ally qualified health centers and rural health 
clinics. 
‘‘(C) Hospice services. 
‘‘(D) Mental health services. 
‘‘(E) Naloxone procurement, distribution, 
and training. 
‘‘(F) Pharmaceutical assistance related to 
the management of substance-use disorders and 
co-morbid conditions. 
‘‘(G) Home and community based health 
services. 
‘‘(H) Comprehensive Case Management 
and care coordination, including treatment ad-
herence services. 
‘‘(I) Health insurance enrollment and cost- 
sharing assistance in accordance with sub-
section (e). 
‘‘(4) RECOVERY AND SUPPORT SERVICES.—For 
purposes of paragraph (1)(C), the term ‘recovery 
and support services’ means services, subject to the 
approval of the Secretary, that are provided to indi-
viduals with substance use disorder, including resi-
dential recovery treatment and housing, including 
for individuals receiving medication-assisted treat-
ment, long term recovery services, 24/7 hotline crisis 
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center services, medical transportation services, res-
pite care for persons caring for individuals with sub-
stance use disorder, child care and family services 
while an individual is receiving inpatient treatment 
services or at the time of outpatient services, out-
reach services, peer recovery services, nutrition serv-
ices, and referrals for job training and career serv-
ices, housing, legal services, and child care and fam-
ily services. 
‘‘(5) EARLY INTERVENTION AND ENGAGEMENT 
SERVICES.—For purposes of this subsection, the 
term ‘early intervention and engagement services’ 
means services to provide rapid access to substance 
use disorder treatment services, counseling provided 
to individuals who have misused substances, who 
have experienced an overdose, or are at risk of devel-
oping substance use disorder, and the provision of 
referrals to facilitate the access of such individuals 
to core medical services or recovery and support 
services. The entities through which such services 
may be provided include emergency rooms, fire de-
partments and emergency medical services, detention 
facilities, homeless shelters, law enforcement agen-
cies, health care points of entry specified by eligible 
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areas, Federally qualified health centers, and rural 
health clinics. 
‘‘(6) HARM REDUCTION SERVICES.—For pur-
poses of this subsection, the term ‘harm reduction 
services’ means evidence-based services provided to 
individuals engaging in substance use disorder that 
reduce the risk of infectious disease transmission, 
overdose, or death, including by increasing access to 
health care. 
‘‘(7) AFFORDABLE
HEALTH
INSURANCE
COV-
ERAGE.—A State may use amounts provided under 
a grant awarded under section 3411 to establish a 
program of financial assistance to assist eligible indi-
viduals with substance use disorder in— 
‘‘(A) enrolling in health insurance cov-
erage; or 
‘‘(B) affording health care services, includ-
ing assistance paying cost-sharing amounts, in-
cluding premiums. 
‘‘(8) 
ADMINISTRATION
AND
PLANNING.—A 
State shall not use in excess of 10 percent of 
amounts received under a grant under section 3411 
for administration, accounting, reporting, and pro-
gram oversight functions, including the development 
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of systems to improve data collection and data shar-
ing. 
‘‘(9) INCARCERATED
INDIVIDUALS.—Amounts 
received under a grant under section 3411 may be 
used to provide substance use disorder treatment 
services to currently incarcerated individuals. 
‘‘SEC. 3413. APPLICATION AND LIMITATION. 
‘‘(a) APPLICATION.—To be eligible to receive a grant 
under section 3411, a State shall prepare and submit to 
the Secretary an application in such form, and containing 
such information, as the Secretary shall require, includ-
ing— 
‘‘(1) a complete accounting of the disbursement 
of any prior grants received under this subtitle by 
the applicant and the results achieved by these ex-
penditures; 
‘‘(2) a comprehensive plan for the use of the 
grant, including a demonstration of the extent of 
local need for the funds sought and a plan for pro-
posed substance use disorder treatment services that 
is consistent with local needs; 
‘‘(3) a demonstration that the State will use 
funds in a manner that provides substance use dis-
order treatment services compliant with the evi-
dence-based standards developed in accordance with 
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section 3434, including all Federally-approved medi-
cation-assisted treatments; 
‘‘(4) information on the number of individuals 
likely to be served by the funds sought, including de-
mographic data on the populations to be served; 
‘‘(5) an identification of key outcomes that will 
be measured by all entities that receive assistance, 
as well as an explanation of how the outcomes will 
be measured; 
‘‘(6) a demonstration that resources provided 
under the grant will be allocated in accordance with 
the local demographic incidence of substance use, in-
cluding allocations for services for children, youths, 
and women; 
‘‘(7) a demonstration that funds received from 
a grant under this subtitle in any prior year were ex-
pended in accordance with State priorities; 
‘‘(8) a demonstration that the confidentiality of 
individuals receiving substance use disorder treat-
ment services will be maintained in a manner not in-
consistent with applicable law; and 
‘‘(9) an explanation of how income, asset, and 
medical expense criteria will be established and ap-
plied to those who qualify for assistance under the 
program. 
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