,,ii #aahth ,,congress #b;d ,session ,s4 #dhjg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,july #be1 #bjbd,mr4 ,markey introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,workforce ,innovation and ,opportunity ,act to address the economic and workforce impacts of substance use disorder4 #a4 ,short title ,this ,act may be cited as the ,workforce ,opportunities for ,communities in ,recovery ,act4 #b4 ,grants for addressing the economic and workforce impacts of substance use disorder ,section #agj of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cbbe7 is amended by adding at the end the following3 7e7 ,grants for addressing the economic and workforce impacts of the substance use crisis 7#a7 ,definitions ,in this subsection3 7,a7 ,education provider ,the term education provider means-- 7i7 an institution of higher education1 as defined in section #aja of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajja72 or 7ii7 a postsecondary vocational institution1 as defined in section #ajb7;c7 of such ,act 7#bj ,u4,s4,c4 #ajjb7;c774 7,b7 ,eligible entity ,the term eligible entity means a ,state board or local board4 7,c7 ,participating partnership ,the term participating partnership means a partnership evidenced by a written contract or agreement between-- 7i7 an eligible entity2 and 7ii7 one or more of the following3 7,i7 ,a treatment provider4 7,,ii7 ,an employer or industry organization4 7,,iii7 ,an education provider4 7,,iv7 ,a legal services or law enforcement organization4 7,v7 ,a community-based organization4 7,,vi7 ,a ,state or local agency1 including a county or local government4 7,,vii7 ,an ,indian ,tribe or tribal organization1 as such terms are defined in section #aff7;b74 7,,viii7 ,another organization1 as determined appropriate by the eligible entity4 7,d7 ,program participant ,the term program participant means an individual who-- 7i7 is a member of a population of workers described in paragraph 7#d77;,b7 that is served by a participating partnership through the pilot program under this subsection2 and 7ii7 enrolls with the applicable participating partnership to receive any of the services described in paragraph 7#d77;,c74 7,e7 ,provider of peer recovery support services ,the term provider of peer recovery support services means a provider that delivers peer recovery support services through a recovery community organization 7as defined in section #edg7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bij;ee-#b7;a774 7,f7 ,service area ,the term service area means a county1 community1 region1 or local area1 that has been significantly impacted by widespread occurrence of a substance use disorder and will be served through a grant under this subsection4 7,g7 ,substance use disorder ,the term substance use disorder has the meaning given such term by the ,assistant ,secretary for ,mental ,health and ,substance ,use4 7,h7 ,treatment provider ,the term treatment provider-- 7i7 means a health care provider that-- 7,i7 offers services for treating substance use disorders and is licensed in accordance with applicable ,state law to provide such services2 and 7,,ii7 accepts health insurance for such services1 including coverage under a ,state plan 7or a waiver of such plan7 under title ,,xix of the ,social ,security ,act 7#db ,u4,s4,c4 #acif et seq472 and 7ii7 may include-- 7,i7 a nonprofit provider of peer recovery support services2 7,,ii7 a community health care provider2 7,,iii7 a ,federally qualified health center 7as defined in section #ahfa7;aa77#d7 of the ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa77#d7772 7,,iv7 an ,indian health program 7as defined in section #d of the ,indian ,health ,care ,improvement ,act 7#be ,u4,s4,c4 #afjc771 including an ,indian health program that serves an ,urban center 7as defined in such section72 and 7,v7 a ,native ,hawaiian health center 7as defined in section #ab of the ,native ,hawaiian ,health ,care ,improvement ,act 7#db ,u4,s4,c4 #aagaa774 7#b7 ,grants authorized 7,a7 ,in general ,the ,secretary shall carry out a pilot program to make grants1 on a competitive basis1 to eligible entities 7on behalf of participating partnerships7 to address economic and workforce impacts associated with widespread occurrence of a substance use disorder4 7,b7 ,grant duration ,a grant made under this subsection shall be for a #b-year period4 7,c7 ,equitable distribution ,in making grants under this subsection1 the ,secretary shall ensure1 to the extent practicable1 the equitable distribution of grant awards1 based on-- 7i7 geography 7such as urban and rural distribution72 and 7ii7 the relative degree of the negative impact due to substance use disorder demonstrated under paragraph 7#c77;,b77i77,i7 for a service area as compared such negative impact for other service areas1 as determined by the ,secretary4 7,d7 ,administrative costs ,the ,secretary may use not more than #e percent of the funds made available under section #agb7;e7 for the administrative costs of carrying out the pilot program4 7#c7 ,grant applications 7,a7 ,in general ,an eligible entity applying for a grant under this subsection shall submit an application to the ,secretary at such time and in such form and manner as the ,secretary may reasonably require1 including-- 7i7 the information described in this paragraph2 and 7ii7 an assurance that such eligible entity will pay at least a portion of the costs of the independent evaluation required under paragraph 7#e77;,b74 7,b7 ,content ,an eligible entity shall include in the application-- 7i7 information that demonstrates negative economic and workforce impacts associated with widespread occurrence of a substance use disorder in the service area1 including information that demonstrates that such widespread occurrence has caused1 or is coincident to-- 7,i7 an economic downturn in the service area2 7,,ii7 persistent economically depressed conditions in such service area2 or 7,,iii7 a high unemployment rate or low labor force participation rate in the service area compared to the ,state in which the service area is located2 7ii7 in the case of an eligible entity proposing to serve a population described in paragraph 7#d77;,b77ii71 a demonstration of a workforce shortage in occupations that support individuals with a substance use disorder1 including information demonstrating such shortage1 such as-- 7,i7 the distance between-- 7aa7 communities affected by substance use disorder in the service area2 and 7bb7 facilities or individuals offering services for treating substance use disorders2 or 7,,ii7 the maximum capacity of facilities of treatment providers1 or occupations1 to serve individuals in the service area2 7iii7 an analysis of the estimated performance of the eligible entity 7through the participating partnership7 in carrying out the proposed services and activities under the grant1 based on-- 7,i7 the levels of performance for other services and activities carried out by the eligible entity on the primary indicators of performance under section #aaf7;b77#b77;,a77i72 7,,ii7 the estimated number of individuals with a substance use disorder who may be served by the proposed services and activities2 7,,iii7 the record of the eligible entity in serving individuals with a barrier to employment2 and 7,,iv7 the ability of the eligible entity to establish a participating partnership2 and 7iv7 a description of any entity described in paragraph 7#a77;,c77ii7 with whom the eligible entity will partner4 7,c7 ,information ,in providing the information required under subparagraph 7,b71 the eligible entity may use information including data on-- 7i7 the incidence or prevalence of substance use disorder2 7ii7 the age-adjusted rate of drug overdose deaths1 as determined by the ,director of the ,centers for ,disease ,control and ,prevention2 7iii7 the rate of nonfatal hospitalizations related to substance use disorder2 7iv7 documentation of any layoff or announced future layoff1 a notification provided in accordance with section #c7;a7 of the ,worker ,adjustment and ,retraining ,notification ,act 7#bi ,u4,s4,c4 #bajb7;a771 or documentation of legacy industry decline1 decrease in an employment or labor market participation rate1 or economic impact1 whether or not the result described in this clause is related to1 caused by1 or contributing to widespread occurrence of a substance use disorder2 7v7 documentation showing decreased economic activity related to1 caused by1 or contributing to widespread occurrence of a substance use disorder1 including a description of how the service area has been impacted1 or will be impacted1 by such a decrease2 7vi7 information on rapid response activities that have been or will be conducted1 including demographic data gathered by employer or worker surveys or through other methods2 or 7vii7 other relevant data1 as determined appropriate by the ,secretary4 7#d7 ,services and activities 7,a7 ,in general ,each eligible entity that receives a grant under this subsection shall carry out the services and activities described in this paragraph through the participating partnership to the population proposed in the application4 7,b7 ,selection of population to be served ,a participating partnership shall provide services and activities under the grant to one or both of the following populations of workers3 7i7 ,workers1 including dislocated workers1 individuals with barriers to employment1 new entrants in the workforce1 or incumbent workers 7employed or underemployed71 each of whom is directly or indirectly affected by widespread occurrence of a substance use disorder4 7ii7 ,workers1 including dislocated workers1 individuals with barriers to employment1 new entrants in the workforce1 or incumbent workers 7employed or underemployed71 who-- 7,i7 seek to transition to occupations that support individuals struggling with a substance use disorder or who are at risk for developing such disorder1 such as professions that provide-- 7aa7 substance use disorder treatment and related services2 7bb7 services offered through providers of peer recovery support services2 7cc7 nonaddictive pain therapy and pain management services2 7dd7 emergency response services2 or 7ee7 mental health care2 and 7,,ii7 need new or upgraded skills to better serve such a population of struggling or at-risk individuals4 7,c7 ,use of funds ,each participating partnership shall use funds available through a grant under this subsection to carry out activities described in #a or more of the following clauses3 7i7 ,engaging employers ,engaging with employers to-- 7,i7 learn about the skill and hiring requirements of employers2 7,,ii7 learn about the support needed by employers to hire and retain program participants1 and other individuals with a substance use disorder1 and the support needed by such employers to obtain their commitment to testing creative solutions to employing program participants and such individuals2 7,,iii7 connect employers and workers to on-the-job training1 incumbent worker training1 or customized training programs before or after layoff to help facilitate reemployment2 7,,iv7 connect employers with an education or training provider to develop classroom instruction to complement on-the-job learning for program participants and such individuals2 7,v7 help employers develop the curriculum design of an on-the-job training1 incumbent worker training1 or customized training program for program participants and such individuals2 7,,vi7 help employers employ program participants or such individuals engaging in an on-the-job training or customized training program for a transitional period before hiring such a program participant or individual for full-time employment of not less than #cj hours a week2 or 7,,vii7 connect employers to program participants receiving concurrent outpatient treatment and job training services4 7ii7 ,supportive services ,providing supportive services1 which shall be coordinated with providers of career services to provide maximum support for program participants to assist such participants in maintaining employment and recovery for not less than #ab months1 as appropriate1 and may include additional services such as-- 7,i7 assistance in establishing eligibility for assistance under ,federal1 ,state1 ,tribal1 and local programs providing health services1 mental health services1 vocational services1 social services1 or services through early childhood education programs 7as defined in section #ajc of the ,higher ,education ,act of #aife 7#bj ,u4,s4,c4 #ajjc772 7,,ii7 evidence-based outpatient and community-based substance use disorder treatment services2 7,,iii7 services offered through providers of peer recovery support services2 or 7,,iv7 networking and mentorship opportunities4 7iii7 ,career and job training services ,offering career services described in section #acd7;c77#b7 and training services described in section #acd7;c77#c71 and related services1 concurrently or sequentially with the services provided under subparagraphs 7i7 and 7ii7 and1 at the election of the participating partnership1 providing other related services1 which may include #a or more of the following3 7,i7 ,services to promote employability skills such as punctuality1 personal maintenance skills1 and professional conduct4 7,,ii7 ,provision of payments and fees for employment and training-related applications1 tests1 and certifications4 7,,iii7 ,mentorship services and job retention support for program participants4 7,,iv7 ,services to assist program participants in maintaining employment for not less than #ab months1 as appropriate4 7iv7 ,proven and promising practices ,leading efforts in the service area to identify and promote proven and promising strategies and initiatives for meeting the needs of employers and program participants4 7,d7 ,limitations ,a participating partnership may not use-- 7i7 more than #aj percent of the funds received under a grant under this subsection for the administrative costs of the partnership in carrying out this subsection2 and 7ii7 more than #aj percent of the funds received under such grant for the provision of supportive services described in subparagraph 7,c77iii7 to program participants4 7#e7 ,performance accountability 7,a7 ,reports ,the ,secretary shall establish quarterly reporting requirements for eligible entities who are recipients of grants under this subsection that1 to the extent practicable1 are based on the performance accountability provisions described in section #aaf4 7,b7 ,evaluations 7i7 ,authority to enter into agreements ,the ,secretary shall ensure that an independent evaluation is conducted on the pilot program carried out under this subsection to determine the impact of the program on the employment of individuals with substance use disorders4 7ii7 ,methodologies to be used ,the independent evaluation required under this subparagraph shall use experimental designs using random assignment or1 when random assignment is not feasible1 other reliable1 evidence-based research methodologies that allow for the strongest possible causal inferences4 4 #c4 ,authorization of appropriations ,section #agb of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cbbg7 is amended-- 7#a7 by redesignating subsections 7e7 and 7f7 as subsections 7f7 and 7g71 respectively2 and 7#b7 by inserting after subsection 7d7 the following3 7e7 ,substance use crisis grants ,there are authorized to be appropriated to carry out section #agj7;e7-- 7#a7 #be1jjj1jjj for fiscal year #bjbe2 7#b7 #bg1ejj1jjj for fiscal year #bjbf2 7#c7 #cj1jjj1jjj for fiscal year #bjbg2 7#d7 #cb1ejj1jjj for fiscal year #bjbh2 7#e7 #ce1jjj1jjj for fiscal year #bjbi2 and 7#f7 #cg1ejj1jjj for fiscal year #bjcj4 4 #d4 ,conforming amendments ,section #agj of the ,workforce ,innovation and ,opportunity ,act 7#bi ,u4,s4,c4 #cbbe7 is amended-- 7#a7 in subsection 7b77#a77;,c71 by striking this section and inserting this paragraph2 and 7#b7 in subsection 7d77#d71 by striking this section and inserting subsection 7b77#a77;,b74