I 
113TH CONGRESS 
2D SESSION 
H. R. 5845 
To authorize the Attorney General to award grants to address the national 
epidemics of prescription opioid abuse and heroin use. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 10, 2014 
Mr. SENSENBRENNER (for himself, Mr. SCOTT of Virginia, Mr. RYAN of Ohio, 
Ms. BASS, Mr. MARINO, and Mr. JOYCE) introduced the following bill; 
which was referred to the Committee on the Judiciary, and in addition 
to the Committees on Energy and Commerce and Education and the 
Workforce, for a period to be subsequently determined by the Speaker, 
in each case for consideration of such provisions as fall within the juris-
diction of the committee concerned 
A BILL 
To authorize the Attorney General to award grants to ad-
dress the national epidemics of prescription opioid abuse 
and heroin use. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Comprehensive Addiction and Recovery Act of 2014’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
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Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Definitions. 
TITLE I—PREVENTION AND EDUCATION 
Sec. 101. Development of best prescribing practices. 
Sec. 102. National education campaign. 
Sec. 103. Community-based coalition enhancement grants to address local drug 
crises. 
TITLE II—LAW ENFORCEMENT AND TREATMENT 
Sec. 201. Treatment alternative to incarceration programs. 
Sec. 202. Law enforcement naloxone training and implementation pilot. 
Sec. 203. Prescription drug take back expansion. 
TITLE III—TREATMENT AND RECOVERY 
Sec. 301. Evidence-based opioid and heroin treatment and interventions dem-
onstration. 
Sec. 302. Criminal justice medication assisted treatment and interventions dem-
onstration. 
Sec. 303. National youth recovery initiative. 
Sec. 304. Building communities of recovery. 
TITLE IV—ADDRESSING COLLATERAL CONSEQUENCES 
Sec. 401. Correctional education demonstration grant program. 
Sec. 402. Revision of FAFSA form. 
Sec. 403. National task force on recovery and collateral consequences. 
TITLE V—ADDICTION AND TREATMENT SERVICES FOR WOMEN, 
FAMILIES, AND VETERANS 
Sec. 501. Authority to award competitive grants to address opioid and heroin 
abuse by pregnant and parenting female offenders. 
Sec. 502. Grants for family-based substance abuse treatment. 
Sec. 503. Veterans’ treatment courts. 
TITLE VI—INCENTIVIZING STATE COMPREHENSIVE INITIATIVES 
TO ADDRESS OPIOID AND HEROIN ABUSE 
Sec. 601. State demonstration grants for comprehensive opioid abuse response. 
TITLE VII—OFFSET 
Sec. 701. Offset. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) The abuse of heroin and prescription pain-
killers is having a devastating effect on public health 
and safety in communities across the United States. 
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According to the Centers for Disease Control and 
Prevention, drug overdose deaths now surpass traffic 
crashes in the number of deaths caused by injury in 
the United States. In 2011, an average of about 110 
people in the United States died from drug overdose 
every day. 
(2) Law enforcement officials and treatment ex-
perts throughout the country report that many pre-
scription opioid users have turned to heroin as a 
cheaper or more easily obtained alternative to pre-
scription drugs. 
(3) Opioid pain relievers are the most widely 
misused or abused controlled prescription drugs 
(commonly referred to as ‘‘CPDs’’) and are involved 
in most CPD-related overdose incidents. According 
to the Drug Abuse Warning Network (commonly 
known as ‘‘DAWN’’), the estimated number of emer-
gency department visits involving nonmedical use of 
prescription opiates or opioids increased by 112 per-
cent, from 84,671 to 179,787, between 2006 and 
2010. 
(4) According to a report by the National Asso-
ciation of State Alcohol and Drug Abuse Directors 
(commonly referred to as ‘‘NASADAD’’), 37 States 
reported an increase in admissions to treatment for 
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heroin use during the past 2 years, while admissions 
to treatment for prescription opiates increased 500 
percent from 2000 to 2012. 
(5) Addiction is a treatable disease. Discoveries 
in the science of addiction have led to advances in 
the treatment of substance use disorders that help 
people stop abusing drugs and prescription medica-
tions and resume their productive lives. 
(6) According to the Office of National Drug 
Control 
Policy 
(commonly 
referred 
to 
as 
‘‘ONDCP’’), approximately 22,700,000 people in the 
United States needed substance use disorder treat-
ment in 2013, but only 2,500,000 people received it. 
(7) Effective substance abuse prevention can 
yield major economic dividends. Every dollar in-
vested in prevention can lead to savings between $2 
and $20. 
(8) According to the National Institute on Drug 
Abuse, when schools and communities properly im-
plement science-validated substance abuse prevention 
programs, alcohol, tobacco, and illicit drug abuse are 
reduced. Such programs help teachers, parents, and 
health care professionals shape the perceptions of 
youths about the risks of drug abuse. 
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(9) Diverting individuals with substance use 
disorders from criminal justice systems into commu-
nity-based treatment can save billions of dollars and 
prevent sizeable numbers of crimes, arrests, and re- 
incarcerations over the course of those individuals’ 
lives. 
(10) According to the Drug Enforcement Agen-
cy, more than 1,700 tons of expired, unwanted pre-
scription medications have been collected over the 
past 31⁄2 years, following the enactment of the Se-
cure and Responsible Drug Disposal Act of 2010 
(Public Law 111–273; 124 Stat. 2858). 
(11) Research shows that combining treatment 
medications with behavioral therapy is the best way 
to ensure success for most patients. Treatment ap-
proaches must be tailored to address the drug abuse 
patterns and drug-related medical, psychiatric, and 
social problems of each individual. Different types of 
medications may be useful at different stages of 
treatment to help a patient stop abusing drugs, stay 
in treatment, and avoid relapse. 
(12) Research indicates that combating the epi-
demic of opioid abuse, including abuse of prescrip-
tion painkillers and, increasingly, heroin, requires a 
multi-pronged approach that involves reducing drug 
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diversion, expanding delivery of existing treatments 
(including medication-assisted treatments), expand-
ing access to overdose medications and interventions, 
and the development of new medications for pain 
that can augment the existing treatment arsenal. 
SEC. 3. DEFINITIONS. 
In this Act— 
(1) the term ‘‘Indian tribe’’ has the meaning 
given the term in section 4 of the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
450b); 
(2) 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 coun-
seling and behavioral therapies; 
(3) the term ‘‘ONDCP Recovery Branch’’ 
means the Recovery Branch of the Office of Na-
tional Drug Control Policy; 
(4) the term ‘‘opioid’’ means any drug having 
an addiction-forming or addiction-sustaining liability 
similar to morphine or being capable of conversion 
into a drug having such addiction-forming or addic-
tion-sustaining liability; 
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(5) the term ‘‘Single State Authority for Sub-
stance Abuse’’ has the meaning given the term in 
section 201(e) of the Second Chance Act of 2007 
(42 U.S.C. 17521(e)); and 
(6) the term ‘‘State’’ means any State of the 
United States, the District of Columbia, the Com-
monwealth of Puerto Rico, and any territory or pos-
session of the United States. 
TITLE I—PREVENTION AND 
EDUCATION 
SEC. 101. DEVELOPMENT OF BEST PRESCRIBING PRAC-
TICES. 
(a) INTERAGENCY TASK FORCE.—Not later than 120 
days after the date of enactment of this Act, the Secretary 
of Health and Human Services (referred to in this section 
as the ‘‘Secretary’’), in cooperation with the Secretary of 
Veterans Affairs, the Secretary of Defense, and the Ad-
ministrator of the Drug Enforcement Administration, 
shall convene a Pain Management Best Practices Inter-
agency Task Force (referred to in this section as the ‘‘task 
force’’). 
(b) MEMBERSHIP.—The task force shall be com-
prised of— 
(1) representatives of— 
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