‘‘(C) if no update is made under subsection 
(c)(1) or (c)(2), a report summarizing the ac-
tivities of the Task Force. 
‘‘(f) REPORTS TO GOVERNORS.—Upon finalizing the 
initial national strategy under subsection (c)(2), and upon 
making relevant updates to such strategy, the Task Force 
shall submit a report to the Governors of all States de-
scribing opportunities for local- and State-level partner-
ships identified under subsection (c)(2)(D). 
‘‘(g) SUNSET.—The Task Force shall terminate on 
September 30, 2027. 
‘‘(h) NONDUPLICATION
OF FEDERAL EFFORTS.— 
The Secretary may relieve the Task Force, in carrying out 
subsections (c) through (f), from responsibility for car-
rying out such activities as may be specified by the Sec-
retary as duplicative with other activities carried out by 
the Department of Health and Human Services.’’. 
Subtitle 
C—Reaching 
Improved 
Mental Health Outcomes for Pa-
tients 
SEC. 121. INNOVATION FOR MENTAL HEALTH. 
(a) NATIONAL MENTAL HEALTH AND SUBSTANCE 
USE POLICY LABORATORY.—Section 501A of the Public 
Health Service Act (42 U.S.C. 290aa–0) is amended—
(1) in subsection (e)(1), by striking ‘‘Indian 
tribes or tribal organizations’’ and inserting ‘‘Indian 
Tribes or Tribal organizations’’; 
(2) by striking subsection (e)(3); and 
(3) by adding at the end the following: 
‘‘(f) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $10,000,000 for each of fiscal years 2023 through 
2027.’’. 
(b) INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE.— 
(1) IN GENERAL.—Part A of title V of the Pub-
lic Health Service Act (42 U.S.C. 290aa et seq.) is 
amended by inserting after section 501A (42 U.S.C. 
290aa–0) the following: 
‘‘SEC. 501B. INTERDEPARTMENTAL SERIOUS MENTAL ILL-
NESS COORDINATING COMMITTEE. 
‘‘(a) ESTABLISHMENT.— 
‘‘(1) IN GENERAL.—The Secretary of Health 
and Human Services, or the designee of the Sec-
retary, shall establish a committee to be known as 
the Interdepartmental Serious Mental Illness Coordi-
nating Committee (in this section referred to as the 
‘Committee’).
‘‘(2) FEDERAL
ADVISORY
COMMITTEE
ACT.— 
Except as provided in this section, the provisions of 
the Federal Advisory Committee Act (5 U.S.C. 
App.) shall apply to the Committee. 
‘‘(b) MEETINGS.—The Committee shall meet not 
fewer than 2 times each year. 
‘‘(c) RESPONSIBILITIES.—The Committee shall sub-
mit, on a biannual basis, to Congress and any other rel-
evant Federal department or agency a report including— 
‘‘(1) a summary of advances in serious mental 
illness and serious emotional disturbance research 
related to the prevention of, diagnosis of, interven-
tion in, and treatment and recovery of serious men-
tal illnesses, serious emotional disturbances, and ad-
vances in access to services and support for adults 
with a serious mental illness or children with a seri-
ous emotional disturbance; 
‘‘(2) an evaluation of the effect Federal pro-
grams related to serious mental illness have on pub-
lic health, including public health outcomes such 
as— 
‘‘(A) rates of suicide, suicide attempts, in-
cidence and prevalence of serious mental ill-
nesses, serious emotional disturbances, and sub-
stance use disorders, overdose, overdose deaths,
emergency hospitalizations, emergency room 
boarding, preventable emergency room visits, 
interaction with the criminal justice system, 
homelessness, and unemployment; 
‘‘(B) increased rates of employment and 
enrollment in educational and vocational pro-
grams; 
‘‘(C) quality of mental and substance use 
disorders treatment services; or 
‘‘(D) any other criteria as may be deter-
mined by the Secretary; and 
‘‘(3) specific recommendations for actions that 
agencies can take to better coordinate the adminis-
tration of mental health services for adults with a 
serious mental illness or children with a serious emo-
tional disturbance. 
‘‘(d) MEMBERSHIP.— 
‘‘(1) FEDERAL
MEMBERS.—The Committee 
shall be composed of the following Federal rep-
resentatives, or the designees of such representa-
tives— 
‘‘(A) the Secretary of Health and Human 
Services, who shall serve as the Chair of the 
Committee;
‘‘(B) the Assistant Secretary for Mental 
Health and Substance Use; 
‘‘(C) the Attorney General; 
‘‘(D) the Secretary of Veterans Affairs; 
‘‘(E) the Secretary of Defense; 
‘‘(F) the Secretary of Housing and Urban 
Development; 
‘‘(G) the Secretary of Education; 
‘‘(H) the Secretary of Labor; 
‘‘(I) the Administrator of the Centers for 
Medicare & Medicaid Services; and 
‘‘(J) the Commissioner of Social Security. 
‘‘(2) NON-FEDERAL
MEMBERS.—The Com-
mittee shall also include not less than 14 non-Fed-
eral public members appointed by the Secretary of 
Health and Human Services, of which— 
‘‘(A) at least 2 members shall be an indi-
vidual who has received treatment for a diag-
nosis of a serious mental illness; 
‘‘(B) at least 1 member shall be a parent 
or legal guardian of an adult with a history of 
a serious mental illness or a child with a history 
of a serious emotional disturbance; 
‘‘(C) at least 1 member shall be a rep-
resentative of a leading research, advocacy, or
service organization for adults with a serious 
mental illness; 
‘‘(D) at least 2 members shall be— 
‘‘(i) a licensed psychiatrist with expe-
rience in treating serious mental illnesses; 
‘‘(ii) a licensed psychologist with expe-
rience in treating serious mental illnesses 
or serious emotional disturbances; 
‘‘(iii) a licensed clinical social worker 
with experience treating serious mental ill-
nesses or serious emotional disturbances; 
or 
‘‘(iv) a licensed psychiatric nurse, 
nurse practitioner, or physician assistant 
with experience in treating serious mental 
illnesses or serious emotional disturbances; 
‘‘(E) at least 1 member shall be a licensed 
mental health professional with a specialty in 
treating children and adolescents with a serious 
emotional disturbance; 
‘‘(F) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with mi-
norities;
‘‘(G) at least 1 member shall be a mental 
health professional who has research or clinical 
mental health experience in working with medi-
cally underserved populations; 
‘‘(H) at least 1 member shall be a State 
certified mental health peer support specialist; 
‘‘(I) at least 1 member shall be a judge 
with experience in adjudicating cases related to 
criminal justice or serious mental illness; 
‘‘(J) at least 1 member shall be a law en-
forcement officer or corrections officer with ex-
tensive experience in interfacing with adults 
with a serious mental illness, children with a se-
rious emotional disturbance, or individuals in a 
mental health crisis; and 
‘‘(K) at least 1 member shall have experi-
ence providing services for homeless individuals 
and working with adults with a serious mental 
illness, children with a serious emotional dis-
turbance, or individuals in a mental health cri-
sis. 
‘‘(3) TERMS.—A member of the Committee ap-
pointed under paragraph (2) shall serve for a term 
of 3 years, and may be reappointed for 1 or more 
additional 3-year terms. Any member appointed to
fill a vacancy for an unexpired term shall be ap-
pointed for the remainder of such term. A member 
may serve after the expiration of the member’s term 
until a successor has been appointed. 
‘‘(e) WORKING GROUPS.—In carrying out its func-
tions, the Committee may establish working groups. Such 
working groups shall be composed of Committee members, 
or their designees, and may hold such meetings as are nec-
essary. 
‘‘(f) SUNSET.—The Committee shall terminate on 
September 30, 2027.’’. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 501(l)(2) of the Public Health 
Service Act (42 U.S.C. 290aa(l)(2)) is amended 
by striking ‘‘section 6031 of such Act’’ and in-
serting ‘‘section 501B of this Act’’. 
(B) Section 6031 of the Helping Families 
in Mental Health Crisis Reform Act of 2016 
(Division B of Public Law 114–255) is repealed 
(and by conforming the item relating to such 
section in the table of contents in section 1(b)). 
(c) PRIORITY MENTAL HEALTH NEEDS
OF RE-
GIONAL AND NATIONAL SIGNIFICANCE.—Section 520A of 
the Public Health Service Act (42 U.S.C. 290bb–32) is 
amended—
(1) in subsection (a), by striking ‘‘Indian tribes 
or tribal organizations’’ and inserting ‘‘Indian Tribes 
or Tribal organizations’’; and 
(2) in subsection (f), by striking ‘‘$394,550,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$599,036,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 122. CRISIS CARE COORDINATION. 
(a) STRENGTHENING COMMUNITY CRISIS RESPONSE 
SYSTEMS.—Section 520F of the Public Health Service Act 
(42 U.S.C. 290bb–37) is amended to read as follows: 
‘‘SEC. 520F. MENTAL HEALTH CRISIS RESPONSE PARTNER-
SHIP PILOT PROGRAM. 
‘‘(a) IN GENERAL.—The Secretary shall establish a 
pilot program under which the Secretary will award com-
petitive grants to States, localities, territories, Indian 
Tribes, and Tribal organizations to establish new, or en-
hance existing, mobile crisis response teams that divert the 
response for mental health and substance use crises from 
law enforcement to mobile crisis teams, as described in 
subsection (b). 
‘‘(b) MOBILE CRISIS TEAMS DESCRIBED.—A mobile 
crisis team described in this subsection is a team of indi-
viduals—
‘‘(1) that is available to respond to individuals 
in crisis and provide immediate stabilization, refer-
rals to community-based mental health and sub-
stance use disorder services and supports, and triage 
to a higher level of care if medically necessary; 
‘‘(2) which may include licensed counselors, 
clinical social workers, physicians, paramedics, crisis 
workers, peer support specialists, or other qualified 
individuals; and 
‘‘(3) which may provide support to divert be-
havioral health crisis calls from the 9–1–1 system to 
the 9–8–8 system. 
‘‘(c) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall prioritize applications which ac-
count for the specific needs of the communities to be 
served, including children and families, veterans, rural and 
underserved populations, and other groups at increased 
risk of death from suicide or overdose. 
‘‘(d) REPORT.— 
‘‘(1) INITIAL
REPORT.—Not later than Sep-
tember 30, 2024, the Secretary shall submit to Con-
gress a report on steps taken by the entities speci-
fied in subsection (a) as of such date of enactment 
to strengthen the partnerships among mental health 
providers, substance use disorder treatment pro-
viders, primary care physicians, mental health and 
substance use crisis teams, paramedics, law enforce-
ment officers, and other first responders. 
‘‘(2) PROGRESS REPORTS.—Not later than one 
year after the date on which the first grant is 
awarded to carry out this section, and for each year 
thereafter, the Secretary shall submit to Congress a 
report on the grants made during the year covered 
by the report, which shall include— 
‘‘(A) impact data on the teams and people 
served by such programs, including demo-
graphic information of individuals served, vol-
ume, and types of service utilization; 
‘‘(B) outcomes of the number of linkages 
to community-based resources, short-term crisis 
receiving and stabilization facilities, and diver-
sion from law enforcement or hospital emer-
gency department settings; 
‘‘(C) data consistent with the State block 
grant requirements for continuous evaluation 
and quality improvement, and other relevant 
data as determined by the Secretary; and 
‘‘(D) the Secretary’s recommendations and 
best practices for—
‘‘(i) States and localities providing 
mobile crisis response and stabilization 
services for youth and adults; and 
‘‘(ii) improvements to the program es-
tablished under this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$10,000,000 for each of fiscal years 2023 through 2027.’’. 
(b) 
MENTAL
HEALTH
AWARENESS
TRAINING 
GRANTS.— 
(1) IN GENERAL.—Section 520J(b) of the Pub-
lic Health Service Act (42 U.S.C. 290bb–41(b)) is 
amended— 
(A) in paragraph (1), by striking ‘‘Indian 
tribes, tribal organizations’’ and inserting ‘‘In-
dian Tribes, Tribal organizations’’; 
(B) in paragraph (4), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; 
(C) in paragraph (5)— 
(i) by striking ‘‘Indian tribe, tribal or-
ganization’’ and inserting ‘‘Indian Tribe, 
Tribal organization’’; 
(ii) in subparagraph (A), by striking 
‘‘and’’ at the end;
(iii) in subparagraph (B)(ii), by strik-
ing the period at the end and inserting ‘‘; 
and’’; and 
(iv) by adding at the end the fol-
lowing: 
‘‘(C) suicide intervention and prevention, 
including recognizing warning signs and how to 
refer someone for help.’’; 
(D) in paragraph (6), by striking ‘‘Indian 
tribe, tribal organization’’ and inserting ‘‘Indian 
Tribe, Tribal organization’’; and 
(E) 
in 
paragraph 
(7), 
by 
striking 
‘‘$14,693,000 for each of fiscal years 2018 
through 2022’’ and inserting ‘‘$24,963,000 for 
each of fiscal years 2023 through 2027’’. 
(2) 
TECHNICAL
CORRECTIONS.—Section 
520J(b) of the Public Health Service Act (42 U.S.C. 
290bb–41(b)) is amended— 
(A) in the heading of paragraph (2), by 
striking ‘‘EMERGENCY SERVICES PERSONNEL’’ 
and inserting ‘‘EMERGENCY
SERVICES
PER-
SONNEL’’; and 
(B) in the heading of paragraph (3), by 
striking ‘‘DISTRIBUTION OF AWARDS’’ and in-
serting ‘‘DISTRIBUTION OF AWARDS’’.
‘‘(b) CONSULTATION.—The Secretary shall carry out 
this section in consultation with the Director of the Na-
tional Institute of Mental Health, the Attorney General 
of the United States, the Administrator of the Administra-
tion for Community Living, and the Assistant Secretary 
for Mental Health and Substance Use. 
‘‘(c) SELECTING AMONG APPLICANTS.—In awarding 
grants under this section, the Secretary— 
‘‘(1) may give preference to applicants that 
have not previously implemented an assisted out-
patient treatment program; and 
‘‘(2) shall evaluate applicants based on their po-
tential to reduce hospitalization, homelessness, incar-
ceration, and interaction with the criminal justice 
system while improving the health and social out-
comes of the patient. 
‘‘(d) PROGRAM REQUIREMENTS.—An assisted out-
patient treatment program funded with a grant awarded 
under this section shall include— 
‘‘(1) evaluating the medical and social needs of 
the patients who are participating in the program; 
‘‘(2) preparing and executing treatment plans 
for such patients that— 
‘‘(A) include criteria for completion of 
court-ordered treatment if applicable; and
‘‘(B) provide for monitoring of the pa-
tient’s compliance with the treatment plan, in-
cluding compliance with medication and other 
treatment regimens; 
‘‘(3) providing for case management services 
that support the treatment plan; 
‘‘(4) ensuring appropriate referrals to medical 
and social services providers; 
‘‘(5) evaluating the process for implementing 
the program to ensure consistency with the patient’s 
needs and State law; and 
‘‘(6) measuring treatment outcomes, including 
health and social outcomes such as rates of incarcer-
ation, health care utilization, and homelessness. 
‘‘(e) REPORT.—Not later than the end of fiscal year 
2027, the Secretary shall submit a report to the appro-
priate congressional committees on the grant program 
under this section. Such report shall include an evaluation 
of the following: 
‘‘(1) Cost savings and public health outcomes 
such as mortality, suicide, substance abuse, hos-
pitalization, and use of services. 
‘‘(2) Rates of incarceration of patients. 
‘‘(3) Rates of homelessness of patients.
‘‘(4) Patient and family satisfaction with pro-
gram participation. 
‘‘(5) Demographic information regarding par-
ticipation of those served by the grant compared to 
demographic information in the population of the 
grant recipient. 
‘‘(f) DEFINITIONS.—In this section: 
‘‘(1) The term ‘assisted outpatient treatment’ 
means medically prescribed mental health treatment 
that a patient receives while living in a community 
under the terms of a law authorizing a State or local 
civil court to order such treatment. 
‘‘(2) The term ‘eligible entity’ means a county, 
city, mental health system, mental health court, or 
any other entity with authority under the law of the 
State in which the entity is located to implement, 
monitor, and oversee an assisted outpatient treat-
ment program. 
‘‘(g) FUNDING.— 
‘‘(1) AMOUNT OF GRANTS.— 
‘‘(A) MAXIMUM AMOUNT.—The amount of 
a grant under this section shall not exceed 
$1,000,000 for any fiscal year. 
‘‘(B) DETERMINATION.—Subject to sub-
paragraph (A), the Secretary shall determine
the amount of each grant under this section 
based on the population of the area to be served 
through the grant and an estimate of the num-
ber of patients to be served. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $22,000,000 for each of fiscal years 
2023 through 2027.’’. 
SEC. 124. STUDY ON THE COSTS OF SERIOUS MENTAL ILL-
NESS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, in consultation with the Assistant Sec-
retary for Mental Health and Substance Use, the Assist-
ant Secretary for Planning and Evaluation, the Attorney 
General of the United States, the Secretary of Labor, and 
the Secretary of Housing and Urban Development, shall 
conduct a study on the direct and indirect costs of serious 
mental illness with respect to— 
(1) nongovernmental entities; and 
(2) the Federal Government and State, local, 
and Tribal governments. 
(b) CONTENT.—The study under subsection (a) shall 
consider each of the following: 
(1) The costs to the health care system for 
health services, including with respect to—
(A) office-based physician visits; 
(B) residential and inpatient treatment 
programs; 
(C) outpatient treatment programs; 
(D) emergency room visits; 
(E) crisis stabilization programs; 
(F) home health care; 
(G) skilled nursing and long-term care fa-
cilities; 
(H) prescription drugs and digital thera-
peutics; and 
(I) any other relevant health services. 
(2) The costs of homelessness, including with 
respect to— 
(A) homeless shelters; 
(B) street outreach activities; 
(C) crisis response center visits; and 
(D) other supportive services. 
(3) The costs of structured residential facilities 
and other supportive housing for residential and cus-
todial care services. 
(4) The costs of law enforcement encounters 
and encounters with the criminal justice system, in-
cluding with respect to—
(A) encounters that do and do not result 
in an arrest; 
(B) criminal and judicial proceedings; 
(C) services provided by law enforcement 
and judicial staff (including public defenders, 
prosecutors, and private attorneys); and 
(D) incarceration. 
(5) The costs of serious mental illness on em-
ployment. 
(6) With respect to family members and care-
givers, the costs of caring for an individual with a 
serious mental illness. 
(7) Any other relevant costs for programs and 
services administered by the Federal Government or 
State, Tribal, or local governments. 
(c) DATA
DISAGGREGATION.—In conducting the 
study under subsection (a), the Secretary of Health and 
Human Services shall (to the extent feasible)— 
(1) disaggregate data by— 
(A) costs to nongovernmental entities, the 
Federal Government, and State, local, and 
Tribal governments; 
(B) types of serious mental illnesses and 
medical chronic diseases common in patients 
with a serious mental illness; and
(C) demographic characteristics, including 
race, ethnicity, sex, age (including pediatric 
subgroups), and other characteristics deter-
mined by the Secretary; and 
(2) include an estimate of— 
(A) the total number of individuals with a 
serious mental illness in the United States, in-
cluding in traditional and nontraditional hous-
ing; and 
(B) the percentage of such individuals in— 
(i) homeless shelters; 
(ii) penal facilities, including Federal 
prisons, State prisons, and county and mu-
nicipal jails; and 
(iii) nursing facilities. 
(d) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary of Health and 
Human Services shall— 
(1) submit to the Congress a report containing 
the results of the study conducted under this sec-
tion; and 
(2) make such report publicly available.
Subtitle D—Anna Westin Legacy 
SEC. 131. MAINTAINING EDUCATION AND TRAINING ON 
EATING DISORDERS. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb–31 et seq.), as amended by 
section 102, is further amended by adding at the end the 
following: 
‘‘SEC. 520O. CENTER OF EXCELLENCE FOR EATING DIS-
ORDERS FOR EDUCATION AND TRAINING ON 
EATING DISORDERS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Assistant Secretary, shall maintain, by competitive 
grant or contract, a Center of Excellence for Eating Dis-
orders (referred to in this section as the ‘Center’) to im-
prove the identification of, interventions for, and treat-
ment of eating disorders in a manner that is develop-
mentally, culturally, and linguistically appropriate. 
‘‘(b) SUBGRANTS AND SUBCONTRACTS.—The Center 
shall coordinate and implement the activities under sub-
section (c), in whole or in part, by awarding competitive 
subgrants or subcontracts— 
‘‘(1) across geographical regions; and 
‘‘(2) in a manner that is not duplicative. 
‘‘(c) ACTIVITIES.—The Center— 
‘‘(1) shall—
‘‘(A) provide training and technical assist-
ance for— 
‘‘(i) primary care and behavioral 
health care providers to carry out screen-
ing, brief intervention, and referral to 
treatment for individuals experiencing, or 
at risk for, eating disorders; and 
‘‘(ii) nonclinical community support 
workers to identify and support individuals 
with, or at disproportionate risk for, eating 
disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in 
the effective treatment and ongoing support of 
individuals with eating disorders, including chil-
dren and marginalized populations at dispropor-
tionate risk for eating disorders; 
‘‘(C) provide collaboration and coordina-
tion to other centers of excellence, technical as-
sistance centers, and psychiatric consultation 
lines of the Substance Abuse and Mental 
Health Services Administration and the Health 
Resources and Services Administration on the 
identification, effective treatment, and ongoing
support of individuals with eating disorders; 
and 
‘‘(D) coordinate with the Director of the 
Centers for Disease Control and Prevention and 
the Administrator of the Health Resources and 
Services Administration to disseminate training 
to primary care and behavioral health care pro-
viders; and 
‘‘(2) may— 
‘‘(A) coordinate with electronic health 
record systems for the integration of protocols 
pertaining to screening, brief intervention, and 
referral to treatment for individuals experi-
encing, or at risk for, eating disorders; 
‘‘(B) develop and provide training mate-
rials to health care providers, including primary 
care and behavioral health care providers, in 
the effective treatment and ongoing support for 
members of the Armed Forces and veterans ex-
periencing, or at risk for, eating disorders; and 
‘‘(C) consult with the Secretary of Defense 
and the Secretary of Veterans Affairs on pre-
vention, identification, intervention for, and 
treatment of eating disorders.
‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
priated $1,000,000 for each of fiscal years 2023 through 
2027.’’. 
Subtitle 
E—Community 
Mental 
Health Services Block Grant Re-
authorization 
SEC. 141. REAUTHORIZATION OF BLOCK GRANTS FOR COM-
MUNITY MENTAL HEALTH SERVICES. 
(a) FUNDING.—Section 1920(a) of the Public Health 
Service Act (42 U.S.C. 300x–9(a)) is amended by striking 
‘‘$532,571,000 for each of fiscal years 2018 through 
2022’’ and inserting ‘‘$857,571,000 for each of fiscal 
years 2023 through 2027’’. 
(b) SET-ASIDE FOR EVIDENCE-BASED CRISIS CARE 
SERVICES.—Section 1920 of the Public Health Service 
Act (42 U.S.C. 300x–9) is amended by adding at the end 
the following: 
‘‘(d) CRISIS CARE.— 
‘‘(1) IN GENERAL.—Except as provided in para-
graph (3), a State shall expend at least 5 percent of 
the amount the State receives pursuant to section 
1911 for each fiscal year to support evidenced-based 
programs that address the crisis care needs of—
‘‘(A) individuals, including children and 
adolescents, experiencing mental health crises, 
substance-related crises, or crises arising from 
co-occurring disorders; and 
‘‘(B) persons with intellectual and develop-
mental disabilities. 
‘‘(2) CORE
ELEMENTS.—At the discretion of 
the single State agency responsible for the adminis-
tration of the program of the State under a grant 
under section 1911, funds expended pursuant to 
paragraph (1) may be used to fund some or all of 
the core crisis care service components, delivered ac-
cording to evidence-based principles, including the 
following: 
‘‘(A) Crisis call centers. 
‘‘(B) 24/7 mobile crisis services. 
‘‘(C) Crisis stabilization programs offering 
acute care or subacute care in a hospital or ap-
propriately licensed facility, as determined by 
the Substance Abuse and Mental Health Serv-
ices Administration, with referrals to inpatient 
or outpatient care. 
‘‘(3) STATE FLEXIBILITY.—In lieu of expending 
5 percent of the amount the State receives pursuant 
to section 1911 for a fiscal year to support evidence-
based programs as required by paragraph (1), a 
State may elect to expend not less than 10 percent 
of such amount to support such programs by the 
end of two consecutive fiscal years. 
‘‘(4) RULE OF CONSTRUCTION.—With respect 
to funds expended pursuant to the set-aside in para-
graph (1), section 1912(b)(1)(A)(vi) shall not 
apply.’’. 
(c) EARLY INTERVENTION.— 
(1) 
STATE
PLAN
OPTION.—Section 
1912(b)(1)(A)(vii) of the Public Health Service Act 
(42 U.S.C. 300x–1(b)(1)(A)(vii)) is amended— 
(A) in subclause (III), by striking ‘‘and’’ at 
the end; 
(B) in subclause (IV), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
(C) by adding at the end the following: 
‘‘(V) a description of any evi-
dence-based early intervention strate-
gies and programs the State provides 
to prevent, delay, or reduce the sever-
ity and onset of mental illness and be-
havioral problems, including for chil-
dren and adolescents, irrespective of 
experiencing a serious mental illness
or serious emotional disturbance, as 
defined under subsection (c)(1).’’. 
(2) ALLOCATION ALLOWANCE; REPORTS.—Sec-
tion 1920 of the Public Health Service Act (42 
U.S.C. 300x–9), as amended by subsection (c), is 
further amended by adding at the end the following: 
‘‘(e) EARLY INTERVENTION SERVICES.—In the case 
of a State with a State plan that provides for strategies 
and programs specified in section 1912(b)(1)(A)(vii)(VI), 
such State may expend not more than 5 percent of the 
amount of the allotment of the State pursuant to a fund-
ing agreement under section 1911 for each fiscal year to 
support such strategies and programs. 
‘‘(f) REPORTS TO CONGRESS.—Not later than Sep-
tember 30, 2025, and biennially thereafter, the Secretary 
shall provide a report to the Congress on the crisis care 
and early intervention strategies and programs pursued by 
States pursuant to subsections (d) and (e). Each such re-
port shall include— 
‘‘(1) a description of the each State’s crisis care 
and early intervention activities; 
‘‘(2) the population served, including informa-
tion on demographics, including age; 
‘‘(3) the outcomes of such activities, includ-
ing—
‘‘(A) how such activities reduced hos-
pitalizations and hospital stays; 
‘‘(B) how such activities reduced incidents 
of suicidal ideation and behaviors; and 
‘‘(C) how such activities reduced the sever-
ity of onset of serious mental illness and serious 
emotional disturbance; and 
‘‘(4) any other relevant information the Sec-
retary deems necessary.’’. 
Subtitle F—Peer-Supported Mental 
Health Services 
SEC. 151. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
Subpart 3 of part B of title V of the Public Health 
Service Act (42 U.S.C. 290bb—31 et seq.) is amended by 
inserting after section 520G (42 U.S.C. 290bb—38) the 
following: 
‘‘SEC. 520H. PEER-SUPPORTED MENTAL HEALTH SERVICES. 
‘‘(a) GRANTS AUTHORIZED.—The Secretary, acting 
through the Director of the Center for Mental Health 
Services, shall award grants to eligible entities to enable 
such entities to develop, expand, and enhance access to 
mental health peer-delivered services. 
‘‘(b) USE OF FUNDS.—Grants awarded under sub-
section (a) shall be used to develop, expand, and enhance 
national, statewide, or community-focused programs, in-
cluding virtual peer-support services and infrastructure, 
including by— 
‘‘(1) carrying out workforce development, re-
cruitment, and retention activities, to train, recruit, 
and retain peer-support providers; 
‘‘(2) building connections between mental 
health treatment programs, including between com-
munity organizations and peer-support networks, in-
cluding virtual peer-support networks, and with 
other mental health support services; 
‘‘(3) reducing stigma associated with mental 
health disorders; 
‘‘(4) expanding and improving virtual peer men-
tal health support services, including adoption of 
technologies to expand access to virtual peer mental 
health support services, including by acquiring— 
‘‘(A) appropriate physical hardware for 
such virtual services; 
‘‘(B) software and programs to efficiently 
run peer-support services virtually; and 
‘‘(C) other technology for establishing vir-
tual waiting rooms and virtual video platforms 
for meetings; and
‘‘(5) conducting research on issues relating to 
mental illness and the impact peer-support has on 
resiliency, including identifying— 
‘‘(A) the signs of mental illness; 
‘‘(B) the resources available to individuals 
with mental illness and to their families; and 
‘‘(C) the resources available to help sup-
port individuals living with mental illness. 
‘‘(c) SPECIAL CONSIDERATION.—In carrying out this 
section, the Secretary shall give special consideration to 
the unique needs of rural areas. 
‘‘(d) DEFINITION.—In this section, the term ‘eligible 
entity’ means— 
‘‘(1) a nonprofit consumer-run organization 
that— 
‘‘(A) is principally governed by people liv-
ing with a mental health condition; and 
‘‘(B) mobilizes resources within and out-
side of the mental health community, which 
may include through peer-support networks, to 
increase the prevalence and quality of long-term 
wellness of individuals living with a mental 
health condition, including those with a co-oc-
curring substance use disorder; or
‘‘(2) a Federally recognized Tribe, Tribal orga-
nization, Urban Indian organization, or consortium 
of Tribes or Tribal organizations. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$13,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle G—Military Suicide 
Prevention in the 21st Century 
SEC. 161. PILOT PROGRAM ON PRE-PROGRAMMING OF SUI-
CIDE PREVENTION RESOURCES INTO SMART 
DEVICES 
ISSUED 
TO 
MEMBERS 
OF 
THE 
ARMED FORCES. 
(a) IN GENERAL.—Commencing not later than 120 
days after the date of the enactment of this Act, the Sec-
retary of Defense shall carry out a pilot program under 
which the Secretary— 
(1) pre-downloads the Virtual Hope Box appli-
cation of the Defense Health Agency, or such suc-
cessor application, on smart devices individually 
issued to members of the Armed Forces; 
(2) pre-programs the National Suicide Hotline 
number and Veterans Crisis Line number into the 
contacts for such devices; and 
(3) provides training, as part of training on sui-
cide awareness and prevention conducted throughout
the Department of Defense, on the preventative re-
sources described in paragraphs (1) and (2). 
(b) DURATION.—The Secretary shall carry out the 
pilot program under this section for a two-year period. 
(c) SCOPE.—The Secretary shall determine the ap-
propriate scope of individuals participating in the pilot 
program under this section to best represent each Armed 
Force and to ensure a relevant sample size. 
(d) IDENTIFICATION
OF OTHER RESOURCES.—In 
carrying out the pilot program under this section, the Sec-
retary shall coordinate with the Director of the Defense 
Health Agency and the Secretary of Veterans Affairs to 
identify other useful technology-related resources for use 
in the pilot program. 
(e) REPORT.—Not later than 30 days after com-
pleting the pilot program under this section, the Secretary 
shall submit to the Committee on Armed Services of the 
Senate and the Committee on Armed Services of the 
House of Representatives a report on the pilot program. 
(f) VETERANS CRISIS LINE DEFINED.—In this sec-
tion, the term ‘‘Veterans Crisis Line’’ means the toll-free 
hotline for veterans established under section 1720F(h) of 
title 38, United States Code.
TITLE II—SUBSTANCE USE DIS-
ORDER PREVENTION, TREAT-
MENT, AND RECOVERY SERV-
ICES 
Subtitle A—Native Behavioral 
Health Access Improvement 
SEC. 201. BEHAVIORAL HEALTH AND SUBSTANCE USE DIS-
ORDER SERVICES FOR NATIVE AMERICANS. 
Section 506A of the Public Health Service Act (42 
U.S.C. 290aa–5a) is amended to read as follows: 
‘‘SEC. 506A. BEHAVIORAL HEALTH AND SUBSTANCE USE 
DISORDER SERVICES FOR NATIVE AMERI-
CANS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) The term ‘eligible entity’ means an Indian 
Tribe, a Tribal organization, an Urban Indian orga-
nization, and a Native Hawaiian health organization. 
‘‘(2) The terms ‘Indian Tribe’, ‘Tribal organiza-
tion’, and ‘Urban Indian organization’ have the 
meanings given to the terms ‘Indian tribe’, ‘tribal 
organization’, and ‘Urban Indian organization’ in 
section 4 of the Indian Health Care Improvement 
Act. 
‘‘(3) The term ‘Native Hawaiian health organi-
zation’ means ‘Papa Ola Lokahi’ as defined in sec-
tion 12 of the Native Hawaiian Health Care Im-
provement Act. 
‘‘(b) FORMULA FUNDS.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the Director of the Indian Health Service, 
as appropriate, shall award funds to eligible entities, 
in amounts determined pursuant to the formula de-
scribed in paragraph (2), to be used by the eligible 
entity to provide culturally appropriate mental 
health and substance use disorder prevention, treat-
ment, and recovery services to American Indians, 
Alaska Natives, and Native Hawaiians. 
‘‘(2) FORMULA.—The Secretary, using the 
process described in subsection (d), shall develop a 
formula to determine the amount of an award under 
paragraph (1). Such formula shall take into account 
the populations of eligible entities whose rates of 
overdose deaths or suicide are substantially higher 
relative to the populations of other Indian Tribes, 
Tribal organizations, Urban Indian organizations, or 
Native Hawaiian health organizations, as applicable. 
‘‘(c) TECHNICAL ASSISTANCE AND PROGRAM EVAL-
UATION.— 
‘‘(1) IN GENERAL.—The Secretary shall—
‘‘(A) provide technical assistance to appli-
cants and awardees under this section; and 
‘‘(B) collect and evaluate information on 
the program carried out under this section. 
‘‘(2) CONSULTATION
ON
EVALUATION
MEAS-
URES, AND DATA SUBMISSION AND REPORTING RE-
QUIREMENTS.—The Secretary shall, using the proc-
ess described in subsection (d), develop evaluation 
measures and data submission and reporting re-
quirements for purposes of the collection and evalua-
tion of information. 
‘‘(3) DATA SUBMISSION AND REPORTING.—As a 
condition on receipt of funds under this section, an 
applicant shall agree to submit data and reports in 
a timely manner consistent with the evaluation 
measures and data submission and reporting re-
quirements developed under subsection (d). 
‘‘(d) REGULATIONS.— 
‘‘(1) PROMULGATION.—Not later than 180 days 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, the 
Secretary shall initiate procedures under subchapter 
III of chapter 5 of title 5, United States Code, to 
negotiate and promulgate such regulations as are 
necessary to carry out this section, including devel-
opment of the funding formula described in sub-
section (b) and the program evaluation and report-
ing requirements under subsection (c). 
‘‘(2) PUBLICATION.—Not later than 18 months 
after the date of enactment of the Restoring Hope 
for Mental Health and Well-Being Act of 2022, the 
Secretary shall publish in the Federal Register pro-
posed regulations to implement this section. 
‘‘(3) COMMITTEE.—A negotiated rulemaking 
committee established pursuant to section 565 of 
title 5, United States Code, to carry out this sub-
section shall have as its members only representa-
tives of the Federal Government, Tribal Govern-
ments, and Urban Indian organizations. For pur-
poses of such rulemaking, the Indian Health Service 
shall be the lead agency for the Department. 
‘‘(4) ADAPTATION
OF
PROCEDURES.—In car-
rying out this subsection, the Secretary shall adapt 
any negotiated rulemaking procedures to the unique 
context of the government-to-government relation-
ship between the United States and Indian Tribes. 
‘‘(5) EFFECT.—The lack of promulgated regu-
lations under this subsection shall not limit the ef-
fect or implementation of this section.
‘‘(e) APPLICATION.—An entity desiring an award 
under subsection (b) shall submit an application to the 
Secretary at such time, in such manner, and accompanied 
by such information as the Secretary may reasonably re-
quire. 
‘‘(f) REPORT.—Not later than 3 years after the date 
of the enactment of the Restoring Hope for Mental Health 
and Well-Being Act of 2022, and annually thereafter, the 
Secretary shall prepare and 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 describing the services 
provided pursuant to this section. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$40,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle B—Summer Barrow Pre-
vention, Treatment, and Recov-
ery 
SEC. 211. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS. 
Section 506(e) of the Public Health Service Act (42 
U.S.C. 290aa–5(e)) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’.
SEC. 212. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 
U.S.C. 290bb–2) is amended— 
(1) in the section heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘tribes and tribal organiza-
tions (as the terms ‘Indian tribes’ and ‘tribal 
organizations’ 
are 
defined’’ 
and 
inserting 
‘‘Tribes and Tribal organizations (as such 
terms are defined’’; and 
(B) in paragraph (3), by striking ‘‘in sub-
stance abuse’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE DIS-
ORDER’’; and 
(4) in subsection (f), by striking ‘‘$333,806,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$521,517,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 213. EVIDENCE-BASED PRESCRIPTION OPIOID AND 
HEROIN TREATMENT AND INTERVENTIONS 
DEMONSTRATION. 
Section 514B of the Public Health Service Act (42 
U.S.C. 290bb–10) is amended—
(1) in subsection (a)(1)— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorder’’; 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; and 
(C) by striking ‘‘addiction’’ and inserting 
‘‘substance use disorders’’; 
(2) in subsection (e)(3), by striking ‘‘tribes and 
tribal organizations’’ and inserting ‘‘Tribes and 
Tribal organizations’’; and 
(3) in subsection (f), by striking ‘‘2017 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
SEC. 214. PRIORITY SUBSTANCE USE DISORDER PREVEN-
TION NEEDS OF REGIONAL AND NATIONAL 
SIGNIFICANCE. 
Section 516 of the Public Health Service Act (42 
U.S.C. 290bb–22) is amended— 
(1) in subsection (a)— 
(A) in paragraph (3), by striking ‘‘abuse’’ 
and inserting ‘‘use’’; and 
(B) in the matter following paragraph (3), 
by striking ‘‘tribes or tribal organizations’’ and 
inserting ‘‘Tribes or Tribal organizations’’;
(2) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE DIS-
ORDER’’; and 
(3) in subsection (f), by striking ‘‘$211,148,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$218,219,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 215. SOBER TRUTH ON PREVENTING (STOP) UNDER-
AGE DRINKING REAUTHORIZATION. 
Section 519B of the Public Health Service Act (42 
U.S.C. 290bb–25b) is amended— 
(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘alcohol beverage industry’ 
means the brewers, vintners, distillers, importers, 
distributors, and retail or online outlets that sell or 
serve beer, wine, and distilled spirits. 
‘‘(2) The term ‘school-based prevention’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or orga-
nizations in any grade of school, kindergarten 
through 12th grade. 
‘‘(3) The term ‘youth’ means persons under the 
age of 21.’’; and
(2) by striking subsections (c) through (g) and 
inserting the following: 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.— 
‘‘(1) INTERAGENCY COORDINATING COMMITTEE 
ON THE PREVENTION OF UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in 
subparagraph (B), shall continue to support 
and enhance the efforts of the interagency co-
ordinating committee, that began operating in 
2004, focusing on underage drinking (referred 
to in this subsection as the ‘Committee’). 
‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in subparagraph (A) are the Secretary 
of Education, the Attorney General, the Sec-
retary of Transportation, the Secretary of the 
Treasury, the Secretary of Defense, the Sur-
geon General, the Director of the Centers for 
Disease Control and Prevention, the Director of 
the National Institute on Alcohol Abuse and Al-
coholism, the Assistant Secretary for Mental 
Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assist-
ant Secretary for Children and Families, the 
Director of the Office of National Drug Control 
Policy, the Administrator of the National High-
way Traffic Safety Administration, the Admin-
istrator of the Office of Juvenile Justice and 
Delinquency Prevention, the Chairman of the 
Federal Trade Commission, and such other 
Federal officials as the Secretary of Health and 
Human Services determines to be appropriate. 
‘‘(C) CHAIR.—The Secretary of Health 
and Human Services shall serve as the chair of 
the Committee. 
‘‘(D) DUTIES.—The Committee shall guide 
policy and program development across the 
Federal Government with respect to underage 
drinking, provided, however, that nothing in 
this section shall be construed as transferring 
regulatory or program authority from an Agen-
cy to the Coordinating Committee. 
‘‘(E) CONSULTATIONS.—The Committee 
shall actively seek the input of and shall consult 
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage 
industry trade associations and companies.
‘‘(F) ANNUAL REPORT.— 
‘‘(i) IN GENERAL.—The Secretary, on 
behalf of the Committee, shall annually 
submit to the Congress a report that sum-
marizes— 
‘‘(I) all programs and policies of 
Federal agencies designed to prevent 
and reduce underage drinking, focus-
ing particularly on programs and poli-
cies that support the adoption and en-
forcement of State policies designed to 
prevent and reduce underage drinking 
as specified in paragraph (2); 
‘‘(II) the extent of progress in 
preventing and reducing underage 
drinking at State and national levels; 
‘‘(III) data that the Secretary 
shall collect with respect to the infor-
mation specified in clause (ii); and 
‘‘(IV) such other information re-
garding underage drinking as the Sec-
retary determines to be appropriate. 
‘‘(ii) CERTAIN
INFORMATION.—The 
report under clause (i) shall include infor-
mation on the following:
‘‘(I) Patterns and consequences 
of underage drinking as reported in 
research and surveys such as, but not 
limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance 
System, the National Survey on Drug 
Use and Health, and the Fatality 
Analysis Reporting System. 
‘‘(II) Measures of the availability 
of alcohol from commercial and non- 
commercial sources to underage popu-
lations. 
‘‘(III) Measures of the exposure 
of underage populations to messages 
regarding alcohol in advertising, social 
media, and the entertainment media. 
‘‘(IV) Surveillance data, includ-
ing information on the onset and 
prevalence of underage drinking, con-
sumption patterns, beverage pref-
erences, prevalence of drinking among 
students at institutions of higher edu-
cation, correlations between adult and 
youth drinking, and the means of un-
derage access, including trends over
time for these surveillance data. The 
Secretary shall develop a plan to im-
prove the collection, measurement, 
and consistency of reporting Federal 
underage alcohol data. 
‘‘(V) Any additional findings re-
sulting from research conducted or 
supported under subsection (f). 
‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage 
drinking including a review of the re-
search literature related to State laws, 
regulations, and policies designed to 
prevent and reduce underage drink-
ing, 
as 
described 
in 
paragraph 
(2)(B)(i). 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE 
DRINKING PREVENTION AND ENFORCEMENT ACTIVI-
TIES.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
with input and collaboration from other appro-
priate Federal agencies, States, Indian Tribes, 
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue 
a report on each State’s performance in enact-
ing, enforcing, and creating laws, regulations, 
and policies to prevent or reduce underage 
drinking based on an assessment of best prac-
tices 
developed 
pursuant 
to 
paragraph 
(1)(F)(ii)(VI) and subparagraph (B)(i). For 
purposes of this paragraph, each such report, 
with respect to a year, shall be referred to as 
the ‘State Report’. Each State Report shall be 
designed as a resource tool for Federal agencies 
assisting States in the their underage drinking 
prevention efforts, State public health and law 
enforcement agencies, State and local policy-
makers, and underage drinking prevention coa-
litions including those receiving grants pursuant 
to subsection (e). 
‘‘(B) STATE PERFORMANCE MEASURES.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall develop, in consultation with the 
Committee, a set of measures to be used in 
preparing the State Report on best prac-
tices as they relate to State laws, regula-
tions, policies, and enforcement practices. 
‘‘(ii) STATE REPORT CONTENT.—The 
State Report shall include updates on 
State laws, regulations, and policies in-
cluded in previous reports to Congress, in-
cluding with respect to the following: 
‘‘(I) Whether or not the State 
has 
comprehensive 
anti-underage 
drinking laws such as for the illegal 
sale, purchase, attempt to purchase, 
consumption, or possession of alcohol; 
illegal use of fraudulent ID; illegal 
furnishing or obtaining of alcohol for 
an individual under 21 years; the de-
gree of strictness of the penalties for 
such offenses; and the prevalence of 
the enforcement of each of these in-
fractions. 
‘‘(II) Whether or not the State 
has comprehensive liability statutes 
pertaining to underage access to alco-
hol such as dram shop, social host, 
and house party laws, and the preva-
lence of enforcement of each of these 
laws. 
‘‘(III) Whether or not the State 
encourages and conducts comprehen-
sive enforcement efforts to prevent 
underage access to alcohol at retail
outlets, such as random compliance 
checks and shoulder tap programs, 
and the number of compliance checks 
within alcohol retail outlets measured 
against the number of total alcohol re-
tail outlets in each State, and the re-
sult of such checks. 
‘‘(IV) Whether or not the State 
encourages training on the proper 
selling and serving of alcohol for all 
sellers and servers of alcohol as a con-
dition of employment. 
‘‘(V) Whether or not the State 
has policies and regulations with re-
gard to direct sales to consumers and 
home delivery of alcoholic beverages. 
‘‘(VI) Whether or not the State 
has programs or laws to deter adults 
from purchasing alcohol for minors; 
and the number of adults targeted by 
these programs. 
‘‘(VII) Whether or not the State 
has enacted graduated drivers licenses 
and the extent of those provisions.
‘‘(iii) ADDITIONAL
CATEGORIES.—In 
addition to the updates on State laws, reg-
ulations, and policies listed in clause (ii), 
the Secretary shall consider the following: 
‘‘(I) Whether or not States have 
adopted laws, regulations, and policies 
that deter underage alcohol use, as 
described in ‘The Surgeon General’s 
Call to Action to Prevent and Reduce 
Underage Drinking’ issued in 2007 
and ‘Facing Addiction in America: 
The Surgeon General’s Report on Al-
cohol, Drugs and Health’ issued in 
2016, including restrictions on low- 
price, high-volume drink specials, and 
wholesaler pricing provisions. 
‘‘(II) Whether or not States have 
adopted laws, regulations, and policies 
designed to reduce alcohol advertising 
messages attractive to youth and 
youth exposure to alcohol advertising 
and marketing in measured and 
unmeasured media and digital and so-
cial media.
‘‘(III) Whether or not States 
have laws and policies that promote 
underage drinking prevention policy 
development by local jurisdictions. 
‘‘(IV) Whether or not States 
have adopted laws, regulations, and 
policies to restrict youth access to al-
coholic beverages that may pose spe-
cial risks to youth, including but not 
limited to alcoholic mists, gelatins, 
freezer pops, premixed caffeinated al-
coholic beverages, and flavored malt 
beverages. 
‘‘(V) Whether or not States have 
adopted uniform best practices proto-
cols for conducting compliance checks 
and shoulder tap programs. 
‘‘(VI) Whether or not States 
have adopted uniform best practices 
penalty protocols for violations of laws 
prohibiting retail licensees from sell-
ing or furnishing of alcohol to minors. 
‘‘(iv) UNIFORM
DATA
SYSTEM.—For 
performance measures related to enforce-
ment of underage drinking laws as speci-
fied in clauses (ii) and (iii), the Secretary 
shall develop and test a uniform data sys-
tem for reporting State enforcement data, 
including the development of a pilot pro-
gram for this purpose. The pilot program 
shall include procedures for collecting en-
forcement data from both State and local 
law enforcement jurisdictions. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $1,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the National Highway Traffic Safety Ad-
ministration, shall develop an intensive, multifaceted, 
adult-oriented national media campaign to reduce 
underage drinking by influencing attitudes regarding 
underage drinking, increasing the willingness of 
adults to take actions to reduce underage drinking, 
and encouraging public policy changes known to de-
crease underage drinking rates.
‘‘(2) PURPOSE.—The purpose of the national 
media campaign described in this section shall be to 
achieve the following objectives: 
‘‘(A) Instill a broad societal commitment to 
reduce underage drinking. 
‘‘(B) Increase specific actions by adults 
that are meant to discourage or inhibit under-
age drinking. 
‘‘(C) Decrease adult conduct that tends to 
facilitate or condone underage drinking. 
‘‘(3) COMPONENTS.—When implementing the 
national media campaign described in this section, 
the Secretary shall— 
‘‘(A) educate the public about the public 
health and safety benefits of evidence-based 
policies to reduce underage drinking, including 
minimum legal drinking age laws, and build 
public and parental support for and cooperation 
with enforcement of such policies; 
‘‘(B) educate the public about the negative 
consequences of underage drinking; 
‘‘(C) promote specific actions by adults 
that are meant to discourage or inhibit under-
age drinking, including positive behavior mod-
eling, general parental monitoring, and con-
sistent and appropriate discipline; 
‘‘(D) discourage adult conduct that tends 
to facilitate underage drinking, including the 
hosting of underage parties with alcohol and 
the purchasing of alcoholic beverages on behalf 
of underage youth; 
‘‘(E) establish collaborative relationships 
with local and national organizations and insti-
tutions to further the goals of the campaign 
and assure that the messages of the campaign 
are disseminated from a variety of sources; 
‘‘(F) conduct the campaign through multi- 
media sources; and 
‘‘(G) conduct the campaign with regard to 
changing demographics and cultural and lin-
guistic factors. 
‘‘(4) CONSULTATION REQUIREMENT.—In devel-
oping and implementing the national media cam-
paign described in this section, the Secretary shall 
consult recommendations for reducing underage 
drinking published by the National Academy of 
Sciences and the Surgeon General. The Secretary 
shall also consult with interested parties including 
medical, public health, and consumer and parent
groups, law enforcement, institutions of higher edu-
cation, community organizations and coalitions, and 
other stakeholders supportive of the goals of the 
campaign. 
‘‘(5) ANNUAL
REPORT.—The Secretary shall 
produce an annual report on the progress of the de-
velopment or implementation of the media campaign 
described in this subsection, including expenses and 
projected costs, and, as such information is avail-
able, report on the effectiveness of such campaign in 
affecting adult attitudes toward underage drinking 
and adult willingness to take actions to decrease un-
derage drinking. 
‘‘(6) RESEARCH
ON
YOUTH-ORIENTED
CAM-
PAIGN.—The Secretary may, based on the avail-
ability of funds, conduct research on the potential 
success of a youth-oriented national media campaign 
to reduce underage drinking. The Secretary shall re-
port any such results to Congress with policy rec-
ommendations on establishing such a campaign. 
‘‘(7) ADMINISTRATION.—The Secretary may 
enter into a subcontract with another Federal agen-
cy to delegate the authority for execution and ad-
ministration of the adult-oriented national media 
campaign.
‘‘(8) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $2,500,000 for each of fiscal years 2023 
through 2027. 
‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT 
GRANTS TO PREVENT UNDERAGE DRINKING.— 
‘‘(1) AUTHORIZATION OF PROGRAM.—The As-
sistant Secretary for Mental Health and Substance 
Use, in consultation with the Director of the Office 
of National Drug Control Policy, shall award en-
hancement grants to eligible entities to design, im-
plement, evaluate, and disseminate comprehensive 
strategies to maximize the effectiveness of commu-
nity-wide approaches to preventing and reducing un-
derage drinking. This subsection is subject to the 
availability of appropriations. 
‘‘(2) PURPOSES.—The purposes of this sub-
section are to— 
‘‘(A) prevent and reduce alcohol use among 
youth in communities throughout the United 
States; 
‘‘(B) strengthen collaboration among com-
munities, the Federal Government, Tribal Gov-
ernments, and State and local governments;
‘‘(C) enhance intergovernmental coopera-
tion and coordination on the issue of alcohol 
use among youth; 
‘‘(D) serve as a catalyst for increased cit-
izen participation and greater collaboration 
among all sectors and organizations of a com-
munity that first demonstrates a long-term 
commitment to reducing alcohol use among 
youth; 
‘‘(E) implement state-of-the-art science- 
based strategies to prevent and reduce underage 
drinking by changing local conditions in com-
munities; and 
‘‘(F) enhance, not supplant, effective local 
community initiatives for preventing and reduc-
ing alcohol use among youth. 
‘‘(3) APPLICATION.—An eligible entity desiring 
an enhancement grant under this subsection shall 
submit an application to the Assistant Secretary at 
such time, and in such manner, and accompanied by 
such information and assurances, as the Assistant 
Secretary may require. Each application shall in-
clude— 
‘‘(A) a complete description of the entity’s 
current underage alcohol use prevention initia-
tives and how the grant will appropriately en-
hance the focus on underage drinking issues; or 
‘‘(B) a complete description of the entity’s 
current initiatives, and how it will use this 
grant to enhance those initiatives by adding a 
focus on underage drinking prevention. 
‘‘(4) USES
OF
FUNDS.—Each eligible entity 
that receives a grant under this subsection shall use 
the grant funds to carry out the activities described 
in such entity’s application submitted pursuant to 
paragraph (3) and obtain specialized training and 
technical assistance by the entity funded under sec-
tion 4 of Public Law 107–82, as amended (21 
U.S.C. 1521 note). Grants under this subsection 
shall not exceed $60,000 per year and may not ex-
ceed four years. 
‘‘(5) SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds provided under this subsection shall be used to 
supplement, not supplant, Federal and non-Federal 
funds available for carrying out the activities de-
scribed in this subsection. 
‘‘(6) EVALUATION.—Grants under this sub-
section shall be subject to the same evaluation re-
quirements and procedures as the evaluation re-
quirements and procedures imposed on recipients of 
drug-free community grants. 
‘‘(7) DEFINITIONS.—For purposes of this sub-
section, the term ‘eligible entity’ means an organiza-
tion that is currently receiving or has received grant 
funds under the Drug-Free Communities Act of 
1997. 
‘‘(8) ADMINISTRATIVE
EXPENSES.—Not more 
than 6 percent of a grant under this subsection may 
be expended for administrative expenses. 
‘‘(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $11,500,000 for each of fiscal years 
2023 through 2027. 
‘‘(f) GRANTS
TO PROFESSIONAL PEDIATRIC PRO-
VIDER ORGANIZATIONS TO REDUCE UNDERAGE DRINK-
ING
THROUGH
SCREENING
AND
BRIEF
INTERVEN-
TIONS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall make one or more grants 
to professional pediatric provider organizations to in-
crease among the members of such organizations ef-
fective practices to reduce the prevalence of alcohol
use among individuals under the age of 21, including 
college students. 
‘‘(2) PURPOSES.—Grants under this subsection 
shall be made to promote the practices of— 
‘‘(A) screening adolescents for alcohol use; 
‘‘(B) offering brief interventions to adoles-
cents to discourage such use; 
‘‘(C) educating parents about the dangers 
of and methods of discouraging such use; 
‘‘(D) diagnosing and treating alcohol use 
disorders; and 
‘‘(E) referring patients, when necessary, to 
other appropriate care. 
‘‘(3) USE OF FUNDS.—A professional pediatric 
provider organization receiving a grant under this 
section may use the grant funding to promote the 
practices specified in paragraph (2) among its mem-
bers by— 
‘‘(A) providing training to health care pro-
viders; 
‘‘(B) disseminating best practices, includ-
ing culturally and linguistically appropriate best 
practices, and developing, printing, and distrib-
uting materials; and
100 
‘‘(C) supporting other activities approved 
by the Assistant Secretary. 
‘‘(4) APPLICATION.—To be eligible to receive a 
grant under this subsection, a professional pediatric 
provider organization shall submit an application to 
the Assistant Secretary at such time, and in such 
manner, and accompanied by such information and 
assurances as the Secretary may require. Each ap-
plication shall include— 
‘‘(A) a description of the pediatric provider 
organization; 
‘‘(B) a description of the activities to be 
completed that will promote the practices speci-
fied in paragraph (2); 
‘‘(C) a description of the organization’s 
qualifications for performing such practices; 
and 
‘‘(D) a timeline for the completion of such 
activities. 
‘‘(5) DEFINITIONS.—For the purpose of this 
subsection: 
‘‘(A) BRIEF
INTERVENTION.—The term 
‘brief intervention’ means, after screening a pa-
tient, providing the patient with brief advice 
and other brief motivational enhancement tech-
101 
niques designed to increase the insight of the 
patient regarding the patient’s alcohol use, and 
any realized or potential consequences of such 
use to effect the desired related behavioral 
change. 
‘‘(B) ADOLESCENTS.—The term ‘adoles-
cents’ means individuals under 21 years of age. 
‘‘(C) PROFESSIONAL PEDIATRIC PROVIDER 
ORGANIZATION.—The term ‘professional pedi-
atric provider organization’ means an organiza-
tion or association that— 
‘‘(i) consists of or represents pediatric 
health care providers; and 
‘‘(ii) is qualified to promote the prac-
tices specified in paragraph (2). 
‘‘(D) SCREENING.—The term ‘screening’ 
means using validated patient interview tech-
niques to identify and assess the existence and 
extent of alcohol use in a patient. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $3,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(g) DATA COLLECTION AND RESEARCH.—
102 
‘‘(1) ADDITIONAL
RESEARCH
ON
UNDERAGE 
DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
subject to the availability of appropriations, col-
lect data, and conduct or support research that 
is not duplicative of research currently being 
conducted or supported by the Department of 
Health and Human Services, on underage 
drinking, with respect to the following: 
‘‘(i) Improve data collection in sup-
port of evaluation of the effectiveness of 
comprehensive community-based programs 
or strategies and statewide systems to pre-
vent and reduce underage drinking, across 
the underage years from early childhood to 
age 21, such as programs funded and im-
plemented by governmental entities, public 
health interest groups and foundations, 
and alcohol beverage companies and trade 
associations, through the development of 
models of State-level epidemiological sur-
veillance of underage drinking by funding 
in States or large metropolitan areas new 
epidemiologists focused on excessive drink-
ing including underage alcohol use.
103 
‘‘(ii) Obtain and report more precise 
information than is currently collected on 
the scope of the underage drinking prob-
lem and patterns of underage alcohol con-
sumption, including improved knowledge 
about the problem and progress in pre-
venting, reducing, and treating underage 
drinking, as well as information on the 
rate of exposure of youth to advertising 
and other media messages encouraging and 
discouraging alcohol consumption. 
‘‘(iii) Synthesize, expand on, and 
widely disseminate existing research on ef-
fective strategies for reducing underage 
drinking, including translational research, 
and make this research easily accessible to 
the general public. 
‘‘(iv) Improve and conduct public 
health surveillance on alcohol use and alco-
hol-related conditions in States by increas-
ing the use of surveys, such as the Behav-
ioral Risk Factor Surveillance System, to 
monitor binge and excessive drinking and 
related harms among individuals who are 
at least 18 years of age, but not more than
104 
20 years of age, including harm caused to 
self or others as a result of alcohol use 
that is not duplicative of research currently 
being conducted or supported by the De-
partment of Health and Human Services. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $5,000,000 for each 
of fiscal years 2023 through 2027. 
‘‘(2) 
NATIONAL
ACADEMY
OF
SCIENCES 
STUDY.— 
‘‘(A) IN
GENERAL.—Not later than 12 
months after the enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 
2022, the Secretary shall— 
‘‘(i) contract with the National Acad-
emy of Sciences to study developments in 
research on underage drinking and the 
public policy implications of these develop-
ments; and 
‘‘(ii) report to the Congress on the re-
sults of such review. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated
105 
to carry out this paragraph $500,000 for fiscal 
year 2023.’’. 
SEC. 216. GRANTS FOR JAIL DIVERSION PROGRAMS. 
Section 520G of the Public Health Service Act (42 
U.S.C. 290bb–38) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘up to 125’’; and 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; 
(2) in subsection (b)(2), by striking ‘‘tribes, and 
tribal organizations’’ and inserting ‘‘Tribes, and 
Tribal organizations’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘tribe or 
tribal organization’’ and inserting ‘‘Tribe or 
Tribal organization, health facility or program 
described in subsection (a), or public or non-
profit entity referred to in subsection (a)’’; and 
(B) in paragraph (2)(A)(iii), by striking 
‘‘tribe, or tribal organization’’ and inserting 
‘‘Tribe, or Tribal organization’’; 
(4) in subsection (e)—
106 
(A) in the matter preceding paragraph (1), 
by striking ‘‘tribe, or tribal organization’’ and 
inserting ‘‘Tribe, or Tribal organization’’; and 
(B) in paragraph (5), by striking ‘‘or ar-
rest’’ and inserting ‘‘, arrest, or release’’; 
(5) in subsection (f), by striking ‘‘tribe, or trib-
al organization’’ each place it appears and inserting 
‘‘Tribe, or Tribal organization’’; 
(6) in subsection (h), by striking ‘‘tribe, or trib-
al organization’’ and inserting ‘‘Tribe, or Tribal or-
ganization’’; and 
(7) in subsection (j), by striking ‘‘$4,269,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$14,000,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 217. FORMULA GRANTS TO STATES. 
Section 521 of the Public Health Service Act (42 
U.S.C. 290cc–21) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 218. PROJECTS FOR ASSISTANCE IN TRANSITION 
FROM HOMELESSNESS. 
Section 535(a) of the Public Health Service Act (42 
U.S.C. 290cc–35(a)) is amended by striking ‘‘2018 
through 2022’’ and inserting ‘‘2023 through 2027’’.
107 
SEC. 219. GRANTS FOR REDUCING OVERDOSE DEATHS. 
(a) GRANTS.— 
(1) REPEAL OF MAXIMUM GRANT AMOUNT.— 
Paragraph (2) of section 544(a) of the Public 
Health Service Act (42 U.S.C. 290dd–3(a)) is here-
by repealed. 
(2) ELIGIBLE
ENTITY; SUBGRANTS.—Section 
544(a) of the Public Health Service Act (42 U.S.C. 
290dd–3(a)) is amended by striking paragraph (3) 
and inserting the following: 
‘‘(2) ELIGIBLE ENTITY.—For purposes of this 
section, the term ‘eligible entity’ means a State, Ter-
ritory, locality, Indian Tribe (as defined in the Fed-
erally Recognized Indian Tribe List Act of 1994), 
Tribal organization, or Urban Indian organization 
(as those terms are defined in section 4 of the In-
dian Health Care Improvement Act). 
‘‘(3) SUBGRANTS.—For the purposes for which 
a grant is awarded under this section, the eligible 
entity receiving the grant may award subgrants to a 
Federally qualified health center (as defined in sec-
tion 1861(aa) of the Social Security Act), an opioid 
treatment program (as defined in section 8.2 of title 
42, Code of Federal Regulations (or any successor 
regulations)), any practitioner dispensing narcotic 
drugs pursuant to section 303(g) of the Controlled
108 
Substances Act, or any nonprofit organization that 
the Secretary deems appropriate.’’. 
(3) PRESCRIBING.—Section 544(a)(4) of the 
Public Health Service Act (42 U.S.C. 290dd– 
3(a)(4)) is amended— 
(A) in subparagraph (A), by inserting ‘‘, 
including patients prescribed with both an 
opioid and a benzodiazepine’’ before the semi-
colon at the end; and 
(B) in subparagraph (D), by striking 
‘‘drug overdose’’ and inserting ‘‘substance over-
dose’’. 
(4) USE OF FUNDS.—Paragraph (5) of section 
544(c) of the Public Health Service Act (42 U.S.C. 
290dd–3(c)) is amended to read as follows: 
‘‘(5) To establish protocols to connect patients 
who have experienced an overdose with appropriate 
treatment, including overdose reversal medications, 
medication assisted treatment, and appropriate 
counseling and behavioral therapies.’’. 
(5) IMPROVING ACCESS TO OVERDOSE TREAT-
MENT.—Section 544 of the Public Health Service 
Act (42 U.S.C. 290dd–3) is amended—
109 
(A) 
by 
redesignating 
subsections 
(d) 
through (f) as subsections (e) through (g), re-
spectively; 
(B) in subsection (f), as so redesignated, 
by striking ‘‘subsection (d)’’ and inserting ‘‘sub-
section (e)’’; and 
(C) by inserting after subsection (c) the 
following: 
‘‘(d) IMPROVING ACCESS
TO OVERDOSE TREAT-
MENT.— 
‘‘(1) INFORMATION ON BEST PRACTICES.— 
‘‘(A) HEALTH
AND
HUMAN
SERVICES.— 
The Secretary of Health and Human Services 
may provide information to States, localities, 
Indian Tribes, Tribal organizations, and Urban 
Indian organizations on best practices for pre-
scribing or co-prescribing a drug or device ap-
proved, cleared, or otherwise authorized under 
the Federal Food, Drug, and Cosmetic Act for 
emergency treatment of known or suspected 
opioid overdose, including for patients receiving 
chronic opioid therapy and patients being treat-
ed for opioid use disorders. 
‘‘(B) DEFENSE.—The Secretary of De-
fense may provide information to prescribers
110 
within Department of Defense medical facilities 
on best practices for prescribing or co-pre-
scribing a drug or device approved, cleared, or 
otherwise authorized under the Federal Food, 
Drug, and Cosmetic Act for emergency treat-
ment of known or suspected opioid overdose, in-
cluding for patients receiving chronic opioid 
therapy and patients being treated for opioid 
use disorders. 
‘‘(C) VETERANS AFFAIRS.—The Secretary 
of Veterans Affairs may provide information to 
prescribers within Department of Veterans Af-
fairs medical facilities on best practices for pre-
scribing or co-prescribing a drug or device ap-
proved, cleared, or otherwise authorized under 
the Federal Food, Drug, and Cosmetic Act for 
emergency treatment of known or suspected 
opioid overdose, including for patients receiving 
chronic opioid therapy and patients being treat-
ed for opioid use disorders. 
‘‘(2) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed as establishing or 
contributing to a medical standard of care.’’. 
(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 544(g) of the Public Health Service Act (42
111 
U.S.C. 290dd–3), as redesignated, is amended by 
striking ‘‘fiscal years 2017 through 2021’’ and in-
serting ‘‘fiscal years 2023 through 2027’’. 
(7) TECHNICAL AMENDMENTS.— 
(A) Section 544 of the Public Health Serv-
ice Act (42 U.S.C. 290dd–3), as amended, is 
further amended by striking ‘‘approved or 
cleared’’ each place it appears and inserting 
‘‘approved, cleared, or otherwise authorized’’. 
(B) Section 107 of the Comprehensive Ad-
diction and Recovery Act of 2016 (Public Law 
114–198) is amended by striking subsection 
(b). 
SEC. 220. OPIOID OVERDOSE REVERSAL MEDICATION AC-
CESS AND EDUCATION GRANT PROGRAMS. 
(a) GRANTS.—Section 545 of the Public Health Serv-
ice Act (42 U.S.C. 290ee) is amended— 
(1) in the section heading, by striking ‘‘AC-
CESS AND EDUCATION GRANT PROGRAMS’’ and 
inserting ‘‘ACCESS, EDUCATION, AND
CO-PRE-
SCRIBING GRANT PROGRAMS’’; 
(2) in the heading of subsection (a), by striking 
‘‘GRANTS TO STATES’’ and inserting ‘‘GRANTS’’; 
(3) in subsection (a), by striking ‘‘shall make 
grants to States’’ and inserting ‘‘shall make grants
112 
to States, localities, Indian Tribes (as defined by the 
Federally Recognized Indian Tribe List Act of 
1994), Tribal organizations, and Urban Indian orga-
nizations (as those terms are defined in section 4 of 
the Indian Health Care Improvement Act)’’; 
(4) in subsection (a)(1), by striking ‘‘implement 
strategies for pharmacists to dispense a drug or de-
vice’’ and inserting ‘‘implement strategies that in-
crease access to drugs or devices’’; 
(5) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(6) by inserting after paragraph (2) the fol-
lowing: 
‘‘(3) encourage health care providers to co-pre-
scribe, as appropriate, drugs or devices approved, 
cleared, or otherwise authorized under the Federal 
Food, Drug, and Cosmetic Act for emergency treat-
ment of known or suspected opioid overdose;’’. 
(b) GRANT PERIOD.—Section 545(d)(2) of the Public 
Health Service Act (42 U.S.C. 290ee(d)(2)) is amended 
by striking ‘‘3 years’’ and inserting ‘‘5 years’’. 
(c) LIMITATION.—Paragraph (3) of section 545(d) of 
the Public Health Service Act (42 U.S.C. 290ee(d)) is 
amended to read as follows: 
‘‘(3) LIMITATIONS.—A State may—
113 
‘‘(A) use not more than 10 percent of a 
grant under this section for educating the pub-
lic pursuant to subsection (a)(5); and 
‘‘(B) use not less than 20 percent of a 
grant under this section to offset cost-sharing 
for distribution and dispensing of drugs or de-
vices approved, cleared, or otherwise authorized 
under the Federal Food, Drug, and Cosmetic 
Act for emergency treatment of known or sus-
pected opioid overdose.’’. 
(d) AUTHORIZATION OF APPROPRIATIONS.—Section 
545(h)(1) of the Public Health Service Act, is amended 
by striking ‘‘fiscal years 2017 through 2019’’ and insert-
ing ‘‘fiscal years 2023 through 2027’’. 
(e) TECHNICAL AMENDMENT.—Section 545 of the 
Public Health Service Act (42 U.S.C. 290ee), as amended, 
is further amended by striking ‘‘approved or cleared’’ each 
place it appears and inserting ‘‘approved, cleared, or oth-
erwise authorized’’. 
SEC. 221. STATE DEMONSTRATION GRANTS FOR COM-
PREHENSIVE OPIOID ABUSE RESPONSE. 
Section 548 of the Public Health Service Act (42 
U.S.C. 290ee–3) is amended— 
(1) in the section heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’;
114 
(2) in subsection (b)— 
(A) in the subsection heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; 
(B) in paragraph (1), by striking ‘‘abuse’’ 
and inserting ‘‘use disorder’’; 
(C) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘abuse’’ and insert-
ing ‘‘use disorder’’; 
(ii) in subparagraph (A), by striking 
‘‘opioid use, treatment, and addiction re-
covery’’ and inserting ‘‘opioid use dis-
orders, and treatment for, and recovery 
from opioid use disorders’’; 
(iii) in subparagraph (C), by striking 
‘‘addiction’’ each place it appears and in-
serting ‘‘use disorder’’; 
(iv) by amending subparagraph (D) to 
read as follows: 
‘‘(D) developing, implementing, and ex-
panding efforts to prevent overdose death from 
opioid or other prescription medication use dis-
orders; and’’; and
115 
(v) in subparagraph (E), by striking 
‘‘abuse’’ and inserting ‘‘use disorders’’; 
and 
(D) in paragraph (4), by striking ‘‘abuse’’ 
each place it appears and inserting ‘‘use dis-
orders’’; and 
(3) by striking ‘‘2017 through 2021’’ and in-
serting ‘‘2023 through 2027’’. 
SEC. 222. EMERGENCY DEPARTMENT ALTERNATIVES TO 
OPIOIDS. 
Section 7091 of the SUPPORT for Patients and 
Communities Act (Public Law 115–271) is amended— 
(1) in the section heading, by striking ‘‘DEM-
ONSTRATION’’ (and by conforming the item relat-
ing to such section in the table of contents in section 
1(b)); 
(2) in subsection (a)— 
(A) by amending the subsection heading to 
read as follows: ‘‘GRANT PROGRAM’’; and 
(B) in paragraph (1), by striking ‘‘dem-
onstration’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘DEMONSTRATION’’; 
(4) in subsection (d)(4), by striking ‘‘tribal’’ 
and inserting ‘‘Tribal’’;
116 
(5) in subsection (f), by striking ‘‘Not later 
than 1 year after completion of the demonstration 
program under this section, the Secretary shall sub-
mit a report to the Congress on the results of the 
demonstration program’’ and inserting ‘‘Not later 
than the end of each of fiscal years 2024 and 2027, 
the Secretary shall submit to the Congress a report 
on the results of the program’’; and 
(6) in subsection (g), by striking ‘‘2019 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
Subtitle C—Excellence in Recovery 
Housing 
SEC. 231. CLARIFYING THE ROLE OF SAMHSA IN PRO-
MOTING THE AVAILABILITY OF HIGH-QUAL-
ITY RECOVERY HOUSING. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in paragraph (24)(E), by striking ‘‘and’’ at 
the end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(26) collaborate with national accrediting enti-
ties, reputable providers, organizations or individuals 
with established expertise in delivery of recovery
117 
housing services, States, Federal agencies (including 
the Department of Health and Human Services, the 
Department of Housing and Urban Development, 
and the agencies listed in section 550(e)(2)(B)), and 
other relevant stakeholders, to promote the avail-
ability of high-quality recovery housing and services 
for individuals with a substance use disorder.’’. 
SEC. 232. DEVELOPING GUIDELINES FOR STATES TO PRO-
MOTE THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 550(a) of the Public Health Service Act (42 
U.S.C. 290ee–5(a)) (relating to national recovery housing 
best practices) is amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the individuals and entities specified in 
paragraph (2), shall build on existing best practices 
and previously developed guidelines to develop and 
periodically update consensus-based best practices, 
which may include model laws for implementing sug-
gested minimum standards for operating, and pro-
moting the availability of, high-quality recovery 
housing.’’; 
(2) in paragraph (2)—
118 
(A) by striking subparagraphs (A) and (B) 
and inserting the following: 
‘‘(A) Officials representing the agencies de-
scribed in subsection (e)(2).’’; and 
(B) by redesignating subparagraphs (C) 
through (G) as subparagraphs (B) through (F), 
respectively; and 
(3) by adding at the end the following: 
‘‘(3) AVAILABILITY.—The best practices re-
ferred to in paragraph (1) shall be— 
‘‘(A) made publicly available; and 
‘‘(B) published on the public website of the 
Substance Abuse and Mental Health Services 
Administration. 
‘‘(4) EXCLUSION
OF
GUIDELINE
ON
TREAT-
MENT
SERVICES.—In developing the guidelines 
under paragraph (1), the Secretary may not include 
any guidelines with respect to substance use disorder 
treatment services.’’. 
SEC. 233. COORDINATION OF FEDERAL ACTIVITIES TO PRO-
MOTE 
THE 
AVAILABILITY 
OF 
RECOVERY 
HOUSING. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing 
best practices) is amended—
119 
(1) by redesignating subsections (e), (f), and 
(g) as subsections (g), (h), and (i), respectively; and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) COORDINATION OF FEDERAL ACTIVITIES TO 
PROMOTE THE AVAILABILITY OF HOUSING FOR INDIVID-
UALS
EXPERIENCING
HOMELESSNESS, 
INDIVIDUALS 
WITH A MENTAL ILLNESS, AND INDIVIDUALS WITH A 
SUBSTANCE USE DISORDER.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary, and the Secretary 
of Housing and Urban Development shall convene 
an interagency working group for the following pur-
poses: 
‘‘(A) To increase collaboration, coopera-
tion, and consultation among the Department 
of Health and Human Services, the Department 
of Housing and Urban Development, and the 
Federal agencies listed in paragraph (2)(B), 
with respect to promoting the availability of 
housing, including recovery housing, for individ-
uals experiencing homelessness, individuals with 
mental illnesses, and individuals with substance 
use disorder.
120 
‘‘(B) To align the efforts of such agencies 
and avoid duplication of such efforts by such 
agencies. 
‘‘(C) To develop objectives, priorities, and 
a long-term plan for supporting State, Tribal, 
and local efforts with respect to the operation 
of recovery housing that is consistent with the 
best practices developed under this section. 
‘‘(D) To coordinate enforcement of fair 
housing practices, as appropriate, among Fed-
eral and State agencies. 
‘‘(E) To coordinate data collection on the 
quality of recovery housing. 
‘‘(2) COMPOSITION.—The interagency working 
group under paragraph (1) shall be composed of— 
‘‘(A) the Secretary, acting through the As-
sistant Secretary, and the Secretary of Housing 
and Urban Development, who shall serve as the 
co-chairs; and 
‘‘(B) representatives of each of the fol-
lowing Federal agencies: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Substance Abuse and Men-
tal Health Services Administration.
121 
‘‘(iii) The Health Resources and Serv-
ices Administration. 
‘‘(iv) The Office of Inspector General. 
‘‘(v) The Indian Health Service. 
‘‘(vi) The Department of Agriculture. 
‘‘(vii) The Department of Justice. 
‘‘(viii) The Office of National Drug 
Control Policy. 
‘‘(ix) The Bureau of Indian Affairs. 
‘‘(x) The Department of Labor. 
‘‘(xi) The Department of Veterans Af-
fairs. 
‘‘(xii) Any other Federal agency as 
the co-chairs determine appropriate. 
‘‘(3) MEETINGS.—The working group shall 
meet on a quarterly basis. 
‘‘(4) REPORTS TO CONGRESS.—Not later than 
4 years after the date of the enactment of this sec-
tion, the working group shall submit to the Com-
mittee on Energy and Commerce, the Committee on 
Ways and Means, the Committee on Agriculture, 
and the Committee on Financial Services of the 
House of Representatives and the Committee on 
Health, Education, Labor, and Pensions, the Com-
mittee on Agriculture, Nutrition, and Forestry, and
122 
the Committee on Finance of the Senate a report 
describing the work of the working group and any 
recommendations of the working group to improve 
Federal, State, and local coordination with respect 
to recovery housing and other housing resources and 
operations for individuals experiencing homelessness, 
individuals with a mental illness, and individuals 
with a substance use disorder.’’. 
SEC. 234. NAS STUDY AND REPORT. 
(a) IN GENERAL.—Not later than 60 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Assistant Secretary 
for Mental Health and Substance Use shall— 
(1) contract with the National Academies of 
Sciences, Engineering, and Medicine— 
(A) to study the quality and effectiveness 
of recovery housing in the United States and 
whether the availability of such housing meets 
demand; and 
(B) to identify recommendations to pro-
mote the availability of high-quality recovery 
housing; and 
(2) report to the Congress on the results of 
such review.
123 
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section there is authorized to be appropriated 
$1,500,000 for fiscal year 2023. 
SEC. 235. GRANTS FOR STATES TO PROMOTE THE AVAIL-
ABILITY OF RECOVERY HOUSING AND SERV-
ICES. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing 
best practices), as amended by sections 232 and 233, is 
further amended by inserting after subsection (e) (as in-
serted by section 233) the following: 
‘‘(f) GRANTS FOR IMPLEMENTING NATIONAL RECOV-
ERY HOUSING BEST PRACTICES.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States (and political subdivisions thereof), 
Tribes, and territories— 
‘‘(A) for the provision of technical assist-
ance to implement the guidelines and rec-
ommendations developed under subsection (a); 
and 
‘‘(B) to promote— 
‘‘(i) the availability of recovery hous-
ing for individuals with a substance use 
disorder; and
124 
‘‘(ii) the maintenance of recovery 
housing in accordance with best practices 
developed under this section. 
‘‘(2) STATE
PROMOTION
PLANS.—Not later 
than 90 days after receipt of a grant under para-
graph (1), and every 2 years thereafter, each State 
(or political subdivisions thereof,) Tribe, or territory 
receiving a grant under paragraph (1) shall submit 
to the Secretary, and publish on a publicly accessible 
internet website of the State (or political subdivi-
sions thereof), Tribe, or territory— 
‘‘(A) the plan of the State (or political sub-
divisions thereof), Tribe, or territory, with re-
spect to the promotion of recovery housing for 
individuals with a substance use disorder lo-
cated within the jurisdiction of such State (or 
political subdivisions thereof), Tribe, or terri-
tory; and 
‘‘(B) a description of how such plan is con-
sistent with the best practices developed under 
this section.’’. 
SEC. 236. FUNDING. 
Subsection (i) of section 550 of the Public Health 
Service Act (42 U.S.C. 290ee–5) (relating to national re-
covery housing best practices), as redesignated by section
125 
233, is amended by striking ‘‘$3,000,000 for the period 
of fiscal years 2019 through 2021’’ and inserting 
‘‘$5,000,000 for the period of fiscal years 2023 through 
2027’’. 
SEC. 237. TECHNICAL CORRECTION. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
(1) by redesignating section 550 (relating to 
Sobriety Treatment and Recovery Teams) (42 
U.S.C. 290ee–10), as added by section 8214 of Pub-
lic Law 115–271, as section 550A; and 
(2) by moving such section so it appears after 
section 550 (relating to national recovery housing 
best practices). 
Subtitle D—Substance Use Preven-
tion, Treatment, and Recovery 
Services Block Grant 
SEC. 241. ELIMINATING STIGMATIZING LANGUAGE RELAT-
ING TO SUBSTANCE USE. 
(a) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE USE.—Part B of title XIX of the 
Public Health Service Act (42 U.S.C. 300x et seq.) is 
amended—
126 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in subpart II, by amending the subpart 
heading to read as follows: ‘‘Block Grants for 
Substance Use Prevention, Treatment, 
and Recovery Services’’; 
(3) in section 1922(a) (42 U.S.C. 300x– 
22(a))— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘sub-
stance abuse’’ and inserting ‘‘substance use dis-
orders’’; and 
(B) by striking ‘‘such abuse’’ each place it 
appears in paragraphs (1) and (2) and insert-
ing ‘‘such disorders’’; 
(4) in section 1923 (42 U.S.C. 300x–23)— 
(A) in the section heading, by striking 
‘‘SUBSTANCE
ABUSE’’ and inserting ‘‘SUB-
STANCE USE’’; and 
(B) in subsection (a), by striking ‘‘drug 
abuse’’ and inserting ‘‘substance use disorders’’; 
(5) in section 1925(a)(1) (42 U.S.C. 300x– 
25(a)(1)), by striking ‘‘alcohol or drug abuse’’ and 
inserting ‘‘alcohol or other substance use disorders’’;
127 
(6) in section 1926(b)(2)(B) (42 U.S.C. 300x– 
26(b)(2)(B)), by striking ‘‘substance abuse’’; 
(7) in section 1931(b)(2) (42 U.S.C. 300x– 
31(b)(2)), by striking ‘‘substance abuse’’ and insert-
ing ‘‘substance use disorders’’; 
(8) in section 1933(d)(1) (42 U.S.C. 300x– 
33(d)), in the matter following subparagraph (B), by 
striking ‘‘abuse of alcohol and other drugs’’ and in-
serting ‘‘use of substances’’; 
(9) by amending paragraph (4) of section 1934 
(42 U.S.C. 300x–34) to read as follows: 
‘‘(4) The term ‘substance use disorder’ means 
the recurrent use of alcohol or other drugs that 
causes clinically significant impairment.’’; 
(10) in section 1935 (42 U.S.C. 300x–35)— 
(A) in subsection (a), by striking ‘‘sub-
stance abuse’’ and inserting ‘‘substance use dis-
orders’’; and 
(B) in subsection (b)(1), by striking ‘‘sub-
stance abuse’’ each place it appears and insert-
ing ‘‘substance use disorders’’; 
(11) in section 1949 (42 U.S.C. 300x–59), by 
striking ‘‘substance abuse’’ each place it appears in 
subsections (a) and (d) and inserting ‘‘substance use 
disorders’’;
128 
(12) in section 1954(b)(4) (42 U.S.C. 300x– 
64(b)(4))— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorders’’; and 
(B) by striking ‘‘such abuse’’ and inserting 
‘‘such disorders’’; 
(13) in section 1955 (42 U.S.C. 300x–65), by 
striking ‘‘substance abuse’’ each place it appears 
and inserting ‘‘substance use disorder’’; and 
(14) in section 1956 (42 U.S.C. 300x–66), by 
striking ‘‘substance abuse’’ and inserting ‘‘substance 
use disorders’’. 
(b) CERTAIN
PROGRAMS
REGARDING
MENTAL 
HEALTH AND SUBSTANCE ABUSE.—Part C of title XIX 
of the Public Health Service Act (42 U.S.C. 300y et seq.) 
is amended— 
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in section 1971 (42 U.S.C. 300y), by strik-
ing ‘‘substance abuse’’ each place it appears in sub-
sections (a), (b), and (f) and inserting ‘‘substance 
use’’; and
129 
(3) in section 1976 (42 U.S.C. 300y–11), by 
striking ‘‘intravenous abuse’’ each place it appears 
and inserting ‘‘intravenous use’’. 
SEC. 242. AUTHORIZED ACTIVITIES. 
Section 1921(b) of the Public Health Service Act (42 
U.S.C. 300x–21(b)) is amended by striking ‘‘prevent and 
treat substance use disorders’’ and inserting ‘‘prevent, 
treat, and provide recovery support services for substance 
use disorders’’. 
SEC. 243. REQUIREMENTS RELATING TO CERTAIN INFEC-
TIOUS 
DISEASES 
AND 
HUMAN 
IMMUNO-
DEFICIENCY VIRUS. 
Section 1924 of the Public Health Service Act (42 
U.S.C. 300x–24) is amended— 
(1) in the section heading, by striking ‘‘TUBER-
CULOSIS
AND
HUMAN
IMMUNODEFICIENCY 
VIRUS’’ and inserting ‘‘TUBERCULOSIS, VIRAL 
HEPATITIS, AND HUMAN IMMUNODEFICIENCY 
VIRUS’’; 
(2) by amending subsection (a)(2) to read as 
follows: 
‘‘(2) DESIGNATED STATES.— 
‘‘(A) FISCAL
YEARS
THROUGH
FISCAL 
YEAR 2024.—For purposes of this subsection, 
through September 30, 2024, a State described
130 
in this paragraph is any State whose rate of 
cases of acquired immune deficiency syndrome 
is 10 or more such cases per 100,000 individ-
uals (as indicated by the number of such cases 
reported to and confirmed by the Director of 
the Centers for Disease Control and Prevention 
for the most recent calendar year for which 
such data are available). 
‘‘(B) FISCAL YEAR 2025 AND SUCCEEDING 
FISCAL YEARS.— 
‘‘(i) IN
GENERAL.—Beginning with 
fiscal year 2025, for purposes of this sub-
section, a State described in this para-
graph is any State whose rate of cases of 
human immunodeficiency virus is 10 or 
more such cases per 100,000 individuals 
(as indicated by the number of such cases 
newly reported to and confirmed by the Di-
rector of the Centers for Disease Control 
and Prevention for the most recent cal-
endar year for which such data are avail-
able). 
‘‘(ii) CONTINUATION OF DESIGNATED 
STATE STATUS.—In the case of a State 
whose rate of cases of human immuno-
131 
deficiency virus falls below the threshold 
specified in clause (i) for a calendar year, 
such State shall, notwithstanding clause 
(i), continue to be described in this para-
graph unless the rate of cases falls below 
such threshold for three consecutive cal-
endar years.’’. 
(3) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; and 
(4) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) VIRAL HEPATITIS.— 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1921 is that the State involved 
will require that any entity receiving amounts from 
the grant for operating a program of treatment for 
substance use disorders— 
‘‘(A) will, directly or through arrangements 
with other public or nonprofit private entities, 
routinely make available viral hepatitis services 
to each individual receiving treatment for such 
disorders; and 
‘‘(B) in the case of an individual in need 
of such treatment who is denied admission to 
the program on the basis of the lack of the ca-
132 
pacity of the program to admit the individual, 
will refer the individual to another provider of 
viral hepatitis services. 
‘‘(2) VIRAL
HEPATITIS
SERVICES.—For pur-
poses of paragraph (1), the term ‘viral hepatitis 
services’, with respect to an individual, means— 
‘‘(A) screening the individual for viral hep-
atitis; and 
‘‘(B) referring the individual to a provider 
whose practice includes viral hepatitis vaccina-
tion and treatment.’’. 
SEC. 244. STATE PLAN REQUIREMENTS. 
Section 1932(b)(1)(A) of the Public Health Service 
Act (42 U.S.C. 300x–32(b)(1)(A)) is amended— 
(1) by redesignating clauses (vi) through (ix) as 
clauses (vii) through (x), respectively; and 
(2) by inserting after clause (v) the following: 
‘‘(vi) provides a description of— 
‘‘(I) the State’s comprehensive 
statewide recovery support services ac-
tivities, including the number of indi-
viduals being served, target popu-
lations, and priority needs; and 
‘‘(II) the amount of funds re-
ceived under this subpart expended on
133 
recovery 
support 
services, 
disaggregated by the amount ex-
pended for type of service activity;’’. 
SEC. 245. UPDATING CERTAIN LANGUAGE RELATING TO 
TRIBES. 
Section 1933(d) of the Public Health Service Act (42 
U.S.C. 300x–33(d)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A)— 
(i) by striking ‘‘of an Indian tribe or 
tribal organization’’ and inserting ‘‘of an 
Indian Tribe or Tribal organization’’; and 
(ii) by striking ‘‘such tribe’’ and in-
serting ‘‘such Tribe’’; 
(B) in subparagraph (B)— 
(i) by striking ‘‘tribe or tribal organi-
zation’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(ii) by striking ‘‘Secretary under this’’ 
and inserting ‘‘Secretary under this sub-
part’’; and 
(C) in the matter following subparagraph 
(B), by striking ‘‘tribe or tribal organization’’ 
and inserting ‘‘Tribe or Tribal organization’’;
134 
(2) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) INDIAN TRIBE OR TRIBAL ORGANIZATION 
AS
GRANTEE.—The amount reserved by the Sec-
retary on the basis of a determination under this 
subsection shall be granted to the Indian Tribe or 
Tribal organization serving the individuals for whom 
such a determination has been made.’’; 
(3) in paragraph (3), by striking ‘‘tribe or trib-
al organization’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(4) in paragraph (4)— 
(A) in the paragraph heading, by striking 
‘‘DEFINITION’’ and inserting ‘‘DEFINITIONS’’; 
and 
(B) by striking ‘‘The terms’’ and all that 
follows through ‘‘given such terms’’ and insert-
ing the following: ‘‘The terms ‘Indian Tribe’ 
and ‘Tribal organization’ have the meanings 
given the terms ‘Indian tribe’ and ‘tribal orga-
nization’ ’’.
135 
SEC. 246. BLOCK GRANTS FOR SUBSTANCE USE PREVEN-
TION, TREATMENT, AND RECOVERY SERV-
ICES. 
(a) IN GENERAL.—Section 1935(a) of the Public 
Health Service Act (42 U.S.C. 300x–35(a)), as amended 
by section 241, is further amended by striking ‘‘appro-
priated’’ and all that follows through ‘‘2022..’’ and insert-
ing the following: ‘‘appropriated $1,908,079,000 for each 
of fiscal years 2023 through 2027.’’. 
(b) 
TECHNICAL
CORRECTIONS.—Section 
1935(b)(1)(B) of the Public Health Service Act (42 
U.S.C. 300x–35(b)(1)(B)) is amended by striking ‘‘the 
collection of data in this paragraph is’’. 
SEC. 247. REQUIREMENT OF REPORTS AND AUDITS BY 
STATES. 
Section 1942(a) of the Public Health Service Act (42 
U.S.C. 300x–52(a)) is amended— 
(1) in paragraph (1), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (2), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(3) the amount provided to each recipient in 
the previous fiscal year.’’.
136 
SEC. 248. STUDY ON ASSESSMENT FOR USE IN DISTRIBU-
TION OF LIMITED STATE RESOURCES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Secretary 
for Mental Health and Substance Use (in this section re-
ferred to as the ‘‘Secretary’’), shall, in consultation with 
States and other local entities providing prevention, treat-
ment, or recovery support services related to substance 
use, conduct a study to develop a model needs assessment 
process for States to consider to help determine how best 
to allocate block grant funding received under subpart II 
of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x–21) to provide services to substance use 
disorder prevention, treatment, and recovery support. The 
study shall include cost estimates with each model needs 
assessment process. 
(b) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary shall submit 
to the Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate a report on the 
results of the study conducted under paragraph (1).
137 
Subtitle E—Timely Treatment for 
Opioid Use Disorder 
SEC. 251. STUDY ON EXEMPTIONS FOR TREATMENT OF 
OPIOID USE DISORDER THROUGH OPIOID 
TREATMENT PROGRAMS DURING THE COVID– 
19 PUBLIC HEALTH EMERGENCY. 
(a) STUDY.—The Assistant Secretary for Mental 
Health and Substance Use shall conduct a study, in con-
sultation with patients and other stakeholders, on activi-
ties carried out pursuant to exemptions granted— 
(1) to a State (including the District of Colum-
bia or any territory of the United States) or an 
opioid treatment program; 
(2) pursuant to section 8.11(h) of title 42, Code 
of Federal Regulations; and 
(3) during the period— 
(A) beginning on the declaration of the 
public health emergency for the COVID–19 
pandemic under section 319 of the Public 
Health Service Act (42 U.S.C. 247d); and 
(B) ending on the earlier of— 
(i) the termination of such public 
health emergency, including extensions 
thereof pursuant to such section 319; and 
(ii) the end of calendar year 2022.
138 
(b) PRIVACY.—The section does not authorize the 
disclosure by the Department of Health and Human Serv-
ices of individually identifiable information about patients. 
(c) FEEDBACK.—In conducting the study under sub-
section (a), the Assistant Secretary for Mental Health and 
Substance Use shall gather feedback from the States and 
opioid treatment programs on their experiences in imple-
menting exemptions described in subsection (a). 
(d) REPORT.—Not later than 180 days after the end 
of the period described in subsection (a)(3)(B), and sub-
ject to subsection (c), the Assistant Secretary for Mental 
Health and Substance Use shall publish a report on the 
results of the study under this section. 
SEC. 252. CHANGES TO FEDERAL OPIOID TREATMENT 
STANDARDS. 
(a) MOBILE MEDICATION UNITS.—Section 302(e) of 
the Controlled Substances Act (21 U.S.C. 822(e)) is 
amended by adding at the end the following: 
‘‘(3) Notwithstanding paragraph (1), a registrant 
that is dispensing pursuant to section 303(g) narcotic 
drugs to individuals for maintenance treatment or detoxi-
fication treatment shall not be required to have a separate 
registration to incorporate one or more mobile medication 
units into the registrant’s practice to dispense such nar-
cotics at locations other than the registrant’s principal
139 
place of business or professional practice described in 
paragraph (1), so long as the registrant meets such stand-
ards for operation of a mobile medication unit as the At-
torney General may establish.’’. 
(b) REVISE OPIOID TREATMENT PROGRAM ADMIS-
SION CRITERIA TO ELIMINATE REQUIREMENT THAT PA-
TIENTS HAVE AN OPIOID USE DISORDER FOR AT LEAST 
1 YEAR.—Not later than 18 months after the date of en-
actment of this Act, the Secretary of Health and Human 
Services shall revise section 8.12(e)(1) of title 42, Code 
of Federal Regulations (or successor regulations), to elimi-
nate the requirement that an opioid treatment program 
only admit an individual for treatment under the program 
if the individual has been addicted to opioids for at least 
1 year before being so admitted for treatment. 
(c) FINAL REGULATION ON PERIODS FOR TAKE- 
HOME SUPPLY REQUIREMENTS.— 
(1) IN GENERAL.—Not later than 18 months 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services shall promul-
gate a final regulation amending paragraphs (i)(3)(i) 
through (i)(3)(vi) of section 8.12 of title 42, Code of 
Federal Regulations, as appropriate based on the 
findings of the study under section 251 of this Act.
140 
(2) CRITERIA.—The regulation under para-
graph (1) shall establish relevant criteria for the 
medical director or an appropriately licensed practi-
tioner of an opioid treatment program, to determine 
whether a patient is stable and may qualify for un-
supervised use, which criteria may allow for consid-
eration of each of the following: 
(A) Whether the benefits of providing un-
supervised doses to a patient outweigh the 
risks. 
(B) The patient’s demonstrated adherence 
to their treatment plan. 
(C) The patient’s history of negative toxi-
cology tests. 
(D) Whether there is an absence of serious 
behavioral problems. 
(E) The patient’s stability in living ar-
rangements and social relationships. 
(F) Whether there is an absence of sub-
stance misuse-related behaviors. 
(G) Whether there is an absence of recent 
diversion activity. 
(H) Whether there is an assurance that 
the medication can be safely stored by the pa-
tient.
141 
(I) Any other criterion the Secretary of 
Health and Human Services determines appro-
priate. 
(3) PROHIBITED
SOLE
CONSIDERATION.—The 
regulation under paragraph (1) shall prohibit the 
medical director of an opioid treatment program 
from considering, as the sole consideration in deter-
mining whether a patient is sufficiently responsible 
in handling opioid drugs for unsupervised use, 
whether the patient has an absence of recent misuse 
of drugs (whether narcotic or nonnarcotic), including 
alcohol. 
Subtitle F—Additional Provisions 
Relating to Addiction Treatment 
SEC. 261. PROHIBITION. 
Notwithstanding any provision of this Act and the 
amendments made by this Act, no funds made available 
to carry out this Act or any amendment made by this Act 
shall be used to purchase, procure, or distribute pipes or 
cylindrical objects intended to be used to smoke or inhale 
illegal scheduled substances.
142 
SEC. 262. ELIMINATING ADDITIONAL REQUIREMENTS FOR 
DISPENSING NARCOTIC DRUGS IN SCHEDULE 
III, IV, AND V FOR MAINTENANCE OR DETOXI-
FICATION TREATMENT. 
(a) IN GENERAL.—Section 303(g) of the Controlled 
Substances Act (21 U.S.C. 823(g)) is amended— 
(1) by striking paragraph (2); 
(2) by striking ‘‘(g)(1) Except as provided in 
paragraph (2), practitioners who dispense narcotic 
drugs to individuals for maintenance treatment or 
detoxification treatment’’ and inserting ‘‘(g) Practi-
tioners who dispense narcotic drugs (other than nar-
cotic drugs in schedule III, IV, or V) to individuals 
for maintenance treatment or detoxification treat-
ment’’; 
(3) by redesignating subparagraphs (A), (B), 
and (C) as paragraphs (1), (2), and (3), respectively; 
and 
(4) in paragraph (2), as so redesignated— 
(A) by striking ‘‘(i) security of stocks’’ and 
inserting ‘‘(A) security of stocks’’; and 
(B) by striking ‘‘(ii) the maintenance of 
records’’ and inserting ‘‘(B) the maintenance of 
records’’. 
(b) CONFORMING CHANGES.—
143 
(1) Subsections (a) and (d)(1) of section 304 of 
the Controlled Substances Act (21 U.S.C. 824) are 
each amended by striking ‘‘303(g)(1)’’ each place it 
appears and inserting ‘‘303(g)’’. 
(2) Section 309A(a)(2) of the Controlled Sub-
stances Act (21 U.S.C. 829a) is amended— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘the controlled substance is to 
be administered for the purpose of maintenance 
or 
detoxification 
treatment 
under 
section 
303(g)(2)’’ and inserting ‘‘the controlled sub-
stance is a narcotic drug in schedule III, IV, or 
V to be administered for the purpose of mainte-
nance or detoxification treatment’’; and 
(B) by striking ‘‘and—’’ and all that fol-
lows through ‘‘is to be administered by injection 
or implantation;’’ and inserting ‘‘and is to be 
administered by injection or implantation;’’. 
(3) Section 520E–4(c) of the Public Health 
Service Act (42 U.S.C. 290bb–36d(c)) is amended 
by striking ‘‘information on any qualified practi-
tioner that is certified to prescribe medication for 
opioid dependency under section 303(g)(2)(B) of the 
Controlled Substances Act’’ and inserting ‘‘informa-
tion on any practitioner who prescribes narcotic
144 
drugs in schedule III, IV, or V of section 202 of the 
Controlled Substances Act for the purpose of main-
tenance or detoxification treatment’’. 
(4) Section 544(a)(3) of the Public Health 
Service Act (42 U.S.C. 290dd–3), as added by sec-
tion 219(a)(2), is amended by striking ‘‘any practi-
tioner dispensing narcotic drugs pursuant to section 
303(g) of the Controlled Substances Act’’ and in-
serting ‘‘any practitioner dispensing narcotic drugs 
for the purpose of maintenance or detoxification 
treatment’’. 
(5) Section 1833(bb)(3)(B) of the Social Secu-
rity Act (42 U.S.C. 1395l(bb)(3)(B)) is amended by 
striking ‘‘first receives a waiver under section 303(g) 
of the Controlled Substances Act on or after Janu-
ary 1, 2019’’ and inserting ‘‘first begins prescribing 
narcotic drugs in schedule III, IV, or V of section 
202 of the Controlled Substances Act for the pur-
pose of maintenance or detoxification treatment on 
or after January 1, 2021’’. 
(6) Section 1834(o)(3)(C)(ii) of the Social Se-
curity Act (42 U.S.C. 1395m(o)(3)(C)(ii)) is amend-
ed by striking ‘‘first receives a waiver under section 
303(g) of the Controlled Substances Act on or after 
January 1, 2019’’ and inserting ‘‘first begins pre-
145 
scribing narcotic drugs in schedule III, IV, or V of 
section 202 of the Controlled Substances Act for the 
purpose of maintenance or detoxification treatment 
on or after January 1, 2021’’. 
(7) Section 1866F(c)(3) of the Social Security 
Act (42 U.S.C. 1395cc–6(c)(3)) is amended— 
(A) in subparagraph (A), by adding ‘‘and’’ 
at the end; 
(B) in subparagraph (B), by striking ‘‘; 
and’’ and inserting a period; and 
(C) by striking subparagraph (C). 
(8) Section 1903(aa)(2)(C) of the Social Secu-
rity Act (42 U.S.C. 1396b(aa)(2)(C)) is amended— 
(A) in clause (i), by adding ‘‘and’’ at the 
end; 
(B) by striking clause (ii); and 
(C) by redesignating clause (iii) as clause 
(ii). 
SEC. 263. REQUIRING PRESCRIBERS OF CONTROLLED SUB-
STANCES TO COMPLETE TRAINING. 
Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended by adding at the end the fol-
lowing: 
‘‘(l) REQUIRED TRAINING FOR PRESCRIBERS.—
146 
‘‘(1) TRAINING REQUIRED.—As a condition on 
registration under this section to dispense controlled 
substances in schedule II, III, IV, or V, the Attorney 
General shall require any qualified practitioner, be-
ginning with the first applicable registration for the 
practitioner, to meet the following: 
‘‘(A) If the practitioner is a physician (as 
defined under section 1861(r) of the Social Se-
curity Act), the practitioner meets one or more 
of the following conditions: 
‘‘(i) The physician holds a board cer-
tification in addiction psychiatry or addic-
tion medicine from the American Board of 
Medical Specialties. 
‘‘(ii) The physician holds a board cer-
tification from the American Board of Ad-
diction Medicine. 
‘‘(iii) The physician holds a board cer-
tification in addiction medicine from the 
American Osteopathic Association. 
‘‘(iv) The physician has, with respect 
to the treatment and management of pa-
tients with opioid or other substance use 
disorders, or the safe pharmacological 
management of dental pain and screening,
147 
brief intervention, and referral for appro-
priate treatment of patients with or at risk 
of developing opioid or other substance use 
disorders, completed not less than 8 hours 
of training (through classroom situations, 
seminars at professional society meetings, 
electronic communications, or otherwise) 
that is provided by— 
‘‘(I) the American Society of Ad-
diction Medicine, the American Acad-
emy of Addiction Psychiatry, the 
American Medical Association, the 
American Osteopathic Association, the 
American Dental Association, the 
American Association of Oral and 
Maxillofacial Surgeons, the American 
Psychiatric Association, or any other 
organization accredited by the Accred-
itation Council for Continuing Medical 
Education (commonly known as the 
‘ACCME’) or the Commission on 
Dental Accreditation; 
‘‘(II) any organization accredited 
by a State medical society accreditor 
that is recognized by the ACCME or
148 
the Commission on Dental Accredita-
tion; 
‘‘(III) any organization accred-
ited by the American Osteopathic As-
sociation to provide continuing med-
ical education; or 
‘‘(IV) any organization approved 
by the Assistant Secretary for Mental 
Health and Substance Abuse, the 
ACCME, or the Commission on Den-
tal Accreditation. 
‘‘(v) The physician graduated in good 
standing from an accredited school of 
allopathic medicine, osteopathic medicine, 
dental surgery, or dental medicine in the 
United States during the 5-year period im-
mediately preceding the date on which the 
physician first registers or renews under 
this section and has successfully completed 
a comprehensive allopathic or osteopathic 
medicine curriculum or accredited medical 
residency or dental surgery or dental medi-
cine curriculum that included not less than 
8 hours of training on—
149 
‘‘(I) treating and managing pa-
tients with opioid and other substance 
use disorders, including the appro-
priate clinical use of all drugs ap-
proved by the Food and Drug Admin-
istration for the treatment of a sub-
stance use disorder; or 
‘‘(II) the safe pharmacological 
management of dental pain and 
screening, brief intervention, and re-
ferral for appropriate treatment of pa-
tients with or at risk of developing 
opioid and other substance use dis-
orders. 
‘‘(B) If the practitioner is not a physician 
(as defined under section 1861(r) of the Social 
Security Act), the practitioner meets one or 
more of the following conditions: 
‘‘(i) The practitioner has completed 
not fewer than 8 hours of training with re-
spect to the treatment and management of 
patients with opioid or other substance use 
disorders (through classroom situations, 
seminars at professional society meetings, 
electronic communications, or otherwise)
150 
provided by the American Society of Addic-
tion Medicine, the American Academy of 
Addiction Psychiatry, the American Med-
ical Association, the American Osteopathic 
Association, 
the 
American 
Nurses 
Credentialing Center, the American Psy-
chiatric Association, the American Associa-
tion of Nurse Practitioners, the American 
Academy of Physician Associates, or any 
other organization approved or accredited 
by the Assistant Secretary for Mental 
Health and Substance Abuse or the Ac-
creditation Council for Continuing Medical 
Education. 
‘‘(ii) The practitioner has graduated 
in good standing from an accredited physi-
cian assistant school or accredited school 
of advanced practice nursing in the United 
States during the 5-year period imme-
diately preceding the date on which the 
practitioner first registers or renews under 
this section and has successfully completed 
a comprehensive physician assistant or ad-
vanced practice nursing curriculum that 
included not fewer than 8 hours of training
151 
on treating and managing patients with 
opioid and other substance use disorders, 
including the appropriate clinical use of all 
drugs approved by the Food and Drug Ad-
ministration for the treatment of a sub-
stance use disorder. 
‘‘(2) ONE-TIME TRAINING.— 
‘‘(A) IN GENERAL.—The Attorney General 
shall not require any qualified practitioner to 
complete the training described in clause (iv) or 
(v) of paragraph (1)(A) or clause (i) or (ii) of 
paragraph (1)(B) more than once. 
‘‘(B) NOTIFICATION.—Not later than 90 
days after the date of the enactment of the Re-
storing Hope for Mental Health and Well-Being 
Act of 2022, the Attorney General shall provide 
to qualified practitioners a single written, elec-
tronic notification of the training described in 
clauses (iv) and (v) of paragraph (1)(A) or 
clauses (i) and (ii) of paragraph (1)(B). 
‘‘(3) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed to preclude the 
use, by a qualified practitioner, of training received 
pursuant to this subsection to satisfy registration re-
152 
quirements of a State or for some other lawful pur-
pose. 
‘‘(4) DEFINITIONS.—In this section: 
‘‘(A) FIRST APPLICABLE REGISTRATION.— 
The term ‘first applicable registration’ means 
the first registration or renewal of registration 
by a qualified practitioner under this section 
that occurs on or after the date that is 180 
days after the date of enactment of the Restor-
ing Hope for Mental Health and Well-Being 
Act of 2022. 
‘‘(B) QUALIFIED PRACTITIONER.—In this 
subsection, the term ‘qualified practitioner’ 
means a practitioner who— 
‘‘(i) is licensed under State law to pre-
scribe controlled substances; and 
‘‘(ii) is not solely a veterinarian.’’. 
SEC. 264. INCREASE IN NUMBER OF DAYS BEFORE WHICH 
CERTAIN CONTROLLED SUBSTANCES MUST 
BE ADMINISTERED. 
Section 309A(a)(5) of the Controlled Substances Act 
(21 U.S.C. 829a(a)(5)) is amended by striking ‘‘14 days’’ 
and inserting ‘‘60 days’’.
153 
SEC. 265. BLOCK, REPORT, AND SUSPEND SUSPICIOUS 
SHIPMENTS. 
(a) CLARIFICATION OF PROCESS FOR REGISTRANTS 
TO EXERCISE DUE DILIGENCE UPON DISCOVERING A 
SUSPICIOUS ORDER.—Paragraph (3) of section 312(a) of 
the Controlled Substances Act (21 U.S.C. 832(a)) is 
amended to read as follows: 
‘‘(3) upon discovering a suspicious order or se-
ries of orders, and in a manner consistent with the 
other requirements of this section— 
‘‘(A) exercise due diligence as appropriate; 
‘‘(B) establish and maintain (for not less 
than a period to be determined by the Adminis-
trator of the Drug Enforcement Administra-
tion) a record of the due diligence that was per-
formed; 
‘‘(C) decline to fill the order or series of 
orders if the due diligence fails to dispel all of 
the indicators that give rise to the suspicion 
that, if the order or series of orders is filled, the 
drugs that are the subject of the order or series 
of orders are likely to be diverted; and 
‘‘(D) notify the Administrator of the Drug 
Enforcement Administration and the Special 
Agent in Charge of the Division Office of the 
Drug Enforcement Administration for the area
154 
in which the registrant is located or conducts 
business of— 
‘‘(i) each suspicious order or series of 
orders discovered by the registrant; and 
‘‘(ii) the indicators giving rise to the 
suspicion that, if the order or series of or-
ders is filled, the drugs that are the sub-
ject of the order or series of orders are 
likely to be diverted.’’. 
(b) RESOLUTION OF SUSPICIOUS INDICATORS.—Sec-
tion 312 of the Controlled Substances Act (21 U.S.C. 832) 
is amended— 
(1) by redesignating subsection (b) and (c) as 
subsections (c) and (d), respectively; and 
(2) by inserting after subsection (a) the fol-
lowing: 
‘‘(b) RESOLUTION OF SUSPICIOUS INDICATORS.—If 
a registrant resolves all of the indicators giving rise to sus-
picion about an order or series of orders under subsection 
(a)(3)— 
‘‘(1) notwithstanding subsection (a)(3)(C), the 
registrant may choose to fill the order or series of 
orders; and
155 
‘‘(2) notwithstanding subsection (a)(3)(D), the 
registrant may choose not to make the notification 
otherwise required by such subsection.’’. 
(c) REGULATIONS.—Not later than 1 year after the 
date of enactment of this Act, for purposes of subsections 
(a)(3) and (b) of section 312 of the Controlled Substances 
Act, as amended or inserted by subsection (a), the Attor-
ney General of the United States shall promulgate a final 
regulation specifying the indicators that give rise to a sus-
picion that, if an order or series of orders is filled, the 
drugs that are the subject of the order or series of orders 
are likely to be diverted. 
(d) APPLICABILITY.—Subsections (a)(3) and (b) of 
section 312 of the Controlled Substances Act, as amended 
or inserted by subsection (a), shall apply beginning on the 
day that is 1 year after the date of enactment of this Act. 
Until such day, section 312(a)(3) of the Controlled Sub-
stances Act shall apply as such section 312(a)(3) was in 
effect on the day before the date of enactment of this Act. 
Subtitle G—Opioid Epidemic 
Response 
SEC. 271. OPIOID PRESCRIPTION VERIFICATION. 
(a) MATERIALS
FOR TRAINING PHARMACISTS
ON 
CERTAIN CIRCUMSTANCES UNDER WHICH A PHARMACIST 
MAY DECLINE TO FILL A PRESCRIPTION.—
156 
(1) UPDATES TO MATERIALS.—Section 3212(a) 
of the SUPPORT for Patients and Communities Act 
(21 U.S.C. 829 note) is amended by striking ‘‘Not 
later than 1 year after the date of enactment of this 
Act, the Secretary of Health and Human Services, 
in consultation with the Administrator of the Drug 
Enforcement Administration, Commissioner of Food 
and Drugs, Director of the Centers for Disease Con-
trol and Prevention, and Assistant Secretary for 
Mental Health and Substance Use, shall develop and 
disseminate’’ and inserting ‘‘The Secretary of 
Health and Human Services, in consultation with 
the Administrator of the Drug Enforcement Admin-
istration, Commissioner of Food and Drugs, Direc-
tor of the Centers for Disease Control and Preven-
tion, and Assistant Secretary for Mental Health and 
Substance Use, shall develop and disseminate not 
later than 1 year after the date of enactment of this 
Act, and update periodically thereafter’’. 
(2) MATERIALS INCLUDED.—Section 3212(b) of 
the SUPPORT for Patients and Communities Act 
(21 U.S.C. 829 note) is amended— 
(A) by redesignating paragraphs (1) and 
(2) as paragraphs (2) and (3), respectively; and
157 
(B) by inserting before paragraph (2), as 
so redesignated, the following new paragraph: 
‘‘(1) pharmacists on how to verify the identity 
of the patient;’’. 
(3) MATERIALS
FOR
TRAINING
ON
PATIENT 
VERIFICATION .—Section 3212 of the SUPPORT 
for Patients and Communities Act (21 U.S.C. 829 
note) is amended by adding at the end the following 
new subsection: 
‘‘(d) MATERIALS FOR TRAINING ON VERIFICATION 
OF IDENTITY.—Not later than 1 year after the date of 
enactment of this subsection, the Secretary of Health and 
Human Services, after seeking stakeholder input in ac-
cordance with subsection (c), shall— 
‘‘(1) update the materials developed under sub-
section (a) to include information for pharmacists on 
how to verify the identity the patient; and 
‘‘(2) disseminate, as appropriate, the updated 
materials.’’. 
(b) INCENTIVIZING STATES TO FACILITATE RESPON-
SIBLE, INFORMED DISPENSING OF CONTROLLED SUB-
STANCES.— 
(1) IN GENERAL.—Section 392A of the Public 
Health Service Act (42 U.S.C. 280b–1) is amend-
ed—
158 
(A) by redesignating subsections (c) and 
(d) as subsections (d) and (e), respectively; and 
(B) by inserting after subsection (b) the 
following new subsection: 
‘‘(c) PREFERENCE.—In determining the amounts of 
grants awarded to States under subsections (a) and (b), 
the Director of the Centers for Disease Control and Pre-
vention may give preference to States in accordance with 
such criteria as the Director may specify and may choose 
to give preference to States that— 
‘‘(1) maintain a prescription drug monitoring 
program; 
‘‘(2) require prescribers of controlled substances 
in schedule II, III, or IV to issue such prescriptions 
electronically, and make such requirement subject to 
exceptions in the cases listed in section 1860D– 
4(e)(7)(B) of the Social Security Act; and 
‘‘(3) require dispensers of such controlled sub-
stances to enter certain information about the pur-
chase of such controlled substances into the respec-
tive State’s prescription drug monitoring program, 
including— 
‘‘(A) the National Drug Code or, in the 
case of compounded medications, compound 
identifier;
160 
SEC. 272. SYNTHETIC OPIOID DANGER AWARENESS. 
(a) SYNTHETIC OPIOIDS PUBLIC AWARENESS CAM-
PAIGN.—Part B of title III of the Public Health Service 
Act is amended by inserting after section 317U (42 U.S.C. 
247b–23) the following new section: 
‘‘SEC. 317V. SYNTHETIC OPIOIDS PUBLIC AWARENESS CAM-
PAIGN. 
‘‘(a) IN GENERAL.—Not later than one year after the 
date of the enactment of this section, the Secretary shall 
provide for the planning and implementation of a public 
education campaign to raise public awareness of synthetic 
opioids (including fentanyl and its analogues). Such cam-
paign shall include the dissemination of information 
that— 
‘‘(1) promotes awareness about the potency and 
dangers of fentanyl and its analogues and other syn-
thetic opioids; 
‘‘(2) explains services provided by the Sub-
stance Abuse and Mental Health Services Adminis-
tration and the Centers for Disease Control and 
Prevention (and any entity providing such services 
under a contract entered into with such agencies) 
with respect to the misuse of opioids, particularly as 
such services relate to the provision of alternative, 
non-opioid pain management treatments; and
161 
‘‘(3) relates generally to opioid use and pain 
management. 
‘‘(b) USE OF MEDIA.—The campaign under sub-
section (a) may be implemented through the use of tele-
vision, radio, internet, in-person public communications, 
and other commercial marketing venues and may be tar-
geted to specific age groups. 
‘‘(c) CONSIDERATION
OF REPORT FINDINGS.—In 
planning and implementing the public education campaign 
under subsection (a), the Secretary shall take into consid-
eration the findings of the report required under section 
7001 of the SUPPORT for Patients and Communities Act 
(Public Law 115–271). 
‘‘(d) CONSULTATION.—In coordinating the campaign 
under subsection (a), the Secretary shall consult with the 
Assistant Secretary for Mental Health and Substance Use 
to provide ongoing advice on the effectiveness of informa-
tion disseminated through the campaign. 
‘‘(e) REQUIREMENT OF CAMPAIGN.—The campaign 
implemented under subsection (a) shall not be duplicative 
of any other Federal efforts relating to eliminating the 
misuse of opioids. 
‘‘(f) EVALUATION.— 
‘‘(1) IN GENERAL.—The Secretary shall ensure 
that the campaign implemented under subsection (a)
162 
is subject to an independent evaluation, beginning 2 
years after the date of the enactment of this section, 
and every 2 years thereafter. 
‘‘(2) MEASURES AND BENCHMARKS.—For pur-
poses of an evaluation conducted pursuant to para-
graph (1), the Secretary shall— 
‘‘(A) establish baseline measures and 
benchmarks to quantitatively evaluate the im-
pact of the campaign under this section; and 
‘‘(B) conduct qualitative assessments re-
garding the effectiveness of strategies employed 
under this section. 
‘‘(g) REPORT.—The Secretary shall, beginning 2 
years after the date of the enactment of this section, and 
every 2 years thereafter, submit to Congress a report on 
the effectiveness of the campaign implemented under sub-
section (a) towards meeting the measures and benchmarks 
established under subsection (e)(2). 
‘‘(h) DISSEMINATION
OF INFORMATION THROUGH 
PROVIDERS.—The Secretary shall develop and implement 
a plan for the dissemination of information related to syn-
thetic opioids, to health care providers who participate in 
Federal programs, including programs administered by 
the Department of Health and Human Services, the In-
dian Health Service, the Department of Veterans Affairs,
163 
the Department of Defense, and the Health Resources and 
Services Administration, the Medicare program under title 
XVIII of the Social Security Act, and the Medicaid pro-
gram under title XIX of such Act.’’. 
(b) TRAINING GUIDE AND OUTREACH ON SYNTHETIC 
OPIOID EXPOSURE PREVENTION.— 
(1) TRAINING
GUIDE.—Not later than 18 
months after the date of the enactment of this Act, 
the Secretary of Health and Human Services shall 
design, publish, and make publicly available on the 
internet website of the Department of Health and 
Human Services, a training guide and webinar for 
first responders and other individuals who also may 
be at high risk of exposure to synthetic opioids that 
details measures to prevent that exposure. 
(2) OUTREACH.—Not later than 18 months 
after the date of the enactment of this Act, the Sec-
retary of Health and Human Services shall also con-
duct outreach about the availability of the training 
guide and webinar published under paragraph (1) 
to— 
(A) police and fire managements; 
(B) sheriff deputies in city and county 
jails;
164 
(C) ambulance transport and hospital 
emergency room personnel; 
(D) clinicians; and 
(E) other high-risk occupations, as identi-
fied by the Assistant Secretary for Mental 
Health and Substance Use. 
SEC. 273. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO OPIOID AND STIMULANT USE AND 
MISUSE. 
Section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3 note) is amended to read as follows: 
‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO OPIOID AND STIMULANT USE AND 
MISUSE. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘Sec-
retary’) shall carry out the grant program described in 
subsection (b) for purposes of addressing opioid and stim-
ulant use and misuse, within States, Indian Tribes, and 
populations served by Tribal organizations and Urban In-
dian organizations. 
‘‘(b) GRANTS PROGRAM.— 
‘‘(1) IN GENERAL.—Subject to the availability 
of appropriations, the Secretary shall award grants 
to States, Indian Tribes, Tribal organizations, and
165 
Urban Indian organizations for the purpose of ad-
dressing opioid and stimulant use and misuse, within 
such States, such Indian Tribes, and populations 
served by such Tribal organizations and Urban In-
dian organizations, in accordance with paragraph 
(2). 
‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 
In determining grant amounts for each recipient of 
a grant under paragraph (1), the Secretary shall— 
‘‘(A) ensure that each State receives not 
less than $4,000,000; and 
‘‘(B) give preference to States, Indian 
Tribes, Tribal organizations, and Urban Indian 
organizations whose populations have an inci-
dence or prevalence of opioid use disorders or 
stimulant use or misuse that is substantially 
higher relative to the populations of other 
States, other Indian Tribes, Tribal organiza-
tions, or Urban Indian organizations, as appli-
cable. 
‘‘(3) FORMULA METHODOLOGY.— 
‘‘(A) IN
GENERAL.—Before publishing a 
funding opportunity announcement with respect 
to grants under this section, the Secretary 
shall—
166 
‘‘(i) develop a formula methodology to 
be followed in allocating grant funds 
awarded under this section among grant-
ees, which includes performance assess-
ments for continuation awards; and 
‘‘(ii) not later than 30 days after de-
veloping the formula methodology under 
clause (i), submit the formula methodology 
to— 
‘‘(I) the Committee on Energy 
and Commerce and the Committee on 
Appropriations of the House of Rep-
resentatives; and 
‘‘(II) the Committee on Health, 
Education, Labor, and Pensions and 
the Committee on Appropriations of 
the Senate. 
‘‘(B) REPORT.—Not later than two years 
after the date of the enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 
2022, the Comptroller General of the United 
States shall submit to the Committee on 
Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Com-
167 
merce of the House of Representatives a report 
that— 
‘‘(i) assesses how grant funding is al-
located to States under this section and 
how such allocations have changed over 
time; 
‘‘(ii) assesses how any changes in 
funding under this section have affected 
the efforts of States to address opioid or 
stimulant use or misuse; and 
‘‘(iii) assesses the use of funding pro-
vided through the grant program under 
this section and other similar grant pro-
grams administered by the Substance 
Abuse and Mental Health Services Admin-
istration. 
‘‘(4) USE OF FUNDS.—Grants awarded under 
this subsection shall be used for carrying out activi-
ties that supplement activities pertaining to opioid 
and stimulant use and misuse, undertaken by the 
State agency responsible for administering the sub-
stance abuse prevention and treatment block grant 
under subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.),
168 
which may include public health-related activities 
such as the following: 
‘‘(A) Implementing prevention activities, 
and evaluating such activities to identify effec-
tive strategies to prevent substance use dis-
orders. 
‘‘(B) Establishing or improving prescrip-
tion drug monitoring programs. 
‘‘(C) Training for health care practitioners, 
such as best practices for prescribing opioids, 
pain management, recognizing potential cases 
of substance use disorders, referral of patients 
to treatment programs, preventing diversion of 
controlled substances, and overdose prevention. 
‘‘(D) Supporting access to health care 
services, including— 
‘‘(i) services provided by federally cer-
tified opioid treatment programs; 
‘‘(ii) outpatient and residential sub-
stance use disorder treatment services that 
utilize medication-assisted treatment, as 
appropriate; or 
‘‘(iii) other appropriate health care 
providers to treat substance use disorders.
169 
‘‘(E) Recovery support services, includ-
ing— 
‘‘(i) community-based services that in-
clude peer supports; 
‘‘(ii) mutual aid recovery programs 
that support medication-assisted treat-
ment; or 
‘‘(iii) services to address housing 
needs and family issues. 
‘‘(F) Other public health-related activities, 
as the State, Indian Tribe, Tribal organization, 
or Urban Indian organization determines appro-
priate, related to addressing substance use dis-
orders within the State, Indian Tribe, Tribal or-
ganization, or Urban Indian organization, in-
cluding directing resources in accordance with 
local needs related to substance use disorders. 
‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re-
ceiving a grant under subsection (b) shall include in re-
porting related to substance use disorders submitted to the 
Secretary pursuant to section 1942 of the Public Health 
Service Act (42 U.S.C. 300x–52), a description of— 
‘‘(1) the purposes for which the grant funds re-
ceived by the State under such subsection for the
170 
preceding fiscal year were expended and a descrip-
tion of the activities of the State under the grant; 
‘‘(2) the ultimate recipients of amounts pro-
vided to the State; and 
‘‘(3) the number of individuals served through 
the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pur-
suant to subsection (i)— 
‘‘(1) shall not be used for any purpose other 
than the grant program under subsection (b); and 
‘‘(2) shall be subject to the same requirements 
as substance use disorders prevention and treatment 
programs under titles V and XIX of the Public 
Health Service Act (42 U.S.C. 290aa et seq., 300w 
et seq.). 
‘‘(e) INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND 
URBAN INDIAN ORGANIZATIONS.—The Secretary, in con-
sultation with Indian Tribes, Tribal organizations, and 
Urban Indian organizations, shall identify and establish 
appropriate mechanisms for Indian Tribes, Tribal organi-
zations, and Urban Indian organizations to demonstrate 
or report the information as required under subsections 
(b), (c), and (d). 
‘‘(f) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2024, and biennially thereafter, the Secretary
171 
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, 
and the Committees on Appropriations of the House of 
Representatives and the Senate, a report that includes a 
summary of the information provided to the Secretary in 
reports made pursuant to subsections (c) and (e), includ-
ing— 
‘‘(1) the purposes for which grant funds are 
awarded under this section; 
‘‘(2) the activities of the grant recipients; and 
‘‘(3) for each State, Indian Tribe, Tribal orga-
nization, and Urban Indian organization that re-
ceives a grant under this section, the funding level 
provided to such recipient. 
‘‘(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, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organiza-
tions, as applicable, with technical assistance concerning 
grant application and submission procedures under this 
section, award management activities, and enhancing out-
reach and direct support to rural and underserved commu-
nities and providers in addressing substance use disorders.
172 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given the term ‘Indian tribe’ in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given the term ‘tribal 
organization’ in such section 4. 
‘‘(3) STATE.—The term ‘State’ has the mean-
ing given such term in section 1954(b) of the Public 
Health Service Act (42 U.S.C. 300x–64(b)). 
‘‘(4) URBAN INDIAN ORGANIZATION.—The term 
‘Urban Indian organization’ has the meaning given 
such term in section 4 of the Indian Health Care 
Improvement Act. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying 
out the grant program under subsection (b), there is 
authorized to be appropriated $1,750,000,000 for 
each of fiscal years 2023 through 2027, to remain 
available until expended. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 
Of the amounts made available for each fiscal year 
to award grants under subsection (b), the Secretary 
shall not use more than 20 percent for Federal ad-
173 
ministrative expenses, training, technical assistance, 
and evaluation. 
‘‘(3) SET ASIDE.—Of the amounts made avail-
able for each fiscal year to award grants under sub-
section (b) for a fiscal year, the Secretary shall— 
‘‘(A) award 5 percent to Indian Tribes, 
Tribal organizations, and Urban Indian organi-
zations; and 
‘‘(B) of the amount remaining after appli-
cation of subparagraph (A), set aside up to 15 
percent for awards to States with the highest 
age-adjusted rate of drug overdose death based 
on the ordinal ranking of States according to 
the Director of the Centers for Disease Control 
and Prevention.’’. 
TITLE III—ACCESS TO MENTAL 
HEALTH CARE AND COVERAGE 
Subtitle A—Collaborate in an 
Orderly and Cohesive Manner 
SEC. 301. INCREASING UPTAKE OF THE COLLABORATIVE 
CARE MODEL. 
Section 520K of the Public Health Service Act (42 
U.S.C. 290bb–42) is amended to read as follows: