,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dceh  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #af1 #bjbd,mr4    
,casey 7= himself1 ,mr4 ,fett]man1 ,ms4 
,w>r51 ,mr4 ,blum5?al1 & ,mrs4          
,gillibr&7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to am5d ! ,public ,heal?    
,s]vice ,act to require ! ,secret>y to  
e/abli% a grant program "u ! ,sub/ance  
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration to address sub/ance use   
disord]s among old] adults1 & = o!r     
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,prev5t+ & ,treat+         
,sub/ance ,use ,disord]s ,among ,old]   
,adults ,act4  #b4 ,sub/ance use disord]
 treatm5t & e>ly int]v5tion s]vices =   
old] adults ,subp>t #a ( "p ,b ( title  
,v ( ! ,public ,heal? ,s]vice ,act 7#db 
,u4,s4,c4 #bij;bb et seq47 is am5d$ by  
add+ at ! end ! foll[+3  #ead;,c4       
,sub/ance use disord] treatm5t & e>ly   
int]v5tion s]vices = old] adults  7a7   

,def9ition ( old] adult ,9 ?is section1 
! t]m old] adult means an individual ag$
 #fj or old]4  7b7 ,au?ority ,to aw>d   
grants ,! ,secret>y %all aw>d grants1   
contracts1 or coop]ative agreem5ts to   
public & private nonpr(it entities1     
,indian ,tribes or ,tribal organizations
 7z su* t]ms are def9$ 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act71 or o!r heal?          
facilities or programs op]at$ by or 9   
accordance ) a contract or grant ) !    
,indian ,heal? ,s]vice1 = ! purposes (--
 7#a7 provid+ e>ly id5tification &      
s]vices to meet ! ne$s ( old] adults :o 
are at risk ( sub/ance use disord]s2    
7#b7 provid+ sub/ance use disord]       
treatm5t & prev5tion s]vices = old]     
adults1 includ+ old] adults ) co-occurr+
 m5tal illness & sub/ance use disord]s2 
7#c7 l9k+ old] adults to res\rces1 ei!r 
9 ! community or )9 long-t]m c>e sett+s 
:]e !y reside1 to support indep5d5t     
lives2 &  7#d7 provid+ integrat$ c>e &  
compreh5sive c>e coord9ation = sub/ance 

use disord]s & o!r heal? conditions4    
7c7 ,priority ,9 aw>d+ grants1          
contracts1 or coop]ative agreem5ts "u   
subsection 7b71 ! ,secret>y %all give   
priority to applicants :o propose to--  
7#a7 apply evid5ce-in=m$ & co/-effective
 me?ods2  7#b7 improve data collection  
on ! scope ( sub/ance use among old]    
adults1 ! scope ( availability &        
utilization ( treatm5t & prev5tion      
s]vices1 & ! scope ( integrat$ c>e2     
7#c7 coord9ate & collect data on !      
provision ( s]vices ) o!r social s]vice 
ag5cies 9 ! community1 includ+          
congregate c>e1 sub/ance use1 & m5tal   
heal? ag5cies2  7#d7 provide a cont9uum 
( integrat$ treatm5t s]vices1 includ+   
case managem5t & prim>y c>e s]vices1 =  
old] adults ) sub/ance use disord]s1    
includ+ old] adults ) co-occurr+ m5tal  
illness & sub/ance use disord]s1 & _!   
families & c>egiv]s2  7#e7 provide      
treatm5t t is p]son-c5t]$1 culturally   
appropriate1 & age-s5sitive2  7#f7      
involve & "w ) pe]s & families &        

c>egiv]s ( old] adults receiv+ s]vices2 
&  7#g7 provide cont9u+ c>e s]vices =   
old] adults & _! families foll[+ !      
completion ( a treatm5t episode4  7d7   
,duration ( grants ,! ,secret>y %all    
aw>d grants1 contracts1 or coop]ative   
agreem5ts "u subsection 7b7 = p]iods n  
to exce$ #e fiscal ye>s4  7e7           
,application ,an entity desir+ a grant1 
contract1 or coop]ative agreem5t "u     
subsection 7b7 %all submit an           
application to ! ,secret>y at su* "t1 9 
su* mann]1 & accompani$ by su* in=mation
 z ! ,secret>y may reasonably require4  
7f7 ,evaluation ,an entity t receives a 
grant1 contract1 or coop]ative agreem5t 
"u subsection 7b7 %all submit1 9 !      
application = su* grant1 contract1 or   
coop]ative agreem5t1 a plan = !         
evaluation ( any project und]tak5 )     
funds provid$ "u ?is section4 ,su*      
entity %all provide ! ,secret>y )       
p]iodic evaluations ( ! progress ( su*  
project & su* evaluation at ! completion
 ( su* project z ! ,secret>y det]m9es to

 be appropriate4  7g7 ,au?orization (   
appropriations ,!re are au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#be1jjj1jjj = ea* ( fiscal ye>s #bjbe   
?r\gh #bjbi4  4  #c4 ,evid5ce-bas$ drugs
 & alcohol treatm5t & int]v5tions       
demon/ration ,subp>t #a ( "p ,b ( title 
,v ( ! ,public ,heal? ,s]vice ,act 7#db 
,u4,s4,c4 #bij;bb et seq47 7z am5d$ by  
section #b7 is am5d$ by add+ at ! end ! 
foll[+3  #ead;,d4 ,evid5ce-bas$ drugs & 
alcohol treatm5t & int]v5tions          
demon/ration  7a7 ,grants ,to exp&      
access  7#a7 ,au?ority to aw>d grants ,!
 ,secret>y %all aw>d grants1 contracts1 
or coop]ative agreem5ts to ,/ate        
sub/ance use disord] ag5cies1 units (   
local gov]nm5t1 ,unit$ ,/ates           
t]ritories1 & ,indian ,tribes & ,tribal 
organizations 7z def9$ 9 section #d ( ! 
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act7 t h a high rate (1 or h
 _h a rapid increase 91 ! misuse (      
alcohol or prescription or illicit      
drugs1 includ+ opioids1 9 ord] to p]mit 

su* entities to exp& activities1 includ+
 an expansion 9 ! availability (        
evid5ce-bas$ m$ications = sub/ance use  
disord] treatm5t & o!r cl9ically        
appropriate s]vices ) respect to !      
treatm5t ( sub/ance use disord]s 9 !    
specific geographical areas ( su*       
entities :]e !re is a high rate (1 or   
rapid increase 91 ! misuse ( alcohol or 
prescription or illicit drugs1 includ+  
opioids1 or specific geographical areas 
:]e !re is a high rate ( unmet ne$ =    
treatm5t1 su* z 9 rural areas & among   
communities ( color4  7#b7 ,nature (    
activities ,funds aw>d$ "u p>agraph 7#a7
 %all be us$ = activities t are bas$ on 
reliable sci5tific evid5ce ( efficacy 9 
! treatm5t ( sub/ance use disord]s4  7b7
 ,application ,to be eligible = a grant1
 contract1 or coop]ative agreem5t "u    
subsection 7a71 an entity %all submit an
 application to ! ,secret>y at su* "t1 9
 su* mann]1 & accompani$ by su*         
in=mation z ! ,secret>y may reasonably  
require4  7c7 ,evaluation ,an entity t  

receives a grant1 contract1 or          
coop]ative agreem5t "u subsection 7a7   
%all submit1 9 ! application = su*      
grant1 contract1 or agreem5t a plan = ! 
evaluation ( any project und]tak5 )     
funds provid$ "u ?is section4 ,su*      
entity %all provide ! ,secret>y )       
p]iodic evaluations ( ! progress ( su*  
project & an evaluation at ! completion 
( su* project z ! ,secret>y det]m9es to 
be appropriate4  7d7 ,geographic        
di/ribution ,9 aw>d+ grants1 contracts1 
& coop]ative agreem5ts "u ?is section1 !
 ,secret>y %all ensure t n less ?an #ae 
p]c5t ( funds are aw>d$ to eligible     
entities t are n locat$ 9 metropolitan  
/ati/ical areas 7z def9$ by ! ,(fice (  
,managem5t & ,budget74 ,! ,secret>y %all
 take into acc\nt ! unique ne$s ( rural 
communities1 includ+ communities ) an   
incid5ce ( individuals ) sub/ance use   
disord] t is above ! national av]age &  
communities ) a %ortage ( prev5tion &   
treatm5t s]vices4  7e7 ,additional      
activities ,9 adm9i/]+ grants1          

contracts1 & coop]ative agreem5ts "u    
subsection 7a71 ! ,secret>y %all-- 7#a7 
evaluate ! activities support$ "u su*   
subsection2  7#b7 dissem9ate in=mation1 
z appropriate1 d]iv$ f evaluations z !  
,secret>y consid]s appropriate2  7#c7   
provide ,/ates1 ,indian ,tribes &       
,tribal organizations1 & provid]s )     
te*nical assi/ance 9 connection ) !     
provision ( treatm5t ( sub/ance use     
disord]2 &  7#d7 fund only ^?           
applications t specifically support     
recov]y s]vices z a critical compon5t ( 
! program involv$4  7f7 ,au?orization ( 
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$     
#be1jjj1jjj = ea* ( fiscal ye>s #bjbe   
?r\gh #bjbi4  4