[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2466 Referred in Senate (RFS)]

<DOC>
116th CONGRESS
  2d Session
                                H. R. 2466


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           November 18, 2020

     Received; read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 AN ACT


 
   To extend the State Opioid Response Grants program, 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 ``State Opioid Response Grant 
Authorization Act of 2020''.

SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO SUBSTANCE USE 
              DISORDERS OF SIGNIFICANCE.

    (a) In General.--Section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee-3 note) is amended to read as follows:

``SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO SUBSTANCE 
              USE DISORDERS OF SIGNIFICANCE.

    ``(a) In General.--The Secretary of Health and Human Services 
(referred to in this section as the `Secretary') shall carry out the 
grant program described in subsection (b) for purposes of addressing 
substance use disorders of significance, including opioid and stimulant 
use disorders, within States, Indian Tribes, and populations served by 
Tribal organizations and Urban Indian organizations.
    ``(b) Grants Program.--
            ``(1) In general.--The Secretary shall award grants to 
        States, Indian Tribes, Tribal organizations, and Urban Indian 
        organizations for the purpose of addressing substance use 
        disorders of significance, including opioid and stimulant use 
        disorders, within such States, such Indian Tribes, and 
        populations served by such Tribal organizations and Urban 
        Indian organizations, in accordance with paragraph (2).
            ``(2) Minimum allocations; preference.--In awarding grants 
        under paragraph (1), the Secretary shall--
                    ``(A) ensure that each State and the District of 
                Columbia receives not less than $4,000,000; and
                    ``(B) give preference to States, Indian Tribes, 
                Tribal organizations, and Urban Indian organizations 
                whose populations have an incidence or prevalence of 
                opioid use disorders that is substantially higher 
                relative to the populations of other States, Indian 
                Tribes, Tribal organizations, or Urban Indian 
                organizations, as applicable.
            ``(3) Formula methodology.--Not less than 15 days before 
        publishing a funding opportunity announcement with respect to 
        grants under this section, the Secretary shall--
                    ``(A) develop a formula methodology to be followed 
                in allocating grant funds awarded under this section 
                among grantees, which includes performance assessments 
                for continuation awards; and
                    ``(B) submit the formula methodology to--
                            ``(i) the Committee on Energy and Commerce 
                        and the Committee on Appropriations of the 
                        House of Representatives; and
                            ``(ii) the Committee on Health, Education, 
                        Labor and Pensions and the Committee on 
                        Appropriations of the Senate.
            ``(4) Use of funds.--Grants awarded under this subsection 
        shall be used for carrying out activities that supplement 
        activities pertaining to substance use disorders of 
        significance, including opioid and stimulant use disorders, 
        undertaken by the State agency responsible for administering 
        the substance abuse prevention and treatment block grant under 
        subpart II of part B of title XIX of the Public Health Service 
        Act (42 U.S.C. 300x-21 et seq.), which may include public 
        health-related activities such as the following:
                    ``(A) Implementing prevention activities, and 
                evaluating such activities to identify effective 
                strategies to prevent substance use disorders.
                    ``(B) Establishing or improving prescription drug 
                monitoring programs.
                    ``(C) Training for health care practitioners, such 
                as best practices for prescribing opioids, pain 
                management, recognizing potential cases of substance 
                abuse, referral of patients to treatment programs, 
                preventing diversion of controlled substances, and 
                overdose prevention.
                    ``(D) Supporting access to health care services, 
                including--
                            ``(i) services provided by federally 
                        certified opioid treatment programs;
                            ``(ii) outpatient and residential substance 
                        use disorder treatment services that utilize 
                        medication-assisted treatment, as appropriate; 
                        or
                            ``(iii) other appropriate health care 
                        providers to treat substance use disorders.
                    ``(E) Recovery support services, including 
                community-based services that include peer supports, 
                address housing needs, and address family issues.
                    ``(F) Other public health-related activities, as 
                the State, Indian Tribe, Tribal organization, or Urban 
                Indian organization determines appropriate, related to 
                addressing substance use disorders within the State, 
                Indian Tribe, Tribal organization, or Urban Tribal 
                organization, including directing resources in 
                accordance with local needs related to substance use 
                disorders.
    ``(c) Accountability and Oversight.--A State receiving a grant 
under subsection (b) shall include in reporting related to substance 
abuse submitted to the Secretary pursuant to section 1942 of the Public 
Health Service Act (42 U.S.C. 300x-52), a description of--
            ``(1) the purposes for which the grant funds received by 
        the State under such subsection for the preceding fiscal year 
        were expended and a description of the activities of the State 
        under the grant; and
            ``(2) the ultimate recipients of amounts provided to the 
        State through the grant.
    ``(d) Limitations.--Any funds made available pursuant to subsection 
(i) shall be subject to the same requirements as substance abuse 
prevention and treatment programs under titles V and XIX of the Public 
Health Service Act (42 U.S.C. 290aa et seq., 300w et seq.).
    ``(e) Indian Tribes, Tribal Organizations, and Urban Indian 
Organizations.--The Secretary, in consultation with Indian Tribes, 
Tribal organizations, and Urban Indian organizations, shall identify 
and establish appropriate mechanisms for Indian Tribes, Tribal 
organizations, and Urban Indian organizations to demonstrate or report 
the information as required under subsections (b), (c), and (d).
    ``(f) Report to Congress.--Not later than September 30, 2022, and 
biennially thereafter, the Secretary shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and the Committee 
on Energy and Commerce of the House of Representatives, and the 
Committees on Appropriations of the House of Representatives and the 
Senate, a report summarizing the information provided to the Secretary 
in reports made pursuant to subsections (c) and (e), including the 
purposes for which grant funds are awarded under this section and the 
activities of such grant recipients.
    ``(g) Technical Assistance.--The Secretary, including through the 
Tribal Training and Technical Assistance Center of the Substance Abuse 
and Mental Health Services Administration, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organizations, as 
applicable, with technical assistance concerning grant application and 
submission procedures under this section, award management activities, 
and enhancing outreach and direct support to rural and underserved 
communities and providers in addressing substance use disorders.
    ``(h) Definitions.--In this section:
            ``(1) Indian tribe.--The term `Indian Tribe' has the 
        meaning given the term `Indian tribe' in section 4 of the 
        Indian Self-Determination and Education Assistance Act (25 
        U.S.C. 5304).
            ``(2) Tribal organization.--The term `Tribal organization' 
        has the meaning given the term `tribal organization' in section 
        4 of the Indian Self-Determination and Education Assistance Act 
        (25 U.S.C. 5304).
            ``(3) Urban indian organization.--The term `Urban Indian 
        organization' has the meaning given to that term in section 4 
        of the Indian Health Care Improvement Act (25 U.S.C. 1603).
            ``(4) State.--The term `State' has the meaning given such 
        term in section 1954(b) of the Public Health Service Act (42 
        U.S.C. 300x-64(b)).
    ``(i) Authorization of Appropriations.--
            ``(1) In general.--For purposes of carrying out the grant 
        program under subsection (b), there is authorized to be 
        appropriated $1,585,000,000 for each of fiscal years 2021 
        through 2026, to remain available until expended.
            ``(2) Federal administrative expenses.--Of the amounts made 
        available for each fiscal year to award grants under subsection 
        (b), the Secretary shall not use more than 2 percent for 
        Federal administrative expenses, training, technical 
        assistance, and evaluation.
            ``(3) Set aside.--Of the amounts made available for each 
        fiscal year to award grants under subsection (b) for a fiscal 
        year, the Secretary shall--
                    ``(A) award 5 percent to Indian Tribes, Tribal 
                organizations, and Urban Indian organizations; and
                    ``(B) of the remaining amount, set aside up to 15 
                percent for States with the highest age-adjusted rate 
                of drug overdose death based on the ordinal ranking of 
                States according to the Director of the Centers for 
                Disease Control and Prevention.''.
    (b) Clerical Amendment.--The table of sections in section 1(b) of 
such Act is amended by striking the item relating to section 1003 and 
inserting the following:

``Sec. 1003. Grant program for State and Tribal response to substance 
                            use disorders of significance.''.

            Passed the House of Representatives November 17, 2020.

            Attest:

                                             CHERYL L. JOHNSON,

                                                                 Clerk.