[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5327 Introduced in House (IH)]

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115th CONGRESS
  2d Session
                                H. R. 5327

To amend title V of the Public Health Service Act to establish a grant 
program to create comprehensive opioid recovery centers, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 19, 2018

Mr. Guthrie (for himself, Mr. Gene Green of Texas, Mr. Bucshon, and Mr. 
 Ben Ray Lujan of New Mexico) introduced the following bill; which was 
            referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend title V of the Public Health Service Act to establish a grant 
program to create comprehensive opioid recovery centers, and for other 
                               purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Comprehensive Opioid Recovery 
Centers Act of 2018''.

SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS.

    (a) In General.--Part D of title V of the Public Health Service Act 
is amended by adding at the end the following new section:

``SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS.

    ``(a) In General.--The Secretary, acting through the Assistant 
Secretary for Mental Health and Substance Use, shall award grants on a 
competitive basis to eligible entities to establish or operate a 
comprehensive opioid recovery center (referred to in this section as a 
`Center').
    ``(b) Grant Period.--
            ``(1) In general.--A grant awarded under subsection (a) 
        shall be for a period not less than three years and not more 
        than five years.
            ``(2) Renewal.--A grant awarded under subsection (a) may be 
        renewed, on a competitive basis, for additional periods of 
        time, as determined by the Secretary. In determining whether to 
        renew a grant under this paragraph, the Secretary shall 
        consider the data submitted under subsection (h).
    ``(c) Minimum Number of Centers.--The Secretary shall allocate the 
amounts made available under subsection (i) in such amounts that not 
fewer than 10 Centers will be established across the United States.
    ``(d) Application.--In order to be eligible for a grant under 
subsection (a), an entity shall submit an application to the Secretary 
at such time and in such manner as the Secretary may require. Such 
application shall include--
            ``(1) evidence that such entity carries out, or is capable 
        of coordinating with other entities to carry out, the 
        activities described in subsection (g); and
            ``(2) such other information as the Secretary may require.
    ``(e) Priority.--In awarding grants under subsection (a), the 
Secretary shall give priority to eligible entities located in a State 
or Indian country (as defined in section 1151 of title 18, United 
States Code)--
            ``(1) with a high per capita drug overdose mortality rate, 
        as determined by the Director of the Centers for Disease 
        Control and Prevention; or
            ``(2) based on any other criteria or need, as determined by 
        the Secretary.
    ``(f) Use of Grant Funds.--An eligible entity awarded a grant under 
subsection (a) shall use the grant funds to establish or operate a 
Center to carry out the activities described in subsection (g).
    ``(g) Center Activities.--Each Center shall, at a minimum, carry 
out the activities described in this subsection. In the case of a 
Center that determines that a service described in paragraph (2) cannot 
reasonably be carried out by the Center, such Center shall contract 
with such other entities as may be necessary to ensure that patients 
have access to the full range of services described in such paragraph.
            ``(1) Community engagement.--Each Center shall carry out 
        the following outreach activities:
                    ``(A) Train and supervise outreach staff to work 
                with schools, workplaces, faith-based organizations, 
                State and local health departments, law enforcement, 
                and first responders to ensure that such institutions 
                are aware of the services of the Center.
                    ``(B) Disseminate and make available online 
                evidence-based resources that educate professionals and 
                the public on opioid use disorder and other substance 
                use disorders.
            ``(2) Treatment and recovery services.--Each Center shall 
        provide the following treatment and recovery services:
                    ``(A) Ensure that intake evaluations meet the 
                clinical needs of patients.
                    ``(B) Periodically conduct patient assessments to 
                ensure continued and meaningful recovery, as defined by 
                the Assistant Secretary for Mental Health and Substance 
                Use.
                    ``(C) Provide the full continuum of treatment 
                services, including--
                            ``(i) all drugs approved by the Food and 
                        Drug Administration to treat substance use 
                        disorders, including opioid use disorder and 
                        alcohol use disorder;
                            ``(ii) withdrawal management, which shall 
                        include medically supervised detoxification 
                        that includes patient evaluation, 
                        stabilization, and readiness for and entry into 
                        treatment;
                            ``(iii) counseling and case management;
                            ``(iv) residential rehabilitation;
                            ``(v) recovery housing;
                            ``(vi) community-based and peer recovery 
                        support services;
                            ``(vii) job training and placement 
                        assistance to support reintegration into the 
                        workforce; and
                            ``(viii) other best practices, as 
                        determined by the Secretary.
                    ``(D) Administer an onsite pharmacy and provide 
                toxicology services.
                    ``(E) Establish and operate a secure and 
                confidential electronic health information system.
    ``(h) Data Reporting and Program Oversight.--With respect to a 
grant awarded under subsection (a) to an eligible entity for a Center, 
not later than 90 days after the end of the first year of the grant 
period, and annually thereafter for the duration of the grant period 
(including the duration of any renewal period for such grant), the 
entity shall submit data, as appropriate, to the Secretary regarding--
            ``(1) the programs and activities funded by the grant;
            ``(2) health outcomes of individuals with a substance use 
        disorder who received services from the Center;
            ``(3) the effectiveness of interventions designed, tested, 
        and evaluated by the Center; and
            ``(4) any other information that the Secretary may require 
        for the purpose of--
                    ``(A) evaluating the effectiveness of the Center; 
                and
                    ``(B) ensuring that the Center is complying with 
                all the requirements of the grant, including providing 
                the full continuum of services described in subsection 
                (g)(2)(C) and providing drugs and devices for overdose 
                reversal under such subsection.
    ``(i) Authorization of Appropriations.--There is authorized to be 
appropriated $10,000,000 for each of fiscal years 2019 through 2023 for 
purposes of carrying out this section.''.
    (b) Reports to Congress.--
            (1) Preliminary report.--Not later than three years after 
        the date of the enactment of this Act, the Secretary of Health 
        and Human Services shall submit to Congress a preliminary 
        report that analyzes data submitted under section 550(h) of the 
        Public Health Service Act, as added by subsection (a).
            (2) Final report.--Not later than one year after submitting 
        the preliminary report required under paragraph (1), the 
        Secretary of Health and Human Services shall submit to Congress 
        a final report that includes--
                    (A) an evaluation of the effectiveness of 
                comprehensive opioid recovery centers established or 
                operated pursuant to section 550 of the Public Health 
                Service Act, as added by subsection (a);
                    (B) recommendations on whether the grant program 
                established under such section 550 should be 
                reauthorized and expanded; and
                    (C) standards and best practices for the treatment 
                of substance use disorders.
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