I 
115TH CONGRESS 
2D SESSION 
H. R. 5327 
To amend title V of the Public Health Service Act to establish a grant 
program to create comprehensive opioid recovery centers, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 19, 2018 
Mr. GUTHRIE (for himself, Mr. GENE GREEN of Texas, Mr. BUCSHON, and 
Mr. BEN RAY LUJA´N of New Mexico) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To amend title V of the Public Health Service Act to estab-
lish a grant program to create comprehensive opioid re-
covery centers, and for other purposes. 
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 ‘‘Comprehensive Opioid 
Recovery Centers Act of 2018’’. 
SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS. 
(a) IN GENERAL.—Part D of title V of the Public 
Health Service Act is amended by adding at the end the 
following new section: 
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‘‘SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary for Mental Health and Substance 
Use, shall award grants on a competitive basis to eligible 
entities to establish or operate a comprehensive opioid re-
covery center (referred to in this section as a ‘Center’). 
‘‘(b) GRANT PERIOD.— 
‘‘(1) IN
GENERAL.—A grant awarded under 
subsection (a) shall be for a period not less than 
three years and not more than five years. 
‘‘(2) RENEWAL.—A grant awarded under sub-
section (a) may be renewed, on a competitive basis, 
for additional periods of time, as determined by the 
Secretary. In determining whether to renew a grant 
under this paragraph, the Secretary shall consider 
the data submitted under subsection (h). 
‘‘(c) MINIMUM NUMBER
OF CENTERS.—The Sec-
retary shall allocate the amounts made available under 
subsection (i) in such amounts that not fewer than 10 
Centers will be established across the United States. 
‘‘(d) APPLICATION.—In order to be eligible for a 
grant under subsection (a), an entity shall submit an ap-
plication to the Secretary at such time and in such manner 
as the Secretary may require. Such application shall in-
clude— 
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‘‘(1) evidence that such entity carries out, or is 
capable of coordinating with other entities to carry 
out, the activities described in subsection (g); and 
‘‘(2) such other information as the Secretary 
may require. 
‘‘(e) PRIORITY.—In awarding grants under sub-
section (a), the Secretary shall give priority to eligible enti-
ties located in a State or Indian country (as defined in 
section 1151 of title 18, United States Code)— 
‘‘(1) with a high per capita drug overdose mor-
tality rate, as determined by the Director of the 
Centers for Disease Control and Prevention; or 
‘‘(2) based on any other criteria or need, as de-
termined by the Secretary. 
‘‘(f) USE
OF GRANT FUNDS.—An eligible entity 
awarded a grant under subsection (a) shall use the grant 
funds to establish or operate a Center to carry out the 
activities described in subsection (g). 
‘‘(g) CENTER ACTIVITIES.—Each Center shall, at a 
minimum, carry out the activities described in this sub-
section. In the case of a Center that determines that a 
service described in paragraph (2) cannot reasonably be 
carried out by the Center, such Center shall contract with 
such other entities as may be necessary to ensure that pa-
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tients have access to the full range of services described 
in such paragraph. 
‘‘(1) COMMUNITY ENGAGEMENT.—Each Center 
shall carry out the following outreach activities: 
‘‘(A) Train and supervise outreach staff to 
work with schools, workplaces, faith-based orga-
nizations, State and local health departments, 
law enforcement, and first responders to ensure 
that such institutions are aware of the services 
of the Center. 
‘‘(B) Disseminate and make available on-
line evidence-based resources that educate pro-
fessionals and the public on opioid use disorder 
and other substance use disorders. 
‘‘(2) TREATMENT AND RECOVERY SERVICES.— 
Each Center shall provide the following treatment 
and recovery services: 
‘‘(A) Ensure that intake evaluations meet 
the clinical needs of patients. 
‘‘(B) Periodically conduct patient assess-
ments to ensure continued and meaningful re-
covery, as defined by the Assistant Secretary 
for Mental Health and Substance Use. 
‘‘(C) Provide the full continuum of treat-
ment services, including— 
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‘‘(i) all drugs approved by the Food 
and Drug Administration to treat sub-
stance use disorders, including opioid use 
disorder and alcohol use disorder; 
‘‘(ii) withdrawal management, which 
shall include medically supervised detoxi-
fication that includes patient evaluation, 
stabilization, and readiness for and entry 
into treatment; 
‘‘(iii) counseling and case manage-
ment; 
‘‘(iv) residential rehabilitation; 
‘‘(v) recovery housing; 
‘‘(vi) community-based and peer re-
covery support services; 
‘‘(vii) job training and placement as-
sistance to support reintegration into the 
workforce; and 
‘‘(viii) other best practices, as deter-
mined by the Secretary. 
‘‘(D) Administer an onsite pharmacy and 
provide toxicology services. 
‘‘(E) Establish and operate a secure and 
confidential electronic health information sys-
tem. 
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‘‘(h) DATA
REPORTING
AND
PROGRAM
OVER-
SIGHT.—With respect to a grant awarded under sub-
section (a) to an eligible entity for a Center, not later than 
90 days after the end of the first year of the grant period, 
and annually thereafter for the duration of the grant pe-
riod (including the duration of any renewal period for such 
grant), the entity shall submit data, as appropriate, to the 
Secretary regarding— 
‘‘(1) the programs and activities funded by the 
grant; 
‘‘(2) health outcomes of individuals with a sub-
stance use disorder who received services from the 
Center; 
‘‘(3) the effectiveness of interventions designed, 
tested, and evaluated by the Center; and 
‘‘(4) any other information that the Secretary 
may require for the purpose of— 
‘‘(A) evaluating the effectiveness of the 
Center; and 
‘‘(B) ensuring that the Center is complying 
with all the requirements of the grant, including 
providing the full continuum of services de-
scribed in subsection (g)(2)(C) and providing 
drugs and devices for overdose reversal under 
such subsection. 
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‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $10,000,000 for each of fis-
cal years 2019 through 2023 for purposes of carrying out 
this section.’’. 
(b) REPORTS TO CONGRESS.— 
(1) PRELIMINARY
REPORT.—Not later than 
three years after the date of the enactment of this 
Act, the Secretary of Health and Human Services 
shall submit to Congress a preliminary report that 
analyzes data submitted under section 550(h) of the 
Public Health Service Act, as added by subsection 
(a). 
(2) FINAL REPORT.—Not later than one year 
after submitting the preliminary report required 
under paragraph (1), the Secretary of Health and 
Human Services shall submit to Congress a final re-
port that includes— 
(A) an evaluation of the effectiveness of 
comprehensive opioid recovery centers estab-
lished or operated pursuant to section 550 of 
the Public Health Service Act, as added by sub-
section (a); 
(B) recommendations on whether the grant 
program established under such section 550 
should be reauthorized and expanded; and 
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(C) standards and best practices for the 
treatment of substance use disorders. 
Æ 
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