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[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 3393 Introduced in Senate (IS)]

<DOC>

118th CONGRESS
  1st Session
                                S. 3393

 To reauthorize the SUPPORT for Patients and Communities Act, and for 
                            other purposes.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                            December 4, 2023

  Mr. Sanders (for himself and Mr. Cassidy) introduced the following 
  bill; which was read twice and referred to the Committee on Health, 
                     Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 
 To reauthorize the SUPPORT for Patients and Communities Act, 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; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``SUPPORT for 
Patients and Communities Reauthorization Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
                          TITLE I--PREVENTION

Sec. 101. First responder training program.
Sec. 102. Surveillance and education regarding infections associated 
                            with illicit drug use and other risk 
                            factors.
Sec. 103. Preventing overdoses of controlled substances.
Sec. 104. Pilot program for public health laboratories to detect 
                            fentanyl and other synthetic opioids.
Sec. 105. Prenatal and postnatal health.
Sec. 106. Donald J. Cohen National Child Traumatic Stress Initiative.
Sec. 107. Surveillance and data collection for child, youth, and adult 
                            trauma.
Sec. 108. Preventing adverse childhood experiences.
Sec. 109. Clarification of use of funds for products used to prevent 
                            overdose deaths.
Sec. 110. Support for individuals and families impacted by fetal 
                            alcohol spectrum disorder.
Sec. 111. Promoting State choice in PDMP systems.
                          TITLE II--TREATMENT

Sec. 201. Residential treatment program for pregnant and postpartum 
                            women.
Sec. 202. Loan repayment program for substance use disorder treatment 
                            workforce.
Sec. 203. Regional centers of excellence in substance use disorder 
                            education.
Sec. 204. Mental and behavioral health education and training program.
Sec. 205. Grants to enhance access to substance use disorder treatment.
Sec. 206. Grants to improve trauma support services and mental health 
                            care for children and youth in educational 
                            settings.
Sec. 207. Development and dissemination of model training programs for 
                            substance use disorder patient records.
Sec. 208. Task force on best practices for trauma-informed 
                            identification, referral, and support.
Sec. 209. Program to support coordination and continuation of care for 
                            drug overdose patients.
Sec. 210. Regulations relating to special registration for 
                            telemedicine.
Sec. 211. Mental health parity.
Sec. 212. State guidance related to individuals with serious mental 
                            illness and children with serious emotional 
                            disturbance.
Sec. 213. Improving access to addiction medicine providers.
                          TITLE III--RECOVERY

Sec. 301. Youth prevention and recovery.
Sec. 302. Comprehensive opioid recovery centers.
Sec. 303. Building communities of recovery.
Sec. 304. Peer support technical assistance center.
Sec. 305. CAREER Act.
Sec. 306. Office of recovery.
                     TITLE IV--TECHNICAL AMENDMENTS

Sec. 401. Delivery of a controlled substance by a pharmacy to an 
                            administering practitioner.
Sec. 402. Technical correction on controlled substances dispensing.
Sec. 403. Required training for prescribers of controlled substances.

                          TITLE I--PREVENTION

SEC. 101. FIRST RESPONDER TRAINING PROGRAM.

    Section 546 of the Public Health Service Act (42 U.S.C. 290ee-1) is 
amended--
            (1) in subsection (a), by striking ``tribes and tribal'' 
        and inserting ``Tribes and Tribal'';
            (2) in subsections (a), (c), and (d)--
                    (A) by striking ``approved or cleared'' each place 
                it appears and inserting ``approved, cleared, or 
                otherwise legally marketed''; and
                    (B) by striking ``opioid'' each place it appears;
            (3) in subsection (f)--
                    (A) by striking ``approved or cleared'' each place 
                it appears and inserting ``approved, cleared, or 
                otherwise legally marketed'';
                    (B) in paragraph (1), by striking ``opioid'';
                    (C) in paragraph (2)--
                            (i) by striking ``opioid and heroin'' and 
                        inserting ``opioid, heroin, and other drug''; 
                        and
                            (ii) by striking ``opioid overdose'' and 
                        inserting ``overdose''; and
                    (D) in paragraph (3), by striking ``opioid and 
                heroin''; and
            (4) in subsection (h), by striking ``$36,000,000 for each 
        of fiscal years 2019 through 2023'' and inserting ``$56,000,000 
        for each of fiscal years 2024 through 2028''.

SEC. 102. SURVEILLANCE AND EDUCATION REGARDING INFECTIONS ASSOCIATED 
              WITH ILLICIT DRUG USE AND OTHER RISK FACTORS.

    Section 317N(d) of the Public Health Service Act (42 U.S.C. 247b-
15(d)) is amended by striking ``2019 through 2023'' and inserting 
``2024 through 2028''.

SEC. 103. PREVENTING OVERDOSES OF CONTROLLED SUBSTANCES.

    Section 392A of the Public Health Service Act (42 U.S.C. 280b-1) is 
amended--
            (1) in subsection (a)--
                    (A) in paragraph (2)--
                            (i) in subparagraph (C), by inserting ``and 
                        associated risks'' before the period at the 
                        end; and
                            (ii) in subparagraph (D), by striking 
                        ``opioids'' and inserting ``substances causing 
                        overdose'';
                    (B) in paragraph (3)(A)--
                            (i) by inserting ``identify substances 
                        causing overdose and'' after ``rapidly''; and
                            (ii) by striking ``abuse, and overdoses'' 
                        and inserting ``overdoses, and associated risk 
                        factors'';
            (2) in subsection (b)(2)--
                    (A) in subparagraph (B), by inserting ``, and 
                associated risk factors,'' after ``such overdoses'';
                    (B) in subparagraph (C), by striking ``coding'' and 
                inserting ``monitoring and identifying'';
                    (C) in subparagraph (E)--
                            (i) by inserting a comma after ``public 
                        health laboratories''; and
                            (ii) by inserting ``and other emerging 
                        substances related'' after ``analogues''; and
                    (D) in subparagraph (F,) by inserting ``and 
                associated risk factors'' after ``overdoses''; and
            (3) in subsection (e) by striking ``$496,000,000 for each 
        of fiscal years 2019 through 2023'' and inserting 
        ``$505,579,000 for each of fiscal years 2024 through 2028''.

SEC. 104. PILOT PROGRAM FOR PUBLIC HEALTH LABORATORIES TO DETECT 
              FENTANYL AND OTHER SYNTHETIC OPIOIDS.

    Section 7011 of the SUPPORT for Patients and Communities Act (42 
U.S.C. 247d-10 note) is amended by striking subsection (d).

SEC. 105. PRENATAL AND POSTNATAL HEALTH.

    Section 317L(d) of the Public Health Service Act (42 U.S.C. 2476b-
13(d)) is amended by striking ``2019 through 2023'' and inserting 
``2024 through 2028''.

SEC. 106. DONALD J. COHEN NATIONAL CHILD TRAUMATIC STRESS INITIATIVE.

    Section 582 of the Public Health Service Act (42 U.S.C. 290hh-1) is 
amended--
            (1) in the section heading, by striking ``violence related 
        stress'' and inserting ``traumatic events'';
            (2) in subsection (a)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``tribes and tribal'' and inserting ``Tribes 
                and Tribal''; and
                    (B) in paragraph (2), by inserting ``and 
                dissemination'' after ``the development'';
            (3) in subsection (b), by inserting ``and dissemination'' 
        after ``the development'';
            (4) in subsection (d)--
                    (A) by striking ``The NCTSI'' and inserting the 
                following:
            ``(1) Coordinating center.--The NCTSI''; and
                    (B) by adding at the end the following:
            ``(2) NCTSI grantees.--In carrying out subsection (a)(2), 
        NCTSI grantees shall develop trainings and other resources, as 
        applicable and appropriate, to support implementation of the 
        evidence-based practices developed and disseminated under such 
        subsection.'';
            (5) in subsection (e)--
                    (A) by redesignating paragraphs (1) and (2) as 
                subparagraphs (A) and (B), respectively, and adjusting 
                the margins accordingly;
                    (B) in subparagraph (A), as so redesignated, by 
                inserting ``and implementation'' after ``the 
                dissemination'';
                    (C) by striking ``The NCTSI'' and inserting the 
                following:
            ``(1) Coordinating center.--''; and
                    (D) by adding at the end the following:
            ``(2) NCTSI grantees.--NCTSI grantees shall, as 
        appropriate, collaborate with other such grantees, the NCTSI 
        coordinating center, and the Secretary in carrying out 
        subsections (a)(2) and (d)(2).'';
            (6) by amending subsection (h) to read as follows:
    ``(h) Application and Evaluation.--To be eligible to receive a 
grant, contract, or cooperative agreement under subsection (a), a 
public or nonprofit private entity or an Indian Tribe or Tribal 
organization shall submit to the Secretary an application at such time, 
in such manner, and containing such information and assurances as the 
Secretary may require, including--
            ``(1) a plan for the rigorous evaluation of the activities 
        funded under the grant, contract or agreement, including both 
        process and outcomes evaluation, and the submission of an 
        evaluation at the end of the project period; and
            ``(2) a description of how such entity, Indian Tribe, or 
        Tribal organization will support efforts led by the Secretary 
        or the NCTSI coordinating center, as applicable, to evaluate 
        activities carried out under this section.''; and
            (7) in subsection (j), by striking ``, $63,887,000 for each 
        of fiscal years 2019 through 2023'' and inserting ``$93,887,000 
        for each of fiscal years 2024 and 2025, $104,000,000 for fiscal 
        year 2026, $110,000,000 for fiscal year 2027, and $112,661,000 
        for fiscal year 2028''.

SEC. 107. SURVEILLANCE AND DATA COLLECTION FOR CHILD, YOUTH, AND ADULT 
              TRAUMA.

    Section 7131(e) of the SUPPORT for Patients and Communities Act (42 
U.S.C. 242t(e)) is amended by striking ``2019 through 2023'' and 
inserting ``2024 through 2028''.

SEC. 108. PREVENTING ADVERSE CHILDHOOD EXPERIENCES.

    (a) Grant Program.--
            (1) In general.--The Secretary of Health and Human Services 
        (referred to in this section as the ``Secretary''), acting 
        through the Director of the Centers for Disease Control and 
        Prevention, may award grants or cooperative agreements to 
        States, territories, Indian Tribes and Tribal organizations (as 
        such terms are defined in section 4 of the Indian Self-
        Determination and Education Assistance Act (25 U.S.C. 5304)), 
        and local governmental entities for purposes of carrying out 
        public health activities to improve health outcomes by 
        preventing or reducing adverse childhood experiences.
            (2) Use of funds.--Recipients of an award under this 
        subsection may use such award to--
                    (A) identify, implement, and evaluate evidence-
                based public health activities to prevent or reduce 
                adverse childhood experiences and improve health 
                outcomes;
                    (B) improve data collection and analysis regarding 
                the prevention and reduction of adverse childhood 
                experiences, including any such data described in 
                section 7131 of the SUPPORT for Patients and 
                Communities Act (42 U.S.C. 242t), to identify--
                            (i) any geographic areas or populations 
                        within the jurisdiction of the recipient of an 
                        award that have disproportionately high rates 
                        of adverse childhood experiences;
                            (ii) any types of adverse childhood 
                        experiences of high prevalence within such 
                        jurisdiction; and
                            (iii) any short-term health outcomes and 
                        long-term health outcomes associated with 
                        adverse childhood experiences, including mental 
                        health and substance use disorders; and
                    (C) leverage such data and analysis to inform the 
                identification, implementation, and evaluation of 
                evidence-based public health activities under 
                subparagraph (A).
            (3) Partnerships.--Recipients of an award under this 
        subsection may identify opportunities to establish, or 
        strengthen existing, partnerships with other relevant public 
        and private entities within such jurisdiction for purposes of 
        carrying out such award.
            (4) Technical assistance.--The Secretary may provide 
        training and technical assistance to recipients of awards under 
        this subsection.
            (5) Evaluation.--Not later than 2 years after the date of 
        enactment of this Act, and annually thereafter, the Secretary 
        shall report to the Committee on Health, Education, Labor, and 
        Pensions of the Senate and the Committee on Energy and Commerce 
        of the House of Representatives on the specific activities 
        supported through awards under this subsection, including the 
        effectiveness of such activities in preventing or reducing 
        adverse childhood experiences.
    (b) Research.--The Secretary may, as appropriate, conduct research 
to evaluate public health activities to address adverse childhood 
experiences.
    (c) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated $7,000,000 for each of fiscal 
years 2024 through 2028.

SEC. 109. CLARIFICATION OF USE OF FUNDS FOR PRODUCTS USED TO PREVENT 
              OVERDOSE DEATHS.

    The activities carried out pursuant to section 1003(b)(4)(A) of the 
21st Century Cures Act (42 U.S.C. 290ee-3a(b)(4)(A)) may include 
facilitating access to products used to prevent overdose deaths by 
detecting the presence of one or more substances, to the extent the 
purchase and possession of such products is consistent with Federal and 
State law.

SEC. 110. SUPPORT FOR INDIVIDUALS AND FAMILIES IMPACTED BY FETAL 
              ALCOHOL SPECTRUM DISORDER.

    (a) In General.--Part O of title III of the Public Health Service 
Act (42 U.S.C. 280f et seq.) is amended--
            (1) by amending the part heading to read as follows: 
        ``fetal alcohol spectrum disorders prevention and services 
        program'';
            (2) in section 399H (42 U.S.C. 280f)--
                    (A) in the section heading, by striking 
                ``establishment of fetal alcohol syndrome prevention'' 
                and inserting ``fetal alcohol spectrum disorders 
                prevention, intervention,'';
                    (B) by striking ``Fetal Alcohol Syndrome and Fetal 
                Alcohol Effect'' each place it appears and inserting 
                ``FASD'';
                    (C) in subsection (a)--
                            (i) by amending the heading to read as 
                        follows: ``In General'';
                            (ii) in the matter preceding paragraph 
                        (1)--
                                    (I) by inserting ``or continue 
                                activities to support'' after ``shall 
                                establish'';
                                    (II) by striking ``FASD'' (as 
                                amended by subparagraph (B)) and 
                                inserting ``fetal alcohol spectrum 
                                disorders (referred to in this section 
                                as `FASD')'';
                                    (III) by striking ``prevention, 
                                intervention'' and inserting 
                                ``awareness, prevention, 
                                identification, intervention,''; and
                                    (IV) by striking ``that shall'' and 
                                inserting ``, which may'';
                            (iii) in paragraph (1)--
                                    (I) in subparagraph (A)--
                                            (aa) by striking ``medical 
                                        schools'' and inserting 
                                        ``health professions schools''; 
                                        and
                                            (bb) by inserting 
                                        ``infants,'' after ``provision 
                                        of services for''; and
                                    (II) in subparagraph (D), by 
                                striking ``medical and mental'' and 
                                inserting ``agencies providing'';
                            (iv) in paragraph (2)--
                                    (I) in the matter preceding 
                                subparagraph (A), by striking ``a 
                                prevention and diagnosis program to 
                                support clinical studies, 
                                demonstrations and other research as 
                                appropriate'' and inserting 
                                ``supporting and conducting research on 
                                FASD, as appropriate, including'';
                                    (II) in subparagraph (B)--
                                            (aa) by striking 
                                        ``prevention services and 
                                        interventions for pregnant, 
                                        alcohol-dependent women'' and 
                                        inserting ``culturally and 
                                        linguistically informed 
                                        evidence-based or practice-
                                        based interventions and 
                                        appropriate societal supports 
                                        for preventing prenatal alcohol 
                                        exposure, which may co-occur 
                                        with exposure to other 
                                        substances''; and
                                            (bb) by striking ``; and'' 
                                        and inserting a semicolon;
                            (v) by striking paragraph (3) and inserting 
                        the following:
            ``(3) integrating into surveillance practice an evidence-
        based standard case definition for FASD and, in collaboration 
        with other Federal and outside partners, support organizations 
        of appropriate medical and mental health professionals in their 
        development and refinement of evidence-based clinical 
        diagnostic guidelines and criteria for all FASD; and
            ``(4) building State and Tribal capacity for the 
        identification, treatment, and support of individuals with FASD 
        and their families, which may include--
                    ``(A) utilizing and adapting existing Federal, 
                State, or Tribal programs to include FASD 
                identification and FASD-informed support;
                    ``(B) developing and expanding screening and 
                diagnostic capacity for FASD;
                    ``(C) developing, implementing, and evaluating 
                targeted FASD-informed intervention programs for FASD;
                    ``(D) increasing awareness of FASD;
                    ``(E) providing training with respect to FASD for 
                professionals across relevant sectors; and
                    ``(F) disseminating information about FASD and 
                support services to affected individuals and their 
                families.'';
                    (D) in subsection (b)--
                            (i) by striking ``described in section 
                        399I'';
                            (ii) by striking ``The Secretary'' and 
                        inserting the following:
            ``(1) In general.--The Secretary''; and
                            (iii) by adding at the end the following:
            ``(2) Eligible entities.--To be eligible to receive a 
        grant, or enter into a cooperative agreement or contract, under 
        this section, an entity shall--
                    ``(A) be a State, Indian Tribe or Tribal 
                organization, local government, scientific or academic 
                institution, or nonprofit organization; and
                    ``(B) prepare and submit to the Secretary an 
                application at such time, in such manner, and 
                containing such information as the Secretary may 
                require, including a description of the activities that 
                the entity intends to carry out using amounts received 
                under this section.
            ``(3) Additional application contents.--The Secretary may 
        require that an entity using amounts from a grant, cooperative 
        agreement, or contract under this section for an activity under 
        subsection (a)(4) include in the application for such amounts 
        submitted under paragraph (2)(B)--
                    ``(A) a designation of an individual to serve as a 
                FASD State or Tribal coordinator of such activity; and
                    ``(B) a description of an advisory committee the 
                entity will establish to provide guidance for the 
                entity on developing and implementing a statewide or 
                Tribal strategic plan to prevent FASD and provide for 
                the identification, treatment, and support of 
                individuals with FASD and their families.''; and
                    (E) by striking subsections (c) and (d); and
                    (F) by adding at the end the following:
    ``(c) Definition of FASD-Informed.--For purposes of this section, 
the term `FASD-informed', with respect to support or an intervention 
program, means that such support or intervention program uses 
culturally and linguistically informed evidence-based or practice-based 
interventions and appropriate societal supports to support an improved 
quality of life for an individual with FASD and the family of such 
individual.''; and
            (3) by striking sections 399I, 399J, and 399K (42 U.S.C. 
        280f-1, 280f-2, 280f-3) and inserting the following:

``SEC. 399I. FETAL ALCOHOL SPECTRUM DISORDERS CENTERS FOR EXCELLENCE.

    ``(a) In General.--The Secretary shall, as appropriate, award 
grants, cooperative agreements, or contracts to public or nonprofit 
entities with demonstrated expertise in the prevention of, 
identification of, and intervention services with respect to, fetal 
alcohol spectrum disorders (referred to in this section as `FASD') and 
other related adverse conditions. Such awards shall be for the purposes 
of establishing Fetal Alcohol Spectrum Disorders Centers for Excellence 
to build local, Tribal, State, and national capacities to prevent the 
occurrence of FASD and other related adverse conditions, and to respond 
to the needs of individuals with FASD and their families by carrying 
out the programs described in subsection (b).
    ``(b) Programs.--An entity receiving an award under subsection (a) 
may use such award for the following purposes:
            ``(1) Initiating or expanding diagnostic capacity for FASD 
        by increasing screening, assessment, identification, and 
        diagnosis.
            ``(2) Developing and supporting public awareness and 
        outreach activities, including the use of a range of media and 
        public outreach, to raise public awareness of the risks 
        associated with alcohol consumption during pregnancy, with the 
        goals of reducing the prevalence of FASD and improving the 
        developmental, health (including mental health), and 
        educational outcomes of individuals with FASD and supporting 
        families caring for individuals with FASD.
            ``(3) Acting as a clearinghouse for evidence-based 
        resources on FASD prevention, identification, and culturally 
        and linguistically informed best practices, including the 
        maintenance of a national data-based directory on FASD-specific 
        services in States, Indian Tribes, and local communities, and 
        disseminating ongoing research and developing resources on FASD 
        to help inform systems of care for individuals with FASD across 
        their lifespan.
            ``(4) Increasing awareness and understanding of 
        efficacious, evidence-based screening tools and culturally and 
        linguistically appropriate evidence-based intervention services 
        and best practices, which may include by conducting national, 
        regional, State, Tribal, or peer cross-State webinars, 
        workshops, or conferences for training community leaders, 
        medical and mental health and substance use disorder 
        professionals, education and disability professionals, 
        families, law enforcement personnel, judges, individuals 
        working in financial assistance programs, social service 
        personnel, child welfare professionals, and other service 
        providers.
            ``(5) Improving capacity for State, Tribal, and local 
        affiliates dedicated to FASD awareness, prevention, and 
        identification and family and individual support programs and 
        services.
            ``(6) Providing technical assistance to recipients of 
        grants, cooperative agreements, or contracts under section 
        399H, as appropriate.
            ``(7) Carrying out other functions, as appropriate.
    ``(c) Application.--To be eligible for a grant, contract, or 
cooperative agreement under this section, an entity shall submit to the 
Secretary an application at such time, in such manner, and containing 
such information as the Secretary may require.
    ``(d) Subcontracting.--A public or private nonprofit entity may 
carry out the following activities required under this section through 
contracts or cooperative agreements with other public and private 
nonprofit entities with demonstrated expertise in FASD:
            ``(1) Prevention activities.
            ``(2) Screening and identification.
            ``(3) Resource development and dissemination, training and 
        technical assistance, administration, and support of FASD 
        partner networks.
            ``(4) Intervention services.

``SEC. 399J. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this part 
such sums as may be necessary for each of fiscal years 2024 through 
2028.''.
    (b) Report.--Not later than 4 years after the date of enactment of 
this Act, the Secretary of Health and Human Services 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 a report on the efforts of the Department of Health and 
Human Services to advance public awareness on, and facilitate the 
identification of best practices related to, fetal alcohol spectrum 
disorders identification, prevention, treatment, and support.
    (c) Technical Amendment.--Section 519D of the Public Health Service 
Act (42 U.S.C. 290bb-25d) is repealed.

SEC. 111. PROMOTING STATE CHOICE IN PDMP SYSTEMS.

    Section 399O(h) of the Public Health Service Act (42 U.S.C. 280g-
3(h)) is amended by adding the following:
            ``(5) Promoting state choice.--Nothing in this section 
        shall be construed to authorize the Secretary to require States 
        to use a specific vendor or a specific interoperability 
        connection other than to align with nationally recognized, 
        consensus-based open standards, such as in accordance with 
        sections 3001 and 3004.''.

                          TITLE II--TREATMENT

SEC. 201. RESIDENTIAL TREATMENT PROGRAM FOR PREGNANT AND POSTPARTUM 
              WOMEN.

    Section 508 of the Public Health Service Act (42 U.S.C. 290bb-1) is 
amended--
            (1) in subsection (d)(11)(C), by striking ``providing 
        health services'' and inserting ``providing health care 
        services'';
            (2) in subsection (g)--
                    (A) by inserting ``a plan describing'' after ``will 
                provide''; and
                    (B) by adding at the end the following: ``Such plan 
                may include a description of how such applicant will 
                target outreach to women disproportionately impacted by 
                maternal substance use disorder.''; and
            (3) in subsection (s), by striking ``$29,931,000 for each 
        of fiscal years 2019 through 2023'' and inserting ``$38, 
        931,000 for each of fiscal years 2024 through 2028''.

SEC. 202. LOAN REPAYMENT PROGRAM FOR SUBSTANCE USE DISORDER TREATMENT 
              WORKFORCE.

    Section 781(j) of the Public Health Service Act (42 U.S.C. 295h(j)) 
is amended by striking ``$25,000,000 for each of fiscal years 2019 
through 2023'' and inserting ``$50,000,000 for each of fiscal years 
2024 through 2028''.

SEC. 203. REGIONAL CENTERS OF EXCELLENCE IN SUBSTANCE USE DISORDER 
              EDUCATION.

    Section 551 of the Public Health Service Act (42 U.S.C. 290ee-6) is 
amended by striking subsection (f).

SEC. 204. MENTAL AND BEHAVIORAL HEALTH EDUCATION AND TRAINING PROGRAM.

    Section 756(f) of the Public Health Service Act (42 U.S.C. 294e-
1(f)) is amended to read as follows:
    ``(f) Authorization of Appropriations.--To carry out this section, 
there is authorized to be appropriated the following:
            ``(1) $50,000,000 for fiscal year 2024, to be allocated as 
        follows:
                    ``(A) For grants described in subsection (a)(1), 
                $15,000,000.
                    ``(B) For grants described in subsection (a)(2), 
                $15,000,000.
                    ``(C) For grants described in subsection (a)(3), 
                $10,000,000.
                    ``(D) For grants described in subsection (a)(4), 
                $10,000,000.
            ``(2) $55,000,000 for fiscal year 2025, to be allocated as 
        follows:
                    ``(A) For grants described in subsection (a)(1), 
                $16,500,000.
                    ``(B) For grants described in subsection (a)(2), 
                $16,500,000.
                    ``(C) For grants described in subsection (a)(3), 
                $11,000,000.
                    ``(D) For grants described in subsection (a)(4), 
                $11,000,000.
            ``(3) $60,000,000 for fiscal year 2026, to be allocated as 
        follows:
                    ``(A) For grants described in subsection (a)(1), 
                $18,000,000.
                    ``(B) For grants described in subsection (a)(2), 
                $18,000,000.
                    ``(C) For grants described in subsection (a)(3), 
                $12,000,000.
                    ``(D) For grants described in subsection (a)(4), 
                $12,000,000.
            ``(4) $65,000,000 for fiscal year 2027, to be allocated as 
        follows:
                    ``(A) For grants described in subsection (a)(1), 
                $19,500,000.
                    ``(B) For grants described in subsection (a)(2), 
                $19,500,000.
                    ``(C) For grants described in subsection (a)(3), 
                $13,000,000.
                    ``(D) For grants described in subsection (a)(4), 
                $13,000,000.
            ``(5) $75,000,000 for fiscal year 2028, to be allocated as 
        follows:
                    ``(A) For grants described in subsection (a)(1), 
                $22,500,000.
                    ``(B) For grants described in subsection (a)(2), 
                $22,500,000.
                    ``(C) For grants described in subsection (a)(3), 
                $15,000,000.
                    ``(D) For grants described in subsection (a)(4), 
                $15,000,000.''.

SEC. 205. GRANTS TO ENHANCE ACCESS TO SUBSTANCE USE DISORDER TREATMENT.

    Section 3203 of the SUPPORT for Patients and Communities Act (21 
U.S.C. 823 note) is amended--
            (1) by striking subsection (b); and
            (2) by striking ``In General--The Secretary'' and inserting 
        the following:
``The Secretary''.

SEC. 206. GRANTS TO IMPROVE TRAUMA SUPPORT SERVICES AND MENTAL HEALTH 
              CARE FOR CHILDREN AND YOUTH IN EDUCATIONAL SETTINGS.

    Section 7134 of the SUPPORT for Patients and Communities Act (42 
U.S.C. 280h-7) is amended--
            (1) in subsection (a), by striking ``tribal'' and inserting 
        ``Tribal'';
            (2) in subsection (c)--
                    (A) in paragraph (1), by inserting ``early 
                intervention,'' after ``screening,'';
                    (B) in paragraph (3)--
                            (i) in the matter preceding subparagraph 
                        (A), by inserting ``other staff,'' after 
                        ``support personnel,''; and
                            (ii) in subparagraph (A), by striking 
                        ``social and emotional learning'' and inserting 
                        ``developmentally appropriate practices''; and
                    (C) in paragraph (5), by inserting ``reduce stigma 
                associated with mental health care and'' after 
                ``efforts to'';
            (3) in subsection (d)--
                    (A) in paragraph (4)--
                            (i) in subparagraph (A), by striking ``; 
                        and'' and inserting a semicolon;
                            (ii) in subparagraph (B)--
                                    (I) by striking ``tribal 
                                organizations as appropriate, other 
                                school personnel'' and inserting 
                                ``Tribal organizations as appropriate, 
                                other staff''; and
                                    (II) by striking the period and 
                                inserting ``; and''; and
                            (iii) by adding at the end the following:
                    ``(C) parents and guardians will be informed of 
                what trauma support services and mental health care are 
                available to their students and what services and care 
                their students receive, in accordance with the parental 
                consent requirements under subsection (h)(2).''; and
                    (B) by adding at the end the following:
            ``(7) A plan for sustaining the program following the end 
        of the award period.'';
            (4) in subsection (f)(1), by inserting ``, which shall 
        include a description of how the school obtains consent from 
        the student's parent or guardian for the provision of trauma 
        support services and mental health care'' after ``this 
        section'';
            (5) in subsection (g), by striking ``tribal'' and inserting 
        ``Tribal'';
            (6) in subsection (h)--
                    (A) in the subsection heading, by inserting ``; 
                Application of Certain Provisions'' after 
                ``Construction'';
                    (B) by striking ``tribal'' each place it appears 
                and inserting ``Tribal'';
                    (C) by redesignating paragraphs (1) and (2) as 
                subparagraphs (A) and (B), respectively, and adjusting 
                the margins accordingly;
                    (D) by striking ``Nothing in this section'' and 
                inserting the following:
            ``(1) In general.--Nothing in this section''; and
                    (E) by adding at the end the following:
            ``(2) Application of provisions.--
                    ``(A) Rules.--Section 4001 of the Elementary and 
                Secondary Education Act of 1965 (not including the 
                exception under subsection (a)(2)(B)(i) of such 
                section) shall apply to an entity receiving a grant, 
                contract, or cooperative agreement under this section 
                in the same manner as such section 4001 applies to an 
                entity receiving funding under title IV of such Act.
                    ``(B) Privacy protections.--Any education record of 
                a student collected or maintained under subsection 
                (c)(4) shall have the protections required for 
                education records under section 444 of the General 
                Education Provisions Act.''.
            (7) in subsection (k)--
                    (A) by redesignating paragraphs (5) through (11) as 
                paragraphs (6) through (12), respectively; and
                    (B) by inserting after paragraph (4) the following:
            ``(5) Other staff.--The term `other staff' has the meaning 
        given such term in section 8101 of the Elementary and Secondary 
        Education Act of 1965.''; and
            (8) in subsection (l), by striking ``2019 through 2023'' 
        and inserting ``2024 through 2028''.

SEC. 207. DEVELOPMENT AND DISSEMINATION OF MODEL TRAINING PROGRAMS FOR 
              SUBSTANCE USE DISORDER PATIENT RECORDS.

    Section 7053 of the SUPPORT for Patients and Communities Act (42 
U.S.C. 290dd-2 note) is amended by striking subsection (e).

SEC. 208. TASK FORCE ON BEST PRACTICES FOR TRAUMA-INFORMED 
              IDENTIFICATION, REFERRAL, AND SUPPORT.

    Section 7132 of the SUPPORT for Patients and Communities Act 
(Public Law 115-271; 132 Stat. 4046) is amended--
            (1) in subsection (b)(1)--
                    (A) by redesignating subparagraph (CC) as 
                subparagraph (DD); and
                    (B) by inserting after subparagraph (BB) the 
                following:
                    ``(CC) The Administration for Community Living.'';
            (2) in subsection (d)(1), in the matter preceding 
        subparagraph (A), by inserting ``, developmental disability 
        service providers'' before ``, individuals who are''; and
            (3) in subsection (i), by striking ``2023'' and inserting 
        ``2028''.

SEC. 209. PROGRAM TO SUPPORT COORDINATION AND CONTINUATION OF CARE FOR 
              DRUG OVERDOSE PATIENTS.

    Section 7081 of the SUPPORT for Patients and Communities Act (42 
U.S.C. 290dd-4) is amended by striking subsection (f).

SEC. 210. REGULATIONS RELATING TO SPECIAL REGISTRATION FOR 
              TELEMEDICINE.

    Not later than 1 year after the date of enactment of this Act, the 
Attorney General, in consultation with the Secretary of Health and 
Human Services, shall promulgate the final regulations required under 
section 311(h)(2) of the Controlled Substances Act (21 U.S.C. 
831(h)(2)).

SEC. 211. MENTAL HEALTH PARITY.

    (a) In General.--Not later than January 1, 2025, the Inspector 
General of the Department of Labor, in coordination with the Inspector 
General of the Department of Health and Human Services, shall report to 
the Committee on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce and the Committee on Education 
and the Workforce of the House of Representatives on the following:
            (1) The non-quantitative treatment limit (referred to in 
        this section as ``NQTL'') requirements with respect to mental 
        health and substance use disorder benefits under group health 
        plans and health insurance issuers under section 2726(a)(8) of 
        the Public Health Service Act (42 U.S.C. 300gg-26(a)(8)), 
        section 712(a)(8) of the Employee Retirement Income Security 
        Act of 1974 (29 U.S.C. 1185a(a)(8)), and section 9812(a)(8) of 
        the Internal Revenue Code of 1986 (referred to in this section 
        as the ``NQTL comparative analysis requirements''), and the 
        requirements for the Secretary of Health and Human Services, 
        the Secretary of Labor, and the Secretary of the Treasury to 
        issue regulations, a compliance program guide, and additional 
        guidance documents and tools providing guidance relating to 
        mental health parity requirements under section 2726(a) of the 
        Public Health Service Act (42 U.S.C. 300gg-26(a)), section 
        712(a) of the Employee Retirement Income Security Act of 1974 
        (29 U.S.C. 1185a(a)), and section 9812(a) of the Internal 
        Revenue Code of 1986.
            (2) With respect to the NQTL comparative analysis 
        requirements described in paragraph (1), an analysis of the 
        actions taken by the Secretary of Labor, the Secretary of the 
        Treasury, and the Secretary of Health and Human Services to 
        provide guidance to ensure that group health plans and health 
        insurance issuers can fully comply with mental health parity 
        requirements under section 2726 of the Public Health Service 
        Act (42 U.S.C. 300gg-26), section 712 of the Employee 
        Retirement Income Security Act of 1974 (29 U.S.C. 1185a), and 
        section 9812 of the Internal Revenue Code of 1986 and the NQTL 
        comparative analysis requirements described in paragraph (1), 
        including an analysis of--
                    (A) the extent to which the Secretary of Labor, the 
                Secretary of the Treasury, and the Secretary of Health 
                and Human Services have fulfilled the requirement under 
                section 203(b) of division BB of the Consolidated 
                Appropriations Act, 2021 (Public Law 116-260) to issue 
                the specific guidance and regulations pertaining to the 
                requirements for group health plans and health 
                insurance issuers to demonstrate compliance with the 
                NQTL comparative analysis requirements; and
                    (B) whether sufficient guidance and examples from 
                the Department of Labor and Department of Health and 
                Human Services, and the Department of the Treasury 
                exist to guide and assist group health plans and health 
                insurance issuers in complying with the requirements to 
                demonstrate compliance with mental health parity NQTL 
                comparative analysis requirements/under such sections 
                2726(a)(8), 712(a)(8), and 9812(a)(8).
            (3) A review of the enforcement processes of the Department 
        of Labor and the Department of Health and Human Services to 
        evaluate the consistency of interpretation of the requirements 
        under section 2726(a)(8) of the Public Health Service Act (42 
        U.S.C. 300gg-26(a)(8), section 712(a)(8) of the Employee 
        Retirement Income Security Act of 1974 (29 U.S.C. 1185a(a)(8)), 
        and section 9812(a)(8) of the Internal Revenue Code of 1986, in 
        particular with respect to processes utilized for enforcement, 
        actions or inactions that constitute noncompliance, and 
        avoidance among the agencies of duplication of enforcement, 
        including an evaluation of compliance with section 104 of the 
        Health Insurance Portability and Accountability Act of 1996 
        (Public Law 104-191).
            (4) A review of the implementation, by the Department of 
        Labor, Department of Health and Human Services, and Department 
        of the Treasury, of mental health parity requirements under 
        section 2726 of the Public Health Service Act (42 U.S.C. 300gg-
        26), section 712 of the Employee Retirement Income Security Act 
        of 1974 (29 U.S.C. 1185a), and section 9812 of the Internal 
        Revenue Code of 1986, including all such requirements in effect 
        through the enactment of the Mental Health Parity Act of 1996 
        (Public Law 104-204), the Paul Wellstone and Pete Domenici 
        Mental Health Parity and Addiction Equity Act of 2008 (Public 
        Law 110-460), the 21st Century Cures Act (Public Law 114-255), 
        and the Consolidated Appropriations Act, 2023 (Public Law 117-
        328) (including any amendments made by such Acts), and 
        including with respect to the timing of all actions, delays of 
        any actions, reasons for any such delays, mandated requirements 
        that were met only once but not each time such requirements 
        were mandated.
    (b) Definitions.--In this section, the terms ``group health plan'' 
and ``health insurance issuer'' have the meanings given such terms in 
section 733 of the Employee Retirement Income Security Act of 1974 (29 
U.S.C. 1191b).

SEC. 212. STATE GUIDANCE RELATED TO INDIVIDUALS WITH SERIOUS MENTAL 
              ILLNESS AND CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE.

    (a) Review of Use of Certain Funding.--Not later than 1 year after 
the date of enactment of this Act, the Secretary of Health and Human 
Services, acting through the Assistant Secretary for Mental Health and 
Substance Use, shall conduct a review of the use by States of funds 
made available under the Community Mental Health Services Block Grant 
program under subpart I of part B of title XIX of the Public Health 
Service Act (42 U.S.C. 300x et seq.) for First Episode Psychosis 
activities. Such review shall consider the following:
            (1) How the States use funds for evidence-based treatments 
        and services, such as coordinated specialty care, according to 
        the standard of care for individuals with early serious mental 
        illness, including the comprehensiveness of such treatments to 
        include all aspects of the recommended intervention.
            (2) How State mental health departments coordinate with 
        State Medicaid departments in the delivery of the treatments 
        and services described in paragraph (1).
            (3) The percentage of the State funding under the block 
        grant program that is applied toward early serious mental 
        illness and funding in excess of, or under, 10 percent of the 
        amount of the grant, broken down by State.
            (4) The percentage of funds expended by States through such 
        block grant program specifically on First Episode Psychosis, to 
        the extent such information is available.
            (5) How many individuals are served by the expenditures 
        described in paragraph (3)and (4), on a per-capita basis.
            (6) How the funds are used to reach underserved 
        populations, including rural populations and racial and ethnic 
        minority populations.
    (b) Report and Guidance.--
            (1) Report.--Not later than 6 months after the completion 
        of the review under subsection (a), the Secretary of Health and 
        Human Services, acting through the Assistant Secretary for 
        Mental Health and Substance Use, shall submit to the Committee 
        on Appropriations, the Committee on Health, Education, Labor, 
        and Pensions, and the Committee on Finance of the Senate and to 
        the Committee on Appropriations and the Committee on Energy and 
        Commerce of the House of Representatives a report on the 
        findings made as a result of the review conducted under 
        subsection (a). Such report shall include any recommendations 
        with respect to any changes to the Community Mental Health 
        Services Block Grant program under subpart I of part B of title 
        XIX of the Public Health Service Act (42 U.S.C. 300x et seq.), 
        including the set aside required for First Episode Psychosis, 
        that would facilitate improved outcomes for the targeted 
        population involved.
            (2) Guidance.--Not later than 1 year after the date on 
        which the report is submitted under paragraph (1), the 
        Secretary of Health and Human Services, acting through the 
        Assistant Secretary for Mental Health and Substance Use, shall 
        update the guidance provided to States under the Community 
        Mental Health Services Block Grant program based on the 
        findings and recommendations of the report.
    (c) Additional Guidance.--The Director of the National Institute of 
Mental Health shall coordinate with the Assistant Secretary for Mental 
Health and Substance Use in providing guidance to State grantees and 
provider subgrantees about research advances in the delivery of 
services for First Episode Psychosis under the Community Mental Health 
Services Block Grant program.
    (d) Guidance for States Relating to Health Care Services and 
Interventions for Individuals With Serious Mental Illness and Children 
With Serious Emotional Disturbance.--Not later than 2 years after the 
date of enactment of this Act, the Assistant Secretary for Mental 
Health and Substance Use, jointly with the Administrator of the Centers 
for Medicare & Medicaid Services and the Director of the National 
Institute of Mental Health--
            (1) shall provide updated guidance to States concerning the 
        manner in which Federal funding provided to States through 
        programs administered by such agencies, including the Community 
        Mental Health Services Block Grant program under subpart I of 
        part B of title XIX of the Public Health Service Act (42 U.S.C. 
        300x et seq.), may be coordinated to provide evidence-based 
        health care services such as coordinated specialty care to 
        individuals with serious mental illness and serious emotional 
        disturbance, and interventions for individuals with early 
        serious mental illness, including First Episode Psychosis; and
            (2) may streamline relevant State reporting requirements if 
        such streamlining would result in making it easier for States 
        to coordinate funding under the programs described in paragraph 
        (1) to improve treatments for individuals with serious mental 
        illness and serious emotional disturbance.

SEC. 213. IMPROVING ACCESS TO ADDICTION MEDICINE PROVIDERS.

    Section 597 of the Public Health Service Act (42 U.S.C. 290ll) is 
amended--
            (1) in subsection (a)(1), by inserting ``diagnosis,'' after 
        ``related to''; and
            (2) in subsection (b), by inserting ``addiction medicine,'' 
        after ``psychiatry,''.

                          TITLE III--RECOVERY

SEC. 301. YOUTH PREVENTION AND RECOVERY.

    Section 7102(c) of the SUPPORT for Patients and Communities Act (42 
U.S.C. 290bb-7a(c)) is amended--
            (1) in paragraph (2)--
                    (A) in subparagraph (A)--
                            (i) in clause (i)--
                                    (I) by inserting ``, or a consortia 
                                of local educational agencies,'' after 
                                ``a local educational agency''; and
                                    (II) by striking ``high schools'' 
                                and inserting ``secondary schools''; 
                                and
                            (ii) in clause (vi), by striking ``tribe, 
                        or tribal'' and inserting ``Tribe, or Tribal'';
                    (B) by amending subparagraph (E) to read as 
                follows:
                    ``(E) Indian tribe; tribal organization.--The terms 
                `Indian Tribe' and `Tribal organization' have the 
                meanings given such terms in section 4 of the Indian 
                Self-Determination and Education Assistance Act (25 
                U.S.C. 5304).'';
                    (C) by redesignating subparagraph (K) as 
                subparagraph (L); and
                    (D) by inserting after subparagraph (J) the 
                following:
                    ``(K) Secondary school.--The term `secondary 
                school' has the meaning given such term in section 8101 
                of the Elementary and Secondary Education Act of 1965 
                (20 U.S.C. 7801).'';
            (2) in paragraph (3)(A), in the matter preceding clause 
        (i)--
                    (A) by striking ``and abuse''; and
                    (B) by inserting ``at increased risk for substance 
                misuse'' after ``specific populations'';
            (3) in paragraph (4)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``Indian tribes'' and inserting ``Indian 
                Tribes'';
                    (B) in subparagraph (A), by striking ``and abuse''; 
                and
                    (C) in subparagraph (B), by striking ``peer 
                mentoring'' and inserting ``peer-to-peer support'';
            (4) in paragraph (5), by striking ``tribal'' and inserting 
        ``Tribal'';
            (5) in paragraph (6)(A)--
                    (A) in clause (iv), by striking ``; and'' and 
                inserting a semicolon; and
                    (B) by adding at the end the following:
                            ``(vi) a plan to sustain the activities 
                        carried out under the grant program, after the 
                        grant program has ended; and'';
            (6) in paragraph (8), by striking ``2022'' and inserting 
        ``2027''; and
            (7) by amending paragraph (9) to read as follows:
            ``(9) Authorization of appropriations.--To carry out this 
        subsection, there are authorized to be appropriated $10,000,000 
        for fiscal year 2024, $12,000,000 for fiscal year 2025, 
        $14,000,000 for fiscal year 2026, $16,000,000 for fiscal year 
        2027, and $18,000,000 for fiscal year 2028.''.

SEC. 302. COMPREHENSIVE OPIOID RECOVERY CENTERS.

    Section 552 of the Public Health Service Act (42 U.S.C. 290ee-7) is 
amended--
            (1) in subsection (d)(2)--
                    (A) in the matter preceding subparagraph (A), by 
                striking ``and in such manner'' and inserting ``, in 
                such manner, and containing such information and 
                assurances''; and
                    (B) in subparagraph (A), by striking ``is capable 
                of coordinating with other entities to carry out'' and 
                inserting ``has the demonstrated capability to carry 
                out, through referral or contractual arrangements'';
            (2) in subsection (h)--
                    (A) by redesignating paragraphs (1) through (4) as 
                subparagraphs (A) through (D), respectively, and 
                adjusting the margins accordingly;
                    (B) by striking ``With respect to'' and inserting 
                the following:
            ``(1) In general.--With respect to''; and
                    (C) by adding at the end the following:
            ``(2) Additional reporting for certain eligible entities.--
        An entity carrying out activities described in subsection (g) 
        through referral or contractual arrangements shall include in 
        the submissions required under paragraph (1) information 
        related to the status of such referrals or contractual 
        arrangements, including an assessment of whether such referrals 
        or contractual arrangements are supporting the ability of such 
        entity to carry out such activities.''; and
            (3) in subsection (j), by striking ``2019 through 2023'' 
        and inserting ``2024 through 2028''.

SEC. 303. BUILDING COMMUNITIES OF RECOVERY.

    Section 547(f) of the Public Health Service Act (42 U.S.C. 290ee-
2(f)) is amended by striking ``$5,000,000 for each of fiscal years 2019 
through 2023'' and inserting ``$16,000,000 for each of fiscal years 
2024 through 2028''.

SEC. 304. PEER SUPPORT TECHNICAL ASSISTANCE CENTER.

    Section 547A of the Public Health Service Act (42 U.S.C. 290ee-2a) 
is amended--
            (1) in subsection (b)(4), by striking ``building; and'' and 
        inserting the following: ``building, such as--
                    ``(A) professional development of peer support 
                specialists; and
                    ``(B) making recovery support services available in 
                nonclinical settings; and'';
            (2) by redesignating subsections (d) and (e) as subsections 
        (e) and (f), respectively;
            (3) by inserting after subsection (c) the following:
    ``(d) Pilot Program.--
            ``(1) In general.--The Secretary shall carry out a pilot 
        program to establish one regional technical assistance center 
        (referred to in this subsection as the `Regional Center') to 
        assist the Center in carrying out activities described in 
        subsection (b) within the geographic region of such Regional 
        Center in a manner that is tailored to the needs of such 
        region.
            ``(2) Evaluation.--Not later than 4 years after the date of 
        enactment of the SUPPORT for Patients and Communities 
        Reauthorization Act, the Secretary shall evaluate the 
        activities of the Regional Center and 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 a report on the findings of such evaluation, 
        including--
                    ``(A) a description of the distinct roles and 
                responsibilities of the Regional Center and the Center;
                    ``(B) available information relating to the 
                outcomes of the pilot program under this subsection, 
                such as any impact the Regional Center had on the 
                operations and efficiency of the Center relating to 
                requests for technical assistance and support within 
                the region of such Regional Center;
                    ``(C) a description of any gaps or areas of 
                duplication relating to the activities of the Regional 
                Center and the Center within such region; and
                    ``(D) recommendations relating to the modification, 
                expansion, or termination of the pilot program under 
                this subsection.
            ``(3) Termination.--This subsection shall terminate on 
        September 30, 2028.''; and
            (4) in subsection (f), as so redesignated, by striking 
        ``$1,000,000 for each of fiscal years 2019 through 2023'' and 
        inserting ``$2,000,000 for each of fiscal years 2024 through 
        2028''.

SEC. 305. CAREER ACT.

    (a) In General.--Section 7183 of the SUPPORT for Patients and 
Communities Act (42 U.S.C. 290ee-8) is amended--
            (1) in the section heading, by inserting ``; treatment, 
        recovery, and workforce support grants'' after ``career act'';
            (2) in subsection (b), by inserting ``each'' before ``for a 
        period'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking ``the rates 
                described in paragraph (2)'' and inserting ``the 
                average rates for calendar years 2018 through 2022 
                described in paragraph (2)''; and
                    (B) by amending paragraph (2) to read as follows:
            ``(2) Rates.--The rates described in this paragraph are the 
        following:
                    ``(A) The highest age-adjusted average rates of 
                drug overdose deaths for calendar years 2018 through 
                2022 based on data from the Centers for Disease Control 
                and Prevention, including, if necessary, provisional 
                data for calendar year 2022.
                    ``(B) The highest average rates of unemployment for 
                calendar years 2018 through 2022 based on data provided 
                by the Bureau of Labor Statistics.
                    ``(C) The lowest average labor force participation 
                rates for calendar years 2018 through 2022 based on 
                data provided by the Bureau of Labor Statistics.'';
            (4) in subsection (g)--
                    (A) in each of paragraphs (1) and (3), by 
                redesignating subparagraphs (A) and (B) as clauses (i) 
                and (ii), respectively, and adjusting the margins 
                accordingly;
                    (B) by redesignating paragraphs (1) through (3) as 
                subparagraphs (A) through (C), respectively, and 
                adjusting the margins accordingly;
                    (C) in the matter preceding subparagraph (A) (as so 
                redesignated), by striking ``An entity'' and inserting 
                the following:
            ``(1) In general.--An entity''; and
                    (D) by adding at the end the following:
            ``(2) Transportation services.--An entity receiving a grant 
        under this section may use not more than 5 percent of the funds 
        for providing transportation for individuals to participate in 
        an activity supported by a grant under this section, which 
        transportation shall be to or from a place of work or a place 
        where the individual is receiving career and technical 
        education or job training services or receiving services 
        directly linked to treatment of or recovery from a substance 
        use disorder.
            ``(3) Limitation.--The Secretary may not require an entity 
        to, or give priority to an entity that plans to, use the funds 
        of a grant under this section for activities that are not 
        specified in this subsection.'';
            (5) in subsection (i)(2), by inserting ``, which shall 
        include employment and earnings outcomes described in 
        subclauses (I) and (III) of section 116(b)(2)(A)(i) of the 
        Workforce Innovation and Opportunity Act (29 U.S.C. 
        3141(b)(2)(A)(i)) with respect to the participation of such 
        individuals with a substance use disorder in programs and 
        activities funded by the grant under this section'' after 
        ``subsection (g)'';
            (6) in subsection (j)--
                    (A) in paragraph (1), by inserting ``for grants 
                awarded prior to the date of enactment of the SUPPORT 
                for Patients and Communities Reauthorization Act'' 
                after ``grant period under this section''; and
                    (B) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``2 years after submitting the 
                        preliminary report required under paragraph 
                        (1)'' and inserting ``September 30, 2028''; and
                            (ii) in subparagraph (A), by striking 
                        ``(g)(3)'' and inserting ``(g)(1)(C)''; and
            (7) in subsection (k), by striking ``$5,000,000 for each of 
        fiscal years 2019 through 2023'' and inserting ``$12,000,000 
        for each of fiscal years 2024 through 2028''.
    (b) Clerical Amendment.--The table of contents in section 1(b) of 
the SUPPORT for Patients and Communities Act (Public Law 115-271; 132 
Stat. 3894) is amended by striking the item relating to section 7183 
and inserting the following:

``Sec. 7183. CAREER Act; treatment, recovery, and workforce support 
                            grants.''.

SEC. 306. OFFICE OF RECOVERY.

    Part A of title V of the Public Health Service Act (42 U.S.C. 290aa 
et seq.) is amended by inserting after section 501C (42 U.S.C. 290aa-
0b) the following:

``SEC. 501D. OFFICE OF RECOVERY.

    ``(a) In General.--There is established, within the Substance Abuse 
and Mental Health Services Administration, an Office of Recovery 
(referred to in this section as the `Office').
    ``(b) Responsibilities.--The Office shall, taking into account the 
perspectives of individuals with demonstrated experience in mental 
health or substance use disorder recovery--
            ``(1) identify new and emerging challenges related to the 
        provision of recovery support services;
            ``(2) support technical assistance, data analysis, and 
        evaluation functions in order to assist States, local 
        governmental entities, Indian Tribes, and Tribal organizations 
        in implementing and strengthening recovery support services, 
        consistent with the needs of such States, local governmental 
        entities, Indian Tribes, and Tribal organizations; and
            ``(3) ensure coordination of efforts to identify, 
        disseminate, and evaluate best practices related to--
                    ``(A) improving the capacity of, and access to, 
                recovery support services; and
                    ``(B) supporting the training, education, 
                professional development, and retention of peer support 
                specialists.
    ``(c) Report.--Not later than 4 years after the date of enactment 
of the SUPPORT for Patients and Communities Reauthorization Act, the 
Assistant Secretary for Mental Health and Substance Use 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 a report on the activities conducted by the Office, 
including--
            ``(1) a description of the specific roles and 
        responsibilities of the Office;
            ``(2) a description of the relationship between the Office 
        and other relevant components or programs of the Substance 
        Abuse and Mental Health Services Administration;
            ``(3) the identification of any gaps in the activities of 
        the Substance Abuse and Mental Health Services Administration 
        or challenges in coordination between the Office and such 
        relevant components or programs of such agency; and
            ``(4) recommendations related to the continued operations 
        of the Office.
    ``(d) Sunset.--This section shall cease to have force or effect on 
September 30, 2028.''.

                     TITLE IV--TECHNICAL AMENDMENTS

SEC. 401. DELIVERY OF A CONTROLLED SUBSTANCE BY A PHARMACY TO AN 
              ADMINISTERING PRACTITIONER.

    Section 309A(a) of the Controlled Substances Act (21 U.S.C. 
829a(a)) is amended by striking paragraph (2) and inserting the 
following:
            ``(2) the controlled substance is a drug in schedule III, 
        IV, or V to be administered--
                    ``(A) by injection or implantation for the purpose 
                of maintenance or detoxification treatment; or
                    ``(B) intranasally, subject to risk evaluation and 
                mitigation strategy pursuant to section 505-1 of the 
                Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355-1), 
                with post-administration monitoring by a health care 
                professional;''.

SEC. 402. TECHNICAL CORRECTION ON CONTROLLED SUBSTANCES DISPENSING.

    Effective as if included in the enactment of Public Law 117-328--
            (1) section 1252(a) of division FF of Public Law 117-328 
        (136 Stat. 5681) is amended, in the matter being inserted into 
        section 302(e) of the Controlled Substances Act, by striking 
        ``303(g)'' and inserting ``303(h)'';
            (2) section 1262 of division FF of Public Law 117-328 (136 
        Stat. 5681) is amended--
                    (A) in subsection (a)--
                            (i) in the matter preceding paragraph (1), 
                        by striking ``303(g)'' and inserting 
                        ``303(h)'';
                            (ii) in the matter being stricken by 
                        subsection (a)(2), by striking ``(g)(1)'' and 
                        inserting ``(h)(1)''; and
                            (iii) in the matter being inserted by 
                        subsection (a)(2), by striking ``(g) 
                        Practitioners'' and inserting ``(h) 
                        Practitioners''; and
                    (B) in subsection (b)--
                            (i) in the matter being stricken by 
                        paragraph (1), by striking ``303(g)(1)'' and 
                        inserting ``303(h)(1)'';
                            (ii) in the matter being inserted by 
                        paragraph (1), by striking ``303(g)'' and 
                        inserting ``303(h)'';
                            (iii) in the matter being stricken by 
                        paragraph (2)(A), by striking ``303(g)(2)'' and 
                        inserting ``303(h)(2)'';
                            (iv) in the matter being stricken by 
                        paragraph (3), by striking ``303(g)(2)(B)'' and 
                        inserting ``303(h)(2)(B)'';
                            (v) in the matter being stricken by 
                        paragraph (5), by striking ``303(g)'' and 
                        inserting ``303(h)''; and
                            (vi) in the matter being stricken by 
                        paragraph (6), by striking ``303(g)'' and 
                        inserting ``303(h)''; and
            (3) section 1263(b) of division FF of Public Law 117-328 
        (136 Stat. 5685) is amended--
                    (A) by striking ``303(g)(2)'' and inserting 
                ``303(h)(2)''; and
                    (B) by striking ``(21 U.S.C. 823(g)(2))'' and 
                inserting ``(21 U.S.C. 823(h)(2))''.

SEC. 403. REQUIRED TRAINING FOR PRESCRIBERS OF CONTROLLED SUBSTANCES.

    (a) In General.--Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended--
            (1) by redesignating the second subsection designated as 
        subsection (l) as subsection (m); and
            (2) in subsection (m)(1), as so redesignated--
                    (A) in subparagraph (A)--
                            (i) In clause (iv)--
                                    (I) In subclause (I)--
                                            (aa) by inserting ``the 
                                        American Academy of Family 
                                        Physicians, the American 
                                        Podiatric Medical Association, 
                                        the Academy of General 
                                        Dentistry,'' before ``or any 
                                        other organization'';
                                            (bb) by striking ``or the 
                                        Commission'' and inserting 
                                        ``the Commission''; and
                                            (cc) by inserting ``, or 
                                        the Council on Podiatric 
                                        Medical Education'' before the 
                                        semicolon at the end; and
                                    (II) in subclause (III), by 
                                inserting ``or the American Academy of 
                                Family Physicians'' after 
                                ``Association''; and
                            (ii) in clause (v), in the matter preceding 
                        subclause (I)--
                                    (I) by striking ``osteopathic 
                                medicine, dental surgery'' and 
                                inserting ``osteopathic medicine, 
                                podiatric medicine, dental surgery''; 
                                and
                                    (II) by striking ``or dental 
                                medicine curriculum'' and inserting 
                                ``or dental or podiatric medicine 
                                curriculum''; and
                    (B) in subparagraph (B)--
                            (i) in clause (i), by inserting ``the 
                        American Pharmacists Association, the 
                        Accreditation Council on Pharmacy Education, 
                        the American Optometric Association, the 
                        American Psychiatric Nurses Association, the 
                        American Academy of Nursing, the American 
                        Academy of Family Physicians'' before ``, or 
                        any other organization''; and
                            (ii) in clause (ii)--
                                    (I) by striking ``or accredited 
                                school'' and inserting ``, an 
                                accredited school''; and
                                    (II) by inserting ``, or an 
                                accredited school of pharmacy'' before 
                                ``in the United States''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect as if enacted on December 29, 2022.
                                 <all>
```