I 

117TH CONGRESS 

2D SESSION H. R. 7105 

To provide for programs and activities with respect to the prevention of 

underage drinking. 

IN THE HOUSE OF REPRESENTATIVES 

MARCH 16, 2022 

Ms. ROYBAL-ALLARD (for herself, Mr. JOYCE of Ohio, Ms. DELAURO, Mr. 

FITZPATRICK, and Mr. TONKO) introduced the following bill; which was 

referred to the Committee on Energy and Commerce 

A BILL 

To provide for programs and activities with respect to the 

prevention of underage drinking. 

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 ‘‘Sober Truth on Pre5 venting Underage Drinking Reauthorization Act’’ or the 

6 ‘‘STOP Act’’. 


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1 SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE 

2 ACT. 

3 Section 519B of the Public Health Service Act (42 

4 U.S.C. 290bb–25b) is amended by striking subsections (a) 

5 through (f) and inserting the following: 

6 ‘‘(a) DEFINITIONS.—For purposes of this section: 

7 ‘‘(1) The term ‘alcohol beverage industry’ 

8 means the brewers, vintners, distillers, importers, 

9 distributors, and retail or online outlets that sell or 

10 serve beer, wine, and distilled spirits. 

11 ‘‘(2) The term ‘school-based prevention’ means 

12 programs, which are institutionalized, and run by 

13 staff members or school-designated persons or orga14 nizations in any grade of school, kindergarten 

15 through 12th grade. 

16 ‘‘(3) The term ‘youth’ means persons under the 

17 age of 21. 

18 ‘‘(b) SENSE OF CONGRESS.—It is the sense of the 

19 Congress that: 

20 ‘‘(1) A multifaceted effort is needed to more 

21 successfully address the problem of underage drink22 ing in the United States. A coordinated approach to 

23 prevention, intervention, treatment, enforcement, 

24 and research is key to making progress. This section 

25 recognizes the need for a focused national effort, 

26 and addresses particulars of the Federal portion of 


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1 that effort, as well as Federal support for State ac2 tivities. 

3 ‘‘(2) The Secretary shall continue to conduct 

4 research and collect data on the short- and long5 range impact of alcohol use and abuse upon adoles6 cent brain development and other organ systems. 

7 ‘‘(3) States and communities, including colleges 

8 and universities, are encouraged to adopt com9 prehensive prevention approaches, including— 

10 ‘‘(A) evidence-based screening, programs, 

11 and curricula; 

12 ‘‘(B) brief intervention strategies; 

13 ‘‘(C) consistent policy enforcement; and 

14 ‘‘(D) science-based strategies to reduce un15 derage drinking. 

16 ‘‘(4) Public health groups, consumer groups, 

17 and the alcohol beverage industry should continue 

18 and expand evidence-based efforts to prevent and re19 duce underage drinking. 

20 ‘‘(5) The entertainment industries and social 

21 media platforms have a powerful impact on youth, 

22 and they should use rating systems and marketing 

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1 vision programs, or social media with unsuitable al2 cohol content. 

3 ‘‘(6) The National Collegiate Athletic Associa4 tion, its member colleges and universities, and ath5 letic conferences should affirm a commitment to a 

6 policy of discouraging alcohol use among underage 

7 students and other young fans. 

8 ‘‘(7) Alcohol is a unique product and should be 

9 regulated differently than other products by the 

10 States and Federal Government. States have pri11 mary authority to regulate alcohol distribution and 

12 sale, and the Federal Government should support 

13 and supplement these State efforts. States also have 

14 a responsibility to fight youth access to alcohol and 

15 reduce underage drinking. Continued State regula16 tion and licensing of the manufacture, importation, 

17 sale, distribution, transportation, and storage of al18 coholic beverages are clearly in the public interest 

19 and are critical to promoting responsible consump20 tion, preventing illegal access to alcohol by persons 

21 under 21 years of age from commercial and non22 commercial sources, maintaining industry integrity 

23 and an orderly marketplace, and furthering effective 

24 State tax collection. 


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1 ‘‘(8) The age-21 minimum drinking law, en2 acted in 1984, has been a remarkably effective pub3 lic health and safety policy, as evidenced by the fact 

4 that the percentage of 12th graders who have drunk 

5 alcohol in the past month has fallen by one-half 

6 since the enactment of such law. 

7 ‘‘(9) The age-21 law has also has been signifi8 cantly effective in reducing drinking and driving 

9 traffic fatalities, as the National Highway Traffic 

10 Safety Administration (NHTSA) estimates that the 

11 age-21 law has saved over 31,000 lives since its in12 ception. 

13 ‘‘(10) Community awareness, support, and mo14 bilization provide an important context for the effec15 tive enforcement of the age-21 minimum drinking 

16 law. 

17 ‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN18 NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN19 TION AND ENFORCEMENT ACTIVITIES.— 

20 ‘‘(1) INTERAGENCY COORDINATING COMMITTEE

21 ON THE PREVENTION OF UNDERAGE DRINKING.— 

22 ‘‘(A) IN GENERAL.—The Secretary, in col23 laboration with the Federal officials specified in 

24 subparagraph (B), shall continue to support 

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1 ordinating committee, that began operating in 

2 2004, focusing on underage drinking (referred 

3 to in this subsection as the ‘Committee’). 

4 ‘‘(B) OTHER AGENCIES.—The officials re5 ferred to in subparagraph (A) are the Secretary 

6 of Education, the Attorney General, the Sec7 retary of Transportation, the Secretary of the 

8 Treasury, the Secretary of Defense, the Sur9 geon General, the Director of the Centers for 

10 Disease Control and Prevention, the Director of 

11 the National Institute on Alcohol Abuse and Al12 coholism, the Assistant Secretary for Mental 

13 Health and Substance Use, the Director of the 

14 National Institute on Drug Abuse, the Assist15 ant Secretary for Children and Families, the 

16 Director of the Office of National Drug Control 

17 Policy, the Administrator of the National High18 way Traffic Safety Administration, the Admin19 istrator of the Office of Juvenile Justice and 

20 Delinquency Prevention, the Chairman of the 

21 Federal Trade Commission, and such other 

22 Federal officials as the Secretary of Health and 

23 Human Services determines to be appropriate. 


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1 ‘‘(C) CHAIR.—The Secretary of Health 

2 and Human Services shall serve as the chair of 

3 the Committee. 

4 ‘‘(D) DUTIES.—The Committee shall guide 

5 policy and program development across the 

6 Federal Government with respect to underage 

7 drinking, provided, however, that nothing in 

8 this section shall be construed as transferring 

9 regulatory or program authority from an Agen10 cy to the Coordinating Committee. 

11 ‘‘(E) CONSULTATIONS.—The Committee 

12 shall actively seek the input of and shall consult 

13 with all appropriate and interested parties, in14 cluding States, public health research and inter15 est groups, foundations, and alcohol beverage 

16 industry trade associations and companies. 

17 ‘‘(F) ANNUAL REPORT.— 

18 ‘‘(i) IN GENERAL.—The Secretary, on 

19 behalf of the Committee, shall annually 

20 submit to the Congress a report that sum21 marizes— 

22 ‘‘(I) all programs and policies of 

23 Federal agencies designed to prevent 

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1 cies that support the adoption and en2 forcement of State policies designed to 

3 prevent and reduce underage drinking 

4 as specified in paragraph (2); 

5 ‘‘(II) the extent of progress in 

6 preventing and reducing underage 

7 drinking at State and national levels; 

8 ‘‘(III) data that the Secretary 

9 shall collect with respect to the infor10 mation specified in clause (ii); and 

11 ‘‘(IV) such other information re12 garding underage drinking as the Sec13 retary determines to be appropriate. 

14 ‘‘(ii) CERTAIN INFORMATION.—The 

15 report under clause (i) shall include infor16 mation on the following: 

17 ‘‘(I) Patterns and consequences 

18 of underage drinking as reported in 

19 research and surveys such as, but not 

20 limited to, Monitoring the Future, 

21 Youth Risk Behavior Surveillance 

22 System, the National Survey on Drug 

23 Use and Health, and the Fatality 

24 Analysis Reporting System. 


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1 ‘‘(II) Measures of the availability 

2 of alcohol from commercial and non3 commercial sources to underage popu4 lations. 

5 ‘‘(III) Measures of the exposure 

6 of underage populations to messages 

7 regarding alcohol in advertising, social 

8 media, and the entertainment media. 

9 ‘‘(IV) Surveillance data, includ10 ing information on the onset and 

11 prevalence of underage drinking, con12 sumption patterns, beverage pref13 erences, prevalence of drinking among 

14 students at institutions of higher edu15 cation, correlations between adult and 

16 youth drinking, and the means of un17 derage access, including trends over 

18 time for these surveillance data. The 

19 Secretary shall develop a plan to im20 prove the collection, measurement, 

21 and consistency of reporting Federal 

22 underage alcohol data. 

23 ‘‘(V) Any additional findings re24 sulting from research conducted or 

25 supported under subsection (f). 


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1 ‘‘(VI) Evidence-based best prac2 tices to prevent and reduce underage 

3 drinking including a review of the re4 search literature related to State laws, 

5 regulations, and policies designed to 

6 prevent and reduce underage drink7 ing, as described in paragraph 

8 (2)(B)(i). 

9 ‘‘(2) ANNUAL REPORT ON STATE UNDERAGE

10 DRINKING PREVENTION AND ENFORCEMENT ACTIVI11 TIES.— 

12 ‘‘(A) IN GENERAL.—The Secretary shall, 

13 with input and collaboration from other appro14 priate Federal agencies, States, Indian Tribes, 

15 territories, and public health, consumer, and al16 cohol beverage industry groups, annually issue 

17 a report on each State’s performance in enact18 ing, enforcing, and creating laws, regulations, 

19 and policies to prevent or reduce underage 

20 drinking based on an assessment of best prac21 tices developed pursuant to paragraph 

22 (1)(F)(ii)(VI) and subparagraph (B)(i). For 

23 purposes of this paragraph, each such report, 

24 with respect to a year, shall be referred to as 

25 the ‘State Report’. Each State Report shall be 


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1 designed as a resource tool for Federal agencies 

2 assisting States in the their underage drinking 

3 prevention efforts, State public health and law 

4 enforcement agencies, State and local policy5 makers, and underage drinking prevention coa6 litions including those receiving grants pursuant 

7 to subsection (e). 

8 ‘‘(B) STATE PERFORMANCE MEASURES.— 

9 ‘‘(i) IN GENERAL.—The Secretary 

10 shall develop, in consultation with the 

11 Committee, a set of measures to be used in 

12 preparing the State Report on best prac13 tices as they relate to State laws, regula14 tions, policies, and enforcement practices. 

15 ‘‘(ii) STATE REPORT CONTENT.—The 

16 State Report shall include updates on 

17 State laws, regulations, and policies in18 cluded in previous reports to Congress, in19 cluding with respect to the following: 

20 ‘‘(I) Whether or not the State 

21 has comprehensive anti-underage 

22 drinking laws such as for the illegal 

23 sale, purchase, attempt to purchase, 

24 consumption, or possession of alcohol; 

25 illegal use of fraudulent ID; illegal 


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1 furnishing or obtaining of alcohol for 

2 an individual under 21 years; the de3 gree of strictness of the penalties for 

4 such offenses; and the prevalence of 

5 the enforcement of each of these in6 fractions. 

7 ‘‘(II) Whether or not the State 

8 has comprehensive liability statutes 

9 pertaining to underage access to alco10 hol such as dram shop, social host, 

11 and house party laws, and the preva12 lence of enforcement of each of these 

13 laws. 

14 ‘‘(III) Whether or not the State 

15 encourages and conducts comprehen16 sive enforcement efforts to prevent 

17 underage access to alcohol at retail 

18 outlets, such as random compliance 

19 checks and shoulder tap programs, 

20 and the number of compliance checks 

21 within alcohol retail outlets measured 

22 against the number of total alcohol re23 tail outlets in each State, and the re24 sult of such checks. 


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1 ‘‘(IV) Whether or not the State 

2 encourages training on the proper 

3 selling and serving of alcohol for all 

4 sellers and servers of alcohol as a con5 dition of employment. 

6 ‘‘(V) Whether or not the State 

7 has policies and regulations with re8 gard to direct sales to consumers and 

9 home delivery of alcoholic beverages. 

10 ‘‘(VI) Whether or not the State 

11 has programs or laws to deter adults 

12 from purchasing alcohol for minors; 

13 and the number of adults targeted by 

14 these programs. 

15 ‘‘(VII) Whether or not the State 

16 has enacted graduated drivers licenses 

17 and the extent of those provisions. 

18 ‘‘(iii) ADDITIONAL CATEGORIES.—In 

19 addition to the updates on State laws, reg20 ulations, and policies listed in clause (ii), 

21 the Secretary shall consider the following: 

22 ‘‘(I) Whether or not States have 

23 adopted laws, regulations, and policies 

24 that deter underage alcohol use, as 

25 described in ‘The Surgeon General’s 


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1 Call to Action to Prevent and Reduce 

2 Underage Drinking’ issued in 2007 

3 and ‘Facing Addiction in America: 

4 The Surgeon General’s Report on Al5 cohol, Drugs and Health’ issued in 

6 2016, including restrictions on low7 price, high-volume drink specials, and 

8 wholesaler pricing provisions. 

9 ‘‘(II) Whether or not States have 

10 adopted laws, regulations, and policies 

11 designed to reduce alcohol advertising 

12 messages attractive to youth and 

13 youth exposure to alcohol advertising 

14 and marketing in measured and 

15 unmeasured media and digital and so16 cial media. 

17 ‘‘(III) Whether or not States 

18 have laws and policies that promote 

19 underage drinking prevention policy 

20 development by local jurisdictions. 

21 ‘‘(IV) Whether or not States 

22 have adopted laws, regulations, and 

23 policies to restrict youth access to al24 coholic beverages that may pose spe25 cial risks to youth, including but not 


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1 limited to alcoholic mists, gelatins, 

2 freezer pops, premixed caffeinated al3 coholic beverages, and flavored malt 

4 beverages. 

5 ‘‘(V) Whether or not States have 

6 adopted uniform best practices proto7 cols for conducting compliance checks 

8 and shoulder tap programs. 

9 ‘‘(VI) Whether or not States 

10 have adopted uniform best practices 

11 penalty protocols for violations of laws 

12 prohibiting retail licensees from sell13 ing or furnishing of alcohol to minors. 

14 ‘‘(iv) UNIFORM DATA SYSTEM.—For 

15 performance measures related to enforce16 ment of underage drinking laws as speci17 fied in clauses (ii) and (iii), the Secretary 

18 shall develop and test a uniform data sys19 tem for reporting State enforcement data, 

20 including the development of a pilot pro21 gram for this purpose. The pilot program 

22 shall include procedures for collecting en23 forcement data from both State and local 

24 law enforcement jurisdictions. 


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1 ‘‘(3) AUTHORIZATION OF APPROPRIATIONS.— 

2 There is authorized to be appropriated to carry out 

3 this subsection $1,000,000 for each of fiscal years 

4 2023 through 2027. 

5 ‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN6 DERAGE DRINKING.— 

7 ‘‘(1) IN GENERAL.—The Secretary, in consulta8 tion with the National Highway Traffic Safety Ad9 ministration, shall develop an intensive, multifaceted, 

10 adult-oriented national media campaign to reduce 

11 underage drinking by influencing attitudes regarding 

12 underage drinking, increasing the willingness of 

13 adults to take actions to reduce underage drinking, 

14 and encouraging public policy changes known to de15 crease underage drinking rates. 

16 ‘‘(2) PURPOSE.—The purpose of the national 

17 media campaign described in this section shall be to 

18 achieve the following objectives: 

19 ‘‘(A) Instill a broad societal commitment to 

20 reduce underage drinking. 

21 ‘‘(B) Increase specific actions by adults 

22 that are meant to discourage or inhibit under23 age drinking. 

24 ‘‘(C) Decrease adult conduct that tends to 

25 facilitate or condone underage drinking. 


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1 ‘‘(3) COMPONENTS.—When implementing the 

2 national media campaign described in this section, 

3 the Secretary shall— 

4 ‘‘(A) educate the public about the public 

5 health and safety benefits of evidence-based 

6 policies to reduce underage drinking, including 

7 minimum legal drinking age laws, and build 

8 public and parental support for and cooperation 

9 with enforcement of such policies; 

10 ‘‘(B) educate the public about the negative 

11 consequences of underage drinking; 

12 ‘‘(C) promote specific actions by adults 

13 that are meant to discourage or inhibit under14 age drinking, including positive behavior mod15 eling, general parental monitoring, and con16 sistent and appropriate discipline; 

17 ‘‘(D) discourage adult conduct that tends 

18 to facilitate underage drinking, including the 

19 hosting of underage parties with alcohol and 

20 the purchasing of alcoholic beverages on behalf 

21 of underage youth; 

22 ‘‘(E) establish collaborative relationships 

23 with local and national organizations and insti24 tutions to further the goals of the campaign 


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1 and assure that the messages of the campaign 

2 are disseminated from a variety of sources; 

3 ‘‘(F) conduct the campaign through multi4 media sources; and 

5 ‘‘(G) conduct the campaign with regard to 

6 changing demographics and cultural and lin7 guistic factors. 

8 ‘‘(4) CONSULTATION REQUIREMENT.—In devel9 oping and implementing the national media cam10 paign described in this section, the Secretary shall 

11 consult recommendations for reducing underage 

12 drinking published by the National Academy of 

13 Sciences and the Surgeon General. The Secretary 

14 shall also consult with interested parties including 

15 medical, public health, and consumer and parent 

16 groups, law enforcement, institutions of higher edu17 cation, community organizations and coalitions, and 

18 other stakeholders supportive of the goals of the 

19 campaign. 

20 ‘‘(5) ANNUAL REPORT.—The Secretary shall 

21 produce an annual report on the progress of the de22 velopment or implementation of the media campaign 

23 described in this subsection, including expenses and 

24 projected costs, and, as such information is avail25 able, report on the effectiveness of such campaign in 


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1 affecting adult attitudes toward underage drinking 

2 and adult willingness to take actions to decrease un3 derage drinking. 

4 ‘‘(6) RESEARCH ON YOUTH-ORIENTED CAM5 PAIGN.—The Secretary may, based on the avail6 ability of funds, conduct research on the potential 

7 success of a youth-oriented national media campaign 

8 to reduce underage drinking. The Secretary shall re9 port any such results to Congress with policy rec10 ommendations on establishing such a campaign. 

11 ‘‘(7) ADMINISTRATION.—The Secretary may 

12 enter into a subcontract with another Federal agen13 cy to delegate the authority for execution and ad14 ministration of the adult-oriented national media 

15 campaign. 

16 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

17 There is authorized to be appropriated to carry out 

18 this section $2,500,000 for each of fiscal years 2023 

19 through 2027. 

20 ‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT

21 GRANTS TO PREVENT UNDERAGE DRINKING.— 

22 ‘‘(1) AUTHORIZATION OF PROGRAM.—The As23 sistant Secretary for Mental Health and Substance 

24 Use, in consultation with the Director of the Office 

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1 hancement grants to eligible entities to design, im2 plement, evaluate, and disseminate comprehensive 

3 strategies to maximize the effectiveness of commu4 nity-wide approaches to preventing and reducing un5 derage drinking. This subsection is subject to the 

6 availability of appropriations. 

7 ‘‘(2) PURPOSES.—The purposes of this sub8 section are to— 

9 ‘‘(A) prevent and reduce alcohol use among 

10 youth in communities throughout the United 

11 States; 

12 ‘‘(B) strengthen collaboration among com13 munities, the Federal Government, Tribal Gov14 ernments, and State and local governments; 

15 ‘‘(C) enhance intergovernmental coopera16 tion and coordination on the issue of alcohol 

17 use among youth; 

18 ‘‘(D) serve as a catalyst for increased cit19 izen participation and greater collaboration 

20 among all sectors and organizations of a com21 munity that first demonstrates a long-term 

22 commitment to reducing alcohol use among 

23 youth; 

24 ‘‘(E) implement state-of-the-art science25 based strategies to prevent and reduce underage 


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1 drinking by changing local conditions in com2 munities; and 

3 ‘‘(F) enhance, not supplant, effective local 

4 community initiatives for preventing and reduc5 ing alcohol use among youth. 

6 ‘‘(3) APPLICATION.—An eligible entity desiring 

7 an enhancement grant under this subsection shall 

8 submit an application to the Assistant Secretary at 

9 such time, and in such manner, and accompanied by 

10 such information and assurances, as the Assistant 

11 Secretary may require. Each application shall in12 clude— 

13 ‘‘(A) a complete description of the entity’s 

14 current underage alcohol use prevention initia15 tives and how the grant will appropriately en16 hance the focus on underage drinking issues; or 

17 ‘‘(B) a complete description of the entity’s 

18 current initiatives, and how it will use this 

19 grant to enhance those initiatives by adding a 

20 focus on underage drinking prevention. 

21 ‘‘(4) USES OF FUNDS.—Each eligible entity 

22 that receives a grant under this subsection shall use 

23 the grant funds to carry out the activities described 

24 in such entity’s application submitted pursuant to 

25 paragraph (3) and obtain specialized training and 


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1 technical assistance by the entity funded under sec2 tion 4 of Public Law 107–82, as amended (21 

3 U.S.C. 1521 note). Grants under this subsection 

4 shall not exceed $60,000 per year and may not ex5 ceed four years. 

6 ‘‘(5) SUPPLEMENT NOT SUPPLANT.—Grant 

7 funds provided under this subsection shall be used to 

8 supplement, not supplant, Federal and non-Federal 

9 funds available for carrying out the activities de10 scribed in this subsection. 

11 ‘‘(6) EVALUATION.—Grants under this sub12 section shall be subject to the same evaluation re13 quirements and procedures as the evaluation re14 quirements and procedures imposed on recipients of 

15 drug-free community grants. 

16 ‘‘(7) DEFINITIONS.—For purposes of this sub17 section, the term ‘eligible entity’ means an organiza18 tion that is currently receiving or has received grant 

19 funds under the Drug-Free Communities Act of 

20 1997. 

21 ‘‘(8) ADMINISTRATIVE EXPENSES.—Not more 

22 than 6 percent of a grant under this subsection may 

23 be expended for administrative expenses. 

24 ‘‘(9) AUTHORIZATION OF APPROPRIATIONS.— 

25 There is authorized to be appropriated to carry out 


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1 this subsection $11,500,000 for each of fiscal years 

2 2023 through 2027. 

3 ‘‘(f) GRANTS TO PROFESSIONAL PEDIATRIC PRO4 VIDER ORGANIZATIONS TO REDUCE UNDERAGE DRINK5 ING THROUGH SCREENING AND BRIEF INTERVEN6 TIONS.— 

7 ‘‘(1) IN GENERAL.—The Secretary, acting 

8 through the Assistant Secretary for Mental Health 

9 and Substance Use, shall make one or more grants 

10 to professional pediatric provider organizations to in11 crease among the members of such organizations ef12 fective practices to reduce the prevalence of alcohol 

13 use among individuals under the age of 21, including 

14 college students. 

15 ‘‘(2) PURPOSES.—Grants under this subsection 

16 shall be made to promote the practices of— 

17 ‘‘(A) screening children and adolescents for 

18 alcohol use; 

19 ‘‘(B) offering brief interventions to chil20 dren and adolescents to discourage such use; 

21 ‘‘(C) educating parents about the dangers 

22 of and methods of discouraging such use; 

23 ‘‘(D) diagnosing and treating alcohol use 

24 disorders; and 


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1 ‘‘(E) referring patients, when necessary, to 

2 other appropriate care. 

3 ‘‘(3) USE OF FUNDS.—A professional pediatric 

4 provider organization receiving a grant under this 

5 section may use the grant funding to promote the 

6 practices specified in paragraph (2) among its mem7 bers by— 

8 ‘‘(A) providing training to health care pro9 viders; 

10 ‘‘(B) disseminating best practices, includ11 ing culturally and linguistically appropriate best 

12 practices, and developing, printing, and distrib13 uting materials; and 

14 ‘‘(C) supporting other activities approved 

15 by the Assistant Secretary. 

16 ‘‘(4) APPLICATION.—To be eligible to receive a 

17 grant under this subsection, a professional pediatric 

18 provider organization shall submit an application to 

19 the Assistant Secretary at such time, and in such 

20 manner, and accompanied by such information and 

21 assurances as the Secretary may require. Each ap22 plication shall include— 

23 ‘‘(A) a description of the pediatric provider 

24 organization; 


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1 ‘‘(B) a description of the activities to be 

2 completed that will promote the practices speci3 fied in paragraph (2); 

4 ‘‘(C) a description of the organization’s 

5 qualifications for performing such practices; 

6 and 

7 ‘‘(D) a timeline for the completion of such 

8 activities. 

9 ‘‘(5) DEFINITIONS.—For the purpose of this 

10 subsection: 

11 ‘‘(A) BRIEF INTERVENTION.—The term 

12 ‘brief intervention’ means, after screening a pa13 tient, providing the patient with brief advice 

14 and other brief motivational enhancement tech15 niques designed to increase the insight of the 

16 patient regarding the patient’s alcohol use, and 

17 any realized or potential consequences of such 

18 use to effect the desired related behavioral 

19 change. 

20 ‘‘(B) CHILDREN AND ADOLESCENTS.—The 

21 term ‘children and adolescents’ means individ22 uals under 21 years of age. 

23 ‘‘(C) PROFESSIONAL PEDIATRIC PROVIDER

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1 atric provider organization’ means an organiza2 tion or association that— 

3 ‘‘(i) consists of or represents pediatric 

4 health care providers; and 

5 ‘‘(ii) is qualified to promote the prac6 tices specified in paragraph (2). 

7 ‘‘(D) SCREENING.—The term ‘screening’ 

8 means using validated patient interview tech9 niques to identify and assess the existence and 

10 extent of alcohol use in a patient. 

11 ‘‘(6) AUTHORIZATION OF APPROPRIATIONS.— 

12 There is authorized to be appropriated to carry out 

13 this subsection $3,000,000 for each of fiscal years 

14 2023 through 2027. 

15 ‘‘(g) DATA COLLECTION AND RESEARCH.— 

16 ‘‘(1) ADDITIONAL RESEARCH ON UNDERAGE

17 DRINKING.— 

18 ‘‘(A) IN GENERAL.—The Secretary shall, 

19 subject to the availability of appropriations, col20 lect data, and conduct or support research that 

21 is not duplicative of research currently being 

22 conducted or supported by the Department of 

23 Health and Human Services, on underage 

24 drinking, with respect to the following: 


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1 ‘‘(i) Improve data collection in sup2 port of evaluation of the effectiveness of 

3 comprehensive community-based programs 

4 or strategies and statewide systems to pre5 vent and reduce underage drinking, across 

6 the underage years from early childhood to 

7 age 21, such as programs funded and im8 plemented by governmental entities, public 

9 health interest groups and foundations, 

10 and alcohol beverage companies and trade 

11 associations, through the development of 

12 models of State-level epidemiological sur13 veillance of underage drinking by funding 

14 in States or large metropolitan areas new 

15 epidemiologists focused on excessive drink16 ing including underage alcohol use. 

17 ‘‘(ii) Obtain and report more precise 

18 information than is currently collected on 

19 the scope of the underage drinking prob20 lem and patterns of underage alcohol con21 sumption, including improved knowledge 

22 about the problem and progress in pre23 venting, reducing, and treating underage 

24 drinking, as well as information on the 

25 rate of exposure of youth to advertising 


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•HR 7105 IH

1 and other media messages encouraging and 

2 discouraging alcohol consumption. 

3 ‘‘(iii) Synthesize, expand on, and 

4 widely disseminate existing research on ef5 fective strategies for reducing underage 

6 drinking, including translational research, 

7 and make this research easily accessible to 

8 the general public. 

9 ‘‘(iv) Improve and conduct public 

10 health surveillance on alcohol use and alco11 hol-related conditions in States by increas12 ing the use of surveys, such as the Behav13 ioral Risk Factor Surveillance System, to 

14 monitor binge and excessive drinking and 

15 related harms among individuals who are 

16 at least 18 years of age, but not more than 

17 20 years of age, including harm caused to 

18 self or others as a result of alcohol use 

19 that is not duplicative of research currently 

20 being conducted or supported by the De21 partment of Health and Human Services. 

22 ‘‘(B) AUTHORIZATION OF APPROPRIA23 TIONS.—There is authorized to be appropriated 

24 to carry out this paragraph $5,000,000 for each 

25 of fiscal years 2023 through 2027. 


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•HR 7105 IH

1 ‘‘(2) NATIONAL ACADEMY OF SCIENCES

2 STUDY.— 

3 ‘‘(A) IN GENERAL.—Not later than 12 

4 months after the enactment of the Sober Truth 

5 on Preventing Underage Drinking Reauthoriza6 tion Act, the Secretary shall— 

7 ‘‘(i) contract with the National Acad8 emy of Sciences to conduct a review of the 

9 research literature regarding the influence 

10 of drinking alcohol on the development of 

11 the adolescent brain and the public policy 

12 implications of this research; and 

13 ‘‘(ii) report to the Congress on the re14 sults of such review. 

15 ‘‘(B) AUTHORIZATION OF APPROPRIA16 TIONS.—There is authorized to be appropriated 

17 to carry out this paragraph $500,000 for fiscal 

18 year 2023.’’. 

Æ 


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