I 
118TH CONGRESS 
1ST SESSION H. R. 4088 
To amend the SUPPORT for Patients and Communities Act to reauthorize 
a program to support individuals in substance use disorder treatment 
and recovery to live independently and participate in the workforce, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 14, 2023 
Mr. BARR (for himself and Ms. DAVIDS of Kansas) introduced the following 
bill; which was referred to the Committee on Education and the Work-
force, and in addition to the Committee on Energy and Commerce, for 
a period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To amend the SUPPORT for Patients and Communities 
Act to reauthorize a program to support individuals in 
substance use disorder treatment and recovery to live 
independently and participate in the workforce, and for 
other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Comprehensive Addic-
tion Recovery through Effective Employment and Reentry 
Act of 2023’’ or the ‘‘CAREER Act of 2023’’. 
SEC. 2. TREATMENT, RECOVERY, AND WORKFORCE SUP-
PORT GRANTS. 
Section 7183 of the SUPPORT for Patients and 
Communities Act (42 U.S.C. 290ee–8) is amended— 
(1) in subsection (b), by inserting ‘‘each’’ before 
‘‘for a period’’; 
(2) by amending subsection (c)(2) to read as 
follows: 
‘‘(2) RATES.—The rates described in this para-
graph are the following: 
‘‘(A) The amount by which the average 
rate of drug overdose deaths in the State, ad-
justed for age, for the period of 5 calendar 
years for which there is available data, includ-
ing if necessary provisional data, immediately 
preceding the grant cycle (which shall be the 
period of calendar years 2018 through 2022 for 
the first grant cycle following the enactment of 
the Comprehensive Addiction Recovery through 
Effective Employment and Reentry Act of 
2023) is above the average national overdose 
mortality rate, as determined by the Director of 
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the Centers for Disease Control and Prevention, 
for the same period. 
‘‘(B) The amount by which the average 
rate of unemployment for the State, based on 
data provided by the Bureau of Labor Statis-
tics, for the period of 5 calendar years for 
which there is available data, including if nec-
essary provisional data, immediately preceding 
the grant cycle (which shall be the period of cal-
endar years 2018 through 2022 for the first 
grant cycle following the enactment of the Com-
prehensive Addiction Recovery through Effec-
tive Employment and Reentry Act of 2023) is 
above the national average for the same period. 
‘‘(C) The amount by which the average 
rate of labor force participation in the State, 
based on data provided by the Bureau of Labor 
Statistics, for the period of 5 calendar years for 
which there is available data, including if nec-
essary provisional data, immediately preceding 
the grant cycle (which shall be the period of cal-
endar years 2018 through 2022 for the first 
grant cycle following the enactment of the Com-
prehensive Addiction Recovery through Effec-
tive Employment and Reentry Act of 2023) is 
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below the national average for the same pe-
riod.’’; 
(3) in subsection (g)— 
(A) in paragraphs (1) and (3), by redesig-
nating subparagraphs (A) and (B) as clauses 
(i) and (ii), respectively, and adjusting the mar-
gins accordingly; 
(B) 
by 
redesignating 
paragraphs 
(1) 
through (3) as subparagraphs (A) through (C), 
respectively, and adjusting the margins accord-
ingly; 
(C) by striking ‘‘An entity’’ and inserting 
the following: 
‘‘(1) IN GENERAL.—An entity’’; and 
(D) by adding at the end the following: 
‘‘(2) TRANSPORTATION
SERVICES.—An entity 
receiving a grant under this section may use the 
funds for providing transportation for individuals to 
participate in an activity supported by a grant under 
this section, which transportation shall be to or from 
a place of work or a place where the individual is re-
ceiving vocational education or job training services 
or receiving services directly linked to treatment of 
or recovery from a substance use disorder.’’; 
(4) in subsection (j)— 
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(A) in paragraph (1), by inserting ‘‘for 
each grant cycle’’ after ‘‘grant period’’; and 
(B) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A)— 
(I) by striking ‘‘the preliminary 
report’’ and inserting ‘‘each prelimi-
nary report’’; and 
(II) by inserting ‘‘for the grant 
cycle’’ after ‘‘final report’’; and 
(ii) in subparagraph (A), by striking 
‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and 
(5) in subsection (k), by striking ‘‘$5,000,000 
for each of fiscal years 2019 through 2023’’ and in-
serting ‘‘$12,000,000 for each of fiscal years 2024 
through 2028’’. 
Æ 
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