[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2466 Reported in House (RH)]

<DOC>





                                                 Union Calendar No. 466
116th CONGRESS
  2d Session
                                H. R. 2466

                          [Report No. 116-568]

   To extend the State Opioid Response Grants program, and for other 
                               purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 1, 2019

Mr. Trone (for himself, Mr. Armstrong, Ms. Sherrill, and Mr. Riggleman) 
 introduced the following bill; which was referred to the Committee on 
                          Energy and Commerce

                           November 12, 2020

Additional sponsors: Mr. Brown of Maryland, Mr. Burchett, Mr. Clay, Ms. 
 Dean, Ms. Garcia of Texas, Ms. Jayapal, Ms. Kuster of New Hampshire, 
    Mrs. Lee of Nevada, Mr. Lewis, Mrs. McBath, Mr. Price of North 
Carolina, Mr. Rouda, Mr. Veasey, Mrs. Axne, Ms. Craig, Mr. Foster, Mr. 
 Hagedorn, Mr. Krishnamoorthi, Mr. Lawson of Florida, Mrs. Luria, Mr. 
 Morelle, Ms. Norton, Mr. Raskin, Mr. Reschenthaler, Ms. Stevens, Mrs. 
    Trahan, Mr. Watkins, Ms. Wild, Ms. Mucarsel-Powell, Mr. Cox of 
 California, Ms. Houlahan, Mr. Levin of Michigan, Mr. Case, Mr. Mooney 
 of West Virginia, Mr. Pappas, Ms. Scanlon, Ms. Bass, Ms. Slotkin, Mr. 
  McGovern, Mr. Ruppersberger, Mr. Harder of California, Ms. Hill of 
 California, Mr. Rose of New York, Mr. Yarmuth, Ms. Kendra S. Horn of 
 Oklahoma, Ms. Spanberger, Mrs. Davis of California, Mr. Doggett, Mr. 
Malinowski, Mr. Ryan, Ms. Tlaib, Mr. Neguse, Mr. Crow, Mr. McAdams, Mr. 
 Kim, Mr. Baird, Mrs. Hayes, Ms. Shalala, Ms. Brownley of California, 
Mr. Sarbanes, Mr. Allred, Ms. Schrier, Ms. Finkenauer, Mr. David Scott 
           of Georgia, Mr. Lujan, and Mr. Johnson of Georgia

                           November 12, 2020

Reported with amendments; committed to the Committee of the Whole House 
          on the State of the Union and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]
[For text of introduced bill, see copy of bill as introduced on May 1, 
                                 2019]


_______________________________________________________________________

                                 A BILL


 
   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.
    ``(b) Grants Program.--
            ``(1) In general.--Subject to the availability of 
        appropriations, the Secretary shall award grants to States, 
        Indian Tribes, and Tribal 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, 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, and 
                Tribal organizations with an incidence or prevalence of 
                opioid use disorders that is substantially higher 
                relative to other States, other Indian Tribes, or other 
                Tribal 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; 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) Other public health-related activities, as 
                the State, Indian Tribe, or Tribal organization 
                determines appropriate, related to addressing substance 
                use disorders within the State, Indian Tribe, or 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)--
            ``(1) notwithstanding any transfer authority in any 
        appropriations Act, shall not be used for any purpose other 
        than the grant program in subsection (b); and
            ``(2) 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 and Tribal Organizations.--The Secretary, in 
consultation with Indian Tribes and Tribal organizations, shall 
identify and establish appropriate mechanisms for Indian Tribes and 
Tribal 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, and Tribal 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 such 
        section 4.
            ``(3) 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 $1,500,000,000 for each of fiscal years 2020 
        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 and Tribal 
                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.''.
            Amend the title so as to read: ``A bill to amend the 21st 
        Century Cures Act to reauthorize and expand a grant program for 
        State response to the opioid abuse crisis, and for other 
        purposes.''.
                                                 Union Calendar No. 466

116th CONGRESS

  2d Session

                               H. R. 2466

                          [Report No. 116-568]

_______________________________________________________________________

                                 A BILL

   To extend the State Opioid Response Grants program, and for other 
                               purposes.

_______________________________________________________________________

                           November 12, 2020

Reported with amendments; committed to the Committee of the Whole House 
          on the State of the Union and ordered to be printed