I 
114TH CONGRESS 
2D SESSION 
H. R. 4378 
To amend the Public Health Service Act to provide grants for treatment 
of 
heroin, 
opioids, 
cocaine, 
methamphetamine, 
3,4- 
methylenedioxymethamphet-amine (ecstasy), and phency-clidine (PCP) 
abuse, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 13, 2016 
Mr. CARTWRIGHT (for himself, Mr. CONYERS, Mr. GRIJALVA, and Mr. BLU-
MENAUER) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to provide grants 
for treatment of heroin, opioids, cocaine, methamphet-
amine, 3,4-methylenedioxymethamphet-amine (ecstasy), 
and phency-clidine (PCP) abuse, 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 ‘‘Access to Substance 
Abuse Treatment Act of 2016’’. 
SEC. 2. PURPOSE. 
It is the purpose of this Act to— 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
(1) reduce crime and improve public safety by 
making treatment for heroin, opioids, cocaine, meth-
amphetamine, 3,4-methylenedioxymethamphetamine 
(ecstasy), and phencyclidine (PCP) abuse available 
to every American who needs it; 
(2) keep families together by encouraging alter-
natives to incarceration for nonviolent drug law of-
fenses; 
(3) help identify root causes and most effective 
treatment methods for heroin, opioids, cocaine, 
methamphetamine, 3,4-methylenedioxymethamphet-
amine, and phencyclidine abuse; and 
(4) expand research into cutting-edge treatment 
methods for stimulant abuse. 
SEC. 3. HEROIN, OPIOIDS, COCAINE, METHAMPHETAMINE, 
3,4-METHYLENEDIOXYMETHAMPHETAMINE 
(ECSTASY), 
AND 
PHENCYCLIDINE 
(PCP) 
TREATMENT AND WRAP-AROUND PROGRAMS. 
Subpart 1 of part B of title V of the Public Health 
Service Act is amended by— 
(1) redesignating the second section 514 (relat-
ing to methamphetamine and amphetamine treat-
ment) as section 514B; and 
(2) adding at the end the following new sec-
tions: 
VerDate Sep 11 2014 
00:58 Jan 14, 2016
Jkt 059200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
‘‘SEC. 514C. INITIATIVE TO INCREASE HEROIN, OPIOIDS, 
COCAINE, 
METHAMPHETAMINE, 
ECSTASY, 
AND PCP TREATMENT CAPACITY. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to State, local, and tribal governments for the purpose of 
increasing the availability of treatment for heroin, opioids, 
cocaine, methamphetamine, 3,4-methylenedioxymetham-
phetamine (ecstasy), and phencyclidine (PCP) abuse. 
‘‘(b) REQUIREMENTS.— 
‘‘(1) IN GENERAL.—To seek a grant under sub-
section (a), a State, local, or tribal government shall 
submit an application to the Secretary at such time, 
in such manner, and containing such information 
and assurances as the Secretary may require. 
‘‘(2) USE OF GRANT FUNDS.—The grants made 
under subsection (a) may only be used to— 
‘‘(A) build treatment centers; 
‘‘(B) expand existing treatment centers; 
‘‘(C) hire treatment professionals; 
‘‘(D) provide training and education to 
substance abuse professionals, medical profes-
sionals, and educators related to the treatment 
of heroin, opioids, cocaine, methamphetamine, 
3,4-methylenedioxymethamphetamine, 
and 
phencyclidine abuse; and 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
‘‘(E) engage in other activities that the 
Secretary has determined are relevant to the 
purpose of the grants under subsection (a). 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated such sums as may be 
necessary to carry out this section for fiscal years 2017 
through 2021. 
‘‘SEC. 514D. HEROIN, OPIOIDS, COCAINE, METHAMPHET-
AMINE, ECSTASY, AND PCP ABUSE TREAT-
MENT VOUCHERS FOR UNDERSERVED POPU-
LATIONS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to State, local, and tribal governments and nonprofit enti-
ties to provide vouchers to individuals in underserved pop-
ulations for authorized services related to the treatment 
of such individuals for heroin, opioids, cocaine, meth-
amphetamine, 3,4-methylenedioxymethamphetamine (ec-
stasy), and phencyclidine (PCP) abuse. 
‘‘(b) REQUIREMENTS.— 
‘‘(1) APPLICATION.—To seek a grant under 
subsection (a), a State, local, or tribal government 
or a nonprofit entity shall submit an application to 
the Secretary at such time, in such manner, and 
containing such information and assurances as the 
Secretary may require, including a description of the 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
method that such State, government, or entity will 
use— 
‘‘(A) to identify individuals who would ben-
efit from treatment for heroin, opioids, cocaine, 
methamphetamine, 3,4-methylenedioxymetham-
phetamine, or phencyclidine abuse; 
‘‘(B) to identify if such individuals are in 
underserved populations; and 
‘‘(C) to provide vouchers to such individ-
uals in such populations. 
‘‘(2) PRESERVATION OF CHOICE.—A recipient 
of a grant under this section may not restrict the 
ability of an individual receiving a voucher under 
this section to use the voucher to pay for authorized 
services furnished by any provider of authorized 
services, so long as the provider of such services 
meets all applicable State licensure or certification 
requirements regarding the provision of such serv-
ices. 
‘‘(3) DURATION OF AWARD.—With respect to a 
grant under this section, the period during which 
payments under such grant are made to the grant 
recipient may not exceed five years. 
‘‘(4) MATCHING
FUNDS.—The Secretary may 
require that recipients of grants under this section 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
provide non-Federal matching funds, as determined 
appropriate by the Secretary, to ensure the commit-
ment of the grant recipients to the provision of 
vouchers for treatment to individuals who use her-
oin, 
opioids, 
cocaine, 
methamphetamine, 
3,4- 
methylenedioxymethamphetamine, or phencyclidine. 
Such non-Federal matching funds may be provided 
directly or through donations from public or private 
entities and may be in cash or in-kind, fairly evalu-
ated, including property, equipment, or services. 
‘‘(5) MAINTENANCE
OF
EFFORT.—The Sec-
retary may require that grant recipients under this 
section agree to maintain expenditures of non-Fed-
eral amounts for authorized services related to the 
treatment of heroin, opioids, cocaine, methamphet-
amine, 3,4-methylenedioxymethamphetamine, and 
phencyclidine abuse at a level that is not less than 
the level of such expenditures maintained by the re-
cipient for the fiscal year preceding the fiscal year 
for which the entity receives such a grant. 
‘‘(c) REPORT.— 
‘‘(1) IN GENERAL.—Not later than December 1, 
2017, and annually thereafter, the Secretary shall 
submit a report to the Congress on the grants under 
subsection (a). 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS
‘‘(2) CONTENTS OF REPORT.—The report under 
paragraph (1) shall contain an evaluation of the ef-
fectiveness of the grants made under subsection (a) 
in improving access to heroin, opioids, cocaine, 
methamphetamine, 3,4-methylenedioxymethamphet-
amine, and phencyclidine treatment for underserved 
populations. 
‘‘(d) DEFINITIONS.—For purposes of this section: 
‘‘(1) AUTHORIZED SERVICES.—The term ‘au-
thorized services’ means— 
‘‘(A) treatment for heroin, opioids, cocaine, 
methamphetamine, 3,4-methylenedioxymetham-
phetamine, or phencyclidine abuse, including in-
dividual, group, and family counseling regard-
ing such abuse; 
‘‘(B) follow-up services to prevent an indi-
vidual from relapsing into such abuse; 
‘‘(C) wrap-around services, as such term is 
defined in section 514E(e)(4); and 
‘‘(D) any additional services specified by 
the Secretary. 
‘‘(2) UNDERSERVED
POPULATION.—The term 
‘underserved population’ means a population of indi-
viduals who cannot access appropriate substance 
abuse treatment (including comprehensive substance 
VerDate Sep 11 2014 
23:43 Jan 13, 2016
Jkt 059200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H4378.IH
H4378
emcdonald on DSK67QTVN1PROD with BILLS