[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 2789 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 475
115th CONGRESS
  2d Session
                                S. 2789

  To prevent substance abuse and reduce demand for illicit narcotics.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                             April 26, 2018

Mr. Cornyn (for himself, Mrs. Feinstein, Ms. Klobuchar, Mr. Tillis, Mr. 
  Blumenthal, Mr. Grassley, and Mr. Durbin) introduced the following 
    bill; which was read twice and referred to the Committee on the 
                               Judiciary

                             June 19, 2018

              Reported by Mr. Grassley, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
  To prevent substance abuse and reduce demand for illicit narcotics.

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

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Substance Abuse Prevention 
Act of 2018''.</DELETED>

<DELETED>SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL DRUG CONTROL 
              POLICY.</DELETED>

<DELETED>    (a) Office of National Drug Control Policy Reauthorization 
Act of 1998.--</DELETED>
        <DELETED>    (1) In general.--The Office of National Drug 
        Control Policy Reauthorization Act of 1998 (21 U.S.C. 1701 et 
        seq.), as in effect on September 29, 2003, and as amended by 
        the laws described in paragraph (2), is revived and 
        restored.</DELETED>
        <DELETED>    (2) Laws described.--The laws described in this 
        paragraph are:</DELETED>
                <DELETED>    (A) The Office of National Drug Control 
                Policy Reauthorization Act of 2006 (Public Law 109-469; 
                125 Stat. 3502).</DELETED>
                <DELETED>    (B) The Presidential Appointment 
                Efficiency and Streamlining Act of 2011 (Public Law 
                112-166; 126 Stat. 1283).</DELETED>
<DELETED>    (b) Reauthorization.--Section 715(a) of the Office of 
National Drug Control Policy Reauthorization Act of 1998 (21 U.S.C. 
1712(a)) is amended by striking ``2010'' and inserting 
``2022''.</DELETED>

<DELETED>SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMUNITIES 
              PROGRAM.</DELETED>

<DELETED>    Section 1024 of the National Narcotics Leadership Act of 
1988 (21 U.S.C. 1524(a)) is amended by striking subsections (a) and (b) 
and inserting the following:</DELETED>
<DELETED>    ``(a) In General.--There are authorized to be appropriated 
to the Office of National Drug Control Policy to carry out this chapter 
$99,000,000 for each of fiscal years 2018 through 2022.</DELETED>
<DELETED>    ``(b) Administrative Costs.--Not more than 8 percent of 
the funds appropriated to carry out this chapter may be used by the 
Office of National Drug Control Policy to pay administrative costs 
associated with the responsibilities of the Office under this 
chapter.''.</DELETED>

<DELETED>SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY ANTI-DRUG 
              COALITION INSTITUTE.</DELETED>

<DELETED>    Section 4(c)(4) of Public Law 107-82 (21 U.S.C. 1521 note) 
is amended by striking ``2008 through 2012'' and inserting ``2018 
through 2022''.</DELETED>

<DELETED>SEC. 5. REAUTHORIZATION OF THE HIGH-INTENSITY DRUG TRAFFICKING 
              AREA PROGRAM.</DELETED>

<DELETED>    Section 707(p) of the Office of National Drug Control 
Policy Reauthorization Act of 1998 (21 U.S.C. 1706(p)) is amended--
</DELETED>
        <DELETED>    (1) in paragraph (4), by striking ``and'' at the 
        end;</DELETED>
        <DELETED>    (2) in paragraph (5), by striking the period at 
        the end and inserting ``; and''; and</DELETED>
        <DELETED>    (3) by adding at the end the following:</DELETED>
        <DELETED>    ``(6) $280,000,000 for each of fiscal years 2018 
        through 2022.''.</DELETED>

<DELETED>SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM.</DELETED>

<DELETED>    Section 1001(a)(25)(A) of title I of the Omnibus Crime 
Control and Safe Streets Act of 1968 (34 U.S.C. 10261(a)(25)(A)) is 
amended by striking ``Except as provided'' and all that follows and 
inserting the following: ``Except as provided in subparagraph (C), 
there are authorized to be appropriated to carry out part EE 
$75,000,000 for each of fiscal years 2018 through 2022.''.</DELETED>

<DELETED>SEC. 7. DRUG COURT TRAINING AND TECHNICAL 
              ASSISTANCE.</DELETED>

<DELETED>    Section 1034 of the National Narcotics Leadership Act of 
1988 (21 U.S.C. 1534) is amended by adding at the end the following--
</DELETED>
<DELETED>    ``(c) Drug Court Training and Technical Assistance 
Program.--Using funds appropriated to carry out this chapter, the 
Director may make grants to nonprofit organizations for the purpose of 
providing training and technical assistance to drug 
courts.''.</DELETED>

<DELETED>SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY.</DELETED>

<DELETED>    Section 707 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1706) is amended by adding at 
the end the following:</DELETED>
<DELETED>    ``(r) Drug Overdose Response Strategy Implementation.--The 
Director may use funds appropriated to carry out this section to 
implement a drug overdose response strategy in high intensity drug 
trafficking areas on a nationwide basis by--</DELETED>
        <DELETED>    ``(1) coordinating multi-disciplinary efforts to 
        prevent, reduce, and respond to drug overdoses, including the 
        uniform reporting of fatal and non-fatal overdoses to public 
        health and safety officials;</DELETED>
        <DELETED>    ``(2) increasing data sharing among public safety 
        and public health officials concerning drug-related abuse 
        trends, including new psychoactive substances, and related 
        crime; and</DELETED>
        <DELETED>    ``(3) enabling collaborative deployment of 
        prevention, intervention, and enforcement resources to address 
        substance use addiction and narcotics trafficking.''.</DELETED>

<DELETED>SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM ACCIDENTAL 
              EXPOSURE.</DELETED>

<DELETED>    Section 707 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1706) is amended by adding at 
the end the following:</DELETED>
<DELETED>    ``(s) Supplemental Grants.--The Director is authorized to 
use not more than $10,000,000 of the amounts otherwise appropriated to 
carry out this section to provide supplemental competitive grants to 
high intensity drug trafficking areas that have experienced high 
seizures of fentanyl and new psychoactive substances for the purposes 
of--</DELETED>
        <DELETED>    ``(1) purchasing portable equipment to test for 
        fentanyl and other substances;</DELETED>
        <DELETED>    ``(2) training law enforcement officers and other 
        first responders on best practices for handling fentanyl and 
        other substances; and</DELETED>
        <DELETED>    ``(3) purchasing protective equipment, including 
        overdose reversal drugs.''.</DELETED>

<DELETED>SEC. 10. DEA 360 STRATEGY.</DELETED>

<DELETED>    (a) In General.--For each of fiscal years 2018 through 
2022, the Attorney General, acting through the Director of the Drug 
Enforcement Administration, and in coordination with the Director of 
the Office of National Drug Control Policy and the Secretary of Health 
and Human Services, may implement a DEA 360 Strategy in pilot cities 
across the United States as a response to growing demand for heroin and 
opioids in the United States.</DELETED>
<DELETED>    (b) Program Goals.--The goals of the DEA 360 Strategy 
authorized under subsection (a) shall be--</DELETED>
        <DELETED>    (1) preventing the deadly cycle of drug abuse, 
        including heroin and opioid abuse, by targeting drug 
        trafficking organizations and street gangs responsible for 
        increasing the supply of narcotics in communities;</DELETED>
        <DELETED>    (2) partnering with the healthcare community to 
        raise awareness of the dangers of heroin abuse and prescription 
        opioid abuse; and</DELETED>
        <DELETED>    (3) strengthening community organizations that 
        provide long-term assistance and support for the reduction of 
        drug abuse in the community.</DELETED>
<DELETED>    (c) Program Specifications.--In carrying out the DEA 360 
strategy authorized under subsection (a), the Attorney General shall--
</DELETED>
        <DELETED>    (1) issue an implementation strategy for each 
        pilot city that is tailored to the unique drug abuse problems 
        of the particular city, details specific measures that will be 
        taken to address the problems, identifies key community 
        partners, and sets specific objectives for success;</DELETED>
        <DELETED>    (2) provide dedicated funding for coordinated law 
        enforcement actions against drug trafficking organizations, 
        involving Federal, State, and local law enforcement officials, 
        including the United States Attorney's office for the relevant 
        district;</DELETED>
        <DELETED>    (3) conduct diversion control enforcement actions 
        against registrants with the Drug Enforcement Administration 
        who are unlawfully distributing controlled 
        substances;</DELETED>
        <DELETED>    (4) create partnerships with pharmaceutical drug 
        manufacturers, wholesalers, pharmacies, and medical 
        practitioners to develop strategies that reduce heroin and 
        opioid abuse, including specific efforts to reduce demand for 
        these substances;</DELETED>
        <DELETED>    (5) increase resources for community partnerships 
        with nongovernmental organizations that specialize in drug 
        abuse prevention, awareness, or treatment; and</DELETED>
        <DELETED>    (6) conduct training and educational campaigns on 
        best practices for reducing heroin and opioid abuse for 
        governmental agencies and nongovernmental organizations in 
        pilot cities.</DELETED>
<DELETED>    (d) Reports.--For each fiscal year in which the Attorney 
General carries out the DEA 360 Strategy authorized under subsection 
(a) in a pilot city, the Attorney General shall issue a public report 
that details the results of the program in that particular city, 
including quantitative measures to show whether or not the program 
succeeded in achieving the objectives for success required under 
subsection (c)(1).</DELETED>
<DELETED>    (e) Additional Resources.--The Director of the Office of 
National Drug Control Policy and the Secretary of Health and Human 
Services may use funds otherwise appropriated for purposes consistent 
with this section to assist in the implementation of the DEA 360 
Strategy authorized under subsection (a) in pilot cities.</DELETED>

<DELETED>SEC. 11. COPS ANTI-METH PROGRAM.</DELETED>

<DELETED>    Section 1701 of the title I of the Omnibus Crime Control 
and Safe Streets Act of 1968 (34 U.S.C. 10381) is amended--</DELETED>
        <DELETED>    (1) by redesignating subsection (k) as subsection 
        (l); and</DELETED>
        <DELETED>    (2) by inserting after subsection (j) the 
        following:</DELETED>
<DELETED>    ``(k) COPS Anti-Meth Program.--The Attorney General shall 
use amounts otherwise appropriated to carry out this section to make 
competitive grants, in amounts of not less than $1,000,000 for a fiscal 
year, to State law enforcement agencies with high seizures of precursor 
chemicals, finished methamphetamine, laboratories, and laboratory dump 
seizures for the purpose of locating or investigating illicit 
activities, such as precursor diversion, laboratories, or 
methamphetamine traffickers.''.</DELETED>

<DELETED>SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT EDUCATION 
              AND AWARENESS.</DELETED>

<DELETED>    (a) Amendment to CARA.--Section 102(a) of the 
Comprehensive Addiction and Recovery Act of 2016 (Public Law 114-198; 
130 Stat. 698) is amended by inserting ``including the Office of 
National Drug Control Policy,'' after ``agencies,''.</DELETED>
<DELETED>    (b) Use of Funds.--Subchapter I of chapter 2 of the 
National Narcotics Leadership Act of 1988 (21 U.S.C. 1531 et seq.) is 
amended by adding at the end the following:</DELETED>

<DELETED>``SEC. 1036. COMPREHENSIVE ADDICTION AND RECOVERY ACT 
              EDUCATION AND AWARENESS.</DELETED>

<DELETED>    ``The Director may use funds made available to carry out 
this chapter for the purpose of administering, participating in, or 
expanding awareness campaigns and prevention efforts authorized under 
section 102 of the Comprehensive Addiction and Recovery Act of 2016 
(Public Law 114-198; 130 Stat. 698).''.</DELETED>

<DELETED>SEC. 13. PROTECTING CHILDREN WITH ADDICTED PARENTS.</DELETED>

<DELETED>    Part D of title V of the Public Health Service Act (42 
U.S.C. 290dd et seq.) is amended by adding at the end the 
following:</DELETED>

<DELETED>``SEC. 550. PROTECTING CHILDREN WITH ADDICTED 
              PARENTS.</DELETED>

<DELETED>    ``(a) Best Practices.--The Secretary, acting through the 
Assistant Secretary for Mental Health and Substance Use and in 
cooperation with the Commissioner of the Administration on Children, 
Youth and Families, shall collect and disseminate best practices for 
States regarding interventions and strategies to keep families affected 
by substance use disorder together, when it can be done safely. Such 
best practices shall--</DELETED>
        <DELETED>    ``(1) utilize comprehensive family-centered 
        approaches;</DELETED>
        <DELETED>    ``(2) ensure that families have access to drug 
        screening, substance use treatment, medication-assisted 
        treatment approved by the Food and Drug Administration, and 
        parental support; and</DELETED>
        <DELETED>    ``(3) build upon lessons learned from programs 
        such as the Maternal, Infant, and Early Childhood Home Visiting 
        programs under section 511 of the Social Security 
        Act.</DELETED>
<DELETED>    ``(b) Grant Program.--The Secretary, acting through the 
Assistant Secretary for Mental Health and Substance Use, shall award 
grants for the development of programs and models designed to keep 
pregnant and post-partum women who have a substance use disorder 
together with their newborns, including programs and models that 
provide for screenings of pregnant and post-partum women for substance 
use disorders, treatment interventions, supportive housing, 
nonpharmacological interventions for children born with neonatal 
abstinence syndrome, medication assisted treatment, and other recovery 
supports.''.</DELETED>

<DELETED>SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER TREATMENT 
              PROFESSIONALS.</DELETED>

<DELETED>    (a) GAO Report.--Not later than January 1, 2020, the 
Comptroller General of the United States shall submit to Congress a 
report examining how substance use disorder services are 
reimbursed.</DELETED>
<DELETED>    (b) CMS Recommendations.--Not later than January 1, 2019, 
the Administrator of the Centers for Medicare & Medicaid Services shall 
examine how substance use disorder services are reimbursed and shall 
make recommendations to Congress (taking into consideration the 
findings made by the Comptroller General of the United States in the 
report required under subsection (a)) as to how to reimburse the 
treatment of substance use disorders at a higher rate in order to 
attract a more talented work force.</DELETED>
<DELETED>    (c) Grants to States To Explore Ways To Increase Medicaid 
Reimbursement.--The Secretary of Health and Human Services is 
authorized to make grants to States for the purpose of exploring ways 
to increase reimbursement of substance use disorder services under the 
Medicaid program under title XIX of the Social Security Act (42 U.S.C. 
1396 et seq.).</DELETED>
<DELETED>    (d) Grants to States To Supplement Medicaid Reimbursement 
to Credentialed Substance Use Disorder Professionals.--The Secretary of 
Health and Human Services is authorized to make grants to States for 
the purpose of supplementing the reimbursement paid to credentialed 
substance use disorder professionals (as defined by the Secretary) 
under the Medicaid program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.).</DELETED>

<DELETED>SEC. 15. TESTING EVIDENCE-BASED MOBILE APPLICATIONS FOR THE 
              TREATMENT OF SUBSTANCE USE DISORDERS.</DELETED>

<DELETED>    Section 1115A(b)(2) of the Social Security Act (42 U.S.C. 
1315a(b)(2)) is amended--</DELETED>
        <DELETED>    (1) in subparagraph (A), by adding at the end the 
        following new sentence: ``The models selected under this 
        subparagraph shall include the model described in subparagraph 
        (D), which shall be implemented by not later than January 1, 
        2020.''; and</DELETED>
        <DELETED>    (2) by adding at the end the following new 
        subparagraph:</DELETED>
                <DELETED>    ``(D) Evidence-based mobile applications 
                for treatment of substance use disorders.--The model 
                described in this subparagraph is a model to test the 
                use of evidence-based mobile applications for the 
                treatment of substance use disorders.''.</DELETED>

<DELETED>SEC. 16. MEDICARE HOSPITAL REQUIREMENT TO PROVIDE NALOXONE AS 
              PART OF THE DISCHARGE PROTOCOL TO INDIVIDUALS BEING 
              DISCHARGED AFTER SUFFERING AN OPIOID OVERDOSE.</DELETED>

<DELETED>    (a) In General.--Section 1866(a)(1) of the Social Security 
Act (42 U.S.C. 1395cc(a)(1)) is amended--</DELETED>
        <DELETED>    (1) in subparagraph (X), by striking ``and'' at 
        the end;</DELETED>
        <DELETED>    (2) in subparagraph (Y), by striking the period at 
        the end and inserting ``, and''; and</DELETED>
        <DELETED>    (3) by inserting after subparagraph (Y), the 
        following new subparagraph:</DELETED>
        <DELETED>    ``(Z) in the case of a hospital or critical access 
        hospital, to provide naloxone and treatment referral options as 
        part of the discharge protocol to individuals being discharged 
        after suffering an opioid overdose.''.</DELETED>
<DELETED>    (b) Effective Date.--The amendments made by subsection (a) 
shall apply to contracts entered into or renewed on or after the date 
of the enactment of this Act.</DELETED>

<DELETED>SEC. 17. EDUCATIONAL OUTREACH AND ACCESS TO ABUSE-DETERRENT 
              OPIOIDS.</DELETED>

<DELETED>    (a) Access to Abuse-Deterrent Opioids.--</DELETED>
        <DELETED>    (1) Access under medicare part d.--Section 1860D-
        4(c) of the Social Security Act (42 U.S.C. 1395w-104(c)) is 
        amended by adding at the end the following new 
        paragraph:</DELETED>
        <DELETED>    ``(7) Access to abuse-deterrent opioids.--
        </DELETED>
                <DELETED>    ``(A) In general.--The Secretary shall 
                work with PDP sponsors of prescription drug plans to--
                </DELETED>
                        <DELETED>    ``(i) ensure appropriate access to 
                        abuse-deterrent opioids on plan 
                        formularies;</DELETED>
                        <DELETED>    ``(ii) provide advanced abuse-
                        deterrent opioid targeting (as determined by 
                        the Secretary) for beneficiaries identified as 
                        at-risk for opioid abuse under the drug 
                        management program under paragraph (5) or any 
                        other opioid risk management program 
                        established by the sponsor; and</DELETED>
                        <DELETED>    ``(iii) encourage access to non-
                        opioid alternatives when medically 
                        appropriate.</DELETED>
                <DELETED>    ``(B) Prohibition on requiring fail first 
                schemes.--The Secretary shall prohibit PDP sponsors 
                from requiring fail first schemes, also known as step 
                therapy, with respect to abuse-deterrent 
                opioids.</DELETED>
                <DELETED>    ``(C) Encouraging equal access.--The 
                Secretary shall encourage plans to provide equal access 
                to abuse-deterrent opioids on formulary tiers and 
                patient cost-sharing.</DELETED>
                <DELETED>    ``(D) Abuse-deterrent opioid defined.--In 
                this paragraph, the term `abuse-deterrent opioid' means 
                an abuse-deterrent formulation of an opioid, as 
                determined by the Secretary.''.</DELETED>
        <DELETED>    (2) Access under private health plans.--Subpart II 
        of title XXVII of the Public Health Service Act (42 U.S.C. 
        300gg-11 et seq.) is amended by adding at the end the 
        following:</DELETED>

<DELETED>``SEC. 2729. ACCESS TO ABUSE-DETERRENT OPIOIDS.</DELETED>

<DELETED>    ``(a) In General.--A group health plan and a health 
insurance issuer offering group or individual health insurance coverage 
shall--</DELETED>
        <DELETED>    ``(1) ensure appropriate access to abuse-deterrent 
        opioids as a prescription drug health benefit under such plan 
        or coverage;</DELETED>
        <DELETED>    ``(2) provide advanced abuse-deterrent opioid 
        targeting (as determined by the Secretary) for enrollees in the 
        plan or coverage who are identified as at-risk for opioid 
        abuse; and</DELETED>
        <DELETED>    ``(3) encourage access to non-opioid alternatives 
        when medically appropriate.</DELETED>
<DELETED>    ``(b) Prohibition on Requiring Fail First Schemes.--The 
Secretary shall prohibit a group health plan and a health insurance 
issuer offering group or individual health insurance coverage from 
requiring fail first schemes, also known as step therapy, with respect 
to abuse-deterrent opioids.</DELETED>
<DELETED>    ``(c) Abuse-Deterrent Opioid Defined.--In this section, 
the term `abuse-deterrent opioid' means an abuse-deterrent formulation 
of an opioid, as determined by the Secretary.''.</DELETED>
        <DELETED>    (3) Effective date.--The amendments made by this 
        subsection shall apply with respect to plan years beginning on 
        or after January 1, 2019.</DELETED>
<DELETED>    (b) Educational Outreach.--The Secretary of Health and 
Human Services shall educate health insurance issuers, Medicare 
Advantage plans under part C of title XVIII of the Social Security Act 
(42 U.S.C. 1395w-21 et seq.), and prescription drug plans under part D 
of such title (42 U.S.C. 1395w-101 et seq.) on opioid abuse prevention, 
including the use of abuse-deterrent opioids (as such term is defined 
in section 2729 of the Public Health Service Act, as added by 
subsection (a)(2)).</DELETED>

<DELETED>SEC. 18. GRANT PROGRAM TO PROVIDE SUPPORT FOR MEDICATION 
              ASSISTED TREATMENT.</DELETED>

<DELETED>    (a) Training Grants.--The Secretary of Health and Human 
Services shall award grants to States for the purpose of training non-
physician health care professionals in the use of medication-assisted 
treatment approved by the Food and Drug Administration and related best 
practices.</DELETED>
<DELETED>    (b) Referral System Grants.--The Secretary of Health and 
Human Services shall award grants to States for the purpose of 
improving referral systems and ensuring that such systems are current 
and accurate, in order to better enable practitioners to refer patients 
who are prescribed medication assisted treatment to cognitive 
therapy.</DELETED>

<DELETED>SEC. 19. SOBRIETY TREATMENT AND RECOVERY TEAMS 
              (START).</DELETED>

<DELETED>    Title III of the Comprehensive Addiction and Recovery Act 
of 2016 (Public Law 114-198; 130 Stat. 717) is amended by adding at the 
end the following:</DELETED>

<DELETED>``SEC. 304. SOBRIETY TREATMENT AND RECOVERY TEAMS.</DELETED>

<DELETED>    ``(a) In General.--The Director of the Office of National 
Drug Control Policy, in coordination with the Secretary of Health and 
Human Services, may make grants to States, units of local government, 
or tribal governments to establish or expand Sobriety Treatment And 
Recovery Team (referred to in this section as `START') programs to 
determine the effectiveness of pairing social workers and mentors with 
families that are struggling with substance abuse and child abuse or 
neglect in order to help provide peer support, intensive treatment, and 
child welfare services.</DELETED>
<DELETED>    ``(b) Allowable Uses.--A grant awarded under this section 
may be used for one or more of the following activities:</DELETED>
        <DELETED>    ``(1) Training eligible staff, including social 
        workers, social services coordinators, child welfare 
        specialists, substance use disorder treatment professionals, 
        and mentors.</DELETED>
        <DELETED>    ``(2) Expanding access to substance use disorder 
        treatment services and drug testing.</DELETED>
        <DELETED>    ``(3) Enhancing data sharing with law enforcement 
        agencies and child welfare agencies.</DELETED>
        <DELETED>    ``(4) Program evaluation.</DELETED>
<DELETED>    ``(c) Program Requirements.--A family may be eligible to 
participate in a START program that receives funding under this section 
only if--</DELETED>
        <DELETED>    ``(1) there is a substantiated record or finding 
        of child abuse or neglect within the family; and</DELETED>
        <DELETED>    ``(2) substance abuse was the primary reason for 
        the record or finding described in paragraph (1).</DELETED>
<DELETED>    ``(d) Authorization of Appropriations.--For each of fiscal 
years 2018 through 2022, the Director of the Office of National Drug 
Control Policy, in consultation with the Secretary of Health and Human 
Services, is authorized to award not more than $10,000,000 of amounts 
otherwise appropriated for comprehensive opioid abuse reduction 
activities for purposes of carrying out this section.''.</DELETED>

<DELETED>SEC. 20. PROVIDER EDUCATION.</DELETED>

<DELETED>    Not later than 90 days after the date of enactment of this 
Act, the Attorney General, in consultation with the Secretary of Health 
and Human Services, shall complete the plan related to medical 
registration coordination required by Senate Report 114-239, which 
accompanied the Veterans Care Financial Protection Act of 2017 (Public 
Law 115-131; 132 Stat. 334), including through the issuance of 
necessary rules or regulations.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Substance Abuse Prevention Act of 
2018''.

SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL DRUG CONTROL POLICY.

    (a) Office of National Drug Control Policy Reauthorization Act of 
1998.--
            (1) In general.--The Office of National Drug Control Policy 
        Reauthorization Act of 1998 (21 U.S.C. 1701 et seq.), as in 
        effect on September 29, 2003, and as amended by the laws 
        described in paragraph (2), is revived and restored.
            (2) Laws described.--The laws described in this paragraph 
        are:
                    (A) The Office of National Drug Control Policy 
                Reauthorization Act of 2006 (Public Law 109-469; 120 
                Stat. 3502).
                    (B) The Presidential Appointment Efficiency and 
                Streamlining Act of 2011 (Public Law 112-166; 126 Stat. 
                1283).
    (b) Reauthorization.--Section 715(a) of the Office of National Drug 
Control Policy Reauthorization Act of 1998 (21 U.S.C. 1712(a)) is 
amended by striking ``2010'' and inserting ``2022''.

SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMUNITIES PROGRAM.

    Section 1024 of the National Narcotics Leadership Act of 1988 (21 
U.S.C. 1524(a)) is amended by striking subsections (a) and (b) and 
inserting the following:
    ``(a) In General.--There are authorized to be appropriated to the 
Office of National Drug Control Policy to carry out this chapter 
$99,000,000 for each of fiscal years 2018 through 2022.
    ``(b) Administrative Costs.--Not more than 8 percent of the funds 
appropriated to carry out this chapter may be used by the Office of 
National Drug Control Policy to pay administrative costs associated 
with the responsibilities of the Office under this chapter.''.

SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY ANTI-DRUG COALITION 
              INSTITUTE.

    Section 4(c)(4) of Public Law 107-82 (21 U.S.C. 1521 note) is 
amended by striking ``2008 through 2012'' and inserting ``2018 through 
2022''.

SEC. 5. REAUTHORIZATION OF THE HIGH-INTENSITY DRUG TRAFFICKING AREA 
              PROGRAM.

    Section 707(p) of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1706(p)) is amended--
            (1) in paragraph (4), by striking ``and'' at the end;
            (2) in paragraph (5), by striking the period at the end and 
        inserting ``; and''; and
            (3) by adding at the end the following:
            ``(6) $280,000,000 for each of fiscal years 2018 through 
        2022.''.

SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM.

    Section 1001(a)(25)(A) of title I of the Omnibus Crime Control and 
Safe Streets Act of 1968 (34 U.S.C. 10261(a)(25)(A)) is amended by 
striking ``Except as provided'' and all that follows and inserting the 
following: ``Except as provided in subparagraph (C), there are 
authorized to be appropriated to carry out part EE $75,000,000 for each 
of fiscal years 2018 through 2022.''.

SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSISTANCE.

    Section 705 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1704) is amended by adding at 
the end the following--
    ``(e) Drug Court Training and Technical Assistance Program.--Using 
funds appropriated to carry out this title, the Director may make 
grants to nonprofit organizations for the purpose of providing training 
and technical assistance to drug courts.''.

SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY.

    Section 707 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1706) is amended by adding at 
the end the following:
    ``(r) Drug Overdose Response Strategy Implementation.--The Director 
may use funds appropriated to carry out this section to implement a 
drug overdose response strategy in high intensity drug trafficking 
areas on a nationwide basis by--
            ``(1) coordinating multi-disciplinary efforts to prevent, 
        reduce, and respond to drug overdoses, including the uniform 
        reporting of fatal and non-fatal overdoses to public health and 
        safety officials;
            ``(2) increasing data sharing among public safety and 
        public health officials concerning drug-related abuse trends, 
        including new psychoactive substances, and related crime; and
            ``(3) enabling collaborative deployment of prevention, 
        intervention, and enforcement resources to address substance 
        use addiction and narcotics trafficking.''.

SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM ACCIDENTAL EXPOSURE.

    Section 707 of the Office of National Drug Control Policy 
Reauthorization Act of 1998 (21 U.S.C. 1706), as amended by section 8, 
is amended by adding at the end the following:
    ``(s) Supplemental Grants.--The Director is authorized to use not 
more than $10,000,000 of the amounts otherwise appropriated to carry 
out this section to provide supplemental competitive grants to high 
intensity drug trafficking areas that have experienced high seizures of 
fentanyl and new psychoactive substances for the purposes of--
            ``(1) purchasing portable equipment to test for fentanyl 
        and other substances;
            ``(2) training law enforcement officers and other first 
        responders on best practices for handling fentanyl and other 
        substances; and
            ``(3) purchasing protective equipment, including overdose 
        reversal drugs.''.

SEC. 10. COPS ANTI-METH PROGRAM.

    Section 1701 of title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10381) is amended--
            (1) by redesignating subsection (k) as subsection (l); and
            (2) by inserting after subsection (j) the following:
    ``(k) COPS Anti-Meth Program.--The Attorney General shall use 
amounts otherwise appropriated to carry out this section to make 
competitive grants, in amounts of not less than $1,000,000 for a fiscal 
year, to State law enforcement agencies with high seizures of precursor 
chemicals, finished methamphetamine, laboratories, and laboratory dump 
seizures for the purpose of locating or investigating illicit 
activities, such as precursor diversion, laboratories, or 
methamphetamine traffickers.''.

SEC. 11. COPS ANTI-HEROIN TASK FORCE PROGRAM.

    Section 1701 of title I of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10381) is amended--
            (1) by redesignating subsection (l), as so redesignated by 
        section 10, as subsection (m); and
            (2) by inserting after subsection (k), as added by section 
        10, the following:
    ``(l) Cops Anti-heroin Task Force Program.--The Attorney General 
shall use amounts otherwise appropriated to carry out this section, or 
other amounts as appropriated, to make competitive grants to State law 
enforcement agencies in States with high per capita rates of primary 
treatment admissions, for the purpose of locating or investigating 
illicit activities, through Statewide collaboration, relating to the 
distribution of heroin, fentanyl, or carfentanil or relating to the 
unlawful distribution of prescription opioids.''.

SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT EDUCATION AND 
              AWARENESS.

    Part D of title V of the Public Health Service Act (42 U.S.C. 290dd 
et seq.) is amended by adding at the end the following:

``SEC. 550. SERVICES FOR FAMILIES AND PATIENTS IN CRISIS.

    ``(a) In General.--The Secretary may make grants to entities that 
focus on addiction and substance use disorders and specialize in family 
and patient services, advocacy for patients and families, and 
educational information.
    ``(b) Allowable Uses.--A grant awarded under this section may be 
used for 1 or more of the following activities:
            ``(1) To expand phone line or call center services with 
        professional, clinical staff that provide, for families and 
        individuals impacted by a substance use disorder, support, 
        access to treatment resources, brief assessments, medication 
        and overdose prevention education, compassionate listening 
        services, recovery support or peer specialists, bereavement and 
        grief support, and case management.
            ``(2) Continued development of health information 
        technology systems that leverage new and upcoming technology 
        and techniques for prevention, intervention, and filling 
        resource gaps in communities that are underserved.
            ``(3) To enhance and operate treatment and recovery 
        resources, easy-to-read scientific and evidence-based education 
        on addiction and substance use disorders, and other 
        informational tools for families and individuals impacted by a 
        substance use disorder and community stakeholders, such as law 
        enforcement agencies.
            ``(4) To provide training and technical assistance to State 
        and local governments, law enforcement agencies, health care 
        systems, research institutions, and other stakeholders.
            ``(5) To expand upon and implement educational information 
        using evidence-based information on substance use disorders.
            ``(6) To expand the training of community stakeholders, law 
        enforcement officers, and families across a broad-range of 
        addiction, health, and related topics on substance use 
        disorders, local issues and community-specific issues related 
        to the drug epidemic.
            ``(7) Program evaluation.
    ``(c) Authorization of Appropriations.--For each of fiscal years 
2018 through 2022, the Secretary is authorized to award not more than 
$10,000,000 of amounts otherwise appropriated to the Secretary for 
comprehensive opioid abuse reduction activities for purposes of 
carrying out this section.''.

SEC. 13. PROTECTING CHILDREN WITH ADDICTED PARENTS.

    Part D of title V of the Public Health Service Act (42 U.S.C. 290dd 
et seq.), as amended by section 12, is further amended by adding at the 
end the following:

``SEC. 551. PROTECTING CHILDREN WITH ADDICTED PARENTS.

    ``(a) Best Practices.--The Secretary, acting through the Assistant 
Secretary and in cooperation with the Commissioner of the 
Administration on Children, Youth and Families, shall collect and 
disseminate best practices for States regarding interventions and 
strategies to keep families affected by a substance use disorder 
together, when it can be done safely. Such best practices shall--
            ``(1) utilize comprehensive family-centered approaches;
            ``(2) ensure that families have access to drug screening, 
        substance use disorder treatment, medication-assisted treatment 
        approved by the Food and Drug Administration, and parental 
        support; and
            ``(3) build upon lessons learned from programs such as the 
        maternal, infant, and early childhood home visiting program 
        under section 511 of the Social Security Act.
    ``(b) Grant Program.--The Secretary shall award grants to States, 
units of local government, and tribal governments to--
            ``(1) develop programs and models designed to keep pregnant 
        and post-partum women who have a substance use disorder 
        together with their newborns, including programs and models 
        that provide for screenings of pregnant and post-partum women 
        for substance use disorders, treatment interventions, 
        supportive housing, nonpharmacological interventions for 
        children born with neonatal abstinence syndrome, medication 
        assisted treatment, and other recovery supports; and
            ``(2) support the attendance of children who have a family 
        member living with a substance use disorder at therapeutic 
        camps or other therapeutic programs aimed at addiction 
        prevention education and delaying the onset of first use, 
        providing trusted mentors and education on coping strategies 
        that these children can use in their daily lives, and family 
        support initiatives aimed at keeping these families 
        together.''.

SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER TREATMENT 
              PROFESSIONALS.

    (a) GAO Report.--Not later than January 1, 2020, the Comptroller 
General of the United States shall submit to Congress a report 
examining how substance use disorder services are reimbursed.
    (b) Grants to States To Supplement Medicaid Reimbursement to 
Credentialed Substance Use Disorder Professionals.--The Secretary of 
Health and Human Services is authorized to make grants to States for 
the purpose of supplementing the reimbursement paid to credentialed 
substance use disorder professionals (as defined by the Secretary) 
under the Medicaid program under title XIX of the Social Security Act 
(42 U.S.C. 1396 et seq.).

SEC. 15. SOBRIETY TREATMENT AND RECOVERY TEAMS (START).

    Title V of the Public Health Service Act (42 U.S.C. 290dd et seq.), 
as amended by section 13, is further amended by adding at the end the 
following:

``SEC. 552. SOBRIETY TREATMENT AND RECOVERY TEAMS.

    ``(a) In General.--The Secretary may make grants to States, units 
of local government, or tribal governments to establish or expand 
Sobriety Treatment And Recovery Team (referred to in this section as 
`START') programs to determine the effectiveness of pairing social 
workers and mentors with families that are struggling with a substance 
use disorder and child abuse or neglect in order to help provide peer 
support, intensive treatment, and child welfare services.
    ``(b) Allowable Uses.--A grant awarded under this section may be 
used for one or more of the following activities:
            ``(1) Training eligible staff, including social workers, 
        social services coordinators, child welfare specialists, 
        substance use disorder treatment professionals, and mentors.
            ``(2) Expanding access to substance use disorder treatment 
        services and drug testing.
            ``(3) Enhancing data sharing with law enforcement agencies 
        and child welfare agencies.
            ``(4) Program evaluation.
    ``(c) Program Requirements.--A family may be eligible to 
participate in a START program that receives funding under this section 
only if--
            ``(1) there is a substantiated record or finding of child 
        abuse or neglect within the family; and
            ``(2) substance use disorder was the primary reason for the 
        record or finding described in paragraph (1).
    ``(d) Authorization of Appropriations.--For each of fiscal years 
2018 through 2022, the Secretary is authorized to award not more than 
$10,000,000 of amounts otherwise appropriated to the Secretary for 
comprehensive opioid abuse reduction activities for purposes of 
carrying out this section.''.

SEC. 16. PROVIDER EDUCATION.

    Not later than 60 days after the date of enactment of this Act, the 
Attorney General, in consultation with the Secretary of Health and 
Human Services, shall complete the plan related to medical registration 
coordination required by Senate Report 114-239, which accompanied the 
Veterans Care Financial Protection Act of 2017 (Public Law 115-131; 132 
Stat. 334).
                                                       Calendar No. 475

115th CONGRESS

  2d Session

                                S. 2789

_______________________________________________________________________

                                 A BILL

  To prevent substance abuse and reduce demand for illicit narcotics.

_______________________________________________________________________

                             June 19, 2018

                       Reported with an amendment