Energy and Commerce of the House of Representatives, 
and the Committees on Appropriations of the House of 
Representatives and the Senate, a report that includes— 
‘‘(1) a summary of the information provided to 
the Secretary in reports made pursuant to sub-
sections (c) and (e), including the purposes for 
which grant funds are awarded under this section 
and the activities of such grant recipients; and 
‘‘(2) with respect to States that experience sig-
nificant reductions in funding compared to previous 
years based on reduced mortality rates, an analysis 
of the impact of such reductions on such States and 
the extent to which such reductions have impacted 
outreach and direct support services to providers 
and underserved communities, and statewide treat-
ment and recovery outcomes in such States. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in-
cluding through the Tribal Training and Technical Assist-
ance Center of the Substance Abuse and Mental Health 
Services Administration, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organiza-
tions, as applicable, with technical assistance concerning 
grant application and submission procedures under this 
section, award management activities, and enhancing out-
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reach and direct support to rural and underserved commu-
nities and providers in addressing substance use disorders. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given the term ‘Indian tribe’ in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given the term ‘tribal 
organization’ in such section 4. 
‘‘(3) STATE.—The term ‘State’ has the mean-
ing given such term in section 1954(b) of the Public 
Health Service Act (42 U.S.C. 300x–64(b)). 
‘‘(4) URBAN INDIAN ORGANIZATION.—The term 
‘Urban Indian organization’ has the meaning given 
such term in section 4 of the Indian Health Care 
Improvement Act. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying 
out the grant program under subsection (b), there is 
authorized to be appropriated $1,750,000,000 for 
each of fiscal years 2022 through 2027, to remain 
available until expended. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 
Of the amounts made available for each fiscal year 
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to award grants under subsection (b), the Secretary 
shall not use more than 2 percent for Federal ad-
ministrative expenses, training, technical assistance, 
and evaluation. 
‘‘(3) SET ASIDE.—Of the amounts made avail-
able for each fiscal year to award grants under sub-
section (b) for a fiscal year, the Secretary shall— 
‘‘(A) award 5 percent to Indian Tribes, 
Tribal organizations, and Urban Indian organi-
zations; and 
‘‘(B) of the amount remaining after appli-
cation of subparagraph (A), set aside up to 15 
percent for awards to States with the highest 
age-adjusted rate of drug overdose death based 
on the ordinal ranking of States according to 
the Director of the Centers for Disease Control 
and Prevention.’’. 
Æ 
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