Substance Use Prevention, Treatment, and Recovery Act

To reauthorize and improve the block grants for prevention and treatment of substance abuse. 1. Short title This Act may be cited as the Substance Use Prevention, Treatment, and Recovery Act 2. Other amendments to the block Grants for Prevention and Treatment of Substance Abuse (a) Certain allocations (1) Allocations regarding recovery Section 1922 of the Public Health Service Act ( 42 U.S.C. 300x–22 (c) Allocations regarding recovery (1) In general A funding agreement for this grant under section 1921 is that, in expending the grant, the State involved will expend not less than 10 percent each fiscal year for programs for community-based and peer recovery support services for individuals with a substance use disorder. (2) Special rule for 2023 Notwithstanding paragraph (1), for fiscal year 2023, a State shall expend not less than 7 percent for programs described in such paragraph, provided that, in fiscal year 2024, the State expends for such programs an amount equal to any difference between 10 percent of the grant amount for fiscal year 2023 and the amount actually expended for such programs in fiscal year 2023, in addition to meeting the requirements of paragraph (1) with respect to grant amounts for fiscal year 2024. . (2) Technical amendment Effective as if included in the enactment of the Children's Health Act of 2000 ( Public Law 106–310 Public Law 106–310 section 1922(c) of the Public Health Service Act ( 42 U.S.C. 300x–22(c) section 1922(b) of the Public Health Service Act, as amended by section 3303(a), (b) Public health promotion for recovery (1) Formula grants Section 1921(b) of the Public Health Service Act ( 42 U.S.C. 300x–21(b) (A) by inserting , including measures for infrastructure, education, or outreach to prevent overdose or other health risks, substance use disorders (B) by inserting evidence-based or evidence-informed evaluating (2) Certain restrictions on expenditures Section 1931(a)(1) of the Public Health Service Act ( 42 U.S.C. 300x–31(a)(1) (A) in subparagraph (E), by striking ; or (B) in subparagraph (F), by striking the period and inserting ; or (C) by adding at the end the following: (G) in a manner that excludes individuals on the basis that such individuals receive drugs approved by the Food and Drug Administration for the treatment of substance use disorders. . (c) Restrictions on expenditure of grant Section 1931(a) of the Public Health Service Act ( 42 U.S.C. 300x–31(a) (1) in paragraph (1)(F), by inserting , except that the State may use such grant to provide support to programs that include infrastructure, education, or outreach services (2) by amending paragraph (3) to read as follows: (3) Limitation regarding penal and correctional institutions A funding agreement for this grant under section 1921 is that, in expending the grant, the State involved will expend not more than such a percentage of the block grant treatment budget, between 5 and 10 percent, as the Secretary may specify, for the purpose of providing treatment services in penal or correctional institutions of the State. . (d) Study on assessment for use in distribution of limited State resources (1) In general The Secretary of Health and Human Services (referred to in this section as the Secretary 42 U.S.C. 300x–21 et seq. (2) Report Not later than 1 year after the date of the enactment of this Act, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report on the results of the study conducted under paragraph (1). (e) Funding Section 1935(a) of the Public Health Service Act ( 42 U.S.C. 300x–35(a) $1,858,079,000 for each of fiscal years 2018 through 2022. $3,200,000,000 for each of fiscal years 2023 through 2027 3. Eliminating stigmatizing language relating to substance use (a) Block Grants for Prevention and Treatment of Substance Use Part B of title XIX of the Public Health Service Act ( 42 U.S.C. 300x et seq. (1) in the part heading, by striking Substance Abuse Substance Use (2) in section 1922(a) ( 42 U.S.C. 300x–22(a) (A) in paragraph (1), in the matter preceding subparagraph (A), by striking substance abuse substance use disorders (B) by striking such abuse such use (3) in section 1923 ( 42 U.S.C. 300x–23 (A) in the section heading, by striking Substance Abuse Substance Use (B) by striking drug abuse substance use disorders (4) in section 1925(a)(1) ( 42 U.S.C. 300x–25(a)(1) alcohol or drug abuse alcohol or other substance use disorders (5) in section 1926(b)(2)(B) ( 42 U.S.C. 300x–26(b)(2)(B) substance abuse (6) in section 1931(b)(2) ( 42 U.S.C. 300x–31(b)(2) substance abuse substance use disorders (7) in section 1933(d)(1) ( 42 U.S.C. 300x–33(d) abuse of alcohol and other drugs use of substances (8) by amending paragraph (4) of section 1934 ( 42 U.S.C. 300x–34 (4) The term substance use disorder ; (9) in section 1935 ( 42 U.S.C. 300x–35 (A) in subsection (a), by striking substance abuse substance use disorders (B) in subsection (b)(1), by striking substance abuse substance use disorders (10) in section 1949 ( 42 U.S.C. 300x–59 substance abuse substance use disorders (11) in section 1954(b)(4) ( 42 U.S.C. 300x–64(b)(4) (A) by striking substance abuse substance use disorders (B) by striking such abuse such disorders (12) in section 1955 ( 42 U.S.C. 300x–65 substance abuse substance use disorder (13) in section 1956 ( 42 U.S.C. 300x–66 substance abuse substance use disorders (b) Certain programs regarding mental health and substance abuse Part C of title XIX of the Public Health Service Act ( 42 U.S.C. 300y et seq. (1) in the part heading, by striking Substance Abuse Substance Use (2) in section 1971 ( 42 U.S.C. 300y substance abuse substance use (3) in section 1976 ( 42 U.S.C. 300y–11 intravenous abuse intravenous use

Summary: Substance Use Prevention, Treatment, and Recovery Act This bill reauthorizes through FY2027 and modifies the Substance Abuse Prevention and Treatment Block Grant, which supports state, tribal, and territorial efforts to prevent and treat substance use disorders. Among other changes, the bill requires grant recipients to expend a portion of the grant on recovery support services. Additionally, the Substance Abuse and Mental Health Services Administration must conduct a study to develop a model needs assessment process for grant recipients to use when determining the allocation of grant funding among prevention, treatment, and recovery support activities. The bill also revises multiple provisions to eliminate stigmatizing terms (e.g., substance abuse) and otherwise align with current legislative drafting conventions.