I 

115TH CONGRESS 

2D SESSION H. R. 5327 

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. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 19, 2018 

Mr. GUTHRIE (for himself, Mr. GENE GREEN of Texas, Mr. BUCSHON, and 

Mr. BEN RAY LUJA ́N of New Mexico) introduced the following bill; which 

was referred to the Committee on Energy and Commerce 

A BILL 

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, 

3 SECTION 1. SHORT TITLE. 

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

5 Recovery Centers Act of 2018’’. 

6 SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS. 

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

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

9 following new section: 


lotter on DSKBCFDHB2PROD with BILLS
2 

•HR 5327 IH

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

2 ‘‘(a) IN GENERAL.—The Secretary, acting through 

3 the Assistant Secretary for Mental Health and Substance 

4 Use, shall award grants on a competitive basis to eligible 

5 entities to establish or operate a comprehensive opioid re6 covery center (referred to in this section as a ‘Center’). 

7 ‘‘(b) GRANT PERIOD.— 

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

9 subsection (a) shall be for a period not less than 

10 three years and not more than five years. 

11 ‘‘(2) RENEWAL.—A grant awarded under sub12 section (a) may be renewed, on a competitive basis, 

13 for additional periods of time, as determined by the 

14 Secretary. In determining whether to renew a grant 

15 under this paragraph, the Secretary shall consider 

16 the data submitted under subsection (h). 

17 ‘‘(c) MINIMUM NUMBER OF CENTERS.—The Sec18 retary shall allocate the amounts made available under 

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

20 Centers will be established across the United States. 

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

22 grant under subsection (a), an entity shall submit an ap23 plication to the Secretary at such time and in such manner 

24 as the Secretary may require. Such application shall in25 clude— 


lotter on DSKBCFDHB2PROD with BILLS
3 

•HR 5327 IH

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

2 capable of coordinating with other entities to carry 

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

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

5 may require. 

6 ‘‘(e) PRIORITY.—In awarding grants under sub7 section (a), the Secretary shall give priority to eligible enti8 ties located in a State or Indian country (as defined in 

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

10 ‘‘(1) with a high per capita drug overdose mor11 tality rate, as determined by the Director of the 

12 Centers for Disease Control and Prevention; or 

13 ‘‘(2) based on any other criteria or need, as de14 termined by the Secretary. 

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

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

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

18 activities described in subsection (g). 

19 ‘‘(g) CENTER ACTIVITIES.—Each Center shall, at a 

20 minimum, carry out the activities described in this sub21 section. In the case of a Center that determines that a 

22 service described in paragraph (2) cannot reasonably be 

23 carried out by the Center, such Center shall contract with 

24 such other entities as may be necessary to ensure that paVerDate Sep 11 2014 02:41 Mar 28, 2018 Jkt 079200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H5327.IH H5327

lotter on DSKBCFDHB2PROD with BILLS
4 

•HR 5327 IH

1 tients have access to the full range of services described 

2 in such paragraph. 

3 ‘‘(1) COMMUNITY ENGAGEMENT.—Each Center 

4 shall carry out the following outreach activities: 

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

6 work with schools, workplaces, faith-based orga7 nizations, State and local health departments, 

8 law enforcement, and first responders to ensure 

9 that such institutions are aware of the services 

10 of the Center. 

11 ‘‘(B) Disseminate and make available on12 line evidence-based resources that educate pro13 fessionals and the public on opioid use disorder 

14 and other substance use disorders. 

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

16 Each Center shall provide the following treatment 

17 and recovery services: 

18 ‘‘(A) Ensure that intake evaluations meet 

19 the clinical needs of patients. 

20 ‘‘(B) Periodically conduct patient assess21 ments to ensure continued and meaningful re22 covery, as defined by the Assistant Secretary 

23 for Mental Health and Substance Use. 

24 ‘‘(C) Provide the full continuum of treat25 ment services, including— 


lotter on DSKBCFDHB2PROD with BILLS
5 

•HR 5327 IH

1 ‘‘(i) all drugs approved by the Food 

2 and Drug Administration to treat sub3 stance use disorders, including opioid use 

4 disorder and alcohol use disorder; 

5 ‘‘(ii) withdrawal management, which 

6 shall include medically supervised detoxi7 fication that includes patient evaluation, 

8 stabilization, and readiness for and entry 

9 into treatment; 

10 ‘‘(iii) counseling and case manage11 ment; 

12 ‘‘(iv) residential rehabilitation; 

13 ‘‘(v) recovery housing; 

14 ‘‘(vi) community-based and peer re15 covery support services; 

16 ‘‘(vii) job training and placement as17 sistance to support reintegration into the 

18 workforce; and 

19 ‘‘(viii) other best practices, as deter20 mined by the Secretary. 

21 ‘‘(D) Administer an onsite pharmacy and 

22 provide toxicology services. 

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

24 confidential electronic health information sys25 tem. 


lotter on DSKBCFDHB2PROD with BILLS
6 

•HR 5327 IH

1 ‘‘(h) DATA REPORTING AND PROGRAM OVER2 SIGHT.—With respect to a grant awarded under sub3 section (a) to an eligible entity for a Center, not later than 

4 90 days after the end of the first year of the grant period, 

5 and annually thereafter for the duration of the grant pe6 riod (including the duration of any renewal period for such 

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

8 Secretary regarding— 

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

10 grant; 

11 ‘‘(2) health outcomes of individuals with a sub12 stance use disorder who received services from the 

13 Center; 

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

15 tested, and evaluated by the Center; and 

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

17 may require for the purpose of— 

18 ‘‘(A) evaluating the effectiveness of the 

19 Center; and 

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

21 with all the requirements of the grant, including 

22 providing the full continuum of services de23 scribed in subsection (g)(2)(C) and providing 

24 drugs and devices for overdose reversal under 

25 such subsection. 


lotter on DSKBCFDHB2PROD with BILLS
7 

•HR 5327 IH

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

2 authorized to be appropriated $10,000,000 for each of fis3 cal years 2019 through 2023 for purposes of carrying out 

4 this section.’’. 

5 (b) REPORTS TO CONGRESS.— 

6 (1) PRELIMINARY REPORT.—Not later than 

7 three years after the date of the enactment of this 

8 Act, the Secretary of Health and Human Services 

9 shall submit to Congress a preliminary report that 

10 analyzes data submitted under section 550(h) of the 

11 Public Health Service Act, as added by subsection 

12 (a). 

13 (2) FINAL REPORT.—Not later than one year 

14 after submitting the preliminary report required 

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

16 Human Services shall submit to Congress a final re17 port that includes— 

18 (A) an evaluation of the effectiveness of 

19 comprehensive opioid recovery centers estab20 lished or operated pursuant to section 550 of 

21 the Public Health Service Act, as added by sub22 section (a); 

23 (B) recommendations on whether the grant 

24 program established under such section 550 

25 should be reauthorized and expanded; and 


lotter on DSKBCFDHB2PROD with BILLS
8 

•HR 5327 IH

1 (C) standards and best practices for the 

2 treatment of substance use disorders. 

Æ 


lotter on DSKBCFDHB2PROD with BILLS