II 

115TH CONGRESS 

2D SESSION S. 2646 

To establish a pilot program administered by the Secretary of Labor, in 

collaboration with the Secretary of Health and Human Services, to award 

competitive grants to counties (or other equivalent entities) and Tribal 

entities to administer combined workforce training and drug addiction 

treatment and recovery programs, and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

APRIL 11, 2018 

Mr. BROWN (for himself and Mrs. CAPITO) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To establish a pilot program administered by the Secretary 

of Labor, in collaboration with the Secretary of Health 

and Human Services, to award competitive grants to 

counties (or other equivalent entities) and Tribal entities 

to administer combined workforce training and drug addiction treatment and recovery programs, 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, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Collectively Achieving 

3 Recovery and Employment Act of 2018’’ or the ‘‘CARE 

4 Act’’. 

5 SEC. 2. PILOT PROGRAM FOR COMBINED WORKFORCE 

6 TRAINING AND DRUG ADDICTION TREAT7 MENT AND RECOVERY. 

8 (a) DEFINITIONS.—In this section: 

9 (1) COVERED ENTITY.—The term ‘‘covered en10 tity’’ means a county (or other equivalent entity as 

11 determined by the Secretary) or a Tribal entity. 

12 (2) ELIGIBLE DRUG ADDICTION TREATMENT

13 PARTICIPANT.—The term ‘‘eligible drug addiction 

14 treatment participant’’ means a nonprofit or public 

15 health care entity that meets the requirements under 

16 subsection (d). 

17 (3) ELIGIBLE WORKFORCE TRAINING PARTICI18 PANT.—The term ‘‘eligible workforce training partic19 ipant’’ means a nonprofit or public workforce train20 ing entity that meets the requirements under sub21 section (e). 

22 (4) FULL RANGE OF DRUG ADDICTION TREAT23 MENT AND RECOVERY SERVICES.—The term ‘‘full 

24 range of drug addiction treatment and recovery serv25 ices’’ includes— 


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1 (A) providing medication-assisted treat2 ment to treat addiction involving opioids, in3 cluding— 

4 (i) not less than 1 opioid antagonist 

5 medication approved by the Food and 

6 Drug Administration; and 

7 (ii) not less than 1 opioid agonist (or 

8 partial agonist) medication approved by 

9 the Food and Drug Administration; 

10 (B) providing counseling with respect to 

11 such treatment, which shall include discussing 

12 with patients the risks of, benefits of, and alter13 natives to such treatment; 

14 (C) recovery support services, including 

15 peer recovery support services; and 

16 (D) referral services and case management 

17 programs. 

18 (5) LOCAL BOARD.—The term ‘‘local board’’ 

19 has the meaning given such term in section 3 of the 

20 Workforce Innovation and Opportunity Act (29 

21 U.S.C. 3102). 

22 (6) SECRETARY.—Except as otherwise provided, 

23 the term ‘‘Secretary’’ means the Secretary of Labor, 

24 in collaboration with the Assistant Secretary for 


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1 Mental Health and Substance Use of the Depart2 ment of Health and Human Services. 

3 (7) TRIBAL ENTITY.—The term ‘‘Tribal entity’’ 

4 includes Indian tribes, Tribal organizations, Alaska 

5 Native entities, Indian-controlled organizations serv6 ing Indians, and Native Hawaiian organizations, 

7 within the meaning of such terms in section 166 of 

8 the Workforce Innovation and Opportunity Act (29 

9 U.S.C. 3221). 

10 (b) ESTABLISHMENT.—The Secretary shall establish 

11 a pilot program to award competitive grants during each 

12 of fiscal years 2019 through 2024 to covered entities to 

13 administer combined workforce training and drug addic14 tion treatment and recovery programs. 

15 (c) APPLICATIONS.— 

16 (1) IN GENERAL.—A covered entity desiring a 

17 grant under this section shall submit an application 

18 to the Secretary in such form, in such manner, and 

19 containing such information as the Secretary may 

20 reasonably require. 

21 (2) PARTNERSHIP.— 

22 (A) IN GENERAL.—Each application shall, 

23 in addition to the contents required under para24 graph (3), demonstrate that the covered entity 

25 will partner with— 


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1 (i) at least one eligible drug addiction 

2 treatment participant that meets the re3 quirements under subsection (d), to pro4 vide drug addiction treatment services for 

5 individuals through the workforce training 

6 and drug addiction treatment and recovery 

7 program; and 

8 (ii) at least one eligible workforce 

9 training participant that meets the require10 ments under subsection (e), which shall in11 clude at least one local board, to provide 

12 training services for individuals through 

13 such program. 

14 (B) FISCAL AGENT.—The covered entity 

15 shall, for purposes of carrying out the grant, 

16 serve as the fiscal agent of the partnership de17 scribed in subparagraph (A). 

18 (3) CONTENTS.—In order to be selected for a 

19 grant under this section, an application submitted 

20 under this subsection shall— 

21 (A) identify any eligible drug addiction 

22 treatment participant that is partnering with 

23 the covered entity as described in paragraph 

24 (2)(A)(i); 


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1 (B) identify any eligible workforce training 

2 participant, including at least one local board, 

3 that is partnering with the covered entity as de4 scribed in paragraph (2)(A)(ii); and 

5 (C) provide a detailed description of the 

6 services under subsection (f) that will be pro7 vided under the workforce training and drug 

8 addiction treatment and recovery program to 

9 individuals with varying drug addictions and 

10 varying workforce skills, and demonstrate that 

11 the applicant, and any partners identified under 

12 subparagraphs (A) and (B), will use the grant 

13 to provide such services. 

14 (d) ELIGIBLE DRUG ADDICTION TREATMENT PAR15 TICIPANTS.— 

16 (1) IN GENERAL.—To meet the requirements 

17 under this subsection to be an eligible drug addiction 

18 treatment participant, an entity shall be a nonprofit 

19 or public health care entity and— 

20 (A) comply with all licensing and certifi21 cation requirements of the State department of 

22 health; 

23 (B) demonstrate that it has strong commu24 nity partnerships, including a partnership with 

25 State and local public health authorities; 


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1 (C) subject to paragraph (2)— 

2 (i) provide the full range of drug ad3 diction treatment and recovery services; 

4 (ii) demonstrate the ability to provide 

5 such services on an ongoing basis, includ6 ing after the workforce training has start7 ed; and 

8 (iii) demonstrate the ability to provide 

9 such services concurrent with job training 

10 services; and 

11 (D) accept health insurance for such serv12 ices, including coverage under title XIX of the 

13 Social Security Act (42 U.S.C. 1396 et seq.), 

14 and have established policies to ensure non15 discrimination based on the ability of a patient 

16 to pay. 

17 (2) CONTRACTING PROVIDERS.—An eligible 

18 drug addiction treatment participant may contract 

19 with or refer to another health care provider (or 

20 health care providers) to meet the requirements 

21 under paragraph (1)(C) if such provider (or pro22 viders) is a nonprofit or public health care entity 

23 that meets the requirements described in subpara24 graphs (A), (B), and (D) of paragraph (1). 


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1 (e) ELIGIBLE WORKFORCE TRAINING PARTICI2 PANTS.—To meet the requirements under this subsection 

3 to be an eligible workforce training participant, a non4 profit or public workforce training entity shall— 

5 (1) demonstrate that it has a relationship with 

6 employers in the area and has provided training that 

7 reflects the skill needs of such employers; 

8 (2) have experience providing workforce train9 ing for individuals of all workforce skill levels; 

10 (3) if such entity is not a local board, dem11 onstrate that it has a relationship with a local board 

12 included in the partnership under subsection 

13 (c)(2)(A)(ii); and 

14 (4) demonstrate the ability to provide ongoing 

15 workforce training concurrent with drug addiction 

16 treatment. 

17 (f) PERMISSIBLE USES OF FUNDS.—A covered entity 

18 that receives a grant under this section shall use the grant 

19 funds for one or more of the following: 

20 (1) Drug addiction treatment services identified 

21 by the American Society of Addiction Medicine as 

22 best practices, including health (including mental 

23 health) services, drug addiction and recovery serv24 ices, or any other forms of outpatient treatment that 


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1 may impact addiction and related, underlying, or 

2 complicating conditions. 

3 (2) Services to provide drug referrals to other 

4 providers of relevant health care services that are 

5 not provided through the drug addiction treatment 

6 and recovery program. 

7 (3) Career services that provide workers with a 

8 range of services, including training and job place9 ment assistant, including soft skills training, in10 depth interviewing practice and evaluation, and ca11 reer planning, job coaching, and job matching serv12 ices. 

13 (4) Providing ongoing job training services that 

14 are concurrent with drug addiction treatment serv15 ices, including work-based training strategies, tradi16 tional classroom training, and services to connect 

17 employers and workers on-the-job or customized 

18 training programs and apprenticeships. 

19 (5) Payments and fees for employment and 

20 training-related applications, tests, and certifi21 cations. 

22 (6) Linkages to community services, including 

23 services offered by organizations partnering with the 

24 covered entity that are designed to support individVerDate Sep 11 2014 03:06 Apr 12, 2018 Jkt 079200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\S2646.IS S2646

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1 uals participating in the workforce training and drug 

2 addiction treatment and recovery program. 

3 (7) Individual wraparound services to provide 

4 maximum support for such individuals. 

5 (8) Individual case management services for 

6 such individuals, including— 

7 (A) assessing the extent to which services 

8 provided through the drug addiction treatment 

9 and recovery program are appropriate for the 

10 individual; 

11 (B) ensuring that any services provided 

12 through such program are provided in a coordi13 nated manner; and 

14 (C) assistance in establishing eligibility for 

15 assistance under Federal, State, or local pro16 grams providing health services (including men17 tal health services), housing services, employ18 ment services, educational services, transpor19 tation services, or social services. 

20 (g) GRANT PERIOD.—Each grant awarded under this 

21 section shall be for a period of 3 years. Any funds awarded 

22 through such grant that are not expended by the end of 

23 the grant period shall be returned to the fund established 

24 under subsection (h). 

25 (h) FUNDING.— 


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1 (1) FUND.—There is established in the Treas2 ury a fund, consisting of the amounts transferred 

3 under paragraph (2) and any unused funds returned 

4 to the fund under subsection (g), to be used, without 

5 further appropriation, by the Secretary to carry out 

6 the pilot program under this section. 

7 (2) TRANSFERS.— 

8 (A) WORKFORCE DEVELOPMENT FUNDS.— 

9 (i) AMOUNT.—Out of any unobligated 

10 amounts made available for the programs 

11 described in clause (ii), the Secretary of 

12 Labor shall, not later than 30 days after 

13 the date of enactment of this Act, transfer 

14 $50,000,000 to the fund established under 

15 paragraph (1). 

16 (ii) PROGRAMS.—The programs de17 scribed in this clause are each of the fol18 lowing: 

19 (I) The reentry employment op20 portunities program under section 169 

21 of the Workforce Innovation and Op22 portunity Act (29 U.S.C. 3224). 

23 (II) The national dislocated 

24 worker grants under section 170 of 

25 such Act (29 U.S.C. 3225). 


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1 (B) SUBSTANCE ABUSE AND MENTAL

2 HEALTH SERVICES ADMINISTRATION FUNDS.— 

3 Out of any unobligated amounts made available 

4 for the programs authorized under section 509 

5 of the Public Health Service Act (42 U.S.C. 

6 290bb–2), the Secretary of Health and Human 

7 Services shall, not later than 30 days after the 

8 date of enactment of this Act, transfer 

9 $50,000,000 to the fund established under 

10 paragraph (1). 

11 (3) AVAILABILITY.—Amounts transferred under 

12 paragraph (2) to the fund shall remain available for 

13 the Secretary to make grants under this section 

14 through September 30, 2024. Any amounts remain15 ing in the fund, or returned under subsection (g) to 

16 the fund, after such date shall be returned to the 

17 general fund of the Treasury. 

18 (i) REPORTING.—The Secretary shall establish re19 porting requirements for covered entities receiving grants 

20 under this section to report to the Secretary on how such 

21 entities used their grant funds. Such requirements shall 

22 include reporting on— 

23 (1) the percentage of such funds used for addic24 tion treatment and recovery and the percentage of 

25 such funds used for workforce training; and 


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1 (2) outcomes resulting from the use of the 

2 grant funds, including data on job placement, reten3 tion, and addiction recovery. 

4 SEC. 3. AMENDMENT TO WORKFORCE INNOVATION AND 

5 OPPORTUNITY ACT. 

6 Section 134(d) of the Workforce Innovation and Op7 portunity Act (29 U.S.C. 3174(d)) is amended by adding 

8 at the end the following: 

9 ‘‘(6) WORKFORCE TRAINING AND DRUG ADDIC10 TION TREATMENT AND RECOVERY PROGRAM.— 

11 Funds allocated to a local area for adults under 

12 paragraph (2)(A) or (3), as appropriate, of section 

13 133(b), and funds allocated to the local area for dis14 located workers under section 133(b)(2)(B), may be 

15 used to carry out a workforce training and drug ad16 diction treatment and recovery program under sec17 tion 2 of the Collectively Achieving Recovery and 

18 Employment Act of 2018 if the local board is par19 ticipating in the program under that section.’’. 

Æ 


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