II 

116TH CONGRESS 

1ST SESSION S. 2102 

To provide funding for programs and activities under the SUPPORT for 

Patients and Communities Act. 

IN THE SENATE OF THE UNITED STATES 

JULY 11, 2019 

Mrs. SHAHEEN introduced the following bill; which was read twice and 

referred to the Committee on Health, Education, Labor, and Pensions 

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’’. 

5 SEC. 2. CONTROLLED SUBSTANCE PROVISIONS OF THE 

6 SUPPORT FOR PATIENTS AND COMMUNITIES 

7 ACT. 

8 (a) GRANTS TO ENHANCE ACCESS TO SUBSTANCE

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

10 Substance Use-Disorder Prevention that Promotes Opioid 


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1 Recovery and Treatment for Patients and Communities 

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

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

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

5 appropriated, out of any monies in the Treasury not other6 wise appropriated, $4,000,000 for each of fiscal years 

7 2020 through 2023.’’. 

8 (b) ACCESS TO INCREASED DRUG DISPOSAL.—Sec9 tion 3260 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 ‘‘SEC. 3260. APPROPRIATIONS. 

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

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

16 in the Treasury not otherwise appropriated, such sums as 

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

18 SEC. 3. PUBLIC HEALTH PROVISIONS OF THE SUPPORT 

19 FOR PATIENTS AND COMMUNITIES ACT. 

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

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

22 is amended to read as follows: 

23 ‘‘(h) 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, $36,000,000 for each of fiscal years 2020 

2 through 2023.’’. 

3 (b) PUBLIC HEALTH LABORATORIES PILOT PRO4 GRAM.—Section 7011(d) of the Substance Use-Disorder 

5 Prevention that Promotes Opioid Recovery and Treatment 

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

7 is amended to read as follows: 

8 ‘‘(d) 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, $15,000,000 for each of fiscal years 2020 

12 through 2023.’’. 

13 (c) NATIONAL RECOVERY HOUSING BEST PRAC14 TICES.—Section 550(g) of the Public Health Service Act 

15 (42 U.S.C. 290ee–5(g)) is amended to read as follows: 

16 ‘‘(g) 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, $3,000,000 for the period of fiscal years 

20 2020 through 2021.’’. 

21 (d) MODEL TRAINING PROGRAMS FOR SUBSTANCE

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

23 the Substance Use-Disorder Prevention that Promotes 

24 Opioid Recovery and Treatment for Patients and CommuVerDate Sep 11 2014 21:30 Jul 17, 2019 Jkt 089200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 nities Act (Public Law 115–271) is amended to read as 

2 follows: 

3 ‘‘(e) 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— 

7 ‘‘(1) $4,000,000 for fiscal years 2020; 

8 ‘‘(2) $2,000,000 for each of fiscal year 2021; 

9 and 

10 ‘‘(3) $1,000,000 for each of fiscal years 2022 

11 and 2023.’’. 

12 (e) RESIDENTIAL TREATMENT PROGRAMS FOR

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

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

15 is amended by striking the first sentence and inserting the 

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

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

18 monies in the Treasury not otherwise appropriated, 

19 $29,931,000 for each of fiscal years 2020 through 2023.’’. 

20 (f) PRENATAL AND POSTNATAL HEALTH.—Section 

21 317L(d) of the Public Health Service Act (42 U.S.C. 

22 247b–13(d)) is amended to read as follows: 

23 ‘‘(d) 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, such sums as may be necessary for each of 

2 fiscal years 2020 through 2023.’’. 

3 (g) PROGRAM FOR EDUCATION AND TRAINING IN

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

5 Act (42 U.S.C. 294i(e)) is 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, such sums as may be necessary for each of 

10 fiscal years 2020 through 2023. Amounts appropriated 

11 under this subsection shall remain available until ex12 pended.’’. 

13 (h) MENTAL AND BEHAVIORAL HEALTH EDUCATION

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

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

16 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, $50,000,000 for each of fiscal years 2020 

21 through 2023.’’. 

22 (i) COORDINATION AND CONTINUATION OF CARE

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

24 Substance Use-Disorder Prevention that Promotes Opioid 


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1 Recovery and Treatment for Patients and Communities 

2 Act (Public Law 115–271) is 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, $10,000,000 for each of fiscal years 2020 

7 through 2023.’’. 

8 (j) EMERGENCY DEPARTMENT ALTERNATIVES TO

9 OPIOIDS DEMONSTRATION PROGRAM.—Section 7091(g) 

10 of the Substance Use-Disorder Prevention that Promotes 

11 Opioid Recovery and Treatment for Patients and Commu12 nities Act (Public Law 115–271) is amended to read as 

13 follows: 

14 ‘‘(g) 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, $10,000,000 for each of fiscal years 2020 

18 through 2023.’’. 

19 (k) REGIONAL CENTERS OF EXCELLENCE IN SUB20 STANCE USE DISORDER EDUCATION.—Section 551(f) of 

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

22 amended to 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, $4,000,000 for each of fiscal years 2020 

2 through 2023.’’. 

3 (l) YOUTH PREVENTION AND RECOVERY.—Section 

4 7102(c)(9) of the Substance Use-Disorder Prevention that 

5 Promotes Opioid Recovery and Treatment for Patients 

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

7 to read as follows: 

8 ‘‘(9) APPROPRIATIONS.—To carry out this sub9 section, there is authorized to be appropriated, and 

10 there is appropriated, out of any monies in the 

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

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

13 (m) COMPREHENSIVE OPIOID RECOVERY CEN14 TERS.—Section 552(j) of the Public Health Service Act 

15 (42 U.S.C. 290ee–7(j)) is amended to read as follows: 

16 ‘‘(j) 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, $10,000,000 for each of fiscal years 2020 

20 through 2023.’’. 

21 (n) CDC SURVEILLANCE AND DATA COLLECTION.— 

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

23 that Promotes Opioid Recovery and Treatment for Pa24 tients and Communities Act (Public Law 115–271) is 

25 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, $2,000,000 for each of fiscal years 2020 

5 through 2023.’’. 

6 (o) NATIONAL CHILD TRAUMATIC STRESS INITIA7 TIVE.—Section 582(j) of the Public Health Service Act 

8 (42 U.S.C. 290hh–1(j)) is amended to read as follows: 

9 ‘‘(j) 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, $63,887,000 for each of fiscal years 2020 

13 through 2023.’’. 

14 (p) TRAUMA SUPPORT SERVICES AND MENTAL

15 HEALTH CARE.—Section 7134(l) of the Substance Use16 Disorder Prevention that Promotes Opioid Recovery and 

17 Treatment for Patients and Communities Act (Public Law 

18 115–271) is amended to read as follows: 

19 ‘‘(l) 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, $50,000,000 for each of fiscal years 2020 

23 through 2023.’’. 

24 (q) SURVEILLANCE AND EDUCATION REGARDING IN25 FECTIONS ASSOCIATED WITH ILLICIT DRUG USE AND


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

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

3 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, $40,000,000 for each of fiscal years 2020 

8 through 2023.’’. 

9 (r) BUILDING COMMUNITIES OF RECOVERY.—Sec10 tion 547(f) of the Public Health Service Act (42 U.S.C. 

11 290ee–2(f)) is amended to read as follows: 

12 ‘‘(f) 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, $5,000,000 for each of fiscal years 2020 

16 through 2023.’’. 

17 (s) PEER SUPPORT TECHNICAL ASSISTANCE CEN18 TER.—Section 547A(e) of the Public Health Service Act 

19 (42 U.S.C. 290ee–2a(e)) is amended to read as follows: 

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

21 there is authorized to be appropriated, and there is appro22 priated, out of any monies in the Treasury not otherwise 

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

24 through 2023.’’. 


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1 (t) PREVENTING OVERDOSES OF CONTROLLED SUB2 STANCES.—Section 392A(d) of the Public Health Service 

3 Act (42 U.S.C. 280b–1(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, $496,000,000 for each of fiscal years 2020 

8 through 2023.’’. 

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

10 Use-Disorder Prevention that Promotes Opioid Recovery 

11 and Treatment for Patients and Communities Act (Public 

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

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

14 there is authorized to be appropriated, and there is appro15 priated, out of any monies in the Treasury not otherwise 

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

17 through 2023.’’. 

18 SEC. 4. HOUSING AND DEPARTMENT OF JUSTICE PROVI19 SIONS OF THE SUPPORT FOR PATIENTS AND 

20 COMMUNITIES ACT. 

21 (a) ASSISTANCE TO HELP INDIVIDUALS IN RECOV22 ERY FROM SUBSTANCE USE DISORDER BECOME STABLY

23 HOUSED.—Section 8071(a) of the Substance Use-Dis24 order Prevention that Promotes Opioid Recovery and 

25 Treatment for Patients and Communities Act (Public Law 


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1 115–271) is amended by inserting ‘‘, and there are appro2 priated, out of any monies in the Treasury not otherwise 

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

4 (b) BUILDING CAPACITY FOR FAMILY-FOCUSED RES5 IDENTIAL TREATMENT.—Section 8083(c) of the Sub6 stance Use-Disorder Prevention that Promotes Opioid Re7 covery and Treatment for Patients and Communities Act 

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

9 ‘‘(c) 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, $20,000,000 for fiscal years 2020, which 

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

14 (c) COMPREHENSIVE OPIOID ABUSE GRANT PRO15 GRAM.—Section 1001(a)(27) of title I of the Omnibus 

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

17 10261(a)(27)) is amended to read as follows: 

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

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

20 monies in the Treasury not otherwise appropriated, 

21 $500,000,000 for each of fiscal years 2020 through 

22 2023.’’. 

23 (d) OFFICE OF NATIONAL DRUG CONTROL POL24 ICY.—Section 714 of the Office of National Drug Control 


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

2 amended to read as follows: 

3 ‘‘SEC. 714. AUTHORIZATION OF APPROPRIATIONS; APPRO4 PRIATIONS. 

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

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

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

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

9 years 2020 through 2023, to remain available until ex10 pended.’’. 

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

12 1024 of the Anti-Drug Abuse Act of 1988 (21 U.S.C. 

13 1524) is amended— 

14 (1) in the heading, by inserting ‘‘; APPRO15 PRIATIONS’’ after ‘‘AUTHORIZATION OF APPRO16 PRIATIONS’’; and 

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

18 following: 

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

20 is authorized to be appropriated to the Office of National 

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

22 monies in the Treasury not otherwise appropriated, 

23 $150,000,000 for each of fiscal years 2020 through 

24 2023.’’. 


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1 (f) HIGH-INTENSITY DRUG TRAFFICKING AREA PRO2 GRAM.—Section 707(p) of the Office of National Drug 

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

4 1706(p)) is amended— 

5 (1) by redesignating paragraphs (1) through 

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

7 and adjusting the margins accordingly; 

8 (2) by striking ‘‘There is authorized’’ and in9 serting the following: 

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

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

12 (A) in subparagraph (E), as so redesig13 nated, by striking ‘‘each of’’; and 

14 (B) in subparagraph (F), as so redesig15 nated, by striking ‘‘each of fiscal years 2018 

16 through 2023’’ and inserting ‘‘fiscal year 

17 2018’’; and 

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

19 ‘‘(2) APPROPRIATIONS.—To carry out this sec20 tion, there is authorized to be appropriated to the 

21 Office of National Drug Control Policy, and there is 

22 appropriated, out of any monies in the Treasury not 

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

24 fiscal years 2020 through 2023.’’. 


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1 (g) DRUG COURT PROGRAM.—Section 

2 1001(a)(25)(A) of title I of the Omnibus Crime Control 

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

4 10261(a)(25)(A)) is amended to read as follows: 

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

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

7 and there is appropriated, out of any monies in the Treas8 ury not otherwise appropriated, $75,000,000 for each of 

9 fiscal years 2020 through 2023.’’. 

10 (h) DRUG COURT TRAINING AND TECHNICAL AS11 SISTANCE.—Section 705(e)(2) of the Office of National 

12 Drug Control Policy Reauthorization Act of 1988 (21 

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

14 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP15 PROPRIATIONS.—To carry out this subsection, there 

16 is authorized to be appropriated, and there is appro17 priated, out of any monies in the Treasury not oth18 erwise appropriated, $2,000,000 for each of fiscal 

19 years 2020 through 2023.’’. 

20 (i) ADMINISTRATION OF THE OFFICE OF NATIONAL

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

22 of National Drug Control Policy Reauthorization Act of 

23 1998 (21 U.S.C. 1703(i)(2)) is amended to read as fol24 lows: 


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1 ‘‘(2) AUTHORIZATION OF APPROPRIATIONS; AP2 PROPRIATIONS.—To carry out this subsection, there 

3 is authorized to be appropriated, and there is appro4 priated, out of any monies in the Treasury not oth5 erwise appropriated, $1,250,000 for each of fiscal 

6 years 2020 through 2023.’’. 

7 (j) EMERGING THREATS COMMITTEE, PLAN, AND

8 MEDIA CAMPAIGN.—Section 709(g) of the Office of Na9 tional Drug Control Policy Reauthorization Act of 1998 

10 (21 U.S.C. 1708(g)) is amended to read as follows: 

11 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS; APPRO12 PRIATIONS.—To carry out this section, there is authorized 

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

14 out of any monies in the Treasury not otherwise appro15 priated, $25,000,000 for each of fiscal years 2020 through 

16 2023.’’. 

17 SEC. 5. BOLSTERING COMMITMENTS TO STATE GRANTS 

18 FOR SUBSTANCE USE DISORDER TREATMENT 

19 AND PREVENTION. 

20 (a) STATE OPIOID RESPONSE GRANTS.— 

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

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

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

24 State agency responsible for administering the sub25 stance abuse prevention and treatment block grant 


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

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

3 there is authorized to be appropriated, and there is 

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

5 years 2020 through 2024. 

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

7 1003(b) of the 21st Century Cures Act (42 U.S.C. 

8 290ee–3 note) is amended by adding at the end the 

9 following: 

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

11 may use amounts provided under grants under this 

12 subsection to support substance use disorder treat13 ment care and related services regardless of whether 

14 the patient involved has a primary diagnosis of 

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

16 substance use disorder diagnosis. 

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

18 this subsection shall be construed to prohibit States 

19 from using grant funds under this subsection to allo20 cate amounts to local governments to establish sub21 grantee awards in such localities.’’. 

22 (3) SUBSTANCE ABUSE PREVENTION AND

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

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

25 35(a)) is amended to read as follows: 


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

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

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

4 in the Treasury not otherwise appropriated, 

5 $3,000,000,000 for each of fiscal years 2020 through 

6 2024, and $2,500,000,000 for each of fiscal years 2025 

7 through 2029.’’. 

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

9 out activities with amounts appropriated under this sec10 tion (and the amendment made by this section), the Sec11 retary of Health and Human Services shall ensure that 

12 the following requirements are complied with: 

13 (1) Of the amount appropriated for each fiscal 

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

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

16 available to Indian Tribes or tribal organizations. 

17 (2) Of such remaining amounts for each such 

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

19 States with the highest mortality rate related to 

20 opioid use disorders. 

21 (3) Of the amount made available for each fis22 cal year under subsections (a)(1) for State Opioid 

23 Response Grants, not more than 2 percent of such 

24 amount shall be available for Federal administrative 


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1 expenses, training, technical assistance, and evalua2 tion. 

3 (4) Of the amounts not reserved under para4 graphs (1) through (3), the Secretary shall make al5 locations to States, territories, and the District of 

6 Columbia according to a formula using national sur7 vey results that the Secretary determines are the 

8 most objective and reliable measure of drug use and 

9 drug-related deaths. 

10 (5) The formula methodology under paragraph 

11 (4) shall be submitted to the Committees on Appro12 priations of the House of Representatives and the 

13 Committee on Appropriations of the Senate not less 

14 than 15 days prior to publishing a Funding Oppor15 tunity Announcement. 

16 (6) The prevention and treatment activities 

17 funded through grants under this section may in18 clude education, treatment (including the provision 

19 of medication), behavioral health services for individ20 uals in treatment programs, referral to treatment 

21 services, recovery support, and medical screening as22 sociated with such treatment. 

23 (7) Each State, including the District of Co24 lumbia, shall receive not less than $4,000,000 under 

25 grants under this section. 


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1 (8) In addition to amounts appropriated under 

2 this section (and the amendment made by this sec3 tion), the following amounts shall be available under 

4 section 241 of the Public Health Service Act (42 

5 U.S.C. 238j): 

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

7 part B of title XIX of the Public Health Service 

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

9 35) (relating to technical assistance, national 

10 data, data collection and evaluation activities) 

11 and the total available under this Act for activi12 ties under such section 1935(b) shall not exceed 

13 5 percent of the amounts appropriated for such 

14 subpart II of part B of title XIX. 

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

16 abuse treatment programs. 

17 (9) None of the funds provided for under sec18 tion 1921 of the Public Health Service Act (42 

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

20 under this section shall be subject to section 241 of 

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

22 SEC. 6. ELIMINATING INSURANCE BARRIERS TO MEDICA23 TION-ASSISTED TREATMENT. 

24 (a) LIMITATION ON USE OF UTILIZATION CONTROL

25 POLICIES OR PROCEDURES FOR MEDICATION-ASSISTED


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

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

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

4 ‘‘SEC. 2729A. ELIMINATING BARRIERS TO MEDICATION-AS5 SISTED TREATMENT. 

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

7 or a health insurance issuer offering group or individual 

8 health insurance coverage shall not impose any utilization 

9 control policies or procedures (as defined by the Sec10 retary), including prior authorization requirements, with 

11 respect to medication-assisted treatment covered under 

12 the plan or coverage.’’. 

13 (b) NO PRIOR AUTHORIZATION OR OTHER UTILIZA14 TION RESTRICTIONS UNDER MEDICAID.— 

15 (1) PROHIBITION.—Section 1903(i) of the So16 cial Security Act (42 U.S.C. 1396b(i)) is amended 

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

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

19 medical assistance for medication-assisted treatment 

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

21 any utilization control policies or procedures (as de22 fined by the Secretary), including any prior author23 ization requirements, with respect to the provision of 

24 such assistance; or’’. 


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1 (2) CONFORMING AMENDMENT.—Section 

2 1905(a)(29) of the Social Security Act (42 U.S.C. 

3 1396d(a)(29)) is amended by inserting ‘‘and section 

4 1903(i)(9)’’ after ‘‘subsection (ee)’’. 

5 (3) EFFECTIVE DATE.—The amendments made 

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

7 SEC. 7. LIMITATIONS ON COST-SHARING FOR OPIOID OVER8 DOSE REVERSAL MEDICATIONS. 

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

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

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

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

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

14 OVERDOSE REVERSAL MEDICATIONS. 

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

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

17 group or individual health insurance coverage shall not im18 pose any cost-sharing requirement under the plan or cov19 erage with respect to at least one brand or generic version 

20 of opioid overdose reversal drug. 

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

22 overdose reversal drug’ means a drug or biological ap23 proved by the Food and Drug Administration for— 


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1 ‘‘(1) complete or partial reversal of opioid de2 pression, including respiratory depression, induced 

3 by opioids; or 

4 ‘‘(2) emergency treatment of a known or sus5 pected opioid overdose, as manifested by respiratory 

6 or central nervous system depression.’’. 

7 (b) LIMITATIONS ON COST-SHARING UNDER MEDI8 CARE PART D.— 

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

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

11 amended— 

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

13 coverage’’ and inserting ‘‘Subject to paragraph 

14 (8), the coverage’’; 

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

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

17 (8)’’; 

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

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

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

21 ‘‘The coverage’’ and inserting ‘‘Subject to para22 graph (8), the coverage’’; and 

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

24 paragraph: 


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

2 OPIOID OVERDOSE REVERSAL DRUGS.— 

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

4 and each subsequent plan year, each prescrip5 tion drug plan and MA–PD plan shall not im6 pose any cost-sharing requirement under the 

7 plan with respect to at least one brand or ge8 neric version of an opioid overdose reversal 

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

10 Health Service Act). The requirement under the 

11 preceding sentence shall also apply to cost-shar12 ing applicable to subsidy eligible individuals 

13 under section 1814D–14. 

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

15 subparagraph (A), the elimination of cost-shar16 ing shall include the following: 

17 ‘‘(i) NO APPLICATION OF DEDUCT18 IBLE.—The waiver of the deductible under 

19 paragraph (1). 

20 ‘‘(ii) NO APPLICATION OF COINSUR21 ANCE.—The waiver of coinsurance under 

22 paragraph (2). 

23 ‘‘(iii) NO APPLICATION OF INITIAL

24 COVERAGE LIMIT.—The initial coverage 

25 limit under paragraph (3) shall not apply. 


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1 ‘‘(iv) NO COST-SHARING ABOVE AN2 NUAL OUT-OF-POCKET THRESHOLD.—The 

3 waiver of cost-sharing under paragraph 

4 (4).’’. 

5 (2) CONFORMING AMENDMENTS TO COST-SHAR6 ING FOR LOW-INCOME INDIVIDUALS.—Section 

7 1860D–14(a) of the Social Security Act (42 U.S.C. 

8 1395w–114(a)) is amended— 

9 (A) in paragraph (1), in the matter pre10 ceding subparagraph (A), by striking ‘‘In the 

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

12 2(b)(8), in the case’’; and 

13 (B) in paragraph (2), in the matter pre14 ceding subparagraph (A), by striking ‘‘In the 

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

16 2(b)(8), in the case’’. 

17 SEC. 8. TARGETING HEALTH WORKFORCE LOAN REPAY18 MENT ASSISTANCE TO HARDEST-HIT STATES. 

19 (a) LOAN REPAYMENT PROGRAM FOR SUBSTANCE

20 USE DISORDER TREATMENT WORKFORCE.—Section 

21 781(j) of the Public Health Service Act (42 U.S.C. 

22 295h(j)) is amended to read as follows: 

23 ‘‘(j) APPROPRIATIONS.— 

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

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


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1 appropriated, and there is appropriated, out of any 

2 monies in the Treasury not otherwise appropriated, 

3 $25,000,000 for each of fiscal years 2020 through 

4 2023. 

5 ‘‘(2) STATES WITH HIGHEST DRUG OVERDOSE

6 DEATH RATES.— 

7 ‘‘(A) IN GENERAL.—To carry out the pro8 gram under this section with respect to individ9 uals who agree to provide obligated service in 

10 States described in subparagraph (B), there is 

11 authorized to be appropriated, and there is ap12 propriated, out of any monies in the Treasury 

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

14 each of fiscal years 2020 through 2024. 

15 ‘‘(B) STATES DESCRIBED.—A State de16 scribed in this subparagraph is a State that is 

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

18 highest mean drug overdose death rate per 

19 100,000 residents for the 3-year period imme20 diately preceding the year for which the deter21 mination is being made, as determined by the 

22 Secretary. 

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

24 as provided in this paragraph, the requirements 

25 of this section otherwise applicable to individVerDate Sep 11 2014 21:30 Jul 17, 2019 Jkt 089200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 uals under this section shall apply to individuals 

2 receiving assistance under this paragraph.’’. 

3 (b) TRAINING DEMONSTRATION PROGRAM.—Section 

4 760(g) of the Public Health Service Act (42 U.S.C. 

5 294k(g)) is amended to read as follows: 

6 ‘‘(g) APPROPRIATIONS.— 

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

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

9 appropriated, and there is appropriated, out of any 

10 monies in the Treasury not otherwise appropriated, 

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

12 2024. 

13 ‘‘(2) STATES WITH HIGHEST DRUG OVERDOSE

14 DEATH RATES.— 

15 ‘‘(A) IN GENERAL.—To carry out the pro16 gram under this section with respect to grant17 ees located in States described in subparagraph 

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

19 there is appropriated, out of any monies in the 

20 Treasury not otherwise appropriated, 

21 $20,000,000 for each of fiscal years 2020 

22 through 2024. 

23 ‘‘(B) STATES DESCRIBED.—A State de24 scribed in this subparagraph is a State that is 

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


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1 highest mean drug overdose death rate per 

2 100,000 residents for the 3-year period imme3 diately preceding the year for which the deter4 mination is being made, as determined by the 

5 Secretary. 

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

7 as provided in this paragraph, the requirements 

8 of this section otherwise applicable to grantees 

9 under this section shall apply to grantees re10 ceiving assistance under this paragraph.’’. 

11 SEC. 9. MEDICAID PAYMENTS FOR BEHAVIORAL HEALTH 

12 AND MENTAL HEALTH PROVIDERS. 

13 (a) IN GENERAL.— 

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

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

16 (A) in subsection (a)(13)— 

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

18 subparagraph (B); 

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

20 subparagraph (C); and 

21 (iii) by adding at the end the fol22 lowing new subparagraph: 

23 ‘‘(D) payment for mental health and be24 havioral health services (as defined in sub25 section (qq)(1)) furnished on or after October 


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1 1, 2019, and before October 1, 2024, by a phy2 sician or applicable professional (as defined in 

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

4 percent of the payment rate that applies to 

5 such services and physician or applicable profes6 sional under part B of title XVIII (or, if great7 er, the payment rate that would be applicable 

8 under such part if the conversion factor under 

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

10 conversion factor under such section for 2019, 

11 and, if such services are not covered under such 

12 part, the reasonable and customary rate the 

13 Secretary determines would apply to such serv14 ices and physician or applicable professional);’’; 

15 and 

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

17 subsection: 

18 ‘‘(qq) MENTAL HEALTH AND BEHAVIORAL HEALTH

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

20 ‘‘(1) MENTAL HEALTH AND BEHAVIORAL

21 HEALTH SERVICES.— 

22 ‘‘(A) IN GENERAL.—The term ‘mental 

23 health and behavioral health services’ means the 

24 following services, when provided to a patient 

25 with a diagnosis of substance use disorder (as 


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

2 management or treatment of the patient’s sub3 stance use disorder (as determined in accord4 ance with regulations promulgated by the Sec5 retary under subparagraph (C)): 

6 ‘‘(i) Evaluation and management serv7 ices that are procedure codes (for services 

8 covered under title XVIII) for services in 

9 the category designated Evaluation and 

10 Management in the Healthcare Common 

11 Procedure Coding System (established by 

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

13 of December 31, 2018, and as subse14 quently modified). 

15 ‘‘(ii) Counseling services, as defined 

16 by the Secretary. 

17 ‘‘(iii) Payment codes established by 

18 the Secretary for opioid use disorder treat19 ment services under section 1866F. 

20 ‘‘(iv) Any other services the Secretary 

21 determines are necessary for the manage22 ment or treatment of a patient with a di23 agnosis of substance use disorder. 

24 ‘‘(B) PATIENT WITH A DIAGNOSIS OF SUB25 STANCE USE DISORDER.—For purposes of subVerDate Sep 11 2014 21:30 Jul 17, 2019 Jkt 089200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 paragraph (A), the term ‘patient with a diag2 nosis of substance use disorder’ means an indi3 vidual who has been diagnosed with 1 or more 

4 diagnosis codes within the code set entitled the 

5 ‘Mental health and behavioral disorders due to 

6 psychoactive substance use’ under the 10th re7 vision of the International Statistical Classifica8 tion of Diseases and Related Health Problems. 

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

10 days after the enactment of this subsection, the 

11 Secretary shall promulgate regulations regard12 ing when services are sufficiently related to part 

13 of the management or treatment of a patient’s 

14 substance use disorder. 

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

16 ‘applicable professional’ means— 

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

18 purposes of section 1861(ii)); 

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

20 section 1861(hh)(1)); 

21 ‘‘(C) a medical professional approved to 

22 furnish medication-assisted treatment under 

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

24 Act; or 


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1 ‘‘(D) a medical professional that is author2 ized under the State plan to furnish mental and 

3 behavioral health services (as defined in para4 graph (1)).’’. 

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

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

7 (A) in the subsection heading, by inserting 

8 ‘‘AND MENTAL HEALTH AND BEHAVIORAL

9 HEALTH SERVICES’’ after ‘‘CARE SERVICES’’; 

10 and 

11 (B) by inserting before the period at the 

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

13 health and behavioral health services described 

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

15 minimum payment rates specified in such sec16 tion (regardless of the manner in which such 

17 payments are made, including in the form of 

18 capitation or partial capitation)’’. 

19 (b) INCREASED FMAP FOR ADDITIONAL COSTS.— 

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

21 Security Act (42 U.S.C. 1396d) is amended by add22 ing at the end the following new subsection: 

23 ‘‘(ff) INCREASED FMAP FOR ADDITIONAL EXPENDI24 TURES FOR MENTAL HEALTH AND BEHAVIORAL HEALTH

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


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1 to the portion of the amounts expended for medical assist2 ance for services described in section 1902(a)(13)(D) fur3 nished on or after October 1, 2019, and before October 

4 1, 2024, that is attributable to the amount by which the 

5 minimum payment rate required under such section (or, 

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

7 applicable to such services under the State plan or a waiv8 er of such plan as of July 1, 2019, the Federal medical 

9 assistance percentage for a State shall be equal to 100 

10 percent. The preceding sentence shall not be construed as 

11 prohibiting the payment of Federal financial participation 

12 based on the Federal medical assistance percentage for the 

13 portion of the amounts expended for medical assistance 

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

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

16 under the State plan or waiver exceeds such minimum 

17 payment rate.’’. 

18 (2) DISREGARD OF LIMITS ON PAYMENTS TO

19 TERRITORIES.—Section 1108(g)(4) of the Social Se20 curity Act (42 U.S.C. 1308(g)(4)) is amended— 

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

22 years beginning with fiscal year 2009,’’ and in23 serting the following: 

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

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


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

2 ‘‘(B) OTHER EXPENDITURES.—The 

3 amounts received by a commonwealth or terri4 tory for a calendar quarter of a fiscal year that 

5 are attributable to the application of section 

6 1905(ff), shall not be taken into account in ap7 plying subsection (f) (as increased in accord8 ance with paragraphs (1), (2), (3), and (5) of 

9 this subsection) to such commonwealth or terri10 tory for such fiscal year.’’. 

11 SEC. 10. EXTENSION OF MEDICAID DELIVERY SYSTEM RE12 FORM AND INCENTIVE PAYMENT WAIVERS. 

13 (a) EXTENSION OF WAIVERS.—In the case of a Med14 icaid section 1115 waiver described in subsection (b), not 

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

16 the Secretary of Health and Human Services shall— 

17 (1) extend the termination date for the waiver 

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

19 State conducting the waiver may elect); 

20 (2) apply the same annual dollar allotment for 

21 the period for which the waiver is extended under 

22 paragraph (1) as the annual dollar allotment that 

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

24 enactment of this Act; and 


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

2 funds provided during the period for which the waiv3 er is extended under paragraph (1) to support the 

4 training of direct service workers that provide home 

5 and community-based services. 

6 (b) MEDICAID SECTION 1115 WAIVER DESCRIBED.— 

7 The Medicaid section 1115 waiver described in this sub8 section is a waiver approved under section 1115 of the 

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

10 system reform incentive payments that— 

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

12 to terminate on or before December 31, 2020; 

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

14 Act; and 

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

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

17 mean drug overdose death rate per 100,000 resi18 dents for the most recent 3-year period preceding 

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

20 available. 


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1 SEC. 11. SEPARATE AMBULATORY PAYMENT CLASSIFICA2 TIONS (APC) CODES UNDER THE MEDICARE 

3 HOSPITAL OUTPATIENT DEPARTMENT PRO4 SPECTIVE PAYMENT SYSTEM AND THE MEDI5 CARE AMBULATORY SURGICAL CENTER PAY6 MENT SYSTEM FOR SURGERIES UTILIZING 

7 NON-OPIOID PAIN MANAGEMENT DRUGS. 

8 (a) HOSPITAL OUTPATIENT DEPARTMENT PROSPEC9 TIVE PAYMENT SYSTEM.—Section 1833(t) of the Social 

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

11 (1) in paragraph (2)(A), by striking ‘‘the Sec12 retary’’ and inserting ‘‘subject to paragraph (23), 

13 the Secretary’’; and 

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

15 paragraph: 

16 ‘‘(23) SEPARATE APCS FOR SURGERIES USING

17 NON-OPIOID PAIN MANAGEMENT DRUGS.— 

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

19 OPD services furnished on or after January 1, 

20 2021, the classification system developed under 

21 paragraph (2)(A) shall provide for separate am22 bulatory payment classification codes for— 

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

24 drugs, including such drugs delivered using 

25 an external infusion pump and the delivery 

26 mechanisms necessary for the delivery of 


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1 such drugs, to treat pain after the surgery; 

2 and 

3 ‘‘(ii) surgeries that utilize opioid 

4 drugs to treat pain after the surgery. 

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

6 paragraph, the Secretary shall— 

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

8 Drug Administration indication for pain 

9 management during and after surgery that 

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

11 and 

12 ‘‘(ii) establish a clear definition for 

13 non-opioid pain management drugs that do 

14 not have a Food and Drug Administration 

15 indication for pain management during or 

16 after the surgery.’’. 

17 (b) AMBULATORY SURGICAL CENTER PAYMENT SYS18 TEM.—Section 1833(i)(2)(D) of the Social Security Act 

19 (42 U.S.C. 1395l(i)(2)(D)) is amended— 

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

21 the margins of clause (iv); 

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

23 and 

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

25 new clause: 


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

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

3 clause (i) shall provide for separate ambulatory payment 

4 classification codes for— 

5 ‘‘(I) consistent with subsection (t)(23), sur6 geries that utilize non-opioid drugs, including such 

7 drugs delivered using an external infusion pump and 

8 the delivery mechanisms necessary for the delivery of 

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

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

11 pain after the surgery.’’. 

12 SEC. 12. ADVERSE CHILDHOOD EXPERIENCES RESPONSE 

13 TEAM GRANT PROGRAM. 

14 Title I of the Omnibus Crime Control and Safe 

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

16 by adding at the end the following: 

17 ‘‘PART OO—ADVERSE CHILDHOOD EXPERIENCES 

18 RESPONSE TEAM GRANT PROGRAM 

19 ‘‘SEC. 3051. GRANTS FOR ADVERSE CHILDHOOD EXPERI20 ENCES RESPONSE TEAMS. 

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

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

23 in coordination with the Secretary of Health and Human 

24 Services, shall make grants to States, units of local gov25 ernment, Indian Tribes, and neighborhood or communityVerDate Sep 11 2014 21:30 Jul 17, 2019 Jkt 089200 PO 00000 Frm 00037 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 based organizations to address adverse childhood experi2 ences associated with exposure to trauma. 

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

4 grant under this section may be used to establish an ad5 verse childhood experiences response team, including by— 

6 ‘‘(1) establishing protocols to follow when en7 countering a child or youth exposed to trauma to fa8 cilitate access to services; 

9 ‘‘(2) developing referral partnership agreements 

10 with behavioral health providers, substance treat11 ment facilities, and recovery services for family 

12 members of children exposed to trauma; 

13 ‘‘(3) integrating law enforcement, mental 

14 health, and crisis services to respond to situations 

15 where children have been exposed to trauma; 

16 ‘‘(4) implementing comprehensive, evidence17 based programs and practices to support children 

18 exposed to trauma; 

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

20 trauma-informed care in their communities; 

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

22 to emergency response providers, victim service pro23 viders, child protective service professionals, edu24 cational institutions, and other community partners; 

25 and 


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1 ‘‘(7) supporting cross-system planning and col2 laboration among officers and employees who work 

3 in law enforcement, court systems, child welfare 

4 services, correctional reentry programs, emergency 

5 medical services, health care services, public health, 

6 and substance abuse treatment and recovery sup7 port. 

8 ‘‘(c) APPLICATION.—A State, unit of local govern9 ment, Indian Tribe, or neighborhood or community-based 

10 organization desiring a grant under this section shall sub11 mit to the Attorney General an application in such form, 

12 and containing such information, as the Attorney General 

13 may reasonably require. 

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

15 authorized to be appropriated, and there is appropriated, 

16 out of any monies in the Treasury not otherwise appro17 priated, $20,000,000 for each of fiscal years 2020 through 

18 2023.’’. 

19 SEC. 13. EXPANDING DRUG FREE COMMUNITIES SUPPORT 

20 GRANTS. 

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

22 (21 U.S.C. 1532) is amended— 

23 (1) in subsection (b)— 

24 (A) in paragraph (3)— 


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

2 ‘‘subparagraph (F)’’ and inserting ‘‘sub3 paragraph (H)’’; 

4 (ii) by redesignating subparagraphs 

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

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

7 (iii) by inserting after subparagraph 

8 (C) the following: 

9 ‘‘(D) SUBSEQUENT ADDITIONAL

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

11 Administrator may award a subsequent addi12 tional grant to a grant recipient under subpara13 graph (A), for each fiscal year during the 4-fis14 cal-year period following the fiscal year for 

15 which the initial additional grant under sub16 paragraph (A) is awarded, in an amount not to 

17 exceed the amount of non-Federal funds, in18 cluding in-kind contributions, raised by the 

19 grant recipient for the fiscal year for which the 

20 subsequent additional grant is awarded. 

21 ‘‘(E) RENEWAL GRANTS.—Subject to sub22 paragraph (H), the Administrator may award a 

23 renewal grant to a grant recipient under sub24 paragraph (D), for the first fiscal year following 

25 the 4-fiscal-year period for which the subseVerDate Sep 11 2014 21:30 Jul 17, 2019 Jkt 089200 PO 00000 Frm 00040 Fmt 6652 Sfmt 6201 E:\BILLS\S2102.IS S2102

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1 quent additional grant under subparagraph (D) 

2 is awarded, in an amount not to exceed the 

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

4 contributions, raised by the grant recipient for 

5 the fiscal year for which the renewal grant is 

6 awarded.’’; and 

7 (iv) in subparagraph (F), as so redes8 ignated— 

9 (I) in the subparagraph heading, 

10 by striking ‘‘RENEWAL’’ and inserting 

11 ‘‘SUBSEQUENT RENEWAL’’; and 

12 (II) in the matter preceding 

13 clause (i)— 

14 (aa) by striking ‘‘subpara15 graph (F)’’ and inserting ‘‘sub16 paragraph (H)’’; 

17 (bb) by striking ‘‘renewal 

18 grant to a grant recipient under 

19 this paragraph’’ and inserting 

20 ‘‘subsequent renewal grant to a 

21 grant recipient under subpara22 graph (E)’’; and 

23 (cc) by striking ‘‘initial addi24 tional grant under subparagraph 

25 (A)’’ and inserting ‘‘renewal 


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1 grant under subparagraph (E)’’; 

2 and 

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

4 and inserting ‘‘(3)(G)’’; 

5 (2) in subsection (d)— 

6 (A) by striking ‘‘In awarding’’ and insert7 ing the following: 

8 ‘‘(1) PRIORITY FOR ECONOMICALLY DISADVAN9 TAGED AREAS.—In awarding’’; and 

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

11 ‘‘(2) PRIORITY FOR STATES DEMONSTRATING

12 HIGH MORTALITY RATES RELATING TO OPIOID USE

13 DISORDER.— 

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

15 COALITION REPRESENTING A COMMUNITY.—In 

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

17 the Administrator shall give priority to eligible 

18 coalitions that serve 1 or more communities in 

19 a State that has a high mortality rate relating 

20 to opioid use disorder. 

21 ‘‘(B) SUBSEQUENT ADDITIONAL

22 GRANTS.—In awarding subsequent additional 

23 grants under subsection (b)(3)(D), the Admin24 istrator shall give priority to an eligible coali25 tion that serves 1 or more communities in a 


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1 State that has a high mortality rate relating to 

2 opioid use disorder.’’; and 

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

4 ‘‘(e) LIMITATION ON SUBSEQUENT RENEWAL

5 GRANTS.—A recipient of a subsequent renewal grant 

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

7 any further grant under this section.’’. 

8 SEC. 14. SUPPORT FOR LAW ENFORCEMENT MENTAL 

9 HEALTH AND WELLNESS. 

10 There is authorized to be appropriated, and there is 

11 appropriated, out of any monies in the Treasury not other12 wise appropriated, $10,000,000 for each of fiscal years 

13 2020 through 2023 for grants under section 1701(b)(23) 

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

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

16 mentoring mental health and wellness pilot programs 

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

Æ 


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