,i  #aahth ,,congress  #ast ,session    
,h4 ,r4 #ddhi  ,,in ,,the ,,house ,,of  
,,representatives  ,july #f1 #bjbc ,mr4 
,guthrie 7for himself and ,ms4 ,kuster7 
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to amend the 
#bast ,century ,cures ,act to clarify   
that grants for ,state and ,tribal      
response to opioid use disorders may1 at
 the discretion of the ,secretary of    
,health and ,human ,services1 also be   
used to address associated health       
conditions1 and for other purposes4  #a4
 ,addressing associated health          
conditions through grant program for    
,state and ,tribal response to opioid   
use disorders  7a7 ,additional use of   
funds ,section #ajjc7;b7 of the #bast   
,century ,cures ,act 7#db ,u4,s4,c4     
#bij;ee-#c note7 is amended by adding at
 the end the following3  7#e7           
,associated health conditions ,the      
,secretary may authorize the recipient  
of a grant under this subsection1 in    

addition to using the grant for         
activities described in paragraph 7#d7  
with respect to opioid misuse and use   
disorders and stimulant misuse and use  
disorders1 to use the grant to for      
similar activities with respect to      
associated health conditions4  4  7b7   
,annual report to ,congress ,section    
#ajjc7;f7 of the #bast ,century ,cures  
,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is 
amended-- 7#a7 in paragraph 7#b71 strike
 and at the end2  7#b7 in paragraph     
7#c71 strike the period at the end and  
insert a semicolon2 and  7#c7 by adding 
at the end the following3  7#d7 the     
amount of funds each ,state that        
receiving a grant under subsection 7b7  
received for the #ab-month grant cycle  
covered by the report2  7#e7 the amount 
of grant funds each such ,state spent   
for such grant cycle1 disaggregated by  
the uses for which such funds were      
spent1 including each allowable use     
under paragraphs 7#d7 and 7#e7 of       
subsection 7b72  7#f7 how many such     

,states for such grant cycle did not    
spend all of the grant funds before such
 grant cycle expired2  7#g7 how many    
such ,states for such grant cycle       
requested waivers to extend the grant   
cycle2 and  7#h7 challenges for such    
,states to spend all of the funds       
allocated and the reason for such       
challenges1 including to what extent    
reporting requirements or other         
requirements placed an increased burden 
on the ability of such ,states to spend 
all of the funds4  4  7c7 ,technical    
assistance ,section #ajjc7;g7 of the    
#bast ,century ,cures ,act 7#db         
,u4,s4,c4 #bij;ee-#c note7 is amended by
 inserting after substance use disorders
 the following3 7including associated   
health conditions74  7d7 ,associated    
health conditions defined ,section      
#ajjc7;h7 of the #bast ,century ,cures  
,act 7#db ,u4,s4,c4 #bij;ee-#c note7 is 
amended-- 7#a7 by redesignating         
paragraphs 7#a7 through 7#d7 as         
paragraphs 7#b7 through 7#e72 and  7#b7 

by inserting before paragraph 7#b71 as  
redesignated1 the following3  7#a7      
,associated health conditions ,the term 
associated health conditions includes   
any disorder or health condition that is
 co-occurring with opioid misuse and use
 disorders and stimulant misuse and use 
disorders1 including polydrug use and   
alcohol use disorder4  4  7e7 ,rule of  
construction ,nothing in this ,act or   
the amendments made by this ,act shall  
be construed to change the allocation of
 funds among grantees pursuant to the   
minimum allocations and formula         
methodology under section #ajjc of the  
#bast ,century ,cures ,act 7#db         
,u4,s4,c4 #bij;ee-#c note74