,,ii  #aah? ,,congress  #b;d ,session   
,s4 #dhjg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #be1 #bjbd,mr4   
,m>key introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to am5d ! ,work=ce          
,innovation & ,opportunity ,act to      
address ! economic & work=ce impacts (  
sub/ance use disord]4  #a4 ,%ort title  
,?is ,act may be cit$ z ! ,work=ce      
,opportunities = ,communities 9 ,recov]y
 ,act4  #b4 ,grants = address+ !        
economic & work=ce impacts ( sub/ance   
use disord] ,section #agj ( ! ,work=ce  
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cbbe7 is am5d$ by add+ at !  
end ! foll[+3  7e7 ,grants = address+ ! 
economic & work=ce impacts ( ! sub/ance 
use crisis  7#a7 ,def9itions ,9 ?is     
subsection3 7,a7 ,education provid] ,!  
t]m education provid] means-- 7i7 an    
in/itution ( high] education1 z def9$ 9 
section #aja ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajja72 or  7ii7 

a po/second>y vocational in/itution1 z  
def9$ 9 section #ajb7;c7 ( su* ,act 7#bj
 ,u4,s4,c4 #ajjb7;c774  7,b7 ,eligible  
entity ,! t]m eligible entity means a   
,/ate bo>d or local bo>d4  7,c7         
,p>ticipat+ p>tn]%ip ,! t]m p>ticipat+  
p>tn]%ip means a p>tn]%ip evid5c$ by a  
writt5 contract or agreem5t betwe5-- 7i7
 an eligible entity2 &  7ii7 "o or m ( !
 foll[+3 7,i7 ,a treatm5t provid]4      
7,,ii7 ,an employ] or indu/ry           
organization4  7,,iii7 ,an education    
provid]4  7,,iv7 ,a legal s]vices or law
 en=cem5t organization4  7,v7 ,a        
community-bas$ organization4  7,,vi7 ,a 
,/ate or local ag5cy1 includ+ a c\nty or
 local gov]nm5t4  7,,vii7 ,an ,indian   
,tribe or tribal organization1 z su*    
t]ms are def9$ 9 section #aff7;b74      
7,,viii7 ,ano!r organization1 z det]m9$ 
appropriate by ! eligible entity4  7,d7 
,program p>ticipant ,! t]m program      
p>ticipant means an individual :o-- 7i7 
is a memb] ( a population ( work]s      
describ$ 9 p>agraph 7#d77;,b7 t is s]v$ 

by a p>ticipat+ p>tn]%ip ?r\gh ! pilot  
program "u ?is subsection2 &  7ii7      
enrolls ) ! applicable p>ticipat+       
p>tn]%ip to receive any ( ! s]vices     
describ$ 9 p>agraph 7#d77;,c74  7,e7    
,provid] ( pe] recov]y support s]vices  
,! t]m provid] ( pe] recov]y support    
s]vices means a provid] t deliv]s pe]   
recov]y support s]vices ?r\gh a recov]y 
community organization 7z def9$ 9       
section #edg7;a7 ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4             
#bij;ee-#b7;a774  7,f7 ,s]vice area ,!  
t]m s]vice area means a c\nty1          
community1 region1 or local area1 t has 
be5 significantly impact$ by widespread 
occurr5ce ( a sub/ance use disord] & w  
be s]v$ ?r\gh a grant "u ?is subsection4
  7,g7 ,sub/ance use disord] ,! t]m     
sub/ance use disord] has ! mean+ giv5   
su* t]m by ! ,assi/ant ,secret>y =      
,m5tal ,heal? & ,sub/ance ,use4  7,h7   
,treatm5t provid] ,! t]m treatm5t       
provid]-- 7i7 means a heal? c>e provid] 
t-- 7,i7 (f]s s]vices = treat+ sub/ance 

use disord]s & is lic5s$ 9 accordance ) 
applicable ,/ate law to provide su*     
s]vices2 &  7,,ii7 accepts heal?        
insurance = su* s]vices1 includ+ cov]age
 "u a ,/ate plan 7or a waiv] ( su* plan7
 "u title ,,xix ( ! ,social ,security   
,act 7#db ,u4,s4,c4 #acif et seq472 &   
7ii7 may include-- 7,i7 a nonpr(it      
provid] ( pe] recov]y support s]vices2  
7,,ii7 a community heal? c>e provid]2   
7,,iii7 a ,f$]ally qualifi$ heal? c5t]  
7z def9$ 9 section #ahfa7;aa77#d7 ( !   
,social ,security ,act 7#db ,u4,s4,c4   
#aciex7aa77#d7772  7,,iv7 an ,indian    
heal? program 7z def9$ 9 section #d ( ! 
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afjc771 includ+ an      
,indian heal? program t s]ves an ,urban 
c5t] 7z def9$ 9 su* section72 &  7,v7 a 
,native ,hawaiian heal? c5t] 7z def9$ 9 
section #ab ( ! ,native ,hawaiian ,heal?
 ,c>e ,improvem5t ,act 7#db ,u4,s4,c4   
#aagaa774  7#b7 ,grants au?oriz$  7,a7  
,9 g5]al ,! ,secret>y %all c>ry out a   
pilot program to make grants1 on a      

competitive basis1 to eligible entities 
7on behalf ( p>ticipat+ p>tn]%ips7 to   
address economic & work=ce impacts      
associat$ ) widespread occurr5ce ( a    
sub/ance use disord]4  7,b7 ,grant      
duration ,a grant made "u ?is subsection
 %all be = a #b-ye> p]iod4  7,c7        
,equitable di/ribution ,9 mak+ grants "u
 ?is subsection1 ! ,secret>y %all       
ensure1 to ! ext5t practicable1 !       
equitable di/ribution ( grant aw>ds1    
bas$ on-- 7i7 geography 7su* z urban &  
rural di/ribution72 &  7ii7 ! relative  
degree ( ! negative impact due to       
sub/ance use disord] demon/rat$ "u      
p>agraph 7#c77;,b77i77,i7 = a s]vice    
area z comp>$ su* negative impact = o!r 
s]vice areas1 z det]m9$ by ! ,secret>y4 
7,d7 ,adm9i/rative co/s ,! ,secret>y may
 use n m ?an #e p]c5t ( ! funds made    
available "u section #agb7;e7 = !       
adm9i/rative co/s ( c>ry+ out ! pilot   
program4  7#c7 ,grant applications  7,a7
 ,9 g5]al ,an eligible entity apply+ = a
 grant "u ?is subsection %all submit an 

application to ! ,secret>y at su* "t & 9
 su* =m & mann] z ! ,secret>y may       
reasonably require1 includ+-- 7i7 !     
in=mation describ$ 9 ?is p>agraph2 &    
7ii7 an assurance t su* eligible entity 
w pay at lea/ a portion ( ! co/s ( !    
indep5d5t evaluation requir$ "u p>agraph
 7#e77;,b74  7,b7 ,cont5t ,an eligible  
entity %all include 9 ! application--   
7i7 in=mation t demon/rates negative    
economic & work=ce impacts associat$ )  
widespread occurr5ce ( a sub/ance use   
disord] 9 ! s]vice area1 includ+        
in=mation t demon/rates t su* widespread
 occurr5ce has caus$1 or is co9cid5t    
to-- 7,i7 an economic d[nturn 9 ! s]vice
 area2  7,,ii7 p]si/5t economically     
depress$ conditions 9 su* s]vice area2  
or  7,,iii7 a high unemploym5t rate or  
l[ labor =ce p>ticipation rate 9 !      
s]vice area comp>$ to ! ,/ate 9 :i* !   
s]vice area is locat$2  7ii7 9 ! case ( 
an eligible entity propos+ to s]ve a    
population describ$ 9 p>agraph          
7#d77;,b77ii71 a demon/ration ( a       

work=ce %ortage 9 occupations t support 
individuals ) a sub/ance use disord]1   
includ+ in=mation demon/rat+ su*        
%ortage1 su* z-- 7,i7 ! di/ance betwe5--
 7aa7 communities affect$ by sub/ance   
use disord] 9 ! s]vice area2 &  7bb7    
facilities or individuals (f]+ s]vices =
 treat+ sub/ance use disord]s2 or       
7,,ii7 ! maximum capacity ( facilities (
 treatm5t provid]s1 or occupations1 to  
s]ve individuals 9 ! s]vice area2  7iii7
 an analysis ( ! e/imat$ p]=mance ( !   
eligible entity 7?r\gh ! p>ticipat+     
p>tn]%ip7 9 c>ry+ out ! propos$ s]vices 
& activities "u ! grant1 bas$ on-- 7,i7 
! levels ( p]=mance = o!r s]vices &     
activities c>ri$ out by ! eligible      
entity on ! prim>y indicators ( p]=mance
 "u section #aaf7;b77#b77;,a77i72       
7,,ii7 ! e/imat$ numb] ( individuals ) a
 sub/ance use disord] :o may be s]v$ by 
! propos$ s]vices & activities2  7,,iii7
 ! record ( ! eligible entity 9 s]v+    
individuals ) a b>ri] to employm5t2 &   
7,,iv7 ! ability ( ! eligible entity to 

e/abli% a p>ticipat+ p>tn]%ip2 &  7iv7 a
 description ( any entity describ$ 9    
p>agraph 7#a77;,c77ii7 ) :om ! eligible 
entity w p>tn]4  7,c7 ,in=mation ,9     
provid+ ! in=mation requir$ "u          
subp>agraph 7,b71 ! eligible entity may 
use in=mation includ+ data on-- 7i7 !   
incid5ce or preval5ce ( sub/ance use    
disord]2  7ii7 ! age-adju/$ rate ( drug 
ov]dose dea?s1 z det]m9$ by ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion2  7iii7 ! rate ( nonfatal    
hospitalizations relat$ to sub/ance use 
disord]2  7iv7 docum5tation ( any lay(f 
or ann\nc$ future lay(f1 a notification 
provid$ 9 accordance ) section #c7;a7 ( 
! ,work] ,adju/m5t & ,retra9+           
,notification ,act 7#bi ,u4,s4,c4       
#bajb7;a771 or docum5tation ( legacy    
indu/ry decl9e1 decrease 9 an employm5t 
or labor m>ket p>ticipation rate1 or    
economic impact1 :e!r or n ! result     
describ$ 9 ?is clause is relat$ to1     
caus$ by1 or contribut+ to widespread   
occurr5ce ( a sub/ance use disord]2  7v7

 docum5tation %[+ decreas$ economic     
activity relat$ to1 caus$ by1 or        
contribut+ to widespread occurr5ce ( a  
sub/ance use disord]1 includ+ a         
description ( h[ ! s]vice area has be5  
impact$1 or w be impact$1 by su* a      
decrease2  7vi7 in=mation on rapid      
response activities t h be5 or w be     
conduct$1 includ+ demographic data ga!r$
 by employ] or work] surveys or ?r\gh   
o!r me?ods2 or  7vii7 o!r relevant data1
 z det]m9$ appropriate by ! ,secret>y4  
7#d7 ,s]vices & activities  7,a7 ,9     
g5]al ,ea* eligible entity t receives a 
grant "u ?is subsection %all c>ry out ! 
s]vices & activities describ$ 9 ?is     
p>agraph ?r\gh ! p>ticipat+ p>tn]%ip to 
! population propos$ 9 ! application4   
7,b7 ,selection ( population to be s]v$ 
,a p>ticipat+ p>tn]%ip %all provide     
s]vices & activities "u ! grant to "o or
 bo? ( ! foll[+ populations ( work]s3   
7i7 ,work]s1 includ+ dislocat$ work]s1  
individuals ) b>ri]s to employm5t1 new  
entrants 9 ! work=ce1 or incumb5t work]s

 7employ$ or und]employ$71 ea* ( :om is 
directly or indirectly affect$ by       
widespread occurr5ce ( a sub/ance use   
disord]4  7ii7 ,work]s1 includ+         
dislocat$ work]s1 individuals ) b>ri]s  
to employm5t1 new entrants 9 ! work=ce1 
or incumb5t work]s 7employ$ or          
und]employ$71 :o-- 7,i7 seek to         
transition to occupations t support     
individuals /ruggl+ ) a sub/ance use    
disord] or :o are at risk = develop+ su*
 disord]1 su* z pr(essions t provide--  
7aa7 sub/ance use disord] treatm5t &    
relat$ s]vices2  7bb7 s]vices (f]$ ?r\gh
 provid]s ( pe] recov]y support s]vices2
  7cc7 nonaddictive pa9 !rapy & pa9     
managem5t s]vices2  7dd7 em]g5cy        
response s]vices2 or  7ee7 m5tal heal?  
c>e2 &  7,,ii7 ne$ new or upgrad$ skills
 to bett] s]ve su* a population (       
/ruggl+ or at-risk individuals4  7,c7   
,use ( funds ,ea* p>ticipat+ p>tn]%ip   
%all use funds available ?r\gh a grant  
"u ?is subsection to c>ry out activities
 describ$ 9 #a or m ( ! foll[+ clauses3 

7i7 ,engag+ employ]s ,engag+ ) employ]s 
to-- 7,i7 le>n ab\t ! skill & hir+      
requirem5ts ( employ]s2  7,,ii7 le>n    
ab\t ! support ne$$ by employ]s to hire 
& reta9 program p>ticipants1 & o!r      
individuals ) a sub/ance use disord]1 & 
! support ne$$ by su* employ]s to obta9 
_! commitm5t to te/+ creative solutions 
to employ+ program p>ticipants & su*    
individuals2  7,,iii7 connect employ]s &
 work]s to on-!-job tra9+1 incumb5t     
work] tra9+1 or cu/omiz$ tra9+ programs 
be=e or aft] lay(f to help facilitate   
reemploym5t2  7,,iv7 connect employ]s ) 
an education or tra9+ provid] to develop
 classroom in/ruction to complem5t      
on-!-job le>n+ = program p>ticipants &  
su* individuals2  7,v7 help employ]s    
develop ! curriculum design ( an        
on-!-job tra9+1 incumb5t work] tra9+1 or
 cu/omiz$ tra9+ program = program       
p>ticipants & su* individuals2  7,,vi7  
help employ]s employ program p>ticipants
 or su* individuals engag+ 9 an on-!-job
 tra9+ or cu/omiz$ tra9+ program = a    

transitional p]iod be=e hir+ su* a      
program p>ticipant or individual =      
full-"t employm5t ( n less ?an #cj h\rs 
a week2 or  7,,vii7 connect employ]s to 
program p>ticipants receiv+ concurr5t   
outpati5t treatm5t & job tra9+ s]vices4 
7ii7 ,supportive s]vices ,provid+       
supportive s]vices1 :i* %all be         
coord9at$ ) provid]s ( c>e] s]vices to  
provide maximum support = program       
p>ticipants to assi/ su* p>ticipants 9  
ma9ta9+ employm5t & recov]y = n less ?an
 #ab mon?s1 z appropriate1 & may include
 additional s]vices su* z-- 7,i7        
assi/ance 9 e/abli%+ eligibility =      
assi/ance "u ,f$]al1 ,/ate1 ,tribal1 &  
local programs provid+ heal? s]vices1   
m5tal heal? s]vices1 vocational s]vices1
 social s]vices1 or s]vices ?r\gh e>ly  
*ildhood education programs 7z def9$ 9  
section #ajc ( ! ,high] ,education ,act 
( #aife 7#bj ,u4,s4,c4 #ajjc772  7,,ii7 
evid5ce-bas$ outpati5t & community-bas$ 
sub/ance use disord] treatm5t s]vices2  
7,,iii7 s]vices (f]$ ?r\gh provid]s (   

pe] recov]y support s]vices2 or  7,,iv7 
network+ & m5tor%ip opportunities4      
7iii7 ,c>e] & job tra9+ s]vices ,(f]+   
c>e] s]vices describ$ 9 section         
#acd7;c77#b7 & tra9+ s]vices describ$ 9 
section #acd7;c77#c71 & relat$ s]vices1 
concurr5tly or sequ5tially ) ! s]vices  
provid$ "u subp>agraphs 7i7 & 7ii7 &1 at
 ! election ( ! p>ticipat+ p>tn]%ip1    
provid+ o!r relat$ s]vices1 :i* may     
include #a or m ( ! foll[+3 7,i7        
,s]vices to promote employability skills
 su* z punctuality1 p]sonal ma9t5ance   
skills1 & pr(essional conduct4  7,,ii7  
,provision ( paym5ts & fees = employm5t 
& tra9+-relat$ applications1 te/s1 &    
c]tifications4  7,,iii7 ,m5tor%ip       
s]vices & job ret5tion support = program
 p>ticipants4  7,,iv7 ,s]vices to assi/ 
program p>ticipants 9 ma9ta9+ employm5t 
= n less ?an #ab mon?s1 z appropriate4  
7iv7 ,prov5 & promis+ practices ,lead+  
ef=ts 9 ! s]vice area to id5tify &      
promote prov5 & promis+ /rategies &     
initiatives = meet+ ! ne$s ( employ]s & 

program p>ticipants4  7,d7 ,limitations 
,a p>ticipat+ p>tn]%ip may n use-- 7i7 m
 ?an #aj p]c5t ( ! funds receiv$ "u a   
grant "u ?is subsection = ! adm9i/rative
 co/s ( ! p>tn]%ip 9 c>ry+ out ?is      
subsection2 &  7ii7 m ?an #aj p]c5t ( ! 
funds receiv$ "u su* grant = ! provision
 ( supportive s]vices describ$ 9        
subp>agraph 7,c77iii7 to program        
p>ticipants4  7#e7 ,p]=mance            
acc\ntability  7,a7 ,reports ,!         
,secret>y %all e/abli% qu>t]ly report+  
requirem5ts = eligible entities :o are  
recipi5ts ( grants "u ?is subsection t1 
to ! ext5t practicable1 are bas$ on !   
p]=mance acc\ntability provisions       
describ$ 9 section #aaf4  7,b7          
,evaluations  7i7 ,au?ority to ent] into
 agreem5ts ,! ,secret>y %all ensure t an
 indep5d5t evaluation is conduct$ on !  
pilot program c>ri$ out "u ?is          
subsection to det]m9e ! impact ( !      
program on ! employm5t ( individuals )  
sub/ance use disord]s4  7ii7            
,me?odologies to be us$ ,! indep5d5t    

evaluation requir$ "u ?is subp>agraph   
%all use exp]im5tal designs us+ r&om    
assignm5t or1 :5 r&om assignm5t is n    
feasible1 o!r reliable1 evid5ce-bas$    
rese>* me?odologies t all[ = ! /ronge/  
possible causal inf]5ces4  4  #c4       
,au?orization ( appropriations ,section 
#agb ( ! ,work=ce ,innovation &         
,opportunity ,act 7#bi ,u4,s4,c4 #cbbg7 
is am5d$-- 7#a7 by r$esignat+           
subsections 7e7 & 7f7 z subsections 7f7 
& 7g71 respectively2 &  7#b7 by ins]t+  
aft] subsection 7d7 ! foll[+3  7e7      
,sub/ance use crisis grants ,!re are    
au?oriz$ to be appropriat$ to c>ry out  
section #agj7;e7-- 7#a7 #be1jjj1jjj =   
fiscal ye> #bjbe2  7#b7 #bg1ejj1jjj =   
fiscal ye> #bjbf2  7#c7 #cj1jjj1jjj =   
fiscal ye> #bjbg2  7#d7 #cb1ejj1jjj =   
fiscal ye> #bjbh2  7#e7 #ce1jjj1jjj =   
fiscal ye> #bjbi2 &  7#f7 #cg1ejj1jjj = 
fiscal ye> #bjcj4  4  #d4 ,con=m+       
am5dm5ts ,section #agj ( ! ,work=ce     
,innovation & ,opportunity ,act 7#bi    
,u4,s4,c4 #cbbe7 is am5d$-- 7#a7 9      

subsection 7b77#a77;,c71 by /rik+ ?is   
section & ins]t+ ?is p>agraph2 &  7#b7 9
 subsection 7d77#d71 by /rik+ ?is       
section & ins]t+ subsection             
7b77#a77;,b74