IIB 
116TH CONGRESS 
2D SESSION 
H. R. 2466 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 18, 2020 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To extend the State Opioid Response Grants program, and 
for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘State Opioid Response 
Grant Authorization Act of 2020’’. 
SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
(a) IN GENERAL.—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 SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
‘‘(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 substance use 
disorders of significance, including opioid and stimulant 
use disorders, within States, Indian Tribes, and popu-
lations served by Tribal organizations and Urban Indian 
organizations. 
‘‘(b) GRANTS PROGRAM.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States, Indian Tribes, Tribal organiza-
tions, and Urban Indian organizations for the pur-
pose of addressing substance use disorders of signifi-
cance, including opioid and stimulant use disorders, 
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within such States, such Indian Tribes, and popu-
lations served by such Tribal organizations and 
Urban Indian organizations, in accordance with 
paragraph (2). 
‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 
In awarding grants under paragraph (1), the Sec-
retary shall— 
‘‘(A) ensure that each State and the Dis-
trict of Columbia 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 that 
is substantially higher relative to the popu-
lations of other States, Indian Tribes, Tribal 
organizations, or Urban Indian organizations, 
as applicable. 
‘‘(3) FORMULA METHODOLOGY.—Not less than 
15 days before publishing a funding opportunity an-
nouncement with respect to grants under this sec-
tion, the Secretary shall— 
‘‘(A) develop a formula methodology to be 
followed in allocating grant funds awarded 
under this section among grantees, which in-
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cludes performance assessments for continu-
ation awards; and 
‘‘(B) submit the formula methodology to— 
‘‘(i) the Committee on Energy and 
Commerce and the Committee on Appro-
priations of the House of Representatives; 
and 
‘‘(ii) the Committee on Health, Edu-
cation, Labor and Pensions and the Com-
mittee on Appropriations of the Senate. 
‘‘(4) USE OF FUNDS.—Grants awarded under 
this subsection shall be used for carrying out activi-
ties that supplement activities pertaining to sub-
stance use disorders of significance, including opioid 
and stimulant use disorders, 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.), 
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. 
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‘‘(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 abuse, referral of patients to treat-
ment programs, preventing diversion of con-
trolled 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. 
‘‘(E) Recovery support services, including 
community-based services that include peer sup-
ports, address housing needs, and address fam-
ily issues. 
‘‘(F) Other public health-related activities, 
as the State, Indian Tribe, Tribal organization, 
or Urban Indian organization determines appro-
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priate, related to addressing substance use dis-
orders within the State, Indian Tribe, Tribal or-
ganization, or Urban Tribal 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 abuse submitted to the Sec-
retary pursuant to section 1942 of the Public Health Serv-
ice 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 
preceding fiscal year were expended and a descrip-
tion of the activities of the State under the grant; 
and 
‘‘(2) the ultimate recipients of amounts pro-
vided to the State through the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pur-
suant to subsection (i) shall be subject to the same re-
quirements as substance abuse 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 
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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, 2022, and biennially thereafter, the Secretary 
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 summarizing the 
information provided to the Secretary in reports made 
pursuant to subsections (c) and (e), including the purposes 
for which grant funds are awarded under this section and 
the activities of such grant recipients. 
‘‘(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-
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reach and direct support to rural and underserved commu-
nities and providers in addressing substance use disorders. 
‘‘(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 section 4 of the Indian Self-Deter-
mination and Education Assistance Act (25 U.S.C. 
5304). 
‘‘(3) URBAN INDIAN ORGANIZATION.—The term 
‘Urban Indian organization’ has the meaning given 
to that term in section 4 of the Indian Health Care 
Improvement Act (25 U.S.C. 1603). 
‘‘(4) 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)). 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying 
out the grant program under subsection (b), there is 
authorized to be appropriated $1,585,000,000 for 
each of fiscal years 2021 through 2026, to remain 
available until expended. 
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‘‘(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 2 percent for Federal ad-
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 remaining amount, set aside 
up to 15 percent for 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.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
in section 1(b) of such Act is amended by striking the 
item relating to section 1003 and inserting the following: 
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‘‘Sec. 1003. Grant program for State and Tribal response to substance use dis-
orders of significance.’’. 
Passed the House of Representatives November 17, 
2020. 
Attest: 
CHERYL L. JOHNSON, 
Clerk. 
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