I 
117TH CONGRESS 
1ST SESSION H. R. 5469 
To amend the 21st Century Cures Act to support State and local agencies 
with responsibility for children services in their response to the opioid 
abuse crisis, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 30, 2021 
Ms. STRICKLAND (for herself, Mr. FITZPATRICK, Ms. WILD, Mr. MCKINLEY, 
Mr. KILMER, Mr. THOMPSON of California, Mr. YOUNG, Ms. KUSTER, 
Ms. CLARKE of New York, Mr. TRONE, and Ms. SEWELL) introduced the 
following bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To amend the 21st Century Cures Act to support State 
and local agencies with responsibility for children services 
in their response to the opioid abuse crisis, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Furthering Opioid 
Services, Training, and Education Resources Act’’ or the 
‘‘FOSTER Act’’. 
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SEC. 2. OPIOID GRANTS TO SUPPORT CAREGIVERS, KIN-
SHIP CARE FAMILIES, AND KINSHIP CARE-
GIVERS. 
(a) OPIOID GRANTS.—Section 1003(b)(2) of the 21st 
Century Cures Act (42 U.S.C. 290ee–3 note) is amend-
ed— 
(1) by redesignating subparagraph (E) as sub-
paragraph (F); and 
(2) by inserting after subparagraph (D) the fol-
lowing: 
‘‘(E) Supporting opioid abuse prevention 
and treatment services within a State provided 
by State and local agencies for children and 
caregivers, kinship care families, and kinship 
caregivers through— 
‘‘(i) workforce recruitment and train-
ing; 
‘‘(ii) health care services (including 
such services described in subparagraph 
(D)); and 
‘‘(iii) foster and adoptive parent re-
cruitment and training.’’. 
(b) DEFINITIONS.—Section 1003 of the 21st Century 
Cures Act (42 U.S.C. 290ee–3 note) is amended— 
(1) by redesignating subsections (h), (i), and (j) 
as subsections (i), (j), and (k), respectively; and 
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(2) by inserting after subsection (g) the fol-
lowing: 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) The term ‘kinship care family’ means a 
family with a kinship caregiver. 
‘‘(2) The term ‘kinship caregiver’ means a rel-
ative of a child by blood, marriage, or adoption, 
who— 
‘‘(A) lives with the child; 
‘‘(B) is the primary caregiver of the child 
because the biological or adoptive parent of the 
child is unable or unwilling to serve as the pri-
mary caregiver of the child; and 
‘‘(C) has a legal relationship to the child or 
is raising the child informally.’’. 
(c) AUTHORIZATION OF APPROPRIATIONS.—Section 
1003(i) of the 21st Century Cures Act (42 U.S.C. 290ee– 
3 note), as redesignated, is amended by inserting ‘‘, and 
$255,000,000 for each of fiscal years 2022 through 2026’’ 
after ‘‘2021’’. 
(d) SET ASIDE.—Section 1003(j) of the 21st Century 
Cures Act (42 U.S.C. 290ee–3 note), as redesignated, is 
amended— 
(1) by striking ‘‘, and up to’’ and inserting ‘‘, 
up to’’; and 
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(2) by inserting before the period at the end ‘‘, 
and 1 percent of such amount for such fiscal year 
shall be made available to carry out subsection 
(b)(2)(E)’’. 
Æ 
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