,,ii #aahth ,,congress #b;d ,session ,s4 #dceh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #af1 #bjbd,mr4 ,casey 7for himself1 ,mr4 ,fetterman1 ,ms4 ,warren1 ,mr4 ,blumenthal1 and ,mrs4 ,gillibrand7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to require the ,secretary to establish a grant program under the ,substance ,abuse and ,mental ,health ,services ,administration to address substance use disorders among older adults1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,preventing and ,treating ,substance ,use ,disorders ,among ,older ,adults ,act4 #b4 ,substance use disorder treatment and early intervention services for older adults ,subpart #a of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb et seq47 is amended by adding at the end the following3 #ead;,c4 ,substance use disorder treatment and early intervention services for older adults 7a7 ,definition of older adult ,in this section1 the term older adult means an individual aged #fj or older4 7b7 ,authority ,to award grants ,the ,secretary shall award grants1 contracts1 or cooperative agreements to public and private nonprofit entities1 ,indian ,tribes or ,tribal organizations 7as such terms are defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act71 or other health facilities or programs operated by or in accordance with a contract or grant with the ,indian ,health ,service1 for the purposes of-- 7#a7 providing early identification and services to meet the needs of older adults who are at risk of substance use disorders2 7#b7 providing substance use disorder treatment and prevention services for older adults1 including older adults with co-occurring mental illness and substance use disorders2 7#c7 linking older adults to resources1 either in the community or within long-term care settings where they reside1 to support independent lives2 and 7#d7 providing integrated care and comprehensive care coordination for substance use disorders and other health conditions4 7c7 ,priority ,in awarding grants1 contracts1 or cooperative agreements under subsection 7b71 the ,secretary shall give priority to applicants who propose to-- 7#a7 apply evidence-informed and cost-effective methods2 7#b7 improve data collection on the scope of substance use among older adults1 the scope of availability and utilization of treatment and prevention services1 and the scope of integrated care2 7#c7 coordinate and collect data on the provision of services with other social service agencies in the community1 including congregate care1 substance use1 and mental health agencies2 7#d7 provide a continuum of integrated treatment services1 including case management and primary care services1 for older adults with substance use disorders1 including older adults with co-occurring mental illness and substance use disorders1 and their families and caregivers2 7#e7 provide treatment that is person-centered1 culturally appropriate1 and age-sensitive2 7#f7 involve and work with peers and families and caregivers of older adults receiving services2 and 7#g7 provide continuing care services for older adults and their families following the completion of a treatment episode4 7d7 ,duration of grants ,the ,secretary shall award grants1 contracts1 or cooperative agreements under subsection 7b7 for periods not to exceed #e fiscal years4 7e7 ,application ,an entity desiring a grant1 contract1 or cooperative agreement under subsection 7b7 shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may reasonably require4 7f7 ,evaluation ,an entity that receives a grant1 contract1 or cooperative agreement under subsection 7b7 shall submit1 in the application for such grant1 contract1 or cooperative agreement1 a plan for the evaluation of any project undertaken with funds provided under this section4 ,such entity shall provide the ,secretary with periodic evaluations of the progress of such project and such evaluation at the completion of such project as the ,secretary determines to be appropriate4 7g7 ,authorization of appropriations ,there are authorized to be appropriated to carry out this section #be1jjj1jjj for each of fiscal years #bjbe through #bjbi4 4 #c4 ,evidence-based drugs and alcohol treatment and interventions demonstration ,subpart #a of part ,b of title ,v of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;bb et seq47 7as amended by section #b7 is amended by adding at the end the following3 #ead;,d4 ,evidence-based drugs and alcohol treatment and interventions demonstration 7a7 ,grants ,to expand access 7#a7 ,authority to award grants ,the ,secretary shall award grants1 contracts1 or cooperative agreements to ,state substance use disorder agencies1 units of local government1 ,united ,states territories1 and ,indian ,tribes and ,tribal organizations 7as defined in section #d of the ,indian ,self-,determination and ,education ,assistance ,act7 that have a high rate of1 or have had a rapid increase in1 the misuse of alcohol or prescription or illicit drugs1 including opioids1 in order to permit such entities to expand activities1 including an expansion in the availability of evidence-based medications for substance use disorder treatment and other clinically appropriate services with respect to the treatment of substance use disorders in the specific geographical areas of such entities where there is a high rate of1 or rapid increase in1 the misuse of alcohol or prescription or illicit drugs1 including opioids1 or specific geographical areas where there is a high rate of unmet need for treatment1 such as in rural areas and among communities of color4 7#b7 ,nature of activities ,funds awarded under paragraph 7#a7 shall be used for activities that are based on reliable scientific evidence of efficacy in the treatment of substance use disorders4 7b7 ,application ,to be eligible for a grant1 contract1 or cooperative agreement under subsection 7a71 an entity shall submit an application to the ,secretary at such time1 in such manner1 and accompanied by such information as the ,secretary may reasonably require4 7c7 ,evaluation ,an entity that receives a grant1 contract1 or cooperative agreement under subsection 7a7 shall submit1 in the application for such grant1 contract1 or agreement a plan for the evaluation of any project undertaken with funds provided under this section4 ,such entity shall provide the ,secretary with periodic evaluations of the progress of such project and an evaluation at the completion of such project as the ,secretary determines to be appropriate4 7d7 ,geographic distribution ,in awarding grants1 contracts1 and cooperative agreements under this section1 the ,secretary shall ensure that not less than #ae percent of funds are awarded to eligible entities that are not located in metropolitan statistical areas 7as defined by the ,office of ,management and ,budget74 ,the ,secretary shall take into account the unique needs of rural communities1 including communities with an incidence of individuals with substance use disorder that is above the national average and communities with a shortage of prevention and treatment services4 7e7 ,additional activities ,in administering grants1 contracts1 and cooperative agreements under subsection 7a71 the ,secretary shall-- 7#a7 evaluate the activities supported under such subsection2 7#b7 disseminate information1 as appropriate1 derived from evaluations as the ,secretary considers appropriate2 7#c7 provide ,states1 ,indian ,tribes and ,tribal organizations1 and providers with technical assistance in connection with the provision of treatment of substance use disorder2 and 7#d7 fund only those applications that specifically support recovery services as a critical component of the program involved4 7f7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #be1jjj1jjj for each of fiscal years #bjbe through #bjbi4 4