I 
115TH CONGRESS 
2D SESSION 
H. R. 5933 
To prevent substance abuse and reduce demand for illicit narcotics. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 23, 2018 
Mr. COLLINS of Georgia (for himself and Mr. DEUTCH) introduced the fol-
lowing bill; which was referred to the Committee on Oversight and Gov-
ernment Reform, and in addition to the Committees on the Judiciary, 
and Energy and Commerce, for a period to be subsequently determined 
by the Speaker, in each case for consideration of such provisions as fall 
within the jurisdiction of the committee concerned 
A BILL 
To prevent substance abuse and reduce demand for illicit 
narcotics. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Substance Abuse Pre-
vention Act of 2018’’. 
SEC. 2. REAUTHORIZATION OF THE OFFICE OF NATIONAL 
DRUG CONTROL POLICY. 
(a) OFFICE OF NATIONAL DRUG CONTROL POLICY 
REAUTHORIZATION ACT OF 1998.— 
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(1) IN GENERAL.—The Office of National Drug 
Control Policy Reauthorization Act of 1998 (21 
U.S.C. 1701 et seq.), as in effect on September 29, 
2003, and as amended by the laws described in 
paragraph (2), is revived and restored. 
(2) LAWS DESCRIBED.—The laws described in 
this paragraph are: 
(A) The Office of National Drug Control 
Policy Reauthorization Act of 2006 (Public 
Law 109–469; 125 Stat. 3502). 
(B) The Presidential Appointment Effi-
ciency and Streamlining Act of 2011 (Public 
Law 112–166; 126 Stat. 1283). 
(b) REAUTHORIZATION.—Section 715(a) of the Of-
fice of National Drug Control Policy Reauthorization Act 
of 1998 (21 U.S.C. 1712(a)) is amended by striking 
‘‘2010’’ and inserting ‘‘2022’’. 
SEC. 3. REAUTHORIZATION OF THE DRUG-FREE COMMU-
NITIES PROGRAM. 
Section 1024 of the National Narcotics Leadership 
Act of 1988 (21 U.S.C. 1524(a)) is amended by striking 
subsections (a) and (b) and inserting the following: 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to the Office of National Drug Control Policy 
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to carry out this chapter $99,000,000 for each of fiscal 
years 2018 through 2022. 
‘‘(b) ADMINISTRATIVE COSTS.—Not more than 8 
percent of the funds appropriated to carry out this chapter 
may be used by the Office of National Drug Control Policy 
to pay administrative costs associated with the responsibil-
ities of the Office under this chapter.’’. 
SEC. 4. REAUTHORIZATION OF THE NATIONAL COMMUNITY 
ANTI-DRUG COALITION INSTITUTE. 
Section 4(c)(4) of Public Law 107–82 (21 U.S.C. 
1521 note) is amended by striking ‘‘2008 through 2012’’ 
and inserting ‘‘2018 through 2022’’. 
SEC. 5. REAUTHORIZATION OF THE HIGH-INTENSITY DRUG 
TRAFFICKING AREA PROGRAM. 
Section 707(p) of the Office of National Drug Con-
trol Policy Reauthorization Act of 1998 (21 U.S.C. 
1706(p)) is amended— 
(1) in paragraph (4), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (5), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(6) $280,000,000 for each of fiscal years 2018 
through 2022.’’. 
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SEC. 6. REAUTHORIZATION OF DRUG COURT PROGRAM. 
Section 1001(a)(25)(A) of title I of the Omnibus 
Crime Control and Safe Streets Act of 1968 (34 U.S.C. 
10261(a)(25)(A)) is amended by striking ‘‘Except as pro-
vided’’ and all that follows and inserting the following: 
‘‘Except as provided in subparagraph (C), there are au-
thorized to be appropriated to carry out part EE 
$75,000,000 for each of fiscal years 2018 through 2022.’’. 
SEC. 7. DRUG COURT TRAINING AND TECHNICAL ASSIST-
ANCE. 
Section 705 of the Office of National Drug Control 
Policy Reauthorization Act of 1998 (21 U.S.C. 1704) is 
amended by adding at the end the following— 
‘‘(e) DRUG COURT TRAINING AND TECHNICAL AS-
SISTANCE PROGRAM.—Using funds appropriated to carry 
out this title, the Director may make grants to nonprofit 
organizations for the purpose of providing training and 
technical assistance to drug courts.’’. 
SEC. 8. DRUG OVERDOSE RESPONSE STRATEGY. 
Section 707 of the Office of National Drug Control 
Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 
amended by adding at the end the following: 
‘‘(r) DRUG OVERDOSE RESPONSE STRATEGY IMPLE-
MENTATION.—The Director may use funds appropriated 
to carry out this section to implement a drug overdose re-
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sponse strategy in high intensity drug trafficking areas on 
a nationwide basis by— 
‘‘(1) coordinating multi-disciplinary efforts to 
prevent, reduce, and respond to drug overdoses, in-
cluding the uniform reporting of fatal and non-fatal 
overdoses to public health and safety officials; 
‘‘(2) increasing data sharing among public safe-
ty and public health officials concerning drug-related 
abuse trends, including new psychoactive substances, 
and related crime; and 
‘‘(3) enabling collaborative deployment of pre-
vention, intervention, and enforcement resources to 
address substance use addiction and narcotics traf-
ficking.’’. 
SEC. 9. PROTECTING LAW ENFORCEMENT OFFICERS FROM 
ACCIDENTAL EXPOSURE. 
Section 707 of the Office of National Drug Control 
Policy Reauthorization Act of 1998 (21 U.S.C. 1706) is 
amended by adding at the end the following: 
‘‘(s) SUPPLEMENTAL GRANTS.—The Director is au-
thorized to use not more than $10,000,000 of the amounts 
otherwise appropriated to carry out this section to provide 
supplemental competitive grants to high intensity drug 
trafficking areas that have experienced high seizures of 
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fentanyl and new psychoactive substances for the purposes 
of— 
‘‘(1) purchasing portable equipment to test for 
fentanyl and other substances; 
‘‘(2) training law enforcement officers and 
other first responders on best practices for handling 
fentanyl and other substances; and 
‘‘(3) purchasing protective equipment, including 
overdose reversal drugs.’’. 
SEC. 10. COPS ANTI-METH PROGRAM. 
Section 1701 of title I of the Omnibus Crime Control 
and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend-
ed— 
(1) by redesignating subsection (k) as sub-
section (l); and 
(2) by inserting after subsection (j) the fol-
lowing: 
‘‘(k) COPS ANTI-METH PROGRAM.—The Attorney 
General shall use amounts otherwise appropriated to carry 
out this section to make competitive grants, in amounts 
of not less than $1,000,000 for a fiscal year, to State law 
enforcement agencies with high seizures of precursor 
chemicals, finished methamphetamine, laboratories, and 
laboratory dump seizures for the purpose of locating or 
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investigating illicit activities, such as precursor diversion, 
laboratories, or methamphetamine traffickers.’’. 
SEC. 11. COPS ANTI-HEROIN TASK FORCE PROGRAM. 
Section 1701 of title I of the Omnibus Crime Control 
and Safe Streets Act of 1968 (34 U.S.C. 10381) is amend-
ed— 
(1) by redesignating subsection (l), as so redes-
ignated by section 10, as subsection (m); and 
(2) by inserting after subsection (k), as added 
by section 10, the following: 
‘‘(l) COPS ANTI-HEROIN TASK FORCE PROGRAM.— 
The Attorney General shall use amounts otherwise appro-
priated to carry out this section, or other amounts as ap-
propriated, to make competitive grants to State law en-
forcement agencies in States with high per capita rates 
of primary treatment admissions, for the purpose of locat-
ing or investigating illicit activities, through Statewide col-
laboration, relating to the distribution of heroin, fentanyl, 
or carfentanil or relating to the unlawful distribution of 
prescription opioids.’’. 
SEC. 12. COMPREHENSIVE ADDICTION AND RECOVERY ACT 
EDUCATION AND AWARENESS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.) is amended by adding at the 
end the following: 
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‘‘SEC. 550. SERVICES FOR FAMILIES AND PATIENTS IN CRI-
SIS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to entities that focus on addiction and substance use dis-
orders and specialize in family and patient services, advo-
cacy for patients and families, and educational informa-
tion. 
‘‘(b) ALLOWABLE USES.—A grant awarded under 
this section may be used for 1 or more of the following 
activities: 
‘‘(1) To expand phone line or call center serv-
ices with professional, clinical staff that provide, for 
families and individuals impacted by a substance use 
disorder, support, access to treatment resources, 
brief assessments, medication and overdose preven-
tion education, compassionate listening services, re-
covery support or peer specialists, bereavement and 
grief support, and case management. 
‘‘(2) Continued development of health informa-
tion technology systems that leverage new and up-
coming technology and techniques for prevention, 
intervention, and filling resource gaps in commu-
nities that are underserved. 
‘‘(3) To enhance and operate treatment and re-
covery resources, easy-to-read scientific and evi-
dence-based education on addiction and substance 
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use disorders, and other informational tools for fam-
ilies and individuals impacted by a substance use 
disorder and community stakeholders, such as law 
enforcement agencies. 
‘‘(4) To provide training and technical assist-
ance to State and local governments, law enforce-
ment agencies, health care systems, research institu-
tions, and other stakeholders. 
‘‘(5) To expand upon and implement edu-
cational information using evidence-based informa-
tion on substance use disorders. 
‘‘(6) To expand the training of community 
stakeholders, law enforcement officers, and families 
across a broad-range of addiction, health, and re-
lated topics on substance use disorders, local issues 
and community-specific issues related to the drug 
epidemic. 
‘‘(7) Program evaluation. 
‘‘(c) AUTHORIZATION
OF
APPROPRIATIONS.—For 
each of fiscal years 2018 through 2022, the Secretary is 
authorized to award not more than $10,000,000 of 
amounts otherwise appropriated to the Secretary for com-
prehensive opioid abuse reduction activities for purposes 
of carrying out this section.’’. 
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SEC. 13. PROTECTING CHILDREN WITH ADDICTED PAR-
ENTS. 
Part D of title V of the Public Health Service Act 
(42 U.S.C. 290dd et seq.), as amended by section 12, is 
further amended by adding at the end the following: 
‘‘SEC. 551. PROTECTING CHILDREN WITH ADDICTED PAR-
ENTS. 
‘‘(a) BEST
PRACTICES.—The Secretary, acting 
through the Assistant Secretary and in cooperation with 
the Commissioner of the Administration on Children, 
Youth and Families, shall collect and disseminate best 
practices for States regarding interventions and strategies 
to keep families affected by a substance use disorder to-
gether, when it can be done safely. Such best practices 
shall— 
‘‘(1) utilize comprehensive family-centered ap-
proaches; 
‘‘(2) ensure that families have access to drug 
screening, substance use disorder treatment, medica-
tion-assisted treatment approved by the Food and 
Drug Administration, and parental support; and 
‘‘(3) build upon lessons learned from programs 
such as the maternal, infant, and early childhood 
home visiting program under section 511 of the So-
cial Security Act. 
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‘‘(b) GRANT PROGRAM.—The Secretary shall award 
grants to States, units of local government, and tribal gov-
ernments to— 
‘‘(1) develop programs and models designed to 
keep pregnant and post-partum women who have a 
substance use disorder together with their newborns, 
including programs and models that provide for 
screenings of pregnant and post-partum women for 
substance use disorders, treatment interventions, 
supportive housing, nonpharmacological interven-
tions for children born with neonatal abstinence syn-
drome, medication assisted treatment, and other re-
covery supports; and 
‘‘(2) support the attendance of children who 
have a family member living with a substance use 
disorder at therapeutic camps or other therapeutic 
programs aimed at addiction prevention education 
and delaying the onset of first use, providing trusted 
mentors and education on coping strategies that 
these children can use in their daily lives, and family 
support initiatives aimed at keeping these families 
together.’’. 
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SEC. 14. REIMBURSEMENT OF SUBSTANCE USE DISORDER 
TREATMENT PROFESSIONALS. 
(a) GAO REPORT.—Not later than January 1, 2020, 
the Comptroller General of the United States shall submit 
to Congress a report examining how substance use dis-
order services are reimbursed. 
(b) GRANTS TO STATES TO SUPPLEMENT MEDICAID 
REIMBURSEMENT TO CREDENTIALED SUBSTANCE USE 
DISORDER PROFESSIONALS.—The Secretary of Health 
and Human Services is authorized to make grants to 
States for the purpose of supplementing the reimburse-
ment paid to credentialed substance use disorder profes-
sionals (as defined by the Secretary) under the Medicaid 
program under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.). 
SEC. 15. SOBRIETY TREATMENT AND RECOVERY TEAMS 
(START). 
Title V of the Public Health Service Act (42 U.S.C. 
290dd et seq.), as amended by section 13, is further 
amended by adding at the end the following: 
‘‘SEC. 552. SOBRIETY TREATMENT AND RECOVERY TEAMS. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
to States, units of local government, or tribal governments 
to establish or expand Sobriety Treatment And Recovery 
Team (referred to in this section as ‘START’) programs 
to determine the effectiveness of pairing social workers 
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and mentors with families that are struggling with a sub-
stance use disorder and child abuse or neglect in order 
to help provide peer support, intensive treatment, and 
child welfare services. 
‘‘(b) ALLOWABLE USES.—A grant awarded under 
this section may be used for one or more of the following 
activities: 
‘‘(1) Training eligible staff, including social 
workers, social services coordinators, child welfare 
specialists, substance use disorder treatment profes-
sionals, and mentors. 
‘‘(2) Expanding access to substance use dis-
order treatment services and drug testing. 
‘‘(3) Enhancing data sharing with law enforce-
ment agencies and child welfare agencies. 
‘‘(4) Program evaluation. 
‘‘(c) PROGRAM REQUIREMENTS.—A family may be 
eligible to participate in a START program that receives 
funding under this section only if— 
‘‘(1) there is a substantiated record or finding 
of child abuse or neglect within the family; and 
‘‘(2) substance use disorder was the primary 
reason for the record or finding described in para-
graph (1). 
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‘‘(d) AUTHORIZATION
OF
APPROPRIATIONS.—For 
each of fiscal years 2018 through 2022, the Secretary is 
authorized to award not more than $10,000,000 of 
amounts otherwise appropriated to the Secretary for com-
prehensive opioid abuse reduction activities for purposes 
of carrying out this section.’’. 
SEC. 16. PROVIDER EDUCATION. 
Not later than 60 days after the date of enactment 
of this Act, the Attorney General, in consultation with the 
Secretary of Health and Human Services, shall complete 
the plan related to medical registration coordination re-
quired by Senate Report 114–239, which accompanied the 
Veterans Care Financial Protection Act of 2017 (Public 
Law 115–131; 132 Stat. 334). 
Æ 
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