,f$]al %>e ,not)/&+ any provision (
 law limit+ ! ,f$]al %>e 9 o!r ,f$]al   
grant programs describ$ 9 p>agraph 7#d71
 am\nts au?oriz$ "u ?is section may be  
us$ to increase ,f$]al grants = compon5t
 facilities ( a demon/ration heal?      
project to a maximum ( #hj p]c5t ( ! co/
 ( ! facilities4  7d7 ,op]ation grants  
7#a7 ,/&>ds = mak+ grants ,a grant = !  
op]ation ( a demon/ration heal? project 
%all n be made unless ! facility is     
publicly own$1 or own$ by a public or   
private nonpr(it organization1 & is n   

op]at$ = pr(it4  7#b7 ,maximum ,,nbrc   
contributions ,grants "u ?is section = !
 op]ation 7includ+ initial op]at+ am\nts
 & op]at+ deficits1 includ+ ! co/ (     
attract+1 tra9+1 & reta9+ qualifi$      
p]sonnel7 ( a demon/ration heal?        
project1 :e!r or n con/ruct$ ) am\nts   
au?oriz$ to be appropriat$ by ?is       
section1 %all be made 9 accordance )    
section #aeeja7;d74  7#c7 ,s\rces (     
assi/ance ,! ,,nbrc contribution may be 
provid$ entirely f am\nts appropriat$ to
 c>ry out ?is section or 9 comb9ation ) 
am\nts provid$ "u o!r ,f$]al grant      
programs = ! op]ation ( heal? relat$    
facilities & ! provision ( heal? & *ild 
developm5t s]vices1 includ+ p>ts ,a & ,b
 ( title ,,iv & title ,,xx ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #fja et   
seq41 #fbj et seq41 #acig et seq474     
7#d7 ,f$]al %>e ,not)/&+ any provision (
 law limit+ ! ,f$]al %>e 9 ^? o!r       
programs1 am\nts appropriat$ to c>ry out
 ?is section may be us$ to increase     
,f$]al grants = op]at+ compon5ts ( a    

demon/ration heal? project to ! maximum 
p]c5tage co/ ( a grant au?oriz$ by ?is  
subsection4  7#e7 ,/ate deem$ to meet   
requirem5t ( provid+ assi/ance or       
s]vices on /atewide basis ,not)/&+ any  
provision ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #cja et seq47 requir+    
assi/ance or s]vices on a /atewide      
basis1 a ,/ate provid+ assi/ance or     
s]vices "u a ,f$]al grant program       
describ$ 9 p>agraph 7#c7 9 any area ( ! 
region approv$ by ! ,,nbrc is deem$ to  
be meet+ t requirem5t4  7e7 ,emphasis on
 programs ,to address sub/ance use      
disord]s ,to provide = ! fur!r          
developm5t ( ! human res\rces ( !       
,nor!rn ,=e/ region1 grants "u ?is      
section %all give special emphasis to   
projects & activities to address        
sub/ance use disord]s1 includ+ opioid & 
me?amphetam9e use1 9 ! ,nor!rn ,=e/     
region1 includ+ projects & activities-- 
7#a7 to increase access to & dissem9ate 
in=mation on ! availability ( sub/ance  
use disord] treatm5t programs2  7#b7 to 

/r5g!n ! sub/ance use disord] work=ce   
op]at+ 9 ! ,nor!rn ,=e/ region1 includ+ 
programs to attract & reta9 relevant    
heal? c>e s]vices1 bus9esses1 & /aff2   
7#c7 to facilitate ! %>+ ( be/ practices
 among ,/ates1 c\nties1 & o!r exp]ts 9 !
 ,nor!rn ,=e/ region ) respect to r$uc+ 
sub/ance use disord]s2  7#d7 to initiate
 or exp& programs design$ to elim9ate or
 r$uce ! h>m to ! work=ce & economic    
gr[? ( ! region t results f t abuse2 &  
7#e7 to develop relevant infra/ructure1 
includ+ broadb& infra/ructure t supports
 ! use ( telem$ic9e4  4  7b7 ,repeal    
,section #fcjd7;c7 ( ! ,agriculture     
,improvem5t ,act ( #bjah 7#dj ,u4,s4,c4 
#aeeja note2 ,public ,law #aae-ccd7 is  
repeal$4  7c7 ,cl]ical am5dm5t ,! table 
( sections = subtitle ,v ( title #dj1   
,unit$ ,/ates ,code1 is am5d$ by ins]t+ 
aft] ! item relat+ to *apt] #aeg !      
foll[+3  8,*apt] #aei--,nor!rn ,=e/     
,region ,programs  #aeija4 ,def9itions4 
#aeijb4 ,/ate capacity build+ grant     
program4 #aeijc4 ,demon/ration heal?    

projects4  4