SEC. 2. GRANTS FOR COMMUNITY-BASED HARM REDUC-
TION SERVICES FOR SUBSTANCE USE DIS-
ORDER. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by inserting after 
section 544 of such Act (42 U.S.C. 290dd–3) the fol-
lowing: 
‘‘SEC. 544A. GRANTS FOR COMMUNITY-BASED HARM RE-
DUCTION SERVICES FOR SUBSTANCE USE 
DISORDER. 
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting 
through the Assistant Secretary for Mental Health and 
Substance Use and in consultation with the Director of 
the Centers for Disease Control and Prevention, shall 
award grants to eligible entities to support community- 
based programs for harm reduction services for individuals 
with substance use disorder or individuals who use sub-
stances. 
‘‘(b) ELIGIBLE ENTITY.—In this section, the term 
‘eligible entity’ means— 
‘‘(1) a State, local, Tribal, or territorial govern-
ment; 
‘‘(2) a Tribal organization; 
‘‘(3) a community-based harm reduction pro-
gram, including a syringe services program; 
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‘‘(4) a primary and behavioral health organiza-
tion; or 
‘‘(5) an opioid treatment program. 
‘‘(c) SUBGRANTS.—For the purposes for which a 
grant is awarded under this section, the eligible entity re-
ceiving the grant may award subgrants to— 
‘‘(1) a Federally qualified health center; 
‘‘(2) an opioid treatment program; 
‘‘(3) a health care provider or organization pro-
viding services to individuals with substance use dis-
orders or individuals who use substances; and 
‘‘(4) any nonprofit organization that the Sec-
retary deems appropriate, which may include Urban 
Indian organizations (as defined in section 4 of the 
Indian Health Care Improvement Act). 
‘‘(d) APPLICATION.—To seek a grant under this sec-
tion, an eligible entity shall submit to the Secretary, in 
such form and manner as specified by the Secretary, an 
application that describes— 
‘‘(1) the intended uses of funds provided 
through the grant; 
‘‘(2) how the activities funded through the 
grant will support community-based harm reduction 
programs providing harm reduction services for indi-
viduals who use substances; and 
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‘‘(3) any other information and assurances the 
Secretary determines to be appropriate. 
‘‘(e) USE OF GRANT FUNDS.—Grant funds awarded 
under this section to an eligible entity shall be used to 
support community-based harm reduction programs pro-
viding harm reduction services for individuals who use 
substances, which— 
‘‘(1) may include— 
‘‘(A) preventing and controlling the spread 
of infectious diseases and the consequences of 
such diseases for individuals who use sub-
stances, such as through legally authorized or 
permitted syringe services programs, including 
the purchase of syringes; 
‘‘(B) overdose prevention programs, such 
as distributing opioid overdose reversal medica-
tion to individuals at risk of overdose and indi-
viduals likely to witness or respond to an over-
dose; and 
‘‘(C) connecting individuals who use sub-
stances to overdose education, harm reduction 
treatment and counseling, treatment services, 
recovery support services, and health education, 
and encouraging such individuals to take steps 
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to reduce the negative personal and public 
health impacts of substance use or misuse; and 
‘‘(2) shall include establishing or maintaining 
processes, protocols, and mechanisms for referral to 
evidence-based treatment and recovery support serv-
ices. 
‘‘(f) BEST
PRACTICES.—The Secretary, acting 
through the Assistant Secretary, in consultation with the 
Director of the Centers for Disease Control and Preven-
tion, shall issue guidance, based on information collected 
from grantees under this section, detailing best practices 
and promising methods for community-based harm reduc-
tion programs providing harm reduction services described 
in subsection (e). 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in-
cluding through the Tribal Training and Technical Assist-
ance Center of the Substance Abuse and Mental Health 
Services Administration, as applicable, shall provide eligi-
ble entities with technical assistance concerning— 
‘‘(1) grant application and submission proce-
dures under this section; 
‘‘(2) management activities for grant awards 
under this section; and 
‘‘(3) enhancing outreach and direct support to 
rural and underserved communities and providers in 
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addressing substance use through a grant under this 
section. 
‘‘(h) REPORT TO CONGRESS.—Not later than 2 years 
after the date of enactment of this section, and biennially 
thereafter, the Secretary shall submit to the Committee 
on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce of the 
House of Representatives a report that— 
‘‘(1) assesses how grant funding allocated 
under this section has affected the efforts of States 
to— 
‘‘(A) address substance use; 
‘‘(B) prevent and control the spread of in-
fectious diseases, and the consequences of such 
diseases for individuals who use substances; and 
‘‘(C) connect individuals who use sub-
stances to overdose education, harm reduction 
treatment and counseling, treatment services, 
recovery support services, and health education; 
and 
‘‘(2) includes any other information the Sec-
retary determines to be appropriate. 
‘‘(i) DEFINITIONS.—In this section: 
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‘‘(1) The term ‘Federally qualified health cen-
ter’ has the meaning given to that term in section 
1861(aa) of the Social Security Act. 
‘‘(2) The term ‘opioid treatment program’ has 
the meaning given to that term in section 8.2 of title 
42, Code of Federal Regulations (or any successor 
regulations). 
‘‘(3) The term ‘Urban Indian organization’ has 
the meaning given to that term in section 4 of the 
Indian Health Care Improvement Act. 
‘‘(j) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $30,000,000 
for each of fiscal years 2025 through 2029. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 
Of the amounts made available for each fiscal year 
to award grants under subsection (a), the Secretary 
shall use not more than 2 percent for Federal ad-
ministrative expenses, training, technical assistance, 
and evaluation.’’. 
Æ 
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