1986, reduced by any amounts rebated or discounted 
under section 2(d) of the Budgeting for Opioid Addiction 
Treatment Act (as described in section 1933(a)(1)(B)(i)) 
be used exclusively for substance abuse (including opioid 
abuse) treatment efforts in the State, including— 
‘‘(1) treatment programs— 
‘‘(A) establishing new addiction treatment 
facilities, residential and outpatient, including 
covering capital costs; 
‘‘(B) establishing sober living facilities; 
‘‘(C) recruiting and increasing reimburse-
ment for certified mental health providers pro-
viding substance abuse treatment in medically 
underserved communities or communities with 
high rates of prescription drug abuse; 
‘‘(D) expanding access to long-term, resi-
dential treatment programs for opioid addicts 
(including 30-, 60-, and 90-day programs); 
‘‘(E) establishing or operating support pro-
grams that offer employment services, housing, 
and other support services to help recovering 
addicts transition back into society; 
‘‘(F) establishing or operating housing for 
children whose parents are participating in sub-
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stance abuse treatment programs, including 
capital costs; 
‘‘(G) establishing or operating facilities to 
provide care for babies born with neonatal ab-
stinence syndrome, including capital costs; and 
‘‘(H) other treatment programs, as the 
Secretary determines appropriate; and 
‘‘(2) recruitment and training of substance use 
disorder professionals to work in rural and medically 
underserved communities.’’. 
(d) 
ADDITIONAL
FUNDING.—Section 
1933(a)(1)(B)(i) of the Public Health Service Act (42 
U.S.C. 300x–33(a)(1)(B)(i)) is amended by inserting ‘‘, 
plus any increase in revenues to the Treasury in the pre-
vious fiscal year resulting from the enactment of section 
4192 of the Internal Revenue Code of 1986, reduced by 
any amounts rebated or discounted under section 2(d) of 
the Budgeting for Opioid Addiction Treatment Act’’ be-
fore the period. 
SEC. 4. REPORT. 
Not later than 2 years after the date described in sec-
tion 2(c), the Secretary of Health and Human Services 
shall submit to Congress a report on the impact of the 
amendments made by sections 2 and 3 on— 
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(1) the retail cost of active opioids (as defined 
in section 4192 of the Internal Revenue Code of 
1986, as added by section 2); 
(2) patient access to such opioids, particularly 
cancer and hospice patients, including the effect of 
the discount or rebate on such opioids for cancer 
and hospice patients under section 2(d); 
(3) how the increase in revenue to the Treasury 
resulting from the enactment of section 4192 of the 
Internal Revenue Code of 1986 is used to improve 
substance abuse treatment efforts in accordance 
with section 1923A of the Public Health Service Act 
(as added by section 3); and 
(4) suggestions for improving— 
(A) access to opioids for cancer and hos-
pice patients; and 
(B) substance abuse treatment efforts 
under such section 1923A. 
Æ 
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