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Union Calendar No. 466 

116TH CONGRESS 

2D SESSION H. R. 2466 

[Report No. 116–568] 

To extend the State Opioid Response Grants program, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 1, 2019 

Mr. TRONE (for himself, Mr. ARMSTRONG, Ms. SHERRILL, and Mr. 

RIGGLEMAN) introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

NOVEMBER 12, 2020 

Additional sponsors: Mr. BROWN of Maryland, Mr. BURCHETT, Mr. CLAY, Ms. 

DEAN, Ms. GARCIA of Texas, Ms. JAYAPAL, Ms. KUSTER of New Hampshire, Mrs. LEE of Nevada, Mr. LEWIS, Mrs. MCBATH, Mr. PRICE of 

North Carolina, Mr. ROUDA, Mr. VEASEY, Mrs. AXNE, Ms. CRAIG, Mr. 

FOSTER, Mr. HAGEDORN, Mr. KRISHNAMOORTHI, Mr. LAWSON of Florida, Mrs. LURIA, Mr. MORELLE, Ms. NORTON, Mr. RASKIN, Mr. 

RESCHENTHALER, Ms. STEVENS, Mrs. TRAHAN, Mr. WATKINS, Ms. 

WILD, Ms. MUCARSEL-POWELL, Mr. COX of California, Ms. HOULAHAN, 

Mr. LEVIN of Michigan, Mr. CASE, Mr. MOONEY of West Virginia, Mr. 

PAPPAS, Ms. SCANLON, Ms. BASS, Ms. SLOTKIN, Mr. MCGOVERN, Mr. 

RUPPERSBERGER, Mr. HARDER of California, Ms. HILL of California, 

Mr. ROSE of New York, Mr. YARMUTH, Ms. KENDRA S. HORN of Oklahoma, Ms. SPANBERGER, Mrs. DAVIS of California, Mr. DOGGETT, Mr. 

MALINOWSKI, Mr. RYAN, Ms. TLAIB, Mr. NEGUSE, Mr. CROW, Mr. 

MCADAMS, Mr. KIM, Mr. BAIRD, Mrs. HAYES, Ms. SHALALA, Ms. 

BROWNLEY of California, Mr. SARBANES, Mr. ALLRED, Ms. SCHRIER, 

Ms. FINKENAUER, Mr. DAVID SCOTT of Georgia, Mr. LUJA ́N, and Mr. 

JOHNSON of Georgia 

NOVEMBER 12, 2020 

Reported with amendments; committed to the Committee of the Whole House 

on the State of the Union and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on May 1, 2019] 


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A BILL 

To extend the State Opioid Response Grants program, and 

for other purposes. 


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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 ‘‘State Opioid Response 

5 Grant Authorization Act of 2020’’. 

6 SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE7 SPONSE TO SUBSTANCE USE DISORDERS OF 

8 SIGNIFICANCE. 

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

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

11 follows: 

12 ‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE13 SPONSE TO SUBSTANCE USE DISORDERS OF 

14 SIGNIFICANCE. 

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

16 Human Services (referred to in this section as the ‘Sec17 retary’) shall carry out the grant program described in sub18 section (b) for purposes of addressing substance use dis19 orders of significance, including opioid and stimulant use 

20 disorders, within States, Indian Tribes, and populations 

21 served by Tribal organizations. 

22 ‘‘(b) GRANTS PROGRAM.— 

23 ‘‘(1) IN GENERAL.—Subject to the availability of 

24 appropriations, the Secretary shall award grants to 

25 States, Indian Tribes, and Tribal organizations for 


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1 the purpose of addressing substance use disorders of 

2 significance, including opioid and stimulant use dis3 orders, within such States, such Indian Tribes, and 

4 populations served by such Tribal organizations, in 

5 accordance with paragraph (2). 

6 ‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.—In 

7 awarding grants under paragraph (1), the Secretary 

8 shall— 

9 ‘‘(A) ensure that each State and the District 

10 of Columbia receives not less than $4,000,000; 

11 and 

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

13 Tribes, and Tribal organizations with an inci14 dence or prevalence of opioid use disorders that 

15 is substantially higher relative to other States, 

16 other Indian Tribes, or other Tribal organiza17 tions, as applicable. 

18 ‘‘(3) FORMULA METHODOLOGY.—Not less than 15 

19 days before publishing a funding opportunity an20 nouncement with respect to grants under this section, 

21 the Secretary shall— 

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

23 followed in allocating grant funds awarded 

24 under this section among grantees; and 

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


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1 ‘‘(I) the Committee on Energy and 

2 Commerce and the Committee on Appro3 priations of the House of Representatives; 

4 and 

5 ‘‘(ii) the Committee on Health, Edu6 cation, Labor and Pensions and the Com7 mittee on Appropriations of the Senate. 

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

9 this subsection shall be used for carrying out activi10 ties that supplement activities pertaining to substance 

11 use disorders of significance, including opioid and 

12 stimulant use disorders, undertaken by the State 

13 agency responsible for administering the substance 

14 abuse prevention and treatment block grant under 

15 subpart II of part B of title XIX of the Public Health 

16 Service Act (42 U.S.C. 300x–21 et seq.), which may 

17 include public health-related activities such as the fol18 lowing: 

19 ‘‘(A) Implementing prevention activities, 

20 and evaluating such activities to identify effec21 tive strategies to prevent substance use disorders. 

22 ‘‘(B) Establishing or improving prescrip23 tion drug monitoring programs. 

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

25 such as best practices for prescribing opioids, 


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1 pain management, recognizing potential cases of 

2 substance abuse, referral of patients to treatment 

3 programs, preventing diversion of controlled sub4 stances, and overdose prevention. 

5 ‘‘(D) Supporting access to health care serv6 ices, including— 

7 ‘‘(i) services provided by federally cer8 tified opioid treatment programs; 

9 ‘‘(ii) outpatient and residential sub10 stance use disorder treatment services that 

11 utilize medication-assisted treatment, as ap12 propriate; or 

13 ‘‘(iii) other appropriate health care 

14 providers to treat substance use disorders. 

15 ‘‘(E) Other public health-related activities, 

16 as the State, Indian Tribe, or Tribal organiza17 tion determines appropriate, related to address18 ing substance use disorders within the State, In19 dian Tribe, or Tribal organization, including di20 recting resources in accordance with local needs 

21 related to substance use disorders. 

22 ‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re23 ceiving a grant under subsection (b) shall include in report24 ing related to substance abuse submitted to the Secretary 


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1 pursuant to section 1942 of the Public Health Service Act 

2 (42 U.S.C. 300x–52), a description of— 

3 ‘‘(1) the purposes for which the grant funds re4 ceived by the State under such subsection for the pre5 ceding fiscal year were expended and a description of 

6 the activities of the State under the grant; and 

7 ‘‘(2) the ultimate recipients of amounts provided 

8 to the State through the grant. 

9 ‘‘(d) LIMITATIONS.—Any funds made available pursu10 ant to subsection (i)— 

11 ‘‘(1) notwithstanding any transfer authority in 

12 any appropriations Act, shall not be used for any 

13 purpose other than the grant program in subsection 

14 (b); and 

15 ‘‘(2) shall be subject to the same requirements as 

16 substance abuse prevention and treatment programs 

17 under titles V and XIX of the Public Health Service 

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

19 ‘‘(e) INDIAN TRIBES AND TRIBAL ORGANIZATIONS.— 

20 The Secretary, in consultation with Indian Tribes and 

21 Tribal organizations, shall identify and establish appro22 priate mechanisms for Indian Tribes and Tribal organiza23 tions to demonstrate or report the information as required 

24 under subsections (b), (c), and (d). 


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1 ‘‘(f) REPORT TO CONGRESS.—Not later than Sep2 tember 30, 2022, and biennially thereafter, the Secretary 

3 shall submit to the Committee on Health, Education, Labor, 

4 and Pensions of the Senate and the Committee on Energy 

5 and Commerce of the House of Representatives, and the 

6 Committees on Appropriations of the House of Representa7 tives and the Senate, a report summarizing the information 

8 provided to the Secretary in reports made pursuant to sub9 sections (c) and (e), including the purposes for which grant 

10 funds are awarded under this section and the activities of 

11 such grant recipients. 

12 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, includ13 ing through the Tribal Training and Technical Assistance 

14 Center of the Substance Abuse and Mental Health Services 

15 Administration, shall provide States, Indian Tribes, and 

16 Tribal organizations, as applicable, with technical assist17 ance concerning grant application and submission proce18 dures under this section, award management activities, and 

19 enhancing outreach and direct support to rural and under20 served communities and providers in addressing substance 

21 use disorders. 

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

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

24 has the meaning given the term ‘Indian tribe’ in secVerDate Sep 11 2014 01:05 Nov 13, 2020 Jkt 019200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6203 E:\BILLS\H2466.RH H2466

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1 tion 4 of the Indian Self-Determination and Edu2 cation Assistance Act (25 U.S.C. 5304). 

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

4 organization’ has the meaning given the term ‘tribal 

5 organization’ in such section 4. 

6 ‘‘(3) STATE.—The term ‘State’ has the meaning 

7 given such term in section 1954(b) of the Public 

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

9 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 

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

11 the grant program under subsection (b), there is au12 thorized to be appropriated $1,500,000,000 for each of 

13 fiscal years 2020 through 2026, to remain available 

14 until expended. 

15 ‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.—Of 

16 the amounts made available for each fiscal year to 

17 award grants under subsection (b), the Secretary shall 

18 not use more than 2 percent for Federal administra19 tive expenses, training, technical assistance, and eval20 uation. 

21 ‘‘(3) SET ASIDE.—Of the amounts made avail22 able for each fiscal year to award grants under sub23 section (b) for a fiscal year, the Secretary shall— 

24 ‘‘(A) award 5 percent to Indian Tribes and 

25 Tribal organizations; and 


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1 ‘‘(B) of the remaining amount, set aside up 

2 to 15 percent for States with the highest age-ad3 justed rate of drug overdose death based on the 

4 ordinal ranking of States according to the Direc5 tor of the Centers for Disease Control and Pre6 vention.’’. 

7 (b) CLERICAL AMENDMENT.—The table of sections in 

8 section 1(b) of such Act is amended by striking the item 

9 relating to section 1003 and inserting the following: 

‘‘Sec. 1003. Grant program for State and Tribal response to substance use disorders of significance.’’. 

Amend the title so as to read: ‘‘A bill to amend the 

21st Century Cures Act to reauthorize and expand a 

grant program for State response to the opioid abuse crisis, and for other purposes.’’. 


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kjohnson on DSK79L0C42PROD with BILLS
Union Calendar No. 466 

116TH CONGRESS 

2D SESSION H. R. 2466 

[Report No. 116–568] 

A BILL 

To extend the State Opioid Response Grants 

program, and for other purposes. 

NOVEMBER 12, 2020 

Reported with amendments; committed to the Committee 

dered to be printed of the Whole House on the State of the Union and orVerDate Sep 11 2014 01:05 Nov 13, 2020 Jkt 019200 PO 00000 Frm 00012 Fmt 6651 Sfmt 6651 E:\BILLS\H2466.RH H2466

kjohnson on DSK79L0C42PROD with BILLS