II 

Calendar No. 475 

115TH CONGRESS 

2D SESSION S. 2789 

To prevent substance abuse and reduce demand for illicit narcotics. 

IN THE SENATE OF THE UNITED STATES 

APRIL 26, 2018 

Mr. CORNYN (for himself, Mrs. FEINSTEIN, Ms. KLOBUCHAR, Mr. TILLIS, Mr. 

BLUMENTHAL, Mr. GRASSLEY, and Mr. DURBIN) introduced the following bill; which was read twice and referred to the Committee on the 

Judiciary 

JUNE 19, 2018 

Reported by Mr. GRASSLEY, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

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’’. 


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1 SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL 

2 DRUG CONTROL POLICY. 

3 (a) OFFICE OF NATIONAL DRUG CONTROL POLICY

4 REAUTHORIZATION ACT OF 1998.— 

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

6 Control Policy Reauthorization Act of 1998 (21 

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

8 2003, and as amended by the laws described in 

9 paragraph (2), is revived and restored. 

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

11 this paragraph are: 

12 (A) The Office of National Drug Control 

13 Policy Reauthorization Act of 2006 (Public 

14 Law 109–469; 125 Stat. 3502). 

15 (B) The Presidential Appointment Effi16 ciency and Streamlining Act of 2011 (Public 

17 Law 112–166; 126 Stat. 1283). 

18 (b) REAUTHORIZATION.—Section 715(a) of the Of19 fice of National Drug Control Policy Reauthorization Act 

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

21 ‘‘2010’’ and inserting ‘‘2022’’. 

22 SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMU23 NITIES PROGRAM. 

24 Section 1024 of the National Narcotics Leadership 

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

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


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1 ‘‘(a) IN GENERAL.—There are authorized to be ap2 propriated to the Office of National Drug Control Policy 

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

4 years 2018 through 2022. 

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

6 percent of the funds appropriated to carry out this chapter 

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

8 to pay administrative costs associated with the responsibil9 ities of the Office under this chapter.’’. 

10 SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY 

11 ANTI-DRUG COALITION INSTITUTE. 

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

13 1521 note) is amended by striking ‘‘2008 through 2012’’ 

14 and inserting ‘‘2018 through 2022’’. 

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

16 TRAFFICKING AREA PROGRAM. 

17 Section 707(p) of the Office of National Drug Con18 trol Policy Reauthorization Act of 1998 (21 U.S.C. 

19 1706(p)) is amended— 

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

21 end; 

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

23 the end and inserting ‘‘; and’’; and 

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


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1 ‘‘(6) $280,000,000 for each of fiscal years 2018 

2 through 2022.’’. 

3 SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM. 

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

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

6 10261(a)(25)(A)) is amended by striking ‘‘Except as pro7 vided’’ and all that follows and inserting the following: 

8 ‘‘Except as provided in subparagraph (C), there are au9 thorized to be appropriated to carry out part EE 

10 $75,000,000 for each of fiscal years 2018 through 2022.’’. 

11 SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSIST12 ANCE. 

13 Section 1034 of the National Narcotics Leadership 

14 Act of 1988 (21 U.S.C. 1534) is amended by adding at 

15 the end the following— 

16 ‘‘(c) DRUG COURT TRAINING AND TECHNICAL AS17 SISTANCE PROGRAM.—Using funds appropriated to carry 

18 out this chapter, the Director may make grants to non19 profit organizations for the purpose of providing training 

20 and technical assistance to drug courts.’’. 

21 SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY. 

22 Section 707 of the Office of National Drug Control 

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

24 amended by adding at the end the following: 


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1 ‘‘(r) DRUG OVERDOSE RESPONSE STRATEGY IMPLE2 MENTATION.—The Director may use funds appropriated 

3 to carry out this section to implement a drug overdose re4 sponse strategy in high intensity drug trafficking areas on 

5 a nationwide basis by— 

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

7 prevent, reduce, and respond to drug overdoses, in8 cluding the uniform reporting of fatal and non-fatal 

9 overdoses to public health and safety officials; 

10 ‘‘(2) increasing data sharing among public safe11 ty and public health officials concerning drug-related 

12 abuse trends, including new psychoactive substances, 

13 and related crime; and 

14 ‘‘(3) enabling collaborative deployment of pre15 vention, intervention, and enforcement resources to 

16 address substance use addiction and narcotics traf17 ficking.’’. 

18 SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM 

19 ACCIDENTAL EXPOSURE. 

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 ‘‘(s) SUPPLEMENTAL GRANTS.—The Director is au24 thorized to use not more than $10,000,000 of the amounts 

25 otherwise appropriated to carry out this section to provide 


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1 supplemental competitive grants to high intensity drug 

2 trafficking areas that have experienced high seizures of 

3 fentanyl and new psychoactive substances for the purposes 

4 of— 

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

6 fentanyl and other substances; 

7 ‘‘(2) training law enforcement officers and 

8 other first responders on best practices for handling 

9 fentanyl and other substances; and 

10 ‘‘(3) purchasing protective equipment, including 

11 overdose reversal drugs.’’. 

12 SEC. 10. DEA 360 STRATEGY. 

13 (a) IN GENERAL.—For each of fiscal years 2018 

14 through 2022, the Attorney General, acting through the 

15 Director of the Drug Enforcement Administration, and in 

16 coordination with the Director of the Office of National 

17 Drug Control Policy and the Secretary of Health and 

18 Human Services, may implement a DEA 360 Strategy in 

19 pilot cities across the United States as a response to grow20 ing demand for heroin and opioids in the United States. 

21 (b) PROGRAM GOALS.—The goals of the DEA 360 

22 Strategy authorized under subsection (a) shall be— 

23 (1) preventing the deadly cycle of drug abuse, 

24 including heroin and opioid abuse, by targeting drug 

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1 sible for increasing the supply of narcotics in com2 munities; 

3 (2) partnering with the healthcare community 

4 to raise awareness of the dangers of heroin abuse 

5 and prescription opioid abuse; and 

6 (3) strengthening community organizations that 

7 provide long-term assistance and support for the re8 duction of drug abuse in the community. 

9 (c) PROGRAM SPECIFICATIONS.—In carrying out the 

10 DEA 360 strategy authorized under subsection (a), the 

11 Attorney General shall— 

12 (1) issue an implementation strategy for each 

13 pilot city that is tailored to the unique drug abuse 

14 problems of the particular city, details specific meas15 ures that will be taken to address the problems, 

16 identifies key community partners, and sets specific 

17 objectives for success; 

18 (2) provide dedicated funding for coordinated 

19 law enforcement actions against drug trafficking or20 ganizations, involving Federal, State, and local law 

21 enforcement officials, including the United States 

22 Attorney’s office for the relevant district; 

23 (3) conduct diversion control enforcement ac24 tions against registrants with the Drug Enforcement 


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1 Administration who are unlawfully distributing con2 trolled substances; 

3 (4) create partnerships with pharmaceutical 

4 drug manufacturers, wholesalers, pharmacies, and 

5 medical practitioners to develop strategies that re6 duce heroin and opioid abuse, including specific ef7 forts to reduce demand for these substances; 

8 (5) increase resources for community partner9 ships with nongovernmental organizations that spe10 cialize in drug abuse prevention, awareness, or treat11 ment; and 

12 (6) conduct training and educational campaigns 

13 on best practices for reducing heroin and opioid 

14 abuse for governmental agencies and nongovern15 mental organizations in pilot cities. 

16 (d) REPORTS.—For each fiscal year in which the At17 torney General carries out the DEA 360 Strategy author18 ized under subsection (a) in a pilot city, the Attorney Gen19 eral shall issue a public report that details the results of 

20 the program in that particular city, including quantitative 

21 measures to show whether or not the program succeeded 

22 in achieving the objectives for success required under sub23 section (c)(1). 

24 (e) ADDITIONAL RESOURCES.—The Director of the 

25 Office of National Drug Control Policy and the Secretary 


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1 of Health and Human Services may use funds otherwise 

2 appropriated for purposes consistent with this section to 

3 assist in the implementation of the DEA 360 Strategy au4 thorized under subsection (a) in pilot cities. 

5 SEC. 11. COPS ANTI-METH PROGRAM. 

6 Section 1701 of the title I of the Omnibus Crime 

7 Control and Safe Streets Act of 1968 (34 U.S.C. 10381) 

8 is amended— 

9 (1) by redesignating subsection (k) as sub10 section (l); and 

11 (2) by inserting after subsection (j) the fol12 lowing: 

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

14 General shall use amounts otherwise appropriated to carry 

15 out this section to make competitive grants, in amounts 

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

17 enforcement agencies with high seizures of precursor 

18 chemicals, finished methamphetamine, laboratories, and 

19 laboratory dump seizures for the purpose of locating or 

20 investigating illicit activities, such as precursor diversion, 

21 laboratories, or methamphetamine traffickers.’’. 

22 SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT 

23 EDUCATION AND AWARENESS. 

24 (a) AMENDMENT TO CARA.—Section 102(a) of the 

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1 lic Law 114–198; 130 Stat. 698) is amended by inserting 

2 ‘‘including the Office of National Drug Control Policy,’’ 

3 after ‘‘agencies,’’. 

4 (b) USE OF FUNDS.—Subchapter I of chapter 2 of 

5 the National Narcotics Leadership Act of 1988 (21 U.S.C. 

6 1531 et seq.) is amended by adding at the end the fol7 lowing: 

8 ‘‘SEC. 1036. COMPREHENSIVE ADDICTION AND RECOVERY 

9 ACT EDUCATION AND AWARENESS. 

10 ‘‘The Director may use funds made available to carry 

11 out this chapter for the purpose of administering, partici12 pating in, or expanding awareness campaigns and preven13 tion efforts authorized under section 102 of the Com14 prehensive Addiction and Recovery Act of 2016 (Public 

15 Law 114–198; 130 Stat. 698).’’. 

16 SEC. 13. PROTECTING CHILDREN WITH ADDICTED PAR17 ENTS. 

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

19 (42 U.S.C. 290dd et seq.) is amended by adding at the 

20 end the following: 

21 ‘‘SEC. 550. PROTECTING CHILDREN WITH ADDICTED PAR22 ENTS. 

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

24 through the Assistant Secretary for Mental Health and 

25 Substance Use and in cooperation with the Commissioner 


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1 of the Administration on Children, Youth and Families, 

2 shall collect and disseminate best practices for States re3 garding interventions and strategies to keep families af4 fected by substance use disorder together, when it can be 

5 done safely. Such best practices shall— 

6 ‘‘(1) utilize comprehensive family-centered ap7 proaches; 

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

9 screening, substance use treatment, medication-as10 sisted treatment approved by the Food and Drug 

11 Administration, and parental support; and 

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

13 such as the Maternal, Infant, and Early Childhood 

14 Home Visiting programs under section 511 of the 

15 Social Security Act. 

16 ‘‘(b) GRANT PROGRAM.—The Secretary, acting 

17 through the Assistant Secretary for Mental Health and 

18 Substance Use, shall award grants for the development of 

19 programs and models designed to keep pregnant and post20 partum women who have a substance use disorder to21 gether with their newborns, including programs and mod22 els that provide for screenings of pregnant and post23 partum women for substance use disorders, treatment 

24 interventions, supportive housing, nonpharmacological 

25 interventions for children born with neonatal abstinence 


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1 syndrome, medication assisted treatment, and other recov2 ery supports.’’. 

3 SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER 

4 TREATMENT PROFESSIONALS. 

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

6 the Comptroller General of the United States shall submit 

7 to Congress a report examining how substance use dis8 order services are reimbursed. 

9 (b) CMS RECOMMENDATIONS.—Not later than Janu10 ary 1, 2019, the Administrator of the Centers for Medi11 care & Medicaid Services shall examine how substance use 

12 disorder services are reimbursed and shall make rec13 ommendations to Congress (taking into consideration the 

14 findings made by the Comptroller General of the United 

15 States in the report required under subsection (a)) as to 

16 how to reimburse the treatment of substance use disorders 

17 at a higher rate in order to attract a more talented work 

18 force. 

19 (c) GRANTS TO STATES TO EXPLORE WAYS TO IN20 CREASE MEDICAID REIMBURSEMENT.—The Secretary of 

21 Health and Human Services is authorized to make grants 

22 to States for the purpose of exploring ways to increase 

23 reimbursement of substance use disorder services under 

24 the Medicaid program under title XIX of the Social Secu25 rity Act (42 U.S.C. 1396 et seq.). 


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1 (d) GRANTS TO STATES TO SUPPLEMENT MEDICAID

2 REIMBURSEMENT TO CREDENTIALED SUBSTANCE USE

3 DISORDER PROFESSIONALS.—The Secretary of Health 

4 and Human Services is authorized to make grants to 

5 States for the purpose of supplementing the reimburse6 ment paid to credentialed substance use disorder profes7 sionals (as defined by the Secretary) under the Medicaid 

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

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

10 SEC. 15. TESTING EVIDENCE-BASED MOBILE APPLICATIONS 

11 FOR THE TREATMENT OF SUBSTANCE USE 

12 DISORDERS. 

13 Section 1115A(b)(2) of the Social Security Act (42 

14 U.S.C. 1315a(b)(2)) is amended— 

15 (1) in subparagraph (A), by adding at the end 

16 the following new sentence: ‘‘The models selected 

17 under this subparagraph shall include the model de18 scribed in subparagraph (D), which shall be imple19 mented by not later than January 1, 2020.’’; and 

20 (2) by adding at the end the following new sub21 paragraph: 

22 ‘‘(D) EVIDENCE-BASED MOBILE APPLICA23 TIONS FOR TREATMENT OF SUBSTANCE USE

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1 dence-based mobile applications for the treat2 ment of substance use disorders.’’. 

3 SEC. 16. MEDICARE HOSPITAL REQUIREMENT TO PROVIDE 

4 NALOXONE AS PART OF THE DISCHARGE 

5 PROTOCOL TO INDIVIDUALS BEING DIS6 CHARGED AFTER SUFFERING AN OPIOID 

7 OVERDOSE. 

8 (a) IN GENERAL.—Section 1866(a)(1) of the Social 

9 Security Act (42 U.S.C. 1395cc(a)(1)) is amended— 

10 (1) in subparagraph (X), by striking ‘‘and’’ at 

11 the end; 

12 (2) in subparagraph (Y), by striking the period 

13 at the end and inserting ‘‘, and’’; and 

14 (3) by inserting after subparagraph (Y), the fol15 lowing new subparagraph: 

16 ‘‘(Z) in the case of a hospital or critical access 

17 hospital, to provide naloxone and treatment referral 

18 options as part of the discharge protocol to individ19 uals being discharged after suffering an opioid over20 dose.’’. 

21 (b) EFFECTIVE DATE.—The amendments made by 

22 subsection (a) shall apply to contracts entered into or re23 newed on or after the date of the enactment of this Act. 


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1 SEC. 17. EDUCATIONAL OUTREACH AND ACCESS TO ABUSE2 DETERRENT OPIOIDS. 

3 (a) ACCESS TO ABUSE-DETERRENT OPIOIDS.— 

4 (1) ACCESS UNDER MEDICARE PART D.—Sec5 tion 1860D–4(c) of the Social Security Act (42 

6 U.S.C. 1395w–104(c)) is amended by adding at the 

7 end the following new paragraph: 

8 ‘‘(7) ACCESS TO ABUSE-DETERRENT OPIOIDS.— 

9 ‘‘(A) IN GENERAL.—The Secretary shall 

10 work with PDP sponsors of prescription drug 

11 plans to— 

12 ‘‘(i) ensure appropriate access to 

13 abuse-deterrent opioids on plan formu14 laries; 

15 ‘‘(ii) provide advanced abuse-deterrent 

16 opioid targeting (as determined by the Sec17 retary) for beneficiaries identified as at18 risk for opioid abuse under the drug man19 agement program under paragraph (5) or 

20 any other opioid risk management program 

21 established by the sponsor; and 

22 ‘‘(iii) encourage access to non-opioid 

23 alternatives when medically appropriate. 

24 ‘‘(B) PROHIBITION ON REQUIRING FAIL

25 FIRST SCHEMES.—The Secretary shall prohibit 

26 PDP sponsors from requiring fail first schemes, 


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1 also known as step therapy, with respect to 

2 abuse-deterrent opioids. 

3 ‘‘(C) ENCOURAGING EQUAL ACCESS.—The 

4 Secretary shall encourage plans to provide equal 

5 access to abuse-deterrent opioids on formulary 

6 tiers and patient cost-sharing. 

7 ‘‘(D) ABUSE-DETERRENT OPIOID DE8 FINED.—In this paragraph, the term ‘abuse-de9 terrent opioid’ means an abuse-deterrent formu10 lation of an opioid, as determined by the Sec11 retary.’’. 

12 (2) ACCESS UNDER PRIVATE HEALTH PLANS.— 

13 Subpart II of title XXVII of the Public Health Serv14 ice Act (42 U.S.C. 300gg–11 et seq.) is amended by 

15 adding at the end the following: 

16 ‘‘SEC. 2729. ACCESS TO ABUSE-DETERRENT OPIOIDS. 

17 ‘‘(a) IN GENERAL.—A group health plan and a health 

18 insurance issuer offering group or individual health insur19 ance coverage shall— 

20 ‘‘(1) ensure appropriate access to abuse-deter21 rent opioids as a prescription drug health benefit 

22 under such plan or coverage; 

23 ‘‘(2) provide advanced abuse-deterrent opioid 

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1 rollees in the plan or coverage who are identified as 

2 at-risk for opioid abuse; and 

3 ‘‘(3) encourage access to non-opioid alternatives 

4 when medically appropriate. 

5 ‘‘(b) PROHIBITION ON REQUIRING FAIL FIRST

6 SCHEMES.—The Secretary shall prohibit a group health 

7 plan and a health insurance issuer offering group or indi8 vidual health insurance coverage from requiring fail first 

9 schemes, also known as step therapy, with respect to 

10 abuse-deterrent opioids. 

11 ‘‘(c) ABUSE-DETERRENT OPIOID DEFINED.—In this 

12 section, the term ‘abuse-deterrent opioid’ means an abuse13 deterrent formulation of an opioid, as determined by the 

14 Secretary.’’. 

15 (3) EFFECTIVE DATE.—The amendments made 

16 by this subsection shall apply with respect to plan 

17 years beginning on or after January 1, 2019. 

18 (b) EDUCATIONAL OUTREACH.—The Secretary of 

19 Health and Human Services shall educate health insur20 ance issuers, Medicare Advantage plans under part C of 

21 title XVIII of the Social Security Act (42 U.S.C. 1395w– 

22 21 et seq.), and prescription drug plans under part D of 

23 such title (42 U.S.C. 1395w–101 et seq.) on opioid abuse 

24 prevention, including the use of abuse-deterrent opioids 


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1 (as such term is defined in section 2729 of the Public 

2 Health Service Act, as added by subsection (a)(2)). 

3 SEC. 18. GRANT PROGRAM TO PROVIDE SUPPORT FOR 

4 MEDICATION ASSISTED TREATMENT. 

5 (a) TRAINING GRANTS.—The Secretary of Health 

6 and Human Services shall award grants to States for the 

7 purpose of training non-physician health care profes8 sionals in the use of medication-assisted treatment ap9 proved by the Food and Drug Administration and related 

10 best practices. 

11 (b) REFERRAL SYSTEM GRANTS.—The Secretary of 

12 Health and Human Services shall award grants to States 

13 for the purpose of improving referral systems and ensur14 ing that such systems are current and accurate, in order 

15 to better enable practitioners to refer patients who are 

16 prescribed medication assisted treatment to cognitive ther17 apy. 

18 SEC. 19. SOBRIETY TREATMENT AND RECOVERY TEAMS 

19 (START). 

20 Title III of the Comprehensive Addiction and Recov21 ery Act of 2016 (Public Law 114–198; 130 Stat. 717) 

22 is amended by adding at the end the following: 

23 ‘‘SEC. 304. SOBRIETY TREATMENT AND RECOVERY TEAMS. 

24 ‘‘(a) IN GENERAL.—The Director of the Office of 

25 National Drug Control Policy, in coordination with the 


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1 Secretary of Health and Human Services, may make 

2 grants to States, units of local government, or tribal gov3 ernments to establish or expand Sobriety Treatment And 

4 Recovery Team (referred to in this section as ‘START’) 

5 programs to determine the effectiveness of pairing social 

6 workers and mentors with families that are struggling 

7 with substance abuse and child abuse or neglect in order 

8 to help provide peer support, intensive treatment, and 

9 child welfare services. 

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

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

12 activities: 

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

14 workers, social services coordinators, child welfare 

15 specialists, substance use disorder treatment profes16 sionals, and mentors. 

17 ‘‘(2) Expanding access to substance use dis18 order treatment services and drug testing. 

19 ‘‘(3) Enhancing data sharing with law enforce20 ment agencies and child welfare agencies. 

21 ‘‘(4) Program evaluation. 

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

23 eligible to participate in a START program that receives 

24 funding under this section only if— 


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

2 of child abuse or neglect within the family; and 

3 ‘‘(2) substance abuse was the primary reason 

4 for the record or finding described in paragraph (1). 

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

6 each of fiscal years 2018 through 2022, the Director of 

7 the Office of National Drug Control Policy, in consultation 

8 with the Secretary of Health and Human Services, is au9 thorized to award not more than $10,000,000 of amounts 

10 otherwise appropriated for comprehensive opioid abuse re11 duction activities for purposes of carrying out this sec12 tion.’’. 

13 SEC. 20. PROVIDER EDUCATION. 

14 Not later than 90 days after the date of enactment 

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

16 Secretary of Health and Human Services, shall complete 

17 the plan related to medical registration coordination re18 quired by Senate Report 114–239, which accompanied the 

19 Veterans Care Financial Protection Act of 2017 (Public 

20 Law 115–131; 132 Stat. 334), including through the 

21 issuance of necessary rules or regulations. 

22 SECTION 1. SHORT TITLE. 

23 This Act may be cited as the ‘‘Substance Abuse Preven24 tion Act of 2018’’. 


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1 SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL 

2 DRUG CONTROL POLICY. 

3 (a) OFFICE OF NATIONAL DRUG CONTROL POLICY RE4 AUTHORIZATION ACT OF 1998.— 

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

6 Control Policy Reauthorization Act of 1998 (21 

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

8 2003, and as amended by the laws described in para9 graph (2), is revived and restored. 

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

11 this paragraph are: 

12 (A) The Office of National Drug Control 

13 Policy Reauthorization Act of 2006 (Public Law 

14 109–469; 120 Stat. 3502). 

15 (B) The Presidential Appointment Effi16 ciency and Streamlining Act of 2011 (Public 

17 Law 112–166; 126 Stat. 1283). 

18 (b) REAUTHORIZATION.—Section 715(a) of the Office 

19 of National Drug Control Policy Reauthorization Act of 

20 1998 (21 U.S.C. 1712(a)) is amended by striking ‘‘2010’’ 

21 and inserting ‘‘2022’’. 

22 SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMU23 NITIES PROGRAM. 

24 Section 1024 of the National Narcotics Leadership Act 

25 of 1988 (21 U.S.C. 1524(a)) is amended by striking sub26 sections (a) and (b) and inserting the following: 


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1 ‘‘(a) IN GENERAL.—There are authorized to be appro2 priated to the Office of National Drug Control Policy to 

3 carry out this chapter $99,000,000 for each of fiscal years 

4 2018 through 2022. 

5 ‘‘(b) ADMINISTRATIVE COSTS.—Not more than 8 per6 cent of the funds appropriated to carry out this chapter 

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

8 to pay administrative costs associated with the responsibil9 ities of the Office under this chapter.’’. 

10 SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY 

11 ANTI-DRUG COALITION INSTITUTE. 

12 Section 4(c)(4) of Public Law 107–82 (21 U.S.C. 1521 

13 note) is amended by striking ‘‘2008 through 2012’’ and in14 serting ‘‘2018 through 2022’’. 

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

16 TRAFFICKING AREA PROGRAM. 

17 Section 707(p) of the Office of National Drug Control 

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

19 amended— 

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

21 end; 

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

23 the end and inserting ‘‘; and’’; and 

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


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1 ‘‘(6) $280,000,000 for each of fiscal years 2018 

2 through 2022.’’. 

3 SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM. 

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

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

6 10261(a)(25)(A)) is amended by striking ‘‘Except as pro7 vided’’ and all that follows and inserting the following: 

8 ‘‘Except as provided in subparagraph (C), there are author9 ized to be appropriated to carry out part EE $75,000,000 

10 for each of fiscal years 2018 through 2022.’’. 

11 SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSIST12 ANCE. 

13 Section 705 of the Office of National Drug Control Pol14 icy Reauthorization Act of 1998 (21 U.S.C. 1704) is amend15 ed by adding at the end the following— 

16 ‘‘(e) DRUG COURT TRAINING AND TECHNICAL ASSIST17 ANCE PROGRAM.—Using funds appropriated to carry out 

18 this title, the Director may make grants to nonprofit orga19 nizations for the purpose of providing training and tech20 nical assistance to drug courts.’’. 

21 SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY. 

22 Section 707 of the Office of National Drug Control Pol23 icy Reauthorization Act of 1998 (21 U.S.C. 1706) is amend24 ed by adding at the end the following: 


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1 ‘‘(r) DRUG OVERDOSE RESPONSE STRATEGY IMPLE2 MENTATION.—The Director may use funds appropriated to 

3 carry out this section to implement a drug overdose re4 sponse strategy in high intensity drug trafficking areas on 

5 a nationwide basis by— 

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

7 prevent, reduce, and respond to drug overdoses, in8 cluding the uniform reporting of fatal and non-fatal 

9 overdoses to public health and safety officials; 

10 ‘‘(2) increasing data sharing among public safe11 ty and public health officials concerning drug-related 

12 abuse trends, including new psychoactive substances, 

13 and related crime; and 

14 ‘‘(3) enabling collaborative deployment of preven15 tion, intervention, and enforcement resources to ad16 dress substance use addiction and narcotics traf17 ficking.’’. 

18 SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM 

19 ACCIDENTAL EXPOSURE. 

20 Section 707 of the Office of National Drug Control Pol21 icy Reauthorization Act of 1998 (21 U.S.C. 1706), as 

22 amended by section 8, is amended by adding at the end 

23 the following: 

24 ‘‘(s) SUPPLEMENTAL GRANTS.—The Director is au25 thorized to use not more than $10,000,000 of the amounts 


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1 otherwise appropriated to carry out this section to provide 

2 supplemental competitive grants to high intensity drug 

3 trafficking areas that have experienced high seizures of 

4 fentanyl and new psychoactive substances for the purposes 

5 of— 

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

7 fentanyl and other substances; 

8 ‘‘(2) training law enforcement officers and other 

9 first responders on best practices for handling 

10 fentanyl and other substances; and 

11 ‘‘(3) purchasing protective equipment, including 

12 overdose reversal drugs.’’. 

13 SEC. 10. COPS ANTI-METH PROGRAM. 

14 Section 1701 of title I of the Omnibus Crime Control 

15 and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend16 ed— 

17 (1) by redesignating subsection (k) as subsection 

18 (l); and 

19 (2) by inserting after subsection (j) the following: 

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

21 General shall use amounts otherwise appropriated to carry 

22 out this section to make competitive grants, in amounts of 

23 not less than $1,000,000 for a fiscal year, to State law en24 forcement agencies with high seizures of precursor chemi25 cals, finished methamphetamine, laboratories, and laboraVerDate Sep 11 2014 22:52 Jun 19, 2018 Jkt 079200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6203 E:\BILLS\S2789.RS S2789

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1 tory dump seizures for the purpose of locating or inves2 tigating illicit activities, such as precursor diversion, lab3 oratories, or methamphetamine traffickers.’’. 

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

5 Section 1701 of title I of the Omnibus Crime Control 

6 and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend7 ed— 

8 (1) by redesignating subsection (l), as so redesig9 nated by section 10, as subsection (m); and 

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

11 section 10, the following: 

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

13 Attorney General shall use amounts otherwise appropriated 

14 to carry out this section, or other amounts as appropriated, 

15 to make competitive grants to State law enforcement agen16 cies in States with high per capita rates of primary treat17 ment admissions, for the purpose of locating or inves18 tigating illicit activities, through Statewide collaboration, 

19 relating to the distribution of heroin, fentanyl, or 

20 carfentanil or relating to the unlawful distribution of pre21 scription opioids.’’. 


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1 SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT 

2 EDUCATION AND AWARENESS. 

3 Part D of title V of the Public Health Service Act (42 

4 U.S.C. 290dd et seq.) is amended by adding at the end the 

5 following: 

6 ‘‘SEC. 550. SERVICES FOR FAMILIES AND PATIENTS IN CRI7 SIS. 

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

9 to entities that focus on addiction and substance use dis10 orders and specialize in family and patient services, advo11 cacy for patients and families, and educational informa12 tion. 

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

14 section may be used for 1 or more of the following activities: 

15 ‘‘(1) To expand phone line or call center services 

16 with professional, clinical staff that provide, for fami17 lies and individuals impacted by a substance use dis18 order, support, access to treatment resources, brief as19 sessments, medication and overdose prevention edu20 cation, compassionate listening services, recovery sup21 port or peer specialists, bereavement and grief sup22 port, and case management. 

23 ‘‘(2) Continued development of health informa24 tion technology systems that leverage new and upcom25 ing technology and techniques for prevention, interVerDate Sep 11 2014 22:52 Jun 19, 2018 Jkt 079200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6203 E:\BILLS\S2789.RS S2789

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1 vention, and filling resource gaps in communities 

2 that are underserved. 

3 ‘‘(3) To enhance and operate treatment and re4 covery resources, easy-to-read scientific and evidence5 based education on addiction and substance use dis6 orders, and other informational tools for families and 

7 individuals impacted by a substance use disorder and 

8 community stakeholders, such as law enforcement 

9 agencies. 

10 ‘‘(4) To provide training and technical assist11 ance to State and local governments, law enforcement 

12 agencies, health care systems, research institutions, 

13 and other stakeholders. 

14 ‘‘(5) To expand upon and implement educational 

15 information using evidence-based information on sub16 stance use disorders. 

17 ‘‘(6) To expand the training of community stake18 holders, law enforcement officers, and families across 

19 a broad-range of addiction, health, and related topics 

20 on substance use disorders, local issues and commu21 nity-specific issues related to the drug epidemic. 

22 ‘‘(7) Program evaluation. 

23 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For each 

24 of fiscal years 2018 through 2022, the Secretary is author25 ized to award not more than $10,000,000 of amounts otherVerDate Sep 11 2014 22:52 Jun 19, 2018 Jkt 079200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6203 E:\BILLS\S2789.RS S2789

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1 wise appropriated to the Secretary for comprehensive opioid 

2 abuse reduction activities for purposes of carrying out this 

3 section.’’. 

4 SEC. 13. PROTECTING CHILDREN WITH ADDICTED PAR5 ENTS. 

6 Part D of title V of the Public Health Service Act (42 

7 U.S.C. 290dd et seq.), as amended by section 12, is further 

8 amended by adding at the end the following: 

9 ‘‘SEC. 551. PROTECTING CHILDREN WITH ADDICTED PAR10 ENTS. 

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

12 through the Assistant Secretary and in cooperation with the 

13 Commissioner of the Administration on Children, Youth 

14 and Families, shall collect and disseminate best practices 

15 for States regarding interventions and strategies to keep 

16 families affected by a substance use disorder together, when 

17 it can be done safely. Such best practices shall— 

18 ‘‘(1) utilize comprehensive family-centered ap19 proaches; 

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

21 screening, substance use disorder treatment, medica22 tion-assisted treatment approved by the Food and 

23 Drug Administration, and parental support; and 

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

25 such as the maternal, infant, and early childhood 


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1 home visiting program under section 511 of the So2 cial Security Act. 

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

4 grants to States, units of local government, and tribal gov5 ernments to— 

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

7 keep pregnant and post-partum women who have a 

8 substance use disorder together with their newborns, 

9 including programs and models that provide for 

10 screenings of pregnant and post-partum women for 

11 substance use disorders, treatment interventions, sup12 portive housing, nonpharmacological interventions for 

13 children born with neonatal abstinence syndrome, 

14 medication assisted treatment, and other recovery 

15 supports; and 

16 ‘‘(2) support the attendance of children who have 

17 a family member living with a substance use disorder 

18 at therapeutic camps or other therapeutic programs 

19 aimed at addiction prevention education and delay20 ing the onset of first use, providing trusted mentors 

21 and education on coping strategies that these children 

22 can use in their daily lives, and family support ini23 tiatives aimed at keeping these families 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 disorder 

6 services are reimbursed. 

7 (b) GRANTS TO STATES TO SUPPLEMENT MEDICAID

8 REIMBURSEMENT TO CREDENTIALED SUBSTANCE USE

9 DISORDER PROFESSIONALS.—The Secretary of Health and 

10 Human Services is authorized to make grants to States for 

11 the purpose of supplementing the reimbursement paid to 

12 credentialed substance use disorder professionals (as defined 

13 by the Secretary) under the Medicaid program under title 

14 XIX of the Social Security Act (42 U.S.C. 1396 et seq.). 

15 SEC. 15. SOBRIETY TREATMENT AND RECOVERY TEAMS 

16 (START). 

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

18 290dd et seq.), as amended by section 13, is further amend19 ed by adding at the end the following: 

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

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

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

23 to establish or expand Sobriety Treatment And Recovery 

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

25 to determine the effectiveness of pairing social workers and 

26 mentors with families that are struggling with a substance 


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1 use disorder and child abuse or neglect in order to help pro2 vide peer support, intensive treatment, and child welfare 

3 services. 

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

5 section may be used for one or more of the following activi6 ties: 

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

8 workers, social services coordinators, child welfare 

9 specialists, substance use disorder treatment profes10 sionals, and mentors. 

11 ‘‘(2) Expanding access to substance use disorder 

12 treatment services and drug testing. 

13 ‘‘(3) Enhancing data sharing with law enforce14 ment agencies and child welfare agencies. 

15 ‘‘(4) Program evaluation. 

16 ‘‘(c) PROGRAM REQUIREMENTS.—A family may be eli17 gible to participate in a START program that receives 

18 funding under this section only if— 

19 ‘‘(1) there is a substantiated record or finding of 

20 child abuse or neglect within the family; and 

21 ‘‘(2) substance use disorder was the primary rea22 son for the record or finding described in paragraph 

23 (1). 

24 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For each 

25 of fiscal years 2018 through 2022, the Secretary is authorVerDate Sep 11 2014 22:52 Jun 19, 2018 Jkt 079200 PO 00000 Frm 00032 Fmt 6652 Sfmt 6203 E:\BILLS\S2789.RS S2789

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1 ized to award not more than $10,000,000 of amounts other2 wise appropriated to the Secretary for comprehensive opioid 

3 abuse reduction activities for purposes of carrying out this 

4 section.’’. 

5 SEC. 16. PROVIDER EDUCATION. 

6 Not later than 60 days after the date of enactment of 

7 this Act, the Attorney General, in consultation with the Sec8 retary of Health and Human Services, shall complete the 

9 plan related to medical registration coordination required 

10 by Senate Report 114–239, which accompanied the Veterans 

11 Care Financial Protection Act of 2017 (Public Law 115– 

12 131; 132 Stat. 334). 


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Calendar No. 475 

115TH CONGRESS 

2D SESSION S. 2789 

A BILL 

To prevent substance abuse and reduce demand for 

illicit narcotics. 

JUNE 19, 2018 

Reported with an amendment 


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