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114TH CONGRESS 

2D SESSION H. R. 5216 

To provide funding for opioid and heroin abuse prevention and treatment, 

and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 12, 2016 

Mr. BEN RAY LUJA ́N of New Mexico (for himself, Mr. CUMMINGS, Ms. ROYBAL-ALLARD, Mr. KENNEDY, Mr. KILMER, Ms. KUSTER, Mr. HASTINGS, 

Mrs. NAPOLITANO, Mr. TONKO, Ms. MATSUI, Mr. NEAL, Mr. GRAYSON, 

Ms. NORTON, Mr. KEATING, Ms. MICHELLE LUJAN GRISHAM of New 

Mexico, Mr. BLUMENAUER, Mr. LEVIN, Mr. CLAY, Mr. LARSEN of Washington, Ms. EDWARDS, Ms. KAPTUR, Ms. JACKSON LEE, Mrs. CAPPS, 

Mr. LYNCH, Mr. NORCROSS, Mrs. LAWRENCE, Mr. MEEKS, Mr. SEAN

PATRICK MALONEY of New York, Ms. SPEIER, Mr. QUIGLEY, Mr. 

GUTIE ́RREZ, Mr. WELCH, Mr. RUPPERSBERGER, Mr. CONNOLLY, Mr. 

MCGOVERN, Mr. LOEBSACK, Mr. SARBANES, Ms. BROWN of Florida, 

Mrs. DINGELL, Mr. KIND, Mr. ISRAEL, Mr. PASCRELL, Mr. GALLEGO, 

Mr. CAPUANO, Mr. COURTNEY, Mr. BEYER, Mr. THOMPSON of Mississippi, Mr. JEFFRIES, Mr. YARMUTH, Mr. CA ́RDENAS, Mr. SIRES, Mr. 

KILDEE, Ms. ESHOO, Mr. GENE GREEN of Texas, Mr. VARGAS, Ms. 

BASS, Ms. CLARKE of New York, Mr. VAN HOLLEN, Ms. CLARK of Massachusetts, Mr. COHEN, Ms. TSONGAS, Ms. FUDGE, Mr. AGUILAR, Mr. 

TED LIEU of California, Mr. RICHMOND, Mr. SWALWELL of California, 

Mr. LEWIS, Mr. HECK of Washington, Ms. MCCOLLUM, Ms. 

DUCKWORTH, Mr. JOHNSON of Georgia, Mr. RYAN of Ohio, Mr. 

DELANEY, Ms. ESTY, Mr. CONYERS, Mr. DEFAZIO, Mr. AL GREEN of 

Texas, Mr. LARSON of Connecticut, Mr. BUTTERFIELD, Mr. DANNY K. 

DAVIS of Illinois, Ms. PLASKETT, Ms. LEE, Ms. LORETTA SANCHEZ of 

California, Mr. BRENDAN F. BOYLE of Pennsylvania, Mr. RUIZ, Ms. 

TITUS, Ms. BROWNLEY of California, Mr. MOULTON, Ms. DELAURO, Mr. 

HONDA, and Mr. PETERSON) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to 

the Committees on the Judiciary and the Budget, for a period to be subsequently determined by the Speaker, in each case for consideration of 

such provisions as fall within the jurisdiction of the committee concerned 

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A BILL 

To provide funding for opioid and heroin abuse prevention 

and treatment, 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 ‘‘Opioid and Heroin 

5 Abuse Crisis Investment Act of 2016’’. 

6 SEC. 2. FUNDING FOR OPIOID AND HEROIN ABUSE PRE7 VENTION AND TREATMENT. 

8 (a) FUNDING.—There are authorized to be appro9 priated, and are appropriated, out of monies in the Treas10 ury not otherwise obligated, $1,164,600,000 for the period 

11 of fiscal years 2017 and 2018, to improve opioid pre12 scribing practices and expand access to substance use 

13 treatment and to reduce opioid use disorders and overdose, 

14 to be made available in accordance with this Act and the 

15 amendments made by this Act. 

16 (b) STATE TARGETED RESPONSE COOPERATIVE

17 AGREEMENTS.—Subpart 1 of part B of title V of the Pub18 lic Health Service Act (42 U.S.C. 290bb et seq.) is amend19 ed by inserting after section 509 the following: 

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1 ‘‘SEC. 510. STATE TARGETED RESPONSE COOPERATIVE 

2 AGREEMENTS. 

3 ‘‘(a) IN GENERAL.—The Secretary shall enter into 

4 additional targeted response cooperative agreements with 

5 States under this title to expand opioid treatment capacity 

6 and make services more affordable to those who cannot 

7 afford such services. 

8 ‘‘(b) AWARDING OF FUNDING.—The Secretary shall 

9 allocate funding to States under this section based on— 

10 ‘‘(1) the severity of the opioid epidemic in the 

11 State; and 

12 ‘‘(2) the strength of the strategy of the State 

13 to respond to such epidemic. 

14 ‘‘(c) USE OF FUNDS.—Amounts received by a State 

15 under this section shall be used to expand treatment ca16 pacity and make services more affordable to those who 

17 cannot afford such services and to help individuals seek 

18 treatment, successfully complete treatment, and sustain 

19 recovery. 

20 ‘‘(d) FUNDING.—From amounts appropriated under 

21 section 2(a) of the Opioid and Heroin Abuse Crisis Invest22 ment Act, $465,000,000 is available to carry out this sec23 tion for each of fiscal years 2017 and 2018.’’. 

24 (c) TREATMENT FOR PRESCRIPTION DRUG ABUSE

25 AND HEROIN USE.—Section 331(b) of the Public Health 

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1 Service Act (42 U.S.C. 254d(b)) is amended by adding 

2 at the end the following: 

3 ‘‘(3)(A) The Secretary shall use amounts made avail4 able under subparagraph (B) to support enhanced loan re5 payment awards to increase the number of clinicians in 

6 the Corps with medication-assisted treatment training to 

7 treat individuals with opioid use disorders through loan 

8 repayments to clinicians. 

9 ‘‘(B) From amounts appropriated under section 2(a) 

10 of the Opioid and Heroin Abuse Crisis Investment Act, 

11 $25,000,000 is available to carry out this paragraph for 

12 each of fiscal years 2017 and 2018.’’. 

13 (d) EVALUATION OF MEDICATION-ASSISTED TREAT14 MENT.—Subpart 1 of part B of title V of the Public 

15 Health Service Act (42 U.S.C. 290bb et seq.) is amended 

16 by inserting after section 510, as added by subsection (b), 

17 the following: 

18 ‘‘SEC. 511. EVALUATION OF MEDICATION-ASSISTED TREAT19 MENT. 

20 ‘‘(a) IN GENERAL.—In order to assess the treatment 

21 outcomes of patients with opioid addiction receiving medi22 cation-assisted treatment, the Secretary shall evaluate the 

23 short-, medium-, and long-term outcomes of such sub24 stance abuse treatment programs in order to increase efmstockstill on DSK3G9T082PROD with BILLS

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1 fectiveness in reducing opioid use disorders, overdose, and 

2 death. 

3 ‘‘(b) FUNDING.—From amounts appropriated under 

4 section 2(a) of the Opioid and Heroin Abuse Crisis Invest5 ment Act, $15,000,000 is available to carry out this sec6 tion for each of fiscal years 2017 and 2018.’’. 

7 (e) MEDICATION-ASSISTED TREATMENT FOR PRE8 SCRIPTION DRUG AND OPIOID ADDICTION.—Section 509 

9 of the Public Health Service Act (42 U.S.C. 290bb–2) is 

10 amended— 

11 (1) by redesignating subsection (f) as sub12 section (g); and 

13 (2) by inserting after subsection (e), the fol14 lowing: 

15 ‘‘(f) MEDICATION-ASSISTED TREATMENT FOR PRE16 SCRIPTION DRUG AND OPIOID ADDICTION.— 

17 ‘‘(1) IN GENERAL.—In carrying out this sec18 tion, the Secretary shall use amounts made available 

19 under paragraph (3) to award grants to States to 

20 expand or enhance medication-assisted treatment 

21 utilizing medications approved by the Food and 

22 Drug Administration in combination with psycho23 social services, recovery support services, and coordi24 nation with HIV or hepatitis C direct services. 

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1 ‘‘(2) FUNDING.—From amounts appropriated 

2 under section 2(a) of the Opioid and Heroin Abuse 

3 Crisis Investment Act, $50,100,000 is available to 

4 carry out this subsection for fiscal year 2017.’’. 

5 (f) DISSEMINATION OF GUIDELINES FOR PRE6 VENTING PRESCRIPTION DRUG OVERDOSE.—Section 317 

7 of the Public Health Service Act (42 U.S.C. 247b) is 

8 amended by adding at the end the following: 

9 ‘‘(n) DISSEMINATION OF GUIDELINES FOR PRE10 VENTING PRESCRIPTION DRUG OVERDOSE.— 

11 ‘‘(1) IN GENERAL.—The Director of the Cen12 ters for Disease Control and Prevention shall dis13 seminate guidelines to improve opioid prescribing 

14 practices to reduce opioid use disorders and over15 dose. 

16 ‘‘(2) USE OF FUNDS.—In carrying out this sub17 section, the Director of the Centers for Disease Con18 trol and Prevention shall use amounts made avail19 able under paragraph (3) to— 

20 ‘‘(A) pilot test, evaluate, and adapt com21 prehensive tools and dissemination strategies to 

22 convey opioid prescribing guidelines of the Cen23 ters for Disease Control and Prevention in suc24 cinct, usable formats accessible to health care 

25 providers; 

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1 ‘‘(B) develop, evaluate, and publicly dis2 seminate clinical decision support tools derived 

3 from the opioid prescribing guidelines of the 

4 Centers for Disease Control and Prevention; 

5 ‘‘(C) establish training modules in partner6 ship with professional societies and health sys7 tems, including online modules available for 

8 continuing medical education credits and main9 tenance of certification; and 

10 ‘‘(D) coordinate with Office of the Na11 tional Coordinator for Health Information 

12 Technology to ensure that guidelines developed 

13 under this subsection are effectively dissemi14 nated and translated into clinical support tools 

15 for integration into clinical workflow. 

16 ‘‘(3) FUNDING.—From amounts appropriated 

17 under section 2(a) of the Opioid and Heroin Abuse 

18 Crisis Investment Act, $10,000,000 is available to 

19 carry out this subsection for fiscal year 2017.’’. 

20 (g) RURAL OPIOID OVERDOSE REVERSAL GRANT

21 PROGRAM.—Section 330A of the Public Health Service 

22 Act (42 U.S.C. 254c) is amended— 

23 (1) by redesignating subsection (j) as sub24 section (k); and 

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1 (2) by inserting after subsection (i), the fol2 lowing: 

3 ‘‘(j) RURAL OPIOID OVERDOSE REVERSAL GRANT

4 PROGRAM.— 

5 ‘‘(1) IN GENERAL.—The Director may award 

6 grants to eligible entities to implement activities for 

7 the prevention, intervention, and treatment of opioid 

8 misuse and overdose. 

9 ‘‘(2) ELIGIBILITY.—To be eligible to receive a 

10 grant under this subsection, an entity— 

11 ‘‘(A) shall be a rural public or rural non12 profit private entity; and 

13 ‘‘(B) shall represent a network composed 

14 of participants— 

15 ‘‘(i) that include 3 or more health 

16 care providers; and 

17 ‘‘(ii) that may be nonprofit or for18 profit entities. 

19 ‘‘(3) USE OF FUNDS.—Amounts awarded under 

20 a grant under this subsection shall be used— 

21 ‘‘(A) to provide opioid misuse education 

22 and prevention services; 

23 ‘‘(B) to provide training to licensed health 

24 care professionals and first responders in the 

25 recognition of the signs of opioid overdose and 

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1 learn the appropriate way to administer 

2 naloxone; 

3 ‘‘(C) to provide appropriate transportation 

4 services to a hospital or clinic for continued 

5 care after administration; 

6 ‘‘(D) to refer those individuals with a drug 

7 dependency to an appropriate substance use 

8 disorder treatment centers where care coordina9 tion is provided by a team of providers; and 

10 ‘‘(E) to purchase naloxone and opioid over11 dose reversal devices. 

12 ‘‘(4) FUNDING.—From amounts appropriated 

13 under section 2(a) of the Opioid and Heroin Abuse 

14 Crisis Investment Act, $10,000,000 is available to 

15 carry out this subsection for fiscal year 2017.’’. 

16 (h) PRESCRIPTION DRUG OVERDOSE INITIATIVE.— 

17 Section 3001(c) of the Public Health Service Act (42 

18 U.S.C. 300jj–11(c)) is amended by adding at the end the 

19 following: 

20 ‘‘(9) PRESCRIPTION DRUG OVERDOSE INITIA21 TIVE.— 

22 ‘‘(A) IN GENERAL.—The Secretary, acting 

23 through the National Coordinator, shall use 

24 amounts made available under subparagraph 

25 (B) to expand efforts to harmonize technical 

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1 standards to support prescription drug moni2 toring programs and health information tech3 nology interoperability. 

4 ‘‘(B) FUNDING.—From amounts appro5 priated under section 2(a) of the Opioid and 

6 Heroin Abuse Crisis Investment Act, 

7 $5,000,000 is available to carry out this para8 graph for fiscal year 2017.’’. 

9 (i) BUREAU OF PRISONS TREATMENT PROGRAMS.— 

10 Section 4042 of title 18, United States Code, is amended 

11 by adding at the end the following: 

12 ‘‘(e) TREATMENT PROGRAMS.— 

13 ‘‘(1) IN GENERAL.—The Director of the Bureau 

14 of Prisons shall use amounts made available under 

15 paragraph (2) to support drug treatment programs 

16 within the Bureau of Prisons, including expanding 

17 the medication-assisted treatment pilot. 

18 ‘‘(2) FUNDING.—From amounts appropriated 

19 under section 2(a) of the Opioid and Heroin Abuse 

20 Crisis Investment Act, $3,000,000 is available to 

21 carry out this subsection for fiscal year 2017.’’. 

22 (j) SECOND CHANCE ACT OF 2007.—Section 201 of 

23 the Second Chance Act of 2007 (42 U.S.C. 17521) is 

24 amended— 

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1 (1) by redesignating subsection (f) as sub2 section (g); and 

3 (2) by inserting after subsection (e), the fol4 lowing: 

5 ‘‘(f) COMMUNITY REINTEGRATION.— 

6 ‘‘(1) IN GENERAL.—The Attorney General shall 

7 use amounts made available under paragraph (2) to 

8 carry out activities to reduce recidivism and increase 

9 public safety by helping justice-involved individuals 

10 successfully reintegrate into the community, includ11 ing by carrying out activities including providing 

12 treatment for co-occurring disorders and providing 

13 family-based substance abuse treatment. 

14 ‘‘(2) FUNDING.—From amounts appropriated 

15 under section 2(a) of the Opioid and Heroin Abuse 

16 Crisis Investment Act, $50,000,000 is available to 

17 carry out this subsection for fiscal year 2017.’’. 

18 (k) RESIDENTIAL SUBSTANCE ABUSE TREAT19 MENT.—Section 503 of the Controlled Substances Act (21 

20 U.S.C. 873) is amended by adding at the end the fol21 lowing: 

22 ‘‘(e)(1) In carrying out this section, the Attorney 

23 General may use amounts made available under paragraph 

24 (2) to provide support for State, local, and tribal governmstockstill on DSK3G9T082PROD with BILLS

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1 ments in the development of residential and aftercare serv2 ices for substance-involved inmates. 

3 ‘‘(2) From amounts appropriated under section 2(a) 

4 of the Opioid and Heroin Abuse Crisis Investment Act, 

5 $14,000,000 is available to carry out this section for fiscal 

6 year 2017.’’. 

7 (l) HEROIN ENFORCEMENT GROUPS.—Part E of the 

8 Controlled Substances Act (21 U.S.C. 871 et seq.) is 

9 amended by adding at the end the following: 

10 ‘‘SEC. 521. HEROIN ENFORCEMENT GROUPS. 

11 ‘‘(a) IN GENERAL.—The Attorney General shall use 

12 amounts made available under subsection (b) to establish 

13 new heroin enforcement groups within the Drug Enforce14 ment Administration to target, disrupt, and dismantle her15 oin trafficking organizations. 

16 ‘‘(b) FUNDING.—From amounts appropriated under 

17 section 2(a) of the Opioid and Heroin Abuse Crisis Invest18 ment Act, $12,500,000 is available to carry out this sec19 tion for fiscal year 2017.’’. 

20 (m) EMERGENCY DESIGNATION.—The amounts 

21 made available by this Act are designated as an emergency 

22 requirement pursuant to section 4(g) of the Statutory 

23 Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)). 

Æ 

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