I 

117TH CONGRESS 

1ST SESSION H. R. 2379 

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 

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. 

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’’. 


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1 SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE2 SPONSE TO SUBSTANCE USE DISORDERS OF 

3 SIGNIFICANCE. 

4 Section 1003 of the 21st Century Cures Act (42 

5 U.S.C. 290ee–3 note) is amended to read as follows: 

6 ‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE7 SPONSE TO SUBSTANCE USE DISORDERS OF 

8 SIGNIFICANCE. 

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

10 Human Services (referred to in this section as the ‘Sec11 retary’) shall carry out the grant program described in 

12 subsection (b) for purposes of addressing substance use 

13 disorders of significance, including opioid and stimulant 

14 use disorders, within States, Indian Tribes, and popu15 lations served by Tribal organizations and Urban Indian 

16 organizations. 

17 ‘‘(b) GRANTS PROGRAM.— 

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

19 of appropriations, the Secretary shall award grants 

20 to States, Indian Tribes, Tribal organizations, and 

21 Urban Indian organizations for the purpose of ad22 dressing substance use disorders of significance, in23 cluding opioid and stimulant use disorders, within 

24 such States, such Indian Tribes, and populations 

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1 dian organizations, in accordance with paragraph 

2 (2). 

3 ‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 

4 In determining grant amounts for each recipient of 

5 a grant under paragraph (1), the Secretary shall— 

6 ‘‘(A) ensure that each State and the Dis7 trict of Columbia receives not less than 

8 $4,000,000; and 

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

10 Tribes, Tribal organizations, and Urban Indian 

11 organizations whose populations have an inci12 dence or prevalence of opioid use disorders that 

13 is substantially higher relative to the popu14 lations of other States, other Indian Tribes, 

15 Tribal organizations, or Urban Indian organiza16 tions, as applicable. 

17 ‘‘(3) FORMULA METHODOLOGY.— 

18 ‘‘(A) IN GENERAL.—Not less than 15 days 

19 before publishing a funding opportunity an20 nouncement with respect to grants under this 

21 section, the Secretary shall— 

22 ‘‘(i) develop a formula methodology to 

23 be followed in allocating grant funds 

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1 ees, which includes performance assess2 ments for continuation awards; and 

3 ‘‘(ii) submit the formula methodology 

4 to— 

5 ‘‘(I) the Committee on Energy 

6 and Commerce and the Committee on 

7 Appropriations of the House of Rep8 resentatives; and 

9 ‘‘(II) the Committee on Health, 

10 Education, Labor, and Pensions and 

11 the Committee on Appropriations of 

12 the Senate. 

13 ‘‘(B) FORMULA ADJUSTMENTS.—The Sec14 retary may make adjustments to the formula 

15 developed under subparagraph (A)(i) in order 

16 to ensure that no State receives an amount for 

17 a fiscal year that is significantly lower than the 

18 amount received by the State for the previous 

19 fiscal year. 

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

21 this subsection shall be used for carrying out activi22 ties that supplement activities pertaining to sub23 stance use disorders of significance, including opioid 

24 and stimulant use disorders, undertaken by the 

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1 stance abuse prevention and treatment block grant 

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

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

4 which may include public health-related activities 

5 such as the following: 

6 ‘‘(A) Implementing prevention activities, 

7 and evaluating such activities to identify effec8 tive strategies to prevent substance use dis9 orders. 

10 ‘‘(B) Establishing or improving prescrip11 tion drug monitoring programs. 

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

13 such as best practices for prescribing opioids, 

14 pain management, recognizing potential cases 

15 of substance use disorders, referral of patients 

16 to treatment programs, preventing diversion of 

17 controlled substances, and overdose prevention. 

18 ‘‘(D) Supporting access to health care 

19 services, including— 

20 ‘‘(i) services provided by federally cer21 tified opioid treatment programs; 

22 ‘‘(ii) outpatient and residential sub23 stance use disorder treatment services that 

24 utilize medication-assisted treatment, as 

25 appropriate; or 


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1 ‘‘(iii) other appropriate health care 

2 providers to treat substance use disorders. 

3 ‘‘(E) Recovery support services, including 

4 community-based services that include peer sup5 ports, and address housing needs and family 

6 issues. 

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

8 as the State, Indian Tribe, Tribal organization, 

9 or Urban Indian organization determines appro10 priate, related to addressing substance use dis11 orders within the State, Indian Tribe, Tribal or12 ganization, or Urban Indian organization, in13 cluding directing resources in accordance with 

14 local needs related to substance use disorders. 

15 ‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re16 ceiving a grant under subsection (b) shall include in re17 porting related to substance use disorders submitted to the 

18 Secretary pursuant to section 1942 of the Public Health 

19 Service Act (42 U.S.C. 300x–52), a description of— 

20 ‘‘(1) the purposes for which the grant funds re21 ceived by the State under such subsection for the 

22 preceding fiscal year were expended and a descrip23 tion of the activities of the State under the grant; 

24 and 


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1 ‘‘(2) the ultimate recipients of amounts pro2 vided to the State through the grant. 

3 ‘‘(d) LIMITATIONS.—Any funds made available pur4 suant to subsection (i)— 

5 ‘‘(1) notwithstanding any transfer authority in 

6 any appropriations Act, shall not be used for any 

7 purpose other than the grant program in subsection 

8 (b); and 

9 ‘‘(2) shall be subject to the same requirements 

10 as substance use disorders prevention and treatment 

11 programs under titles V and XIX of the Public 

12 Health Service Act (42 U.S.C. 290aa et seq., 300w 

13 et seq.). 

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

15 URBAN INDIAN ORGANIZATIONS.—The Secretary, in con16 sultation with Indian Tribes, Tribal organizations, and 

17 Urban Indian organizations, shall identify and establish 

18 appropriate mechanisms for Indian Tribes, Tribal organi19 zations, and Urban Indian organizations to demonstrate 

20 or report the information as required under subsections 

21 (b), (c), and (d). 

22 ‘‘(f) REPORT TO CONGRESS.—Not later than Sep23 tember 30, 2024, and biennially thereafter, the Secretary 

24 shall submit to the Committee on Health, Education, 

25 Labor, and Pensions of the Senate and the Committee on 


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1 Energy and Commerce of the House of Representatives, 

2 and the Committees on Appropriations of the House of 

3 Representatives and the Senate, a report that includes— 

4 ‘‘(1) a summary of the information provided to 

5 the Secretary in reports made pursuant to sub6 sections (c) and (e), including the purposes for 

7 which grant funds are awarded under this section 

8 and the activities of such grant recipients; and 

9 ‘‘(2) with respect to States that experience sig10 nificant reductions in funding compared to previous 

11 years based on reduced mortality rates, an analysis 

12 of the impact of such reductions on such States and 

13 the extent to which such reductions have impacted 

14 outreach and direct support services to providers 

15 and underserved communities, and statewide treat16 ment and recovery outcomes in such States. 

17 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in18 cluding through the Tribal Training and Technical Assist19 ance Center of the Substance Abuse and Mental Health 

20 Services Administration, shall provide States, Indian 

21 Tribes, Tribal organizations, and Urban Indian organiza22 tions, as applicable, with technical assistance concerning 

23 grant application and submission procedures under this 

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1 reach and direct support to rural and underserved commu2 nities and providers in addressing substance use disorders. 

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

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

5 has the meaning given the term ‘Indian tribe’ in sec6 tion 4 of the Indian Self-Determination and Edu7 cation Assistance Act (25 U.S.C. 5304). 

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

9 organization’ has the meaning given the term ‘tribal 

10 organization’ in such section 4. 

11 ‘‘(3) STATE.—The term ‘State’ has the mean12 ing given such term in section 1954(b) of the Public 

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

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

15 ‘Urban Indian organization’ has the meaning given 

16 such term in section 4 of the Indian Health Care 

17 Improvement Act. 

18 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 

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

20 out the grant program under subsection (b), there is 

21 authorized to be appropriated $1,750,000,000 for 

22 each of fiscal years 2022 through 2027, to remain 

23 available until expended. 

24 ‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 

25 Of the amounts made available for each fiscal year 


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1 to award grants under subsection (b), the Secretary 

2 shall not use more than 2 percent for Federal ad3 ministrative expenses, training, technical assistance, 

4 and evaluation. 

5 ‘‘(3) SET ASIDE.—Of the amounts made avail6 able for each fiscal year to award grants under sub7 section (b) for a fiscal year, the Secretary shall— 

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

9 Tribal organizations, and Urban Indian organi10 zations; and 

11 ‘‘(B) of the amount remaining after appli12 cation of subparagraph (A), set aside up to 15 

13 percent for awards to States with the highest 

14 age-adjusted rate of drug overdose death based 

15 on the ordinal ranking of States according to 

16 the Director of the Centers for Disease Control 

17 and Prevention.’’. 

Æ 


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