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Union Calendar No. 109 

117TH CONGRESS 

1ST SESSION H. R. 2379 

[Report No. 117–149] 

To amend the 21st Century Cures Act to reauthorize and expand a grant 

program for State response to the opioid use disorders crisis, and for 

other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 8, 2021 

Mr. TRONE (for himself and Ms. SHERRILL) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

OCTOBER 19, 2021 

Additional sponsors: Mr. BAIRD, Ms. BLUNT ROCHESTER, Mr. ARMSTRONG, 

Ms. KUSTER, Mr. BUDD, Mr. BACON, and Mr. FITZPATRICK

OCTOBER 19, 2021 

Reported with an amendment, committed to the Committee of the Whole 

House on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on April 8, 2021] 


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HR 2379 RH1S 

A BILL 

To amend the 21st Century Cures Act to reauthorize and 

expand a grant program for State response to the opioid 

use disorders crisis, and for other purposes. 


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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. 

4 This Act may be cited as the ‘‘State Opioid Response 

5 Grant Authorization Act of 2021’’. 

6 SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE7 SPONSE TO OPIOID AND STIMULANT USE AND 

8 MISUSE. 

9 Section 1003 of the 21st Century Cures Act (42 U.S.C. 

10 290ee–3 note) is amended to read as follows: 

11 ‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE12 SPONSE TO OPIOID AND STIMULANT USE AND 

13 MISUSE. 

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

15 Human Services (referred to in this section as the ‘Sec16 retary’) shall carry out the grant program described in sub17 section (b) for purposes of addressing opioid and stimulant 

18 use and misuse, within States, Indian Tribes, and popu19 lations served by Tribal organizations and Urban Indian 

20 organizations. 

21 ‘‘(b) GRANTS PROGRAM.— 

22 ‘‘(1) IN GENERAL.—Subject to the availability of 

23 appropriations, the Secretary shall award grants to 

24 States, Indian Tribes, Tribal organizations, and 

25 Urban Indian organizations for the purpose of adVerDate Sep 11 2014 21:40 Oct 21, 2021 Jkt 029200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6203 E:\BILLS\H2379.RH H2379

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1 dressing opioid and stimulant use and misuse, within 

2 such States, such Indian Tribes, and populations 

3 served by such Tribal organizations and Urban In4 dian organizations, in accordance with paragraph 

5 (2). 

6 ‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.—In 

7 determining grant amounts for each recipient of a 

8 grant under paragraph (1), the Secretary shall— 

9 ‘‘(A) ensure that each State receives not less 

10 than $4,000,000; and 

11 ‘‘(B) give preference to States, Indian 

12 Tribes, Tribal organizations, and Urban Indian 

13 organizations whose populations have an inci14 dence or prevalence of opioid use disorders or 

15 stimulant use or misuse that is substantially 

16 higher relative to the populations of other States, 

17 other Indian Tribes, Tribal organizations, or 

18 Urban Indian organizations, as applicable. 

19 ‘‘(3) FORMULA METHODOLOGY.— 

20 ‘‘(A) IN GENERAL.—Before publishing a 

21 funding opportunity announcement with respect 

22 to grants under this section, the Secretary 

23 shall— 

24 ‘‘(i) develop a formula methodology to 

25 be followed in allocating grant funds 


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1 awarded under this section among grantees, 

2 which includes performance assessments for 

3 continuation awards; and 

4 ‘‘(ii) not later than 30 days after de5 veloping the formula methodology under 

6 clause (i), submit the formula methodology 

7 to— 

8 ‘‘(I) the Committee on Energy 

9 and Commerce and the Committee on 

10 Appropriations of the House of Rep11 resentatives; and 

12 ‘‘(II) the Committee on Health, 

13 Education, Labor, and Pensions and 

14 the Committee on Appropriations of 

15 the Senate. 

16 ‘‘(B) REPORT.—Not later than two years 

17 after the date of the enactment of the State 

18 Opioid Response Grant Authorization Act of 

19 2021, the Comptroller General of the United 

20 States shall submit to the Committee on Health, 

21 Education, Labor, and Pensions of the Senate 

22 and the Committee on Energy and Commerce of 

23 the House of Representatives a report that— 


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1 ‘‘(i) assesses how grant funding is allo2 cated to States under this section and how 

3 such allocations have changed over time; 

4 ‘‘(ii) assesses how any changes in fund5 ing under this section have affected the ef6 forts of States to address opioid or stimu7 lant use or misuse; and 

8 ‘‘(iii) assesses the use of funding pro9 vided through the grant program under this 

10 section and other similar grant programs 

11 administered by the Substance Abuse and 

12 Mental Health Services Administration. 

13 ‘‘(4) USE OF FUNDS.—Grants awarded under 

14 this subsection shall be used for carrying out activi15 ties that supplement activities pertaining to opioid 

16 and stimulant use and misuse, undertaken by the 

17 State agency responsible for administering the sub18 stance abuse prevention and treatment block grant 

19 under subpart II of part B of title XIX of the Public 

20 Health Service Act (42 U.S.C. 300x–21 et seq.), which 

21 may include public health-related activities such as 

22 the following: 

23 ‘‘(A) Implementing prevention activities, 

24 and evaluating such activities to identify effec25 tive strategies to prevent substance use disorders. 


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1 ‘‘(B) Establishing or improving prescrip2 tion drug monitoring programs. 

3 ‘‘(C) Training for health care practitioners, 

4 such as best practices for prescribing opioids, 

5 pain management, recognizing potential cases of 

6 substance use disorders, referral of patients to 

7 treatment programs, preventing diversion of con8 trolled substances, and overdose prevention. 

9 ‘‘(D) Supporting access to health care serv10 ices, including— 

11 ‘‘(i) services provided by federally cer12 tified opioid treatment programs; 

13 ‘‘(ii) outpatient and residential sub14 stance use disorder treatment services that 

15 utilize medication-assisted treatment, as ap16 propriate; or 

17 ‘‘(iii) other appropriate health care 

18 providers to treat substance use disorders. 

19 ‘‘(E) Recovery support services, including— 

20 ‘‘(i) community-based services that in21 clude peer supports; 

22 ‘‘(ii) mutual aid recovery programs 

23 that support medication-assisted treatment; 

24 or 


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1 ‘‘(iii) services to address housing needs 

2 and family issues. 

3 ‘‘(F) Other public health-related activities, 

4 as the State, Indian Tribe, Tribal organization, 

5 or Urban Indian organization determines appro6 priate, related to addressing substance use dis7 orders within the State, Indian Tribe, Tribal or8 ganization, or Urban Indian organization, in9 cluding directing resources in accordance with 

10 local needs related to substance use disorders. 

11 ‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re12 ceiving a grant under subsection (b) shall include in report13 ing related to substance use disorders submitted to the Sec14 retary pursuant to section 1942 of the Public Health Serv15 ice Act (42 U.S.C. 300x–52), a description of— 

16 ‘‘(1) the purposes for which the grant funds re17 ceived by the State under such subsection for the pre18 ceding fiscal year were expended and a description of 

19 the activities of the State under the grant; 

20 ‘‘(2) the ultimate recipients of amounts provided 

21 to the State; and 

22 ‘‘(3) the number of individuals served through 

23 the grant. 

24 ‘‘(d) LIMITATIONS.—Any funds made available pursu25 ant to subsection (i)— 


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1 ‘‘(1) notwithstanding any transfer authority in 

2 any appropriations Act, shall not be used for any 

3 purpose other than the grant program in subsection 

4 (b); and 

5 ‘‘(2) shall be subject to the same requirements as 

6 substance use disorders prevention and treatment pro7 grams under titles V and XIX of the Public Health 

8 Service Act (42 U.S.C. 290aa et seq., 300w et seq.). 

9 ‘‘(e) INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND

10 URBAN INDIAN ORGANIZATIONS.—The Secretary, in con11 sultation with Indian Tribes, Tribal organizations, and 

12 Urban Indian organizations, shall identify and establish 

13 appropriate mechanisms for Indian Tribes, Tribal organi14 zations, and Urban Indian organizations to demonstrate or 

15 report the information as required under subsections (b), 

16 (c), and (d). 

17 ‘‘(f) REPORT TO CONGRESS.—Not later than Sep18 tember 30, 2024, and biennially thereafter, the Secretary 

19 shall submit to the Committee on Health, Education, Labor, 

20 and Pensions of the Senate and the Committee on Energy 

21 and Commerce of the House of Representatives, and the 

22 Committees on Appropriations of the House of Representa23 tives and the Senate, a report that includes a summary of 

24 the information provided to the Secretary in reports made 

25 pursuant to subsections (c) and (e), including— 


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1 ‘‘(1) the purposes for which grant funds are 

2 awarded under this section; 

3 ‘‘(2) the activities of the grant recipients; and 

4 ‘‘(3) for each State, Indian Tribe, Tribal organi5 zation, and Urban Indian organization that receives 

6 a grant under this section, the funding level provided 

7 to such recipient. 

8 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, includ9 ing through the Tribal Training and Technical Assistance 

10 Center of the Substance Abuse and Mental Health Services 

11 Administration, shall provide States, Indian Tribes, Tribal 

12 organizations, and Urban Indian organizations, as appli13 cable, with technical assistance concerning grant applica14 tion and submission procedures under this section, award 

15 management activities, and enhancing outreach and direct 

16 support to rural and underserved communities and pro17 viders in addressing substance use disorders. 

18 ‘‘(h) DEFINITIONS.—In this section: 

19 ‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 

20 has the meaning given the term ‘Indian tribe’ in sec21 tion 4 of the Indian Self-Determination and Edu22 cation Assistance Act (25 U.S.C. 5304). 

23 ‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 

24 organization’ has the meaning given the term ‘tribal 

25 organization’ in such section 4. 


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1 ‘‘(3) STATE.—The term ‘State’ has the meaning 

2 given such term in section 1954(b) of the Public 

3 Health Service Act (42 U.S.C. 300x–64(b)). 

4 ‘‘(4) URBAN INDIAN ORGANIZATION.—The term 

5 ‘Urban Indian organization’ has the meaning given 

6 such term in section 4 of the Indian Health Care Im7 provement Act. 

8 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 

9 ‘‘(1) IN GENERAL.—For purposes of carrying out 

10 the grant program under subsection (b), there is au11 thorized to be appropriated $1,750,000,000 for each of 

12 fiscal years 2022 through 2027, to remain available 

13 until expended. 

14 ‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.—Of 

15 the amounts made available for each fiscal year to 

16 award grants under subsection (b), the Secretary shall 

17 not use more than 20 percent for Federal administra18 tive expenses, training, technical assistance, and eval19 uation. 

20 ‘‘(3) SET ASIDE.—Of the amounts made avail21 able for each fiscal year to award grants under sub22 section (b) for a fiscal year, the Secretary shall— 

23 ‘‘(A) award 5 percent to Indian Tribes, 

24 Tribal organizations, and Urban Indian organi25 zations; and 


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1 ‘‘(B) of the amount remaining after appli2 cation of subparagraph (A), set aside up to 15 

3 percent for awards to States with the highest 

4 age-adjusted rate of drug overdose death based on 

5 the ordinal ranking of States according to the 

6 Director of the Centers for Disease Control and 

7 Prevention.’’. 


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pamtmann on DSKBC07HB2PROD with BILLS
Union Calendar No. 109 

117TH CONGRESS 

1ST SESSION H. R. 2379 

[Report No. 117–149] 

A BILL 

To amend the 21st Century Cures Act to reauthorother purposes. sponse to the opioid use disorders crisis, and for ize and expand a grant program for State reOCTOBER 19, 2021 

Reported with an amendment, committed to the Comand ordered to be printed mittee of the Whole House on the State of the Union, 


pamtmann on DSKBC07HB2PROD with BILLS