‘‘(C) CHAIR.—The Secretary of Health 
and Human Services shall serve as the chair of 
the Committee. 
‘‘(D) DUTIES.—The Committee shall guide 
policy and program development across the 
Federal Government with respect to underage 
drinking, provided, however, that nothing in 
this section shall be construed as transferring 
regulatory or program authority from an Agen-
cy to the Coordinating Committee. 
‘‘(E) CONSULTATIONS.—The Committee 
shall actively seek the input of and shall consult 
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage 
industry trade associations and companies. 
‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on 
behalf of the Committee, shall annually 
submit to the Congress a report that sum-
marizes— 
‘‘(I) all programs and policies of 
Federal agencies designed to prevent 
and reduce underage drinking, focus-
ing particularly on programs and poli-
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cies that support the adoption and en-
forcement of State policies designed to 
prevent and reduce underage drinking 
as specified in paragraph (2); 
‘‘(II) the extent of progress in 
preventing and reducing underage 
drinking at State and national levels; 
‘‘(III) data that the Secretary 
shall collect with respect to the infor-
mation specified in clause (ii); and 
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate. 
‘‘(ii) CERTAIN
INFORMATION.—The 
report under clause (i) shall include infor-
mation on the following: 
‘‘(I) Patterns and consequences 
of underage drinking as reported in 
research and surveys such as, but not 
limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance 
System, the National Survey on Drug 
Use and Health, and the Fatality 
Analysis Reporting System. 
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‘‘(II) Measures of the availability 
of alcohol from commercial and non- 
commercial sources to underage popu-
lations. 
‘‘(III) Measures of the exposure 
of underage populations to messages 
regarding alcohol in advertising, social 
media, and the entertainment media. 
‘‘(IV) Surveillance data, includ-
ing information on the onset and 
prevalence of underage drinking, con-
sumption patterns, beverage pref-
erences, prevalence of drinking among 
students at institutions of higher edu-
cation, correlations between adult and 
youth drinking, and the means of un-
derage access, including trends over 
time for these surveillance data. The 
Secretary shall develop a plan to im-
prove the collection, measurement, 
and consistency of reporting Federal 
underage alcohol data. 
‘‘(V) Any additional findings re-
sulting from research conducted or 
supported under subsection (f). 
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‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage 
drinking including a review of the re-
search literature related to State laws, 
regulations, and policies designed to 
prevent and reduce underage drink-
ing, 
as 
described 
in 
paragraph 
(2)(B)(i). 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE 
DRINKING PREVENTION AND ENFORCEMENT ACTIVI-
TIES.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
with input and collaboration from other appro-
priate Federal agencies, States, Indian Tribes, 
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue 
a report on each State’s performance in enact-
ing, enforcing, and creating laws, regulations, 
and policies to prevent or reduce underage 
drinking based on an assessment of best prac-
tices 
developed 
pursuant 
to 
paragraph 
(1)(F)(ii)(VI) and subparagraph (B)(i). For 
purposes of this paragraph, each such report, 
with respect to a year, shall be referred to as 
the ‘State Report’. Each State Report shall be 
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designed as a resource tool for Federal agencies 
assisting States in the their underage drinking 
prevention efforts, State public health and law 
enforcement agencies, State and local policy-
makers, and underage drinking prevention coa-
litions including those receiving grants pursuant 
to subsection (e). 
‘‘(B) STATE PERFORMANCE MEASURES.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall develop, in consultation with the 
Committee, a set of measures to be used in 
preparing the State Report on best prac-
tices as they relate to State laws, regula-
tions, policies, and enforcement practices. 
‘‘(ii) STATE REPORT CONTENT.—The 
State Report shall include updates on 
State laws, regulations, and policies in-
cluded in previous reports to Congress, in-
cluding with respect to the following: 
‘‘(I) Whether or not the State 
has 
comprehensive 
anti-underage 
drinking laws such as for the illegal 
sale, purchase, attempt to purchase, 
consumption, or possession of alcohol; 
illegal use of fraudulent ID; illegal 
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furnishing or obtaining of alcohol for 
an individual under 21 years; the de-
gree of strictness of the penalties for 
such offenses; and the prevalence of 
the enforcement of each of these in-
fractions. 
‘‘(II) Whether or not the State 
has comprehensive liability statutes 
pertaining to underage access to alco-
hol such as dram shop, social host, 
and house party laws, and the preva-
lence of enforcement of each of these 
laws. 
‘‘(III) Whether or not the State 
encourages and conducts comprehen-
sive enforcement efforts to prevent 
underage access to alcohol at retail 
outlets, such as random compliance 
checks and shoulder tap programs, 
and the number of compliance checks 
within alcohol retail outlets measured 
against the number of total alcohol re-
tail outlets in each State, and the re-
sult of such checks. 
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‘‘(IV) Whether or not the State 
encourages training on the proper 
selling and serving of alcohol for all 
sellers and servers of alcohol as a con-
dition of employment. 
‘‘(V) Whether or not the State 
has policies and regulations with re-
gard to direct sales to consumers and 
home delivery of alcoholic beverages. 
‘‘(VI) Whether or not the State 
has programs or laws to deter adults 
from purchasing alcohol for minors; 
and the number of adults targeted by 
these programs. 
‘‘(VII) Whether or not the State 
has enacted graduated drivers licenses 
and the extent of those provisions. 
‘‘(iii) ADDITIONAL
CATEGORIES.—In 
addition to the updates on State laws, reg-
ulations, and policies listed in clause (ii), 
the Secretary shall consider the following: 
‘‘(I) Whether or not States have 
adopted laws, regulations, and policies 
that deter underage alcohol use, as 
described in ‘The Surgeon General’s 
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Call to Action to Prevent and Reduce 
Underage Drinking’ issued in 2007 
and ‘Facing Addiction in America: 
The Surgeon General’s Report on Al-
cohol, Drugs and Health’ issued in 
2016, including restrictions on low- 
price, high-volume drink specials, and 
wholesaler pricing provisions. 
‘‘(II) Whether or not States have 
adopted laws, regulations, and policies 
designed to reduce alcohol advertising 
messages attractive to youth and 
youth exposure to alcohol advertising 
and marketing in measured and 
unmeasured media and digital and so-
cial media. 
‘‘(III) Whether or not States 
have laws and policies that promote 
underage drinking prevention policy 
development by local jurisdictions. 
‘‘(IV) Whether or not States 
have adopted laws, regulations, and 
policies to restrict youth access to al-
coholic beverages that may pose spe-
cial risks to youth, including but not 
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limited to alcoholic mists, gelatins, 
freezer pops, premixed caffeinated al-
coholic beverages, and flavored malt 
beverages. 
‘‘(V) Whether or not States have 
adopted uniform best practices proto-
cols for conducting compliance checks 
and shoulder tap programs. 
‘‘(VI) Whether or not States 
have adopted uniform best practices 
penalty protocols for violations of laws 
prohibiting retail licensees from sell-
ing or furnishing of alcohol to minors. 
‘‘(iv) UNIFORM
DATA
SYSTEM.—For 
performance measures related to enforce-
ment of underage drinking laws as speci-
fied in clauses (ii) and (iii), the Secretary 
shall develop and test a uniform data sys-
tem for reporting State enforcement data, 
including the development of a pilot pro-
gram for this purpose. The pilot program 
shall include procedures for collecting en-
forcement data from both State and local 
law enforcement jurisdictions. 
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‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $1,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the National Highway Traffic Safety Ad-
ministration, shall develop an intensive, multifaceted, 
adult-oriented national media campaign to reduce 
underage drinking by influencing attitudes regarding 
underage drinking, increasing the willingness of 
adults to take actions to reduce underage drinking, 
and encouraging public policy changes known to de-
crease underage drinking rates. 
‘‘(2) PURPOSE.—The purpose of the national 
media campaign described in this section shall be to 
achieve the following objectives: 
‘‘(A) Instill a broad societal commitment to 
reduce underage drinking. 
‘‘(B) Increase specific actions by adults 
that are meant to discourage or inhibit under-
age drinking. 
‘‘(C) Decrease adult conduct that tends to 
facilitate or condone underage drinking. 
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‘‘(3) COMPONENTS.—When implementing the 
national media campaign described in this section, 
the Secretary shall— 
‘‘(A) educate the public about the public 
health and safety benefits of evidence-based 
policies to reduce underage drinking, including 
minimum legal drinking age laws, and build 
public and parental support for and cooperation 
with enforcement of such policies; 
‘‘(B) educate the public about the negative 
consequences of underage drinking; 
‘‘(C) promote specific actions by adults 
that are meant to discourage or inhibit under-
age drinking, including positive behavior mod-
eling, general parental monitoring, and con-
sistent and appropriate discipline; 
‘‘(D) discourage adult conduct that tends 
to facilitate underage drinking, including the 
hosting of underage parties with alcohol and 
the purchasing of alcoholic beverages on behalf 
of underage youth; 
‘‘(E) establish collaborative relationships 
with local and national organizations and insti-
tutions to further the goals of the campaign 
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and assure that the messages of the campaign 
are disseminated from a variety of sources; 
‘‘(F) conduct the campaign through multi- 
media sources; and 
‘‘(G) conduct the campaign with regard to 
changing demographics and cultural and lin-
guistic factors. 
‘‘(4) CONSULTATION REQUIREMENT.—In devel-
oping and implementing the national media cam-
paign described in this section, the Secretary shall 
consult recommendations for reducing underage 
drinking published by the National Academy of 
Sciences and the Surgeon General. The Secretary 
shall also consult with interested parties including 
medical, public health, and consumer and parent 
groups, law enforcement, institutions of higher edu-
cation, community organizations and coalitions, and 
other stakeholders supportive of the goals of the 
campaign. 
‘‘(5) ANNUAL
REPORT.—The Secretary shall 
produce an annual report on the progress of the de-
velopment or implementation of the media campaign 
described in this subsection, including expenses and 
projected costs, and, as such information is avail-
able, report on the effectiveness of such campaign in 
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affecting adult attitudes toward underage drinking 
and adult willingness to take actions to decrease un-
derage drinking. 
‘‘(6) RESEARCH
ON
YOUTH-ORIENTED
CAM-
PAIGN.—The Secretary may, based on the avail-
ability of funds, conduct research on the potential 
success of a youth-oriented national media campaign 
to reduce underage drinking. The Secretary shall re-
port any such results to Congress with policy rec-
ommendations on establishing such a campaign. 
‘‘(7) ADMINISTRATION.—The Secretary may 
enter into a subcontract with another Federal agen-
cy to delegate the authority for execution and ad-
ministration of the adult-oriented national media 
campaign. 
‘‘(8) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $2,500,000 for each of fiscal years 2023 
through 2027. 
‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT 
GRANTS TO PREVENT UNDERAGE DRINKING.— 
‘‘(1) AUTHORIZATION OF PROGRAM.—The As-
sistant Secretary for Mental Health and Substance 
Use, in consultation with the Director of the Office 
of National Drug Control Policy, shall award en-
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hancement grants to eligible entities to design, im-
plement, evaluate, and disseminate comprehensive 
strategies to maximize the effectiveness of commu-
nity-wide approaches to preventing and reducing un-
derage drinking. This subsection is subject to the 
availability of appropriations. 
‘‘(2) PURPOSES.—The purposes of this sub-
section are to— 
‘‘(A) prevent and reduce alcohol use among 
youth in communities throughout the United 
States; 
‘‘(B) strengthen collaboration among com-
munities, the Federal Government, Tribal Gov-
ernments, and State and local governments; 
‘‘(C) enhance intergovernmental coopera-
tion and coordination on the issue of alcohol 
use among youth; 
‘‘(D) serve as a catalyst for increased cit-
izen participation and greater collaboration 
among all sectors and organizations of a com-
munity that first demonstrates a long-term 
commitment to reducing alcohol use among 
youth; 
‘‘(E) implement state-of-the-art science- 
based strategies to prevent and reduce underage 
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drinking by changing local conditions in com-
munities; and 
‘‘(F) enhance, not supplant, effective local 
community initiatives for preventing and reduc-
ing alcohol use among youth. 
‘‘(3) APPLICATION.—An eligible entity desiring 
an enhancement grant under this subsection shall 
submit an application to the Assistant Secretary at 
such time, and in such manner, and accompanied by 
such information and assurances, as the Assistant 
Secretary may require. Each application shall in-
clude— 
‘‘(A) a complete description of the entity’s 
current underage alcohol use prevention initia-
tives and how the grant will appropriately en-
hance the focus on underage drinking issues; or 
‘‘(B) a complete description of the entity’s 
current initiatives, and how it will use this 
grant to enhance those initiatives by adding a 
focus on underage drinking prevention. 
‘‘(4) USES
OF
FUNDS.—Each eligible entity 
that receives a grant under this subsection shall use 
the grant funds to carry out the activities described 
in such entity’s application submitted pursuant to 
paragraph (3) and obtain specialized training and 
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technical assistance by the entity funded under sec-
tion 4 of Public Law 107–82, as amended (21 
U.S.C. 1521 note). Grants under this subsection 
shall not exceed $60,000 per year and may not ex-
ceed four years. 
‘‘(5) SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds provided under this subsection shall be used to 
supplement, not supplant, Federal and non-Federal 
funds available for carrying out the activities de-
scribed in this subsection. 
‘‘(6) EVALUATION.—Grants under this sub-
section shall be subject to the same evaluation re-
quirements and procedures as the evaluation re-
quirements and procedures imposed on recipients of 
drug-free community grants. 
‘‘(7) DEFINITIONS.—For purposes of this sub-
section, the term ‘eligible entity’ means an organiza-
tion that is currently receiving or has received grant 
funds under the Drug-Free Communities Act of 
1997. 
‘‘(8) ADMINISTRATIVE
EXPENSES.—Not more 
than 6 percent of a grant under this subsection may 
be expended for administrative expenses. 
‘‘(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
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this subsection $11,500,000 for each of fiscal years 
2023 through 2027. 
‘‘(f) GRANTS
TO PROFESSIONAL PEDIATRIC PRO-
VIDER ORGANIZATIONS TO REDUCE UNDERAGE DRINK-
ING
THROUGH
SCREENING
AND
BRIEF
INTERVEN-
TIONS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall make one or more grants 
to professional pediatric provider organizations to in-
crease among the members of such organizations ef-
fective practices to reduce the prevalence of alcohol 
use among individuals under the age of 21, including 
college students. 
‘‘(2) PURPOSES.—Grants under this subsection 
shall be made to promote the practices of— 
‘‘(A) screening children and adolescents for 
alcohol use; 
‘‘(B) offering brief interventions to chil-
dren and adolescents to discourage such use; 
‘‘(C) educating parents about the dangers 
of and methods of discouraging such use; 
‘‘(D) diagnosing and treating alcohol use 
disorders; and 
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‘‘(E) referring patients, when necessary, to 
other appropriate care. 
‘‘(3) USE OF FUNDS.—A professional pediatric 
provider organization receiving a grant under this 
section may use the grant funding to promote the 
practices specified in paragraph (2) among its mem-
bers by— 
‘‘(A) providing training to health care pro-
viders; 
‘‘(B) disseminating best practices, includ-
ing culturally and linguistically appropriate best 
practices, and developing, printing, and distrib-
uting materials; and 
‘‘(C) supporting other activities approved 
by the Assistant Secretary. 
‘‘(4) APPLICATION.—To be eligible to receive a 
grant under this subsection, a professional pediatric 
provider organization shall submit an application to 
the Assistant Secretary at such time, and in such 
manner, and accompanied by such information and 
assurances as the Secretary may require. Each ap-
plication shall include— 
‘‘(A) a description of the pediatric provider 
organization; 
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‘‘(B) a description of the activities to be 
completed that will promote the practices speci-
fied in paragraph (2); 
‘‘(C) a description of the organization’s 
qualifications for performing such practices; 
and 
‘‘(D) a timeline for the completion of such 
activities. 
‘‘(5) DEFINITIONS.—For the purpose of this 
subsection: 
‘‘(A) BRIEF
INTERVENTION.—The term 
‘brief intervention’ means, after screening a pa-
tient, providing the patient with brief advice 
and other brief motivational enhancement tech-
niques designed to increase the insight of the 
patient regarding the patient’s alcohol use, and 
any realized or potential consequences of such 
use to effect the desired related behavioral 
change. 
‘‘(B) CHILDREN AND ADOLESCENTS.—The 
term ‘children and adolescents’ means individ-
uals under 21 years of age. 
‘‘(C) PROFESSIONAL PEDIATRIC PROVIDER 
ORGANIZATION.—The term ‘professional pedi-
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atric provider organization’ means an organiza-
tion or association that— 
‘‘(i) consists of or represents pediatric 
health care providers; and 
‘‘(ii) is qualified to promote the prac-
tices specified in paragraph (2). 
‘‘(D) SCREENING.—The term ‘screening’ 
means using validated patient interview tech-
niques to identify and assess the existence and 
extent of alcohol use in a patient. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $3,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(g) DATA COLLECTION AND RESEARCH.— 
‘‘(1) ADDITIONAL
RESEARCH
ON
UNDERAGE 
DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
subject to the availability of appropriations, col-
lect data, and conduct or support research that 
is not duplicative of research currently being 
conducted or supported by the Department of 
Health and Human Services, on underage 
drinking, with respect to the following: 
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‘‘(i) Improve data collection in sup-
port of evaluation of the effectiveness of 
comprehensive community-based programs 
or strategies and statewide systems to pre-
vent and reduce underage drinking, across 
the underage years from early childhood to 
age 21, such as programs funded and im-
plemented by governmental entities, public 
health interest groups and foundations, 
and alcohol beverage companies and trade 
associations, through the development of 
models of State-level epidemiological sur-
veillance of underage drinking by funding 
in States or large metropolitan areas new 
epidemiologists focused on excessive drink-
ing including underage alcohol use. 
‘‘(ii) Obtain and report more precise 
information than is currently collected on 
the scope of the underage drinking prob-
lem and patterns of underage alcohol con-
sumption, including improved knowledge 
about the problem and progress in pre-
venting, reducing, and treating underage 
drinking, as well as information on the 
rate of exposure of youth to advertising 
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and other media messages encouraging and 
discouraging alcohol consumption. 
‘‘(iii) Synthesize, expand on, and 
widely disseminate existing research on ef-
fective strategies for reducing underage 
drinking, including translational research, 
and make this research easily accessible to 
the general public. 
‘‘(iv) Improve and conduct public 
health surveillance on alcohol use and alco-
hol-related conditions in States by increas-
ing the use of surveys, such as the Behav-
ioral Risk Factor Surveillance System, to 
monitor binge and excessive drinking and 
related harms among individuals who are 
at least 18 years of age, but not more than 
20 years of age, including harm caused to 
self or others as a result of alcohol use 
that is not duplicative of research currently 
being conducted or supported by the De-
partment of Health and Human Services. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $5,000,000 for each 
of fiscal years 2023 through 2027. 
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‘‘(2) 
NATIONAL
ACADEMY
OF
SCIENCES 
STUDY.— 
‘‘(A) IN
GENERAL.—Not later than 12 
months after the enactment of the Sober Truth 
on Preventing Underage Drinking Reauthoriza-
tion Act, the Secretary shall— 
‘‘(i) contract with the National Acad-
emy of Sciences to conduct a review of the 
research literature regarding the influence 
of drinking alcohol on the development of 
the adolescent brain and the public policy 
implications of this research; and 
‘‘(ii) report to the Congress on the re-
sults of such review. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $500,000 for fiscal 
year 2023.’’. 
Æ 
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