251 
SEC. 934. REAUTHORIZATION OF RESIDENTIAL TREAT-
MENT 
PROGRAMS 
FOR 
PREGNANT 
AND 
POSTPARTUM WOMEN. 
Section 508 of the Public Health Service Act (42 
U.S.C. 290bb–1) is amended— 
(1) in subsection (p), by inserting ‘‘(other than 
subsection (r))’’ after ‘‘section’’; and 
(2) in subsection (r), by striking ‘‘such sums’’ 
and all that follows through ‘‘2003’’ and inserting 
‘‘$40,000,000 for each of fiscal years 2017 through 
2021’’. 
SEC. 935. PILOT PROGRAM GRANTS FOR STATE SUBSTANCE 
ABUSE AGENCIES. 
(a) IN GENERAL.—Section 508 of the Public Health 
Service Act (42 U.S.C. 290bb–1) is amended— 
(1) by redesignating subsection (r), as amended 
by section 934, as subsection (s); and 
(2) by inserting after subsection (q) the fol-
lowing new subsection: 
‘‘(r) PILOT
PROGRAM
FOR
STATE
SUBSTANCE 
ABUSE AGENCIES.— 
‘‘(1) IN GENERAL.—From amounts made avail-
able under subsection (s), the Director of the Center 
for Substance Abuse Treatment shall carry out a 
pilot program under which competitive grants are 
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made by the Director to State substance abuse agen-
cies to— 
‘‘(A) enhance flexibility in the use of funds 
designed to support family-based services for 
pregnant and postpartum women with a pri-
mary diagnosis of a substance use disorder, in-
cluding opioid use disorders; 
‘‘(B) help State substance abuse agencies 
address identified gaps in services furnished to 
such women along the continuum of care, in-
cluding services provided to women in non-resi-
dential based settings; and 
‘‘(C) promote a coordinated, effective, and 
efficient State system managed by State sub-
stance abuse agencies by encouraging new ap-
proaches and models of service delivery. 
‘‘(2) REQUIREMENTS.—In carrying out the 
pilot program under this subsection, the Director 
shall— 
‘‘(A) require State substance abuse agen-
cies to submit to the Director applications, in 
such form and manner and containing such in-
formation as specified by the Director, to be eli-
gible to receive a grant under the program; 
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‘‘(B) identify, based on such submitted ap-
plications, State substance abuse agencies that 
are eligible for such grants; 
‘‘(C) require services proposed to be fur-
nished through such a grant to support family 
based treatment and other services for pregnant 
and postpartum women with a primary diag-
nosis of a substance use disorder, including 
opioid use disorders; 
‘‘(D) not require that services furnished 
through such a grant be provided solely to 
women that reside in facilities; 
‘‘(E) not require that grant recipients 
under the program make available through use 
of the grant all services described in subsection 
(d); and 
‘‘(F) consider not applying requirements 
described in paragraphs (1) and (2) of sub-
section (f) to applicants, depending on the cir-
cumstances of the applicant. 
‘‘(3) REQUIRED SERVICES.— 
‘‘(A) IN
GENERAL.—The Director shall 
specify a minimum set of services required to be 
made available to eligible women through a 
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grant awarded under the pilot program under 
this subsection. Such minimum set— 
‘‘(i) shall include requirements de-
scribed in subsection (c) and be based on 
the recommendations submitted under sub-
paragraph (B); and 
‘‘(ii) may be selected from among the 
services described in subsection (d) and in-
clude other services as appropriate. 
‘‘(B) STAKEHOLDER INPUT.—The Director 
shall convene and solicit recommendations from 
stakeholders, including State substance abuse 
agencies, health care providers, persons in re-
covery from substance abuse, and other appro-
priate individuals, for the minimum set of serv-
ices described in subparagraph (A). 
‘‘(4) DURATION.—The pilot program under this 
subsection shall not exceed 5 years. 
‘‘(5) EVALUATION
AND
REPORT
TO
CON-
GRESS.—The Director of the Center for Behavioral 
Health Statistics and Quality shall fund an evalua-
tion of the pilot program at the conclusion of the 
first grant cycle funded by the pilot program. The 
Director of the Center for Behavioral Health Statis-
tics and Quality, in coordination with the Director of 
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the Center for Substance Abuse Treatment shall 
submit to the relevant Committees of jurisdiction of 
the House of Representatives and the Senate a re-
port on such evaluation. The report shall include at 
a minimum outcomes information from the pilot pro-
gram, including any resulting reductions in the use 
of alcohol and other drugs; engagement in treatment 
services; retention in the appropriate level and dura-
tion of services; increased access to the use of medi-
cations approved by the Food and Drug Administra-
tion for the treatment of substance use disorders in 
combination with counseling; and other appropriate 
measures. 
‘‘(6) STATE SUBSTANCE ABUSE AGENCIES DE-
FINED.—For purposes of this subsection, the term 
‘State substance abuse agency’ means, with respect 
to a State, the agency in such State that manages 
the Substance Abuse Prevention and Treatment 
Block Grant under part B of title XIX.’’. 
(b) FUNDING.—Subsection (s) of section 508 of the 
Public Health Service Act (42 U.S.C. 290bb–1), as 
amended by section 934 and redesignated by subsection 
(a), is further amended by adding at the end the following 
new sentence: ‘‘Of the amounts made available for a year 
pursuant to the previous sentence to carry out this section, 
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not more than 25 percent of such amounts shall be made 
available for such year to carry out subsection (r), other 
than paragraph (5) of such subsection.’’. 
SEC. 936. EVIDENCE-BASED OPIOID AND HEROIN TREAT-
MENT 
AND 
INTERVENTIONS 
DEMONSTRA-
TION. 
Subpart 1 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb et seq.) is amended— 
(1) by redesignating section 514 (42 U.S.C. 
290bb–9), as added by section 3632 of the Meth-
amphetamine Anti-Proliferation Act of 2000 (Public 
Law 106–310; 114 Stat. 1236), as section 514B; 
and 
(2) by adding at the end the following: 
‘‘SEC. 514C. EVIDENCE-BASED OPIOID AND HEROIN TREAT-
MENT 
AND 
INTERVENTIONS 
DEMONSTRA-
TION. 
‘‘(a) GRANTS.— 
‘‘(1) AUTHORITY TO MAKE GRANTS.—The Di-
rector of the Center for Substance Abuse Treatment 
(referred to in this section as the ‘Director’) shall 
award grants to State substance abuse agencies, 
units of local government, nonprofit organizations, 
and Indian tribes or tribal organizations (as defined 
in section 4 of the Indian Health Care Improvement 
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Act (25 U.S.C. 1603)) that have a high rate, or 
have had a rapid increase, in the use of heroin or 
other opioids, in order to permit such entities to ex-
pand activities, including an expansion in the avail-
ability of medication assisted treatment, evidence- 
based counseling, or behavioral therapies with re-
spect to the treatment of addiction in the specific 
geographical areas of such entities where there is a 
rate or rapid increase in the use of heroin or other 
opioids. 
‘‘(2) 
RECIPIENTS.—The 
entities 
receiving 
grants under paragraph (1) shall be selected by the 
Director. 
‘‘(3) NATURE OF ACTIVITIES.—The grant funds 
awarded under paragraph (1) shall be used for ac-
tivities that are based on reliable scientific evidence 
of efficacy in the treatment of problems related to 
heroin or other opioids. 
‘‘(b) GEOGRAPHIC
DISTRIBUTION.—The Director 
shall ensure that grants awarded under subsection (a) are 
distributed equitably among the various regions of the Na-
tion and among rural, urban, and suburban areas that are 
affected by the use of heroin or other opioids. 
‘‘(c) ADDITIONAL ACTIVITIES.—The Director shall— 
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‘‘(1) evaluate the activities supported by grants 
awarded under subsection (a); 
‘‘(2) disseminate widely such significant infor-
mation derived from the evaluation as the Director 
considers appropriate; 
‘‘(3) provide States, Indian tribes and tribal or-
ganizations, and providers with technical assistance 
in connection with the provision of treatment of 
problems related to heroin and other opioids; and 
‘‘(4) fund only those applications that specifi-
cally support recovery services as a critical compo-
nent of the grant program. 
‘‘(d) DEFINITION.—The term ‘medication assisted 
treatment’ means the use, for problems relating to heroin 
and other opioids, of medications approved by the Food 
and Drug Administration in combination with counseling 
and behavioral therapies. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section $300,000,000 
for each of fiscal years 2017 through 2021. 
‘‘(2) USE OF CERTAIN FUNDS.—Of the funds 
appropriated to carry out this section in any fiscal 
year, not more than 5 percent of such funds shall 
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be available to the Director for purposes of carrying 
out subsection (c).’’. 
SEC. 937. ADOLESCENT TREATMENT AND RECOVERY SERV-
ICES DEMONSTRATION GRANT PROGRAM. 
Subpart 1 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb et seq.), as amended by sec-
tion 936, is further amended by adding at the end the 
following: 
‘‘SEC. 514D. GRANTS TO IMPROVE ACCESS TO TREATMENT 
AND RECOVERY FOR ADOLESCENTS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Center for Substance Abuse Treat-
ment, shall award grants, contracts, or cooperative agree-
ments to eligible State substance abuse agencies and other 
entities determined appropriate by the Director for the 
purpose of increasing the capacity of substance use dis-
order treatment and recovery services for adolescents. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant, 
contract, or cooperative agreement under subsection (a) 
an entity shall— 
‘‘(1) prepare and submit to the Director an ap-
plication at such time, in such manner, and contain 
such information as the Director may require, in-
cluding a plan for the evaluation of any activities 
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carried out with the funds provided under this sec-
tion; 
‘‘(2) ensure that all entities receiving support 
under the grant, contract, or cooperative agreement 
comply with all applicable State licensure or certifi-
cation requirements regarding the provision of the 
services involved; and 
‘‘(3) provide the Director with periodic evalua-
tions of the progress of the activities funded under 
this section and an evaluation at the completion of 
such activities, as the Director determines to be ap-
propriate. 
‘‘(c) PRIORITY.—In awarding grants, contracts, and 
cooperative agreements under subsection (a), the Director 
shall give priority to applicants who propose to fill a dem-
onstrated geographic need for adolescent specific residen-
tial treatment services. 
‘‘(d) USE
OF FUNDS.—Amounts awarded under 
grants, contracts, or cooperative agreements under this 
section may be used to enable health care providers or fa-
cilities that provide treatment and recovery assistance for 
adolescents with a substance use disorder to provide the 
following services: 
‘‘(1) Individualized patient centered care that is 
specific to circumstances of the individual patient. 
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‘‘(2) Clinically appropriate, trauma-informed, 
gender-specific and age appropriate treatment serv-
ices that are based on reliable scientific evidence of 
efficacy in the treatment of problems related to sub-
stance use disorders. 
‘‘(3) Clinically appropriate care to address 
treatment for substance use and any co-occurring 
physical and mental health disorders at the same lo-
cation, and through access to primary care services. 
‘‘(4) Coordination of treatment services with re-
covery and other social support, including edu-
cational, vocational training, assistance with the ju-
venile justice system, child welfare, and mental 
health agencies. 
‘‘(5) Aftercare and long-term recovery support, 
including peer support services. 
‘‘(e) DURATION OF ASSISTANCE.—Grants, contracts, 
and cooperative agreements awarded under subsection (a) 
shall be for a period not to exceed 5 years. 
‘‘(f) ADDITIONAL ACTIVITIES.—The Director shall— 
‘‘(1) collect and evaluate the activities carried 
out with amount received under subsection (a); 
‘‘(2) disseminate widely such significant infor-
mation derived from the evaluation as the Secretary 
considers appropriate; and 
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‘‘(3) provide States, Indian tribes and tribal or-
ganizations, and providers with technical assistance 
in connection with the provision of treatment and re-
covery services funded through this section to ado-
lescents related to the abuse of heroin and other 
opioids. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—There is authorized to be 
appropriated to carry out this section, $25,000,000 
for each of fiscal years 2017 through 2021. 
‘‘(2) USE OF CERTAIN FUNDS.—Of the funds 
appropriated to carry out this section in any fiscal 
year, not more than 5 percent of such funds shall 
be available to the Director for purposes of carrying 
out subsection (f).’’. 
SEC. 938. STUDY ON TREATMENT INFRASTRUCTURE. 
Not later than 24 months after the date of enactment 
of this Act, the Comptroller General of the United States 
shall initiate an evaluation, and submit to Congress a re-
port, of the inpatient and outpatient treatment capacity, 
availability, and needs of the United States, which shall 
include, to the extent data is available— 
(1) the capacity of acute residential or inpatient 
detoxification programs; 
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(2) the capacity of inpatient clinical stabiliza-
tion programs, transitional residential support serv-
ices, and residential rehabilitation programs; 
(3) the capacity of demographic specific resi-
dential or inpatient treatment programs, such as 
those designed for pregnant women or adolescents; 
(4) geographical differences of the availability 
of residential and outpatient treatment and recovery 
options for substance use disorders across the con-
tinuum of care; 
(5) the availability of residential and outpatient 
treatment programs that offer treatment options 
based on reliable scientific evidence of efficacy for 
the treatment of substance use disorders, including 
the use of Food and Drug Administration-approved 
medicines and evidence-based nonpharmacological 
therapies; 
(6) the number of patients in residential and 
specialty outpatient treatment services for substance 
use disorders; and 
(7) an assessment of the need for residential 
and outpatient treatment for substance use disorders 
across the continuum of care. 
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SEC. 939. SUBSTANCE USE DISORDER PROFESSIONAL LOAN 
REPAYMENT PROGRAM. 
Subpart 3 of part E of title VII of the Public Health 
Service Act (42 U.S.C. 295f et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 779. SUBSTANCE USE DISORDER PROFESSIONAL 
LOAN REPAYMENT PROGRAM. 
‘‘(a) ESTABLISHMENT.—The Secretary shall estab-
lish and carry out a substance use disorder health profes-
sional loan repayment program under which qualified 
health professionals agree to be employed full time for a 
specified period (which shall be not less than 2 years) in 
providing substance use disorder prevention and treatment 
services. 
‘‘(b) PROGRAM ADMINISTRATION.—Through the pro-
gram established under this section, the Secretary shall 
enter into contracts with qualified health professionals 
under which— 
‘‘(1) a qualified health professional agrees to 
provide substance use disorder prevention and treat-
ment services with respect to an area or population 
that (as determined by the Secretary)— 
‘‘(A) has a shortage of such services (as 
defined by the Secretary); and 
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‘‘(B) has a sufficient population of individ-
uals with a substance use disorder to support 
the provision of such services; and 
‘‘(2) the Secretary agrees to make payments on 
the principal and interest of undergraduate, or grad-
uate education loans of the qualified health profes-
sional— 
‘‘(A) of not more than $35,000 for each 
year of service described in paragraph (1); and 
‘‘(B) for not more than 3 years. 
‘‘(c) QUALIFIED
HEALTH
PROFESSIONAL
DE-
FINED.—In this section, the term ‘qualified health profes-
sional’ means an individual who is (or will be upon the 
completion of the individual’s graduate education) a psy-
chiatrist, psychologist, nurse practitioner, physician assist-
ant, clinical social worker, substance abuse counselor, or 
other substance use disorder health professional. 
‘‘(d) PRIORITY.—In entering into agreements under 
this section, the Secretary shall give priority to applicants 
who— 
‘‘(1) have familiarity with evidence-based meth-
ods and culturally and linguistically competent 
health care services; and 
‘‘(2) demonstrate financial need. 
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‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated $20,000,000 for each of 
fiscal years 2017 through 2021 to carry out this section.’’. 
Subtitle D—Recovery 
SEC. 951. NATIONAL YOUTH RECOVERY INITIATIVE. 
(a) DEFINITIONS.—In this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means— 
(A) a high school that has been accredited 
as a recovery high school by the Association of 
Recovery Schools; 
(B) an accredited high school that is seek-
ing to establish or expand recovery support 
services; 
(C) an institution of higher education; 
(D) a recovery program at a nonprofit col-
legiate institution; or 
(E) a nonprofit organization. 
(2) INSTITUTION OF HIGHER EDUCATION.—The 
term ‘‘institution of higher education’’ has the 
meaning given the term in section 101 of the Higher 
Education Act of 1965 (20 U.S.C. 1001). 
(3) RECOVERY PROGRAM.—The term ‘‘recovery 
program’’— 
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