II 

117TH CONGRESS 

2D SESSION S. 4301 

To reauthorize and improve the block grants for prevention and treatment 

of substance abuse. 

IN THE SENATE OF THE UNITED STATES 

MAY 25, 2022 

Ms. HASSAN (for herself, Ms. MURKOWSKI, and Mr. LUJA ́N) introduced the 

following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To reauthorize and improve the block grants for prevention 

and treatment of substance abuse. 

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 Use Preven5 tion, Treatment, and Recovery Act’’. 

6 SEC. 2. OTHER AMENDMENTS TO THE BLOCK GRANTS FOR 

7 PREVENTION AND TREATMENT OF SUB8 STANCE ABUSE. 

9 (a) CERTAIN ALLOCATIONS.— 


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1 (1) ALLOCATIONS REGARDING RECOVERY.— 

2 Section 1922 of the Public Health Service Act (42 

3 U.S.C. 300x–22) is amended by adding at the end 

4 the following: 

5 ‘‘(c) ALLOCATIONS REGARDING RECOVERY.— 

6 ‘‘(1) IN GENERAL.—A funding agreement for 

7 this grant under section 1921 is that, in expending 

8 the grant, the State involved will expend not less 

9 than 10 percent each fiscal year for programs for 

10 community-based and peer recovery support services 

11 for individuals with a substance use disorder. 

12 ‘‘(2) SPECIAL RULE FOR 2023.—Notwith13 standing paragraph (1), for fiscal year 2023, a State 

14 shall expend not less than 7 percent for programs 

15 described in such paragraph, provided that, in fiscal 

16 year 2024, the State expends for such programs an 

17 amount equal to any difference between 10 percent 

18 of the grant amount for fiscal year 2023 and the 

19 amount actually expended for such programs in fis20 cal year 2023, in addition to meeting the require21 ments of paragraph (1) with respect to grant 

22 amounts for fiscal year 2024.’’. 

23 (2) TECHNICAL AMENDMENT.—Effective as if 

24 included in the enactment of the Children’s Health 

25 Act of 2000 (Public Law 106–310), section 


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1 3303(f)(2)(A) of the Children’s Health Act of 2000 

2 (Public Law 106–310; 114 Stat. 1211) is amended 

3 by striking ‘‘section 1922(c) of the Public Health 

4 Service Act (42 U.S.C. 300x–22(c))’’ and inserting 

5 ‘‘section 1922(b) of the Public Health Service Act, 

6 as amended by section 3303(a),’’. 

7 (b) PUBLIC HEALTH PROMOTION FOR RECOVERY.— 

8 (1) FORMULA GRANTS.—Section 1921(b) of the 

9 Public Health Service Act (42 U.S.C. 300x–21(b)) is 

10 amended— 

11 (A) by inserting ‘‘, including measures for 

12 infrastructure, education, or outreach to pre13 vent overdose or other health risks,’’ after ‘‘sub14 stance use disorders’’; and 

15 (B) by inserting ‘‘evidence-based or evi16 dence-informed’’ after ‘‘evaluating’’. 

17 (2) CERTAIN RESTRICTIONS ON EXPENDI18 TURES.—Section 1931(a)(1) of the Public Health 

19 Service Act (42 U.S.C. 300x–31(a)(1)) is amend20 ed— 

21 (A) in subparagraph (E), by striking ‘‘; 

22 or’’ and inserting a semicolon; 

23 (B) in subparagraph (F), by striking the 

24 period and inserting ‘‘; or’’; and 

25 (C) by adding at the end the following: 


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1 ‘‘(G) in a manner that excludes individuals 

2 on the basis that such individuals receive drugs 

3 approved by the Food and Drug Administration 

4 for the treatment of substance use disorders.’’. 

5 (c) RESTRICTIONS ON EXPENDITURE OF GRANT.— 

6 Section 1931(a) of the Public Health Service Act (42 

7 U.S.C. 300x–31(a)) is amended— 

8 (1) in paragraph (1)(F), by inserting ‘‘, except 

9 that the State may use such grant to provide sup10 port to programs that include infrastructure, edu11 cation, or outreach services’’ before the period; and 

12 (2) by amending paragraph (3) to read as fol13 lows: 

14 ‘‘(3) LIMITATION REGARDING PENAL AND COR15 RECTIONAL INSTITUTIONS.—A funding agreement 

16 for this grant under section 1921 is that, in expend17 ing the grant, the State involved will expend not 

18 more than such a percentage of the block grant 

19 treatment budget, between 5 and 10 percent, as the 

20 Secretary may specify, for the purpose of providing 

21 treatment services in penal or correctional institu22 tions of the State.’’. 

23 (d) STUDY ON ASSESSMENT FOR USE IN DISTRIBU24 TION OF LIMITED STATE RESOURCES.— 


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1 (1) IN GENERAL.—The Secretary of Health and 

2 Human Services (referred to in this section as the 

3 ‘‘Secretary’’), acting through the Assistant Secretary 

4 for Mental Health and Substance Use, in consulta5 tion with States and other local entities providing 

6 prevention, treatment, or recovery support services 

7 related to substance use, shall conduct a study to de8 velop a model needs assessment process for States to 

9 consider to help determine how best to allocate block 

10 grant funding received under subpart II of part B 

11 of title XIX of the Public Health Service Act (42 

12 U.S.C. 300x–21 et seq.) to provide services to sub13 stance use disorder prevention, treatment, and re14 covery support. The study shall include cost esti15 mates with each model needs assessment process. 

16 (2) REPORT.—Not later than 1 year after the 

17 date of the enactment of this Act, the Secretary 

18 shall submit to the Committee on Health, Edu19 cation, Labor, and Pensions of the Senate and the 

20 Committee on Energy and Commerce of the House 

21 of Representatives a report on the results of the 

22 study conducted under paragraph (1). 

23 (e) FUNDING.—Section 1935(a) of the Public Health 

24 Service Act (42 U.S.C. 300x–35(a)) is amended by strik25 ing ‘‘$1,858,079,000 for each of fiscal years 2018 through 


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1 2022.’’ and inserting ‘‘$3,200,000,000 for each of fiscal 

2 years 2023 through 2027’’. 

3 SEC. 3. ELIMINATING STIGMATIZING LANGUAGE RELATING 

4 TO SUBSTANCE USE. 

5 (a) BLOCK GRANTS FOR PREVENTION AND TREAT6 MENT OF SUBSTANCE USE.—Part B of title XIX of the 

7 Public Health Service Act (42 U.S.C. 300x et seq.) is 

8 amended— 

9 (1) in the part heading, by striking ‘‘SUB10 STANCE ABUSE’’ and inserting ‘‘SUBSTANCE

11 USE’’; 

12 (2) in section 1922(a) (42 U.S.C. 300x– 

13 22(a))— 

14 (A) in paragraph (1), in the matter pre15 ceding subparagraph (A), by striking ‘‘sub16 stance abuse’’ and inserting ‘‘substance use dis17 orders’’; and 

18 (B) by striking ‘‘such abuse’’ each place it 

19 appears in paragraphs (1) and (2) and insert20 ing ‘‘such use’’; 

21 (3) in section 1923 (42 U.S.C. 300x–23)— 

22 (A) in the section heading, by striking 

23 ‘‘SUBSTANCE ABUSE’’ and inserting ‘‘SUB24 STANCE USE’’; and 


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1 (B) by striking ‘‘drug abuse’’ each place it 

2 appears in subsections (a) and (b) and inserting 

3 ‘‘substance use disorders’’; 

4 (4) in section 1925(a)(1) (42 U.S.C. 300x– 

5 25(a)(1)), by striking ‘‘alcohol or drug abuse’’ and 

6 inserting ‘‘alcohol or other substance use disorders’’; 

7 (5) in section 1926(b)(2)(B) (42 U.S.C. 300x– 

8 26(b)(2)(B)), by striking ‘‘substance abuse’’; 

9 (6) in section 1931(b)(2) (42 U.S.C. 300x– 

10 31(b)(2)), by striking ‘‘substance abuse’’ and insert11 ing ‘‘substance use disorders’’; 

12 (7) in section 1933(d)(1) (42 U.S.C. 300x– 

13 33(d)), in the matter following subparagraph (B), by 

14 striking ‘‘abuse of alcohol and other drugs’’ and in15 serting ‘‘use of substances’’; 

16 (8) by amending paragraph (4) of section 1934 

17 (42 U.S.C. 300x–34) to read as follows: 

18 ‘‘(4) The term ‘substance use disorder’ means 

19 the recurrent use of alcohol or other drugs that 

20 causes clinically significant impairment.’’; 

21 (9) in section 1935 (42 U.S.C. 300x–35)— 

22 (A) in subsection (a), by striking ‘‘sub23 stance abuse’’ and inserting ‘‘substance use dis24 orders’’; and 


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1 (B) in subsection (b)(1), by striking ‘‘sub2 stance abuse’’ each place it appears and insert3 ing ‘‘substance use disorders’’; 

4 (10) in section 1949 (42 U.S.C. 300x–59), by 

5 striking ‘‘substance abuse’’ each place it appears in 

6 subsections (a) and (d) and inserting ‘‘substance use 

7 disorders’’; 

8 (11) in section 1954(b)(4) (42 U.S.C. 300x– 

9 64(b)(4))— 

10 (A) by striking ‘‘substance abuse’’ each 

11 place it appears and inserting ‘‘substance use 

12 disorders’’; and 

13 (B) by striking ‘‘such abuse’’ and inserting 

14 ‘‘such disorders’’; 

15 (12) in section 1955 (42 U.S.C. 300x–65), by 

16 striking ‘‘substance abuse’’ each place it appears 

17 and inserting ‘‘substance use disorder’’; and 

18 (13) in section 1956 (42 U.S.C. 300x–66), by 

19 striking ‘‘substance abuse’’ each place it appears 

20 and inserting ‘‘substance use disorders’’. 

21 (b) CERTAIN PROGRAMS REGARDING MENTAL

22 HEALTH AND SUBSTANCE ABUSE.—Part C of title XIX 

23 of the Public Health Service Act (42 U.S.C. 300y et seq.) 

24 is amended— 


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1 (1) in the part heading, by striking ‘‘SUB2 STANCE ABUSE’’ and inserting ‘‘SUBSTANCE

3 USE’’; 

4 (2) in section 1971 (42 U.S.C. 300y), by strik5 ing ‘‘substance abuse’’ each place it appears in sub6 sections (a), (b), and (f) and inserting ‘‘substance 

7 use’’; and 

8 (3) in section 1976 (42 U.S.C. 300y–11), by 

9 striking ‘‘intravenous abuse’’ and inserting ‘‘intra10 venous use’’. 

Æ 


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