(i) by striking ‘‘and’’ at the end of 
subparagraph (A); 
(ii) in subparagraph (B), by striking 
the period and inserting ‘‘; and’’; and 
(iii) by adding at the end the fol-
lowing: 
‘‘(C) compliance assistance to assist insti-
tutions in complying with the requirements of 
this section.’’; 
(B) by redesignating paragraph (2) as 
paragraph (4); and 
(C) by inserting after paragraph (1) the 
following: 
‘‘(2) INTERAGENCY
AGREEMENT.—Not later 
than 180 days after the date of enactment of this 
paragraph, the Secretary shall enter into an inter-
agency agreement with the Secretary of Health and 
Human Services to— 
‘‘(A) determine criteria that satisfy the re-
quirement of subsection (a) that an institution 
of higher education has adopted and has imple-
mented an evidence-based program described in 
such subsection; 
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‘‘(B) establish a process for disseminating 
the best practices for adopting and imple-
menting such an evidence-based program; and 
‘‘(C) establish a process that promotes co-
ordination and collaboration between institu-
tions of higher education and the respective 
State agencies that administer the Substance 
Abuse Prevention and Treatment Block Grants 
pursuant to subpart II of the Public Health 
Service Act (42 U.S.C. 300x–21). 
‘‘(3) GUIDANCE.—Not later than 1 year after 
the date of the enactment of this paragraph, the 
Secretary shall, in coordination with the Secretary of 
Health and Human Services, issue guidance with re-
spect to the criteria described in paragraph (2)(A).’’; 
and 
(4) in subsection (e)— 
(A) in the subsection heading, by striking 
‘‘DRUG ABUSE’’ in the heading and inserting 
‘‘SUBSTANCE MISUSE’’; 
(B) in paragraph (1)— 
(i) by striking ‘‘other organizations’’ 
and inserting ‘‘community-based organiza-
tions that partner with institutions of high-
er education’’; 
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(ii) by striking ‘‘programs of preven-
tion, and education (including treatment- 
referral) to reduce and eliminate the illegal 
use of drugs and alcohol and the violence 
associated with such use’’ and inserting 
‘‘evidence-based programs of alcohol and 
substance misuse prevention and education 
(including programs to improve access to 
treatment, referral for treatment services, 
or crisis intervention services) to eliminate 
illegal substance use, decrease substance 
misuse, and improve public health and 
safety’’; and 
(iii) by striking ‘‘alcohol and drug 
abuse’’ and inserting ‘‘substance use dis-
order’’; 
(C) 
by 
redesignating 
paragraphs 
(2) 
through (5) as paragraphs (3) through (6), re-
spectively; and 
(D) by inserting after paragraph (1) the 
following: 
‘‘(2) ADDITIONAL USES.—In addition to the ac-
tivities described in paragraph (1), a grant or con-
tract awarded under paragraph (1) may be used to 
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carry out 1 or more of the following evidence-based 
programs or activities: 
‘‘(A) Providing programs for recovery sup-
port services, and peer-to-peer support services 
and counseling for students with a substance 
use disorder. 
‘‘(B) Promoting integration and collabora-
tion in campus-based health services between 
primary care, substance use disorder services, 
and mental health services. 
‘‘(C) Promoting integrated care services re-
lated to screening, diagnosis, prevention, and 
treatment of mental, behavioral, and substance 
use disorders for students. 
‘‘(D) Providing re-entry assistance for stu-
dents on academic probation due to their sub-
stance use disorder. 
‘‘(E) 
Preventing 
fatal 
and 
nonfatal 
overdoses. 
‘‘(F) Providing education to students, fac-
ulty, or other personnel on— 
‘‘(i) recognizing the signs and symp-
toms of substance use disorder, and how to 
engage and support a person in a crisis sit-
uation; 
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‘‘(ii) resources available in the com-
munity, within the institution of higher 
education, and other relevant resources for 
individuals with a substance use disorder; 
and 
‘‘(iii) safely de-escalating crisis situa-
tions involving individuals with a substance 
use disorder.’’; and 
(E) by amending paragraph (6), as redes-
ignated by subparagraph (C), to read as fol-
lows: 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There are authorized to be appropriated to carry out 
this section $30,000,000 for fiscal year 2019 and 
each of the 5 succeeding fiscal years.’’. 
(b) PROGRAM PARTICIPATION AGREEMENTS.—Sec-
tion 487(a)(10) of the Higher Education Act of 1965 (20 
U.S.C. 1094(a)(10)) is amended by striking ‘‘a drug abuse 
prevention program’’ and inserting ‘‘an alcohol and sub-
stance misuse prevention program in accordance with sec-
tion 120’’. 
(c) EFFECTIVE DATES.— 
(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
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shall take effect on the date of the enactment of this 
Act. 
(2) DELAYED EFFECTIVE DATES.—The amend-
ments made by subsection (a)(2) shall apply to insti-
tutions of higher education on the date that is 2 
years after the date of the enactment of this Act. 
Æ 
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