IB 
Union Calendar No. 466 
116TH CONGRESS 
2D SESSION 
H. R. 2466 
[Report No. 116–568] 
To extend the State Opioid Response Grants program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 1, 2019 
Mr. TRONE
(for himself, Mr. ARMSTRONG, Ms. SHERRILL, and Mr. 
RIGGLEMAN) introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
NOVEMBER 12, 2020 
Additional sponsors: Mr. BROWN of Maryland, Mr. BURCHETT, Mr. CLAY, Ms. 
DEAN, Ms. GARCIA of Texas, Ms. JAYAPAL, Ms. KUSTER of New Hamp-
shire, Mrs. LEE of Nevada, Mr. LEWIS, Mrs. MCBATH, Mr. PRICE of 
North Carolina, Mr. ROUDA, Mr. VEASEY, Mrs. AXNE, Ms. CRAIG, Mr. 
FOSTER, Mr. HAGEDORN, Mr. KRISHNAMOORTHI, Mr. LAWSON of Flor-
ida, Mrs. LURIA, Mr. MORELLE, Ms. NORTON, Mr. RASKIN, Mr. 
RESCHENTHALER, Ms. STEVENS, Mrs. TRAHAN, Mr. WATKINS, Ms. 
WILD, Ms. MUCARSEL-POWELL, Mr. COX of California, Ms. HOULAHAN, 
Mr. LEVIN of Michigan, Mr. CASE, Mr. MOONEY of West Virginia, Mr. 
PAPPAS, Ms. SCANLON, Ms. BASS, Ms. SLOTKIN, Mr. MCGOVERN, Mr. 
RUPPERSBERGER, Mr. HARDER of California, Ms. HILL of California, 
Mr. ROSE of New York, Mr. YARMUTH, Ms. KENDRA S. HORN of Okla-
homa, Ms. SPANBERGER, Mrs. DAVIS of California, Mr. DOGGETT, Mr. 
MALINOWSKI, Mr. RYAN, Ms. TLAIB, Mr. NEGUSE, Mr. CROW, Mr. 
MCADAMS, Mr. KIM, Mr. BAIRD, Mrs. HAYES, Ms. SHALALA, Ms. 
BROWNLEY of California, Mr. SARBANES, Mr. ALLRED, Ms. SCHRIER, 
Ms. FINKENAUER, Mr. DAVID SCOTT of Georgia, Mr. LUJA´N, and Mr. 
JOHNSON of Georgia 
NOVEMBER 12, 2020 
Reported with amendments; committed to the Committee of the Whole House 
on the State of the Union and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 1, 2019] 
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A BILL 
To extend the State Opioid Response Grants program, and 
for other purposes. 
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Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘State Opioid Response 
Grant Authorization Act of 2020’’. 
SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
(a) IN GENERAL.—Section 1003 of the 21st Century 
Cures Act (42 U.S.C. 290ee–3 note) is amended to read as 
follows: 
‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘Sec-
retary’) shall carry out the grant program described in sub-
section (b) for purposes of addressing substance use dis-
orders of significance, including opioid and stimulant use 
disorders, within States, Indian Tribes, and populations 
served by Tribal organizations. 
‘‘(b) GRANTS PROGRAM.— 
‘‘(1) IN GENERAL.—Subject to the availability of 
appropriations, the Secretary shall award grants to 
States, Indian Tribes, and Tribal organizations for 
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the purpose of addressing substance use disorders of 
significance, including opioid and stimulant use dis-
orders, within such States, such Indian Tribes, and 
populations served by such Tribal organizations, in 
accordance with paragraph (2). 
‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.—In 
awarding grants under paragraph (1), the Secretary 
shall— 
‘‘(A) ensure that each State and the District 
of Columbia receives not less than $4,000,000; 
and 
‘‘(B) give preference to States, Indian 
Tribes, and Tribal organizations with an inci-
dence or prevalence of opioid use disorders that 
is substantially higher relative to other States, 
other Indian Tribes, or other Tribal organiza-
tions, as applicable. 
‘‘(3) FORMULA METHODOLOGY.—Not less than 15 
days before publishing a funding opportunity an-
nouncement with respect to grants under this section, 
the Secretary shall— 
‘‘(A) develop a formula methodology to be 
followed in allocating grant funds awarded 
under this section among grantees; and 
‘‘(B) submit the formula methodology to— 
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‘‘(I) the Committee on Energy and 
Commerce and the Committee on Appro-
priations of the House of Representatives; 
and 
‘‘(ii) the Committee on Health, Edu-
cation, Labor and Pensions and the Com-
mittee on Appropriations of the Senate. 
‘‘(4) USE
OF
FUNDS.—Grants awarded under 
this subsection shall be used for carrying out activi-
ties that supplement activities pertaining to substance 
use disorders of significance, including opioid and 
stimulant use disorders, undertaken by the State 
agency responsible for administering the substance 
abuse prevention and treatment block grant under 
subpart II of part B of title XIX of the Public Health 
Service Act (42 U.S.C. 300x–21 et seq.), which may 
include public health-related activities such as the fol-
lowing: 
‘‘(A) Implementing prevention activities, 
and evaluating such activities to identify effec-
tive strategies to prevent substance use disorders. 
‘‘(B) Establishing or improving prescrip-
tion drug monitoring programs. 
‘‘(C) Training for health care practitioners, 
such as best practices for prescribing opioids, 
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pain management, recognizing potential cases of 
substance abuse, referral of patients to treatment 
programs, preventing diversion of controlled sub-
stances, and overdose prevention. 
‘‘(D) Supporting access to health care serv-
ices, including— 
‘‘(i) services provided by federally cer-
tified opioid treatment programs; 
‘‘(ii) outpatient and residential sub-
stance use disorder treatment services that 
utilize medication-assisted treatment, as ap-
propriate; or 
‘‘(iii) other appropriate health care 
providers to treat substance use disorders. 
‘‘(E) Other public health-related activities, 
as the State, Indian Tribe, or Tribal organiza-
tion determines appropriate, related to address-
ing substance use disorders within the State, In-
dian Tribe, or Tribal organization, including di-
recting resources in accordance with local needs 
related to substance use disorders. 
‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re-
ceiving a grant under subsection (b) shall include in report-
ing related to substance abuse submitted to the Secretary 
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pursuant to section 1942 of the Public Health Service Act 
(42 U.S.C. 300x–52), a description of— 
‘‘(1) the purposes for which the grant funds re-
ceived by the State under such subsection for the pre-
ceding fiscal year were expended and a description of 
the activities of the State under the grant; and 
‘‘(2) the ultimate recipients of amounts provided 
to the State through the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pursu-
ant to subsection (i)— 
‘‘(1) notwithstanding any transfer authority in 
any appropriations Act, shall not be used for any 
purpose other than the grant program in subsection 
(b); and 
‘‘(2) shall be subject to the same requirements as 
substance abuse prevention and treatment programs 
under titles V and XIX of the Public Health Service 
Act (42 U.S.C. 290aa et seq., 300w et seq.). 
‘‘(e) INDIAN TRIBES AND TRIBAL ORGANIZATIONS.— 
The Secretary, in consultation with Indian Tribes and 
Tribal organizations, shall identify and establish appro-
priate mechanisms for Indian Tribes and Tribal organiza-
tions to demonstrate or report the information as required 
under subsections (b), (c), and (d). 
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‘‘(f) REPORT
TO CONGRESS.—Not later than Sep-
tember 30, 2022, and biennially thereafter, the Secretary 
shall submit to the Committee on Health, Education, Labor, 
and Pensions of the Senate and the Committee on Energy 
and Commerce of the House of Representatives, and the 
Committees on Appropriations of the House of Representa-
tives and the Senate, a report summarizing the information 
provided to the Secretary in reports made pursuant to sub-
sections (c) and (e), including the purposes for which grant 
funds are awarded under this section and the activities of 
such grant recipients. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, includ-
ing through the Tribal Training and Technical Assistance 
Center of the Substance Abuse and Mental Health Services 
Administration, shall provide States, Indian Tribes, and 
Tribal organizations, as applicable, with technical assist-
ance concerning grant application and submission proce-
dures under this section, award management activities, and 
enhancing outreach and direct support to rural and under-
served communities and providers in addressing substance 
use disorders. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given the term ‘Indian tribe’ in sec-
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tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given the term ‘tribal 
organization’ in such section 4. 
‘‘(3) STATE.—The term ‘State’ has the meaning 
given such term in section 1954(b) of the Public 
Health Service Act (42 U.S.C. 300x–64(b)). 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying out 
the grant program under subsection (b), there is au-
thorized to be appropriated $1,500,000,000 for each of 
fiscal years 2020 through 2026, to remain available 
until expended. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.—Of 
the amounts made available for each fiscal year to 
award grants under subsection (b), the Secretary shall 
not use more than 2 percent for Federal administra-
tive expenses, training, technical assistance, and eval-
uation. 
‘‘(3) SET ASIDE.—Of the amounts made avail-
able for each fiscal year to award grants under sub-
section (b) for a fiscal year, the Secretary shall— 
‘‘(A) award 5 percent to Indian Tribes and 
Tribal organizations; and 
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‘‘(B) of the remaining amount, set aside up 
to 15 percent for States with the highest age-ad-
justed rate of drug overdose death based on the 
ordinal ranking of States according to the Direc-
tor of the Centers for Disease Control and Pre-
vention.’’. 
(b) CLERICAL AMENDMENT.—The table of sections in 
section 1(b) of such Act is amended by striking the item 
relating to section 1003 and inserting the following: 
‘‘Sec. 1003. Grant program for State and Tribal response to substance use dis-
orders of significance.’’. 
Amend the title so as to read: ‘‘A bill to amend the 
21st Century Cures Act to reauthorize and expand a 
grant program for State response to the opioid abuse cri-
sis, and for other purposes.’’. 
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Union Calendar No. 466 
116TH CONGRESS 
2D SESSION 
H. R. 2466 
[Report No. 116–568] 
A BILL 
To extend the State Opioid Response Grants 
program, and for other purposes. 
NOVEMBER 12, 2020 
Reported with amendments; committed to the Committee 
of the Whole House on the State of the Union and or-
dered to be printed 
VerDate Sep 11 2014 
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