,,ii #aagth ,,congress #b;d ,session ,s4 #dcja ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #be1 #bjbb,ms4 ,hassan 7for herself1 ,ms4 ,murkowski1 and ,mr4 ,lujn7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to reauthorize and improve the block grants for prevention and treatment of substance abuse4 #a4 ,short title ,this ,act may be cited as the ,substance ,use ,prevention1 ,treatment1 and ,recovery ,act4 #b4 ,other amendments to the block ,grants for ,prevention and ,treatment of ,substance ,abuse 7a7 ,certain allocations 7#a7 ,allocations regarding recovery ,section #aibb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#bb7 is amended by adding at the end the following3 7c7 ,allocations regarding recovery 7#a7 ,in general ,a funding agreement for this grant under section #aiba is that1 in expending the grant1 the ,state involved will expend not less than #aj percent each fiscal year for programs for community-based and peer recovery support services for individuals with a substance use disorder4 7#b7 ,special rule for #bjbc ,notwithstanding paragraph 7#a71 for fiscal year #bjbc1 a ,state shall expend not less than #g percent for programs described in such paragraph1 provided that1 in fiscal year #bjbd1 the ,state expends for such programs an amount equal to any difference between #aj percent of the grant amount for fiscal year #bjbc and the amount actually expended for such programs in fiscal year #bjbc1 in addition to meeting the requirements of paragraph 7#a7 with respect to grant amounts for fiscal year #bjbd4 4 7#b7 ,technical amendment ,effective as if included in the enactment of the ,children's ,health ,act of #bjjj 7,public ,law #ajf-caj71 section #ccjc7;f77#b77;,a7 of the ,children's ,health ,act of #bjjj 7,public ,law #ajf-caj2 #aad ,stat4 #abaa7 is amended by striking section #aibb7;c7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#bb7;c77 and inserting section #aibb7;b7 of the ,public ,health ,service ,act1 as amended by section #ccjc7;a714 7b7 ,public health promotion for recovery 7#a7 ,formula grants ,section #aiba7;b7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba7;b77 is amended-- 7,a7 by inserting 1 including measures for infrastructure1 education1 or outreach to prevent overdose or other health risks1 after substance use disorders2 and 7,b7 by inserting evidence-based or evidence-informed after evaluating4 7#b7 ,certain restrictions on expenditures ,section #aica7;a77#a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ca7;a77#a77 is amended-- 7,a7 in subparagraph 7,e71 by striking 2 or and inserting a semicolon2 7,b7 in subparagraph 7,f71 by striking the period and inserting 2 or2 and 7,c7 by adding at the end the following3 7,g7 in a manner that excludes individuals on the basis that such individuals receive drugs approved by the ,food and ,drug ,administration for the treatment of substance use disorders4 4 7c7 ,restrictions on expenditure of grant ,section #aica7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ca7;a77 is amended-- 7#a7 in paragraph 7#a77;,f71 by inserting 1 except that the ,state may use such grant to provide support to programs that include infrastructure1 education1 or outreach services before the period2 and 7#b7 by amending paragraph 7#c7 to read as follows3 7#c7 ,limitation regarding penal and correctional institutions ,a funding agreement for this grant under section #aiba is that1 in expending the grant1 the ,state involved will expend not more than such a percentage of the block grant treatment budget1 between #e and #aj percent1 as the ,secretary may specify1 for the purpose of providing treatment services in penal or correctional institutions of the ,state4 4 7d7 ,study on assessment for use in distribution of limited ,state resources 7#a7 ,in general ,the ,secretary of ,health and ,human ,services 7referred to in this section as the ,secretary71 acting through the ,assistant ,secretary for ,mental ,health and ,substance ,use1 in consultation with ,states and other local entities providing prevention1 treatment1 or recovery support services related to substance use1 shall conduct a study to develop a model needs assessment process for ,states to consider to help determine how best to allocate block grant funding received under subpart ,,ii of part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ba et seq47 to provide services to substance use disorder prevention1 treatment1 and recovery support4 ,the study shall include cost estimates with each model needs assessment process4 7#b7 ,report ,not later than #a year after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report on the results of the study conducted under paragraph 7#a74 7e7 ,funding ,section #aice7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx-#ce7;a77 is amended by striking #a1heh1jgi1jjj for each of fiscal years #bjah through #bjbb4 and inserting #c1bjj1jjj1jjj for each of fiscal years #bjbc through #bjbg4 #c4 ,eliminating stigmatizing language relating to substance use 7a7 ,block ,grants for ,prevention and ,treatment of ,substance ,use ,part ,b of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjx et seq47 is amended-- 7#a7 in the part heading1 by striking ,substance ,abuse and inserting ,substance ,use2 7#b7 in section #aibb7;a7 7#db ,u4,s4,c4 #cjjx-#bb7;a77-- 7,a7 in paragraph 7#a71 in the matter preceding subparagraph 7,a71 by striking substance abuse and inserting substance use disorders2 and 7,b7 by striking such abuse each place it appears in paragraphs 7#a7 and 7#b7 and inserting such use2 7#c7 in section #aibc 7#db ,u4,s4,c4 #cjjx-#bc7-- 7,a7 in the section heading1 by striking ,substance ,abuse and inserting ,substance ,use2 and 7,b7 by striking drug abuse each place it appears in subsections 7a7 and 7b7 and inserting substance use disorders2 7#d7 in section #aibe7;a77#a7 7#db ,u4,s4,c4 #cjjx-#be7;a77#a771 by striking alcohol or drug abuse and inserting alcohol or other substance use disorders2 7#e7 in section #aibf7;b77#b77;,b7 7#db ,u4,s4,c4 #cjjx-#bf7;b77#b77;,b771 by striking substance abuse2 7#f7 in section #aica7;b77#b7 7#db ,u4,s4,c4 #cjjx-#ca7;b77#b771 by striking substance abuse and inserting substance use disorders2 7#g7 in section #aicc7;d77#a7 7#db ,u4,s4,c4 #cjjx-#cc7;d771 in the matter following subparagraph 7,b71 by striking abuse of alcohol and other drugs and inserting use of substances2 7#h7 by amending paragraph 7#d7 of section #aicd 7#db ,u4,s4,c4 #cjjx-#cd7 to read as follows3 7#d7 ,the term substance use disorder means the recurrent use of alcohol or other drugs that causes clinically significant impairment4 2 7#i7 in section #aice 7#db ,u4,s4,c4 #cjjx-#ce7-- 7,a7 in subsection 7a71 by striking substance abuse and inserting substance use disorders2 and 7,b7 in subsection 7b77#a71 by striking substance abuse each place it appears and inserting substance use disorders2 7#aj7 in section #aidi 7#db ,u4,s4,c4 #cjjx-#ei71 by striking substance abuse each place it appears in subsections 7a7 and 7d7 and inserting substance use disorders2 7#aa7 in section #aied7;b77#d7 7#db ,u4,s4,c4 #cjjx-#fd7;b77#d77-- 7,a7 by striking substance abuse each place it appears and inserting substance use disorders2 and 7,b7 by striking such abuse and inserting such disorders2 7#ab7 in section #aiee 7#db ,u4,s4,c4 #cjjx-#fe71 by striking substance abuse each place it appears and inserting substance use disorder2 and 7#ac7 in section #aief 7#db ,u4,s4,c4 #cjjx-#ff71 by striking substance abuse each place it appears and inserting substance use disorders4 7b7 ,certain programs regarding mental health and substance abuse ,part ,c of title ,,xix of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjjy et seq47 is amended-- 7#a7 in the part heading1 by striking ,substance ,abuse and inserting ,substance ,use2 7#b7 in section #aiga 7#db ,u4,s4,c4 #cjjy71 by striking substance abuse each place it appears in subsections 7a71 7b71 and 7f7 and inserting substance use2 and 7#c7 in section #aigf 7#db ,u4,s4,c4 #cjjy-#aa71 by striking intravenous abuse and inserting intravenous use4