IIB 

115TH CONGRESS 

2D SESSION H. R. 5327 

IN THE SENATE OF THE UNITED STATES 

JUNE 13, 2018 

Received; read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

AN ACT 

To amend title V of the Public Health Service Act to establish a grant program to create comprehensive opioid recovery centers, and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Comprehensive Opioid 

3 Recovery Centers Act of 2018’’. 

4 SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS. 

5 (a) IN GENERAL.—Part D of title V of the Public 

6 Health Service Act is amended by adding at the end the 

7 following new section: 

8 ‘‘SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS. 

9 ‘‘(a) IN GENERAL.—The Secretary shall award 

10 grants on a competitive basis to eligible entities to estab11 lish or operate a comprehensive opioid recovery center (re12 ferred to in this section as a ‘Center’). 

13 ‘‘(b) GRANT PERIOD.— 

14 ‘‘(1) IN GENERAL.—A grant awarded under 

15 subsection (a) shall be for a period not less than 3 

16 years and not more than 5 years. 

17 ‘‘(2) RENEWAL.—A grant awarded under sub18 section (a) may be renewed, on a competitive basis, 

19 for additional periods of time, as determined by the 

20 Secretary. In determining whether to renew a grant 

21 under this paragraph, the Secretary shall consider 

22 the data submitted under subsection (h). 

23 ‘‘(c) MINIMUM NUMBER OF CENTERS.—The Sec24 retary shall allocate the amounts made available under 

25 subsection (i) in such amounts that not fewer than 10 

26 Centers will be established across the United States. 


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1 ‘‘(d) APPLICATION.—In order to be eligible for a 

2 grant under subsection (a), an entity shall submit an ap3 plication to the Secretary at such time and in such manner 

4 as the Secretary may require. Such application shall in5 clude— 

6 ‘‘(1) evidence that such entity carries out, or is 

7 capable of coordinating with other entities to carry 

8 out, the activities described in subsection (g); and 

9 ‘‘(2) such other information as the Secretary 

10 may require. 

11 ‘‘(e) PRIORITY.—In awarding grants under sub12 section (a), the Secretary shall give priority to eligible enti13 ties located in a State or Indian country (as defined in 

14 section 1151 of title 18, United States Code)— 

15 ‘‘(1) with a high per capita drug overdose mor16 tality rate, as determined by the Director of the 

17 Centers for Disease Control and Prevention; or 

18 ‘‘(2) based on any other criteria or need, as de19 termined by the Secretary. 

20 ‘‘(f) USE OF GRANT FUNDS.—An eligible entity 

21 awarded a grant under subsection (a) shall use the grant 

22 funds to establish or operate a Center to carry out the 

23 activities described in subsection (g). 

24 ‘‘(g) CENTER ACTIVITIES AND SERVICES.—Each 

25 Center shall, at a minimum, carry out the activities deVerDate Sep 11 2014 00:09 Jun 14, 2018 Jkt 079200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H5327.RFS H5327

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1 scribed in this subsection. In the case of a Center that 

2 determines that a service described in paragraph (2) can3 not reasonably be carried out by the Center, such Center 

4 shall contract with such other entities as may be necessary 

5 to ensure that patients have access to the full range of 

6 services described in such paragraph. 

7 ‘‘(1) COMMUNITY OUTREACH.—Each Center 

8 shall carry out the following outreach activities: 

9 ‘‘(A) Train and supervise outreach staff to 

10 work with schools, workplaces, faith-based orga11 nizations, State and local health departments, 

12 law enforcement, and first responders to ensure 

13 that such institutions are aware of the services 

14 of the Center. 

15 ‘‘(B) Disseminate and make available on16 line evidence-based resources that educate pro17 fessionals and the public on opioid use disorder 

18 and other substance use disorders. 

19 ‘‘(2) TREATMENT AND RECOVERY SERVICES.— 

20 Each Center shall provide the following treatment 

21 and recovery services: 

22 ‘‘(A) Ensure that intake evaluations meet 

23 the clinical needs of patients. 

24 ‘‘(B) Periodically conduct patient assess25 ments to ensure continued and meaningful reVerDate Sep 11 2014 00:09 Jun 14, 2018 Jkt 079200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5327.RFS H5327

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1 covery, as defined by the Assistant Secretary 

2 for Mental Health and Substance Use. 

3 ‘‘(C) Provide the full continuum of treat4 ment services, including— 

5 ‘‘(i) all drugs approved under section 

6 505 of the Federal Food, Drug, and Cos7 metic Act and all biological products li8 censed under section 351 of this Act, in9 cluding methadone, to treat substance use 

10 disorders, including opioid use disorder 

11 and alcohol use disorder; 

12 ‘‘(ii) withdrawal management, which 

13 shall include medically supervised detoxi14 fication that includes patient evaluation, 

15 stabilization, and readiness for and entry 

16 into treatment; 

17 ‘‘(iii) counseling and case manage18 ment, including counseling and recovery 

19 services for any possible co-occurring men20 tal illness; 

21 ‘‘(iv) residential rehabilitation; 

22 ‘‘(v) recovery housing; 

23 ‘‘(vi) community-based and peer re24 covery support services; 


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1 ‘‘(vii) job training and placement as2 sistance to support reintegration into the 

3 workforce; and 

4 ‘‘(viii) other best practices, as deter5 mined by the Secretary. 

6 ‘‘(D) Administer an onsite pharmacy and 

7 provide toxicology services. 

8 ‘‘(E) Establish and operate a secure and 

9 confidential electronic health information sys10 tem. 

11 ‘‘(F) Offer family support services such as 

12 child care, family counseling, and parenting 

13 interventions to help stabilize families impacted 

14 by substance use disorder. 

15 ‘‘(h) DATA REPORTING AND PROGRAM OVER16 SIGHT.—With respect to a grant awarded under sub17 section (a) to an eligible entity for a Center, not later than 

18 90 days after the end of the first year of the grant period, 

19 and annually thereafter for the duration of the grant pe20 riod (including the duration of any renewal period for such 

21 grant), the entity shall submit data, as appropriate, to the 

22 Secretary regarding— 

23 ‘‘(1) the programs and activities funded by the 

24 grant; 


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1 ‘‘(2) health outcomes of individuals with a sub2 stance use disorder who received services from the 

3 Center; 

4 ‘‘(3) the effectiveness of interventions designed, 

5 tested, and evaluated by the Center; and 

6 ‘‘(4) any other information that the Secretary 

7 may require for the purpose of— 

8 ‘‘(A) evaluating the effectiveness of the 

9 Center; and 

10 ‘‘(B) ensuring that the Center is complying 

11 with all the requirements of the grant, including 

12 providing the full continuum of services de13 scribed in subsection (g)(2)(C) and providing 

14 drugs and devices for overdose reversal under 

15 such subsection. 

16 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated $10,000,000 for each of fis18 cal years 2019 through 2023 for purposes of carrying out 

19 this section.’’. 

20 (b) REPORTS TO CONGRESS.— 

21 (1) PRELIMINARY REPORT.—Not later than 3 

22 years after the date of the enactment of this Act, the 

23 Secretary of Health and Human Services shall sub24 mit to Congress a preliminary report that analyzes 


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1 data submitted under section 550(h) of the Public 

2 Health Service Act, as added by subsection (a). 

3 (2) FINAL REPORT.—Not later than 1 year 

4 after submitting the preliminary report required 

5 under paragraph (1), the Secretary of Health and 

6 Human Services shall submit to Congress a final re7 port that includes— 

8 (A) an evaluation of the effectiveness of 

9 comprehensive opioid recovery centers estab10 lished or operated pursuant to section 550 of 

11 the Public Health Service Act, as added by sub12 section (a); 

13 (B) recommendations on whether the grant 

14 program established under such section 550 

15 should be reauthorized and expanded; and 

16 (C) standards and best practices for the 

17 treatment of substance use disorders, as identi18 fied through such grant program. 

Passed the House of Representatives June 12, 2018. 

Attest: KAREN L. HAAS, 

Clerk. 


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