I 
114TH CONGRESS 
2D SESSION 
H. R. 5216 
To provide funding for opioid and heroin abuse prevention and treatment, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 12, 2016 
Mr. BEN RAY LUJA´N of New Mexico (for himself, Mr. CUMMINGS, Ms. ROY-
BAL-ALLARD, Mr. KENNEDY, Mr. KILMER, Ms. KUSTER, Mr. HASTINGS, 
Mrs. NAPOLITANO, Mr. TONKO, Ms. MATSUI, Mr. NEAL, Mr. GRAYSON, 
Ms. NORTON, Mr. KEATING, Ms. MICHELLE LUJAN GRISHAM of New 
Mexico, Mr. BLUMENAUER, Mr. LEVIN, Mr. CLAY, Mr. LARSEN of Wash-
ington, Ms. EDWARDS, Ms. KAPTUR, Ms. JACKSON LEE, Mrs. CAPPS, 
Mr. LYNCH, Mr. NORCROSS, Mrs. LAWRENCE, Mr. MEEKS, Mr. SEAN 
PATRICK MALONEY of New York, Ms. SPEIER, Mr. QUIGLEY, Mr. 
GUTIE´RREZ, Mr. WELCH, Mr. RUPPERSBERGER, Mr. CONNOLLY, Mr. 
MCGOVERN, Mr. LOEBSACK, Mr. SARBANES, Ms. BROWN of Florida, 
Mrs. DINGELL, Mr. KIND, Mr. ISRAEL, Mr. PASCRELL, Mr. GALLEGO, 
Mr. CAPUANO, Mr. COURTNEY, Mr. BEYER, Mr. THOMPSON of Mis-
sissippi, Mr. JEFFRIES, Mr. YARMUTH, Mr. CA´RDENAS, Mr. SIRES, Mr. 
KILDEE, Ms. ESHOO, Mr. GENE GREEN of Texas, Mr. VARGAS, Ms. 
BASS, Ms. CLARKE of New York, Mr. VAN HOLLEN, Ms. CLARK of Mas-
sachusetts, Mr. COHEN, Ms. TSONGAS, Ms. FUDGE, Mr. AGUILAR, Mr. 
TED LIEU of California, Mr. RICHMOND, Mr. SWALWELL of California, 
Mr. LEWIS, Mr. HECK
of Washington, Ms. MCCOLLUM, Ms. 
DUCKWORTH, Mr. JOHNSON of Georgia, Mr. RYAN of Ohio, Mr. 
DELANEY, Ms. ESTY, Mr. CONYERS, Mr. DEFAZIO, Mr. AL GREEN of 
Texas, Mr. LARSON of Connecticut, Mr. BUTTERFIELD, Mr. DANNY K. 
DAVIS of Illinois, Ms. PLASKETT, Ms. LEE, Ms. LORETTA SANCHEZ of 
California, Mr. BRENDAN F. BOYLE of Pennsylvania, Mr. RUIZ, Ms. 
TITUS, Ms. BROWNLEY of California, Mr. MOULTON, Ms. DELAURO, Mr. 
HONDA, and Mr. PETERSON) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committees on the Judiciary and the Budget, for a period to be sub-
sequently determined by the Speaker, in each case for consideration of 
such provisions as fall within the jurisdiction of the committee concerned 
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A BILL 
To provide funding for opioid and heroin abuse prevention 
and treatment, 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 ‘‘Opioid and Heroin 
Abuse Crisis Investment Act of 2016’’. 
SEC. 2. FUNDING FOR OPIOID AND HEROIN ABUSE PRE-
VENTION AND TREATMENT. 
(a) FUNDING.—There are authorized to be appro-
priated, and are appropriated, out of monies in the Treas-
ury not otherwise obligated, $1,164,600,000 for the period 
of fiscal years 2017 and 2018, to improve opioid pre-
scribing practices and expand access to substance use 
treatment and to reduce opioid use disorders and overdose, 
to be made available in accordance with this Act and the 
amendments made by this Act. 
(b) STATE
TARGETED
RESPONSE
COOPERATIVE 
AGREEMENTS.—Subpart 1 of part B of title V of the Pub-
lic Health Service Act (42 U.S.C. 290bb et seq.) is amend-
ed by inserting after section 509 the following: 
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‘‘SEC. 510. STATE TARGETED RESPONSE COOPERATIVE 
AGREEMENTS. 
‘‘(a) IN GENERAL.—The Secretary shall enter into 
additional targeted response cooperative agreements with 
States under this title to expand opioid treatment capacity 
and make services more affordable to those who cannot 
afford such services. 
‘‘(b) AWARDING OF FUNDING.—The Secretary shall 
allocate funding to States under this section based on— 
‘‘(1) the severity of the opioid epidemic in the 
State; and 
‘‘(2) the strength of the strategy of the State 
to respond to such epidemic. 
‘‘(c) USE OF FUNDS.—Amounts received by a State 
under this section shall be used to expand treatment ca-
pacity and make services more affordable to those who 
cannot afford such services and to help individuals seek 
treatment, successfully complete treatment, and sustain 
recovery. 
‘‘(d) FUNDING.—From amounts appropriated under 
section 2(a) of the Opioid and Heroin Abuse Crisis Invest-
ment Act, $465,000,000 is available to carry out this sec-
tion for each of fiscal years 2017 and 2018.’’. 
(c) TREATMENT FOR PRESCRIPTION DRUG ABUSE 
AND HEROIN USE.—Section 331(b) of the Public Health 
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Service Act (42 U.S.C. 254d(b)) is amended by adding 
at the end the following: 
‘‘(3)(A) The Secretary shall use amounts made avail-
able under subparagraph (B) to support enhanced loan re-
payment awards to increase the number of clinicians in 
the Corps with medication-assisted treatment training to 
treat individuals with opioid use disorders through loan 
repayments to clinicians. 
‘‘(B) From amounts appropriated under section 2(a) 
of the Opioid and Heroin Abuse Crisis Investment Act, 
$25,000,000 is available to carry out this paragraph for 
each of fiscal years 2017 and 2018.’’. 
(d) EVALUATION OF MEDICATION-ASSISTED TREAT-
MENT.—Subpart 1 of part B of title V of the Public 
Health Service Act (42 U.S.C. 290bb et seq.) is amended 
by inserting after section 510, as added by subsection (b), 
the following: 
‘‘SEC. 511. EVALUATION OF MEDICATION-ASSISTED TREAT-
MENT. 
‘‘(a) IN GENERAL.—In order to assess the treatment 
outcomes of patients with opioid addiction receiving medi-
cation-assisted treatment, the Secretary shall evaluate the 
short-, medium-, and long-term outcomes of such sub-
stance abuse treatment programs in order to increase ef-
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fectiveness in reducing opioid use disorders, overdose, and 
death. 
‘‘(b) FUNDING.—From amounts appropriated under 
section 2(a) of the Opioid and Heroin Abuse Crisis Invest-
ment Act, $15,000,000 is available to carry out this sec-
tion for each of fiscal years 2017 and 2018.’’. 
(e) MEDICATION-ASSISTED TREATMENT FOR PRE-
SCRIPTION DRUG AND OPIOID ADDICTION.—Section 509 
of the Public Health Service Act (42 U.S.C. 290bb–2) is 
amended— 
(1) by redesignating subsection (f) as sub-
section (g); and 
(2) by inserting after subsection (e), the fol-
lowing: 
‘‘(f) MEDICATION-ASSISTED TREATMENT FOR PRE-
SCRIPTION DRUG AND OPIOID ADDICTION.— 
‘‘(1) IN GENERAL.—In carrying out this sec-
tion, the Secretary shall use amounts made available 
under paragraph (3) to award grants to States to 
expand or enhance medication-assisted treatment 
utilizing medications approved by the Food and 
Drug Administration in combination with psycho-
social services, recovery support services, and coordi-
nation with HIV or hepatitis C direct services. 
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‘‘(2) FUNDING.—From amounts appropriated 
under section 2(a) of the Opioid and Heroin Abuse 
Crisis Investment Act, $50,100,000 is available to 
carry out this subsection for fiscal year 2017.’’. 
(f) DISSEMINATION
OF
GUIDELINES
FOR
PRE-
VENTING PRESCRIPTION DRUG OVERDOSE.—Section 317 
of the Public Health Service Act (42 U.S.C. 247b) is 
amended by adding at the end the following: 
‘‘(n) DISSEMINATION
OF GUIDELINES
FOR PRE-
VENTING PRESCRIPTION DRUG OVERDOSE.— 
‘‘(1) IN GENERAL.—The Director of the Cen-
ters for Disease Control and Prevention shall dis-
seminate guidelines to improve opioid prescribing 
practices to reduce opioid use disorders and over-
dose. 
‘‘(2) USE OF FUNDS.—In carrying out this sub-
section, the Director of the Centers for Disease Con-
trol and Prevention shall use amounts made avail-
able under paragraph (3) to— 
‘‘(A) pilot test, evaluate, and adapt com-
prehensive tools and dissemination strategies to 
convey opioid prescribing guidelines of the Cen-
ters for Disease Control and Prevention in suc-
cinct, usable formats accessible to health care 
providers; 
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‘‘(B) develop, evaluate, and publicly dis-
seminate clinical decision support tools derived 
from the opioid prescribing guidelines of the 
Centers for Disease Control and Prevention; 
‘‘(C) establish training modules in partner-
ship with professional societies and health sys-
tems, including online modules available for 
continuing medical education credits and main-
tenance of certification; and 
‘‘(D) coordinate with Office of the Na-
tional Coordinator for Health Information 
Technology to ensure that guidelines developed 
under this subsection are effectively dissemi-
nated and translated into clinical support tools 
for integration into clinical workflow. 
‘‘(3) FUNDING.—From amounts appropriated 
under section 2(a) of the Opioid and Heroin Abuse 
Crisis Investment Act, $10,000,000 is available to 
carry out this subsection for fiscal year 2017.’’. 
(g) RURAL OPIOID OVERDOSE REVERSAL GRANT 
PROGRAM.—Section 330A of the Public Health Service 
Act (42 U.S.C. 254c) is amended— 
(1) by redesignating subsection (j) as sub-
section (k); and 
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(2) by inserting after subsection (i), the fol-
lowing: 
‘‘(j) RURAL OPIOID OVERDOSE REVERSAL GRANT 
PROGRAM.— 
‘‘(1) IN GENERAL.—The Director may award 
grants to eligible entities to implement activities for 
the prevention, intervention, and treatment of opioid 
misuse and overdose. 
‘‘(2) ELIGIBILITY.—To be eligible to receive a 
grant under this subsection, an entity— 
‘‘(A) shall be a rural public or rural non-
profit private entity; and 
‘‘(B) shall represent a network composed 
of participants— 
‘‘(i) that include 3 or more health 
care providers; and 
‘‘(ii) that may be nonprofit or for- 
profit entities. 
‘‘(3) USE OF FUNDS.—Amounts awarded under 
a grant under this subsection shall be used— 
‘‘(A) to provide opioid misuse education 
and prevention services; 
‘‘(B) to provide training to licensed health 
care professionals and first responders in the 
recognition of the signs of opioid overdose and 
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learn the appropriate way to administer 
naloxone; 
‘‘(C) to provide appropriate transportation 
services to a hospital or clinic for continued 
care after administration; 
‘‘(D) to refer those individuals with a drug 
dependency to an appropriate substance use 
disorder treatment centers where care coordina-
tion is provided by a team of providers; and 
‘‘(E) to purchase naloxone and opioid over-
dose reversal devices. 
‘‘(4) FUNDING.—From amounts appropriated 
under section 2(a) of the Opioid and Heroin Abuse 
Crisis Investment Act, $10,000,000 is available to 
carry out this subsection for fiscal year 2017.’’. 
(h) PRESCRIPTION DRUG OVERDOSE INITIATIVE.— 
Section 3001(c) of the Public Health Service Act (42 
U.S.C. 300jj–11(c)) is amended by adding at the end the 
following: 
‘‘(9) PRESCRIPTION
DRUG
OVERDOSE
INITIA-
TIVE.— 
‘‘(A) IN GENERAL.—The Secretary, acting 
through the National Coordinator, shall use 
amounts made available under subparagraph 
(B) to expand efforts to harmonize technical 
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standards to support prescription drug moni-
toring programs and health information tech-
nology interoperability. 
‘‘(B) FUNDING.—From amounts appro-
priated under section 2(a) of the Opioid and 
Heroin 
Abuse 
Crisis 
Investment 
Act, 
$5,000,000 is available to carry out this para-
graph for fiscal year 2017.’’. 
(i) BUREAU OF PRISONS TREATMENT PROGRAMS.— 
Section 4042 of title 18, United States Code, is amended 
by adding at the end the following: 
‘‘(e) TREATMENT PROGRAMS.— 
‘‘(1) IN GENERAL.—The Director of the Bureau 
of Prisons shall use amounts made available under 
paragraph (2) to support drug treatment programs 
within the Bureau of Prisons, including expanding 
the medication-assisted treatment pilot. 
‘‘(2) FUNDING.—From amounts appropriated 
under section 2(a) of the Opioid and Heroin Abuse 
Crisis Investment Act, $3,000,000 is available to 
carry out this subsection for fiscal year 2017.’’. 
(j) SECOND CHANCE ACT OF 2007.—Section 201 of 
the Second Chance Act of 2007 (42 U.S.C. 17521) is 
amended— 
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