116TH CONGRESS 

2D SESSION H. R. 2466 

AN ACT 

To extend the State Opioid Response Grants program, 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 ‘‘State Opioid Response 

3 Grant Authorization Act of 2020’’. 

4 SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE5 SPONSE TO SUBSTANCE USE DISORDERS OF 

6 SIGNIFICANCE. 

7 (a) IN GENERAL.—Section 1003 of the 21st Century 

8 Cures Act (42 U.S.C. 290ee–3 note) is amended to read 

9 as follows: 

10 ‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE11 SPONSE TO SUBSTANCE USE DISORDERS OF 

12 SIGNIFICANCE. 

13 ‘‘(a) IN GENERAL.—The Secretary of Health and 

14 Human Services (referred to in this section as the ‘Sec15 retary’) shall carry out the grant program described in 

16 subsection (b) for purposes of addressing substance use 

17 disorders of significance, including opioid and stimulant 

18 use disorders, within States, Indian Tribes, and popu19 lations served by Tribal organizations and Urban Indian 

20 organizations. 

21 ‘‘(b) GRANTS PROGRAM.— 

22 ‘‘(1) IN GENERAL.—The Secretary shall award 

23 grants to States, Indian Tribes, Tribal organiza24 tions, and Urban Indian organizations for the pur25 pose of addressing substance use disorders of signifi26 cance, including opioid and stimulant use disorders, 
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1 within such States, such Indian Tribes, and popu2 lations served by such Tribal organizations and 

3 Urban Indian organizations, in accordance with 

4 paragraph (2). 

5 ‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 

6 In awarding grants under paragraph (1), the Sec7 retary shall— 

8 ‘‘(A) ensure that each State and the Dis9 trict of Columbia receives not less than 

10 $4,000,000; and 

11 ‘‘(B) give preference to States, Indian 

12 Tribes, Tribal organizations, and Urban Indian 

13 organizations whose populations have an inci14 dence or prevalence of opioid use disorders that 

15 is substantially higher relative to the popu16 lations of other States, Indian Tribes, Tribal 

17 organizations, or Urban Indian organizations, 

18 as applicable. 

19 ‘‘(3) FORMULA METHODOLOGY.—Not less than 

20 15 days before publishing a funding opportunity an21 nouncement with respect to grants under this sec22 tion, the Secretary shall— 

23 ‘‘(A) develop a formula methodology to be 

24 followed in allocating grant funds awarded 

25 under this section among grantees, which in-
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1 cludes performance assessments for continu2 ation awards; and 

3 ‘‘(B) submit the formula methodology to— 

4 ‘‘(i) the Committee on Energy and 

5 Commerce and the Committee on Appro6 priations of the House of Representatives; 

7 and 

8 ‘‘(ii) the Committee on Health, Edu9 cation, Labor and Pensions and the Com10 mittee on Appropriations of the Senate. 

11 ‘‘(4) USE OF FUNDS.—Grants awarded under 

12 this subsection shall be used for carrying out activi13 ties that supplement activities pertaining to sub14 stance use disorders of significance, including opioid 

15 and stimulant use disorders, undertaken by the 

16 State agency responsible for administering the sub17 stance abuse prevention and treatment block grant 

18 under subpart II of part B of title XIX of the Public 

19 Health Service Act (42 U.S.C. 300x–21 et seq.), 

20 which may include public health-related activities 

21 such as the following: 

22 ‘‘(A) Implementing prevention activities, 

23 and evaluating such activities to identify effec24 tive strategies to prevent substance use dis25 orders. 
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1 ‘‘(B) Establishing or improving prescrip2 tion drug monitoring programs. 

3 ‘‘(C) Training for health care practitioners, 

4 such as best practices for prescribing opioids, 

5 pain management, recognizing potential cases 

6 of substance abuse, referral of patients to treat7 ment programs, preventing diversion of con8 trolled substances, and overdose prevention. 

9 ‘‘(D) Supporting access to health care 

10 services, including— 

11 ‘‘(i) services provided by federally cer12 tified opioid treatment programs; 

13 ‘‘(ii) outpatient and residential sub14 stance use disorder treatment services that 

15 utilize medication-assisted treatment, as 

16 appropriate; or 

17 ‘‘(iii) other appropriate health care 

18 providers to treat substance use disorders. 

19 ‘‘(E) Recovery support services, including 

20 community-based services that include peer sup21 ports, address housing needs, and address fam22 ily issues. 

23 ‘‘(F) Other public health-related activities, 

24 as the State, Indian Tribe, Tribal organization, 

25 or Urban Indian organization determines appro-
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1 priate, related to addressing substance use dis2 orders within the State, Indian Tribe, Tribal or3 ganization, or Urban Tribal organization, in4 cluding directing resources in accordance with 

5 local needs related to substance use disorders. 

6 ‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re7 ceiving a grant under subsection (b) shall include in re8 porting related to substance abuse submitted to the Sec9 retary pursuant to section 1942 of the Public Health Serv10 ice Act (42 U.S.C. 300x–52), a description of— 

11 ‘‘(1) the purposes for which the grant funds re12 ceived by the State under such subsection for the 

13 preceding fiscal year were expended and a descrip14 tion of the activities of the State under the grant; 

15 and 

16 ‘‘(2) the ultimate recipients of amounts pro17 vided to the State through the grant. 

18 ‘‘(d) LIMITATIONS.—Any funds made available pur19 suant to subsection (i) shall be subject to the same re20 quirements as substance abuse prevention and treatment 

21 programs under titles V and XIX of the Public Health 

22 Service Act (42 U.S.C. 290aa et seq., 300w et seq.). 

23 ‘‘(e) INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND

24 URBAN INDIAN ORGANIZATIONS.—The Secretary, in con25 sultation with Indian Tribes, Tribal organizations, and 
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1 Urban Indian organizations, shall identify and establish 

2 appropriate mechanisms for Indian Tribes, Tribal organi3 zations, and Urban Indian organizations to demonstrate 

4 or report the information as required under subsections 

5 (b), (c), and (d). 

6 ‘‘(f) REPORT TO CONGRESS.—Not later than Sep7 tember 30, 2022, and biennially thereafter, the Secretary 

8 shall submit to the Committee on Health, Education, 

9 Labor, and Pensions of the Senate and the Committee on 

10 Energy and Commerce of the House of Representatives, 

11 and the Committees on Appropriations of the House of 

12 Representatives and the Senate, a report summarizing the 

13 information provided to the Secretary in reports made 

14 pursuant to subsections (c) and (e), including the purposes 

15 for which grant funds are awarded under this section and 

16 the activities of such grant recipients. 

17 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in18 cluding through the Tribal Training and Technical Assist19 ance Center of the Substance Abuse and Mental Health 

20 Services Administration, shall provide States, Indian 

21 Tribes, Tribal organizations, and Urban Indian organiza22 tions, as applicable, with technical assistance concerning 

23 grant application and submission procedures under this 

24 section, award management activities, and enhancing out-
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1 reach and direct support to rural and underserved commu2 nities and providers in addressing substance use disorders. 

3 ‘‘(h) DEFINITIONS.—In this section: 

4 ‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 

5 has the meaning given the term ‘Indian tribe’ in sec6 tion 4 of the Indian Self-Determination and Edu7 cation Assistance Act (25 U.S.C. 5304). 

8 ‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 

9 organization’ has the meaning given the term ‘tribal 

10 organization’ in section 4 of the Indian Self-Deter11 mination and Education Assistance Act (25 U.S.C. 

12 5304). 

13 ‘‘(3) URBAN INDIAN ORGANIZATION.—The term 

14 ‘Urban Indian organization’ has the meaning given 

15 to that term in section 4 of the Indian Health Care 

16 Improvement Act (25 U.S.C. 1603). 

17 ‘‘(4) STATE.—The term ‘State’ has the mean18 ing given such term in section 1954(b) of the Public 

19 Health Service Act (42 U.S.C. 300x–64(b)). 

20 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 

21 ‘‘(1) IN GENERAL.—For purposes of carrying 

22 out the grant program under subsection (b), there is 

23 authorized to be appropriated $1,585,000,000 for 

24 each of fiscal years 2021 through 2026, to remain 

25 available until expended. 
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1 ‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 

2 Of the amounts made available for each fiscal year 

3 to award grants under subsection (b), the Secretary 

4 shall not use more than 2 percent for Federal ad5 ministrative expenses, training, technical assistance, 

6 and evaluation. 

7 ‘‘(3) SET ASIDE.—Of the amounts made avail8 able for each fiscal year to award grants under sub9 section (b) for a fiscal year, the Secretary shall— 

10 ‘‘(A) award 5 percent to Indian Tribes, 

11 Tribal organizations, and Urban Indian organi12 zations; and 

13 ‘‘(B) of the remaining amount, set aside 

14 up to 15 percent for States with the highest 

15 age-adjusted rate of drug overdose death based 

16 on the ordinal ranking of States according to 

17 the Director of the Centers for Disease Control 

18 and Prevention.’’. 

19 (b) CLERICAL AMENDMENT.—The table of sections 

20 in section 1(b) of such Act is amended by striking the 

21 item relating to section 1003 and inserting the following: 
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‘‘Sec. 1003. Grant program for State and Tribal response to substance use disorders of significance.’’. 

Passed the House of Representatives November 17, 

2020. 

Attest: 

Clerk. 

116TH CONGRESS 

2D SESSION H. R. 2466 

AN ACT 

To extend the State Opioid Response Grants 

program, and for other purposes.