I 
115TH CONGRESS 
2D SESSION 
H. R. 5140 
To make improvements to the Account For the State Response to the Opioid 
Abuse Crisis to improve tribal health. 
IN THE HOUSE OF REPRESENTATIVES 
MARCH 1, 2018 
Mr. MULLIN (for himself and Mr. GIANFORTE) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To make improvements to the Account For the State 
Response to the Opioid Abuse Crisis to improve tribal health. 
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 ‘‘Tribal Addiction and 
Recovery Act of 2018’’ or the ‘‘TARA Act’’. 
SEC. 2. ACCOUNT FOR THE STATE RESPONSE TO THE 
OPIOID ABUSE CRISIS. 
Section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3 note) is amended— 
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(1) in the section heading, by inserting ‘‘AND 
TRIBAL’’ after ‘‘STATE’’; 
(2) in subsection (a), by inserting after ‘‘within 
the States’’ the following: ‘‘, Indian tribes, and tribal 
organizations’’; 
(3) in subsection (b)— 
(A) in paragraph (1), by inserting ‘‘and 
Tribal’’ after ‘‘State’’; 
(B) in paragraph (2)(A)(ii), by striking 
‘‘$500,000,000’’ and inserting ‘‘$525,000,000’’; 
and 
(C) in paragraph (3)(B), by inserting ‘‘and 
Tribal’’ after ‘‘State’’; 
(4) in subsection (c)— 
(A) in paragraph (1)— 
(i) in the paragraph heading, by strik-
ing ‘‘STATE RESPONSE TO THE OPIOID’’ 
and inserting ‘‘STATE
AND
TRIBAL
RE-
SPONSE TO THE OPIOID’’; 
(ii) in the first sentence— 
(I) by inserting after ‘‘grants to 
States’’ the following: ‘‘, Indian tribes, 
and tribal organizations’’; 
(II) by inserting after ‘‘such 
States’’ the following: ‘‘, Indian tribes, 
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and tribal organizations, respectively’’; 
and 
(III) by striking ‘‘in accordance 
with subparagraph (B)’’ and inserting 
‘‘in accordance with this subsection’’; 
and 
(iii) in the second sentence— 
(I) by inserting after ‘‘to States’’ 
the following: ‘‘, Indian tribes, and 
tribal organizations’’; and 
(II) by inserting after ‘‘other 
States’’ the following: ‘‘, Indian tribes, 
and tribal organizations, respectively’’; 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A)— 
(I) by inserting after ‘‘to a 
State’’ the following: ‘‘, Indian tribe, 
or tribal organization’’; and 
(II) by inserting after ‘‘by the 
State agency’’ the following: ‘‘or tribal 
entity’’; 
(ii) in subparagraph (A), by inserting 
‘‘and tribal’’ after ‘‘State’’; and 
(iii) in subparagraph (E)— 
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(I) by inserting ‘‘, Indian tribe, 
or tribal organization, as the case may 
be,’’ after ‘‘as the State’’; and 
(II) by inserting after ‘‘within 
the State’’ the following: ‘‘, Indian 
tribe, or tribal organization, respec-
tively’’; and 
(C) by adding at the end the following: 
‘‘(3) 
OTHER
PERMISSIBLE
USES.—Grants 
awarded to a State, Indian tribe, or tribal organiza-
tion under this subsection may be used to carry out 
activities to prevent and treat prescription drug 
abuse and the use of other addictive substances 
(such as alcohol, heroin, and methamphetamine), in-
cluding by providing mental health services.’’; 
(5) in subsection (d)— 
(A) in the matter preceding paragraph (1), 
by inserting ‘‘, Indian tribe, or tribal organiza-
tion’’ after ‘‘A State’’; and 
(B) by inserting ‘‘, Indian tribe, or tribal 
organization’’ after ‘‘the State’’ each place that 
such term appears; 
(6) by redesignating subsection (f) as sub-
section (g); and 
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(7) by inserting after subsection (e) the fol-
lowing new subsection: 
‘‘(f) DEFINITIONS.—In this section, the terms ‘In-
dian tribe’ and ‘tribal organization’ have the meaning 
given those terms in section 4 of the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
5304).’’. 
Æ 
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