I 

114TH CONGRESS 

2D SESSION H. R. 4861 

To amend the Public Health Service Act to authorize grants to health centers 

to expand access to evidence-based substance abuse treatment services. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 23, 2016 

Ms. DELAURO introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to authorize grants 

to health centers to expand access to evidence-based substance abuse treatment services. 

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 ‘‘Access to Substance 

5 Abuse Treatment Act of 2016’’. 

6 SEC. 2. EXPANDED ACCESS TO SUBSTANCE ABUSE TREAT7 MENT SERVICES. 

8 Title V of the Public Health Service Act is amend9 ed— 


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1 (1) by redesignating the second section 514 (42 

2 U.S.C. 290bb–9; relating methamphetamine and am3 phetamine treatment initiative) as section 514B; and 

4 (2) by inserting after section 514B, as so redes5 ignated, the following: 

6 ‘‘SEC. 514C. EXPANDED ACCESS TO SUBSTANCE ABUSE 

7 TREATMENT SERVICES. 

8 ‘‘(a) IN GENERAL.—The Director of the Center for 

9 Substance Abuse Treatment shall make grants to Feder10 ally qualified health centers, substance abuse treatment 

11 centers, rehabilitation treatment centers, or residential 

12 treatment centers to expand access to substance abuse 

13 treatment services for adults, adolescents, and children 

14 by— 

15 ‘‘(1) increasing education, screening, care co16 ordination, risk reduction interventions, or coun17 seling regarding the availability of testing, treat18 ment, and clinical management for patients with or 

19 at risk of HIV/AIDS, hepatitis C, and other diseases 

20 associated with opioid use disorders; 

21 ‘‘(2) enhancing clinical workflow to improve 

22 substance abuse treatment services; 

23 ‘‘(3) enhancing the use of health information 

24 technologies to improve the effectiveness of subVerDate Sep 11 2014 21:19 Mar 24, 2016 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H4861.IH H4861

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1 stance abuse treatment services and increase patient 

2 engagement; 

3 ‘‘(4) educating patients and community mem4 bers on opioid use disorders, including the use of 

5 opioid antagonists in preventing opioid overdose; 

6 ‘‘(5) expanding treatment capacity in rural and 

7 underserved communities through the use of tele8 medicine; 

9 ‘‘(6) providing treatment transition and cov10 erage for patients reentering communities from 

11 criminal justice settings or other rehabilitative set12 tings; 

13 ‘‘(7) training and certifying opioid use disorder 

14 treatment providers, including physicians, nurses, 

15 counselors, social workers, care coordinators, and 

16 case managers; 

17 ‘‘(8) supporting innovative delivery of medica18 tion-assisted treatment; and 

19 ‘‘(9) enhancing prevention using evidence-based 

20 methods proven to reduce the number of persons 

21 with opioid use disorders. 

22 ‘‘(b) PRIORITY.—In awarding grants under this sub23 section, the Director shall prioritize grants to Federally 

24 qualified health centers, substance abuse treatment cenVerDate Sep 11 2014 21:19 Mar 24, 2016 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H4861.IH H4861

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1 ters and programs, rehabilitation treatment centers and 

2 programs, and residential treatment centers— 

3 ‘‘(1) serving communities with a greater inci4 dence of substance abuse; or 

5 ‘‘(2) providing, or proposing to incorporate, 

6 medication-assisted treatment. 

7 ‘‘(c) REQUIREMENTS.— 

8 ‘‘(1) EVIDENCE-BASED, COST-EFFECTIVE.— 

9 Services funded through a grant under this sub10 section shall be— 

11 ‘‘(A) evidence-based; and 

12 ‘‘(B) cost-effective. 

13 ‘‘(2) MANNER OF PROVIDING SERVICES.—Serv14 ices funded through a grant under this section— 

15 ‘‘(A) may be provided by the grantee di16 rectly or through referrals to other providers 

17 with which the grantee has a formal relation18 ship; and 

19 ‘‘(B) shall be provided in a manner reflect20 ing person-centered care. 

21 ‘‘(d) PROVIDERS.—Providers treating patients for 

22 substance use disorders pursuant to a grant under this 

23 subsection shall be licensed or credentialed, as applicable, 

24 in the States involved to treat such patients for such dis25 orders. 


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1 ‘‘(e) DEFINITIONS.—In this section: 

2 ‘‘(1) The term ‘Federally qualified health cen3 ter’ has the meanings given the terms in section 

4 1861(aa) of the Social Security Act. 

5 ‘‘(2) The term ‘substance abuse treatment serv6 ices’ includes the following: 

7 ‘‘(A) Screening, assessment, and diagnosis, 

8 including risk assessment. 

9 ‘‘(B) Patient-centered treatment planning 

10 or similar processes, including risk assessment 

11 and crisis planning. 

12 ‘‘(C) Outpatient substance use services, in13 cluding medication-assisted treatment, and re14 lated behavioral health services. 

15 ‘‘(D) Targeted case management. 

16 ‘‘(E) Peer support, counselor services, and 

17 family supports. 

18 ‘‘(F) Harm reduction and syringe services 

19 programs. 

20 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 

21 is authorized to be appropriated to carry out this sub22 section $1,000,000,000 for each of fiscal years 2017 

23 through 2022.’’. 

Æ 


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