101 
(6) in subsection (g), by striking ‘‘2019 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
Subtitle C—Excellence in Recovery 
Housing 
SEC. 231. CLARIFYING THE ROLE OF SAMHSA IN PRO-
MOTING THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in paragraph (24)(E), by striking ‘‘and’’ at 
the end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(26) collaborate with national accrediting enti-
ties, reputable providers, organizations or individuals 
with established expertise in delivery of recovery hous-
ing services, States, Federal agencies (including the 
Department of Health and Human Services, the De-
partment of Housing and Urban Development, and 
the agencies listed in section 550(e)(2)(B)), and other 
relevant stakeholders, to promote the availability of 
high-quality recovery housing and services for indi-
viduals with a substance use disorder.’’. 
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102 
SEC. 232. DEVELOPING GUIDELINES FOR STATES TO PRO-
MOTE THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 550(a) of the Public Health Service Act (42 
U.S.C. 290ee–5(a)) (relating to national recovery housing 
best practices) is amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the individuals and entities specified in 
paragraph (2), shall build on existing best practices 
and previously developed guidelines to develop and 
periodically update consensus-based best practices, 
which may include model laws for implementing sug-
gested minimum standards for operating, and pro-
moting the availability of, high-quality recovery hous-
ing.’’; 
(2) in paragraph (2)— 
(A) by striking subparagraphs (A) and (B) 
and inserting the following: 
‘‘(A) Officials representing the agencies de-
scribed in subsection (e)(2).’’; and 
(B) by redesignating subparagraphs (C) 
through (G) as subparagraphs (B) through (F), 
respectively; and 
(3) by adding at the end the following: 
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‘‘(3) AVAILABILITY.—The best practices referred 
to in paragraph (1) shall be— 
‘‘(A) made publicly available; and 
‘‘(B) published on the public website of the 
Substance Abuse and Mental Health Services Ad-
ministration. 
‘‘(4) EXCLUSION OF GUIDELINE ON TREATMENT 
SERVICES.—In developing the guidelines under para-
graph (1), the Secretary may not include any guide-
lines with respect to substance use disorder treatment 
services.’’. 
SEC. 233. COORDINATION OF FEDERAL ACTIVITIES TO PRO-
MOTE 
THE 
AVAILABILITY 
OF 
RECOVERY 
HOUSING. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing best 
practices) is amended— 
(1) by redesignating subsections (e), (f), and (g) 
as subsections (g), (h), and (i), respectively; and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) COORDINATION OF FEDERAL ACTIVITIES TO PRO-
MOTE THE AVAILABILITY OF HOUSING FOR INDIVIDUALS 
EXPERIENCING
HOMELESSNESS, INDIVIDUALS
WITH
A 
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MENTAL ILLNESS, AND INDIVIDUALS WITH A SUBSTANCE 
USE DISORDER.— 
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting 
through the Assistant Secretary, and the Secretary of 
Housing and Urban Development shall convene an 
interagency working group for the following purposes: 
‘‘(A) To increase collaboration, cooperation, 
and consultation among the Department of 
Health and Human Services, the Department of 
Housing and Urban Development, and the Fed-
eral agencies listed in paragraph (2)(B), with re-
spect to promoting the availability of housing, 
including recovery housing, for individuals expe-
riencing homelessness, individuals with mental 
illnesses, and individuals with substance use dis-
order. 
‘‘(B) To align the efforts of such agencies 
and avoid duplication of such efforts by such 
agencies. 
‘‘(C) To develop objectives, priorities, and a 
long-term plan for supporting State, Tribal, and 
local efforts with respect to the operation of re-
covery housing that is consistent with the best 
practices developed under this section. 
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‘‘(D) To coordinate enforcement of fair 
housing practices, as appropriate, among Fed-
eral and State agencies. 
‘‘(E) To coordinate data collection on the 
quality of recovery housing. 
‘‘(2) COMPOSITION.—The interagency working 
group under paragraph (1) shall be composed of— 
‘‘(A) the Secretary, acting through the As-
sistant Secretary, and the Secretary of Housing 
and Urban Development, who shall serve as the 
co-chairs; and 
‘‘(B) representatives of each of the following 
Federal agencies: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Substance Abuse and Mental 
Health Services Administration. 
‘‘(iii) The Health Resources and Serv-
ices Administration. 
‘‘(iv) The Office of Inspector General. 
‘‘(v) The Indian Health Service. 
‘‘(vi) The Department of Agriculture. 
‘‘(vii) The Department of Justice. 
‘‘(viii) The Office of National Drug 
Control Policy. 
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‘‘(ix) The Bureau of Indian Affairs. 
‘‘(x) The Department of Labor. 
‘‘(xi) The Department of Veterans Af-
fairs. 
‘‘(xii) Any other Federal agency as the 
co-chairs determine appropriate. 
‘‘(3) MEETINGS.—The working group shall meet 
on a quarterly basis. 
‘‘(4) REPORTS TO CONGRESS.—Not later than 4 
years after the date of the enactment of this section, 
the working group shall submit to the Committee on 
Energy and Commerce, the Committee on Ways and 
Means, the Committee on Agriculture, and the Com-
mittee on Financial Services of the House of Rep-
resentatives and the Committee on Health, Education, 
Labor, and Pensions, the Committee on Agriculture, 
Nutrition, and Forestry, and the Committee on Fi-
nance of the Senate a report describing the work of 
the working group and any recommendations of the 
working group to improve Federal, State, and local 
coordination with respect to recovery housing and 
other housing resources and operations for individuals 
experiencing homelessness, individuals with a mental 
illness, and individuals with a substance use dis-
order.’’. 
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SEC. 234. NAS STUDY AND REPORT. 
(a) IN GENERAL.—Not later than 60 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Assistant Secretary for 
Mental Health and Substance Use shall— 
(1) contract with the National Academies of 
Sciences, Engineering, and Medicine— 
(A) to study the quality and effectiveness of 
recovery housing in the United States and 
whether the availability of such housing meets 
demand; and 
(B) to identify recommendations to promote 
the availability of high-quality recovery housing; 
and 
(2) report to the Congress on the results of such 
review. 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section there is authorized to be appropriated 
$1,500,000 for fiscal year 2023. 
SEC. 235. GRANTS FOR STATES TO PROMOTE THE AVAIL-
ABILITY OF RECOVERY HOUSING AND SERV-
ICES. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing best 
practices), as amended by sections 232 and 233, is further 
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amended by inserting after subsection (e) (as inserted by 
section 233) the following: 
‘‘(f) GRANTS FOR IMPLEMENTING NATIONAL RECOV-
ERY HOUSING BEST PRACTICES.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States (and political subdivisions thereof), 
Tribes, and territories— 
‘‘(A) for the provision of technical assist-
ance to implement the guidelines and rec-
ommendations developed under subsection (a); 
and 
‘‘(B) to promote— 
‘‘(i) the availability of recovery hous-
ing for individuals with a substance use 
disorder; and 
‘‘(ii) the maintenance of recovery hous-
ing in accordance with best practices devel-
oped under this section. 
‘‘(2) STATE PROMOTION PLANS.—Not later than 
90 days after receipt of a grant under paragraph (1), 
and every 2 years thereafter, each State (or political 
subdivisions thereof,) Tribe, or territory receiving a 
grant under paragraph (1) shall submit to the Sec-
retary, and publish on a publicly accessible internet 
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website of the State (or political subdivisions thereof), 
Tribe, or territory— 
‘‘(A) the plan of the State (or political sub-
divisions thereof), Tribe, or territory, with re-
spect to the promotion of recovery housing for in-
dividuals with a substance use disorder located 
within the jurisdiction of such State (or political 
subdivisions thereof), Tribe, or territory; and 
‘‘(B) a description of how such plan is con-
sistent with the best practices developed under 
this section.’’. 
SEC. 236. FUNDING. 
Subsection (i) of section 550 of the Public Health Serv-
ice Act (42 U.S.C. 290ee–5) (relating to national recovery 
housing best practices), as redesignated by section 233, is 
amended by striking ‘‘$3,000,000 for the period of fiscal 
years 2019 through 2021’’ and inserting ‘‘$5,000,000 for the 
period of fiscal years 2023 through 2027’’. 
SEC. 237. TECHNICAL CORRECTION. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
(1) by redesignating section 550 (relating to So-
briety Treatment and Recovery Teams) (42 U.S.C. 
290ee–10), as added by section 8214 of Public Law 
115–271, as section 550A; and 
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(2) by moving such section so it appears after 
section 550 (relating to national recovery housing best 
practices). 
Subtitle D—Substance Use Preven-
tion, Treatment, and Recovery 
Services Block Grant 
SEC. 241. ELIMINATING STIGMATIZING LANGUAGE RELAT-
ING TO SUBSTANCE USE. 
(a) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE USE.—Part B of title XIX of the Pub-
lic Health Service Act (42 U.S.C. 300x et seq.) is amend-
ed— 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in subpart II, by amending the subpart 
heading to read as follows: ‘‘Block Grants for 
Substance 
Use 
Prevention, 
Treatment, 
and Recovery Services’’; 
(3) in section 1922(a) (42 U.S.C. 300x–22(a))— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorders’’; 
and 
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(B) by striking ‘‘such abuse’’ each place it 
appears in paragraphs (1) and (2) and inserting 
‘‘such disorders’’; 
(4) in section 1923 (42 U.S.C. 300x–23)— 
(A) in the section heading, by striking 
‘‘SUBSTANCE
ABUSE’’ and inserting ‘‘SUB-
STANCE USE’’; and 
(B) in subsection (a), by striking ‘‘drug 
abuse’’ and inserting ‘‘substance use disorders’’; 
(5) in section 1925(a)(1) (42 U.S.C. 300x– 
25(a)(1)), by striking ‘‘alcohol or drug abuse’’ and in-
serting ‘‘alcohol or other substance use disorders’’; 
(6) in section 1926(b)(2)(B) (42 U.S.C. 300x– 
26(b)(2)(B)), by striking ‘‘substance abuse’’; 
(7) in section 1931(b)(2) (42 U.S.C. 300x– 
31(b)(2)), by striking ‘‘substance abuse’’ and inserting 
‘‘substance use disorders’’; 
(8) in section 1933(d)(1) (42 U.S.C. 300x– 
33(d)), in the matter following subparagraph (B), by 
striking ‘‘abuse of alcohol and other drugs’’ and in-
serting ‘‘use of substances’’; 
(9) by amending paragraph (4) of section 1934 
(42 U.S.C. 300x–34) to read as follows: 
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112 
‘‘(4) The term ‘substance use disorder’ means the 
recurrent use of alcohol or other drugs that causes 
clinically significant impairment.’’; 
(10) in section 1935 (42 U.S.C. 300x–35)— 
(A) in subsection (a), by striking ‘‘substance 
abuse’’ and inserting ‘‘substance use disorders’’; 
and 
(B) in subsection (b)(1), by striking ‘‘sub-
stance abuse’’ each place it appears and insert-
ing ‘‘substance use disorders’’; 
(11) in section 1949 (42 U.S.C. 300x–59), by 
striking ‘‘substance abuse’’ each place it appears in 
subsections (a) and (d) and inserting ‘‘substance use 
disorders’’; 
(12) in section 1954(b)(4) (42 U.S.C. 300x– 
64(b)(4))— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorders’’; and 
(B) by striking ‘‘such abuse’’ and inserting 
‘‘such disorders’’; 
(13) in section 1955 (42 U.S.C. 300x–65), by 
striking ‘‘substance abuse’’ each place it appears and 
inserting ‘‘substance use disorder’’; and 
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(14) in section 1956 (42 U.S.C. 300x–66), by 
striking ‘‘substance abuse’’ and inserting ‘‘substance 
use disorders’’. 
(b) 
CERTAIN
PROGRAMS
REGARDING
MENTAL 
HEALTH AND SUBSTANCE ABUSE.—Part C of title XIX of 
the Public Health Service Act (42 U.S.C. 300y et seq.) is 
amended— 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in section 1971 (42 U.S.C. 300y), by striking 
‘‘substance abuse’’ each place it appears in sub-
sections (a), (b), and (f) and inserting ‘‘substance 
use’’; and 
(3) in section 1976 (42 U.S.C. 300y–11), by 
striking ‘‘intravenous abuse’’ each place it appears 
and inserting ‘‘intravenous use’’. 
SEC. 242. AUTHORIZED ACTIVITIES. 
Section 1921(b) of the Public Health Service Act (42 
U.S.C. 300x–21(b)) is amended by striking ‘‘prevent and 
treat substance use disorders’’ and inserting ‘‘prevent, treat, 
and provide recovery support services for substance use dis-
orders’’. 
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SEC. 243. REQUIREMENTS RELATING TO CERTAIN INFEC-
TIOUS 
DISEASES 
AND 
HUMAN 
IMMUNO-
DEFICIENCY VIRUS. 
Section 1924 of the Public Health Service Act (42 
U.S.C. 300x–24) is amended— 
(1) in the section heading, by striking ‘‘TUBER-
CULOSIS
AND
HUMAN
IMMUNODEFICIENCY 
VIRUS’’ and inserting ‘‘TUBERCULOSIS, VIRAL 
HEPATITIS, AND
HUMAN
IMMUNODEFICIENCY 
VIRUS’’; 
(2) by amending subsection (a)(2) to read as fol-
lows: 
‘‘(2) DESIGNATED STATES.— 
‘‘(A) FISCAL YEARS THROUGH FISCAL YEAR 
2024.—For purposes of this subsection, through 
September 30, 2024, a State described in this 
paragraph is any State whose rate of cases of ac-
quired immune deficiency syndrome is 10 or 
more such cases per 100,000 individuals (as in-
dicated by the number of such cases reported to 
and confirmed by the Director of the Centers for 
Disease Control and Prevention for the most re-
cent calendar year for which such data are 
available). 
‘‘(B) FISCAL YEAR 2025 AND SUCCEEDING 
FISCAL YEARS.— 
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‘‘(i) IN GENERAL.—Beginning with fis-
cal year 2025, for purposes of this sub-
section, a State described in this paragraph 
is any State whose rate of cases of human 
immunodeficiency virus is 10 or more such 
cases per 100,000 individuals (as indicated 
by the number of such cases newly reported 
to and confirmed by the Director of the Cen-
ters for Disease Control and Prevention for 
the most recent calendar year for which 
such data are available). 
‘‘(ii) CONTINUATION
OF
DESIGNATED 
STATE
STATUS.—In the case of a State 
whose rate of cases of human immuno-
deficiency virus falls below the threshold 
specified in clause (i) for a calendar year, 
such State shall, notwithstanding clause (i), 
continue to be described in this paragraph 
unless the rate of cases falls below such 
threshold for three consecutive calendar 
years.’’. 
(3) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; and 
(4) by inserting after subsection (b) the fol-
lowing: 
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‘‘(c) VIRAL HEPATITIS.— 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1921 is that the State involved 
will require that any entity receiving amounts from 
the grant for operating a program of treatment for 
substance use disorders— 
‘‘(A) will, directly or through arrangements 
with other public or nonprofit private entities, 
routinely make available viral hepatitis services 
to each individual receiving treatment for such 
disorders; and 
‘‘(B) in the case of an individual in need 
of such treatment who is denied admission to the 
program on the basis of the lack of the capacity 
of the program to admit the individual, will 
refer the individual to another provider of viral 
hepatitis services. 
‘‘(2) VIRAL HEPATITIS SERVICES.—For purposes 
of paragraph (1), the term ‘viral hepatitis services’, 
with respect to an individual, means— 
‘‘(A) screening the individual for viral hep-
atitis; and 
‘‘(B) referring the individual to a provider 
whose practice includes viral hepatitis vaccina-
tion and treatment.’’. 
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(B) by striking clause (ii); and 
(C) by redesignating clause (iii) as clause 
(ii). 
SEC. 263. REQUIRING PRESCRIBERS OF CONTROLLED SUB-
STANCES TO COMPLETE TRAINING. 
Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended by adding at the end the following: 
‘‘(l) REQUIRED TRAINING FOR PRESCRIBERS.— 
‘‘(1) TRAINING REQUIRED.—As a condition on 
registration under this section to dispense controlled 
substances in schedule II, III, IV, or V, the Attorney 
General shall require any qualified practitioner, be-
ginning with the first applicable registration for the 
practitioner, to meet the following: 
‘‘(A) If the practitioner is a physician, the 
practitioner meets one or more of the following 
conditions: 
‘‘(i) The physician holds a board cer-
tification in addiction psychiatry or addic-
tion medicine from the American Board of 
Medical Specialties. 
‘‘(ii) The physician holds a board cer-
tification from the American Board of Ad-
diction Medicine. 
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