,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ddhi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,july #f1 #bjbc ,mr4  
,gu?rie 7= himself & ,ms4 ,ku/]7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to am5d ! #ba/ ,c5tury ,cures  
,act to cl>ify t grants = ,/ate &       
,tribal response to opioid use disord]s 
may1 at ! discretion ( ! ,secret>y (    
,heal? & ,human ,s]vices1 also be us$ to
 address associat$ heal? conditions1 & =
 o!r purposes4  #a4 ,address+ associat$ 
heal? conditions ?r\gh grant program =  
,/ate & ,tribal response to opioid use  
disord]s  7a7 ,additional use ( funds   
,section #ajjc7;b7 ( ! #ba/ ,c5tury     
,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c   
note7 is am5d$ by add+ at ! end !       
foll[+3  7#e7 ,associat$ heal?          
conditions ,! ,secret>y may au?orize !  
recipi5t ( a grant "u ?is subsection1 9 
addition to us+ ! grant = activities    
describ$ 9 p>agraph 7#d7 ) respect to   
opioid misuse & use disord]s & /imulant 

misuse & use disord]s1 to use ! grant to
 = simil> activities ) respect to       
associat$ heal? conditions4  4  7b7     
,annual report to ,congress ,section    
#ajjc7;f7 ( ! #ba/ ,c5tury ,cures ,act  
7#db ,u4,s4,c4 #bij;ee-#c note7 is      
am5d$-- 7#a7 9 p>agraph 7#b71 /rike & at
 ! end2  7#b7 9 p>agraph 7#c71 /rike !  
p]iod at ! end & ins]t a semicolon2 &   
7#c7 by add+ at ! end ! foll[+3  7#d7 ! 
am\nt ( funds ea* ,/ate t receiv+ a     
grant "u subsection 7b7 receiv$ = !     
#ab-mon? grant cycle cov]$ by ! report2 
7#e7 ! am\nt ( grant funds ea* su* ,/ate
 sp5t = su* grant cycle1 disaggregat$ by
 ! uses = :i* su* funds 7 sp5t1 includ+ 
ea* all[able use "u p>agraphs 7#d7 &    
7#e7 ( subsection 7b72  7#f7 h[ _m su*  
,/ates = su* grant cycle did n sp5d all 
( ! grant funds be=e su* grant cycle    
expir$2  7#g7 h[ _m su* ,/ates = su*    
grant cycle reque/$ waiv]s to ext5d !   
grant cycle2 &  7#h7 *all5ges = su*     
,/ates to sp5d all ( ! funds allocat$ & 
! reason = su* *all5ges1 includ+ to :at 

ext5t report+ requirem5ts or o!r        
requirem5ts plac$ an increas$ burd5 on !
 ability ( su* ,/ates to sp5d all ( !   
funds4  4  7c7 ,te*nical assi/ance      
,section #ajjc7;g7 ( ! #ba/ ,c5tury     
,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c   
note7 is am5d$ by ins]t+ aft] sub/ance  
use disord]s ! foll[+3 7includ+         
associat$ heal? conditions74  7d7       
,associat$ heal? conditions def9$       
,section #ajjc7;h7 ( ! #ba/ ,c5tury     
,cures ,act 7#db ,u4,s4,c4 #bij;ee-#c   
note7 is am5d$-- 7#a7 by r$esignat+     
p>agraphs 7#a7 ?r\gh 7#d7 z p>agraphs   
7#b7 ?r\gh 7#e72 &  7#b7 by ins]t+ be=e 
p>agraph 7#b71 z r$esignat$1 ! foll[+3  
7#a7 ,associat$ heal? conditions ,! t]m 
associat$ heal? conditions includes any 
disord] or heal? condition t is         
co-occurr+ ) opioid misuse & use        
disord]s & /imulant misuse & use        
disord]s1 includ+ polydrug use & alcohol
 use disord]4  4  7e7 ,rule (           
con/ruction ,no?+ 9 ?is ,act or !       
am5dm5ts made by ?is ,act %all be       

con/ru$ to *ange ! allocation ( funds   
among grantees pursuant to ! m9imum     
allocations & =mula me?odology "u       
section #ajjc ( ! #ba/ ,c5tury ,cures   
,act 7#db ,u4,s4,c4 #bij;ee-#c note74