I 

115TH CONGRESS 

2D SESSION H. R. 5933 

To prevent substance abuse and reduce demand for illicit narcotics. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 23, 2018 

Mr. COLLINS of Georgia (for himself and Mr. DEUTCH) introduced the following bill; which was referred to the Committee on Oversight and Government Reform, and in addition to the Committees on the Judiciary, 

and Energy and Commerce, 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 prevent substance abuse and reduce demand for illicit 

narcotics. 

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 ‘‘Substance Abuse Pre5 vention Act of 2018’’. 

6 SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL 

7 DRUG CONTROL POLICY. 

8 (a) OFFICE OF NATIONAL DRUG CONTROL POLICY

9 REAUTHORIZATION ACT OF 1998.— 


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1 (1) IN GENERAL.—The Office of National Drug 

2 Control Policy Reauthorization Act of 1998 (21 

3 U.S.C. 1701 et seq.), as in effect on September 29, 

4 2003, and as amended by the laws described in 

5 paragraph (2), is revived and restored. 

6 (2) LAWS DESCRIBED.—The laws described in 

7 this paragraph are: 

8 (A) The Office of National Drug Control 

9 Policy Reauthorization Act of 2006 (Public 

10 Law 109–469; 125 Stat. 3502). 

11 (B) The Presidential Appointment Effi12 ciency and Streamlining Act of 2011 (Public 

13 Law 112–166; 126 Stat. 1283). 

14 (b) REAUTHORIZATION.—Section 715(a) of the Of15 fice of National Drug Control Policy Reauthorization Act 

16 of 1998 (21 U.S.C. 1712(a)) is amended by striking 

17 ‘‘2010’’ and inserting ‘‘2022’’. 

18 SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMU19 NITIES PROGRAM. 

20 Section 1024 of the National Narcotics Leadership 

21 Act of 1988 (21 U.S.C. 1524(a)) is amended by striking 

22 subsections (a) and (b) and inserting the following: 

23 ‘‘(a) IN GENERAL.—There are authorized to be ap24 propriated to the Office of National Drug Control Policy 


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1 to carry out this chapter $99,000,000 for each of fiscal 

2 years 2018 through 2022. 

3 ‘‘(b) ADMINISTRATIVE COSTS.—Not more than 8 

4 percent of the funds appropriated to carry out this chapter 

5 may be used by the Office of National Drug Control Policy 

6 to pay administrative costs associated with the responsibil7 ities of the Office under this chapter.’’. 

8 SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY 

9 ANTI-DRUG COALITION INSTITUTE. 

10 Section 4(c)(4) of Public Law 107–82 (21 U.S.C. 

11 1521 note) is amended by striking ‘‘2008 through 2012’’ 

12 and inserting ‘‘2018 through 2022’’. 

13 SEC. 5. REAUTHORIZATION OF THE HIGH-INTENSITY DRUG 

14 TRAFFICKING AREA PROGRAM. 

15 Section 707(p) of the Office of National Drug Con16 trol Policy Reauthorization Act of 1998 (21 U.S.C. 

17 1706(p)) is amended— 

18 (1) in paragraph (4), by striking ‘‘and’’ at the 

19 end; 

20 (2) in paragraph (5), by striking the period at 

21 the end and inserting ‘‘; and’’; and 

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

23 ‘‘(6) $280,000,000 for each of fiscal years 2018 

24 through 2022.’’. 


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1 SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM. 

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

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

4 10261(a)(25)(A)) is amended by striking ‘‘Except as pro5 vided’’ and all that follows and inserting the following: 

6 ‘‘Except as provided in subparagraph (C), there are au7 thorized to be appropriated to carry out part EE 

8 $75,000,000 for each of fiscal years 2018 through 2022.’’. 

9 SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSIST10 ANCE. 

11 Section 705 of the Office of National Drug Control 

12 Policy Reauthorization Act of 1998 (21 U.S.C. 1704) is 

13 amended by adding at the end the following— 

14 ‘‘(e) DRUG COURT TRAINING AND TECHNICAL AS15 SISTANCE PROGRAM.—Using funds appropriated to carry 

16 out this title, the Director may make grants to nonprofit 

17 organizations for the purpose of providing training and 

18 technical assistance to drug courts.’’. 

19 SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY. 

20 Section 707 of the Office of National Drug Control 

21 Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 

22 amended by adding at the end the following: 

23 ‘‘(r) DRUG OVERDOSE RESPONSE STRATEGY IMPLE24 MENTATION.—The Director may use funds appropriated 

25 to carry out this section to implement a drug overdose reVerDate Sep 11 2014 18:37 Jun 04, 2018 Jkt 079200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H5933.IH H5933

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1 sponse strategy in high intensity drug trafficking areas on 

2 a nationwide basis by— 

3 ‘‘(1) coordinating multi-disciplinary efforts to 

4 prevent, reduce, and respond to drug overdoses, in5 cluding the uniform reporting of fatal and non-fatal 

6 overdoses to public health and safety officials; 

7 ‘‘(2) increasing data sharing among public safe8 ty and public health officials concerning drug-related 

9 abuse trends, including new psychoactive substances, 

10 and related crime; and 

11 ‘‘(3) enabling collaborative deployment of pre12 vention, intervention, and enforcement resources to 

13 address substance use addiction and narcotics traf14 ficking.’’. 

15 SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM 

16 ACCIDENTAL EXPOSURE. 

17 Section 707 of the Office of National Drug Control 

18 Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 

19 amended by adding at the end the following: 

20 ‘‘(s) SUPPLEMENTAL GRANTS.—The Director is au21 thorized to use not more than $10,000,000 of the amounts 

22 otherwise appropriated to carry out this section to provide 

23 supplemental competitive grants to high intensity drug 

24 trafficking areas that have experienced high seizures of 


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1 fentanyl and new psychoactive substances for the purposes 

2 of— 

3 ‘‘(1) purchasing portable equipment to test for 

4 fentanyl and other substances; 

5 ‘‘(2) training law enforcement officers and 

6 other first responders on best practices for handling 

7 fentanyl and other substances; and 

8 ‘‘(3) purchasing protective equipment, including 

9 overdose reversal drugs.’’. 

10 SEC. 10. COPS ANTI-METH PROGRAM. 

11 Section 1701 of title I of the Omnibus Crime Control 

12 and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend13 ed— 

14 (1) by redesignating subsection (k) as sub15 section (l); and 

16 (2) by inserting after subsection (j) the fol17 lowing: 

18 ‘‘(k) COPS ANTI-METH PROGRAM.—The Attorney 

19 General shall use amounts otherwise appropriated to carry 

20 out this section to make competitive grants, in amounts 

21 of not less than $1,000,000 for a fiscal year, to State law 

22 enforcement agencies with high seizures of precursor 

23 chemicals, finished methamphetamine, laboratories, and 

24 laboratory dump seizures for the purpose of locating or 


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1 investigating illicit activities, such as precursor diversion, 

2 laboratories, or methamphetamine traffickers.’’. 

3 SEC. 11. COPS ANTI-HEROIN TASK FORCE PROGRAM. 

4 Section 1701 of title I of the Omnibus Crime Control 

5 and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend6 ed— 

7 (1) by redesignating subsection (l), as so redes8 ignated by section 10, as subsection (m); and 

9 (2) by inserting after subsection (k), as added 

10 by section 10, the following: 

11 ‘‘(l) COPS ANTI-HEROIN TASK FORCE PROGRAM.— 

12 The Attorney General shall use amounts otherwise appro13 priated to carry out this section, or other amounts as ap14 propriated, to make competitive grants to State law en15 forcement agencies in States with high per capita rates 

16 of primary treatment admissions, for the purpose of locat17 ing or investigating illicit activities, through Statewide col18 laboration, relating to the distribution of heroin, fentanyl, 

19 or carfentanil or relating to the unlawful distribution of 

20 prescription opioids.’’. 

21 SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT 

22 EDUCATION AND AWARENESS. 

23 Part D of title V of the Public Health Service Act 

24 (42 U.S.C. 290dd et seq.) is amended by adding at the 

25 end the following: 


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1 ‘‘SEC. 550. SERVICES FOR FAMILIES AND PATIENTS IN CRI2 SIS. 

3 ‘‘(a) IN GENERAL.—The Secretary may make grants 

4 to entities that focus on addiction and substance use dis5 orders and specialize in family and patient services, advo6 cacy for patients and families, and educational informa7 tion. 

8 ‘‘(b) ALLOWABLE USES.—A grant awarded under 

9 this section may be used for 1 or more of the following 

10 activities: 

11 ‘‘(1) To expand phone line or call center serv12 ices with professional, clinical staff that provide, for 

13 families and individuals impacted by a substance use 

14 disorder, support, access to treatment resources, 

15 brief assessments, medication and overdose preven16 tion education, compassionate listening services, re17 covery support or peer specialists, bereavement and 

18 grief support, and case management. 

19 ‘‘(2) Continued development of health informa20 tion technology systems that leverage new and up21 coming technology and techniques for prevention, 

22 intervention, and filling resource gaps in commu23 nities that are underserved. 

24 ‘‘(3) To enhance and operate treatment and re25 covery resources, easy-to-read scientific and evi26 dence-based education on addiction and substance 


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1 use disorders, and other informational tools for fam2 ilies and individuals impacted by a substance use 

3 disorder and community stakeholders, such as law 

4 enforcement agencies. 

5 ‘‘(4) To provide training and technical assist6 ance to State and local governments, law enforce7 ment agencies, health care systems, research institu8 tions, and other stakeholders. 

9 ‘‘(5) To expand upon and implement edu10 cational information using evidence-based informa11 tion on substance use disorders. 

12 ‘‘(6) To expand the training of community 

13 stakeholders, law enforcement officers, and families 

14 across a broad-range of addiction, health, and re15 lated topics on substance use disorders, local issues 

16 and community-specific issues related to the drug 

17 epidemic. 

18 ‘‘(7) Program evaluation. 

19 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For 

20 each of fiscal years 2018 through 2022, the Secretary is 

21 authorized to award not more than $10,000,000 of 

22 amounts otherwise appropriated to the Secretary for com23 prehensive opioid abuse reduction activities for purposes 

24 of carrying out this section.’’. 


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1 SEC. 13. PROTECTING CHILDREN WITH ADDICTED PAR2 ENTS. 

3 Part D of title V of the Public Health Service Act 

4 (42 U.S.C. 290dd et seq.), as amended by section 12, is 

5 further amended by adding at the end the following: 

6 ‘‘SEC. 551. PROTECTING CHILDREN WITH ADDICTED PAR7 ENTS. 

8 ‘‘(a) BEST PRACTICES.—The Secretary, acting 

9 through the Assistant Secretary and in cooperation with 

10 the Commissioner of the Administration on Children, 

11 Youth and Families, shall collect and disseminate best 

12 practices for States regarding interventions and strategies 

13 to keep families affected by a substance use disorder to14 gether, when it can be done safely. Such best practices 

15 shall— 

16 ‘‘(1) utilize comprehensive family-centered ap17 proaches; 

18 ‘‘(2) ensure that families have access to drug 

19 screening, substance use disorder treatment, medica20 tion-assisted treatment approved by the Food and 

21 Drug Administration, and parental support; and 

22 ‘‘(3) build upon lessons learned from programs 

23 such as the maternal, infant, and early childhood 

24 home visiting program under section 511 of the So25 cial Security Act. 


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1 ‘‘(b) GRANT PROGRAM.—The Secretary shall award 

2 grants to States, units of local government, and tribal gov3 ernments to— 

4 ‘‘(1) develop programs and models designed to 

5 keep pregnant and post-partum women who have a 

6 substance use disorder together with their newborns, 

7 including programs and models that provide for 

8 screenings of pregnant and post-partum women for 

9 substance use disorders, treatment interventions, 

10 supportive housing, nonpharmacological interven11 tions for children born with neonatal abstinence syn12 drome, medication assisted treatment, and other re13 covery supports; and 

14 ‘‘(2) support the attendance of children who 

15 have a family member living with a substance use 

16 disorder at therapeutic camps or other therapeutic 

17 programs aimed at addiction prevention education 

18 and delaying the onset of first use, providing trusted 

19 mentors and education on coping strategies that 

20 these children can use in their daily lives, and family 

21 support initiatives aimed at keeping these families 

22 together.’’. 


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1 SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER 

2 TREATMENT PROFESSIONALS. 

3 (a) GAO REPORT.—Not later than January 1, 2020, 

4 the Comptroller General of the United States shall submit 

5 to Congress a report examining how substance use dis6 order services are reimbursed. 

7 (b) GRANTS TO STATES TO SUPPLEMENT MEDICAID

8 REIMBURSEMENT TO CREDENTIALED SUBSTANCE USE

9 DISORDER PROFESSIONALS.—The Secretary of Health 

10 and Human Services is authorized to make grants to 

11 States for the purpose of supplementing the reimburse12 ment paid to credentialed substance use disorder profes13 sionals (as defined by the Secretary) under the Medicaid 

14 program under title XIX of the Social Security Act (42 

15 U.S.C. 1396 et seq.). 

16 SEC. 15. SOBRIETY TREATMENT AND RECOVERY TEAMS 

17 (START). 

18 Title V of the Public Health Service Act (42 U.S.C. 

19 290dd et seq.), as amended by section 13, is further 

20 amended by adding at the end the following: 

21 ‘‘SEC. 552. SOBRIETY TREATMENT AND RECOVERY TEAMS. 

22 ‘‘(a) IN GENERAL.—The Secretary may make grants 

23 to States, units of local government, or tribal governments 

24 to establish or expand Sobriety Treatment And Recovery 

25 Team (referred to in this section as ‘START’) programs 

26 to determine the effectiveness of pairing social workers 


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1 and mentors with families that are struggling with a sub2 stance use disorder and child abuse or neglect in order 

3 to help provide peer support, intensive treatment, and 

4 child welfare services. 

5 ‘‘(b) ALLOWABLE USES.—A grant awarded under 

6 this section may be used for one or more of the following 

7 activities: 

8 ‘‘(1) Training eligible staff, including social 

9 workers, social services coordinators, child welfare 

10 specialists, substance use disorder treatment profes11 sionals, and mentors. 

12 ‘‘(2) Expanding access to substance use dis13 order treatment services and drug testing. 

14 ‘‘(3) Enhancing data sharing with law enforce15 ment agencies and child welfare agencies. 

16 ‘‘(4) Program evaluation. 

17 ‘‘(c) PROGRAM REQUIREMENTS.—A family may be 

18 eligible to participate in a START program that receives 

19 funding under this section only if— 

20 ‘‘(1) there is a substantiated record or finding 

21 of child abuse or neglect within the family; and 

22 ‘‘(2) substance use disorder was the primary 

23 reason for the record or finding described in para24 graph (1). 


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1 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For 

2 each of fiscal years 2018 through 2022, the Secretary is 

3 authorized to award not more than $10,000,000 of 

4 amounts otherwise appropriated to the Secretary for com5 prehensive opioid abuse reduction activities for purposes 

6 of carrying out this section.’’. 

7 SEC. 16. PROVIDER EDUCATION. 

8 Not later than 60 days after the date of enactment 

9 of this Act, the Attorney General, in consultation with the 

10 Secretary of Health and Human Services, shall complete 

11 the plan related to medical registration coordination re12 quired by Senate Report 114–239, which accompanied the 

13 Veterans Care Financial Protection Act of 2017 (Public 

14 Law 115–131; 132 Stat. 334). 

Æ 


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