‘‘SEC. 514A. EXPANDED ACCESS TO SUBSTANCE ABUSE 
TREATMENT SERVICES. 
‘‘(a) IN GENERAL.—The Director of the Center for 
Substance Abuse Treatment shall make grants to Feder-
ally qualified health centers, substance abuse treatment 
centers, rehabilitation treatment centers, or residential 
treatment centers to expand access to substance abuse 
treatment services for adults, adolescents, and children 
by— 
‘‘(1) increasing education, screening, care co-
ordination, risk reduction interventions, or coun-
seling regarding the availability of testing, treat-
ment, and clinical management for patients with or 
at risk of HIV/AIDS, hepatitis C, and other diseases 
associated with opioid use disorders; 
‘‘(2) enhancing clinical workflow to improve 
substance abuse treatment services; 
‘‘(3) enhancing the use of health information 
technologies to improve the effectiveness of sub-
stance abuse treatment services and increase patient 
engagement; 
‘‘(4) educating patients and community mem-
bers on opioid use disorders, including the use of 
opioid antagonists in preventing opioid overdose; 
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‘‘(5) expanding treatment capacity in rural and 
underserved communities through the use of tele-
medicine; 
‘‘(6) providing treatment transition and cov-
erage for patients reentering communities from 
criminal justice settings or other rehabilitative set-
tings; 
‘‘(7) training and certifying opioid use disorder 
treatment providers, including physicians, nurses, 
counselors, social workers, care coordinators, and 
case managers; 
‘‘(8) supporting innovative delivery of medica-
tion-assisted treatment; and 
‘‘(9) enhancing prevention using evidence-based 
methods proven to reduce the number of persons 
with opioid use disorders. 
‘‘(b) PRIORITY.—In awarding grants under this sub-
section, the Director shall prioritize grants to Federally 
qualified health centers, substance abuse treatment cen-
ters and programs, rehabilitation treatment centers and 
programs, and residential treatment centers— 
‘‘(1) serving communities with a greater inci-
dence of substance abuse; or 
‘‘(2) providing, or proposing to incorporate, 
medication-assisted treatment. 
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‘‘(c) REQUIREMENTS.— 
‘‘(1) 
EVIDENCE-BASED, 
COST-EFFECTIVE.— 
Services funded through a grant under this sub-
section shall be— 
‘‘(A) evidence-based; and 
‘‘(B) cost-effective. 
‘‘(2) MANNER OF PROVIDING SERVICES.—Serv-
ices funded through a grant under this section— 
‘‘(A) may be provided by the grantee di-
rectly or through referrals to other providers 
with which the grantee has a formal relation-
ship; and 
‘‘(B) shall be provided in a manner reflect-
ing person-centered care. 
‘‘(d) PROVIDERS.—Providers treating patients for 
substance use disorders pursuant to a grant under this 
subsection shall be licensed or credentialed, as applicable, 
in the States involved to treat such patients for such dis-
orders. 
‘‘(e) DEFINITIONS.—In this section: 
‘‘(1) The term ‘Federally qualified health cen-
ter’ has the meanings given the term in section 
1861(aa) of the Social Security Act. 
‘‘(2) The term ‘substance abuse treatment serv-
ices’ includes the following: 
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‘‘(A) Screening, assessment, and diagnosis, 
including risk assessment. 
‘‘(B) Patient-centered treatment planning 
or similar processes, including risk assessment 
and crisis planning. 
‘‘(C) Outpatient substance use services, in-
cluding medication-assisted treatment, recovery 
support services, and related behavioral health 
services. 
‘‘(D) Targeted case management. 
‘‘(E) Peer support, counselor services, re-
covery coaching, and family supports. 
‘‘(F) Harm reduction and syringe services 
programs. 
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this sub-
section $1,000,000,000 for each of fiscal years 2019 
through 2024.’’. 
Æ 
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