115TH CONGRESS 

2D SESSION H. R. 5294 

AN ACT 

To amend title 40, United States Code, to address the impact 

of drug abuse on economic development in Appalachia, 

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 ‘‘Treating Barriers to 

3 Prosperity Act of 2018’’. 

4 SEC. 2. DRUG ABUSE MITIGATION INITIATIVE. 

5 (a) IN GENERAL.—Chapter 145 of title 40, United 

6 States Code, is amended by inserting after section 14509 

7 the following: 

8 ‘‘§ 14510. Drug abuse mitigation initiative 

9 ‘‘(a) IN GENERAL.—The Appalachian Regional Com10 mission may provide technical assistance to, make grants 

11 to, enter into contracts with, or otherwise provide amounts 

12 to individuals or entities in the Appalachian region for 

13 projects and activities to address drug abuse, including 

14 opioid abuse, in the region, including projects and activi15 ties— 

16 ‘‘(1) to facilitate the sharing of best practices 

17 among States, counties, and other experts in the re18 gion with respect to reducing such abuse; 

19 ‘‘(2) to initiate or expand programs designed to 

20 eliminate or reduce the harm to the workforce and 

21 economic growth of the region that results from such 

22 abuse; 

23 ‘‘(3) to attract and retain relevant health care 

24 services, businesses, and workers; and 
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1 ‘‘(4) to develop relevant infrastructure, includ2 ing broadband infrastructure that supports the use 

3 of telemedicine. 

4 ‘‘(b) LIMITATION ON AVAILABLE AMOUNTS.—Of the 

5 cost of any activity eligible for a grant under this sec6 tion— 

7 ‘‘(1) not more than 50 percent may be provided 

8 from amounts appropriated to carry out this section; 

9 and 

10 ‘‘(2) notwithstanding paragraph (1)— 

11 ‘‘(A) in the case of a project to be carried 

12 out in a county for which a distressed county 

13 designation is in effect under section 14526, 

14 not more than 80 percent may be provided from 

15 amounts appropriated to carry out this section; 

16 and 

17 ‘‘(B) in the case of a project to be carried 

18 out in a county for which an at-risk designation 

19 is in effect under section 14526, not more than 

20 70 percent may be provided from amounts ap21 propriated to carry out this section. 

22 ‘‘(c) SOURCES OF ASSISTANCE.—Subject to sub23 section (b), a grant provided under this section may be 

24 provided from amounts made available to carry out this 

25 section in combination with amounts made available— 
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1 ‘‘(1) under any other Federal program (subject 

2 to the availability of subsequent appropriations); or 

3 ‘‘(2) from any other source. 

4 ‘‘(d) FEDERAL SHARE.—Notwithstanding any provi5 sion of law limiting the Federal share under any other 

6 Federal program, amounts made available to carry out 

7 this section may be used to increase that Federal share, 

8 as the Appalachian Regional Commission determines to be 

9 appropriate.’’. 

10 (b) CLERICAL AMENDMENT.—The analysis for chap11 ter 145 of title 40, United States Code, is amended by 

12 inserting after the item relating to section 14509 the fol13 lowing: 

‘‘14510. Drug abuse mitigation initiative.’’. 

Passed the House of Representatives June 13, 2018. 

Attest: 

Clerk. 

115TH CONGRESS 

2D SESSION H. R. 5294 

AN ACT 

To amend title 40, United States Code, to address 

ment in Appalachia, and for other purposes. the impact of drug abuse on economic develop-