political subdivision has entered into a par-
ticipation agreement under the State plan 
and is qualified to receive payments under 
such plan; or 
‘‘(ii) the eligible local area involved 
will enter into an agreement with a public 
or nonprofit private entity under which the 
entity will provide the service, and the enti-
ty has entered into such a participation 
agreement and is qualified to receive such 
payments. 
‘‘(B) WAIVER.— 
‘‘(i) IN GENERAL.—In the case of an 
entity making an agreement pursuant to 
subparagraph (A)(ii) regarding the provi-
sion of substance use disorder treatment 
services, the requirement established in 
such subparagraph shall be waived by the 
substance use planning council for the area 
involved if the entity does not, in providing 
health care services, impose a charge or ac-
cept reimbursement available from any 
third-party payor, including reimbursement 
under any insurance policy or under any 
Federal or State health benefits program. 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00038
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(ii) DETERMINATION.—A determina-
tion by the substance use planning council 
of whether an entity referred to in clause 
(i) meets the criteria for a waiver under 
such clause shall be made without regard 
to whether the entity accepts voluntary do-
nations for the purpose of providing serv-
ices to the public. 
‘‘(10) ADMINISTRATION
AND
PLANNING.—An 
eligible local area shall not use in excess of 10 per-
cent of amounts received under a grant under sec-
tion 3401 for administration, accounting, reporting, 
and program oversight functions, including the de-
velopment of systems to improve data collection and 
data sharing. 
‘‘(11) INCARCERATED INDIVIDUALS.—Amounts 
received under a grant under section 3401 may be 
used to provide substance use disorder treatment 
services to currently incarcerated individuals. 
‘‘SEC. 3404. APPLICATION. 
‘‘(a) IN GENERAL.—To be eligible to receive a grant 
under section 3401, an eligible local area shall prepare and 
submit to the Secretary an application in such form, and 
containing such information, as the Secretary shall re-
quire, including— 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00039
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(1) a complete accounting of the disbursement 
of any prior grants received under this subtitle by 
the applicant and the results achieved through such 
disbursements; 
‘‘(2) a demonstration of the extent of local need 
for the funds under the grant and a plan for pro-
posed substance use disorder treatment services that 
is consistent with local needs, including a com-
prehensive plan for the use of the grant funds devel-
oped by the planning council established under sec-
tion 3402, except that the planning council require-
ment shall not apply with respect to areas receiving 
supplemental grant funds under section 3403(a)(2); 
‘‘(3) a demonstration that the area will use 
funds in a manner that provides substance use dis-
order treatment services compliant with the evi-
dence-based standards developed in accordance with 
section 3434, including all forms of Federally-ap-
proved medication-assisted treatments; 
‘‘(4) information on the number of individuals 
likely to be served by the funds sought, including de-
mographic data on the populations to be served; 
‘‘(5) key outcomes that will be measured by all 
entities that receive assistance, as well as an expla-
nation of how the outcomes will be measured; 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00040
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(6) a demonstration that resources provided 
under the grant will be allocated in accordance with 
the local demographic incidence of substance use, in-
cluding allocations for services for children, youths, 
and women; 
‘‘(7) a demonstration that funds received from 
a grant under this subtitle in any prior year were ex-
pended in accordance with the priorities established 
by the planning council; 
‘‘(8) a demonstration that at least one rep-
resentative from Indian tribes located within any eli-
gible local area are included in the membership of a 
planning council; 
‘‘(9) a demonstration that the confidentiality of 
individuals receiving substance use disorder treat-
ment services will be maintained in a manner not in-
consistent with applicable law; and 
‘‘(10) an explanation of how income, asset, and 
medical expense criteria will be established and ap-
plied to those who qualify for assistance under the 
program under this subtitle. 
‘‘(b) ASSURANCES.—To be eligible to receive a grant 
under section 3401, the application submitted by the eligi-
ble local area shall include assurances adequate to en-
sure— 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00041
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(1) that funds received under the grant will be 
utilized to supplement not supplant other State or 
local funds made available in the year for which the 
grant is awarded to provide substance use disorder 
treatment services; 
‘‘(2) that the political subdivisions within the el-
igible local area will maintain the level of expendi-
tures by such political subdivisions for substance 
use-related services at a level that is equal to the 
level of such expenditures by such political subdivi-
sions for the preceding fiscal year; 
‘‘(3) that political subdivisions within the eligi-
ble local area will not use funds received under a 
grant awarded under section 3401 in maintaining 
the level of substance use disorder treatment services 
as required in paragraph (2); 
‘‘(4) that substance use disorder treatment 
services provided with assistance made available 
under the grant will be provided without regard— 
‘‘(A) to the ability of the individual to pay 
for such services; and 
‘‘(B) to the current or past health condi-
tion of the individual to be served; 
‘‘(5) that substance use disorder treatment 
services will be provided in a setting that is acces-
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00042
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
sible to low-income individuals with substance use 
disorder, and to individuals with substance use dis-
order residing in rural areas; 
‘‘(6) that a program of outreach will be pro-
vided to low-income individuals with substance use 
disorder to inform such individuals of substance use 
disorder treatment services, and to individuals with 
substance use disorder residing in rural areas; and 
‘‘(7) that funds received under a grant awarded 
under this subtitle will not be utilized to make pay-
ments for any item or service to the extent that pay-
ment has been made, or can reasonably be expected 
to be made, with respect to that item or service 
under any State compensation program, under an 
insurance policy, or under any Federal or State 
health benefits program (except for a program ad-
ministered by, or providing the services of, the In-
dian Health Service). 
‘‘(c) REQUIREMENTS REGARDING IMPOSITION
OF 
CHARGES FOR SERVICES.— 
‘‘(1) IN
GENERAL.—The Secretary may not 
make a grant under section 3401 to an eligible local 
area unless the eligible local area provides assur-
ances that in the provision of substance use disorder 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00043
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
treatment services with assistance provided under 
the grant— 
‘‘(A) in the case of individuals with an in-
come less than or equal to 138 percent of the 
official poverty level, the provider will not im-
pose charges on any such individual for the 
services provided under the grant; 
‘‘(B) in the case of individuals with an in-
come greater than 138 percent of the official 
poverty level, the provider will impose a charge 
on each such individual according to a schedule 
of charges made available to the public; 
‘‘(C) in the case of individuals with an in-
come greater than 138 percent of the official 
poverty level but not exceeding 200 percent of 
such poverty level, the provider will not, for an 
calendar year, impose charges in an amount ex-
ceeding 5 percent of the annual gross income of 
the individual; 
‘‘(D) in the case of individuals with an in-
come greater than 200 percent of the official 
poverty level but not exceeding 300 percent of 
such poverty level, the provider will not, for any 
calendar year, impose charges in an amount ex-
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00044
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
ceeding 7 percent of the annual gross income of 
the individual involved; 
‘‘(E) in the case of individuals with an in-
come greater than 300 percent of the official 
poverty level, the provider will not, for any cal-
endar year, impose charges in an amount ex-
ceeding 15 percent of the annual gross income 
of the individual involved; and 
‘‘(F) in the case of eligible American In-
dian and Alaska Native individuals as defined 
by section 447.50 of title 42, Code of Federal 
Regulations (as in effect on July 1, 2010), the 
provider will not impose any charges for sub-
stance use disorder treatment services, includ-
ing any charges or cost-sharing prohibited by 
section 1402(d) of the Patient Protection and 
Affordable Care Act. 
‘‘(2) CHARGES.—With respect to compliance 
with the assurances made under paragraph (1), an 
eligible local area may, in the case of individuals 
subject to a charge— 
‘‘(A) assess the amount of the charge in 
the discretion of the area, including imposing 
only a nominal charge for the provision of sub-
stance use disorder treatment services, subject 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00045
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
to the provisions of the paragraph regarding 
public schedules and regarding limitations on 
the maximum amount of charges; and 
‘‘(B) take into consideration the total med-
ical expenses of individuals in assessing the 
amount of the charge, subject to such provi-
sions. 
‘‘(3) AGGREGATE
CHARGES.—The Secretary 
may not make a grant under section 3401 to an eli-
gible local area unless the area agrees that the limi-
tations on charges for substance use disorder treat-
ment services under this subsection applies to the 
annual aggregate of charges imposed for such serv-
ices, however the charges are characterized, includes 
enrollment fees, premiums, deductibles, cost sharing, 
co-payments, co-insurance costs, or any other 
charges. 
‘‘(d) INDIAN TRIBES.—Any application requirements 
for grants distributed in accordance with section 
3403(a)(3) shall be developed by the Secretary in con-
sultation with Indian tribes. 
‘‘SEC. 3405. TECHNICAL ASSISTANCE. 
‘‘The Secretary shall, beginning on the date of enact-
ment of this title, provide technical assistance, including 
assistance from other grantees, contractors or subcontrac-
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00046
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
tors under this title to assist newly eligible local areas in 
the establishment of planning councils and, to assist enti-
ties in complying with the requirements of this subtitle 
in order to make such areas eligible to receive a grant 
under this subtitle. The Secretary may make planning 
grants available to eligible local areas, in an amount not 
to exceed $75,000 for any area, that is projected to be 
eligible for funding under section 3401 in the following 
fiscal year. Such grant amounts shall be deducted from 
the first year formula award to eligible local areas accept-
ing such grants. 
‘‘SEC. 3406. AUTHORIZATION OF APPROPRIATIONS. 
‘‘There is authorized to be appropriated to carry out 
this subtitle— 
‘‘(1) $2,700,000,000 for fiscal year 2019; 
‘‘(2) $2,700,000,000 for fiscal year 2020; 
‘‘(3) $2,700,000,000 for fiscal year 2021; 
‘‘(4) $2,700,000,000 for fiscal year 2022; 
‘‘(5) $2,700,000,000 for fiscal year 2023; 
‘‘(6) $2,700,000,000 for fiscal year 2024; 
‘‘(7) $2,700,000,000 for fiscal year 2025; 
‘‘(8) $2,700,000,000 for fiscal year 2026; 
‘‘(9) $2,700,000,000 for fiscal year 2027; and 
‘‘(10) $2,700,000,000 for fiscal year 2028. 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00047
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘Subtitle B—State and Tribal Sub-
stance Use Disorder Prevention 
and Intervention Grant Pro-
gram 
‘‘SEC. 3411. ESTABLISHMENT OF PROGRAM OF GRANTS. 
‘‘The Secretary, acting in coordination with the Di-
rector of the Office of National Drug Control Policy, shall 
award grants to States, territories, and tribal governments 
for the purpose of addressing substance use within such 
States. 
‘‘SEC. 3412. AMOUNT OF GRANT AND USE OF AMOUNTS. 
‘‘(a) AMOUNT OF GRANT TO STATES AND TERRI-
TORIES.— 
‘‘(1) IN GENERAL.— 
‘‘(A) 
EXPEDITED
DISTRIBUTION.—Not 
later than 90 days after an appropriation be-
comes available, the Secretary shall disburse 50 
percent of the amount made available under 
section 3415 for carrying out this subtitle for 
such fiscal year through grants to States under 
section 3411, in accordance with subparagraphs 
(B) and (C). 
‘‘(B) MINIMUM
ALLOTMENT.—Subject to 
the amount made available under section 3415, 
the amount of a grant under section 3411 for— 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00048
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(i) each of the 50 States, the District 
of Columbia, and Puerto Rico for a fiscal 
year shall be the greater of— 
‘‘(I) $2,000,000; or 
‘‘(II) 
an 
amount 
determined 
under the subparagraph (C); and 
‘‘(ii) each territory other than Puerto 
Rico for a fiscal year shall be the greater 
of— 
‘‘(I) $500,000; or 
‘‘(II) 
an 
amount 
determined 
under the subparagraph (C). 
‘‘(C) DETERMINATION.— 
‘‘(i) FORMULA.—For purposes of sub-
paragraph (B), the amount referred to in 
this subparagraph for a State (including a 
territory) for a fiscal year is— 
‘‘(I) an amount equal to the 
amount made available under section 
3415 for the fiscal year involved for 
grants pursuant to subparagraph (B); 
and 
‘‘(II) the percentage constituted 
by the sum of— 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00049
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(aa) the product of 0.85 
and the ratio of the State dis-
tribution factor for the State or 
territory to the sum of the re-
spective distribution factors for 
all States; and 
‘‘(bb) the product of 0.15 
and the ratio of the non-local dis-
tribution factor for the State or 
territory (as determined under 
clause (iv)) to the sum of the re-
spective 
non-local 
distribution 
factors for all States or terri-
tories. 
‘‘(ii) STATE DISTRIBUTION FACTOR.— 
For purposes of clause (i)(II)(aa), the term 
‘State 
distribution 
factor’ 
means 
an 
amount equal to— 
‘‘(I) the estimated number of 
drug overdose deaths in the State, as 
determined under clause (iii); or 
‘‘(II) the number of non-fatal 
drug overdoses in the State, as deter-
mined under clause (iv); 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00050
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
as determined by the Secretary based on 
which distribution factor (subclause (I) or 
(II)) will result in the State receiving the 
greatest amount of funds. 
‘‘(iii) 
NUMBER
OF
DRUG 
OVERDOSES.—For purposes of clause (ii), 
the number of drug overdose deaths deter-
mined under this clause for a State for a 
fiscal year is the number of drug overdose 
deaths during the most recent 3-year pe-
riod for which such data are available. 
‘‘(iv) NUMBER OF NON-FATAL DRUG 
OVERDOSES.—For purposes of clause (ii), 
the number of non-fatal drug overdose 
deaths determined under this clause for 
State for a fiscal year for purposes of 
clause (ii) may be determined by using 
data 
including 
emergency 
department 
syndromic data, visits, or other emergency 
medical services for drug-related causes 
during the most recent 3-year period for 
which such data are available. 
‘‘(v) NON-LOCAL DISTRIBUTION FAC-
TORS.—For purposes of clause (i)(II)(bb), 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00051
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
the term ‘non-local distribution factor’ 
means an amount equal to the sum of— 
‘‘(I) 
the 
number 
of 
drug 
overdoses deaths in the State involved, 
as determined under clause (iii), or 
the 
number 
of 
non-fatal 
drug 
overdoses in the State, based on the 
criteria used by the State under 
clause (ii); less 
‘‘(II) the total number of drug 
overdose deaths or non-fatal drug 
overdoses that are within areas in 
such State or territory that are eligi-
ble counties under section 3401. 
‘‘(vi) STUDY.—Not later than 3 years 
after the date of enactment of this title, 
the Comptroller General shall conduct a 
study to determine whether the data uti-
lized for purposes of clause (ii) provides 
the most precise measure of State need re-
lated to substance use and addiction preva-
lence and whether additional data would 
provide more precise measures the levels of 
substance use and addiction prevalent in 
States. Such study shall identify barriers 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00052
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
to collecting or analyzing such data, and 
make recommendations for revising the 
distribution factors used under such clause 
to determine funding levels in order to di-
rect funds to the States in most need of 
funding to provide substance use disorder 
treatment services. 
‘‘(2) SUPPLEMENTAL GRANTS.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (C), the Secretary shall disburse the re-
mainder of amounts not disbursed under para-
graph (1) for such fiscal year for the purpose 
of making grants to States whose application— 
‘‘(i) contains a report concerning the 
dissemination of emergency relief funds 
under paragraph (1) and the plan for utili-
zation of such funds; 
‘‘(ii) demonstrates the need in such 
State, on an objective and quantified basis, 
for supplemental financial assistance to 
combat substance use disorder; 
‘‘(iii) demonstrates the existing com-
mitment of local resources of the State, 
both financial and in-kind, to combating 
substance use disorder; 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00053
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
population to be served with an appro-
priate mix of substance use disorder treat-
ment services and attention to transition in 
care. 
‘‘(B) AMOUNT.— 
‘‘(i) IN
GENERAL.—The amount of 
each grant made for purposes of this para-
graph shall be determined by the Sec-
retary. In making such determination, the 
Secretary shall consider: 
‘‘(I) the rate of drug overdose 
deaths per 100,000 population in the 
State; and 
‘‘(II) the increasing need for sub-
stance use disorder treatment serv-
ices, including relative rates of in-
crease 
in 
the 
number 
of 
drug 
overdoses or drug overdose deaths, or 
recent increases in drug overdoses or 
drug overdose deaths since the data 
was reported under section 3413. 
‘‘(ii) 
DEMONSTRATED
NEED.—The 
factors considered by the Secretary in de-
termining whether a State has a dem-
onstrated need for purposes of subpara-
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00055
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
graph (A)(ii) may include any or all of the 
following: 
‘‘(I) The unmet need for such 
services, including the factors identi-
fied in clause (i)(II). 
‘‘(II) Relative rates of increase in 
the number of drug overdoses or drug 
overdose deaths. 
‘‘(III) The relative rates of in-
crease in the number of drug deaths 
within new or emerging subpopula-
tions. 
‘‘(IV) The current prevalence of 
substance use disorders. 
‘‘(V) Relevant factors related to 
the cost and complexity of delivering 
substance use disorder treatment serv-
ices to individuals in the State. 
‘‘(VI) The impact of co-morbid 
factors, including co-occurring condi-
tions, determined relevant by the Sec-
retary. 
‘‘(VII) The prevalence of home-
lessness among individuals with sub-
stance use disorder. 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00056
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(VIII) The relevant factors that 
limit access to health care, including 
geographic variation, adequacy of 
health insurance coverage, and lan-
guage barriers. 
‘‘(IX) The impact of a decline in 
the amount received pursuant to para-
graph (1) on substance use disorder 
treatment services available to all in-
dividuals with substance use disorders 
identified and eligible under this sub-
title. 
‘‘(X) The increasing incidence in 
conditions related to substance use, 
including hepatitis C, human immuno-
deficiency virus, hepatitis B and other 
infections associated with injection 
drug use. 
‘‘(C) MODEL STANDARDS.— 
‘‘(i) PREFERENCE.—In determining 
whether a State will receive funds under 
this paragraph, except as provided in 
clause (ii), the Secretary shall give pref-
erence to States that have adopted the 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00057
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
model standards developed in accordance 
with section 3434. 
‘‘(ii) REQUIREMENT.—Effective begin-
ning in fiscal year 2025, the Secretary 
shall not award a grant under this para-
graph to a State unless that State has 
adopted the model standards developed in 
accordance with section 3434. 
‘‘(3) AMOUNT OF GRANT TO TRIBAL GOVERN-
MENTS.— 
‘‘(A) INDIAN TRIBES.—In this section, the 
term ‘Indian tribe’ has the meaning given such 
term in section 4 of the Indian Self-Determina-
tion and Education Assistance Act. 
‘‘(B) FORMULA GRANTS.—The Secretary, 
acting through the Indian Health Service, shall 
use 10 percent of the amount available under 
section 3415 for each fiscal year to provide for-
mula grants to Indian tribes in an amount de-
termined pursuant to a formula and eligibility 
criteria developed by the Secretary in consulta-
tion with Indian tribes, for the purposes of ad-
dressing substance use. 
‘‘(C) USE OF AMOUNTS.—Notwithstanding 
any requirements in this section, an Indian 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00058
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
tribe may use amounts provided under grants 
awarded under this paragraph for the uses 
identified in subsection (b) and any other activi-
ties determined appropriate by the Secretary, in 
consultation with Indian tribes. 
‘‘(b) USE OF AMOUNTS.— 
‘‘(1) IN GENERAL.—A State may use amounts 
provided under grants awarded under section 3411 
for— 
‘‘(A) prevention services described in para-
graph (2); 
‘‘(B) core medical services described in 
paragraph (3); 
‘‘(C) recovery and support services de-
scribed in paragraph (4); 
‘‘(D) early intervention and engagement 
services described in paragraph (5); 
‘‘(E) harm reduction services described in 
paragraph (6); and 
‘‘(F) administrative expenses described in 
paragraph (8). 
‘‘(2) PREVENTION SERVICES.— 
‘‘(A) IN GENERAL.—For purposes of this 
subsection, the term ‘prevention services’ means 
services, programs, or multi-sector strategies to 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00059
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
prevent substance use disorder (including evi-
dence-based education campaigns, community- 
based prevention programs, opioid diversion, 
collection and disposal of unused opioids, and 
services to at-risk populations). 
‘‘(B) LIMIT.—A State may use not to ex-
ceed 20 percent of the amount of the grant 
under section 3411 for prevention services. A 
State may apply to the Secretary for a waiver 
of this subparagraph. 
‘‘(3) CORE MEDICAL SERVICES.—For purposes 
of this subsection, the term ‘core medical services’ 
means the following evidence-based services when 
provided to individuals with substance use disorder 
or at risk for developing substance use disorder: 
‘‘(A) Substance use disorder treatments, 
including clinical stabilization services, with-
drawal management and detoxification, inten-
sive inpatient treatment, intensive outpatient 
treatment, all forms of Federally-approved 
medication-assisted treatment, outpatient treat-
ment, and residential recovery treatment. 
‘‘(B) Outpatient and ambulatory health 
services, including those administered by Feder-
VerDate Sep 11 2014 
20:19 Apr 23, 2018
Jkt 079200
PO 00000
Frm 00060
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS
‘‘(b) ASSURANCES.—To be eligible to receive a grant 
under section 3401, the application submitted by an eligi-
ble State shall include assurances adequate to ensure— 
‘‘(1) that funds received under the grant will be 
utilized to supplement not supplant other State or 
local funds made available in the year for which the 
grant is awarded to provide substance use disorder 
treatment services to individuals with substance use 
disorder; 
‘‘(2) that the political subdivisions within the 
State will maintain the level of expenditures by such 
political subdivisions for substance use disorder 
treatment services at a level that is equal to the level 
of such expenditures by such political subdivisions 
for the preceding fiscal year; 
‘‘(3) that political subdivisions within the State 
will not use funds received under a grant awarded 
under section 3411 in maintaining the level of sub-
stance use disorder treatment services as required in 
paragraph (2); 
‘‘(4) that substance use disorder treatment 
services provided with assistance made available 
under the grant will be provided without regard— 
‘‘(A) to the ability of the individual to pay 
for such services; and 
VerDate Sep 11 2014 
01:45 Apr 21, 2018
Jkt 079200
PO 00000
Frm 00066
Fmt 6652
Sfmt 6201
E:\BILLS\H5545.IH
H5545
lotter on DSKBCFDHB2PROD with BILLS