holders, including organizations representing State alcohol 
and drug agencies, community anti-drug coalitions, work-
force credentialing bodies, researchers, and others. 
‘‘(c) AUTHORIZATION OF APPROPRIATION.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary.’’. 
TITLE III—RECOVERY 
Subtitle A—General Provisions 
SEC. 301. BUILDING COMMUNITIES OF RECOVERY. 
(a) IN GENERAL.—Section 547 of the Public Health 
Service Act (42 U.S.C. 290ee–2) is amended— 
(1) by striking subsection (c); 
(2) by redesignating subsection (d) as sub-
section (c); 
(3) in subsection (c) (as so redesignated)— 
(A) in paragraph (1), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (2)(C)(iv), by striking 
the period and inserting ‘‘; and’’; and 
(C) by adding at the and the following: 
‘‘(3) may be used as provided for in subsection 
(d).’’; 
(4) by inserting after subsection (c) (as so re-
designated), the following: 
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‘‘(d) ESTABLISHMENT OF REGIONAL TECHNICAL AS-
SISTANCE CENTERS.— 
‘‘(1) IN GENERAL.—Grants awarded under sub-
section (b) may be used to provide for the establish-
ment of regional technical assistance centers to pro-
vide regional technical assistance for the following: 
‘‘(A) Implementation of regionally driven 
peer delivered substance use disorder recovery 
support services before, during, after, or in lieu 
of substance use disorder treatment. 
‘‘(B) Establishment of recovery community 
organizations. 
‘‘(C) Establishment of recovery community 
centers. 
‘‘(D) Naloxone training and dissemination. 
‘‘(E) Development of connections between 
recovery support services, community organiza-
tions, and community centers and the broader 
medical community. 
‘‘(F) Establishment of online recovery sup-
port services, with parity to physical health 
services. 
‘‘(G) Development of recovery wellness 
plans to address perceived barriers to recovery, 
including social determinants of health. 
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‘‘(H) Collect and maintain accurate and 
reliable data to inform service delivery and 
monitor and evaluate the impact of culturally 
competent (as defined in section 102 of the De-
velopmental Disabilities Assistance and Bill of 
Rights Act of 2000) services on health equity 
outcomes. 
‘‘(I) Building capacity for recovery commu-
nity organizations to meet national accredita-
tion standards for the delivery of peer recovery 
support services. 
‘‘(J) Expanding or enhancing recovery 
support service programs. 
‘‘(2) ELIGIBLE ENTITIES.—To be eligible to re-
ceive a grant under paragraph (1), an entity shall 
be— 
‘‘(A) a national nonprofit entity with a net-
work of local affiliates and partners that are 
geographically and organizationally diverse; or 
‘‘(B) a national nonprofit organization led 
by individuals in personal and family recovery 
with established networks of recovery commu-
nity organizations providing peer recovery sup-
port services. 
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‘‘(3) PREFERENCE.—In awarding grants under 
subsection (b), the Secretary shall give preference to 
organizations that— 
‘‘(A) provide culturally competent (as de-
fined in section 102 of the Developmental Dis-
abilities Assistance and Bill of Rights Act of 
2000) services, promote racial equity, and are 
responsive to diverse cultural health beliefs and 
practices, preferred languages, health literacy, 
and other communication needs; 
‘‘(B) allow participation by individuals re-
ceiving medication-assisted treatment that in-
volves prescription drugs approved by the Food 
and Drug Administration (at least one of which 
is an opioid agonist); 
‘‘(C) use peer recovery advocates; and 
‘‘(D) meet national best practice and ac-
creditation standards.’’; and 
(5) in subsection (f), by striking ‘‘2023’’ and 
inserting ‘‘2021, and $200,000,000 for each of fiscal 
years 2022 through 2027’’. 
(b) CONTINUING CARE AND COMMUNITY SUPPORT 
TO MAINTAIN RECOVERY.— 
(1) IN GENERAL.—The Secretary shall award 
grants to peer recovery support service organiza-
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tions, for the purposes of providing continuing care 
and ongoing community support for individuals to 
maintain recovery from substance use disorders. 
(2) DEFINITION.—For purposes of this sub-
section, the term ‘‘peer recovery support service or-
ganization’’ means an independent nonprofit organi-
zation that provides peer recovery support services 
(as defined by the Secretary), through credentialed 
peer support professionals. 
(3) AUTHORIZATION OF APPROPRIATIONS.—To 
carry out this subsection, there is authorized to be 
appropriated, for each of fiscal years 2022 through 
2027, $50,000,000. 
SEC. 302. RECOVERY IN THE WORKPLACE. 
It is the sense of Congress that an employee who is 
taking opioid antagonist, opioid agonist, or partial agonist 
drugs as part of a medication-assisted treatment program 
shall not be in violation of a drug-free workplace require-
ment. 
SEC. 303. NATIONAL YOUTH AND YOUNG ADULT RECOVERY 
INITIATIVE. 
(a) DEFINITIONS.—In this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
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(A) a high school that has been accredited 
as a substance use recovery high school or that 
is seeking to establish or expand substance use 
recovery support services; 
(B) an institution of higher education; 
(C) a recovery program at an institution of 
higher education; 
(D) a nonprofit organization; or 
(E) a technical assistance center that can 
help grantees install recovery support service 
programs aimed at youth and young adults 
which include recovery coaching, job training, 
transportation, linkages to community-based 
services and supports, regularly scheduled alter-
native peer group activities, life-skills education, 
mentoring, and leadership development. 
(2) HIGH
SCHOOL.—The term ‘‘high school’’ 
has the meaning given the term in section 8101 of 
the Elementary and Secondary Education Act of 
1965 (20 U.S.C. 7801). 
(3) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
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(4) RECOVERY PROGRAM.—The term ‘‘recovery 
program’’ means a program— 
(A) to help youth or young adults who are 
recovering from substance use disorders to ini-
tiate, stabilize, and maintain healthy and pro-
ductive lives in the community; and 
(B) that includes peer-to-peer support de-
livered by individuals with lived experience in 
recovery, and communal activities to build re-
covery skills and supportive social networks. 
(b) GRANTS AUTHORIZED.—The Assistant Secretary 
for Mental Health and Substance Use, in consultation 
with the Secretary of Education, shall award grants, on 
a competitive basis, to eligible entities to enable the eligi-
ble entities to— 
(1) provide culturally competent (as defined in 
section 102 of the Developmental Disabilities Assist-
ance and Bill of Rights Act of 2000 (42 U.S.C. 
15002)) substance use recovery support services to 
youth and young adults enrolled in high school or an 
institution of higher education; 
(2) help build communities of support for youth 
and young adults in substance use recovery through 
a spectrum of activities such as counseling, job 
training, recovery coaching, alternative peer groups, 
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life-skills workshops, family support groups, and 
health and wellness-oriented social activities; and 
(3) encourage initiatives designed to help youth 
and young adults achieve and sustain recovery from 
substance use disorders. 
(c) APPLICATION.—An eligible entity desiring a grant 
under this section shall submit to the Assistant Secretary 
for Mental Health and Substance Use an application at 
such time, in such manner, and containing such informa-
tion as the Assistant Secretary may require. 
(d) PREFERENCE.—In awarding grants under sub-
section (b), the Assistant Secretary for Mental Health and 
Substance Use shall give preference to eligible entities that 
propose to serve students from areas with schools serving 
a high percentage of children who are counted under sec-
tion 1124(c) of the Elementary and Secondary Education 
Act of 1965 (20 U.S.C. 6333(c)). 
(e) USE OF FUNDS.—Grants awarded under sub-
section (b) may be used for activities to develop, support, 
or maintain substance use recovery support services for 
youth or young adults, including— 
(1) the development and maintenance of a dedi-
cated physical space for recovery programs; 
(2) hiring dedicated staff for the provision of 
recovery programs; 
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(3) providing health and wellness-oriented social 
activities and community engagement; 
(4) the establishment of a substance use recov-
ery high school; 
(5) the coordination of a peer delivered sub-
stance use recovery program with— 
(A) substance use disorder treatment pro-
grams and systems that utilize culturally com-
petent (as defined in section 102 of the Devel-
opmental Disabilities Assistance and Bill of 
Rights Act of 2000 (42 U.S.C. 15002)) services 
that reflect the communities they serve; 
(B) providers of mental health services; 
(C) primary care providers; 
(D) the criminal justice system, including 
the juvenile justice system; 
(E) employers; 
(F) recovery housing services; 
(G) child welfare services; 
(H) high schools; and 
(I) institutions of higher education; 
(6) the development of peer-to-peer support 
programs or services delivered by individuals with 
lived experience in substance use disorder recovery; 
and 
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(7) any additional activity that helps youth or 
young adults achieve recovery from substance use 
disorders. 
(f) RESOURCE CENTER.—The Assistant Secretary 
for Mental Health and Substance Use shall establish a re-
source center to provide technical support to recipients of 
grants under this section. 
(g) AUTHORIZATION
OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$10,000,000 for each of fiscal years 2022 through 2027. 
Subtitle B—Recovery Housing 
SEC. 311. CLARIFYING THE ROLE OF SAMHSA IN PRO-
MOTING THE AVAILABILITY OF HIGH-QUAL-
ITY RECOVERY HOUSING. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in paragraph (24)(E), by striking ‘‘and’’ at 
the end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(26) collaborate with national accrediting enti-
ties and reputable providers and analysts of recovery 
housing services and all relevant Federal agencies, 
including the Centers for Medicare & Medicaid Serv-
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ices, the Health Resources and Services Administra-
tion, other offices and agencies within the Depart-
ment of Health and Human Services, the Office of 
National Drug Control Policy, the Department of 
Justice, the Department of Housing and Urban De-
velopment, and the Department of Agriculture, to 
promote the availability of high-quality recovery 
housing for individuals with a substance use dis-
order.’’. 
SEC. 312. DEVELOPING GUIDELINES FOR STATES TO PRO-
MOTE THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Title V of the Public Health Service Act is amended 
by inserting after section 550 of such Act (42 U.S.C. 
290ee–5) (relating to national recovery housing best prac-
tices) the following: 
‘‘SEC. 550A. DEVELOPING GUIDELINES FOR STATES TO 
PROMOTE THE AVAILABILITY OF HIGH-QUAL-
ITY RECOVERY HOUSING. 
‘‘(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this section, the Secretary, acting 
through the Assistant Secretary, shall develop, and pub-
lish on the internet website of the Substance Abuse and 
Mental Health Services Administration, consensus-based 
guidelines and nationally recognized standards for States 
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