I 

114TH CONGRESS 

2D SESSION H. R. 4396 

To support a comprehensive public health response to the heroin and 

prescription drug abuse crisis. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 28, 2016 

Mr. PALLONE introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on 

the Judiciary, Ways and Means, and Education and the Workforce, for 

a period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To support a comprehensive public health response to the 

heroin and prescription drug abuse crisis. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Heroin and Prescription Drug Abuse Prevention and Re6 duction Act’’. 

7 (b) TABLE OF CONTENTS.—The table of contents for 

8 this Act is as follows: 


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Sec. 1. Short title; table of contents. 

TITLE I—PREVENTION 

Sec. 101. Practitioner education. 

Sec. 102. Co-prescribing opioid overdose reversal drugs grant program. 

Sec. 103. Opioid overdose reversal co-prescribing guidelines. 

Sec. 104. Surveillance capacity building. 

TITLE II—CRISIS 

Sec. 201. Grants to support syringe exchange programs. 

Sec. 202. Grant program to reduce drug overdose deaths. 

TITLE III—TREATMENT 

Sec. 301. Expansion of patient limits under waiver. 

Sec. 302. Definitions. 

Sec. 303. Evaluation by assistant Secretary for planning and evaluation. 

Sec. 304. Reauthorization of residential treatment programs for pregnant and 

postpartum women. 

Sec. 305. Pilot program grants for State substance abuse agencies. 

Sec. 306. Evidence-based opioid and heroin treatment and interventions demonstration. 

Sec. 307. Adolescent treatment and recovery services demonstration grant program. 

Sec. 308. Strengthening parity in mental health and substance use disorder 

benefits. 

Sec. 309. Study on treatment infrastructure. 

Sec. 310. Substance use disorder professional loan repayment program. 

TITLE IV—RECOVERY 

Sec. 401. National youth recovery initiative. 

Sec. 402. Grants to enhance and expand recovery support services. 

1 TITLE I—PREVENTION 

2 SEC. 101. PRACTITIONER EDUCATION. 

3 (a) EDUCATION REQUIREMENTS.— 

4 (1) REGISTRATION CONSIDERATION.—Section 

5 303(f) of the Controlled Substances Act (21 U.S.C. 

6 823(f)) is amended by inserting after paragraph (5) 

7 the following: 

8 ‘‘(6) The applicant’s compliance with the train9 ing requirements described in subsection (g)(3) durVerDate Sep 11 2014 02:20 Jan 29, 2016 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H4396.IH H4396

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1 ing any previous period in which the applicant has 

2 been subject to such training requirements.’’. 

3 (2) TRAINING REQUIREMENTS.—Section 303(g) 

4 of the Controlled Substances Act (21 U.S.C. 823(g)) 

5 is amended by adding at the end the following: 

6 ‘‘(3)(A) To be registered to prescribe or otherwise 

7 dispense opioids for the treatment of pain, or pain man8 agement, a practitioner described in paragraph (1) shall 

9 comply with the 12-hour training requirement of subpara10 graph (B) at least once during each 3-year period. 

11 ‘‘(B) The training requirement of this subparagraph 

12 is that the practitioner has completed not less than 12 

13 hours of training (through classroom situations, seminars 

14 at professional society meetings, electronic communica15 tions, or otherwise) with respect to— 

16 ‘‘(i) the treatment and management of opioid17 dependent patients; 

18 ‘‘(ii) pain management treatment guidelines; 

19 and 

20 ‘‘(iii) early detection of opioid addiction, includ21 ing through such methods as Screening, Brief Inter22 vention, and Referral to Treatment (SBIRT), 

23 that is provided by the American Society of Addiction 

24 Medicine, the American Academy of Addiction Psychiatry, 

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1 pathic Association, the American Psychiatric Association, 

2 the American Academy of Pain Management, the Amer3 ican Pain Society, the American Academy of Pain Medi4 cine, the American Board of Pain Medicine, the American 

5 Society of Interventional Pain Physicians, or any other or6 ganization that the Secretary determines is appropriate 

7 for purposes of this subparagraph.’’. 

8 (b) FUNDING.—The Drug Enforcement Administra9 tion shall fund the enforcement of the requirements speci10 fied in section 303(g)(3) of the Controlled Substances Act 

11 (as added by subsection (a)) through the use of a portion 

12 of the licensing fees paid by controlled substance pre13 scribers under the Controlled Substances Act (21 U.S.C. 

14 801 et seq.). 

15 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

16 authorized to be appropriated to carry out this section 

17 $1,000,000 for each of fiscal years 2017 through 2021. 

18 SEC. 102. CO-PRESCRIBING OPIOID OVERDOSE REVERSAL 

19 DRUGS GRANT PROGRAM. 

20 (a) ESTABLISHMENT.— 

21 (1) IN GENERAL.—Not later than six months 

22 after the date of the enactment of this Act, the Sec23 retary of Health and Human Services shall estab24 lish, in accordance with this section, a four-year co25 prescribing opioid overdose reversal drugs grant proVerDate Sep 11 2014 02:20 Jan 29, 2016 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H4396.IH H4396

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1 gram (in this title referred to as the ‘‘grant pro2 gram’’) under which the Secretary shall provide not 

3 more than a total of 12 grants to eligible entities to 

4 carry out the activities described in subsection (c). 

5 (2) ELIGIBLE ENTITY.—For purposes of this 

6 section, the term ‘‘eligible entity’’ means a federally 

7 qualified health center (as defined in section 

8 1861(aa) of the Social Security Act (42 U.S.C. 

9 1395x(aa))), an opioid treatment program under 

10 part 8 of title 42, Code of Federal Regulations, or 

11 section 303(g) of the Controlled Substances Act (21 

12 U.S.C. 823(g)), a program approved by a State sub13 stance abuse agency, or any other entity that the 

14 Secretary deems appropriate. 

15 (3) CO-PRESCRIBING.—For purposes of this 

16 title, the term ‘‘co-prescribing’’ means, with respect 

17 to an opioid overdose reversal drug, the practice of 

18 prescribing such drug in conjunction with an opioid 

19 prescription for patients at an elevated risk of over20 dose, or in conjunction with an opioid agonist ap21 proved under section 505 of the Federal Food, 

22 Drug, and Cosmetic Act (21 U.S.C. 355) for the 

23 treatment of opioid abuse disorders, or in other cir24 cumstances in which a provider identifies a patient 

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1 tional drug overdose from heroin or prescription 

2 opioid therapies. For purposes of the previous sen3 tence, a patient may be at an elevated risk of over4 dose if the patient meets the criteria under the exist5 ing co-prescribing guidelines that the Secretary 

6 deems appropriate, such as the criteria provided in 

7 the Opioid Overdose Toolkit published by the Sub8 stance Abuse and Mental Health Services Adminis9 tration. 

10 (b) APPLICATION.—To be eligible to receive a grant 

11 under this section, an eligible entity shall submit to the 

12 Secretary of Health and Human Services, in such form 

13 and manner as specified by the Secretary, an application 

14 that describes— 

15 (1) the extent to which the area to which the 

16 entity will furnish services through use of the grant 

17 is experiencing significant morbidity and mortality 

18 caused by opioid abuse; 

19 (2) the criteria that will be used to identify eli20 gible patients to participate in such program; and 

21 (3) how such program will work to try to iden22 tify State, local, or private funding to continue the 

23 program after expiration of the grant. 


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1 (c) USE OF FUNDS.—An eligible entity receiving a 

2 grant under this section may use the grant for any of the 

3 following activities: 

4 (1) To establish a program for co-prescribing 

5 opioid overdose reversal drugs, such as naloxone. 

6 (2) To train and provide resources for health 

7 care providers and pharmacists on the co-prescribing 

8 of opioid overdose reversal drugs. 

9 (3) To establish mechanisms and processes, 

10 consistent with applicable Federal and State privacy 

11 rules, for tracking patients participating in the pro12 gram described in paragraph (1) and the health out13 comes of such patients. 

14 (4) To purchase opioid overdose reversal drugs 

15 for distribution under the program described in 

16 paragraph (1). 

17 (5) To offset the co-pays and other cost sharing 

18 associated with opioid overdose reversal drugs to en19 sure that cost is not a limiting factor for eligible pa20 tients. 

21 (6) To conduct community outreach, in con22 junction with community-based organizations, de23 signed to raise awareness of co-prescribing practices, 

24 and the availability of opioid overdose reversal 

25 drugs. 


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1 (7) To establish protocols to connect patients 

2 who have experienced a drug overdose with appro3 priate treatment, including medication assisted 

4 treatment and appropriate counseling and behavioral 

5 therapies. 

6 (d) EVALUATIONS BY RECIPIENTS.—As a condition 

7 of receipt of a grant under this section, an eligible entity 

8 shall, for each year for which the grant is received, submit 

9 to the Secretary of Health and Human Services informa10 tion on appropriate outcome measures specified by the 

11 Secretary to assess the outcomes of the program funded 

12 by the grant, including— 

13 (1) the number of prescribers trained; 

14 (2) the number of prescribers who have co-pre15 scribed an opioid overdose reversal drug to at least 

16 one patient; 

17 (3) the total number of prescriptions written for 

18 opioid overdose reversal drugs; 

19 (4) the percentage of patients at elevated risk 

20 who received a prescription for an opioid overdose 

21 reversal drug; 

22 (5) the number of patients reporting use of an 

23 opioid overdose reversal drug; and 

24 (6) any other outcome measures that the Sec25 retary deems appropriate. 


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1 (e) REPORTS BY SECRETARY.—For each year of the 

2 grant program under this section, the Secretary of Health 

3 and Human Services shall submit to the appropriate com4 mittees of the House of Representatives and of the Senate 

5 a report aggregating the information received from the 

6 grant recipients for such year under subsection (d) and 

7 evaluating the outcomes achieved by the programs funded 

8 by grants made under this section. 

9 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

10 authorized to be appropriated to carry out this section and 

11 section 103 $4,000,000 for each of fiscal years 2017 

12 through 2021. 

13 SEC. 103. OPIOID OVERDOSE REVERSAL CO-PRESCRIBING 

14 GUIDELINES. 

15 (a) IN GENERAL.—The Secretary of Health and 

16 Human Services shall establish a grant program under 

17 which the Secretary shall award grants to eligible State 

18 entities to develop opioid overdose reversal co-prescribing 

19 guidelines. 

20 (b) ELIGIBLE STATE ENTITIES.—For purposes of 

21 subsection (a), eligible State entities are State depart22 ments of health in conjunction with State medical boards; 

23 city, county, and local health departments; and community 

24 stakeholder groups involved in reducing opioid overdose 

25 deaths. 


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1 (c) ADMINISTRATIVE PROVISIONS.— 

2 (1) GRANT AMOUNTS.—A grant made under 

3 this section may not be for more than $200,000 per 

4 grant. 

5 (2) PRIORITIZATION.—In awarding grants 

6 under this section, the Secretary shall give priority 

7 to eligible State entities which propose to base their 

8 guidelines on existing guidelines on co-prescribing to 

9 speed enactment, including guidelines of— 

10 (A) the Department of Veterans Affairs; 

11 (B) nationwide medical societies, such as 

12 the American Society of Addiction Medicine or 

13 the American Medical Association; and 

14 (C) the Centers for Disease Control and 

15 Prevention. 

16 SEC. 104. SURVEILLANCE CAPACITY BUILDING. 

17 (a) PROGRAM AUTHORIZED.—The Secretary of 

18 Health and Human Services, acting through the Director 

19 of the Centers for Disease Control and Prevention, shall 

20 award cooperative agreements or grants to eligible entities 

21 to improve fatal and nonfatal drug overdose surveillance 

22 and reporting capabilities, including— 

23 (1) providing training to improve identification 

24 of drug overdose as the cause of death by coroners 

25 and medical examiners; 


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1 (2) establishing, in cooperation with the Na2 tional Poison Data System, coroners, and medical 

3 examiners, a comprehensive national program for 

4 surveillance of, and reporting to an electronic data5 base on, drug overdose deaths in the United States; 

6 and 

7 (3) establishing, in cooperation with the Na8 tional Poison Data System, a comprehensive na9 tional program for surveillance of, and reporting to 

10 an electronic database on, fatal and nonfatal drug 

11 overdose occurrences, including epidemiological and 

12 toxicologic analysis and trends. 

13 (b) ELIGIBLE ENTITY.—To be eligible to receive a 

14 grant or cooperative agreement under this section, an enti15 ty shall be— 

16 (1) a State, local, or tribal government; or 

17 (2) the National Poison Data System working 

18 in conjunction with a State, local, or tribal govern19 ment. 

20 (c) APPLICATION.— 

21 (1) IN GENERAL.—An eligible entity desiring a 

22 grant or cooperative agreement under this section 

23 shall submit to the Secretary an application at such 

24 time, in such manner, and containing such informa25 tion as the Secretary may require. 


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1 (2) CONTENTS.—An application described in 

2 paragraph (1) shall include— 

3 (A) a description of the activities to be 

4 funded through the grant or cooperative agree5 ment; and 

6 (B) evidence that the eligible entity has the 

7 capacity to carry out such activities. 

8 (d) REPORT.—As a condition of receipt of a grant 

9 or cooperative agreement under this section, an eligible en10 tity shall agree to prepare and submit, not later than 90 

11 days after the end of the grant or cooperative agreement 

12 period, a report to the Secretary describing the results of 

13 the activities supported through the grant or cooperative 

14 agreement. 

15 (e) NATIONAL POISON DATA SYSTEM.—In this sec16 tion, the term ‘‘National Poison Data System’’ means the 

17 system operated by the American Association of Poison 

18 Control Centers, in partnership with the Centers for Dis19 ease Control and Prevention, for real-time local, State, 

20 and national electronic reporting, and the corresponding 

21 database network. 

22 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

23 authorized to be appropriated to carry out this section 

24 $5,000,000 for each of the fiscal years 2017 through 

25 2021. 


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1 TITLE II—CRISIS 

2 SEC. 201. GRANTS TO SUPPORT SYRINGE EXCHANGE PRO3 GRAMS. 

4 (a) IN GENERAL.—The Secretary of Health and 

5 Human Services may award grants to State, local, and 

6 tribal governments and community organizations to sup7 port syringe exchange programs. 

8 (b) USE OF FUNDS.—Grants under subsection (a) 

9 may be used to support carrying out syringe exchange pro10 grams, including through— 

11 (1) providing outreach, counseling, health edu12 cation, case management, syringe disposal, and 

13 other services as determined appropriate by the Sec14 retary of Health and Human Services; and 

15 (2) providing technical assistance, including 

16 training and capacity building, to assist the develop17 ment and implementation of syringe exchange pro18 grams. 

19 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

20 authorized to be appropriated $15,000,000 for each of fis21 cal years 2017 through 2021 to carry out this section, of 

22 which— 

23 (1) at least 15 percent shall be for syringe ex24 change programs that have been in operation for 

25 less than 3 years; and 


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1 (2) 5 percent shall be for technical assistance 

2 under subsection (b)(2). 

3 SEC. 202. GRANT PROGRAM TO REDUCE DRUG OVERDOSE 

4 DEATHS. 

5 (a) PROGRAM AUTHORIZED.—The Secretary of 

6 Health and Human Services, acting through the Adminis7 trator of the Substance Abuse and Mental Health Services 

8 Administration, shall award grants or enter into coopera9 tive agreements with eligible entities to enable the eligible 

10 entities to reduce deaths occurring from overdoses of 

11 drugs. 

12 (b) ELIGIBLE ENTITIES.—To be eligible to receive a 

13 grant or cooperative agreement under this section, an enti14 ty shall be a partnership between any of the following: a 

15 State, local, or tribal government, a correctional institu16 tion, a law enforcement agency, a community agency, a 

17 professional organization in the field of poison control and 

18 surveillance, or a private nonprofit organization. 

19 (c) APPLICATION.— 

20 (1) IN GENERAL.—An eligible entity desiring a 

21 grant or cooperative agreement under this section 

22 shall submit to the Secretary of Health and Human 

23 Services an application at such time, in such man24 ner, and containing such information as the Sec25 retary may require. 


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1 (2) CONTENTS.—An application under para2 graph (1) shall include— 

3 (A) a description of the activities to be 

4 funded through the grant or cooperative agree5 ment; and 

6 (B) evidence that the eligible entity has the 

7 capacity to carry out such activities. 

8 (d) PRIORITY.—In entering into grants and coopera9 tive agreements under subsection (a), the Secretary of 

10 Health and Human Services shall give priority to eligible 

11 entities that— 

12 (1) include a public health agency or commu13 nity-based organization; and 

14 (2) have expertise in preventing deaths occur15 ring from overdoses of drugs in populations at high 

16 risk of such deaths. 

17 (e) ELIGIBLE ACTIVITIES.—As a condition of receipt 

18 of a grant or cooperative agreement under this section, 

19 an eligible entity shall agree to use the grant or coopera20 tive agreement to do each of the following: 

21 (1) Purchase and distribute the drug naloxone 

22 or a similarly effective medication. 

23 (2) Carry out one or more of the following ac24 tivities: 


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1 (A) Educating prescribers and pharmacists 

2 about overdose prevention and naloxone pre3 scription, or prescriptions of a similarly effec4 tive medication. 

5 (B) Training first responders, other indi6 viduals in a position to respond to an overdose, 

7 and law enforcement and corrections officials on 

8 the effective response to individuals who have 

9 overdosed on drugs. Training pursuant to this 

10 subparagraph may include any activity that is 

11 educational, instructional, or consultative in na12 ture, and may include volunteer training, 

13 awareness building exercises, outreach to indi14 viduals who are at-risk of a drug overdose, and 

15 distribution of educational materials. 

16 (C) Implementing and enhancing programs 

17 to provide overdose prevention, recognition, 

18 treatment, and response to individuals in need 

19 of such services. 

20 (D) Educating the public and providing 

21 outreach to the public about overdose preven22 tion and naloxone prescriptions, or prescriptions 

23 of other similarly effective medications. 

24 (f) COORDINATING CENTER.— 


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1 (1) ESTABLISHMENT.—The Secretary of Health 

2 and Human Services shall establish and provide for 

3 the operation of a coordinating center responsible 

4 for— 

5 (A) collecting, compiling, and dissemi6 nating data on the programs and activities 

7 under this section, including tracking and eval8 uating the distribution and use of naloxone and 

9 other similarly effective medication; 

10 (B) evaluating such data and, based on 

11 such evaluation, developing best practices for 

12 preventing deaths occurring from drug 

13 overdoses; 

14 (C) making such best practices specific to 

15 the type of community involved; 

16 (D) coordinating and harmonizing data 

17 collection measures; 

18 (E) evaluating the effects of the program 

19 on overdose rates; and 

20 (F) education and outreach to the public 

21 about overdose prevention and prescription of 

22 naloxone and other similarly effective medica23 tion. 

24 (2) REPORTS TO CENTER.—As a condition on 

25 receipt of a grant or cooperative agreement under 


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1 this section, an eligible entity shall agree to prepare 

2 and submit, not later than 90 days after the end of 

3 the award period, a report to such coordinating cen4 ter and the Secretary of Health and Human Services 

5 describing the results of the activities supported 

6 through the grant or cooperative agreement. 

7 (g) DURATION.—The period of a grant or cooperative 

8 agreement under this section shall be 4 years. 

9 (h) DEFINITION.—In this part, the term ‘‘drug’’— 

10 (1) means a drug, as defined in section 201 of 

11 the Federal Food, Drug, and Cosmetic Act (21 

12 U.S.C. 321); and 

13 (2) includes controlled substances, as defined in 

14 section 102 of the Controlled Substances Act (21 

15 U.S.C. 802). 

16 (i) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated $20,000,000 to carry out 

18 this section for each of the fiscal years 2017 through 

19 2021. 

20 TITLE III—TREATMENT 

21 SEC. 301. EXPANSION OF PATIENT LIMITS UNDER WAIVER. 

22 Section 303(g)(2)(B) of the Controlled Substances 

23 Act (21 U.S.C. 823(g)(2)(B)) is amended— 

24 (1) in clause (i), by striking ‘‘physician’’ and in25 serting ‘‘practitioner’’; 


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1 (2) in clause (iii)— 

2 (A) by striking ‘‘30’’ and inserting ‘‘100’’; 

3 and 

4 (B) by striking ‘‘, unless, not sooner’’ and 

5 all that follows through the end and inserting a 

6 period; and 

7 (3) by inserting at the end the following new 

8 clause: 

9 ‘‘(iv) Not earlier than 1 year after the date 

10 on which a qualifying practitioner obtained an 

11 initial waiver pursuant to clause (iii), the quali12 fying practitioner may submit a second notifica13 tion to the Secretary of the need and intent of 

14 the qualifying practitioner to treat an unlimited 

15 number of patients, if the qualifying practi16 tioner— 

17 ‘‘(I)(aa) satisfies the requirements of 

18 item (aa), (bb), (cc), or (dd) of subpara19 graph (G)(ii)(I); and 

20 ‘‘(bb) agrees to fully participate in the 

21 Prescription Drug Monitoring Program of 

22 the State in which the qualifying practi23 tioner is licensed, pursuant to applicable 

24 State guidelines; or 


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1 ‘‘(II)(aa) satisfies the requirements of 

2 item (ee), (ff), or (gg) of subparagraph 

3 (G)(ii)(I); 

4 ‘‘(bb) agrees to fully participate in the 

5 Prescription Drug Monitoring Program of 

6 the State in which the qualifying practi7 tioner is licensed, pursuant to applicable 

8 State guidelines; 

9 ‘‘(cc) practices in a qualified practice 

10 setting; and 

11 ‘‘(dd) has completed not less than 24 

12 hours of training (through classroom situa13 tions, seminars at professional society 

14 meetings, electronic communications, or 

15 otherwise) with respect to the treatment 

16 and management of opiate-dependent pa17 tients for substance use disorders provided 

18 by the American Society of Addiction Med19 icine, the American Academy of Addiction 

20 Psychiatry, the American Medical Associa21 tion, the American Osteopathic Associa22 tion, the American Psychiatric Association, 

23 or any other organization that the Sec24 retary determines is appropriate for pur25 poses of this subclause.’’. 


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1 SEC. 302. DEFINITIONS. 

2 Section 303(g)(2)(G) of the Controlled Substances 

3 Act (21 U.S.C. 823(g)(2)(G)) is amended— 

4 (1) by striking clause (ii) and inserting the fol5 lowing: 

6 ‘‘(ii) The term ‘qualifying practitioner’ 

7 means the following: 

8 ‘‘(I) A physician who is licensed under 

9 State law and who meets 1 or more of the 

10 following conditions: 

11 ‘‘(aa) The physician holds a 

12 board certification in addiction psychi13 atry from the American Board of 

14 Medical Specialties. 

15 ‘‘(bb) The physician holds an ad16 diction certification from the Amer17 ican Society of Addiction Medicine. 

18 ‘‘(cc) The physician holds a 

19 board certification in addiction medi20 cine from the American Osteopathic 

21 Association. 

22 ‘‘(dd) The physician holds a 

23 board certification from the American 

24 Board of Addiction Medicine. 

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1 ing (through classroom situations, 

2 seminar at professional society meet3 ings, electronic communications, or 

4 otherwise) with respect to the treat5 ment and management of opiate-de6 pendent patients for substance use 

7 disorders provided by the American 

8 Society of Addiction Medicine, the 

9 American Academy of Addiction Psy10 chiatry, the American Medical Asso11 ciation, the American Osteopathic As12 sociation, the American Psychiatric 

13 Association, or any other organization 

14 that the Secretary determines is ap15 propriate for purposes of this sub16 clause. 

17 ‘‘(ff) The physician has partici18 pated as an investigator in 1 or more 

19 clinical trials leading to the approval 

20 of a narcotic drug in schedule III, IV, 

21 or V for maintenance or detoxification 

22 treatment, as demonstrated by a 

23 statement submitted to the Secretary 

24 by this sponsor of such approved 

25 drug. 


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1 ‘‘(gg) The physician has such 

2 other training or experience as the 

3 Secretary determines will demonstrate 

4 the ability of the physician to treat 

5 and manage opiate-dependent pa6 tients. 

7 ‘‘(II) A nurse practitioner or physi8 cian assistant who is licensed under State 

9 law and meets all of the following condi10 tions: 

11 ‘‘(aa) The nurse practitioner or 

12 physician assistant is licensed under 

13 State law to prescribe schedule III, 

14 IV, or V medications for pain. 

15 ‘‘(bb) The nurse practitioner or 

16 physician assistant satisfies 1 or more 

17 of the following: 

18 ‘‘(AA) Has completed not 

19 fewer than 24 hours of training 

20 (through classroom situations, 

21 seminar at professional society 

22 meetings, electronic communica23 tions, or otherwise) with respect 

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1 tients for substance use disorders 

2 provided by the American Society 

3 of Addiction Medicine, the Amer4 ican Academy of Addiction Psy5 chiatry, the American Medical 

6 Association, the American Osteo7 pathic Association, the American 

8 Psychiatric Association, or any 

9 other organization that the Sec10 retary determines is appropriate 

11 for purposes of this subclause. 

12 ‘‘(BB) Has such other train13 ing or experience as the Sec14 retary determines will dem15 onstrate the ability of the nurse 

16 practitioner or physician assist17 ant to treat and manage opiate18 dependent patients. 

19 ‘‘(cc) The nurse practitioner or 

20 physician assistant practices within 

21 the scope of their State license, in22 cluding compliance with any super23 vision or collaboration requirements 

24 under State law. 


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1 ‘‘(dd) The nurse practitioner or 

2 physician assistant practice in a quali3 fied practice setting.’’; and 

4 (2) by adding at the end the following: 

5 ‘‘(iii) The term ‘qualified practice setting’ 

6 means 1 or more of the following treatment set7 tings: 

8 ‘‘(I) A National Committee for Qual9 ity Assurance-recognized Patient-Centered 

10 Medical Home or Patient-Centered Spe11 cialty Practice. 

12 ‘‘(II) A Centers for Medicaid & Medi13 care Services-recognized Accountable Care 

14 Organization. 

15 ‘‘(III) A clinical facility administered 

16 by the Department of Veterans Affairs, 

17 Department of Defense, or Indian Health 

18 Service. 

19 ‘‘(IV) A Behavioral Health Home ac20 credited by the Joint Commission. 

21 ‘‘(V) A Federally-qualified health cen22 ter (as defined in section 1905(l)(2)(B) of 

23 the Social Security Act (42 U.S.C. 

24 1396d(l)(2)(B))) or a Federally-qualified 

25 health center look-alike. 


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1 ‘‘(VI) A Substance Abuse and Mental 

2 Health Services-certified Opioid Treatment 

3 Program. 

4 ‘‘(VII) A clinical program of a State 

5 or Federal jail, prison, or other facility 

6 where individuals are incarcerated. 

7 ‘‘(VIII) A clinic that demonstrates 

8 compliance with the Model Policy on 

9 DATA 2000 and Treatment of Opioid Ad10 diction in the Medical Office issued by the 

11 Federation of State Medical Boards. 

12 ‘‘(IX) A treatment setting that is part 

13 of an Accreditation Council for Graduate 

14 Medical Education, American Association 

15 of Colleges of Osteopathic Medicine, or 

16 American Osteopathic Association-accred17 ited residency or fellowship training pro18 gram. 

19 ‘‘(X) Any other practice setting ap20 proved by a State regulatory board, State 

21 substance abuse agency, or State Medicaid 

22 Plan to provide addiction treatment serv23 ices. 

24 ‘‘(XI) Any other practice setting ap25 proved by the Secretary.’’. 


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1 SEC. 303. EVALUATION BY ASSISTANT SECRETARY FOR 

2 PLANNING AND EVALUATION. 

3 Two years after the date on which the first notifica4 tion under clause (iv) of section 303(g)(2)(B) of the Con5 trolled Substances Act (21 U.S.C. 823(g)(2)(B)), as added 

6 by section 301, is received by the Secretary of Health and 

7 Human Services, the Assistant Secretary for Planning and 

8 Evaluation shall initiate an evaluation of the effectiveness 

9 of the amendments made by sections 301 and 302, which 

10 shall include an evaluation of— 

11 (1) any changes in the availability and use of 

12 medication-assisted treatment for opioid addiction; 

13 (2) the quality of medication-assisted treatment 

14 programs; 

15 (3) the integration of medication-assisted treat16 ment with routine healthcare services; 

17 (4) diversion of opioid addiction treatment 

18 medication; 

19 (5) changes in State or local policies and legis20 lation relating to opioid addiction treatment; 

21 (6) the use of nurse practitioners and physician 

22 assistants who prescribe opioid addiction medication; 

23 (7) the use of Prescription Drug Monitoring 

24 Programs by waived practitioners to maximize safety 

25 of patient care and prevent diversion of opioid addic26 tion medication; 


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1 (8) the findings of the Drug Enforcement Ad2 ministration inspections of waived practitioners, in3 cluding the frequency with which the Drug Enforce4 ment Administration finds no documentation of ac5 cess to behavioral health services; and 

6 (9) the effectiveness of cross-agency collabora7 tion between Department of Health and Human 

8 Services and the Drug Enforcement Administration 

9 for expanding effective opioid addiction treatment. 

10 SEC. 304. REAUTHORIZATION OF RESIDENTIAL TREAT11 MENT PROGRAMS FOR PREGNANT AND 

12 POSTPARTUM WOMEN. 

13 Section 508 of the Public Health Service Act (42 

14 U.S.C. 290bb–1) is amended— 

15 (1) in subsection (p), by inserting ‘‘(other than 

16 subsection (r))’’ after ‘‘section’’; and 

17 (2) in subsection (r), by striking ‘‘such sums’’ 

18 and all that follows through ‘‘2003’’ and inserting 

19 ‘‘$40,000,000 for each of fiscal years 2017 through 

20 2021’’. 

21 SEC. 305. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 

22 ABUSE AGENCIES. 

23 (a) IN GENERAL.—Section 508 of the Public Health 

24 Service Act (42 U.S.C. 290bb–1) is amended— 


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1 (1) by redesignating subsection (r), as amended 

2 by section 304, as subsection (s); and 

3 (2) by inserting after subsection (q) the fol4 lowing new subsection: 

5 ‘‘(r) PILOT PROGRAM FOR STATE SUBSTANCE

6 ABUSE AGENCIES.— 

7 ‘‘(1) IN GENERAL.—From amounts made avail8 able under subsection (s), the Director of the Center 

9 for Substance Abuse Treatment shall carry out a 

10 pilot program under which competitive grants are 

11 made by the Director to State substance abuse agen12 cies to— 

13 ‘‘(A) enhance flexibility in the use of funds 

14 designed to support family-based services for 

15 pregnant and postpartum women with a pri16 mary diagnosis of a substance use disorder, in17 cluding opioid use disorders; 

18 ‘‘(B) help State substance abuse agencies 

19 address identified gaps in services furnished to 

20 such women along the continuum of care, in21 cluding services provided to women in non-resi22 dential based settings; and 

23 ‘‘(C) promote a coordinated, effective, and 

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1 stance abuse agencies by encouraging new ap2 proaches and models of service delivery. 

3 ‘‘(2) REQUIREMENTS.—In carrying out the 

4 pilot program under this subsection, the Director 

5 shall— 

6 ‘‘(A) require State substance abuse agen7 cies to submit to the Director applications, in 

8 such form and manner and containing such in9 formation as specified by the Director, to be eli10 gible to receive a grant under the program; 

11 ‘‘(B) identify, based on such submitted ap12 plications, State substance abuse agencies that 

13 are eligible for such grants; 

14 ‘‘(C) require services proposed to be fur15 nished through such a grant to support family16 based treatment and other services for pregnant 

17 and postpartum women with a primary diag18 nosis of a substance use disorder, including 

19 opioid use disorders; 

20 ‘‘(D) not require that services furnished 

21 through such a grant be provided solely to 

22 women that reside in facilities; 

23 ‘‘(E) not require that grant recipients 

24 under the program make available through use 


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1 of the grant all services described in subsection 

2 (d); and 

3 ‘‘(F) consider not applying requirements 

4 described in paragraphs (1) and (2) of sub5 section (f) to applicants, depending on the cir6 cumstances of the applicant. 

7 ‘‘(3) REQUIRED SERVICES.— 

8 ‘‘(A) IN GENERAL.—The Director shall 

9 specify a minimum set of services required to be 

10 made available to eligible women through a 

11 grant awarded under the pilot program under 

12 this subsection. Such minimum set— 

13 ‘‘(i) shall include requirements de14 scribed in subsection (c) and be based on 

15 the recommendations submitted under sub16 paragraph (B); and 

17 ‘‘(ii) may be selected from among the 

18 services described in subsection (d) and in19 clude other services as appropriate. 

20 ‘‘(B) STAKEHOLDER INPUT.—The Director 

21 shall convene and solicit recommendations from 

22 stakeholders, including State substance abuse 

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1 priate individuals, for the minimum set of serv2 ices described in subparagraph (A). 

3 ‘‘(4) DURATION.—The pilot program under this 

4 subsection shall not exceed 5 years. 

5 ‘‘(5) EVALUATION AND REPORT TO CON6 GRESS.—The Director of the Center for Behavioral 

7 Health Statistics and Quality shall fund an evalua8 tion of the pilot program at the conclusion of the 

9 first grant cycle funded by the pilot program. The 

10 Director of the Center for Behavioral Health Statis11 tics and Quality, in coordination with the Director of 

12 the Center for Substance Abuse Treatment shall 

13 submit to the relevant committees of jurisdiction of 

14 the House of Representatives and the Senate a re15 port on such evaluation. The report shall include at 

16 a minimum outcomes information from the pilot pro17 gram, including any resulting reductions in the use 

18 of alcohol and other drugs; engagement in treatment 

19 services; retention in the appropriate level and dura20 tion of services; increased access to the use of medi21 cations approved by the Food and Drug Administra22 tion for the treatment of substance use disorders in 

23 combination with counseling; and other appropriate 

24 measures. 


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1 ‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE2 FINED.—For purposes of this subsection, the term 

3 ‘State substance abuse agency’ means, with respect 

4 to a State, the agency in such State that manages 

5 the Substance Abuse Prevention and Treatment 

6 Block Grant under part B of title XIX.’’. 

7 (b) FUNDING.—Subsection (s) of section 508 of the 

8 Public Health Service Act (42 U.S.C. 290bb–1), as 

9 amended by section 304 and redesignated by subsection 

10 (a), is further amended by adding at the end the following 

11 new sentence: ‘‘Of the amounts made available for a year 

12 pursuant to the previous sentence to carry out this section, 

13 not more than 25 percent of such amounts shall be made 

14 available for such year to carry out subsection (r), other 

15 than paragraph (5) of such subsection.’’. 

16 SEC. 306. EVIDENCE-BASED OPIOID AND HEROIN TREAT17 MENT AND INTERVENTIONS DEMONSTRA18 TION. 

19 Subpart 1 of part B of title V of the Public Health 

20 Service Act (42 U.S.C. 290bb et seq.) is amended— 

21 (1) by redesignating section 514 (42 U.S.C. 

22 290bb–9), as added by section 3632 of the Meth23 amphetamine Anti-Proliferation Act of 2000 (Public 

24 Law 106–310; 114 Stat. 1236), as section 514B; 

25 and 


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1 (2) by adding at the end the following: 

2 ‘‘SEC. 514C. EVIDENCE-BASED OPIOID AND HEROIN TREAT3 MENT AND INTERVENTIONS DEMONSTRA4 TION. 

5 ‘‘(a) GRANTS.— 

6 ‘‘(1) AUTHORITY TO MAKE GRANTS.—The Di7 rector of the Center for Substance Abuse Treatment 

8 (referred to in this section as the ‘Director’) shall 

9 award grants to State substance abuse agencies, 

10 units of local government, nonprofit organizations, 

11 and Indian tribes or tribal organizations (as defined 

12 in section 4 of the Indian Health Care Improvement 

13 Act (25 U.S.C. 1603)) that have a high rate, or 

14 have had a rapid increase, in the use of heroin or 

15 other opioids, in order to permit such entities to ex16 pand activities, including an expansion in the avail17 ability of medication assisted treatment, evidence18 based counseling, or behavioral therapies with re19 spect to the treatment of addiction in the specific 

20 geographical areas of such entities where there is a 

21 rate or rapid increase in the use of heroin or other 

22 opioids. 

23 ‘‘(2) RECIPIENTS.—The entities receiving 

24 grants under paragraph (1) shall be selected by the 

25 Director. 


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1 ‘‘(3) NATURE OF ACTIVITIES.—The grant funds 

2 awarded under paragraph (1) shall be used for ac3 tivities that are based on reliable scientific evidence 

4 of efficacy in the treatment of problems related to 

5 heroin or other opioids. 

6 ‘‘(b) GEOGRAPHIC DISTRIBUTION.—The Director 

7 shall ensure that grants awarded under subsection (a) are 

8 distributed equitably among the various regions of the Na9 tion and among rural, urban, and suburban areas that are 

10 affected by the use of heroin or other opioids. 

11 ‘‘(c) ADDITIONAL ACTIVITIES.—The Director shall— 

12 ‘‘(1) evaluate the activities supported by grants 

13 awarded under subsection (a); 

14 ‘‘(2) disseminate widely such significant infor15 mation derived from the evaluation as the Director 

16 considers appropriate; 

17 ‘‘(3) provide States, Indian tribes and tribal or18 ganizations, and providers with technical assistance 

19 in connection with the provision of treatment of 

20 problems related to heroin and other opioids; and 

21 ‘‘(4) fund only those applications that specifi22 cally support recovery services as a critical compo23 nent of the grant program. 

24 ‘‘(d) DEFINITION.—The term ‘medication assisted 

25 treatment’ means the use, for problems relating to heroin 


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1 and other opioids, of medications approved by the Food 

2 and Drug Administration in combination with counseling 

3 and behavioral therapies. 

4 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 

5 ‘‘(1) IN GENERAL.—There is authorized to be 

6 appropriated to carry out this section $300,000,000 

7 for each of fiscal years 2017 through 2021. 

8 ‘‘(2) USE OF CERTAIN FUNDS.—Of the funds 

9 appropriated to carry out this section in any fiscal 

10 year, not more than 5 percent of such funds shall 

11 be available to the Director for purposes of carrying 

12 out subsection (c).’’. 

13 SEC. 307. ADOLESCENT TREATMENT AND RECOVERY SERV14 ICES DEMONSTRATION GRANT PROGRAM. 

15 Subpart 1 of part B of title V of the Public Health 

16 Service Act (42 U.S.C. 290bb et seq.), as amended by sec17 tion 306, is further amended by adding at the end the 

18 following: 

19 ‘‘SEC. 514D. GRANTS TO IMPROVE ACCESS TO TREATMENT 

20 AND RECOVERY FOR ADOLESCENTS. 

21 ‘‘(a) IN GENERAL.—The Secretary, acting through 

22 the Director of the Center for Substance Abuse Treat23 ment, shall award grants, contracts, or cooperative agree24 ments to eligible State substance abuse agencies and other 

25 entities determined appropriate by the Director for the 


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1 purpose of increasing the capacity of substance use dis2 order treatment and recovery services for adolescents. 

3 ‘‘(b) ELIGIBILITY.—To be eligible to receive a grant, 

4 contract, or cooperative agreement under subsection (a) 

5 an entity shall— 

6 ‘‘(1) prepare and submit to the Director an ap7 plication at such time, in such manner, and contain 

8 such information as the Director may require, in9 cluding a plan for the evaluation of any activities 

10 carried out with the funds provided under this sec11 tion; 

12 ‘‘(2) ensure that all entities receiving support 

13 under the grant, contract, or cooperative agreement 

14 comply with all applicable State licensure or certifi15 cation requirements regarding the provision of the 

16 services involved; and 

17 ‘‘(3) provide the Director with periodic evalua18 tions of the progress of the activities funded under 

19 this section and an evaluation at the completion of 

20 such activities, as the Director determines to be ap21 propriate. 

22 ‘‘(c) PRIORITY.—In awarding grants, contracts, and 

23 cooperative agreements under subsection (a), the Director 

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1 onstrated geographic need for adolescent specific residen2 tial treatment services. 

3 ‘‘(d) USE OF FUNDS.—Amounts awarded under 

4 grants, contracts, or cooperative agreements under this 

5 section may be used to enable health care providers or fa6 cilities that provide treatment and recovery assistance for 

7 adolescents with a substance use disorder to provide the 

8 following services: 

9 ‘‘(1) Individualized patient centered care that is 

10 specific to circumstances of the individual patient. 

11 ‘‘(2) Clinically appropriate, trauma-informed, 

12 gender-specific and age appropriate treatment serv13 ices that are based on reliable scientific evidence of 

14 efficacy in the treatment of problems related to sub15 stance use disorders. 

16 ‘‘(3) Clinically appropriate care to address 

17 treatment for substance use and any co-occurring 

18 physical and mental health disorders at the same lo19 cation, and through access to primary care services. 

20 ‘‘(4) Coordination of treatment services with re21 covery and other social support, including edu22 cational, vocational training, assistance with the ju23 venile justice system, child welfare, and mental 

24 health agencies. 


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1 ‘‘(5) Aftercare and long-term recovery support, 

2 including peer support services. 

3 ‘‘(e) DURATION OF ASSISTANCE.—Grants, contracts, 

4 and cooperative agreements awarded under subsection (a) 

5 shall be for a period not to exceed 5 years. 

6 ‘‘(f) ADDITIONAL ACTIVITIES.—The Director shall— 

7 ‘‘(1) collect and evaluate the activities carried 

8 out with amounts received under subsection (a); 

9 ‘‘(2) disseminate widely such significant infor10 mation derived from the evaluation as the Secretary 

11 considers appropriate; and 

12 ‘‘(3) provide States, Indian tribes and tribal or13 ganizations, and providers with technical assistance 

14 in connection with the provision of treatment and re15 covery services funded through this section to ado16 lescents related to the abuse of heroin and other 

17 opioids. 

18 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.— 

19 ‘‘(1) IN GENERAL.—There is authorized to be 

20 appropriated to carry out this section, $25,000,000 

21 for each of fiscal years 2017 through 2021. 

22 ‘‘(2) USE OF CERTAIN FUNDS.—Of the funds 

23 appropriated to carry out this section in any fiscal 

24 year, not more than 5 percent of such funds shall 


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1 be available to the Director for purposes of carrying 

2 out subsection (f).’’. 

3 SEC. 308. STRENGTHENING PARITY IN MENTAL HEALTH 

4 AND SUBSTANCE USE DISORDER BENEFITS. 

5 (a) PUBLIC HEALTH SERVICE ACT.—Section 

6 2726(a) of the Public Health Service Act (42 U.S.C. 

7 300gg–26(a)) is amended by adding at the end the fol8 lowing new paragraphs: 

9 ‘‘(6) DISCLOSURE AND ENFORCEMENT RE10 QUIREMENTS.— 

11 ‘‘(A) DISCLOSURE REQUIREMENTS.— 

12 ‘‘(i) REGULATIONS.—Not later than 

13 December 31, 2016, the Secretary, in co14 operation with the Secretaries of Labor 

15 and the Treasury, as appropriate, shall 

16 issue additional regulations for carrying 

17 out this section, including an explanation 

18 of documents that must be disclosed by 

19 plans and issuers, the process governing 

20 such disclosures by plans and issuers, and 

21 analyses that must be conducted by plans 

22 and issuers by a group health plan or 

23 health insurance issuer offering health in24 surance coverage in the group or individual 

25 market in order for such plan or issuer to 


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1 demonstrate compliance with the provisions 

2 of this section. 

3 ‘‘(ii) DISCLOSURE REQUIREMENTS.— 

4 Documents required to be disclosed by a 

5 group health plan or health insurance 

6 issuer offering health insurance coverage in 

7 the group or individual market under 

8 clause (i) shall include an annual report 

9 that details the specific analyses performed 

10 to ensure compliance of such plan or cov11 erage with the law and regulations. At a 

12 minimum, with respect to the application 

13 of non-quantitative treatment limitations 

14 (in this paragraph referred to as NQTLs) 

15 to benefits under the plan or coverage, 

16 such report shall— 

17 ‘‘(I) identify the specific factors 

18 the plan or coverage used in per19 forming its NQTL analysis; 

20 ‘‘(II) identify and define the spe21 cific evidentiary standards relied on to 

22 evaluate the factors; 

23 ‘‘(III) describe how the evi24 dentiary standards are applied to each 

25 service category for mental health, 


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1 substance use disorders, medical bene2 fits, and surgical benefits; 

3 ‘‘(IV) disclose the results of the 

4 analyses of the specific evidentiary 

5 standards in each service category; 

6 and 

7 ‘‘(V) disclose the specific findings 

8 of the plan or coverage in each service 

9 category and the conclusions reached 

10 with respect to whether the processes, 

11 strategies, evidentiary standards, or 

12 other factors used in applying the 

13 NQTL to mental health or substance 

14 use disorder benefits are comparable 

15 to, and applied no more stringently 

16 than, the processes, strategies, evi17 dentiary standards, or other factors 

18 used in applying the limitation with 

19 respect to medical and surgical bene20 fits in the same classification. 

21 ‘‘(iii) GUIDANCE.—The Secretary, in 

22 cooperation with the Secretaries of Labor 

23 and the Treasury, as appropriate, shall 

24 issue guidance to group health plans and 

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1 surance coverage in the group or individual 

2 markets on how to satisfy the requirements 

3 of this section with respect to making in4 formation available to current and poten5 tial participants and beneficiaries. Such in6 formation shall include certificate of cov7 erage documents and instruments under 

8 which the plan or coverage involved is ad9 ministered and operated that specify, in10 clude, or refer to procedures, formulas, and 

11 methodologies applied to determine a par12 ticipant or beneficiary’s benefit under the 

13 plan or coverage, regardless of whether 

14 such information is contained in a docu15 ment designated as the ‘plan document’. 

16 Such guidance shall include a disclosure of 

17 how the plan or coverage involved has pro18 vided that processes, strategies, evidentiary 

19 standards, and other factors used in apply20 ing the NQTL to mental health or sub21 stance use disorder benefits are com22 parable to, and applied no more stringently 

23 than, the processes, strategies, evidentiary 

24 standards, or other factors used in apply25 ing the limitation with respect to medical 


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1 and surgical benefits in the same classi2 fication. 

3 ‘‘(iv) DEFINITIONS.—In this para4 graph and paragraph (7), the terms ‘non5 quantitative treatment limitations’, ‘com6 parable to’, and ‘applied no more strin7 gently than’ have the meanings given such 

8 terms in sections 146 and 147 of title 45, 

9 Code of Federal Regulations (or any suc10 cessor regulation). 

11 ‘‘(B) ENFORCEMENT.— 

12 ‘‘(i) PROCESS FOR COMPLAINTS.—The 

13 Secretary, in cooperation with the Secre14 taries of Labor and the Treasury, as ap15 propriate, shall, with respect to group 

16 health plans and health insurance issuers 

17 offering health insurance coverage in the 

18 group or individual market, issue guidance 

19 to clarify the process and timeline for cur20 rent and potential participants and bene21 ficiaries (and authorized representatives 

22 and health care providers of such partici23 pants and beneficiaries) with respect to 

24 such plans and coverage to file formal 

25 complaints of such plans or issuers being 


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1 in violation of this section, including guid2 ance, by plan type, on the relevant State, 

3 regional, and national offices with which 

4 such complaints should be filed. 

5 ‘‘(ii) AUTHORITY FOR PUBLIC EN6 FORCEMENT.—The Secretary, in consulta7 tion with the Secretaries of Labor and the 

8 Treasury, shall make available to the pub9 lic on the Consumer Parity Portal website 

10 established under paragraph (7) de-identi11 fied information on audits and investiga12 tions of group health plans and health in13 surance issuers conducted under this sec14 tion. 

15 ‘‘(iii) AUDITS.— 

16 ‘‘(I) RANDOMIZED AUDITS.—The 

17 Secretary in cooperation with the Sec18 retaries of Labor and the Treasury, is 

19 authorized to conduct randomized au20 dits of group health plans and health 

21 insurance issuers offering health in22 surance coverage in the group or indi23 vidual market to determine compli24 ance with this section. Such audits 

25 shall be conducted on no fewer than 


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1 twelve plans and issuers per plan 

2 year. Information from such audits 

3 shall be made plainly available on the 

4 Consumer Parity Portal website es5 tablished under paragraph (7). 

6 ‘‘(II) ADDITIONAL AUDITS.—In 

7 the case of a group health plan or 

8 health insurance issuer offering health 

9 insurance coverage in the group or in10 dividual market with respect to which 

11 any claim has been filed during a plan 

12 year, the Secretary may audit the 

13 books and records of such plan or 

14 issuer to determine compliance with 

15 this section. Information detailing the 

16 results of the audit shall be made 

17 available on the Consumer Parity Por18 tal website established under para19 graph (7). 

20 ‘‘(iv) DENIAL RATES.—The Secretary 

21 shall collect information on the rates of 

22 and reasons for denial by group health 

23 plans and health insurance issuers offering 

24 health insurance coverage in the group or 

25 individual market of claims for outpatient 


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1 and inpatient mental health and substance 

2 use disorder services compared to the rates 

3 of and reasons for denial of claims for 

4 medical and surgical services. For the first 

5 plan year beginning at least two years 

6 after the date of the enactment of this 

7 paragraph and each subsequent plan year, 

8 the Secretary shall submit to the Com9 mittee on Energy and Commerce of the 

10 House of Representatives and the Com11 mittee on Health, Education, Labor, and 

12 Pensions of the Senate, and make plainly 

13 available on the Consumer Parity Portal 

14 website under paragraph (7), the informa15 tion collected under the previous sentence 

16 with respect to the previous plan year. 

17 ‘‘(7) CONSUMER PARITY PORTAL WEBSITE.— 

18 The Secretary, in consultation with the Secretaries 

19 of Labor and the Treasury, shall establish a one20 stop Internet website portal for— 

21 ‘‘(A) submitting complaints and violations 

22 relating to this section, section 712 of the Em23 ployee Retirement Income Security Act of 1974, 

24 and section 9812 of the Internal Revenue Code 

25 of 1986; and 


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1 ‘‘(B) for each of such Secretaries to submit 

2 information in order to provide such informa3 tion to health care consumers pursuant to para4 graph (6), section 712(a)(6) of the Employee 

5 Retirement Income Security Act of 1974, and 

6 section 9812(a)(6) of the Internal Revenue 

7 Code of 1986. 

8 Such portal shall have the ability to take basic infor9 mation related to the complaint, including name, 

10 contact information, and brief narrative, and trans11 mit such information in a timely fashion to the ap12 propriate State or Federal enforcement agency. Once 

13 the consumer information is submitted, such portal 

14 shall provide the consumer with contact information 

15 for the appropriate enforcement agency to follow-up 

16 on the complaint.’’. 

17 (b) EMPLOYEE RETIREMENT INCOME SECURITY ACT

18 OF 1974.—Section 712(a) of the Employee Retirement In19 come Security Act of 1974 (29 U.S.C. 1185a(a)) is 

20 amended by adding at the end the following new para21 graph: 

22 ‘‘(6) DISCLOSURE AND ENFORCEMENT RE23 QUIREMENTS.— 

24 ‘‘(A) DISCLOSURE REQUIREMENTS.— 


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1 ‘‘(i) REGULATIONS.—Not later than 

2 December 31, 2016, the Secretary, in co3 operation with the Secretaries of Health 

4 and Human Services and the Treasury, as 

5 appropriate, shall issue additional regula6 tions for carrying out this section, includ7 ing an explanation of documents that must 

8 be disclosed by plans and issuers, the proc9 ess governing such disclosures by plans 

10 and issuers, and analyses that must be 

11 conducted by plans and issuers by a group 

12 health plan (or health insurance coverage 

13 offered in connection with such a plan) in 

14 order for such plan or issuer to dem15 onstrate compliance with the provisions of 

16 this section. 

17 ‘‘(ii) DISCLOSURE REQUIREMENTS.— 

18 Documents required to be disclosed by a 

19 group health plan (or health insurance cov20 erage offered in connection with such a 

21 plan) under clause (i) shall include an an22 nual report that details the specific anal23 yses performed to ensure compliance of 

24 such plan or coverage with the law or regu25 lations. At a minimum, with respect to the 


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1 application of non-quantitative treatment 

2 limitations (in this paragraph referred to 

3 as NQTLs) to benefits under the plan or 

4 coverage, such report shall— 

5 ‘‘(I) identify the specific factors 

6 the plan or coverage used in per7 forming its NQTL analysis; 

8 ‘‘(II) identify and define the spe9 cific evidentiary standards relied on to 

10 evaluate the factors; 

11 ‘‘(III) describe how the evi12 dentiary standards are applied to each 

13 service category for mental health, 

14 substance use disorders, medical bene15 fits, and surgical benefits; 

16 ‘‘(IV) disclose the results of the 

17 analyses of the specific evidentiary 

18 standards in each service category; 

19 and 

20 ‘‘(V) disclose the specific findings 

21 of the plan or coverage in each service 

22 category and the conclusions reached 

23 with respect to whether the processes, 

24 strategies, evidentiary standards, or 

25 other factors used in applying the 


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1 NQTL to mental health or substance 

2 use disorder benefits are comparable 

3 to, and applied no more stringently 

4 than, the processes, strategies, evi5 dentiary standards, or other factors 

6 used in applying the limitation with 

7 respect to medical and surgical bene8 fits in the same classification. 

9 ‘‘(iii) GUIDANCE.—The Secretary, in 

10 cooperation with the Secretaries of Health 

11 and Human Services and the Treasury, as 

12 appropriate, shall issue guidance to group 

13 health plans (and health insurance cov14 erage offered in connection with such a 

15 plan) on how to satisfy the requirements of 

16 this section with respect to making infor17 mation available to current and potential 

18 participants and beneficiaries. Such infor19 mation shall include certificate of coverage 

20 documents and instruments under which 

21 the plan or coverage involved is adminis22 tered and operated that specify, include, or 

23 refer to procedures, formulas, and meth24 odologies applied to determine a partici25 pant or beneficiary’s benefit under the plan 


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1 or coverage, regardless of whether such in2 formation is contained in a document des3 ignated as the ‘plan document’. Such guid4 ance shall include a disclosure of how the 

5 plan or coverage involved has provided that 

6 processes, strategies, evidentiary stand7 ards, and other factors used in applying 

8 the NQTL to mental health or substance 

9 use disorder benefits are comparable to, 

10 and applied no more stringently than, the 

11 processes, strategies, evidentiary stand12 ards, or other factors used in applying the 

13 limitation with respect to medical and sur14 gical benefits in the same classification. 

15 ‘‘(iv) DEFINITIONS.—In this para16 graph, the terms ‘non-quantitative treat17 ment limitations’, ‘comparable to’, and ‘ap18 plied no more stringently than’ have the 

19 meanings given such terms in sections 146 

20 and 147 of title 45, Code of Federal Regu21 lations (or any successor regulation). 

22 ‘‘(B) ENFORCEMENT.— 

23 ‘‘(i) PROCESS FOR COMPLAINTS.—The 

24 Secretary, in cooperation with the Secre25 taries of Health and Human Services and 


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1 the Treasury, as appropriate, shall, with 

2 respect to group health plans (and health 

3 insurance coverage offered in connection 

4 with such a plan), issue guidance to clarify 

5 the process and timeline for current and 

6 potential participants and beneficiaries 

7 (and authorized representatives and health 

8 care providers of such participants and 

9 beneficiaries) with respect to such plans 

10 (and coverage) to file formal complaints of 

11 such plans (or coverage) being in violation 

12 of this section, including guidance, by plan 

13 type, on the relevant State, regional, and 

14 national offices with which such complaints 

15 should be filed. 

16 ‘‘(ii) AUTHORITY FOR PUBLIC EN17 FORCEMENT.—The Secretary, in consulta18 tion with the Secretaries of Labor and the 

19 Treasury, shall make available to the pub20 lic on the Consumer Parity Portal website 

21 established under section 2726(a)(7) of the 

22 Public Health Service Act de-identified in23 formation on audits and investigations of 

24 group health plans (and health insurance 


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1 coverage offered in connection with such a 

2 plan) conducted under this section. 

3 ‘‘(iii) AUDITS.— 

4 ‘‘(I) RANDOMIZED AUDITS.—The 

5 Secretary in cooperation with the Sec6 retaries of Health and Human Serv7 ices and the Treasury, is authorized 

8 to conduct randomized audits of 

9 group health plans (and health insur10 ance coverage offered in connection 

11 with such a plan) to determine com12 pliance with this section. Such audits 

13 shall be conducted on no fewer than 

14 twelve plans and coverage per plan 

15 year. Information from such audits 

16 shall be made plainly available on the 

17 Consumer Parity Portal website es18 tablished under section 2726(a)(7) of 

19 the Public Health Service Act. 

20 ‘‘(II) ADDITIONAL AUDITS.—In 

21 the case of a group health plan (or 

22 health insurance coverage offered in 

23 connection with such a plan) with re24 spect to which any claim has been 

25 filed during a plan year, the Secretary 


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1 may audit the books and records of 

2 such plan (or coverage) to determine 

3 compliance with this section. Informa4 tion detailing the results of the audit 

5 shall be made available on the Con6 sumer Parity Portal website estab7 lished under section 2726(a)(7) of the 

8 Public Health Service Act. 

9 ‘‘(iv) DENIAL RATES.—The Secretary 

10 shall collect information on the rates of 

11 and reasons for denial by group health 

12 plans (and health insurance coverage of13 fered in connection with such a plan) of 

14 claims for outpatient and inpatient mental 

15 health and substance use disorder services 

16 compared to the rates of and reasons for 

17 denial of claims for medical and surgical 

18 services. For the first plan year beginning 

19 at least two years after the date of the en20 actment of this paragraph and each subse21 quent plan year, the Secretary shall submit 

22 to the Committee on Energy and Com23 merce of the House of Representatives and 

24 the Committee on Health, Education, 

25 Labor, and Pensions of the Senate, and 


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1 make plainly available on the Consumer 

2 Parity Portal website under section 

3 2726(a)(7) of the Public Health Service 

4 Act, the information collected under the 

5 previous sentence with respect to the pre6 vious plan year.’’. 

7 (c) INTERNAL REVENUE CODE OF 1986.—Section 

8 9812(a) of the Internal Revenue Code of 1986 is amended 

9 by adding at the end the following new paragraph: 

10 ‘‘(6) DISCLOSURE AND ENFORCEMENT RE11 QUIREMENTS.— 

12 ‘‘(A) DISCLOSURE REQUIREMENTS.— 

13 ‘‘(i) REGULATIONS.—Not later than 

14 December 31, 2016, the Secretary, in co15 operation with the Secretaries of Health 

16 and Human Services and Labor, as appro17 priate, shall issue additional regulations for 

18 carrying out this section, including an ex19 planation of documents that must be dis20 closed by plans and issuers, the process 

21 governing such disclosures by plans and 

22 issuers, and analyses that must be con23 ducted by plans and issuers by a group 

24 health plan in order for such plan to demVerDate Sep 11 2014 02:20 Jan 29, 2016 Jkt 059200 PO 00000 Frm 00056 Fmt 6652 Sfmt 6201 E:\BILLS\H4396.IH H4396

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1 onstrate compliance with the provisions of 

2 this section. 

3 ‘‘(ii) DISCLOSURE REQUIREMENTS.— 

4 Documents required to be disclosed by a 

5 group health plan under clause (i) shall in6 clude an annual report that details the spe7 cific analyses performed to ensure compli8 ance of such plan with the law and regula9 tions. At a minimum, with respect to the 

10 application of non-quantitative treatment 

11 limitations (in this paragraph referred to 

12 as NQTLs) to benefits under the plan or 

13 coverage, such report shall— 

14 ‘‘(I) identify the specific factors 

15 the plan or coverage used in per16 forming its NQTL analysis; 

17 ‘‘(II) identify and define the spe18 cific evidentiary standards relied on to 

19 evaluate the factors; 

20 ‘‘(III) describe how the evi21 dentiary standards are applied to each 

22 service category for mental health, 

23 substance use disorders, medical bene24 fits, and surgical benefits; 


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1 ‘‘(IV) disclose the results of the 

2 analyses of the specific evidentiary 

3 standards in each service category; 

4 and 

5 ‘‘(V) disclose the specific findings 

6 of the plan in each service category 

7 and the conclusions reached with re8 spect to whether the processes, strate9 gies, evidentiary standards, or other 

10 factors used in applying the NQTL to 

11 mental health or substance use dis12 order benefits are comparable to, and 

13 applied no more stringently than, the 

14 processes, strategies, evidentiary 

15 standards, or other factors used in ap16 plying the limitation with respect to 

17 medical and surgical benefits in the 

18 same classification. 

19 ‘‘(iii) GUIDANCE.—The Secretary, in 

20 cooperation with the Secretaries of Health 

21 and Human Services and Labor, as appro22 priate, shall issue guidance to group health 

23 plans on how to satisfy the requirements of 

24 this section with respect to making infor25 mation available to current and potential 


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1 participants and beneficiaries. Such infor2 mation shall include certificate of coverage 

3 documents and instruments under which 

4 the plan involved is administered and oper5 ated that specify, include, or refer to pro6 cedures, formulas, and methodologies ap7 plied to determine a participant or bene8 ficiary’s benefit under the plan, regardless 

9 of whether such information is contained 

10 in a document designated as the ‘plan doc11 ument’. Such guidance shall include a dis12 closure of how the plan involved has pro13 vided that processes, strategies, evidentiary 

14 standards, and other factors used in apply15 ing the NQTL to mental health or sub16 stance use disorder benefits are com17 parable to, and applied no more stringently 

18 than, the processes, strategies, evidentiary 

19 standards, or other factors used in apply20 ing the limitation with respect to medical 

21 and surgical benefits in the same classi22 fication. 

23 ‘‘(iv) DEFINITIONS.—In this para24 graph, the terms ‘non-quantitative treat25 ment limitations’, ‘comparable to’, and ‘apVerDate Sep 11 2014 02:20 Jan 29, 2016 Jkt 059200 PO 00000 Frm 00059 Fmt 6652 Sfmt 6201 E:\BILLS\H4396.IH H4396

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1 plied no more stringently than’ have the 

2 meanings given such terms in sections 146 

3 and 147 of title 45, Code of Federal Regu4 lations (or any successor regulation). 

5 ‘‘(B) ENFORCEMENT.— 

6 ‘‘(i) PROCESS FOR COMPLAINTS.—The 

7 Secretary, in cooperation with the Secre8 taries of Health and Human Services and 

9 Labor, as appropriate, shall, with respect 

10 to group health plans, issue guidance to 

11 clarify the process and timeline for current 

12 and potential participants and beneficiaries 

13 (and authorized representatives and health 

14 care providers of such participants and 

15 beneficiaries) with respect to such plans 

16 (and coverage) to file formal complaints of 

17 such plans being in violation of this sec18 tion, including guidance, by plan type, on 

19 the relevant State, regional, and national 

20 offices with which such complaints should 

21 be filed. 

22 ‘‘(ii) AUTHORITY FOR PUBLIC EN23 FORCEMENT.—The Secretary, in consulta24 tion with the Secretaries of Labor and the 

25 Treasury, shall make available to the pubVerDate Sep 11 2014 02:20 Jan 29, 2016 Jkt 059200 PO 00000 Frm 00060 Fmt 6652 Sfmt 6201 E:\BILLS\H4396.IH H4396

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1 lic on the Consumer Parity Portal website 

2 established under section 2726(a)(7) of the 

3 Public Health Service Act de-identified in4 formation on audits and investigations of 

5 group health plans conducted under this 

6 section. 

7 ‘‘(iii) AUDITS.— 

8 ‘‘(I) RANDOMIZED AUDITS.—The 

9 Secretary in cooperation with the Sec10 retaries of Health and Human Serv11 ices and Labor, is authorized to con12 duct randomized audits of group 

13 health plans to determine compliance 

14 with this section. Such audits shall be 

15 conducted on no fewer than twelve 

16 plans per plan year. Information from 

17 such audits shall be made plainly 

18 available on the Consumer Parity Por19 tal website established under section 

20 2726(a)(7) of the Public Health Serv21 ice Act. 

22 ‘‘(II) ADDITIONAL AUDITS.—In 

23 the case of a group health plan with 

24 respect to which any claim has been 

25 filed during a plan year, the Secretary 


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1 may audit the books and records of 

2 such plan to determine compliance 

3 with this section. Information detail4 ing the results of the audit shall be 

5 made available on the Consumer Par6 ity Portal website established under 

7 section 2726(a)(7) of the Public 

8 Health Service Act. 

9 ‘‘(iv) DENIAL RATES.—The Secretary 

10 shall collect information on the rates of 

11 and reasons for denial by group health 

12 plans of claims for outpatient and inpa13 tient mental health and substance use dis14 order services compared to the rates of and 

15 reasons for denial of claims for medical 

16 and surgical services. For the first plan 

17 year beginning at least two years after the 

18 date of the enactment of this paragraph 

19 and each subsequent plan year, the Sec20 retary shall submit to the Committee on 

21 Energy and Commerce of the House of 

22 Representatives and the Committee on 

23 Health, Education, Labor, and Pensions of 

24 the Senate, and make plainly available on 

25 the Consumer Parity Portal website under 


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1 section 2726(a)(7) of the Public Health 

2 Service Act, the information collected 

3 under the previous sentence with respect to 

4 the previous plan year.’’. 

5 (d) AUTHORIZATION OF APPROPRIATIONS.—There is 

6 authorized to be appropriated $2,000,000 for each of fis7 cal years 2017 through 2021 to carry out this section, in8 cluding the amendments made by this section. 

9 SEC. 309. STUDY ON TREATMENT INFRASTRUCTURE. 

10 Not later than 24 months after the date of enactment 

11 of this Act, the Comptroller General of the United States 

12 shall initiate an evaluation, and submit to Congress a re13 port, of the in-patient and outpatient treatment capacity, 

14 availability, and needs of the United States, which shall 

15 include, to the extent data is available— 

16 (1) the capacity of acute residential or inpatient 

17 detoxification programs; 

18 (2) the capacity of inpatient clinical stabiliza19 tion programs, transitional residential support serv20 ices, and residential rehabilitation programs; 

21 (3) the capacity of demographic specific resi22 dential or inpatient treatment programs, such as 

23 those designed for pregnant women or adolescents; 

24 (4) geographical differences of the availability 

25 of residential and outpatient treatment and recovery 


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1 options for substance use disorders across the con2 tinuum of care; 

3 (5) the availability of residential and outpatient 

4 treatment programs that offer treatment options 

5 based on reliable scientific evidence of efficacy for 

6 the treatment of substance use disorders, including 

7 the use of Food and Drug Administration-approved 

8 medicines and evidence-based nonpharmacological 

9 therapies; 

10 (6) the number of patients in residential and 

11 specialty outpatient treatment services for substance 

12 use disorders; and 

13 (7) an assessment of the need for residential 

14 and outpatient treatment for substance use disorders 

15 across the continuum of care. 

16 SEC. 310. SUBSTANCE USE DISORDER PROFESSIONAL LOAN 

17 REPAYMENT PROGRAM. 

18 Subpart 3 of part E of title VII of the Public Health 

19 Service Act (42 U.S.C. 295f et seq.) is amended by adding 

20 at the end the following: 

21 ‘‘SEC. 779. SUBSTANCE USE DISORDER PROFESSIONAL 

22 LOAN REPAYMENT PROGRAM. 

23 ‘‘(a) ESTABLISHMENT.—The Secretary shall estab24 lish and carry out a substance use disorder health profes25 sional loan repayment program under which qualified 


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1 health professionals agree to be employed full-time for a 

2 specified period (which shall be not less than 2 years) in 

3 providing substance use disorder prevention and treatment 

4 services. 

5 ‘‘(b) PROGRAM ADMINISTRATION.—Through the pro6 gram established under this section, the Secretary shall 

7 enter into contracts with qualified health professionals 

8 under which— 

9 ‘‘(1) a qualified health professional agrees to 

10 provide substance use disorder prevention and treat11 ment services with respect to an area or population 

12 that (as determined by the Secretary)— 

13 ‘‘(A) has a shortage of such services (as 

14 defined by the Secretary); and 

15 ‘‘(B) has a sufficient population of individ16 uals with a substance use disorder to support 

17 the provision of such services; and 

18 ‘‘(2) the Secretary agrees to make payments on 

19 the principal and interest of undergraduate, or grad20 uate education loans of the qualified health profes21 sional— 

22 ‘‘(A) of not more than $35,000 for each 

23 year of service described in paragraph (1); and 

24 ‘‘(B) for not more than 3 years. 


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1 ‘‘(c) QUALIFIED HEALTH PROFESSIONAL DE2 FINED.—In this section, the term ‘qualified health profes3 sional’ means an individual who is (or will be upon the 

4 completion of the individual’s graduate education) a psy5 chiatrist, psychologist, nurse practitioner, physician assist6 ant, clinical social worker, substance abuse counselor, or 

7 other substance use disorder health professional. 

8 ‘‘(d) PRIORITY.—In entering into agreements under 

9 this section, the Secretary shall give priority to applicants 

10 who— 

11 ‘‘(1) have familiarity with evidence-based meth12 ods and culturally and linguistically competent 

13 health care services; and 

14 ‘‘(2) demonstrate financial need. 

15 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

16 is authorized to be appropriated $20,000,000 for each of 

17 fiscal years 2017 through 2021 to carry out this section.’’. 

18 TITLE IV—RECOVERY 

19 SEC. 401. NATIONAL YOUTH RECOVERY INITIATIVE. 

20 (a) DEFINITIONS.—In this section: 

21 (1) ELIGIBLE ENTITY.—The term ‘‘eligible enti22 ty’’ means— 

23 (A) a high school that has been accredited 

24 as a recovery high school by the Association of 

25 Recovery Schools; 


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1 (B) an accredited high school that is seek2 ing to establish or expand recovery support 

3 services; 

4 (C) an institution of higher education; 

5 (D) a recovery program at a nonprofit col6 legiate institution; or 

7 (E) a nonprofit organization. 

8 (2) INSTITUTION OF HIGHER EDUCATION.—The 

9 term ‘‘institution of higher education’’ has the 

10 meaning given the term in section 101 of the Higher 

11 Education Act of 1965 (20 U.S.C. 1001). 

12 (3) RECOVERY PROGRAM.—The term ‘‘recovery 

13 program’’— 

14 (A) means a program to help individuals 

15 who are recovering from substance use dis16 orders to initiate, stabilize, and maintain 

17 healthy and productive lives in the community; 

18 and 

19 (B) includes peer-to-peer support and com20 munal activities to build recovery skills and 

21 supportive social networks. 

22 (b) GRANTS AUTHORIZED.—The Secretary of Health 

23 and Human Services, acting through the Substance Abuse 

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1 tion with the Secretary of Education, may award grants 

2 to eligible entities to enable the entities to— 

3 (1) provide substance use recovery support serv4 ices to young people in high school and enrolled in 

5 institutions of higher education; 

6 (2) help build communities of support for young 

7 people in recovery through a spectrum of activities 

8 such as counseling and healthy and wellness-oriented 

9 social activities; and 

10 (3) encourage initiatives designed to help young 

11 people achieve and sustain recovery from substance 

12 use disorders. 

13 (c) USE OF FUNDS.—Grants awarded under sub14 section (b) may be used for activities to develop, support, 

15 and maintain youth recovery support services, including— 

16 (1) the development and maintenance of a dedi17 cated physical space for recovery programs; 

18 (2) dedicated staff for the provision of recovery 

19 programs; 

20 (3) healthy and wellness-oriented social activi21 ties and community engagement; 

22 (4) establishment of recovery high schools; 

23 (5) coordination of recovery programs with— 

24 (A) substance use disorder treatment pro25 grams and systems; 


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1 (B) providers of mental health services; 

2 (C) primary care providers; 

3 (D) the criminal justice system, including 

4 the juvenile justice system; 

5 (E) employers; 

6 (F) housing services; 

7 (G) child welfare services; 

8 (H) institutions of secondary higher edu9 cation and institutions of higher education; and 

10 (I) other programs or services related to 

11 the welfare of an individual in recovery from a 

12 substance use disorder; 

13 (6) the development of peer-to-peer support 

14 programs or services; and 

15 (7) additional activities that help youths and 

16 young adults to achieve recovery from substance use 

17 disorders. 

18 (d) TECHNICAL SUPPORT.—The Secretary of Health 

19 and Human Services shall provide technical support to re20 cipients of grants under this section. 

21 (e) AUTHORIZATION OF APPROPRIATIONS.—There is 

22 authorized to be appropriated to carry out this section 

23 $30,000,000 for each of fiscal years 2017 through 2021. 


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1 SEC. 402. GRANTS TO ENHANCE AND EXPAND RECOVERY 

2 SUPPORT SERVICES. 

3 Subpart 1 of part B of title V of the Public Health 

4 Service Act (42 U.S.C. 290bb et seq.), as amended by sec5 tions 306 and 307, is further amended by adding at the 

6 end the following: 

7 ‘‘SEC. 514E. GRANTS TO ENHANCE AND EXPAND RECOVERY 

8 SUPPORT SERVICES. 

9 ‘‘(a) IN GENERAL.—The Secretary, acting through 

10 the Administrator of the Substance Abuse and Mental 

11 Health Services Administration, shall award grants to 

12 State substance abuse agencies and nonprofit organiza13 tions to develop, expand, and enhance recovery support 

14 services for individuals with substance use disorders. 

15 ‘‘(b) ELIGIBLE ENTITIES.—In the case of an appli16 cant that is not a State substance abuse agency, to be 

17 eligible to receive a grant under this section, the entity 

18 shall— 

19 ‘‘(1) prepare and submit to the Secretary an 

20 application at such time, in such manner, and con21 tain such information as the Secretary may require, 

22 including a plan for the evaluation of any activities 

23 carried out with the funds provided under this sec24 tion; 


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1 ‘‘(2) demonstrate the inclusion of individuals in 

2 recovery from a substance use disorder in leadership 

3 levels or governing bodies of the entity; 

4 ‘‘(3) have as a primary mission the provision of 

5 long-term recovery support for substance use dis6 orders; and 

7 ‘‘(4) be accredited by the Council on the Ac8 creditation of Peer Recovery Support Services or 

9 meet any applicable State certification requirements 

10 regarding the provision of the recovery services in11 volved. 

12 ‘‘(c) USE OF FUNDS.—Amounts awarded under a 

13 grant under this section shall be used to provide for the 

14 following activities: 

15 ‘‘(1) Educating and mentoring that assists indi16 viduals and families with substance use disorders in 

17 navigating systems of care. 

18 ‘‘(2) Peer recovery support services which in19 clude peer coaching and mentoring. 

20 ‘‘(3) Recovery-focused community education 

21 and outreach programs, including training on the 

22 use of all forms of opioid overdose antagonists used 

23 to counter the effects of an overdose. 

24 ‘‘(4) Training, mentoring, and education to de25 velop and enhance peer mentoring and coaching. 


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1 ‘‘(5) Programs aimed at identifying and reduc2 ing stigma and discriminatory practices that serve as 

3 barriers to substance use disorder recovery and 

4 treatment of these disorders. 

5 ‘‘(6) Developing partnerships between networks 

6 that support recovery and other community organi7 zations and services, including— 

8 ‘‘(A) public and private substance use dis9 order treatment programs and systems; 

10 ‘‘(B) health care providers; 

11 ‘‘(C) recovery-focused addiction and recov12 ery professionals; 

13 ‘‘(D) faith-based organizations; 

14 ‘‘(E) organizations focused on criminal jus15 tice reform; 

16 ‘‘(F) schools; and 

17 ‘‘(G) social service agencies in the commu18 nity, including educational, juvenile justice, 

19 child welfare, housing, and mental health agen20 cies. 

21 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated to carry out this section, 

23 $100,000,000 for each of fiscal years 2017 through 

24 2021.’’. 

Æ 


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