(D) in paragraph (1)(E), by striking ‘‘that 
the institution will impose’’ and inserting ‘‘of 
the policies of the institution regarding’’; and 
(E) in paragraph (2)— 
(i) in subparagraph (B), by inserting 
‘‘, overdoses,’’ after ‘‘violations’’; 
(ii) in subparagraph (B)(i), by strik-
ing ‘‘and’’ at the end and inserting ‘‘or’’; 
and 
(iii) in subparagraph (C), by inserting 
‘‘, overdoses,’’ after ‘‘violations’’; 
(3) in subsection (c)— 
(A) in paragraph (1)— 
(i) by striking ‘‘and’’ at the end of 
subparagraph (A); 
(ii) in subparagraph (B), by striking 
the period and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(C) assistance to institutions to comply 
with the requirements of this section.’’; 
(B) by redesignating paragraph (2) as 
paragraph (4); and 
(C) by inserting after paragraph (1) the 
following: 
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‘‘(2) INTERAGENCY
AGREEMENT.—Not later 
than 180 days after the date of enactment of this 
paragraph, the Secretary shall enter into an inter-
agency agreement with the Secretary of Health and 
Human Services, acting through the Assistant Sec-
retary for Mental Health and Substance Use, to— 
‘‘(A) develop best practices that inform cri-
teria which satisfy the requirement under sub-
section (a) that an institution of higher edu-
cation has adopted and has implemented an evi-
dence-based or evidence-informed program de-
scribed in such subsection; 
‘‘(B) establish a process for disseminating 
the best practices for adopting and imple-
menting such an evidence-based or evidence-in-
formed program; and 
‘‘(C) establish a process that promotes co-
ordination and collaboration between institu-
tions of higher education and the respective 
State agencies that administer the Substance 
Use Prevention, Treatment, and Recovery Serv-
ices Block Grants pursuant to subpart II of 
part B of title XIX of the Public Health Service 
Act (42 U.S.C. 300x–21). 
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‘‘(3) GUIDANCE.—Not later than 1 year after 
the date of the enactment of this paragraph, the 
Secretary shall, in coordination with the Secretary of 
Health and Human Services, acting through the As-
sistant Secretary for Mental Health and Substance 
Use, issue guidance with respect to the criteria de-
scribed in paragraph (2)(A).’’; and 
(4) in subsection (e)— 
(A) in the subsection heading, by striking 
‘‘DRUG ABUSE’’ in the heading and inserting 
‘‘SUBSTANCE MISUSE’’; 
(B) in paragraph (1)— 
(i) by striking ‘‘, and enter into con-
tracts with such institutions, consortia, 
and’’ and ‘‘or contracts’’; 
(ii) by striking ‘‘other organizations’’ 
and inserting ‘‘community-based organiza-
tions that partner with institutions of high-
er education, including with a collegiate re-
covery program of an institution,’’; 
(iii) by striking ‘‘programs of preven-
tion, and education (including treatment- 
referral) to reduce and eliminate the illegal 
use of drugs and alcohol and the violence 
associated with such use’’ and inserting 
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‘‘evidence-based or evidence-informed pro-
grams of alcohol and substance misuse 
prevention and education (including pro-
grams to improve access to treatment, re-
covery support services, referral for treat-
ment services, or crisis intervention serv-
ices) to eliminate illegal substance use, de-
crease substance misuse, and improve pub-
lic health and safety’’; and 
(iv) by striking ‘‘alcohol and drug 
abuse’’ and inserting ‘‘substance use dis-
order’’; 
(C) 
by 
redesignating 
paragraphs 
(2) 
through (5) as paragraphs (3) through (6), re-
spectively; 
(D) by inserting after paragraph (1) the 
following: 
‘‘(2) ADDITIONAL USES.—In addition to the ac-
tivities described in paragraph (1), a grant or con-
tract awarded under paragraph (1) may be used to 
carry out one or more of the following evidence- 
based or evidence-informed programs or activities: 
‘‘(A) Providing programs for recovery sup-
port services, peer support services, and coun-
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seling for students with a substance use dis-
order. 
‘‘(B) Promoting integration and collabora-
tion in campus-based health services between 
primary care, substance use disorder services, 
and mental health services. 
‘‘(C) Promoting integrated care services 
for students related to screening, diagnosis, pre-
vention, and treatment of mental health and 
substance use disorders. 
‘‘(D) Providing re-entry assistance for stu-
dents on academic probation due to their sub-
stance use disorder. 
‘‘(E) 
Preventing 
fatal 
and 
nonfatal 
overdoses, including restoring existing mental 
health and substance use disorder services after 
a natural disaster or public health emergency 
declared by the Secretary of Health and 
Human Services under section 319 of the Pub-
lic Health Service Act (42 U.S.C. 247d). 
‘‘(F) Providing education to students, fac-
ulty, or other personnel on— 
‘‘(i) recognizing the signs and symp-
toms of substance use disorder and how to 
engage and support a person in a crisis; 
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‘‘(ii) resources available in the com-
munity, within the institution of higher 
education, and other relevant resources for 
individuals with a substance use disorder; 
and 
‘‘(iii) safely de-escalating crises involv-
ing individuals with a substance use dis-
order.’’; 
(E) in paragraph (3), as redesignated by 
subparagraph (C), by striking ‘‘and contracts’’; 
(F) in paragraph (4), as redesignated by 
subparagraph (C), by striking ‘‘or contract’’; 
(G) in paragraph (5), as redesignated by 
subparagraph (C), by striking ‘‘and contracts’’ 
each place it appears; and 
(H) by amending paragraph (6), as redes-
ignated by subparagraph (C), to read as fol-
lows: 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this section $15,000,000 for fiscal year 2027 and 
each of the 5 succeeding fiscal years.’’. 
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SEC. 3. PROGRAM PARTICIPATION AGREEMENTS. 
Section 487(a)(10) of the Higher Education Act of 
1965 (20 U.S.C. 1094(a)(10)) is amended to read as fol-
lows: 
‘‘(10)(A) The institution certifies that it has in 
operation an alcohol and substance misuse preven-
tion program in accordance with section 120 that is 
determined by the institution to be accessible to any 
officer, employee, or student at the institution. 
‘‘(B) The institution shall be considered in com-
pliance with the requirements of subparagraph (A) 
unless there is a showing that the institution know-
ingly and willfully did not implement a prevention 
program described in such subparagraph.’’. 
SEC. 4. REPORT. 
The Secretary of Education shall report to the Com-
mittee on Education and Workforce of the House of Rep-
resentatives and the Committee on Health, Education, 
Labor, and Pensions of the Senate on the efforts of the 
Secretary carried out under the amendments made by this 
Act, and best practices from institutions receiving a grant 
under section 120(e) of the Higher Education Act of 1965 
(20 U.S.C. 1011i(e)), as amended by section 2 of this 
Act— 
(1) not later than one year after the date of en-
actment of this Act; and 
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(2) three years after the date of enactment of 
this Act. 
SEC. 5. APPLICABILITY. 
The amendments made by paragraph (2) of section 
2 and the amendments made by section 3 shall apply to 
institutions of higher education beginning on the date that 
is 2 years after the date of the enactment of this Act. 
Æ 
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