H. R. 6—187 
that all costs associated with complying with this subtitle and 
amendments made by this subtitle are charged directly to foreign 
shippers or foreign postal operators. 
(b) COSTS NOT CONSIDERED REVENUE.—The recovery of costs 
under subsection (a) shall not be deemed revenue for purposes 
of subchapter I and II of chapter 36 of title 39, United States 
Code, or regulations prescribed under that chapter. 
SEC. 8006. DEVELOPMENT OF TECHNOLOGY TO DETECT ILLICIT NAR-
COTICS. 
(a) IN GENERAL.—The Postmaster General and the Commis-
sioner of U.S. Customs and Border Protection, in coordination with 
the heads of other agencies as appropriate, shall collaborate to 
identify and develop technology for the detection of illicit fentanyl, 
other synthetic opioids, and other narcotics and psychoactive sub-
stances entering the United States by mail. 
(b) OUTREACH TO PRIVATE SECTOR.—The Postmaster General 
and the Commissioner shall conduct outreach to private sector 
entities to gather information regarding the current state of tech-
nology to identify areas for innovation relating to the detection 
of illicit fentanyl, other synthetic opioids, and other narcotics and 
psychoactive substances entering the United States. 
SEC. 8007. CIVIL PENALTIES FOR POSTAL SHIPMENTS. 
Section 436 of the Tariff Act of 1930 (19 U.S.C. 1436) is 
amended by adding at the end the following new subsection: 
‘‘(e) CIVIL PENALTIES FOR POSTAL SHIPMENTS.— 
‘‘(1) CIVIL
PENALTY.—A civil penalty shall be imposed 
against the United States Postal Service if the Postal Service 
accepts a shipment in violation of section 343(a)(3)(K)(vii)(I) 
of the Trade Act of 2002. 
‘‘(2) MODIFICATION OF CIVIL PENALTY.— 
‘‘(A) IN GENERAL.—U.S. Customs and Border Protection 
shall reduce or dismiss a civil penalty imposed pursuant 
to paragraph (1) if U.S. Customs and Border Protection 
determines that the United States Postal Service— 
‘‘(i) has a low error rate in compliance with section 
343(a)(3)(K) of the Trade Act of 2002; 
‘‘(ii) is cooperating with U.S. Customs and Border 
Protection with respect to the violation of section 
343(a)(3)(K)(vii)(I) of the Trade Act of 2002; or 
‘‘(iii) has taken remedial action to prevent future 
violations of section 343(a)(3)(K)(vii)(I) of the Trade 
Act of 2002. 
‘‘(B) 
WRITTEN
NOTIFICATION.—U.S. 
Customs 
and 
Border Protection shall issue a written notification to the 
Postal Service with respect to each exercise of the authority 
of subparagraph (A) to reduce or dismiss a civil penalty 
imposed pursuant to paragraph (1). 
‘‘(3) ONGOING LACK OF COMPLIANCE.—If U.S. Customs and 
Border Protection determines that the United States Postal 
Service— 
‘‘(A) has repeatedly committed violations of section 
343(a)(3)(K)(vii)(I) of the Trade Act of 2002, 
‘‘(B) has failed to cooperate with U.S. Customs and 
Border Protection with respect to violations of section 
343(a)(3)(K)(vii)(I) of the Trade Act of 2002, and
H. R. 6—188 
‘‘(C) has an increasing error rate in compliance with 
section 343(a)(3)(K) of the Trade Act of 2002, 
civil penalties may be imposed against the United States Postal 
Service until corrective action, satisfactory to U.S. Customs 
and Border Protection, is taken.’’. 
SEC. 8008. REPORT ON VIOLATIONS OF ARRIVAL, REPORTING, ENTRY, 
AND CLEARANCE REQUIREMENTS AND FALSITY OR LACK 
OF MANIFEST. 
(a) IN GENERAL.—The Commissioner of U.S. Customs and 
Border Protection shall submit to the appropriate congressional 
committees an annual report that contains the information 
described in subsection (b) with respect to each violation of section 
436 of the Tariff Act of 1930 (19 U.S.C. 1436), as amended by 
section 8007, and section 584 of such Act (19 U.S.C. 1584) that 
occurred during the previous year. 
(b) INFORMATION DESCRIBED.—The information described in 
this subsection is the following: 
(1) The name and address of the violator. 
(2) The specific violation that was committed. 
(3) The location or port of entry through which the items 
were transported. 
(4) An inventory of the items seized, including a description 
of the items and the quantity seized. 
(5) The location from which the items originated. 
(6) The entity responsible for the apprehension or seizure, 
organized by location or port of entry. 
(7) The amount of penalties assessed by U.S. Customs 
and Border Protection, organized by name of the violator and 
location or port of entry. 
(8) The amount of penalties that U.S. Customs and Border 
Protection could have levied, organized by name of the violator 
and location or port of entry. 
(9) The rationale for negotiating lower penalties, organized 
by name of the violator and location or port of entry. 
(c) APPROPRIATE CONGRESSIONAL COMMITTEES DEFINED.—In 
this section, the term ‘‘appropriate congressional committees’’ 
means— 
(1) the Committee on Finance and the Committee on Home-
land Security and Governmental Affairs of the Senate; and 
(2) the Committee on Ways and Means, the Committee 
on Oversight and Government Reform, and the Committee 
on Homeland Security of the House of Representatives. 
SEC. 8009. EFFECTIVE DATE; REGULATIONS. 
(a) EFFECTIVE DATE.—This subtitle and the amendments made 
by this subtitle (other than the amendments made by section 8002) 
shall take effect on the date of the enactment of this Act. 
(b) REGULATIONS.—Not later than 1 year after the date of 
the enactment of this Act, such regulations as are necessary to 
carry out this subtitle and the amendments made by this subtitle 
shall be prescribed.
H. R. 6—189 
Subtitle B—Opioid Addiction Recovery 
Fraud Prevention 
SEC. 8021. SHORT TITLE. 
This subtitle may be cited as the ‘‘Opioid Addiction Recovery 
Fraud Prevention Act of 2018’’. 
SEC. 8022. DEFINITIONS. 
For purposes of this subtitle only, and not be construed or 
applied as to challenge or affect the characterization, definition, 
or treatment under any other statute, regulation, or rule: 
(1) SUBSTANCE USE DISORDER TREATMENT PRODUCT.—The 
term ‘‘substance use disorder treatment product’’ means a 
product for use or marketed for use in the treatment, cure, 
or prevention of a substance use disorder, including an opioid 
use disorder. 
(2) SUBSTANCE USE DISORDER TREATMENT SERVICE.—The 
term ‘‘substance use disorder treatment service’’ means a 
service that purports to provide referrals to treatment, treat-
ment, or recovery housing for people diagnosed with, having, 
or purporting to have a substance use disorder, including an 
opioid use disorder. 
SEC. 8023. UNFAIR OR DECEPTIVE ACTS OR PRACTICES WITH RESPECT 
TO SUBSTANCE USE DISORDER TREATMENT SERVICE AND 
PRODUCTS. 
(a) UNLAWFUL ACTIVITY.—It is unlawful to engage in an unfair 
or deceptive act or practice with respect to any substance use 
disorder treatment service or substance use disorder treatment 
product. 
(b) ENFORCEMENT BY THE FEDERAL TRADE COMMISSION.— 
(1) UNFAIR OR DECEPTIVE ACTS OR PRACTICES.—A violation 
of subsection (a) shall be treated as a violation of a rule under 
section 18 of the Federal Trade Commission Act (15 U.S.C. 
57a) regarding unfair or deceptive acts or practices. 
(2) POWERS OF THE FEDERAL TRADE COMMISSION.— 
(A) IN GENERAL.—The Federal Trade Commission shall 
enforce this section in the same manner, by the same 
means, and with the same jurisdiction, powers, and duties 
as though all applicable terms and provisions of the Federal 
Trade Commission Act (15 U.S.C. 41 et seq.) were incor-
porated into and made a part of this section. 
(B) PRIVILEGES AND IMMUNITIES.—Any person who vio-
lates subsection (a) shall be subject to the penalties and 
entitled to the privileges and immunities provided in the 
Federal Trade Commission Act as though all applicable 
terms and provisions of the Federal Trade Commission 
Act (15 U.S.C. 41 et seq.) were incorporated and made 
part of this section. 
(c) AUTHORITY PRESERVED.—Nothing in this subtitle shall be 
construed to limit the authority of the Federal Trade Commission 
or the Food and Drug Administration under any other provision 
of law.
H. R. 6—190 
Subtitle C—Addressing Economic and 
Workforce Impacts of the Opioid Crisis 
SEC. 8041. ADDRESSING ECONOMIC AND WORKFORCE IMPACTS OF 
THE OPIOID CRISIS. 
(a) DEFINITIONS.—Except as otherwise expressly provided, in 
this section: 
(1) WIOA DEFINITIONS.—The terms ‘‘core program’’, ‘‘indi-
vidual with a barrier to employment’’, ‘‘local area’’, ‘‘local board’’, 
‘‘one-stop operator’’, ‘‘outlying area’’, ‘‘State’’, ‘‘State board’’, and 
‘‘supportive services’’ have the meanings given the terms in 
section 3 of the Workforce Innovation and Opportunity Act 
(29 U.S.C. 3102). 
(2) EDUCATION PROVIDER.—The term ‘‘education provider’’ 
means— 
(A) an institution of higher education, as defined in 
section 101 of the Higher Education Act of 1965 (20 U.S.C. 
1001); or 
(B) a postsecondary vocational institution, as defined 
in section 102(c) of such Act (20 U.S.C. 1002(c)). 
(3) ELIGIBLE ENTITY.—The term ‘‘eligible entity’’ means— 
(A) a State workforce agency; 
(B) an outlying area; or 
(C) a Tribal entity. 
(4) PARTICIPATING PARTNERSHIP.—The term ‘‘participating 
partnership’’ means a partnership— 
(A) evidenced by a written contract or agreement; and 
(B) including, as members of the partnership, a local 
board receiving a subgrant under subsection (d) and 1 
or more of the following: 
(i) The eligible entity. 
(ii) A treatment provider. 
(iii) An employer or industry organization. 
(iv) An education provider. 
(v) A legal service or law enforcement organization. 
(vi) A faith-based or community-based organiza-
tion. 
(vii) Other State or local agencies, including coun-
ties or local governments. 
(viii) Other organizations, as determined to be nec-
essary by the local board. 
(ix) Indian Tribes or tribal organizations. 
(5) PROGRAM
PARTICIPANT.—The term ‘‘program partici-
pant’’ means an individual who— 
(A) is a member of a population of workers described 
in subsection (e)(2) that is served by a participating part-
nership through the pilot program under this section; and 
(B) enrolls with the applicable participating partner-
ship to receive any of the services described in subsection 
(e)(3). 
(6) PROVIDER OF PEER RECOVERY SUPPORT SERVICES.—The 
term ‘‘provider of peer recovery support services’’ means a pro-
vider that delivers peer recovery support services through an 
organization described in section 547(a) of the Public Health 
Service Act (42 U.S.C. 290ee–2(a)).
H. R. 6—191 
(7) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 
of Labor. 
(8) STATE WORKFORCE AGENCY.—The term ‘‘State workforce 
agency’’ means the lead State agency with responsibility for 
the administration of a program under chapter 2 or 3 of subtitle 
B of title I of the Workforce Innovation and Opportunity Act 
(29 U.S.C. 3161 et seq., 3171 et seq.). 
(9) SUBSTANCE USE DISORDER.—The term ‘‘substance use 
disorder’’ has the meaning given such term by the Assistant 
Secretary for Mental Health and Substance Use. 
(10) TREATMENT
PROVIDER.—The term ‘‘treatment pro-
vider’’— 
(A) means a health care provider that— 
(i) offers services for treating substance use dis-
orders and is licensed in accordance with applicable 
State law to provide such services; and 
(ii) accepts health insurance for such services, 
including coverage under title XIX of the Social Secu-
rity Act (42 U.S.C. 1396 et seq.); and 
(B) may include— 
(i) a nonprofit provider of peer recovery support 
services; 
(ii) a community health care provider; 
(iii) a Federally qualified health center (as defined 
in section 1861(aa) of the Social Security Act (42 U.S.C. 
1395x)); 
(iv) an Indian health program (as defined in section 
3 of the Indian Health Care Improvement Act (25 
U.S.C. 1603)), including an Indian health program that 
serves an urban center (as defined in such section); 
and 
(v) a Native Hawaiian health center (as defined 
in section 12 of the Native Hawaiian Health Care 
Improvement Act (42 U.S.C. 11711)). 
(11) TRIBAL ENTITY.—The term ‘‘Tribal entity’’ includes any 
Indian Tribe, tribal organization, Indian-controlled organization 
serving Indians, Native Hawaiian organization, or Alaska 
Native entity, as such terms are defined or used in section 
166 of the Workforce Innovation and Opportunity Act (29 U.S.C. 
3221). 
(b) PILOT PROGRAM AND GRANTS AUTHORIZED.— 
(1) IN GENERAL.—The Secretary, in consultation with the 
Secretary of Health and Human Services, shall carry out a 
pilot program to address economic and workforce impacts asso-
ciated with a high rate of a substance use disorder. In carrying 
out the pilot program, the Secretary shall make grants, on 
a competitive basis, to eligible entities to enable such entities 
to make subgrants to local boards to address the economic 
and workforce impacts associated with a high rate of a sub-
stance use disorder. 
(2) GRANT AMOUNTS.—The Secretary shall make each such 
grant in an amount that is not less than $500,000, and not 
more than $5,000,000, for a fiscal year. 
(c) GRANT APPLICATIONS.— 
(1) IN GENERAL.—An eligible entity applying for a grant 
under this section shall submit an application to the Secretary 
at such time and in such form and manner as the Secretary
H. R. 6—192 
may reasonably require, including the information described 
in this subsection. 
(2) SIGNIFICANT IMPACT ON COMMUNITY BY OPIOID AND SUB-
STANCE USE DISORDER-RELATED PROBLEMS.— 
(A) DEMONSTRATION.—An eligible entity shall include 
in the application— 
(i) information that demonstrates significant 
impact on the community by problems related to opioid 
abuse or another substance use disorder, by— 
(I) identifying the counties, communities, 
regions, or local areas that have been significantly 
impacted and will be served through the grant 
(each referred to in this section as a ‘‘service area’’); 
and 
(II) demonstrating for each such service area, 
an increase equal to or greater than the national 
increase in such problems, between— 
(aa) 1999; and 
(bb) 2016 or the latest year for which data 
are available; and 
(ii) a description of how the eligible entity will 
prioritize support for significantly impacted service 
areas described in clause (i)(I). 
(B) 
INFORMATION.—To 
meet 
the 
requirements 
described in subparagraph (A)(i)(II), the eligible entity may 
use information including data on— 
(i) the incidence or prevalence of opioid abuse and 
other substance use disorders; 
(ii) the age-adjusted rate of drug overdose deaths, 
as determined by the Director of the Centers for Dis-
ease Control and Prevention; 
(iii) the rate of non-fatal hospitalizations related 
to opioid abuse or other substance use disorders; 
(iv) the number of arrests or convictions, or a 
relevant law enforcement statistic, that reasonably 
shows an increase in opioid abuse or another substance 
use disorder; or 
(v) in the case of an eligible entity described in 
subsection (a)(3)(C), other alternative relevant data as 
determined appropriate by the Secretary. 
(C) SUPPORT FOR STATE STRATEGY.—The eligible entity 
may include in the application information describing how 
the proposed services and activities are aligned with the 
State, outlying area, or Tribal strategy, as applicable, for 
addressing problems described in subparagraph (A) in spe-
cific service areas or across the State, outlying area, or 
Tribal land. 
(3) ECONOMIC AND EMPLOYMENT CONDITIONS DEMONSTRATE 
ADDITIONAL FEDERAL SUPPORT NEEDED.— 
(A) DEMONSTRATION.—An eligible entity shall include 
in the application information that demonstrates that a 
high rate of a substance use disorder has caused, or is 
coincident to— 
(i) an economic or employment downturn in the 
service area; or 
(ii) persistent economically depressed conditions 
in such service area.
H. R. 6—193 
(B) INFORMATION.—To meet the requirements of 
subparagraph (A), an eligible entity may use information 
including— 
(i) documentation of any layoff, announced future 
layoff, legacy industry decline, decrease in an employ-
ment or labor market participation rate, or economic 
impact, whether or not the result described in this 
clause is overtly related to a high rate of a substance 
use disorder; 
(ii) documentation showing decreased economic 
activity related to, caused by, or contributing to a 
high rate of a substance use disorder, including a 
description of how the service area has been impacted, 
or will be impacted, by such a decrease; 
(iii) information on economic indicators, labor 
market analyses, information from public announce-
ments, and demographic and industry data; 
(iv) information on rapid response activities (as 
defined in section 3 of the Workforce Innovation and 
Opportunity Act (29 U.S.C. 3102)) that have been or 
will be conducted, including demographic data gath-
ered by employer or worker surveys or through other 
methods; 
(v) data or documentation, beyond anecdotal evi-
dence, showing that employers face challenges filling 
job vacancies due to a lack of skilled workers able 
to pass a drug test; or 
(vi) any additional relevant data or information 
on the economy, workforce, or another aspect of the 
service area to support the application. 
(d) SUBGRANT AUTHORIZATION AND APPLICATION PROCESS.— 
(1) SUBGRANTS AUTHORIZED.— 
(A) IN GENERAL.—An eligible entity receiving a grant 
under subsection (b)— 
(i) may use not more than 5 percent of the grant 
funds for the administrative costs of carrying out the 
grant; 
(ii) in the case of an eligible entity described in 
subparagraph (A) or (B) of subsection (a)(3), shall use 
the remaining grant funds to make subgrants to local 
entities in the service area to carry out the services 
and activities described in subsection (e); and 
(iii) in the case of an eligible entity described in 
subsection (a)(3)(C), shall use the remaining grant 
funds to carry out the services and activities described 
in subsection (e). 
(B) EQUITABLE
DISTRIBUTION.—In making subgrants 
under this subsection, an eligible entity shall ensure, to 
the extent practicable, the equitable distribution of sub-
grants, based on— 
(i) geography (such as urban and rural distribu-
tion); and 
(ii) 
significantly 
impacted 
service 
areas 
as 
described in subsection (c)(2). 
(C) TIMING
OF
SUBGRANT
FUNDS
DISTRIBUTION.—An 
eligible entity making subgrants under this subsection shall
H. R. 6—194 
disburse subgrant funds to a local board receiving a 
subgrant from the eligible entity by the later of— 
(i) the date that is 90 days after the date on 
which the Secretary makes the funds available to the 
eligible entity; or 
(ii) the date that is 15 days after the date that 
the eligible entity makes the subgrant under subpara-
graph (A)(ii). 
(2) SUBGRANT APPLICATION.— 
(A) IN
GENERAL.—A local board desiring to receive 
a subgrant under this subsection from an eligible entity 
shall submit an application at such time and in such 
manner as the eligible entity may reasonably require, 
including the information described in this paragraph. 
(B) CONTENTS.—Each application described in subpara-
graph (A) shall include— 
(i) an analysis of the estimated performance of 
the local board in carrying out the proposed services 
and activities under the subgrant— 
(I) based on— 
(aa) primary indicators of performance 
described in section 116(c)(1)(A)(i) of the 
Workforce Innovation and Opportunity Act (29 
U.S.C. 3141(c)(1)(A)(i), to assess estimated 
effectiveness of the proposed services and 
activities, including the estimated number of 
individuals with a substance use disorder who 
may be served by the proposed services and 
activities; 
(bb) the record of the local board in serving 
individuals with a barrier to employment; and 
(cc) the ability of the local board to estab-
lish a participating partnership; and 
(II) which may include or utilize— 
(aa) data from the National Center for 
Health Statistics of the Centers for Disease 
Control and Prevention; 
(bb) data from the Center for Behavioral 
Health Statistics and Quality of the Substance 
Abuse and Mental Health Services Adminis-
tration; 
(cc) State vital statistics; 
(dd) municipal police department records; 
(ee) reports from local coroners; or 
(ff) other relevant data; and 
(ii) in the case of a local board proposing to serve 
a population described in subsection (e)(2)(B), a dem-
onstration of the workforce shortage in the professional 
area to be addressed under the subgrant (which may 
include substance use disorder treatment and related 
services, non-addictive pain therapy and pain manage-
ment services, mental health care treatment services, 
emergency response services, or mental health care), 
which shall include information that can demonstrate 
such a shortage, such as— 
(I) the distance between—
H. R. 6—195 
(aa) communities affected by opioid abuse 
or another substance use disorder; and 
(bb) facilities or professionals offering 
services in the professional area; or 
(II) the maximum capacity of facilities or 
professionals to serve individuals in an affected 
community, or increases in arrests related to opioid 
or another substance use disorder, overdose 
deaths, or nonfatal overdose emergencies in the 
community. 
(e) SUBGRANT SERVICES AND ACTIVITIES.— 
(1) IN GENERAL.—Each local board that receives a subgrant 
under subsection (d) shall carry out the services and activities 
described in this subsection through a participating partner-
ship. 
(2) SELECTION OF POPULATION TO BE SERVED.—A partici-
pating partnership shall elect to provide services and activities 
under the subgrant to one or both of the following populations 
of workers: 
(A) Workers, including dislocated workers, individuals 
with barriers to employment, new entrants in the 
workforce, or incumbent workers (employed or under-
employed), each of whom— 
(i) is directly or indirectly affected by a high rate 
of a substance use disorder; and 
(ii) voluntarily confirms that the worker, or a 
friend or family member of the worker, has a history 
of opioid abuse or another substance use disorder. 
(B) Workers, including dislocated workers, individuals 
with barriers to employment, new entrants in the 
workforce, or incumbent workers (employed or under-
employed), who— 
(i) seek to transition to professions that support 
individuals with a substance use disorder or at risk 
for developing such disorder, such as professions that 
provide— 
(I) substance use disorder treatment and 
related services; 
(II) services offered through providers of peer 
recovery support services; 
(III) non-addictive pain therapy and pain 
management services; 
(IV) emergency response services; or 
(V) mental health care; and 
(ii) need new or upgraded skills to better serve 
such a population of struggling or at-risk individuals. 
(3) SERVICES AND ACTIVITIES.—Each participating partner-
ship shall use funds available through a subgrant under this 
subsection to carry out 1 or more of the following: 
(A) ENGAGING EMPLOYERS.—Engaging with employers 
to— 
(i) learn about the skill and hiring requirements 
of employers; 
(ii) learn about the support needed by employers 
to hire and retain program participants, and other 
individuals with a substance use disorder, and the 
support needed by such employers to obtain their
H. R. 6—196 
commitment to testing creative solutions to employing 
program participants and such individuals; 
(iii) connect employers and workers to on-the-job 
or customized training programs before or after layoff 
to help facilitate reemployment; 
(iv) connect employers with an education provider 
to develop classroom instruction to complement on- 
the-job learning for program participants and such 
individuals; 
(v) help employers develop the curriculum design 
of a work-based learning program for program partici-
pants and such individuals; 
(vi) help employers employ program participants 
or such individuals engaging in a work-based learning 
program for a transitional period before hiring such 
a program participant or individual for full-time 
employment of not less than 30 hours a week; or 
(vii) connect employers to program participants 
receiving concurrent outpatient treatment and job 
training services. 
(B) SCREENING
SERVICES.—Providing screening serv-
ices, which may include— 
(i) using an evidence-based screening method to 
screen each individual seeking participation in the pilot 
program to determine whether the individual has a 
substance use disorder; 
(ii) conducting an assessment of each such indi-
vidual to determine the services needed for such indi-
vidual to obtain or retain employment, including an 
assessment of strengths and general work readiness; 
or 
(iii) accepting walk-ins or referrals from employers, 
labor organizations, or other entities recommending 
individuals to participate in such program. 
(C) INDIVIDUAL TREATMENT AND EMPLOYMENT PLAN.— 
Developing an individual treatment and employment plan 
for each program participant— 
(i) in coordination, as appropriate, with other pro-
grams serving the participant such as the core pro-
grams within the workforce development system under 
the Workforce Innovation and Opportunity Act (29 
U.S.C. 3101 et seq.); and 
(ii) which shall include providing a case manager 
to work with each participant to develop the plan, 
which may include— 
(I) identifying employment and career goals; 
(II) exploring career pathways that lead to 
in-demand industries and sectors, as determined 
by the State board and the head of the State 
workforce agency or, as applicable, the Tribal 
entity; 
(III) setting appropriate achievement objec-
tives to attain the employment and career goals 
identified under subclause (I); or 
(IV) developing the appropriate combination 
of services to enable the participant to achieve
H. R. 6—197 
the employment and career goals identified under 
subclause (I). 
(D) OUTPATIENT
TREATMENT
AND
RECOVERY
CARE.— 
In the case of a participating partnership serving program 
participants described in paragraph (2)(A) with a substance 
use disorder, providing individualized and group outpatient 
treatment and recovery services for such program partici-
pants that are offered during the day and evening, and 
on weekends. Such treatment and recovery services— 
(i) shall be based on a model that utilizes combined 
behavioral interventions and other evidence-based or 
evidence-informed interventions; and 
(ii) may include additional services such as— 
(I) health, mental health, addiction, or other 
forms of outpatient treatment that may impact 
a substance use disorder and co-occurring condi-
tions; 
(II) drug testing for a current substance use 
disorder prior to enrollment in career or training 
services or prior to employment; 
(III) linkages to community services, including 
services offered by partner organizations designed 
to support program participants; or 
(IV) referrals to health care, including refer-
rals to substance use disorder treatment and 
mental health services. 
(E) SUPPORTIVE SERVICES.—Providing supportive serv-
ices, which shall include services such as— 
(i) coordinated wraparound services to provide 
maximum support for program participants to assist 
the program participants in maintaining employment 
and recovery for not less than 12 months, as appro-
priate; 
(ii) assistance in establishing eligibility for assist-
ance under Federal, State, Tribal, and local programs 
providing health services, mental health services, voca-
tional services, housing services, transportation serv-
ices, social services, or services through early childhood 
education programs (as defined in section 103 of the 
Higher Education Act of 1965 (20 U.S.C. 1003)); 
(iii) services offered through providers of peer 
recovery support services; 
(iv) networking and mentorship opportunities; or 
(v) any supportive services determined necessary 
by the local board. 
(F) CAREER
AND
JOB
TRAINING
SERVICES.—Offering 
career services and training services, and related services, 
concurrently or sequentially with the services provided 
under subparagraphs (B) through (E). Such services shall 
include the following: 
(i) Services provided to program participants who 
are in a pre-employment stage of the program, which 
may include— 
(I) initial education and skills assessments; 
(II) traditional classroom training funded 
through 
individual 
training 
accounts 
under 
chapter 3 of subtitle B of title I of the Workforce
H. R. 6—198 
Innovation and Opportunity Act (29 U.S.C. 3171 
et seq.); 
(III) services to promote employability skills 
such as punctuality, personal maintenance skills, 
and professional conduct; 
(IV) in-depth interviewing and evaluation to 
identify employment barriers and to develop indi-
vidual employment plans; 
(V) career planning that includes— 
(aa) career pathways leading to in- 
demand, high-wage jobs; and 
(bb) job coaching, job matching, and job 
placement services; 
(VI) provision of payments and fees for employ-
ment and training-related applications, tests, and 
certifications; or 
(VII) any other appropriate career service or 
training service described in section 134(c) of the 
Workforce Innovation and Opportunity Act (29 
U.S.C. 3174(c)). 
(ii) Services provided to program participants 
during their first 6 months of employment to ensure 
job retention, which may include— 
(I) case management and support services, 
including a continuation of the services described 
in clause (i); 
(II) a continuation of skills training, and career 
and technical education, described in clause (i) 
that is conducted in collaboration with the 
employers of such participants; 
(III) mentorship services and job retention 
support for such participants; or 
(IV) targeted training for managers and 
workers working with such participants (such as 
mentors), and human resource representatives in 
the business in which such participants are 
employed. 
(iii) Services to assist program participants in 
maintaining employment for not less than 12 months, 
as appropriate. 
(G) PROVEN
AND
PROMISING
PRACTICES.—Leading 
efforts in the service area to identify and promote proven 
and promising strategies and initiatives for meeting the 
needs of employers and program participants. 
(4) LIMITATIONS.—A participating partnership may not 
use— 
(A) more than 10 percent of the funds received under 
a subgrant under subsection (d) for the administrative 
costs of the partnership; 
(B) more than 10 percent of the funds received under 
such subgrant for the provision of treatment and recovery 
services, as described in paragraph (3)(D); and 
(C) more than 10 percent of the funds received under 
such subgrant for the provision of supportive services 
described in paragraph (3)(E) to program participants. 
(f) PERFORMANCE ACCOUNTABILITY.—
H. R. 6—199 
(1) REPORTS.—The Secretary shall establish quarterly 
reporting requirements for recipients of grants and subgrants 
under this section that, to the extent practicable, are based 
on the performance accountability system under section 116 
of the Workforce Innovation and Opportunity Act (29 U.S.C. 
3141) and, in the case of a grant awarded to an eligible entity 
described in subsection (a)(3)(C), section 166(h) of such Act 
(29 U.S.C. 3221(h)), including the indicators described in sub-
section (c)(1)(A)(i) of such section 116 and the requirements 
for local area performance reports under subsection (d) of such 
section 116. 
(2) EVALUATIONS.— 
(A) AUTHORITY TO ENTER INTO AGREEMENTS.—The Sec-
retary shall ensure that an independent evaluation is con-
ducted on the pilot program carried out under this section 
to determine the impact of the program on employment 
of individuals with substance use disorders. The Secretary 
shall enter into an agreement with eligible entities 
receiving grants under this section to pay for all or part 
of such evaluation. 
(B) METHODOLOGIES
TO
BE
USED.—The independent 
evaluation required under this paragraph shall use experi-
mental designs using random assignment or, when random 
assignment is not feasible, other reliable, evidence-based 
research methodologies that allow for the strongest possible 
causal inferences. 
(g) FUNDING.— 
(1) COVERED FISCAL YEAR.—In this subsection, the term 
‘‘covered fiscal year’’ means any of fiscal years 2019 through 
2023. 
(2) USING
FUNDING
FOR
NATIONAL
DISLOCATED
WORKER 
GRANTS.—Subject to paragraph (4) and notwithstanding section 
132(a)(2)(A) and subtitle D of the Workforce Innovation and 
Opportunity Act (29 U.S.C. 3172(a)(2)(A), 3221 et seq.), the 
Secretary may use, to carry out the pilot program under this 
section for a covered fiscal year— 
(A) funds made available to carry out section 170 of 
such Act (29 U.S.C. 3225) for that fiscal year; 
(B) funds made available to carry out section 170 of 
such Act that remain available for that fiscal year; and 
(C) funds that remain available under section 172(f) 
of such Act (29 U.S.C. 3227(f)). 
(3) AVAILABILITY
OF
FUNDS.—Funds appropriated under 
section 136(c) of such Act (29 U.S.C. 3181(c)) and made avail-
able to carry out section 170 of such Act for a fiscal year 
shall remain available for use under paragraph (2) for a subse-
quent fiscal year until expended. 
(4) LIMITATION.—The Secretary may not use more than 
$100,000,000 of the funds described in paragraph (2) for any 
covered fiscal year under this section.
H. R. 6—200 
Subtitle D—Peer Support Counseling 
Program for Women Veterans 
SEC. 8051. PEER SUPPORT COUNSELING PROGRAM FOR WOMEN VET-
ERANS. 
(a) IN GENERAL.—Section 1720F(j) of title 38, United States 
Code, is amended by adding at the end the following new paragraph: 
‘‘(4)(A) As part of the counseling program under this subsection, 
the Secretary shall emphasize appointing peer support counselors 
for women veterans. To the degree practicable, the Secretary shall 
seek to recruit women peer support counselors with expertise in— 
‘‘(i) female gender-specific issues and services; 
‘‘(ii) the provision of information about services and benefits 
provided under laws administered by the Secretary; or 
‘‘(iii) employment mentoring. 
‘‘(B) To the degree practicable, the Secretary shall emphasize 
facilitating peer support counseling for women veterans who are 
eligible for counseling and services under section 1720D of this 
title, have post-traumatic stress disorder or suffer from another 
mental health condition, are homeless or at risk of becoming home-
less, or are otherwise at increased risk of suicide, as determined 
by the Secretary. 
‘‘(C) The Secretary shall conduct outreach to inform women 
veterans about the program and the assistance available under 
this paragraph. 
‘‘(D) In carrying out this paragraph, the Secretary shall coordi-
nate with such community organizations, State and local govern-
ments, institutions of higher education, chambers of commerce, 
local business organizations, organizations that provide legal assist-
ance, and other organizations as the Secretary considers appro-
priate. 
‘‘(E) In carrying out this paragraph, the Secretary shall provide 
adequate training for peer support counselors, including training 
carried out under the national program of training required by 
section 304(c) of the Caregivers and Veterans Omnibus Health 
Services Act of 2010 (38 U.S.C. 1712A note).’’. 
(b) FUNDING.—The Secretary of Veterans Affairs shall carry 
out paragraph (4) of section 1720F(j) of title 38, United States 
Code, as added by subsection (a), using funds otherwise made 
available to the Secretary. No additional funds are authorized to 
be appropriated by reason of such paragraph. 
(c) REPORT TO CONGRESS.—Not later than 2 years after the 
date of the enactment of this Act, the Secretary of Veterans Affairs 
shall submit to the Committees on Veterans’ Affairs of the Senate 
and House of Representatives a report on the peer support coun-
seling program under section 1720F(j) of title 38, United States 
Code, as amended by this section. Such report shall include— 
(1) the number of peer support counselors in the program; 
(2) an assessment of the effectiveness of the program; and 
(3) a description of the oversight of the program.
H. R. 6—201 
Subtitle E—Treating Barriers to 
Prosperity 
SEC. 8061. SHORT TITLE. 
This subtitle may be cited as the ‘‘Treating Barriers to Pros-
perity Act of 2018’’. 
SEC. 8062. DRUG ABUSE MITIGATION INITIATIVE. 
(a) IN GENERAL.—Chapter 145 of title 40, United States Code, 
is amended by inserting after section 14509 the following: 
‘‘§ 14510. Drug abuse mitigation initiative 
‘‘(a) IN GENERAL.—The Appalachian Regional Commission may 
provide technical assistance to, make grants to, enter into contracts 
with, or otherwise provide amounts to individuals or entities in 
the Appalachian region for projects and activities to address drug 
abuse, including opioid abuse, in the region, including projects 
and activities— 
‘‘(1) to facilitate the sharing of best practices among States, 
counties, and other experts in the region with respect to 
reducing such abuse; 
‘‘(2) to initiate or expand programs designed to eliminate 
or reduce the harm to the workforce and economic growth 
of the region that results from such abuse; 
‘‘(3) to attract and retain relevant health care services, 
businesses, and workers; and 
‘‘(4) to develop relevant infrastructure, including broadband 
infrastructure that supports the use of telemedicine. 
‘‘(b) LIMITATION ON AVAILABLE AMOUNTS.—Of the cost of any 
activity eligible for a grant under this section— 
‘‘(1) not more than 50 percent may be provided from 
amounts appropriated to carry out this section; and 
‘‘(2) notwithstanding paragraph (1)— 
‘‘(A) in the case of a project to be carried out in a 
county for which a distressed county designation is in 
effect under section 14526, not more than 80 percent may 
be provided from amounts appropriated to carry out this 
section; and 
‘‘(B) in the case of a project to be carried out in a 
county for which an at-risk designation is in effect under 
section 14526, not more than 70 percent may be provided 
from amounts appropriated to carry out this section. 
‘‘(c) SOURCES OF ASSISTANCE.—Subject to subsection (b), a grant 
provided under this section may be provided from amounts made 
available to carry out this section in combination with amounts 
made available— 
‘‘(1) under any other Federal program (subject to the avail-
ability of subsequent appropriations); or 
‘‘(2) from any other source. 
‘‘(d) FEDERAL SHARE.—Notwithstanding any provision of law 
limiting the Federal share under any other Federal program, 
amounts made available to carry out this section may be used 
to increase that Federal share, as the Appalachian Regional 
Commission determines to be appropriate.’’.
H. R. 6—202 
(b) CLERICAL AMENDMENT.—The analysis for chapter 145 of 
title 40, United States Code, is amended by inserting after the 
item relating to section 14509 the following: 
‘‘14510. Drug abuse mitigation initiative.’’. 
Subtitle F—Pilot Program to Help Individ-
uals in Recovery From a Substance Use 
Disorder Become Stably Housed 
SEC. 8071. PILOT PROGRAM TO HELP INDIVIDUALS IN RECOVERY 
FROM A SUBSTANCE USE DISORDER BECOME STABLY 
HOUSED. 
(a) AUTHORIZATION OF APPROPRIATIONS.—There is authorized 
to be appropriated under this section such sums as may be nec-
essary for each of fiscal years 2019 through 2023 for assistance 
to States to provide individuals in recovery from a substance use 
disorder stable, temporary housing for a period of not more than 
2 years or until the individual secures permanent housing, which-
ever is earlier. 
(b) ALLOCATION OF APPROPRIATED AMOUNTS.— 
(1) IN GENERAL.—The amounts appropriated or otherwise 
made available to States under this section shall be allocated 
based on a funding formula established by the Secretary of 
Housing and Urban Development (referred to in this section 
as the ‘‘Secretary’’) not later than 60 days after the date of 
enactment of this Act. 
(2) CRITERIA.— 
(A) IN GENERAL.—The funding formula required under 
paragraph (1) shall ensure that any amounts appropriated 
or otherwise made available under this section are allocated 
to States with an age-adjusted rate of drug overdose deaths 
that is above the national overdose mortality rate, 
according to the Centers for Disease Control and Preven-
tion. 
(B) PRIORITY.— 
(i) IN GENERAL.—Among such States, priority shall 
be given to States with the greatest need, as such 
need is determined by the Secretary based on the 
following factors, and weighting such factors as 
described in clause (ii): 
(I) The highest average rates of unemployment 
based on data provided by the Bureau of Labor 
Statistics for calendar years 2013 through 2017. 
(II) The lowest average labor force participa-
tion rates based on data provided by the Bureau 
of Labor Statistics for calendar years 2013 through 
2017. 
(III) The highest age-adjusted rates of drug 
overdose deaths based on data from the Centers 
for Disease Control and Prevention. 
(ii) WEIGHTING.—The factors described in clause 
(i) shall be weighted as follows: 
(I) The rate described in clause (i)(I) shall 
be weighted at 15 percent.
H. R. 6—203 
(II) The rate described in clause (i)(II) shall 
be weighted at 15 percent. 
(III) The rate described in clause (i)(III) shall 
be weighted at 70 percent. 
(3) DISTRIBUTION.—Amounts appropriated or otherwise 
made available under this section shall be distributed according 
to the funding formula established by the Secretary under 
paragraph (1) not later than 30 days after the establishment 
of such formula. 
(c) USE OF FUNDS.— 
(1) IN GENERAL.—Any State that receives amounts pursu-
ant to this section shall expend at least 30 percent of such 
funds within one year of the date funds become available to 
the grantee for obligation. 
(2) PRIORITY.—Any State that receives amounts pursuant 
to this section shall distribute such amounts giving priority 
to entities with the greatest need and ability to deliver effective 
assistance in a timely manner. 
(3) ADMINISTRATIVE
COSTS.—Any State that receives 
amounts pursuant to this section may use up to 5 percent 
of any grant for administrative costs. 
(d) RULES OF CONSTRUCTION.— 
(1) IN
GENERAL.—Except as otherwise provided by this 
section, amounts appropriated, or amounts otherwise made 
available to States under this section shall be treated as though 
such funds were community development block grant funds 
under title I of the Housing and Community Development 
Act of 1974 (42 U.S.C. 5301 et seq.). 
(2) NO MATCH.—No matching funds shall be required in 
order for a State to receive any amounts under this section. 
(e) AUTHORITY TO WAIVE OR SPECIFY ALTERNATIVE REQUIRE-
MENTS.— 
(1) IN
GENERAL.—In administering any amounts appro-
priated or otherwise made available under this section, the 
Secretary may waive or specify alternative requirements to 
any provision under title I of the Housing and Community 
Development Act of 1974 (42 U.S.C. 5301 et seq.) except for 
requirements related to fair housing, nondiscrimination, labor 
standards, the environment, and requirements that activities 
benefit persons of low- and moderate-income, upon a finding 
that such a waiver is necessary to expedite or facilitate the 
use of such funds. 
(2) NOTICE OF INTENT.—The Secretary shall provide written 
notice of its intent to exercise the authority to specify alter-
native requirements under paragraph (1) to the Committee 
on Banking, Housing, and Urban Affairs of the Senate and 
the Committee on Financial Services of the House of Represent-
atives not later than 15 business days before such exercise 
of authority occurs. 
(3) NOTICE TO THE PUBLIC.—The Secretary shall provide 
written notice of its intent to exercise the authority to specify 
alternative requirements under paragraph (1) to the public 
via notice, on the internet website of the Department of Housing 
and Urban Development, and by other appropriate means, not 
later than 15 business days before such exercise of authority 
occurs.
H. R. 6—204 
(f) TECHNICAL ASSISTANCE.—For the 2-year period following 
the date of enactment of this Act, the Secretary may use not 
more than 2 percent of the funds made available under this section 
for technical assistance to grantees. 
(g) STATE.—For purposes of this section the term ‘‘State’’ 
includes any State as defined in section 102 of the Housing and 
Community Development Act of 1974 (42 U.S.C. 5302) and the 
District of Columbia. 
Subtitle G—Human Services 
SEC. 8081. SUPPORTING FAMILY-FOCUSED RESIDENTIAL TREATMENT. 
(a) DEFINITIONS.—In this section: 
(1) FAMILY-FOCUSED RESIDENTIAL TREATMENT PROGRAM.— 
The term ‘‘family-focused residential treatment program’’ means 
a trauma-informed residential program primarily for substance 
use disorder treatment for pregnant and postpartum women 
and parents and guardians that allows children to reside with 
such women or their parents or guardians during treatment 
to the extent appropriate and applicable. 
(2) MEDICAID
PROGRAM.—The term ‘‘Medicaid program’’ 
means the program established under title XIX of the Social 
Security Act (42 U.S.C. 1396 et seq.). 
(3) SECRETARY.—The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(4) TITLE IV–E PROGRAM.—The term ‘‘title IV–E program’’ 
means the program for foster care, prevention, and permanency 
established under part E of title IV of the Social Security 
Act (42 U.S.C. 670 et seq.). 
(b) GUIDANCE
ON FAMILY-FOCUSED RESIDENTIAL TREATMENT 
PROGRAMS.— 
(1) IN GENERAL.—Not later than 180 days after the date 
of enactment of this Act, the Secretary, in consultation with 
divisions of the Department of Health and Human Services 
administering substance use disorder or child welfare programs, 
shall develop and issue guidance to States identifying 
opportunities to support family-focused residential treatment 
programs for the provision of substance use disorder treatment. 
Before issuing such guidance, the Secretary shall solicit input 
from representatives of States, health care providers with 
expertise in addiction medicine, obstetrics and gynecology, 
neonatology, child trauma, and child development, health plans, 
recipients of family-focused treatment services, and other rel-
evant stakeholders. 
(2) ADDITIONAL
REQUIREMENTS.—The guidance required 
under paragraph (1) shall include descriptions of the following: 
(A) Existing opportunities and flexibilities under the 
Medicaid program, including under waivers authorized 
under section 1115 or 1915 of the Social Security Act 
(42 U.S.C. 1315, 1396n), for States to receive Federal Med-
icaid funding for the provision of substance use disorder 
treatment for pregnant and postpartum women and parents 
and guardians and, to the extent applicable, their children, 
in family-focused residential treatment programs.
H. R. 6—205 
(B) How States can employ and coordinate funding 
provided under the Medicaid program, the title IV-E pro-
gram, and other programs administered by the Secretary 
to support the provision of treatment and services provided 
by a family-focused residential treatment facility such as 
substance use disorder treatment and services, including 
medication-assisted treatment, family, group, and indi-
vidual counseling, case management, parenting education 
and skills development, the provision, assessment, or 
coordination of care and services for children, including 
necessary assessments and appropriate interventions, non- 
emergency transportation for necessary care provided at 
or away from a program site, transitional services and 
supports for families leaving treatment, and other services. 
(C) How States can employ and coordinate funding 
provided under the Medicaid program and the title IV– 
E program (including as amended by the Family First 
Prevention Services Act enacted under title VII of division 
E of Public Law 115–123, and particularly with respect 
to the authority under subsections (a)(2)(C) and (j) of sec-
tion 472 and section 474(a)(1) of the Social Security Act 
(42 U.S.C. 672, 674(a)(1)) (as amended by section 50712 
of Public Law 115–123) to provide foster care maintenance 
payments for a child placed with a parent who is receiving 
treatment in a licensed residential family-based treatment 
facility for a substance use disorder) to support placing 
children with their parents in family-focused residential 
treatment programs. 
SEC. 8082. IMPROVING RECOVERY AND REUNIFYING FAMILIES. 
(a) FAMILY RECOVERY AND REUNIFICATION PROGRAM REPLICA-
TION PROJECT.—Section 435 of the Social Security Act (42 U.S.C. 
629e) is amended by adding at the end the following: 
‘‘(e) FAMILY RECOVERY AND REUNIFICATION PROGRAM REPLICA-
TION PROJECT.— 
‘‘(1) PURPOSE.—The purpose of this subsection is to provide 
resources to the Secretary to support the conduct and evalua-
tion of a family recovery and reunification program replication 
project (referred to in this subsection as the ‘project’) and to 
determine the extent to which such programs may be appro-
priate for use at different intervention points (such as when 
a child is at risk of entering foster care or when a child 
is living with a guardian while a parent is in treatment). 
The family recovery and reunification program conducted under 
the project shall use a recovery coach model that is designed 
to help reunify families and protect children by working with 
parents or guardians with a substance use disorder who have 
temporarily lost custody of their children. 
‘‘(2) PROGRAM
COMPONENTS.—The family recovery and 
reunification program conducted under the project shall adhere 
closely to the elements and protocol determined to be most 
effective in other recovery coaching programs that have been 
rigorously evaluated and shown to increase family reunification 
and protect children and, consistent with such elements and 
protocol, shall provide such items and services as— 
‘‘(A) assessments to evaluate the needs of the parent 
or guardian;