I 
115TH CONGRESS 
2D SESSION 
H. R. 5100 
To amend the Public Health Service Act to authorize grants to States to 
establish and operate recovery home certification programs, and for other 
purposes. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 27, 2018 
Mr. KNIGHT (for himself, Ms. ESHOO, Ms. ESTY of Connecticut, Mr. RYAN 
of Ohio, Ms. TENNEY, Mr. MACARTHUR, Mr. BILIRAKIS, and Ms. 
KUSTER of New Hampshire) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce, and in addition to 
the Committee on the Judiciary, for a period to be subsequently deter-
mined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned 
A BILL 
To amend the Public Health Service Act to authorize grants 
to States to establish and operate recovery home certifi-
cation programs, 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 ‘‘Recovery Home Cer-
tification Act of 2018’’. 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
SEC. 2. REDESIGNATION OF THE CENTER FOR SUBSTANCE 
ABUSE TREATMENT AS THE CENTER FOR 
SUBSTANCE ABUSE TREATMENT AND RECOV-
ERY. 
(a) REDESIGNATION.—The Center for Substance 
Abuse Treatment is hereby renamed the ‘‘Center for Sub-
stance Abuse Treatment and Recovery’’. 
(b) CONFORMING AMENDMENTS.—Title V of the 
Public Health Service Act (42 U.S.C. 290aa et seq.) is 
amended— 
(1) in the heading of subpart 1 of part B, by 
striking ‘‘Center for Substance Abuse Treatment’’ 
and inserting ‘‘Center for Substance Abuse Treat-
ment and Recovery’’; 
(2) in the heading of section 507, by striking 
‘‘CENTER FOR SUBSTANCE ABUSE TREATMENT’’ and 
inserting ‘‘CENTER FOR SUBSTANCE ABUSE TREAT-
MENT AND RECOVERY’’; 
(3) in the heading of subsection (a) of section 
513, by striking ‘‘CENTER FOR SUBSTANCE ABUSE 
TREATMENT’’ and inserting ‘‘CENTER
FOR SUB-
STANCE ABUSE TREATMENT AND RECOVERY’’; and 
(4) by striking ‘‘Center for Substance Abuse 
Treatment’’ each place it appears and inserting 
‘‘Center for Substance Abuse Treatment and Recov-
ery’’. 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
(c) REFERENCES.—Any references in statute, regula-
tions, or other documents to the Center for Substance 
Abuse Treatment of the Substance Abuse and Mental 
Health Services Administration shall be treated as a ref-
erence to the Center for Substance Abuse Treatment and 
Recovery of such Administration. 
SEC. 3. RECOVERY HOME CERTIFICATION AND GRANT PRO-
GRAM. 
Subpart I of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb et seq.) is amended by add-
ing at the end the following: 
‘‘SEC. 514C. RECOVERY HOME CERTIFICATION AND GRANT 
PROGRAM. 
‘‘(a) IN GENERAL.—Subject to the requirements of 
this section, the Director of the Center shall establish 
model criteria for recovery homes and award grants to 
States that establish and operate recovery homes based 
on such model criteria. 
‘‘(b) DUTIES OF DIRECTOR.—The Director of the 
Center— 
‘‘(1) not later than 6 months after the date of 
enactment of the Recovery Home Certification Act 
of 2018, shall establish model criteria for the certifi-
cation of recovery homes by States, including criteria 
for— 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
‘‘(A) minimum staffing of recovery support 
specialists and other staff; 
‘‘(B) qualifications for employees; 
‘‘(C) the presence of policies to support— 
‘‘(i) a resident’s recovery efforts; and 
‘‘(ii) compliance with all applicable 
laws; and 
‘‘(D) such other matters as the Director 
determines to be necessary to ensure that recov-
ery homes are committed to effectively sup-
porting recovery from drug and alcohol addic-
tion; 
‘‘(2) shall award grants to States to establish 
and operate recovery home certification programs 
based on such model criteria and to provide tech-
nical assistance to recovery homes to help them meet 
certification standards; and 
‘‘(3) not later than 6 months after the date of 
enactment of the Recovery Home Certification Act 
of 2018, shall issue or produce recommendations for 
States to clarify and enforce relationships between 
health care treatment providers, recovery homes, and 
recovery support providers. 
‘‘(c) DEFINITIONS.—In this section: 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
‘‘(1) The term ‘State’ means each of the several 
States, the District of Columbia, the Commonwealth 
of Puerto Rico, the United States Virgin Islands, 
Guam, American Samoa, and the Commonwealth of 
the Northern Mariana Islands. 
‘‘(2) The term ‘recovery home’ means a residen-
tial property that is operated as a nonclinical cooper-
ative living arrangement to provide an alcohol- and 
drug-free environment for individuals recovering 
from alcoholism or substance use disorders who seek 
a living environment that supports personal recov-
ery. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—Out of 
funds otherwise authorized to be made available to the 
Substance Abuse and Mental Health Services Administra-
tion, there are authorized to be appropriated to carry out 
this section $40,000,000 for each of fiscal years 2019 
through 2023. No additional funds are authorized to be 
appropriated to carry out this section.’’. 
SEC. 4. CRIMINAL PENALTIES. 
(a) IN GENERAL.—Chapter 11 of title 18, United 
States Code, is amended by inserting after section 219 the 
following: 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
‘‘§ 220. Unlawful payments for referrals to recovery 
homes and clinical treatment facilities 
‘‘(a) IN GENERAL.—Whoever, in or affecting inter-
state or foreign commerce, knowingly— 
‘‘(1) refers an individual with a substance use 
disorder to a recovery home or clinical treatment fa-
cility in exchange for any money or thing of value; 
‘‘(2) being a recovery home or clinical treat-
ment facility, or an officer or employee of a recovery 
home or clinical treatment facility acting in the 
course of their employment, pays any money or 
thing of value to— 
‘‘(A) a person in exchange for the person 
referring an individual with a substance use dis-
order to that recovery home or clinical treat-
ment facility; or 
‘‘(B) an individual with a substance use 
disorder in exchange for that individual using 
the services of that recovery home or clinical 
treatment facility; or 
‘‘(3) being a clinical service provider, or an offi-
cer or employee of a clinical service provider acting 
in the course of their employment, pays any money 
or thing of value to a recovery home or clinical treat-
ment facility, or to an officer or employee of a recov-
ery home or clinical treatment facility, in exchange 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
for referring an individual with a substance use dis-
order to a clinical service provider for clinical serv-
ices, 
shall be fined under this title, imprisoned not more than 
5 years, or both. 
‘‘(b) RULE
OF CONSTRUCTION.—The prohibition 
under subsection (a)(2)(B) does not apply in the case of 
a recovery home or clinical treatment facility that charges 
different fees or rates for serving different categories of 
individuals. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) The term ‘recovery home’ means a residen-
tial property that is operated as a nonclinical cooper-
ative living arrangement to provide an alcohol- and 
drug-free environment for individuals recovering 
from alcoholism or substance use disorders who seek 
a living environment that supports personal recov-
ery. 
‘‘(2) The term ‘clinical treatment facility’ 
means the location of a medical practice that pro-
vides, manages, or coordinates health care and re-
lated services under the supervision of a licensed 
medical professional for individuals recovering from 
alcoholism or substance use disorders.’’. 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
(b) CLERICAL AMENDMENT.—The table of sections 
for chapter 11 of title 18, United States Code, is amended 
by inserting after the item related to section 219 the fol-
lowing: 
‘‘220. Unlawful payments for referrals to recovery homes and clinical treatment 
facilities.’’. 
SEC. 5. GAO STUDY. 
Not later than 18 months after the date of enactment 
of this Act, the Comptroller General of the United States 
shall conduct a study and submit to the Committee on 
Health, Labor, and Pensions of the Senate, and the Com-
mittee on Energy and Commerce of the House of Rep-
resentatives a report, which shall include— 
(1) an analysis of best practices of State and 
local governments in regulating, licensing, training, 
and setting standards for recovery homes in States 
with certification policies supported by Federal fund-
ing; and 
(2) recommendations, if any, on improving Fed-
eral oversight of State and local regulations, licen-
sure requirements, training, and standards for recov-
ery homes in States with certification policies sup-
ported by Federal funding; 
(3) an analysis of enforcement activities con-
ducted by the Department of Justice to deter and 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS
penalize conduct prohibited under section 220 of 
title 18, United States Code; 
(4) recommendations for improving the enforce-
ment of section 220 of title 18, United States Code; 
and 
(5) recommendations to address financial and 
legal arrangements between recovery homes and clin-
ical treatment facilities (as such terms are defined 
under section 220 of title 18, United States Code), 
and the effects of such arrangements on patient 
care. 
Æ 
VerDate Sep 11 2014 
03:26 Mar 01, 2018
Jkt 079200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6301
E:\BILLS\H5100.IH
H5100
dlhill on DSK3GLQ082PROD with BILLS