I 

115TH CONGRESS 

2D SESSION H. R. 5140 

To make improvements to the Account For the State Response to the Opioid 

Abuse Crisis to improve tribal health. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 1, 2018 

Mr. MULLIN (for himself and Mr. GIANFORTE) introduced the following bill; 

which was referred to the Committee on Energy and Commerce 

A BILL 

To make improvements to the Account For the State 

Response to the Opioid Abuse Crisis to improve tribal health. 

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 ‘‘Tribal Addiction and 

5 Recovery Act of 2018’’ or the ‘‘TARA Act’’. 

6 SEC. 2. ACCOUNT FOR THE STATE RESPONSE TO THE 

7 OPIOID ABUSE CRISIS. 

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

9 U.S.C. 290ee–3 note) is amended— 


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1 (1) in the section heading, by inserting ‘‘AND

2 TRIBAL’’ after ‘‘STATE’’; 

3 (2) in subsection (a), by inserting after ‘‘within 

4 the States’’ the following: ‘‘, Indian tribes, and tribal 

5 organizations’’; 

6 (3) in subsection (b)— 

7 (A) in paragraph (1), by inserting ‘‘and 

8 Tribal’’ after ‘‘State’’; 

9 (B) in paragraph (2)(A)(ii), by striking 

10 ‘‘$500,000,000’’ and inserting ‘‘$525,000,000’’; 

11 and 

12 (C) in paragraph (3)(B), by inserting ‘‘and 

13 Tribal’’ after ‘‘State’’; 

14 (4) in subsection (c)— 

15 (A) in paragraph (1)— 

16 (i) in the paragraph heading, by strik17 ing ‘‘STATE RESPONSE TO THE OPIOID’’ 

18 and inserting ‘‘STATE AND TRIBAL RE19 SPONSE TO THE OPIOID’’; 

20 (ii) in the first sentence— 

21 (I) by inserting after ‘‘grants to 

22 States’’ the following: ‘‘, Indian tribes, 

23 and tribal organizations’’; 

24 (II) by inserting after ‘‘such 

25 States’’ the following: ‘‘, Indian tribes, 


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1 and tribal organizations, respectively’’; 

2 and 

3 (III) by striking ‘‘in accordance 

4 with subparagraph (B)’’ and inserting 

5 ‘‘in accordance with this subsection’’; 

6 and 

7 (iii) in the second sentence— 

8 (I) by inserting after ‘‘to States’’ 

9 the following: ‘‘, Indian tribes, and 

10 tribal organizations’’; and 

11 (II) by inserting after ‘‘other 

12 States’’ the following: ‘‘, Indian tribes, 

13 and tribal organizations, respectively’’; 

14 (B) in paragraph (2)— 

15 (i) in the matter preceding subpara16 graph (A)— 

17 (I) by inserting after ‘‘to a 

18 State’’ the following: ‘‘, Indian tribe, 

19 or tribal organization’’; and 

20 (II) by inserting after ‘‘by the 

21 State agency’’ the following: ‘‘or tribal 

22 entity’’; 

23 (ii) in subparagraph (A), by inserting 

24 ‘‘and tribal’’ after ‘‘State’’; and 

25 (iii) in subparagraph (E)— 


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1 (I) by inserting ‘‘, Indian tribe, 

2 or tribal organization, as the case may 

3 be,’’ after ‘‘as the State’’; and 

4 (II) by inserting after ‘‘within 

5 the State’’ the following: ‘‘, Indian 

6 tribe, or tribal organization, respec7 tively’’; and 

8 (C) by adding at the end the following: 

9 ‘‘(3) OTHER PERMISSIBLE USES.—Grants 

10 awarded to a State, Indian tribe, or tribal organiza11 tion under this subsection may be used to carry out 

12 activities to prevent and treat prescription drug 

13 abuse and the use of other addictive substances 

14 (such as alcohol, heroin, and methamphetamine), in15 cluding by providing mental health services.’’; 

16 (5) in subsection (d)— 

17 (A) in the matter preceding paragraph (1), 

18 by inserting ‘‘, Indian tribe, or tribal organiza19 tion’’ after ‘‘A State’’; and 

20 (B) by inserting ‘‘, Indian tribe, or tribal 

21 organization’’ after ‘‘the State’’ each place that 

22 such term appears; 

23 (6) by redesignating subsection (f) as sub24 section (g); and 


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1 (7) by inserting after subsection (e) the fol2 lowing new subsection: 

3 ‘‘(f) DEFINITIONS.—In this section, the terms ‘In4 dian tribe’ and ‘tribal organization’ have the meaning 

5 given those terms in section 4 of the Indian Self-Deter6 mination and Education Assistance Act (25 U.S.C. 

7 5304).’’. 

Æ 


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