I 

115TH CONGRESS 

2D SESSION H. R. 5456 

To amend the Public Health Service Act to authorize grants to health centers 

to expand access to evidence-based substance abuse treatment services. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 10, 2018 

Ms. DELAURO introduced the following bill; which was referred to the 

Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to authorize grants 

to health centers to expand access to evidence-based substance abuse treatment services. 

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 ‘‘Access to Substance 

5 Abuse Treatment Act of 2018’’. 

6 SEC. 2. EXPANDED ACCESS TO SUBSTANCE ABUSE TREAT7 MENT SERVICES. 

8 Title V of the Public Health Service Act is amended 

9 by inserting after section 514 of such Act (42 U.S.C. 

10 290bb–7) the following: 


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1 ‘‘SEC. 514A. EXPANDED ACCESS TO SUBSTANCE ABUSE 

2 TREATMENT SERVICES. 

3 ‘‘(a) IN GENERAL.—The Director of the Center for 

4 Substance Abuse Treatment shall make grants to Feder5 ally qualified health centers, substance abuse treatment 

6 centers, rehabilitation treatment centers, or residential 

7 treatment centers to expand access to substance abuse 

8 treatment services for adults, adolescents, and children 

9 by— 

10 ‘‘(1) increasing education, screening, care co11 ordination, risk reduction interventions, or coun12 seling regarding the availability of testing, treat13 ment, and clinical management for patients with or 

14 at risk of HIV/AIDS, hepatitis C, and other diseases 

15 associated with opioid use disorders; 

16 ‘‘(2) enhancing clinical workflow to improve 

17 substance abuse treatment services; 

18 ‘‘(3) enhancing the use of health information 

19 technologies to improve the effectiveness of sub20 stance abuse treatment services and increase patient 

21 engagement; 

22 ‘‘(4) educating patients and community mem23 bers on opioid use disorders, including the use of 

24 opioid antagonists in preventing opioid overdose; 


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1 ‘‘(5) expanding treatment capacity in rural and 

2 underserved communities through the use of tele3 medicine; 

4 ‘‘(6) providing treatment transition and cov5 erage for patients reentering communities from 

6 criminal justice settings or other rehabilitative set7 tings; 

8 ‘‘(7) training and certifying opioid use disorder 

9 treatment providers, including physicians, nurses, 

10 counselors, social workers, care coordinators, and 

11 case managers; 

12 ‘‘(8) supporting innovative delivery of medica13 tion-assisted treatment; and 

14 ‘‘(9) enhancing prevention using evidence-based 

15 methods proven to reduce the number of persons 

16 with opioid use disorders. 

17 ‘‘(b) PRIORITY.—In awarding grants under this sub18 section, the Director shall prioritize grants to Federally 

19 qualified health centers, substance abuse treatment cen20 ters and programs, rehabilitation treatment centers and 

21 programs, and residential treatment centers— 

22 ‘‘(1) serving communities with a greater inci23 dence of substance abuse; or 

24 ‘‘(2) providing, or proposing to incorporate, 

25 medication-assisted treatment. 


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1 ‘‘(c) REQUIREMENTS.— 

2 ‘‘(1) EVIDENCE-BASED, COST-EFFECTIVE.— 

3 Services funded through a grant under this sub4 section shall be— 

5 ‘‘(A) evidence-based; and 

6 ‘‘(B) cost-effective. 

7 ‘‘(2) MANNER OF PROVIDING SERVICES.—Serv8 ices funded through a grant under this section— 

9 ‘‘(A) may be provided by the grantee di10 rectly or through referrals to other providers 

11 with which the grantee has a formal relation12 ship; and 

13 ‘‘(B) shall be provided in a manner reflect14 ing person-centered care. 

15 ‘‘(d) PROVIDERS.—Providers treating patients for 

16 substance use disorders pursuant to a grant under this 

17 subsection shall be licensed or credentialed, as applicable, 

18 in the States involved to treat such patients for such dis19 orders. 

20 ‘‘(e) DEFINITIONS.—In this section: 

21 ‘‘(1) The term ‘Federally qualified health cen22 ter’ has the meanings given the term in section 

23 1861(aa) of the Social Security Act. 

24 ‘‘(2) The term ‘substance abuse treatment serv25 ices’ includes the following: 


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1 ‘‘(A) Screening, assessment, and diagnosis, 

2 including risk assessment. 

3 ‘‘(B) Patient-centered treatment planning 

4 or similar processes, including risk assessment 

5 and crisis planning. 

6 ‘‘(C) Outpatient substance use services, in7 cluding medication-assisted treatment, recovery 

8 support services, and related behavioral health 

9 services. 

10 ‘‘(D) Targeted case management. 

11 ‘‘(E) Peer support, counselor services, re12 covery coaching, and family supports. 

13 ‘‘(F) Harm reduction and syringe services 

14 programs. 

15 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 

16 is authorized to be appropriated to carry out this sub17 section $1,000,000,000 for each of fiscal years 2019 

18 through 2024.’’. 

Æ 


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