II 

115TH CONGRESS 

2D SESSION S. 2589 

To amend title V of the Public Health Service Act to establish a grant 

program to create comprehensive opioid recovery centers, and for other 

purposes. 

IN THE SENATE OF THE UNITED STATES 

MARCH 22, 2018 

Ms. HASSAN (for herself 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 amend title V of the Public Health Service Act to establish a grant program to create comprehensive opioid recovery centers, 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 ‘‘Comprehensive Opioid 

5 Recovery Centers Act of 2018’’. 

6 SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS. 

7 (a) IN GENERAL.—Part D of title V of the Public 

8 Health Service Act is amended by adding at the end the 

9 following new section: 


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1 ‘‘SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS. 

2 ‘‘(a) IN GENERAL.—The Secretary, acting through 

3 the Assistant Secretary for Mental Health and Substance 

4 Use, shall award grants on a competitive basis to eligible 

5 entities to establish or operate a comprehensive opioid re6 covery center (referred to in this section as a ‘Center’). 

7 A Center may be a single entity or a set of integrated 

8 delivery networks operating together in one State. 

9 ‘‘(b) GRANT PERIOD.— 

10 ‘‘(1) IN GENERAL.—A grant awarded under 

11 subsection (a) shall be for a period not less than 3 

12 years and not more than 5 years. 

13 ‘‘(2) RENEWAL.—A grant awarded under sub14 section (a) may be renewed, on a competitive basis, 

15 for additional periods of time, as determined by the 

16 Secretary. In determining whether to renew a grant 

17 under this paragraph, the Secretary shall consider 

18 the data submitted under subsection (h). 

19 ‘‘(c) MINIMUM NUMBER OF CENTERS.—The Sec20 retary shall allocate the amounts made available under 

21 subsection (i) such that not fewer than 10 Centers may 

22 be established across the United States. 

23 ‘‘(d) APPLICATION.—In order to be eligible for a 

24 grant under subsection (a), an entity shall submit an ap25 plication to the Secretary at such time and in such manner 


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1 as the Secretary may require. Such application shall in2 clude— 

3 ‘‘(1) evidence that such entity carries out, or is 

4 capable of coordinating with other entities to carry 

5 out, the activities described in subsection (g); and 

6 ‘‘(2) such other information as the Secretary 

7 may require. 

8 ‘‘(e) PRIORITY.—In awarding grants under sub9 section (a), the Secretary shall give priority to eligible enti10 ties located in a State or Indian country (as defined in 

11 section 1151 of title 18, United States Code) with a high 

12 per capita drug overdose mortality rate, as determined by 

13 the Director of the Centers for Disease Control and Pre14 vention. 

15 ‘‘(f) USE OF GRANT FUNDS.—An eligible entity 

16 awarded a grant under subsection (a) shall use the grant 

17 funds to establish or operate a Center to carry out the 

18 activities described in subsection (g). 

19 ‘‘(g) CENTER ACTIVITIES.—Each Center shall, at a 

20 minimum, carry out the activities described in this sub21 section. 

22 ‘‘(1) OUTREACH.—Each Center shall carry out 

23 the following outreach activities: 

24 ‘‘(A) Perform community needs assess25 ments. 


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1 ‘‘(B) Train and supervise outreach staff to 

2 work with State and local health departments, 

3 health care providers, State and local education 

4 agencies, institutions of higher education, State 

5 and local workforce development boards, State 

6 and local community action agencies, justice 

7 professionals, and other community partners as 

8 determined by the Secretary, to ensure that 

9 such entities are aware of the services of the 

10 Center. 

11 ‘‘(C) Disseminate and make available on12 line evidence-based resources that educate pro13 fessionals and the public on opioid use disorder 

14 and other substance use disorders. 

15 ‘‘(2) TREATMENT AND RECOVERY SERVICES.— 

16 Each Center shall provide the following treatment 

17 and recovery services: 

18 ‘‘(A) Ensure that intake and ongoing eval19 uations meet the clinical needs of patients, in20 cluding by offering assessments for services and 

21 level of care recommendations through inde22 pendent, research-validated verification proc23 esses for reviewing patient placement in addic24 tion treatment settings. 


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1 ‘‘(B) Periodically conduct patient assess2 ments to ensure continued and meaningful re3 covery, as defined by the Assistant Secretary 

4 for Mental Health and Substance Use. 

5 ‘‘(C) Provide the full continuum of treat6 ment services, including— 

7 ‘‘(i) all drugs approved by the Food 

8 and Drug Administration to treat sub9 stance use disorders, including opioid use 

10 disorder and alcohol use disorder; 

11 ‘‘(ii) medically supervised detoxifica12 tion that includes patient evaluation, sta13 bilization, and readiness for and entry into 

14 treatment; 

15 ‘‘(iii) counseling provided by a pro16 gram counselor or other certified profes17 sional who is qualified by education, train18 ing, or experience to assess the psycho19 logical and sociological background of pa20 tients, to contribute to the appropriate 

21 treatment plan for the patient, and to 

22 monitor patient progress; 

23 ‘‘(iv) residential rehabilitation, and 

24 outpatient and intensive outpatient pro25 grams; 


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1 ‘‘(v) recovery housing; 

2 ‘‘(vi) community-based and peer re3 covery support services; 

4 ‘‘(vii) job training, job placement as5 sistance, and continuing education assist6 ance to support reintegration into the 

7 workforce; and 

8 ‘‘(viii) other best practices, as deter9 mined by the Secretary. 

10 ‘‘(D) Administer an onsite pharmacy and 

11 provide toxicology services. 

12 ‘‘(E) Establish and operate a secure and 

13 confidential electronic health information sys14 tem. 

15 ‘‘(h) DATA REPORTING AND PROGRAM OVER16 SIGHT.—With respect to a grant awarded under sub17 section (a) to an eligible entity for a Center, not later than 

18 90 days after the end of the first year of the grant period, 

19 and annually thereafter for the duration of the grant pe20 riod (including the duration of any renewal period for such 

21 grant), the entity shall submit data, as appropriate, to the 

22 Secretary regarding— 

23 ‘‘(1) the programs and activities funded by the 

24 grant; 


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1 ‘‘(2) health outcomes of individuals with a sub2 stance use disorder who received services from the 

3 Center; 

4 ‘‘(3) the effectiveness of interventions designed, 

5 tested, and evaluated by an independent program 

6 evaluator; 

7 ‘‘(4) the retention rate of program participants; 

8 and 

9 ‘‘(5) any other information that the Secretary 

10 may require for the purpose of— 

11 ‘‘(A) evaluating the effectiveness of the 

12 Center; and 

13 ‘‘(B) ensuring that the Center is complying 

14 with all the requirements of the grant, including 

15 providing the full continuum of services de16 scribed in subsection (g)(2)(C). 

17 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 

18 authorized to be appropriated $10,000,000 for each of fis19 cal years 2019 through 2023 for purposes of carrying out 

20 this section.’’. 

21 (b) REPORTS TO CONGRESS.— 

22 (1) PRELIMINARY REPORT.—Not later than 3 

23 years after the date of the enactment of this Act, the 

24 Secretary of Health and Human Services shall sub25 mit to Congress a preliminary report that analyzes 


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1 data submitted under section 550(h) of the Public 

2 Health Service Act, as added by subsection (a). 

3 (2) FINAL REPORT.—Not later than one year 

4 after submitting the preliminary report required 

5 under paragraph (1), the Secretary of Health and 

6 Human Services shall submit to Congress a final re7 port that includes— 

8 (A) an evaluation of the effectiveness of 

9 comprehensive opioid recovery centers estab10 lished or operated pursuant to section 550 of 

11 the Public Health Service Act, as added by sub12 section (a); 

13 (B) recommendations on whether the grant 

14 program established under such section 550 

15 should be reauthorized and expanded; and 

16 (C) standards and best practices for the 

17 treatment of substance use disorders. 

Æ 


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