† HR 6 EAS 
(1) State agencies, which may include the provi-
sion of technical assistance to State agencies seeking 
to adopt or implement such best practices; 
(2) Indian Tribes, tribal organizations, and trib-
ally designated housing entities; 
(3) the Attorney General; 
(4) the Secretary of Labor; 
(5) the Secretary of Housing and Urban Devel-
opment; 
(6) State and local law enforcement agencies; 
(7) health insurance issuers; 
(8) recovery housing entities; and 
(9) the public. 
(d) REQUIREMENTS.—In carrying out the activities 
under subsections (a) and (b), the Secretary, in consultation 
with appropriate stakeholders as described in each such sub-
section, shall consider how recovery housing is able to sup-
port recovery and prevent relapse, recidivism, or overdose 
(including overdose death), including by improving access 
and adherence to treatment, including medication-assisted 
treatment. 
(e) RULE OF CONSTRUCTION.—Nothing in this section 
shall be construed to provide the Secretary with the author-
ity to require States to adhere to minimum standards in 
the State oversight of recovery housing.
† HR 6 EAS 
(f) DEFINITIONS.—In this section— 
(1) the term ‘‘recovery housing’’ means a shared 
living environment free from alcohol and illicit drug 
use and centered on peer support and connection to 
services that promote sustained recovery from sub-
stance use disorders; and 
(2) the term ‘‘tribally designated housing entity’’ 
has the meaning given such term in section 4 of the 
Native American Housing Assistance and Self-Deter-
mination Act of 1996 (25 U.S.C. 4103). 
SEC. 1410. ADDRESSING ECONOMIC AND WORKFORCE IM-
PACTS OF THE OPIOID CRISIS. 
(a) DEFINITIONS.—Except as otherwise expressly pro-
vided, in this section: 
(1) WIOA DEFINITIONS.—The terms ‘‘core pro-
gram’’, ‘‘individual with a barrier to employment’’, 
‘‘local area’’, ‘‘local board’’, ‘‘one-stop operator’’, ‘‘out-
lying area’’, ‘‘State’’, ‘‘State board’’, and ‘‘supportive 
services’’ have the meanings given the terms in section 
3 of the Workforce Innovation and Opportunity Act 
(29 U.S.C. 3102). 
(2) EDUCATION
PROVIDER.—The term ‘‘edu-
cation provider’’ means—
† HR 6 EAS 
(A) an institution of higher education, as 
defined in section 101 of the Higher Education 
Act of 1965 (20 U.S.C. 1001); or 
(B) a postsecondary vocational institution, 
as defined in section 102(c) of such Act (20 
U.S.C. 1002(c)). 
(3) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
(A) a State workforce agency; 
(B) an outlying area; or 
(C) a Tribal entity. 
(4) PARTICIPATING
PARTNERSHIP.—The term 
‘‘participating partnership’’ means a partnership— 
(A) evidenced by a written contract or 
agreement; and 
(B) including, as members of the partner-
ship, a local board receiving a subgrant under 
subsection (d) and 1 or more of the following: 
(i) The eligible entity. 
(ii) A treatment provider. 
(iii) An employer or industry organi-
zation. 
(iv) An education provider. 
(v) A legal service or law enforcement 
organization.
† HR 6 EAS 
(vi) A faith-based or community-based 
organization. 
(vii) Other State or local agencies, in-
cluding counties or local governments. 
(viii) Other organizations, as deter-
mined to be necessary by the local board. 
(ix) Indian Tribes or tribal organiza-
tions. 
(5) PROGRAM
PARTICIPANT.—The term ‘‘pro-
gram participant’’ means an individual who— 
(A) is a member of a population of workers 
described in subsection (e)(2) that is served by a 
participating partnership through the pilot pro-
gram under this section; and 
(B) enrolls with the applicable partici-
pating partnership to receive any of the services 
described in subsection (e)(3). 
(6) PROVIDER
OF
PEER
RECOVERY
SUPPORT 
SERVICES.—The term ‘‘provider of peer recovery sup-
port services’’ means a provider that delivers peer re-
covery support services through an organization de-
scribed in section 547(a) of the Public Health Service 
Act (42 U.S.C. 290ee–2(a)). 
(7) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Labor.
† HR 6 EAS 
(8) STATE
WORKFORCE
AGENCY.—The term 
‘‘State workforce agency’’ means the lead State agency 
with responsibility for the administration of a pro-
gram under chapter 2 or 3 of subtitle B of title I of 
the Workforce Innovation and Opportunity Act (29 
U.S.C. 3161 et seq., 3171 et seq.). 
(9) SUBSTANCE USE DISORDER.—The term ‘‘sub-
stance use disorder’’ has the meaning given such term 
by the Assistant Secretary for Mental Health and 
Substance Use. 
(10) TREATMENT PROVIDER.—The term ‘‘treat-
ment provider’’— 
(A) means a health care provider that— 
(i) offers services for treating substance 
use disorders and is licensed in accordance 
with applicable State law to provide such 
services; and 
(ii) accepts health insurance for such 
services, including coverage under title XIX 
of the Social Security Act (42 U.S.C. 1396 
et seq.); and 
(B) may include— 
(i) a nonprofit provider of peer recov-
ery support services; 
(ii) a community health care provider;
† HR 6 EAS 
(iii) a Federally qualified health center 
(as defined in section 1861(aa) of the Social 
Security Act (42 U.S.C. 1395x)); 
(iv) an Indian health program (as de-
fined in section 3 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603)), includ-
ing an Indian health program that serves 
an urban center (as defined in such sec-
tion); and 
(v) a Native Hawaiian health center 
(as defined in section 12 of the Native Ha-
waiian Health Care Improvement Act (42 
U.S.C. 11711)). 
(11) TRIBAL ENTITY.—The term ‘‘Tribal entity’’ 
includes any Indian Tribe, tribal organization, In-
dian-controlled organization serving Indians, Native 
Hawaiian organization, or Alaska Native entity, as 
such terms are defined or used in section 166 of the 
Workforce Innovation and Opportunity Act (29 
U.S.C. 3221). 
(b) PILOT PROGRAM AND GRANTS AUTHORIZED.— 
(1) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Health and Human Services, 
shall carry out a pilot program to address economic 
and workforce impacts associated with a high rate of
† HR 6 EAS 
a substance use disorder. In carrying out the pilot 
program, the Secretary shall make grants, on a com-
petitive basis, to eligible entities to enable such enti-
ties to make subgrants to local boards to address the 
economic and workforce impacts associated with a 
high rate of a substance use disorder. 
(2) GRANT AMOUNTS.—The Secretary shall make 
each such grant in an amount that is not less than 
$500,000, and not more than $5,000,000, for a fiscal 
year. 
(c) GRANT APPLICATIONS.— 
(1) IN GENERAL.—An eligible entity applying 
for a grant under this section shall submit an appli-
cation to the Secretary at such time and in such form 
and manner as the Secretary may reasonably require, 
including the information described in this sub-
section. 
(2) SIGNIFICANT
IMPACT
ON
COMMUNITY
BY 
OPIOID
AND
SUBSTANCE
USE
DISORDER-RELATED 
PROBLEMS.— 
(A) DEMONSTRATION.—An eligible entity 
shall include in the application— 
(i) information that demonstrates sig-
nificant impact on the community by prob-
† HR 6 EAS 
lems related to opioid abuse or another sub-
stance use disorder, by— 
(I) identifying the counties, com-
munities, regions, or local areas that 
have been significantly impacted and 
will be served through the grant (each 
referred to in this section as a ‘‘service 
area’’); and 
(II) demonstrating for each such 
service area, an increase equal to or 
greater than the national increase in 
such problems, between— 
(aa) 1999; and 
(bb) 2016 or the latest year 
for which data are available; and 
(ii) a description of how the eligible 
entity will prioritize support for signifi-
cantly impacted service areas described in 
clause (i)(I). 
(B) INFORMATION.—To meet the require-
ments described in subparagraph (A)(i)(II), the 
eligible entity may use information including 
data on—
† HR 6 EAS 
(i) the incidence or prevalence of 
opioid abuse and other substance use dis-
orders; 
(ii) the age-adjusted rate of drug over-
dose deaths, as determined by the Director 
of the Centers for Disease Control and Pre-
vention; 
(iii) the rate of non-fatal hospitaliza-
tions related to opioid abuse or other sub-
stance use disorders; 
(iv) the number of arrests or convic-
tions, or a relevant law enforcement sta-
tistic, that reasonably shows an increase in 
opioid abuse or another substance use dis-
order; or 
(v) in the case of an eligible entity de-
scribed in subsection (a)(3)(C), other alter-
native relevant data as determined appro-
priate by the Secretary. 
(C) SUPPORT FOR STATE STRATEGY.—The 
eligible entity may include in the application in-
formation describing how the proposed services 
and activities are aligned with the State, out-
lying area, or Tribal strategy, as applicable, for 
addressing problems described in subparagraph
† HR 6 EAS 
(A) in specific service areas or across the State, 
outlying area, or Tribal land. 
(3) ECONOMIC
AND
EMPLOYMENT
CONDITIONS 
DEMONSTRATE ADDITIONAL FEDERAL SUPPORT NEED-
ED.— 
(A) DEMONSTRATION.—An eligible entity 
shall include in the application information that 
demonstrates that a high rate of a substance use 
disorder has caused, or is coincident to— 
(i) an economic or employment down-
turn in the service area; or 
(ii) persistent economically depressed 
conditions in such service area. 
(B) INFORMATION.—To meet the require-
ments of subparagraph (A), an eligible entity 
may use information including— 
(i) documentation of any layoff, an-
nounced future layoff, legacy industry de-
cline, decrease in an employment or labor 
market participation rate, or economic im-
pact, whether or not the result described in 
this clause is overtly related to a high rate 
of a substance use disorder; 
(ii) documentation showing decreased 
economic activity related to, caused by, or
† HR 6 EAS 
contributing to a high rate of a substance 
use disorder, including a description of how 
the service area has been impacted, or will 
be impacted, by such a decrease; 
(iii) information on economic indica-
tors, labor market analyses, information 
from public announcements, and demo-
graphic and industry data; 
(iv) information on rapid response ac-
tivities (as defined in section 3 of the Work-
force Innovation and Opportunity Act (29 
U.S.C. 3102)) that have been or will be con-
ducted, including demographic data gath-
ered by employer or worker surveys or 
through other methods; 
(v) data or documentation, beyond an-
ecdotal evidence, showing that employers 
face challenges filling job vacancies due to a 
lack of skilled workers able to pass a drug 
test; or 
(vi) any additional relevant data or 
information on the economy, workforce, or 
another aspect of the service area to support 
the application.
† HR 6 EAS 
(d) SUBGRANT AUTHORIZATION
AND APPLICATION 
PROCESS.— 
(1) SUBGRANTS AUTHORIZED.— 
(A) IN GENERAL.—An eligible entity receiv-
ing a grant under subsection (b)— 
(i) may use not more than 5 percent of 
the grant funds for the administrative costs 
of carrying out the grant; 
(ii) in the case of an eligible entity de-
scribed in subparagraph (A) or (B) of sub-
section (a)(3), shall use the remaining grant 
funds to make subgrants to local entities in 
the service area to carry out the services 
and activities described in subsection (e); 
and 
(iii) in the case of an eligible entity 
described in subsection (a)(3)(C), shall use 
the remaining grant funds to carry out the 
services and activities described in sub-
section (e). 
(B) EQUITABLE DISTRIBUTION.—In making 
subgrants under this subsection, an eligible enti-
ty shall ensure, to the extent practicable, the eq-
uitable distribution of subgrants, based on—
† HR 6 EAS 
(i) geography (such as urban and rural 
distribution); and 
(ii) 
significantly 
impacted 
service 
areas as described in subsection (c)(2). 
(C) TIMING OF SUBGRANT FUNDS DISTRIBU-
TION.—An eligible entity making subgrants 
under this subsection shall disburse subgrant 
funds to a local board receiving a subgrant from 
the eligible entity by the later of— 
(i) the date that is 90 days after the 
date on which the Secretary makes the 
funds available to the eligible entity; or 
(ii) the date that is 15 days after the 
date that the eligible entity makes the 
subgrant under subparagraph (A)(ii). 
(2) SUBGRANT APPLICATION.— 
(A) IN GENERAL.—A local board desiring to 
receive a subgrant under this subsection from an 
eligible entity shall submit an application at 
such time and in such manner as the eligible en-
tity may reasonably require, including the infor-
mation described in this paragraph. 
(B) 
CONTENTS.—Each 
application 
de-
scribed in subparagraph (A) shall include—
† HR 6 EAS 
(i) an analysis of the estimated per-
formance of the local board in carrying out 
the proposed services and activities under 
the subgrant— 
(I) based on— 
(aa) primary indicators of 
performance described in section 
116(c)(1)(A)(i) of the Workforce 
Innovation and Opportunity Act 
(29 U.S.C. 3141(c)(1)(A)(i), to as-
sess estimated effectiveness of the 
proposed services and activities, 
including the estimated number of 
individuals with a substance use 
disorder who may be served by the 
proposed services and activities; 
(bb) the record of the local 
board in serving individuals with 
a barrier to employment; and 
(cc) the ability of the local 
board to establish a participating 
partnership; and 
(II) which may include or uti-
lize—
† HR 6 EAS 
(aa) data from the National 
Center for Health Statistics of the 
Centers for Disease Control and 
Prevention; 
(bb) data from the Center for 
Behavioral Health Statistics and 
Quality of the Substance Abuse 
and Mental Health Services Ad-
ministration; 
(cc) State vital statistics; 
(dd) municipal police de-
partment records; 
(ee) reports from local coro-
ners; or 
(ff) other relevant data; and 
(ii) in the case of a local board pro-
posing to serve a population described in 
subsection (e)(2)(B), a demonstration of the 
workforce shortage in the professional area 
to be addressed under the subgrant (which 
may include substance use disorder treat-
ment and related services, non-addictive 
pain therapy and pain management serv-
ices, mental health care treatment services, 
emergency response services, or mental
† HR 6 EAS 
health care), which shall include informa-
tion that can demonstrate such a shortage, 
such as— 
(I) the distance between— 
(aa) communities affected by 
opioid abuse or another substance 
use disorder; and 
(bb) facilities or professionals 
offering services in the profes-
sional area; or 
(II) the maximum capacity of fa-
cilities or professionals to serve indi-
viduals in an affected community, or 
increases in arrests related to opioid or 
another substance use disorder, over-
dose deaths, or nonfatal overdose emer-
gencies in the community. 
(e) SUBGRANT SERVICES AND ACTIVITIES.— 
(1) IN GENERAL.—Each local board that receives 
a subgrant under subsection (d) shall carry out the 
services and activities described in this subsection 
through a participating partnership. 
(2) 
SELECTION
OF
POPULATION
TO
BE 
SERVED.—A participating partnership shall elect to
† HR 6 EAS 
provide services and activities under the subgrant to 
one or both of the following populations of workers: 
(A) Workers, including dislocated workers, 
individuals with barriers to employment, new 
entrants in the workforce, or incumbent workers 
(employed or underemployed), each of whom— 
(i) is directly or indirectly affected by 
a high rate of a substance use disorder; and 
(ii) voluntarily confirms that the work-
er, or a friend or family member of the 
worker, has a history of opioid abuse or an-
other substance use disorder. 
(B) Workers, including dislocated workers, 
individuals with barriers to employment, new 
entrants in the workforce, or incumbent workers 
(employed or underemployed), who— 
(i) seek to transition to professions that 
support individuals with a substance use 
disorder or at risk for developing such dis-
order, such as professions that provide— 
(I) substance use disorder treat-
ment and related services; 
(II) services offered through pro-
viders of peer recovery support services;
† HR 6 EAS 
(III) non-addictive pain therapy 
and pain management services; 
(IV) emergency response services; 
or 
(V) mental health care; and 
(ii) need new or upgraded skills to bet-
ter serve such a population of struggling or 
at-risk individuals. 
(3) SERVICES AND ACTIVITIES.—Each partici-
pating partnership shall use funds available through 
a subgrant under this subsection to carry out 1 or 
more of the following: 
(A) 
ENGAGING
EMPLOYERS.—Engaging 
with employers to— 
(i) learn about the skill and hiring re-
quirements of employers; 
(ii) learn about the support needed by 
employers to hire and retain program par-
ticipants, and other individuals with a sub-
stance use disorder, and the support needed 
by such employers to obtain their commit-
ment to testing creative solutions to employ-
ing program participants and such individ-
uals;
† HR 6 EAS 
(iii) connect employers and workers to 
on-the-job or customized training programs 
before or after layoff to help facilitate reem-
ployment; 
(iv) connect employers with an edu-
cation provider to develop classroom in-
struction to complement on-the-job learning 
for program participants and such individ-
uals; 
(v) help employers develop the cur-
riculum design of a work-based learning 
program for program participants and such 
individuals; 
(vi) help employers employ program 
participants or such individuals engaging 
in a work-based learning program for a 
transitional period before hiring such a pro-
gram participant or individual for full-time 
employment of not less than 30 hours a 
week; or 
(vii) connect employers to program 
participants receiving concurrent outpatient 
treatment and job training services. 
(B) 
SCREENING
SERVICES.—Providing 
screening services, which may include—
† HR 6 EAS 
(i) using an evidence-based screening 
method to screen each individual seeking 
participation in the pilot program to deter-
mine whether the individual has a sub-
stance use disorder; 
(ii) conducting an assessment of each 
such individual to determine the services 
needed for such individual to obtain or re-
tain employment, including an assessment 
of strengths and general work readiness; or 
(iii) accepting walk-ins or referrals 
from employers, labor organizations, or 
other entities recommending individuals to 
participate in such program. 
(C) INDIVIDUAL TREATMENT AND EMPLOY-
MENT
PLAN.—Developing an individual treat-
ment and employment plan for each program 
participant— 
(i) in coordination, as appropriate, 
with other programs serving the participant 
such as the core programs within the work-
force development system under the Work-
force Innovation and Opportunity Act (29 
U.S.C. 3101 et seq.); and
† HR 6 EAS 
(ii) which shall include providing a 
case manager to work with each participant 
to develop the plan, which may include— 
(I) identifying employment and 
career goals; 
(II) exploring career pathways 
that lead to in-demand industries and 
sectors, as determined by the State 
board and the head of the State work-
force agency or, as applicable, the 
Tribal entity; 
(III) setting appropriate achieve-
ment objectives to attain the employ-
ment and career goals identified under 
subclause (I); or 
(IV) developing the appropriate 
combination of services to enable the 
participant to achieve the employment 
and career goals identified under sub-
clause (I). 
(D) OUTPATIENT TREATMENT AND RECOV-
ERY CARE.—In the case of a participating part-
nership serving program participants described 
in paragraph (2)(A) with a substance use dis-
order, providing individualized and group out-
† HR 6 EAS 
patient treatment and recovery services for such 
program participants that are offered during the 
day and evening, and on weekends. Such treat-
ment and recovery services— 
(i) shall be based on a model that uti-
lizes combined behavioral interventions and 
other evidence-based or evidence-informed 
interventions; and 
(ii) may include additional services 
such as— 
(I) health, mental health, addic-
tion, or other forms of outpatient treat-
ment that may impact a substance use 
disorder and co-occurring conditions; 
(II) drug testing for a current 
substance use disorder prior to enroll-
ment in career or training services or 
prior to employment; 
(III) linkages to community serv-
ices, including services offered by part-
ner organizations designed to support 
program participants; or 
(IV) referrals to health care, in-
cluding referrals to substance use dis-
† HR 6 EAS 
order treatment and mental health 
services. 
(E) 
SUPPORTIVE
SERVICES.—Providing 
supportive services, which shall include services 
such as— 
(i) coordinated wraparound services to 
provide maximum support for program 
participants to assist the program partici-
pants in maintaining employment and re-
covery for not less than 12 months, as ap-
propriate; 
(ii) assistance in establishing eligi-
bility for assistance under Federal, State, 
Tribal, and local programs providing health 
services, mental health services, vocational 
services, housing services, transportation 
services, social services, or services through 
early childhood education programs (as de-
fined in section 103 of the Higher Edu-
cation Act of 1965 (20 U.S.C. 1003)); 
(iii) services offered through providers 
of peer recovery support services; 
(iv) networking and mentorship oppor-
tunities; or
† HR 6 EAS 
(v) any supportive services determined 
necessary by the local board. 
(F) CAREER
AND
JOB
TRAINING
SERV-
ICES.—Offering career services and training 
services, and related services, concurrently or se-
quentially with the services provided under sub-
paragraphs (B) through (E). Such services shall 
include the following: 
(i) Services provided to program par-
ticipants who are in a pre-employment 
stage of the program, which may include— 
(I) initial education and skills as-
sessments; 
(II) traditional classroom train-
ing funded through individual training 
accounts under chapter 3 of subtitle B 
of title I of the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3171 
et seq.); 
(III) services to promote employ-
ability skills such as punctuality, per-
sonal maintenance skills, and profes-
sional conduct; 
(IV) in-depth interviewing and 
evaluation to identify employment bar-
† HR 6 EAS 
(II) a continuation of skills train-
ing, and career and technical edu-
cation, described in clause (i) that is 
conducted in collaboration with the 
employers of such participants; 
(III) mentorship services and job 
retention support for such partici-
pants; or 
(IV) targeted training for man-
agers and workers working with such 
participants (such as mentors), and 
human resource representatives in the 
business in which such participants 
are employed. 
(iii) Services to assist program partici-
pants in maintaining employment for not 
less than 12 months, as appropriate. 
(G) PROVEN AND PROMISING PRACTICES.— 
Leading efforts in the service area to identify 
and promote proven and promising strategies 
and initiatives for meeting the needs of employ-
ers and program participants. 
(4) LIMITATIONS.—A participating partnership 
may not use—
† HR 6 EAS 
(A) more than 10 percent of the funds re-
ceived under a subgrant under subsection (d) for 
the administrative costs of the partnership; 
(B) more than 10 percent of the funds re-
ceived under such subgrant for the provision of 
treatment and recovery services, as described in 
paragraph (3)(D); and 
(C) more than 10 percent of the funds re-
ceived under such subgrant for the provision of 
supportive services described in paragraph 
(3)(E) to program participants. 
(f) PERFORMANCE ACCOUNTABILITY.— 
(1) REPORTS.—The Secretary shall establish 
quarterly reporting requirements for recipients of 
grants and subgrants under this section that, to the 
extent practicable, are based on the performance ac-
countability system under section 116 of the Work-
force Innovation and Opportunity Act (29 U.S.C. 
3141) and, in the case of a grant awarded to an eligi-
ble entity described in subsection (a)(3)(C), section 
166(h) of such Act (29 U.S.C. 3221(h)), including the 
indicators described in subsection (c)(1)(A)(i) of such 
section 116 and the requirements for local area per-
formance reports under subsection (d) of such section 
116.
† HR 6 EAS 
(2) EVALUATIONS.— 
(A) AUTHORITY
TO
ENTER
INTO
AGREE-
MENTS.—The Secretary shall ensure that an 
independent evaluation is conducted on the pilot 
program carried out under this section to deter-
mine the impact of the program on employment 
of individuals with substance use disorders. The 
Secretary shall enter into an agreement with eli-
gible entities receiving grants under this section 
to pay for all or part of such evaluation. 
(B) METHODOLOGIES
TO
BE
USED.—The 
independent evaluation required under this 
paragraph shall use experimental designs using 
random assignment or, when random assignment 
is not feasible, other reliable, evidence-based re-
search methodologies that allow for the strongest 
possible causal inferences. 
(g) FUNDING.— 
(1) COVERED FISCAL YEAR.—In this subsection, 
the term ‘‘covered fiscal year’’ means any of fiscal 
years 2018 through 2023. 
(2) USING FUNDING FOR NATIONAL DISLOCATED 
WORKER GRANTS.—Subject to paragraph (4) and not-
withstanding section 132(a)(2)(A) and subtitle D of 
the Workforce Innovation and Opportunity Act (29
† HR 6 EAS 
U.S.C. 3172(a)(2)(A), 3221 et seq.), the Secretary 
may use, to carry out the pilot program under this 
section for a covered fiscal year— 
(A) funds made available to carry out sec-
tion 170 of such Act (29 U.S.C. 3225) for that 
fiscal year; 
(B) funds made available to carry out sec-
tion 170 of such Act that remain available for 
that fiscal year; and 
(C) funds that remain available under sec-
tion 172(f) of such Act (29 U.S.C. 3227(f)). 
(3) AVAILABILITY
OF
FUNDS.—Funds appro-
priated under section 136(c) of such Act (29 U.S.C. 
3181(c)) and made available to carry out section 170 
of such Act for a fiscal year shall remain available 
for use under paragraph (2) for a subsequent fiscal 
year until expended. 
(4) LIMITATION.—The Secretary may not use 
more than $100,000,000 of the funds described in 
paragraph (2) for any covered fiscal year under this 
section. 
SEC. 1411. CAREER ACT. 
(a) IN GENERAL.—The Secretary, in consultation with 
the Secretary of Labor, shall continue or establish a pro-
gram to support individuals in recovery from a substance
† HR 6 EAS 
use disorder transition to independent living and the work-
force. 
(b) GRANTS AUTHORIZED.—In carrying out the ac-
tivities under this section, the Secretary shall, on a competi-
tive basis, award grants for a period of not more than 5 
years to entities to enable such entities to carry out evi-
dence-based programs to help individuals in recovery from 
a substance use disorder transition from treatment to inde-
pendent living and the workforce. Such entities shall coordi-
nate, as applicable, with Indian tribes or tribal organiza-
tions (as applicable), State boards and local boards (as de-
fined in section 3 of the Workforce Innovation and Oppor-
tunity Act (29 U.S.C. 3102), lead State agencies with re-
sponsibility for a workforce investment activity (as defined 
in such section 3), and State agencies responsible for car-
rying out substance use disorder prevention and treatment 
programs. 
(c) PRIORITY.—In awarding grants under this section, 
the Secretary shall give priority to entities located in a 
State with— 
(1) an age-adjusted rate of drug overdose deaths 
that is above the national overdose mortality rate, as 
determined by the Director of the Centers for Disease 
Control and Prevention;
100 
† HR 6 EAS 
(2) a rate of unemployment, based on data pro-
vided by the Bureau of Labor Statistics for calendar 
years 2013 through 2017, that is above the national 
average; and 
(3) a rate of labor force participation, based on 
data provided by the Bureau of Labor Statistics for 
calendar years 2013 through 2017, that is below the 
national average. 
(d) PREFERENCE.—In awarding grants under this 
section, the Secretary shall, as appropriate, give preference 
to entities located in an area with an age-adjusted rate of 
drug overdose deaths that is above the national overdose 
mortality rate. 
(e) APPLICATIONS.—An eligible entity shall submit an 
application at such time and in such manner as the Sec-
retary may require. In submitting an application, the enti-
ty shall demonstrate the ability to partner with local stake-
holders, which may include local employers, community 
stakeholders, the local workforce development board, and 
local and State governments, to— 
(1) identify gaps in the workforce due to the 
prevalence of substance use disorders; 
(2) in coordination with statewide employment 
and training activities, including coordination and 
alignment of activities carried out by entities pro-
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vided grant funds under section 1410, help individ-
uals in recovery from a substance use disorder transi-
tion into the workforce, including by providing career 
services, training services as described in paragraph 
(2) of section 134(c) of the Workforce Innovation and 
Opportunity Act (29 U.S.C. 3174(c)), and related 
services described in section 134(a)(3) of such Act (42 
U.S.C. 3174(a)); and 
(3) assist employers with informing their em-
ployees of the resources, such as resources related to 
substance use disorders that are available to their em-
ployees. 
(f) USE
OF FUNDS.—An entity receiving a grant 
under this section shall use the funds to conduct one or more 
of the following activities: 
(1) Hire case managers, care coordinators, pro-
viders of peer recovery support services, as described 
in section 547(a) of the Public Health Service Act (42 
U.S.C. 290ee–2(a)), or other professionals, as appro-
priate, to provide services that support treatment, re-
covery, and rehabilitation, and prevent relapse, re-
cidivism, and overdose, including by encouraging— 
(A) the development of daily living skills; 
and
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(B) the use of counseling, care coordination, 
and other services, as appropriate, to support re-
covery from substance use disorders. 
(2) Implement or utilize innovative technologies, 
which may include the use of telemedicine. 
(3) In coordination with the lead State agency 
with responsibility for a workforce investment activ-
ity or local board described in subsection (b), pro-
vide— 
(A) short-term prevocational training serv-
ices; and 
(B) training services that are directly 
linked to the employment opportunities in the 
local area or the planning region. 
(g) SUPPORT FOR STATE STRATEGY.—An eligible enti-
ty shall include in its application under subsection (e) in-
formation describing how the services and activities pro-
posed in such application are aligned with the State, out-
lying area, or Tribal strategy, as applicable, for addressing 
issues described in such application and how such entity 
will coordinate with existing systems to deliver services as 
described in such application. 
(h) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated such sums as may be nec-
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essary for each of fiscal years 2019 through 2023 for pur-
poses of carrying out this section. 
SEC. 1412. PILOT PROGRAM TO HELP INDIVIDUALS IN RE-
COVERY FROM A SUBSTANCE USE DISORDER 
BECOME STABLY HOUSED. 
(a) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated under this section such sums 
as may be necessary for each of fiscal years 2019 through 
2023 for assistance to States to provide individuals in re-
covery from a substance use disorder stable, temporary 
housing for a period of not more than 2 years or until the 
individual secures permanent housing, whichever is earlier. 
(b) ALLOCATION OF APPROPRIATED AMOUNTS.— 
(1) IN GENERAL.—The amounts appropriated or 
otherwise made available to States under this section 
shall be allocated based on a funding formula estab-
lished by the Secretary of Housing and Urban Devel-
opment (referred to in this section as the ‘‘Secretary’’) 
not later than 60 days after the date of enactment of 
this Act. 
(2) CRITERIA.—The funding formula required 
under paragraph (1) shall ensure that any amounts 
appropriated or otherwise made available under this 
section are allocated to States with an age-adjusted 
rate of drug overdose deaths that is above the national
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overdose mortality rate, according to the Centers for 
Disease Control and Prevention. Among such States, 
priority shall be given to States with the greatest 
need, as such need is determined by the Secretary 
based on— 
(A) the highest average rates of unemploy-
ment based on data provided by the Bureau of 
Labor Statistics for calendar years 2013 through 
2017; 
(B) the lowest average labor force participa-
tion rates based on data provided by the Bureau 
of Labor Statistics for calendar years 2013 
through 2017; and 
(C) the highest prevalence of opioid use dis-
order based on data provided by the Substance 
Abuse and Mental Health Services Administra-
tion for calendar years 2013 through 2017. 
(3) DISTRIBUTION.—Amounts appropriated or 
otherwise made available under this section shall be 
distributed according to the funding formula estab-
lished by the Secretary under paragraph (1) not later 
than 30 days after the establishment of such formula. 
(c) USE OF FUNDS.— 
(1) IN
GENERAL.—Any State that receives 
amounts pursuant to this section shall expend at least
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30 percent of such funds within one year of the date 
funds become available to the grantee for obligation. 
(2) PRIORITY.—Any State that receives amounts 
pursuant to this section shall distribute such amounts 
giving priority to entities with the greatest need and 
ability to deliver effective assistance in a timely man-
ner. 
(3) ADMINISTRATIVE COSTS.—Any State that re-
ceives amounts pursuant to this section may use up 
to 5 percent of any grant for administrative costs. 
(d) RULES OF CONSTRUCTION.— 
(1) IN GENERAL.—Except as otherwise provided 
by this section, amounts appropriated, or amounts 
otherwise made available to States under this section 
shall be treated as though such funds were community 
development block grant funds under title I of the 
Housing and Community Development Act of 1974 
(42 U.S.C. 5301 et seq.). 
(2) NO MATCH.—No matching funds shall be re-
quired in order for a State to receive any amounts 
under this section. 
(e) AUTHORITY TO WAIVE OR SPECIFY ALTERNATIVE 
REQUIREMENTS.— 
(1) 
IN
GENERAL.—In 
administering 
any 
amounts appropriated or otherwise made available
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under this section, the Secretary may waive or specify 
alternative requirements for any provision of any 
statute or regulation in connection with the obligation 
by the Secretary or the use of funds except for require-
ments related to fair housing, nondiscrimination, 
labor standards, and the environment, upon a finding 
that such a waiver is necessary to expedite or facili-
tate the use of such funds. 
(2) NOTICE.—The Secretary shall provide writ-
ten notice of its intent to exercise the authority to 
specify alternative requirements under paragraph (1) 
to the Committee on Banking, Housing, and Urban 
Affairs of the Senate and the Committee on Financial 
Services of the House of Representatives not later 
than 5 business days before such exercise of authority 
occurs. 
(f) TECHNICAL ASSISTANCE.—For the 2-year period 
following the date of enactment of this Act, the Secretary 
may use not more than 2 percent of the funds made avail-
able under this section for technical assistance to grantees. 
(g) STATE.—For purposes of this section the term 
‘‘State’’ includes any State as defined in section 102 of the 
Housing and Community Development Act of 1974 (42 
U.S.C. 5302) and the District of Columbia.
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SEC. 1413. YOUTH PREVENTION AND RECOVERY. 
(a) SUBSTANCE ABUSE TREATMENT SERVICES FOR 
CHILDREN, ADOLESCENTS, AND YOUNG ADULTS.—Section 
514 of the Public Health Service Act (42 U.S.C. 290bb– 
7) is amended— 
(1) in the section heading, by striking ‘‘CHIL-
DREN AND ADOLESCENTS’’ and inserting ‘‘CHIL-
DREN, ADOLESCENTS, AND YOUNG ADULTS’’; 
(2) in subsection (a)(2), by striking ‘‘children, 
including’’ and inserting ‘‘children, adolescents, and 
young adults, including’’; and 
(3) by striking ‘‘children and adolescents’’ each 
place it appears and inserting ‘‘children, adolescents, 
and young adults’’. 
(b) RESOURCE
CENTER.—The Secretary, acting 
through the Assistant Secretary for Mental Health and Sub-
stance Use and, as appropriate, in consultation with the 
Secretary of Education and other agencies, shall establish 
a resource center to provide technical support to recipients 
of grants under subsection (c). 
(c) YOUTH PREVENTION AND RECOVERY INITIATIVE.— 
(1) IN GENERAL.—The Secretary, in consultation 
with the Secretary of Education, shall administer a 
program to provide support for communities to sup-
port the prevention of, treatment of, and recovery
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from, substance use disorders for children, adolescents, 
and young adults. 
(2) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE ENTITY.—The term ‘‘eligible 
entity’’ means— 
(i) a local educational agency that is 
seeking to establish or expand substance use 
prevention or recovery support services at 
one or more high schools; 
(ii) a State educational agency; 
(iii) an institution of higher education 
(or consortia of such institutions), which 
may include a recovery program at an in-
stitution of higher education; 
(iv) a local board or one-stop operator; 
(v) a nonprofit organization with ap-
propriate expertise in providing services or 
programs for children, adolescents, or young 
adults, excluding a school; 
(vi) a State, political subdivision of a 
State, Indian Tribe, or tribal organization; 
or 
(vii) a high school or dormitory serv-
ing high school students that receives fund-
ing from the Bureau of Indian Education.
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(B) EVIDENCE-BASED.—The term ‘‘evi-
dence-based’’ has the meaning given such term in 
section 8101 of the Elementary and Secondary 
Education Act (20 U.S.C. 7801). 
(C) FOSTER CARE.—The term ‘‘foster care’’ 
has the meaning given such term in section 
1355.20(a) of title 45, Code of Federal Regula-
tions (or any successor regulations). 
(D) 
HIGH
SCHOOL.—The 
term 
‘‘high 
school’’ has the meaning given such term in sec-
tion 8101 of the Elementary and Secondary 
Education Act of 1965 (20 U.S.C. 7801). 
(E) HOMELESS YOUTH.—The term ‘‘home-
less youth’’ has the meaning given the term 
‘‘homeless children or youths’’ in section 725 of 
the McKinney-Vento Homeless Assistance Act (42 
U.S.C. 11434a); 
(F) INSTITUTION OF HIGHER EDUCATION.— 
The term ‘‘institution of higher education’’ has 
the meaning given such term in section 101 of 
the Higher Education Act of 1965 (20 U.S.C. 
1001) and includes a ‘‘postsecondary vocational 
institution’’ as defined in section 102(c) of such 
Act (20 U.S.C. 1002(c)).
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(G) LOCAL
EDUCATIONAL
AGENCY.—The 
term ‘‘local educational agency’’ has the meaning 
given the term in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 
U.S.C. 7801). 
(H) LOCAL BOARD; ONE-STOP OPERATOR.— 
The terms ‘‘local board’’ and ‘‘one-stop operator’’ 
have the meanings given such terms in section 3 
of the Workforce Innovation and Opportunity 
Act (29 U.S.C. 3102). 
(I) OUT
OF
SCHOOL
YOUTH.—The term 
‘‘out-of-school youth’’ has the meaning given such 
term in section 129(a)(1)(B) of the Workforce In-
novation and Opportunity Act (29 U.S.C. 
3164(a)(1)(B)). 
(J) RECOVERY PROGRAM.—The term ‘‘recov-
ery program’’ means a program— 
(i) to help children, adolescents, or 
young adults who are recovering from sub-
stance use disorders to initiate, stabilize, 
and maintain healthy and productive lives 
in the community; and 
(ii) that includes peer-to-peer support 
delivered by individuals with lived experi-
ence in recovery, and communal activities
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to build recovery skills and supportive so-
cial networks. 
(K) STATE
EDUCATIONAL
AGENCY.—The 
term ‘‘State educational agency’’ has the mean-
ing given the term in section 8101 of the Ele-
mentary and Secondary Education Act (20 
U.S.C. 7801). 
(3) BEST PRACTICES.—The Secretary, in con-
sultation with the Secretary of Education, shall— 
(A) identify or facilitate the development of 
evidence-based best practices for prevention of 
substance misuse and abuse by children, adoles-
cents, and young adults, including for specific 
populations such as youth in foster care, home-
less youth, out-of-school youth, and youth who 
are at risk of or have experienced trafficking that 
address— 
(i) primary prevention; 
(ii) appropriate recovery support serv-
ices; 
(iii) appropriate use of medication-as-
sisted treatment for such individuals, if ap-
plicable, and ways of overcoming barriers to 
the use of medication-assisted treatment in 
such population; and
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(iv) efficient and effective communica-
tion, which may include the use of social 
media, to maximize outreach efforts; 
(B) disseminate such best practices to State 
educational agencies, local educational agencies, 
schools and dormitories funded by the Bureau of 
Indian Education, institutions of higher edu-
cation, recovery programs at institutions of high-
er education, local boards, one-stop operators, 
family and youth homeless providers, and non-
profit organizations, as appropriate; 
(C) conduct a rigorous evaluation of each 
grant funded under this subsection, particularly 
its impact on the indicators described in para-
graph (8)(B); and 
(D) provide technical assistance for grantees 
under this subsection. 
(4) GRANTS
AUTHORIZED.—The Secretary, in 
consultation with the Secretary of Education, shall 
award 3-year grants, on a competitive basis, to eligi-
ble entities to enable such entities, in coordination 
with Indian Tribes, if applicable, and State agencies 
responsible for carrying out substance use disorder 
prevention and treatment programs, to carry out evi-
dence-based programs for—
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(A) prevention of substance misuse and 
abuse by children, adolescents, and young adults, 
which may include primary prevention; 
(B) recovery support services for children, 
adolescents, and young adults, which may in-
clude counseling, job training, linkages to com-
munity-based services, family support groups, 
peer mentoring, and recovery coaching; or 
(C) treatment or referrals for treatment of 
substance use disorders, which may include the 
use of medication-assisted treatment, as appro-
priate. 
(5) SPECIAL
CONSIDERATION.—In awarding 
grants under this subsection, the Secretary shall give 
special consideration to the unique needs of tribal, 
urban, suburban, and rural populations. 
(6) APPLICATION.—To be eligible for a grant 
under this subsection, an entity shall submit to the 
Secretary an application at such time, in such man-
ner, and containing such information as the Sec-
retary may require. Such application shall include— 
(A) a description of— 
(i) the impact of substance use dis-
orders in the population that will be served 
by the grant program;
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(ii) how the eligible entity has solicited 
input from relevant stakeholders, which 
may include faculty, teachers, staff, fami-
lies, students, and experts in substance use 
prevention and treatment in developing 
such application; 
(iii) the goals of the proposed project, 
including the intended outcomes; 
(iv) how the eligible entity plans to use 
grant funds for evidence-based activities, in 
accordance with this subsection to prevent, 
provide recovery support for, or treat sub-
stance use disorders amongst such individ-
uals, or a combination of such activities; 
and 
(v) how the eligible entity will collabo-
rate with relevant partners, which may in-
clude State educational agencies, local edu-
cational agencies, institutions of higher edu-
cation, juvenile justice agencies, prevention 
and recovery support providers, local service 
providers, including substance use disorder 
treatment programs, providers of mental 
health services, youth serving organizations, 
family and youth homeless providers, child
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welfare agencies, and primary care pro-
viders, in carrying out the grant program; 
and 
(B) an assurance that the eligible entity 
will participate in the evaluation described in 
paragraph (3)(C). 
(7) PRIORITY.—In awarding grants under this 
subsection, the Secretary shall give priority to eligible 
entities that propose to use grant funds for activities 
that meet the criteria described in subclauses (I) and 
(II) of section 8101(21)(A)(i) of the Elementary and 
Secondary Education Act (20 U.S.C. 7801(21)(A)(i)). 
(8) REPORTS TO THE SECRETARY.—Each eligible 
entity awarded a grant under this subsection shall 
submit to the Secretary a report at such time and in 
such manner as the Secretary may require. Such re-
port shall include— 
(A) a description of how the eligible entity 
used grant funds, in accordance with this sub-
section, including the number of children, adoles-
cents, and young adults reached through pro-
gramming; and 
(B) a description, including relevant data, 
of how the grant program has made an impact
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on the intended outcomes described in paragraph 
(6)(A)(iii), including— 
(i) indicators of student success, which, 
if the eligible entity is an educational insti-
tution, shall include student well-being and 
academic achievement; 
(ii) substance use disorders amongst 
children, adolescents, and young adults, in-
cluding the number of overdoses and deaths 
amongst children, adolescents, and young 
adults during the grant period; and 
(iii) other indicators, as the Secretary 
determines appropriate. 
(9) REPORT TO CONGRESS.—The Secretary shall, 
not later than October 1, 2022, submit a report to the 
Committee on Health, Education, Labor, and Pen-
sions of the Senate, and the Committee on Energy 
and Commerce and the Committee on Education and 
the Workforce of the House of Representatives, a re-
port summarizing the effectiveness of the grant pro-
gram under this subsection, based on the information 
submitted in reports required under paragraph (8). 
(10) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated such sums as
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may be necessary to carry out this subsection for each 
of fiscal years 2019 through 2023. 
SEC. 1414. PLANS OF SAFE CARE. 
Section 105(a) of the Child Abuse Prevention and 
Treatment Act (42 U.S.C. 5106(a)) is amended by adding 
at the end the following: 
‘‘(7) GRANTS TO STATES TO IMPROVE AND CO-
ORDINATE THEIR RESPONSE TO ENSURE THE SAFETY, 
PERMANENCY, AND
WELL-BEING
OF
INFANTS
AF-
FECTED BY SUBSTANCE USE.— 
‘‘(A) PROGRAM
AUTHORIZED.—The Sec-
retary shall make grants to States for the pur-
pose of assisting child welfare agencies, social 
services agencies, substance use disorder treat-
ment agencies, hospitals with labor and delivery 
units, medical staff, public health and mental 
health agencies, and maternal and child health 
agencies to facilitate collaboration in developing, 
updating, implementing, and monitoring plans 
of 
safe 
care 
described 
in 
section 
106(b)(2)(B)(iii). 
‘‘(B) DISTRIBUTION OF FUNDS.— 
‘‘(i) RESERVATIONS.—Of the amounts 
appropriated under subparagraph (H), the 
Secretary shall reserve—
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‘‘(I) no more than 3 percent for 
the purposes described in subparagraph 
(G); and 
‘‘(II) up to 3 percent for grants to 
Indian Tribes and tribal organizations 
to address the needs of infants born 
with, and identified as being affected 
by, substance abuse or withdrawal 
symptoms resulting from prenatal drug 
exposure or a fetal alcohol spectrum 
disorder and their families or care-
givers, which to the extent practicable, 
shall be consistent with the uses of 
funds described under subparagraph 
(D). 
‘‘(ii) ALLOTMENTS
TO
STATES
AND 
TERRITORIES.—The Secretary shall allot 
the amount appropriated under subpara-
graph (H) that remains after application of 
clause (i) to each State that applies for such 
a grant, in an amount equal to the sum 
of— 
‘‘(I) $500,000; and 
‘‘(II) an amount that bears the 
same relationship to any funds appro-