I 

116TH CONGRESS 

1ST SESSION H. R. 4460 

To provide funding for programs and activities under the SUPPORT for 

Patients and Communities Act. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 24, 2019 

Ms. KUSTER of New Hampshire introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to 

the Committees on Ways and Means, the Judiciary, Oversight and Reform, Education and Labor, and Financial Services, 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 

A BILL 

To provide funding for programs and activities under the 

SUPPORT for Patients and Communities Act. 

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 ‘‘Turn the Tide Act’’. 


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1 SEC. 2. CONTROLLED SUBSTANCE PROVISIONS OF THE 

2 SUPPORT FOR PATIENTS AND COMMUNITIES 

3 ACT. 

4 (a) GRANTS TO ENHANCE ACCESS TO SUBSTANCE

5 USE DISORDER TREATMENT.—Section 3203(b) of the 

6 Substance Use-Disorder Prevention that Promotes Opioid 

7 Recovery and Treatment for Patients and Communities 

8 Act (Public Law 115–271) is amended to read as follows: 

9 ‘‘(b) APPROPRIATIONS.—For grants under subsection 

10 (a), there is authorized to be appropriated, and there is 

11 appropriated, out of any monies in the Treasury not other12 wise appropriated, $4,000,000 for each of fiscal years 

13 2020 through 2023.’’. 

14 (b) ACCESS TO INCREASED DRUG DISPOSAL.—Sec15 tion 3260 of the Substance Use-Disorder Prevention that 

16 Promotes Opioid Recovery and Treatment for Patients 

17 and Communities Act (Public Law 115–271) is amended 

18 to read as follows: 

19 ‘‘SEC. 3260. APPROPRIATIONS. 

20 ‘‘To carry out this chapter, there is authorized to be 

21 appropriated, and there is appropriated, out of any monies 

22 in the Treasury not otherwise appropriated, such sums as 

23 may be necessary for each fiscal year.’’. 


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1 SEC. 3. PUBLIC HEALTH PROVISIONS OF THE SUPPORT 

2 FOR PATIENTS AND COMMUNITIES ACT. 

3 (a) FIRST RESPONDER TRAINING.—Section 546(h) 

4 of the Public Health Service Act (42 U.S.C. 290ee–1(h)) 

5 is amended to read as follows: 

6 ‘‘(h) APPROPRIATIONS.—To carry out this section, 

7 there is authorized to be appropriated, and there is appro8 priated, out of any monies in the Treasury not otherwise 

9 appropriated, $36,000,000 for each of fiscal years 2020 

10 through 2023.’’. 

11 (b) PUBLIC HEALTH LABORATORIES PILOT PRO12 GRAM.—Section 7011(d) of the Substance Use-Disorder 

13 Prevention that Promotes Opioid Recovery and Treatment 

14 for Patients and Communities Act (Public Law 115–271) 

15 is amended to read as follows: 

16 ‘‘(d) APPROPRIATIONS.—To carry out this section, 

17 there is authorized to be appropriated, and there is appro18 priated, out of any monies in the Treasury not otherwise 

19 appropriated, $15,000,000 for each of fiscal years 2020 

20 through 2023.’’. 

21 (c) NATIONAL RECOVERY HOUSING BEST PRAC22 TICES.—Section 550(g) of the Public Health Service Act 

23 (42 U.S.C. 290ee–5(g)) is amended to read as follows: 

24 ‘‘(g) APPROPRIATIONS.—To carry out this section, 

25 there is authorized to be appropriated, and there is appro26 priated, out of any monies in the Treasury not otherwise 


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1 appropriated, $3,000,000 for the period of fiscal years 

2 2020 through 2021.’’. 

3 (d) MODEL TRAINING PROGRAMS FOR SUBSTANCE

4 USE DISORDER PATIENT RECORDS.—Section 7053(e) of 

5 the Substance Use-Disorder Prevention that Promotes 

6 Opioid Recovery and Treatment for Patients and Commu7 nities Act (Public Law 115–271) is amended to read as 

8 follows: 

9 ‘‘(e) APPROPRIATIONS.—To carry out this section, 

10 there is authorized to be appropriated, and there is appro11 priated, out of any monies in the Treasury not otherwise 

12 appropriated— 

13 ‘‘(1) $4,000,000 for fiscal years 2020; 

14 ‘‘(2) $2,000,000 for each of fiscal year 2021; 

15 and 

16 ‘‘(3) $1,000,000 for each of fiscal years 2022 

17 and 2023.’’. 

18 (e) RESIDENTIAL TREATMENT PROGRAMS FOR

19 PREGNANT AND POSTPARTUM WOMEN.—Section 508(s) 

20 of the Public Health Service Act (42 U.S.C. 290bb–1(s)) 

21 is amended by striking the first sentence and inserting the 

22 following: ‘‘To carry out this section, there is authorized 

23 to be appropriated, and there is appropriated, out of any 

24 monies in the Treasury not otherwise appropriated, 

25 $29,931,000 for each of fiscal years 2020 through 2023.’’. 


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1 (f) PRENATAL AND POSTNATAL HEALTH.—Section 

2 317L(d) of the Public Health Service Act (42 U.S.C. 

3 247b–13(d)) is amended to read as follows: 

4 ‘‘(d) APPROPRIATIONS.—To carry out this section, 

5 there is authorized to be appropriated, and there is appro6 priated, out of any monies in the Treasury not otherwise 

7 appropriated, such sums as may be necessary for each of 

8 fiscal years 2020 through 2023.’’. 

9 (g) PROGRAM FOR EDUCATION AND TRAINING IN

10 PAIN CARE.—Section 759(e) of the Public Health Service 

11 Act (42 U.S.C. 294i(e)) is amended to read as follows: 

12 ‘‘(e) APPROPRIATIONS.—To carry out this section, 

13 there is authorized to be appropriated, and there is appro14 priated, out of any monies in the Treasury not otherwise 

15 appropriated, such sums as may be necessary for each of 

16 fiscal years 2020 through 2023. Amounts appropriated 

17 under this subsection shall remain available until ex18 pended.’’. 

19 (h) MENTAL AND BEHAVIORAL HEALTH EDUCATION

20 AND TRAINING GRANTS.—Section 756(f) of the Public 

21 Health Service Act (42 U.S.C. 294e–1(f)) is amended to 

22 read as follows: 

23 ‘‘(f) APPROPRIATIONS.—To carry out this section, 

24 there is authorized to be appropriated, and there is appro25 priated, out of any monies in the Treasury not otherwise 


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1 appropriated, $50,000,000 for each of fiscal years 2020 

2 through 2023.’’. 

3 (i) COORDINATION AND CONTINUATION OF CARE

4 FOR DRUG OVERDOSE PATIENTS.—Section 7081(f) of the 

5 Substance Use-Disorder Prevention that Promotes Opioid 

6 Recovery and Treatment for Patients and Communities 

7 Act (Public Law 115–271) is amended to read as follows: 

8 ‘‘(f) APPROPRIATIONS.—To carry out this section, 

9 there is authorized to be appropriated, and there is appro10 priated, out of any monies in the Treasury not otherwise 

11 appropriated, $10,000,000 for each of fiscal years 2020 

12 through 2023.’’. 

13 (j) EMERGENCY DEPARTMENT ALTERNATIVES TO

14 OPIOIDS DEMONSTRATION PROGRAM.—Section 7091(g) 

15 of the Substance Use-Disorder Prevention that Promotes 

16 Opioid Recovery and Treatment for Patients and Commu17 nities Act (Public Law 115–271) is amended to read as 

18 follows: 

19 ‘‘(g) APPROPRIATIONS.—To carry out this section, 

20 there is authorized to be appropriated, and there is appro21 priated, out of any monies in the Treasury not otherwise 

22 appropriated, $10,000,000 for each of fiscal years 2020 

23 through 2023.’’. 

24 (k) REGIONAL CENTERS OF EXCELLENCE IN SUB25 STANCE USE DISORDER EDUCATION.—Section 551(f) of 


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1 the Public Health Service Act (42 U.S.C. 290ee–6(f)) is 

2 amended to read as follows: 

3 ‘‘(f) APPROPRIATIONS.—To carry out this section, 

4 there is authorized to be appropriated, and there is appro5 priated, out of any monies in the Treasury not otherwise 

6 appropriated, $4,000,000 for each of fiscal years 2020 

7 through 2023.’’. 

8 (l) YOUTH PREVENTION AND RECOVERY.—Section 

9 7102(c)(9) of the Substance Use-Disorder Prevention that 

10 Promotes Opioid Recovery and Treatment for Patients 

11 and Communities Act (Public Law 115–271) is amended 

12 to read as follows: 

13 ‘‘(9) APPROPRIATIONS.—To carry out this sub14 section, there is authorized to be appropriated, and 

15 there is appropriated, out of any monies in the 

16 Treasury not otherwise appropriated, $10,000,000 

17 for each of fiscal years 2020 through 2023.’’. 

18 (m) COMPREHENSIVE OPIOID RECOVERY CEN19 TERS.—Section 552(j) of the Public Health Service Act 

20 (42 U.S.C. 290ee–7(j)) is amended to read as follows: 

21 ‘‘(j) APPROPRIATIONS.—To carry out this section, 

22 there is authorized to be appropriated, and there is appro23 priated, out of any monies in the Treasury not otherwise 

24 appropriated, $10,000,000 for each of fiscal years 2020 

25 through 2023.’’. 


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1 (n) CDC SURVEILLANCE AND DATA COLLECTION.— 

2 Section 7131(e) of the Substance Use-Disorder Prevention 

3 that Promotes Opioid Recovery and Treatment for Pa4 tients and Communities Act (Public Law 115–271) is 

5 amended to read as follows: 

6 ‘‘(e) APPROPRIATIONS.—To carry out this section, 

7 there is authorized to be appropriated, and there is appro8 priated, out of any monies in the Treasury not otherwise 

9 appropriated, $2,000,000 for each of fiscal years 2020 

10 through 2023.’’. 

11 (o) NATIONAL CHILD TRAUMATIC STRESS INITIA12 TIVE.—Section 582(j) of the Public Health Service Act 

13 (42 U.S.C. 290hh–1(j)) is amended to read as follows: 

14 ‘‘(j) APPROPRIATIONS.—To carry out this section, 

15 there is authorized to be appropriated, and there is appro16 priated, out of any monies in the Treasury not otherwise 

17 appropriated, $63,887,000 for each of fiscal years 2020 

18 through 2023.’’. 

19 (p) TRAUMA SUPPORT SERVICES AND MENTAL

20 HEALTH CARE.—Section 7134(l) of the Substance Use21 Disorder Prevention that Promotes Opioid Recovery and 

22 Treatment for Patients and Communities Act (Public Law 

23 115–271) is amended to read as follows: 

24 ‘‘(l) APPROPRIATIONS.—To carry out this section, 

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1 priated, out of any monies in the Treasury not otherwise 

2 appropriated, $50,000,000 for each of fiscal years 2020 

3 through 2023.’’. 

4 (q) SURVEILLANCE AND EDUCATION REGARDING IN5 FECTIONS ASSOCIATED WITH ILLICIT DRUG USE AND

6 OTHER RISK FACTORS.—Section 317N(d) of the Public 

7 Health Service Act (42 U.S.C. 247b–15(d)) is amended 

8 to read as follows: 

9 ‘‘(d) APPROPRIATIONS.—To carry out this section, 

10 there is authorized to be appropriated, and there is appro11 priated, out of any monies in the Treasury not otherwise 

12 appropriated, $40,000,000 for each of fiscal years 2020 

13 through 2023.’’. 

14 (r) BUILDING COMMUNITIES OF RECOVERY.—Sec15 tion 547(f) of the Public Health Service Act (42 U.S.C. 

16 290ee–2(f)) is amended to read as follows: 

17 ‘‘(f) APPROPRIATIONS.—To carry out this section, 

18 there is authorized to be appropriated, and there is appro19 priated, out of any monies in the Treasury not otherwise 

20 appropriated, $5,000,000 for each of fiscal years 2020 

21 through 2023.’’. 

22 (s) PEER SUPPORT TECHNICAL ASSISTANCE CEN23 TER.—Section 547A(e) of the Public Health Service Act 

24 (42 U.S.C. 290ee–2a(e)) is amended to read as follows: 


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1 ‘‘(e) APPROPRIATIONS.—To carry out this section, 

2 there is authorized to be appropriated, and there is appro3 priated, out of any monies in the Treasury not otherwise 

4 appropriated, $1,000,000 for each of fiscal years 2020 

5 through 2023.’’. 

6 (t) PREVENTING OVERDOSES OF CONTROLLED SUB7 STANCES.—Section 392A(d) of the Public Health Service 

8 Act (42 U.S.C. 280b–1(d)) is amended to read as follows: 

9 ‘‘(d) APPROPRIATIONS.—To carry out this section, 

10 there is authorized to be appropriated, and there is appro11 priated, out of any monies in the Treasury not otherwise 

12 appropriated, $496,000,000 for each of fiscal years 2020 

13 through 2023.’’. 

14 (u) CAREER ACT.—Section 7183(k) of the Substance 

15 Use-Disorder Prevention that Promotes Opioid Recovery 

16 and Treatment for Patients and Communities Act (Public 

17 Law 115–271) is amended to read as follows: 

18 ‘‘(k) APPROPRIATIONS.—To carry out this section, 

19 there is authorized to be appropriated, and there is appro20 priated, out of any monies in the Treasury not otherwise 

21 appropriated, $5,000,000 for each of fiscal years 2020 

22 through 2023.’’. 


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1 SEC. 4. HOUSING AND DEPARTMENT OF JUSTICE PROVI2 SIONS OF THE SUPPORT FOR PATIENTS AND 

3 COMMUNITIES ACT. 

4 (a) ASSISTANCE TO HELP INDIVIDUALS IN RECOV5 ERY FROM SUBSTANCE USE DISORDER BECOME STABLY

6 HOUSED.—Section 8071(a) of the Substance Use-Dis7 order Prevention that Promotes Opioid Recovery and 

8 Treatment for Patients and Communities Act (Public Law 

9 115–271) is amended by inserting ‘‘, and there are appro10 priated, out of any monies in the Treasury not otherwise 

11 appropriated,’’ after ‘‘appropriated under this section’’. 

12 (b) BUILDING CAPACITY FOR FAMILY-FOCUSED RES13 IDENTIAL TREATMENT.—Section 8083(c) of the Sub14 stance Use-Disorder Prevention that Promotes Opioid Re15 covery and Treatment for Patients and Communities Act 

16 (Public Law 115–271) is amended to read as follows: 

17 ‘‘(c) APPROPRIATIONS.—To carry out this section, 

18 there is authorized to be appropriated, and there is appro19 priated, out of any monies in the Treasury not otherwise 

20 appropriated, $20,000,000 for fiscal years 2020, which 

21 shall remain available through fiscal year 2023.’’. 

22 (c) COMPREHENSIVE OPIOID ABUSE GRANT PRO23 GRAM.—Section 1001(a)(27) of title I of the Omnibus 

24 Crime Control and Safe Streets Act of 1968 (34 U.S.C. 

25 10261(a)(27)) is amended to read as follows: 


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1 ‘‘(27) To carry out part LL, there is authorized to 

2 be appropriated, and there is appropriated, out of any 

3 monies in the Treasury not otherwise appropriated, 

4 $500,000,000 for each of fiscal years 2020 through 

5 2023.’’. 

6 (d) OFFICE OF NATIONAL DRUG CONTROL POL7 ICY.—Section 714 of the Office of National Drug Control 

8 Policy Reauthorization Act of 1998 (21 U.S.C. 1711) is 

9 amended to read as follows: 

10 ‘‘SEC. 714. AUTHORIZATION OF APPROPRIATIONS; APPRO11 PRIATIONS. 

12 ‘‘To carry out this title, except activities otherwise 

13 specified, there is authorized to be appropriated, and there 

14 is appropriated, out of any monies in the Treasury not 

15 otherwise appropriated, $50,000,000 for each of fiscal 

16 years 2020 through 2023, to remain available until ex17 pended.’’. 

18 (e) DRUG-FREE COMMUNITIES PROGRAM.—Section 

19 1024 of the Anti-Drug Abuse Act of 1988 (21 U.S.C. 

20 1524) is amended— 

21 (1) in the heading, by inserting ‘‘; APPRO22 PRIATIONS’’ after ‘‘AUTHORIZATION OF APPRO23 PRIATIONS’’; and 

24 (2) by striking subsection (a) and inserting the 

25 following: 


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1 ‘‘(a) IN GENERAL.—To carry out this chapter, there 

2 is authorized to be appropriated to the Office of National 

3 Drug Control Policy, and there is appropriated, out of any 

4 monies in the Treasury not otherwise appropriated, 

5 $150,000,000 for each of fiscal years 2020 through 

6 2023.’’. 

7 (f) HIGH-INTENSITY DRUG TRAFFICKING AREA PRO8 GRAM.—Section 707(p) of the Office of National Drug 

9 Control Policy Reauthorization Act of 1988 (21 U.S.C. 

10 1706(p)) is amended— 

11 (1) by redesignating paragraphs (1) through 

12 (6) as subparagraphs (A) through (F), respectively, 

13 and adjusting the margins accordingly; 

14 (2) by striking ‘‘There is authorized’’ and in15 serting the following: 

16 ‘‘(1) IN GENERAL.—There is authorized’’; 

17 (3) in paragraph (1), as so designated— 

18 (A) in subparagraph (E), as so redesig19 nated, by striking ‘‘each of’’; and 

20 (B) in subparagraph (F), as so redesig21 nated, by striking ‘‘each of fiscal years 2018 

22 through 2023’’ and inserting ‘‘fiscal year 

23 2018’’; and 

24 (4) by adding at the end the following: 


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1 ‘‘(2) APPROPRIATIONS.—To carry out this sec2 tion, there is authorized to be appropriated to the 

3 Office of National Drug Control Policy, and there is 

4 appropriated, out of any monies in the Treasury not 

5 otherwise appropriated, $280,000,000 for each of 

6 fiscal years 2020 through 2023.’’. 

7 (g) DRUG COURT PROGRAM.—Section 

8 1001(a)(25)(A) of title I of the Omnibus Crime Control 

9 and Safe Streets Act of 1968 (34 U.S.C. 

10 10261(a)(25)(A)) is amended to read as follows: 

11 ‘‘(25)(A) Except as provided in subparagraph (C), to 

12 carry out part EE, there is authorized to be appropriated, 

13 and there is appropriated, out of any monies in the Treas14 ury not otherwise appropriated, $75,000,000 for each of 

15 fiscal years 2020 through 2023.’’. 

16 (h) DRUG COURT TRAINING AND TECHNICAL AS17 SISTANCE.—Section 705(e)(2) of the Office of National 

18 Drug Control Policy Reauthorization Act of 1988 (21 

19 U.S.C. 1704(e)(2)) is amended to read as follows: 

20 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP21 PROPRIATIONS.—To carry out this subsection, there 

22 is authorized to be appropriated, and there is appro23 priated, out of any monies in the Treasury not oth24 erwise appropriated, $2,000,000 for each of fiscal 

25 years 2020 through 2023.’’. 


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1 (i) ADMINISTRATION OF THE OFFICE OF NATIONAL

2 DRUG CONTROL POLICY.—Section 704(i)(2) of the Office 

3 of National Drug Control Policy Reauthorization Act of 

4 1998 (21 U.S.C. 1703(i)(2)) is amended to read as fol5 lows: 

6 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP7 PROPRIATIONS.—To carry out this subsection, there 

8 is authorized to be appropriated, and there is appro9 priated, out of any monies in the Treasury not oth10 erwise appropriated, $1,250,000 for each of fiscal 

11 years 2020 through 2023.’’. 

12 (j) EMERGING THREATS COMMITTEE, PLAN, AND

13 MEDIA CAMPAIGN.—Section 709(g) of the Office of Na14 tional Drug Control Policy Reauthorization Act of 1998 

15 (21 U.S.C. 1708(g)) is amended to read as follows: 

16 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS; APPRO17 PRIATIONS.—To carry out this section, there is authorized 

18 to be appropriated to the Office, and there is appropriated, 

19 out of any monies in the Treasury not otherwise appro20 priated, $25,000,000 for each of fiscal years 2020 through 

21 2023.’’. 

22 SEC. 5. BOLSTERING COMMITMENTS TO STATE GRANTS 

23 FOR SUBSTANCE USE DISORDER TREATMENT 

24 AND PREVENTION. 

25 (a) STATE OPIOID RESPONSE GRANTS.— 


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1 (1) IN GENERAL.—To carry out activities under 

2 section 1003 of the 21st Century Cures Act (42 

3 U.S.C. 290ee–3 note) relating to opioids by the 

4 State agency responsible for administering the sub5 stance abuse prevention and treatment block grant 

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

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

8 there is authorized to be appropriated, and there is 

9 appropriated, $5,500,000,000 for each of fiscal 

10 years 2020 through 2024. 

11 (2) FLEXIBILITY IN USE OF FUNDS.—Section 

12 1003(b) of the 21st Century Cures Act (42 U.S.C. 

13 290ee–3 note) is amended by adding at the end the 

14 following: 

15 ‘‘(3) FLEXIBILITY.—States and Indian tribes 

16 may use amounts provided under grants under this 

17 subsection to support substance use disorder treat18 ment care and related services regardless of whether 

19 the patient involved has a primary diagnosis of 

20 opioid use disorder, so long as the individual has a 

21 substance use disorder diagnosis. 

22 ‘‘(4) RULE OF CONSTRUCTION.—Nothing in 

23 this subsection shall be construed to prohibit States 

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1 cate amounts to local governments to establish sub2 grantee awards in such localities.’’. 

3 (3) SUBSTANCE ABUSE PREVENTION AND

4 TREATMENT BLOCK GRANTS.—Section 1935(a) of 

5 the Public Health Service Act (42 U.S.C. 300x– 

6 35(a)) is amended to read as follows: 

7 ‘‘(a) APPROPRIATIONS.—To carry out this subpart, 

8 subpart III, and section 505(d), there is authorized to be 

9 appropriated, and there is appropriated, out of any monies 

10 in the Treasury not otherwise appropriated, 

11 $3,000,000,000 for each of fiscal years 2020 through 

12 2024, and $2,500,000,000 for each of fiscal years 2025 

13 through 2029.’’. 

14 (b) REQUIREMENTS.—For the purposes of carrying 

15 out activities with amounts appropriated under this sec16 tion (and the amendment made by this section), the Sec17 retary of Health and Human Services shall ensure that 

18 the following requirements are complied with: 

19 (1) Of the amount appropriated for each fiscal 

20 year under subsection (a) (and the amendment made 

21 by such subsection), $50,000,000 shall be made 

22 available to Indian Tribes or tribal organizations. 

23 (2) Of such remaining amounts for each such 

24 fiscal year, 15 percent shall be made available to the 


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1 States with the highest mortality rate related to 

2 opioid use disorders. 

3 (3) Of the amount made available for each fis4 cal year under subsections (a)(1) for State Opioid 

5 Response Grants, not more than 2 percent of such 

6 amount shall be available for Federal administrative 

7 expenses, training, technical assistance, and evalua8 tion. 

9 (4) Of the amounts not reserved under para10 graphs (1) through (3), the Secretary shall make al11 locations to States, territories, and the District of 

12 Columbia according to a formula using national sur13 vey results that the Secretary determines are the 

14 most objective and reliable measure of drug use and 

15 drug-related deaths. 

16 (5) The formula methodology under paragraph 

17 (4) shall be submitted to the Committees on Appro18 priations of the House of Representatives and the 

19 Committee on Appropriations of the Senate not less 

20 than 15 days prior to publishing a Funding Oppor21 tunity Announcement. 

22 (6) The prevention and treatment activities 

23 funded through grants under this section may in24 clude education, treatment (including the provision 

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1 uals in treatment programs, referral to treatment 

2 services, recovery support, and medical screening as3 sociated with such treatment. 

4 (7) Each State, including the District of Co5 lumbia, shall receive not less than $4,000,000 under 

6 grants under this section. 

7 (8) In addition to amounts appropriated under 

8 this section (and the amendment made by this sec9 tion), the following amounts shall be available under 

10 section 241 of the Public Health Service Act (42 

11 U.S.C. 238j): 

12 (A) $79,200,000 to carry out subpart II of 

13 part B of title XIX of the Public Health Service 

14 Act to fund section 1935(b) (42 U.S.C. 300x– 

15 35) (relating to technical assistance, national 

16 data, data collection and evaluation activities) 

17 and the total available under this Act for activi18 ties under such section 1935(b) shall not exceed 

19 5 percent of the amounts appropriated for such 

20 subpart II of part B of title XIX. 

21 (B) $2,000,000 to evaluate substance 

22 abuse treatment programs. 

23 (9) None of the funds provided for under sec24 tion 1921 of the Public Health Service Act (42 

25 U.S.C. 300x–21) or State Opioid Response Grants 


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1 under this section shall be subject to section 241 of 

2 such Act (42 U.S.C. 238j). 

3 SEC. 6. ELIMINATING INSURANCE BARRIERS TO MEDICA4 TION-ASSISTED TREATMENT. 

5 (a) LIMITATION ON USE OF UTILIZATION CONTROL

6 POLICIES OR PROCEDURES FOR MEDICATION-ASSISTED

7 TREATMENTS.—Subpart II of part A of title XXVII of 

8 the Public Health Service Act (42 U.S.C. 300gg–11 et 

9 seq.) is amended by adding at the end the following: 

10 ‘‘SEC. 2729A. ELIMINATING BARRIERS TO MEDICATION-AS11 SISTED TREATMENT. 

12 ‘‘A group health plan (other than a self-insured plan) 

13 or a health insurance issuer offering group or individual 

14 health insurance coverage shall not impose any utilization 

15 control policies or procedures (as defined by the Sec16 retary), including prior authorization requirements, with 

17 respect to medication-assisted treatment covered under 

18 the plan or coverage.’’. 

19 (b) NO PRIOR AUTHORIZATION OR OTHER UTILIZA20 TION RESTRICTIONS UNDER MEDICAID.— 

21 (1) PROHIBITION.—Section 1903(i) of the So22 cial Security Act (42 U.S.C. 1396b(i)) is amended 

23 by inserting after paragraph (8), the following: 

24 ‘‘(9) with respect to any amount expended for 

25 medical assistance for medication-assisted treatment 


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1 (as defined in section 1905(ee)) if the State imposes 

2 any utilization control policies or procedures (as de3 fined by the Secretary), including any prior author4 ization requirements, with respect to the provision of 

5 such assistance; or’’. 

6 (2) CONFORMING AMENDMENT.—Section 

7 1905(a)(29) of the Social Security Act (42 U.S.C. 

8 1396d(a)(29)) is amended by inserting ‘‘and section 

9 1903(i)(9)’’ after ‘‘subsection (ee)’’. 

10 (3) EFFECTIVE DATE.—The amendments made 

11 by this subsection take effect on October 1, 2019. 

12 SEC. 7. LIMITATIONS ON COST-SHARING FOR OPIOID OVER13 DOSE REVERSAL MEDICATIONS. 

14 (a) LIMITATIONS ON COST-SHARING.—Subpart II of 

15 part A of title XXVII of the Public Health Service Act 

16 (42 U.S.C. 300gg–11 et seq.), as amended by section 6, 

17 is further amended by adding at the end the following: 

18 ‘‘SEC. 2729B. LIMITATIONS ON COST-SHARING FOR OPIOID 

19 OVERDOSE REVERSAL MEDICATIONS. 

20 ‘‘(a) IN GENERAL.—A group health plan (other than 

21 a self-insured plan) or a health insurance issuer offering 

22 group or individual health insurance coverage shall not im23 pose any cost-sharing requirement under the plan or cov24 erage with respect to at least one brand or generic version 

25 of opioid overdose reversal drug. 


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1 ‘‘(b) DEFINITION.—In this section, the term ‘opioid 

2 overdose reversal drug’ means a drug or biological ap3 proved by the Food and Drug Administration for— 

4 ‘‘(1) complete or partial reversal of opioid de5 pression, including respiratory depression, induced 

6 by opioids; or 

7 ‘‘(2) emergency treatment of a known or sus8 pected opioid overdose, as manifested by respiratory 

9 or central nervous system depression.’’. 

10 (b) LIMITATIONS ON COST-SHARING UNDER MEDI11 CARE PART D.— 

12 (1) IN GENERAL.—Section 1860D–2(b) of the 

13 Social Security Act (42 U.S.C. 1395w–102(b)) is 

14 amended— 

15 (A) in paragraph (1)(A), by striking ‘‘The 

16 coverage’’ and inserting ‘‘Subject to paragraph 

17 (8), the coverage’’; 

18 (B) in paragraph (2)(A), by striking ‘‘and 

19 (D)’’ and inserting ‘‘and (D) and paragraph 

20 (8)’’; 

21 (C) in paragraph (3)(A), by striking ‘‘and 

22 (4)’’ and inserting ‘‘(4), and (8)’’; 

23 (D) in paragraph (4)(A)(i), by striking 

24 ‘‘The coverage’’ and inserting ‘‘Subject to para25 graph (8), the coverage’’; and 


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1 (E) by adding at the end the following new 

2 paragraph: 

3 ‘‘(8) LIMITATIONS ON COST-SHARING FOR

4 OPIOID OVERDOSE REVERSAL DRUGS.— 

5 ‘‘(A) IN GENERAL.—For plan year 2021 

6 and each subsequent plan year, each prescrip7 tion drug plan and MA–PD plan shall not im8 pose any cost-sharing requirement under the 

9 plan with respect to at least one brand or ge10 neric version of an opioid overdose reversal 

11 drug (as defined in section 2729B of the Public 

12 Health Service Act). The requirement under the 

13 preceding sentence shall also apply to cost-shar14 ing applicable to subsidy eligible individuals 

15 under section 1814D–14. 

16 ‘‘(B) COST-SHARING.—For purposes of 

17 subparagraph (A), the elimination of cost-shar18 ing shall include the following: 

19 ‘‘(i) NO APPLICATION OF DEDUCT20 IBLE.—The waiver of the deductible under 

21 paragraph (1). 

22 ‘‘(ii) NO APPLICATION OF COINSUR23 ANCE.—The waiver of coinsurance under 

24 paragraph (2). 


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1 ‘‘(iii) NO APPLICATION OF INITIAL

2 COVERAGE LIMIT.—The initial coverage 

3 limit under paragraph (3) shall not apply. 

4 ‘‘(iv) NO COST-SHARING ABOVE AN5 NUAL OUT-OF-POCKET THRESHOLD.—The 

6 waiver of cost-sharing under paragraph 

7 (4).’’. 

8 (2) CONFORMING AMENDMENTS TO COST-SHAR9 ING FOR LOW-INCOME INDIVIDUALS.—Section 

10 1860D–14(a) of the Social Security Act (42 U.S.C. 

11 1395w–114(a)) is amended— 

12 (A) in paragraph (1), in the matter pre13 ceding subparagraph (A), by striking ‘‘In the 

14 case’’ and inserting ‘‘Subject to section 1860D– 

15 2(b)(8), in the case’’; and 

16 (B) in paragraph (2), in the matter pre17 ceding subparagraph (A), by striking ‘‘In the 

18 case’’ and inserting ‘‘Subject to section 1860D– 

19 2(b)(8), in the case’’. 

20 SEC. 8. TARGETING HEALTH WORKFORCE LOAN REPAY21 MENT ASSISTANCE TO HARDEST-HIT STATES. 

22 (a) LOAN REPAYMENT PROGRAM FOR SUBSTANCE

23 USE DISORDER TREATMENT WORKFORCE.—Section 

24 781(j) of the Public Health Service Act (42 U.S.C. 

25 295h(j)) is amended to read as follows: 


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1 ‘‘(j) APPROPRIATIONS.— 

2 ‘‘(1) IN GENERAL.—To carry out this section 

3 (other than paragraph (2)), there is authorized to be 

4 appropriated, and there is appropriated, out of any 

5 monies in the Treasury not otherwise appropriated, 

6 $25,000,000 for each of fiscal years 2020 through 

7 2023. 

8 ‘‘(2) STATES WITH HIGHEST DRUG OVERDOSE

9 DEATH RATES.— 

10 ‘‘(A) IN GENERAL.—To carry out the pro11 gram under this section with respect to individ12 uals who agree to provide obligated service in 

13 States described in subparagraph (B), there is 

14 authorized to be appropriated, and there is ap15 propriated, out of any monies in the Treasury 

16 not otherwise appropriated, $25,000,000 for 

17 each of fiscal years 2020 through 2024. 

18 ‘‘(B) STATES DESCRIBED.—A State de19 scribed in this subparagraph is a State that is 

20 in the top quintile of all States in terms of the 

21 highest mean drug overdose death rate per 

22 100,000 residents for the 3-year period imme23 diately preceding the year for which the deter24 mination is being made, as determined by the 

25 Secretary. 


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1 ‘‘(C) APPLICATION OF SECTION.—Except 

2 as provided in this paragraph, the requirements 

3 of this section otherwise applicable to individ4 uals under this section shall apply to individuals 

5 receiving assistance under this paragraph.’’. 

6 (b) TRAINING DEMONSTRATION PROGRAM.—Section 

7 760(g) of the Public Health Service Act (42 U.S.C. 

8 294k(g)) is amended to read as follows: 

9 ‘‘(g) APPROPRIATIONS.— 

10 ‘‘(1) IN GENERAL.—To carry out this section 

11 (other than paragraph (2)), there is authorized to be 

12 appropriated, and there is appropriated, out of any 

13 monies in the Treasury not otherwise appropriated, 

14 $10,000,000 for each of fiscal years 2020 through 

15 2024. 

16 ‘‘(2) STATES WITH HIGHEST DRUG OVERDOSE

17 DEATH RATES.— 

18 ‘‘(A) IN GENERAL.—To carry out the pro19 gram under this section with respect to grant20 ees located in States described in subparagraph 

21 (B), there is authorized to be appropriated, and 

22 there is appropriated, out of any monies in the 

23 Treasury not otherwise appropriated, 

24 $20,000,000 for each of fiscal years 2020 

25 through 2024. 


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1 ‘‘(B) STATES DESCRIBED.—A State de2 scribed in this subparagraph is a State that is 

3 in the top quintile of all States in terms of the 

4 highest mean drug overdose death rate per 

5 100,000 residents for the 3-year period imme6 diately preceding the year for which the deter7 mination is being made, as determined by the 

8 Secretary. 

9 ‘‘(C) APPLICATION OF SECTION.—Except 

10 as provided in this paragraph, the requirements 

11 of this section otherwise applicable to grantees 

12 under this section shall apply to grantees re13 ceiving assistance under this paragraph.’’. 

14 SEC. 9. MEDICAID PAYMENTS FOR BEHAVIORAL HEALTH 

15 AND MENTAL HEALTH PROVIDERS. 

16 (a) IN GENERAL.— 

17 (1) FEE-FOR-SERVICE.—Section 1902 of the 

18 Social Security Act (42 U.S.C. 1396a) is amended— 

19 (A) in subsection (a)(13)— 

20 (i) by striking ‘‘and’’ at the end of 

21 subparagraph (B); 

22 (ii) by adding ‘‘and’’ at the end of 

23 subparagraph (C); and 

24 (iii) by adding at the end the fol25 lowing new subparagraph: 


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1 ‘‘(D) payment for mental health and be2 havioral health services (as defined in sub3 section (qq)(1)) furnished on or after October 

4 1, 2019, and before October 1, 2024, by a phy5 sician or applicable professional (as defined in 

6 subsection (qq)(2)) at a rate not less than 100 

7 percent of the payment rate that applies to 

8 such services and physician or applicable profes9 sional under part B of title XVIII (or, if great10 er, the payment rate that would be applicable 

11 under such part if the conversion factor under 

12 section 1848(d) for the year involved were the 

13 conversion factor under such section for 2019, 

14 and, if such services are not covered under such 

15 part, the reasonable and customary rate the 

16 Secretary determines would apply to such serv17 ices and physician or applicable professional);’’; 

18 and 

19 (B) by adding at the end the following new 

20 subsection: 

21 ‘‘(qq) MENTAL HEALTH AND BEHAVIORAL HEALTH

22 SERVICES.—For purposes of subsection (a)(13)(D): 

23 ‘‘(1) MENTAL HEALTH AND BEHAVIORAL

24 HEALTH SERVICES.— 


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1 ‘‘(A) IN GENERAL.—The term ‘mental 

2 health and behavioral health services’ means the 

3 following services, when provided to a patient 

4 with a diagnosis of substance use disorder (as 

5 defined in subparagraph (B)) as a part of the 

6 management or treatment of the patient’s sub7 stance use disorder (as determined in accord8 ance with regulations promulgated by the Sec9 retary under subparagraph (C)): 

10 ‘‘(i) Evaluation and management serv11 ices that are procedure codes (for services 

12 covered under title XVIII) for services in 

13 the category designated Evaluation and 

14 Management in the Healthcare Common 

15 Procedure Coding System (established by 

16 the Secretary under section 1848(c)(5) as 

17 of December 31, 2018, and as subse18 quently modified). 

19 ‘‘(ii) Counseling services, as defined 

20 by the Secretary. 

21 ‘‘(iii) Payment codes established by 

22 the Secretary for opioid use disorder treat23 ment services under section 1866F. 

24 ‘‘(iv) Any other services the Secretary 

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1 ment or treatment of a patient with a di2 agnosis of substance use disorder. 

3 ‘‘(B) PATIENT WITH A DIAGNOSIS OF SUB4 STANCE USE DISORDER.—For purposes of sub5 paragraph (A), the term ‘patient with a diag6 nosis of substance use disorder’ means an indi7 vidual who has been diagnosed with 1 or more 

8 diagnosis codes within the code set entitled the 

9 ‘Mental health and behavioral disorders due to 

10 psychoactive substance use’ under the 10th re11 vision of the International Statistical Classifica12 tion of Diseases and Related Health Problems. 

13 ‘‘(C) REGULATIONS.—Not later than 90 

14 days after the enactment of this subsection, the 

15 Secretary shall promulgate regulations regard16 ing when services are sufficiently related to part 

17 of the management or treatment of a patient’s 

18 substance use disorder. 

19 ‘‘(2) APPLICABLE PROFESSIONAL.—The term 

20 ‘applicable professional’ means— 

21 ‘‘(A) a clinical psychologist (as defined for 

22 purposes of section 1861(ii)); 

23 ‘‘(B) a clinical social worker (as defined in 

24 section 1861(hh)(1)); 


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1 ‘‘(C) a medical professional approved to 

2 furnish medication-assisted treatment under 

3 section 303(g)(2) of the Controlled Substances 

4 Act; or 

5 ‘‘(D) a medical professional that is author6 ized under the State plan to furnish mental and 

7 behavioral health services (as defined in para8 graph (1)).’’. 

9 (2) MANAGED CARE.—Section 1932(f) of such 

10 Act (42 U.S.C. 1396u–2(f)) is amended— 

11 (A) in the subsection heading, by inserting 

12 ‘‘AND MENTAL HEALTH AND BEHAVIORAL

13 HEALTH SERVICES’’ after ‘‘CARE SERVICES’’; 

14 and 

15 (B) by inserting before the period at the 

16 end the following: ‘‘, and, in the case of mental 

17 health and behavioral health services described 

18 in section 1902(a)(13)(D), consistent with the 

19 minimum payment rates specified in such sec20 tion (regardless of the manner in which such 

21 payments are made, including in the form of 

22 capitation or partial capitation)’’. 

23 (b) INCREASED FMAP FOR ADDITIONAL COSTS.— 


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1 (1) IN GENERAL.—Section 1905 of the Social 

2 Security Act (42 U.S.C. 1396d) is amended by add3 ing at the end the following new subsection: 

4 ‘‘(ff) INCREASED FMAP FOR ADDITIONAL EXPENDI5 TURES FOR MENTAL HEALTH AND BEHAVIORAL HEALTH

6 SERVICES.—Notwithstanding subsection (b), with respect 

7 to the portion of the amounts expended for medical assist8 ance for services described in section 1902(a)(13)(D) fur9 nished on or after October 1, 2019, and before October 

10 1, 2024, that is attributable to the amount by which the 

11 minimum payment rate required under such section (or, 

12 by application, section 1932(f)) exceeds the payment rate 

13 applicable to such services under the State plan or a waiv14 er of such plan as of July 1, 2019, the Federal medical 

15 assistance percentage for a State shall be equal to 100 

16 percent. The preceding sentence shall not be construed as 

17 prohibiting the payment of Federal financial participation 

18 based on the Federal medical assistance percentage for the 

19 portion of the amounts expended for medical assistance 

20 for such services that is attributable to the amount (if 

21 any) by which the payment rate applicable to such services 

22 under the State plan or waiver exceeds such minimum 

23 payment rate.’’. 


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1 (2) DISREGARD OF LIMITS ON PAYMENTS TO

2 TERRITORIES.—Section 1108(g)(4) of the Social Se3 curity Act (42 U.S.C. 1308(g)(4)) is amended— 

4 (A) by striking ‘‘With respect to fiscal 

5 years beginning with fiscal year 2009,’’ and in6 serting the following: 

7 ‘‘(A) IN GENERAL.—With respect to fiscal 

8 years beginning with fiscal year 2009,’’; and 

9 (B) by adding at the end the following: 

10 ‘‘(B) OTHER EXPENDITURES.—The 

11 amounts received by a commonwealth or terri12 tory for a calendar quarter of a fiscal year that 

13 are attributable to the application of section 

14 1905(ff), shall not be taken into account in ap15 plying subsection (f) (as increased in accord16 ance with paragraphs (1), (2), (3), and (5) of 

17 this subsection) to such commonwealth or terri18 tory for such fiscal year.’’. 

19 SEC. 10. EXTENSION OF MEDICAID DELIVERY SYSTEM RE20 FORM AND INCENTIVE PAYMENT WAIVERS. 

21 (a) EXTENSION OF WAIVERS.—In the case of a Med22 icaid section 1115 waiver described in subsection (b), not 

23 later than 60 days after the date of enactment of this Act, 

24 the Secretary of Health and Human Services shall— 


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1 (1) extend the termination date for the waiver 

2 to December 31, 2025 (or such earlier date as the 

3 State conducting the waiver may elect); 

4 (2) apply the same annual dollar allotment for 

5 the period for which the waiver is extended under 

6 paragraph (1) as the annual dollar allotment that 

7 applied to the waiver period in effect on the date of 

8 enactment of this Act; and 

9 (3) allow any State with such a waiver to use 

10 funds provided during the period for which the waiv11 er is extended under paragraph (1) to support the 

12 training of direct service workers that provide home 

13 and community-based services. 

14 (b) MEDICAID SECTION 1115 WAIVER DESCRIBED.— 

15 The Medicaid section 1115 waiver described in this sub16 section is a waiver approved under section 1115 of the 

17 Social Security Act (42 U.S.C. 1315) relating to delivery 

18 system reform incentive payments that— 

19 (1) as of the date of enactment of this Act, is 

20 to terminate on or before December 31, 2020; 

21 (2) is in effect on the date of enactment of this 

22 Act; and 

23 (3) was approved for any State that ranks in 

24 the top quintile of all States in terms of the highest 

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1 dents for the most recent 3-year period preceding 

2 the date of enactment of this Act for which data is 

3 available. 

4 SEC. 11. SEPARATE AMBULATORY PAYMENT CLASSIFICA5 TIONS (APC) CODES UNDER THE MEDICARE 

6 HOSPITAL OUTPATIENT DEPARTMENT PRO7 SPECTIVE PAYMENT SYSTEM AND THE MEDI8 CARE AMBULATORY SURGICAL CENTER PAY9 MENT SYSTEM FOR SURGERIES UTILIZING 

10 NON-OPIOID PAIN MANAGEMENT DRUGS. 

11 (a) HOSPITAL OUTPATIENT DEPARTMENT PROSPEC12 TIVE PAYMENT SYSTEM.—Section 1833(t) of the Social 

13 Security Act (42 U.S.C. 1395l(t)) is amended— 

14 (1) in paragraph (2)(A), by striking ‘‘the Sec15 retary’’ and inserting ‘‘subject to paragraph (23), 

16 the Secretary’’; and 

17 (2) by adding at the end the following new 

18 paragraph: 

19 ‘‘(23) SEPARATE APCS FOR SURGERIES USING

20 NON-OPIOID PAIN MANAGEMENT DRUGS.— 

21 ‘‘(A) IN GENERAL.—In the case of covered 

22 OPD services furnished on or after January 1, 

23 2021, the classification system developed under 

24 paragraph (2)(A) shall provide for separate am25 bulatory payment classification codes for— 


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1 ‘‘(i) surgeries that utilize non-opioid 

2 drugs, including such drugs delivered using 

3 an external infusion pump and the delivery 

4 mechanisms necessary for the delivery of 

5 such drugs, to treat pain after the surgery; 

6 and 

7 ‘‘(ii) surgeries that utilize opioid 

8 drugs to treat pain after the surgery. 

9 ‘‘(B) APPLICATION.—For purposes of this 

10 paragraph, the Secretary shall— 

11 ‘‘(i) treat any drug with a Food and 

12 Drug Administration indication for pain 

13 management during and after surgery that 

14 is also non-opioid as a ‘non-opioid drug’; 

15 and 

16 ‘‘(ii) establish a clear definition for 

17 non-opioid pain management drugs that do 

18 not have a Food and Drug Administration 

19 indication for pain management during or 

20 after the surgery.’’. 

21 (b) AMBULATORY SURGICAL CENTER PAYMENT SYS22 TEM.—Section 1833(i)(2)(D) of the Social Security Act 

23 (42 U.S.C. 1395l(i)(2)(D)) is amended— 

24 (1) by aligning the margins of clause (v) with 

25 the margins of clause (iv); 


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1 (2) by redesignating clause (vi) as clause (vii); 

2 and 

3 (3) by inserting after clause (v) the following 

4 new clause: 

5 ‘‘(vi) In the case of surgical services furnished on or 

6 after January 1, 2021, the payment system described in 

7 clause (i) shall provide for separate ambulatory payment 

8 classification codes for— 

9 ‘‘(I) consistent with subsection (t)(23), sur10 geries that utilize non-opioid drugs, including such 

11 drugs delivered using an external infusion pump and 

12 the delivery mechanisms necessary for the delivery of 

13 such drugs, to treat pain after the surgery; and 

14 ‘‘(II) surgeries that utilize opioid drugs to treat 

15 pain after the surgery.’’. 

16 SEC. 12. ADVERSE CHILDHOOD EXPERIENCES RESPONSE 

17 TEAM GRANT PROGRAM. 

18 Title I of the Omnibus Crime Control and Safe 

19 Streets Act of 1968 (34 U.S.C. 10101 et seq.) is amended 

20 by adding at the end the following: 


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1 ‘‘PART OO—ADVERSE CHILDHOOD EXPERIENCES 

2 RESPONSE TEAM GRANT PROGRAM 

3 ‘‘SEC. 3051. GRANTS FOR ADVERSE CHILDHOOD EXPERI4 ENCES RESPONSE TEAMS. 

5 ‘‘(a) GRANTS AUTHORIZED.—From amounts made 

6 available to carry out this section, the Attorney General, 

7 in coordination with the Secretary of Health and Human 

8 Services, shall make grants to States, units of local gov9 ernment, Indian Tribes, and neighborhood or community10 based organizations to address adverse childhood experi11 ences associated with exposure to trauma. 

12 ‘‘(b) USE OF FUNDS.—Amounts received under a 

13 grant under this section may be used to establish an ad14 verse childhood experiences response team, including by— 

15 ‘‘(1) establishing protocols to follow when en16 countering a child or youth exposed to trauma to fa17 cilitate access to services; 

18 ‘‘(2) developing referral partnership agreements 

19 with behavioral health providers, substance treat20 ment facilities, and recovery services for family 

21 members of children exposed to trauma; 

22 ‘‘(3) integrating law enforcement, mental 

23 health, and crisis services to respond to situations 

24 where children have been exposed to trauma; 


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1 ‘‘(4) implementing comprehensive, evidence2 based programs and practices to support children 

3 exposed to trauma; 

4 ‘‘(5) identifying barriers for children to access 

5 trauma-informed care in their communities; 

6 ‘‘(6) providing training in trauma-informed care 

7 to emergency response providers, victim service pro8 viders, child protective service professionals, edu9 cational institutions, and other community partners; 

10 and 

11 ‘‘(7) supporting cross-system planning and col12 laboration among officers and employees who work 

13 in law enforcement, court systems, child welfare 

14 services, correctional reentry programs, emergency 

15 medical services, health care services, public health, 

16 and substance abuse treatment and recovery sup17 port. 

18 ‘‘(c) APPLICATION.—A State, unit of local govern19 ment, Indian Tribe, or neighborhood or community-based 

20 organization desiring a grant under this section shall sub21 mit to the Attorney General an application in such form, 

22 and containing such information, as the Attorney General 

23 may reasonably require. 

24 ‘‘(d) FUNDING.—To carry out this section, there is 

25 authorized to be appropriated, and there is appropriated, 


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1 out of any monies in the Treasury not otherwise appro2 priated, $20,000,000 for each of fiscal years 2020 through 

3 2023.’’. 

4 SEC. 13. EXPANDING DRUG FREE COMMUNITIES SUPPORT 

5 GRANTS. 

6 Section 1032 of the Anti-Drug Abuse Act of 1988 

7 (21 U.S.C. 1532) is amended— 

8 (1) in subsection (b)— 

9 (A) in paragraph (3)— 

10 (i) in subparagraph (A), by striking 

11 ‘‘subparagraph (F)’’ and inserting ‘‘sub12 paragraph (H)’’; 

13 (ii) by redesignating subparagraphs 

14 (D), (E), and (F) as subparagraphs (F), 

15 (G), and (H), respectively; 

16 (iii) by inserting after subparagraph 

17 (C) the following: 

18 ‘‘(D) SUBSEQUENT ADDITIONAL

19 GRANTS.—Subject to subparagraph (H), the 

20 Administrator may award a subsequent addi21 tional grant to a grant recipient under subpara22 graph (A), for each fiscal year during the 4-fis23 cal-year period following the fiscal year for 

24 which the initial additional grant under sub25 paragraph (A) is awarded, in an amount not to 


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1 exceed the amount of non-Federal funds, in2 cluding in-kind contributions, raised by the 

3 grant recipient for the fiscal year for which the 

4 subsequent additional grant is awarded. 

5 ‘‘(E) RENEWAL GRANTS.—Subject to sub6 paragraph (H), the Administrator may award a 

7 renewal grant to a grant recipient under sub8 paragraph (D), for the first fiscal year following 

9 the 4-fiscal-year period for which the subse10 quent additional grant under subparagraph (D) 

11 is awarded, in an amount not to exceed the 

12 amount of non-Federal funds, including in-kind 

13 contributions, raised by the grant recipient for 

14 the fiscal year for which the renewal grant is 

15 awarded.’’; and 

16 (iv) in subparagraph (F), as so redes17 ignated— 

18 (I) in the subparagraph heading, 

19 by striking ‘‘RENEWAL’’ and inserting 

20 ‘‘SUBSEQUENT RENEWAL’’; and 

21 (II) in the matter preceding 

22 clause (i)— 

23 (aa) by striking ‘‘subpara24 graph (F)’’ and inserting ‘‘sub25 paragraph (H)’’; 


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1 (bb) by striking ‘‘renewal 

2 grant to a grant recipient under 

3 this paragraph’’ and inserting 

4 ‘‘subsequent renewal grant to a 

5 grant recipient under subpara6 graph (E)’’; and 

7 (cc) by striking ‘‘initial addi8 tional grant under subparagraph 

9 (A)’’ and inserting ‘‘renewal 

10 grant under subparagraph (E)’’; 

11 and 

12 (B) in paragraph (4), by striking ‘‘(3)(E)’’ 

13 and inserting ‘‘(3)(G)’’; 

14 (2) in subsection (d)— 

15 (A) by striking ‘‘In awarding’’ and insert16 ing the following: 

17 ‘‘(1) PRIORITY FOR ECONOMICALLY DISADVAN18 TAGED AREAS.—In awarding’’; and 

19 (B) by adding at the end the following: 

20 ‘‘(2) PRIORITY FOR STATES DEMONSTRATING

21 HIGH MORTALITY RATES RELATING TO OPIOID USE

22 DISORDER.— 

23 ‘‘(A) GRANTS TO MORE THAN 1 ELIGIBLE

24 COALITION REPRESENTING A COMMUNITY.—In 

25 awarding grants under subsection (b)(1)(B)(ii), 


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1 the Administrator shall give priority to eligible 

2 coalitions that serve 1 or more communities in 

3 a State that has a high mortality rate relating 

4 to opioid use disorder. 

5 ‘‘(B) SUBSEQUENT ADDITIONAL

6 GRANTS.—In awarding subsequent additional 

7 grants under subsection (b)(3)(D), the Admin8 istrator shall give priority to an eligible coali9 tion that serves 1 or more communities in a 

10 State that has a high mortality rate relating to 

11 opioid use disorder.’’; and 

12 (3) by adding at the end the following: 

13 ‘‘(e) LIMITATION ON SUBSEQUENT RENEWAL

14 GRANTS.—A recipient of a subsequent renewal grant 

15 awarded under subsection (b)(3)(F) may not be awarded 

16 any further grant under this section.’’. 

17 SEC. 14. SUPPORT FOR LAW ENFORCEMENT MENTAL 

18 HEALTH AND WELLNESS. 

19 There is authorized to be appropriated, and there is 

20 appropriated, out of any monies in the Treasury not other21 wise appropriated, $10,000,000 for each of fiscal years 

22 2020 through 2023 for grants under section 1701(b)(23) 

23 of title I of the Omnibus Crime Control and Safe Streets 

24 Act of 1968 (34 U.S.C. 10381(b)(23)) to establish peer 


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1 mentoring mental health and wellness pilot programs 

2 within State, tribal, and local law enforcement agencies. 

Æ 


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