H. R. 6—144 
emergency departments, outpatient clinics, critical access hos-
pitals, Federally qualified health centers, Indian Health Service 
health facilities, and tribal hospitals. 
(e) REPORT TO THE SECRETARY.—Each recipient of a grant under 
this section shall submit to the Secretary (during the period of 
such grant) annual reports on the progress of the program funded 
through the grant. These reports shall include, in accordance with 
all applicable State and Federal privacy laws— 
(1) a description of and specific information about the opioid 
alternative pain management programs, including the demo-
graphic characteristics of patients who were treated with an 
alternative pain management protocol, implemented in hos-
pitals, emergency departments, and other acute care settings; 
(2) data on the opioid alternative pain management strate-
gies used, including the number of opioid prescriptions writ-
ten— 
(A) during a baseline period before the program began; 
or 
(B) at various stages of the program; and 
(3) data on patients who were eventually prescribed opioids 
after alternative pain management protocols and treatments 
were utilized; and 
(4) any other information the Secretary determines appro-
priate. 
(f) REPORT TO CONGRESS.—Not later than 1 year after comple-
tion of the demonstration program under this section, the Secretary 
shall submit a report to the Congress on the results of the dem-
onstration program and include in the report— 
(1) the number of applications received and the number 
funded; 
(2) a summary of the reports described in subsection (e), 
including data that allows for comparison of programs; and 
(3) recommendations for broader implementation of pain 
management strategies that encourage the use of alternatives 
to opioids in hospitals, emergency departments, or other acute 
care settings. 
(g) AUTHORIZATION OF APPROPRIATIONS.—To carry out this sec-
tion, there is authorized to be appropriated $10,000,000 for each 
of fiscal years 2019 through 2021. 
Subtitle K—Treatment, Education, and 
Community Help To Combat Addiction 
SEC. 7101. ESTABLISHMENT OF REGIONAL CENTERS OF EXCELLENCE 
IN SUBSTANCE USE DISORDER EDUCATION. 
Part D of title V of the Public Health Service Act, as amended 
by section 7031, is further amended by adding at the end the 
following new section: 
‘‘SEC. 551. REGIONAL CENTERS OF EXCELLENCE IN SUBSTANCE USE 
DISORDER EDUCATION. 
‘‘(a) IN GENERAL.—The Secretary, in consultation with appro-
priate agencies, shall award cooperative agreements to eligible enti-
ties for the designation of such entities as Regional Centers of 
Excellence in Substance Use Disorder Education for purposes of
H. R. 6—145 
improving health professional training resources with respect to 
substance use disorder prevention, treatment, and recovery. 
‘‘(b) ELIGIBILITY.—To be eligible to receive a cooperative agree-
ment under subsection (a), an entity shall— 
‘‘(1) be an accredited entity that offers education to students 
in various health professions, which may include— 
‘‘(A) a teaching hospital; 
‘‘(B) a medical school; 
‘‘(C) a certified behavioral health clinic; or 
‘‘(D) any other health professions school, school of 
public health, or Cooperative Extension Program at institu-
tions of higher education, as defined in section 101 of 
the Higher Education Act of 1965, engaged in the preven-
tion, treatment, or recovery of substance use disorders; 
‘‘(2) demonstrate community engagement and partnerships 
with community stakeholders, including entities that train 
health professionals, mental health counselors, social workers, 
peer recovery specialists, substance use treatment programs, 
community health centers, physician offices, certified behavioral 
health clinics, research institutions, and law enforcement; and 
‘‘(3) submit to the Secretary an application containing such 
information, at such time, and in such manner, as the Secretary 
may require. 
‘‘(c) ACTIVITIES.—An entity receiving an award under this sec-
tion shall develop, evaluate, and distribute evidence-based resources 
regarding the prevention and treatment of, and recovery from, 
substance use disorders. Such resources may include information 
on— 
‘‘(1) the neurology and pathology of substance use disorders; 
‘‘(2) advancements in the treatment of substance use dis-
orders; 
‘‘(3) techniques and best practices to support recovery from 
substance use disorders; 
‘‘(4) strategies for the prevention and treatment of, and 
recovery from substance use disorders across patient popu-
lations; and 
‘‘(5) other topic areas that are relevant to the objectives 
described in subsection (a). 
‘‘(d) GEOGRAPHIC
DISTRIBUTION.—In awarding cooperative 
agreements under subsection (a), the Secretary shall take into 
account regional differences among eligible entities and shall make 
an effort to ensure geographic distribution. 
‘‘(e) EVALUATION.—The Secretary shall evaluate each project 
carried out by an entity receiving an award under this section 
and shall disseminate the findings with respect to each such evalua-
tion to appropriate public and private entities. 
‘‘(f) FUNDING.—There is authorized to be appropriated to carry 
out this section, $4,000,000 for each of fiscal years 2019 through 
2023.’’. 
SEC. 7102. YOUTH PREVENTION AND RECOVERY. 
(a) SUBSTANCE ABUSE TREATMENT SERVICES
FOR CHILDREN, 
ADOLESCENTS, AND YOUNG ADULTS.—Section 514 of the Public 
Health Service Act (42 U.S.C. 290bb–7) is amended— 
(1) in the section heading, by striking ‘‘CHILDREN AND 
ADOLESCENTS’’ and inserting ‘‘CHILDREN, ADOLESCENTS, AND 
YOUNG ADULTS’’;
H. R. 6—146 
(2) in subsection (a)(2), by striking ‘‘children, including’’ 
and inserting ‘‘children, adolescents, and young adults, 
including’’; and 
(3) by striking ‘‘children and adolescents’’ each place it 
appears and inserting ‘‘children, adolescents, and young adults’’. 
(b) RESOURCE CENTER.—The Secretary of Health and Human 
Services (referred to in this section as the ‘‘Secretary’’, except as 
otherwise provided), in consultation with the Secretary of Education 
and other heads of agencies, including the Assistant Secretary 
for Mental Health and Substance Use and the Administrator of 
the Health Resources and Services Administration, as appropriate, 
shall establish a resource center to provide technical support to 
recipients of grants under subsection (c). 
(c) YOUTH PREVENTION AND RECOVERY INITIATIVE.— 
(1) IN GENERAL.—The Secretary, in consultation with the 
Secretary of Education, shall administer a program to provide 
support for communities to support the prevention of, treatment 
of, and recovery from, substance use disorders for children, 
adolescents, and young adults. 
(2) DEFINITIONS.—In this subsection: 
(A) ELIGIBLE
ENTITY.—The term ‘‘eligible entity’’ 
means— 
(i) a local educational agency that is seeking to 
establish or expand substance use prevention or 
recovery support services at one or more high schools; 
(ii) a State educational agency; 
(iii) an institution of higher education (or consortia 
of such institutions), which may include a recovery 
program at an institution of higher education; 
(iv) a local board or one-stop operator; 
(v) a nonprofit organization with appropriate 
expertise in providing services or programs for chil-
dren, adolescents, or young adults, excluding a school; 
(vi) a State, political subdivision of a State, Indian 
tribe, or tribal organization; or 
(vii) a high school or dormitory serving high school 
students that receives funding from the Bureau of 
Indian Education. 
(B) FOSTER
CARE.—The term ‘‘foster care’’ has the 
meaning given such term in section 1355.20(a) of title 
45, Code of Federal Regulations (or any successor regula-
tions). 
(C) HIGH SCHOOL.—The term ‘‘high school’’ has the 
meaning given such term in section 8101 of the Elementary 
and Secondary Education Act of 1965 (20 U.S.C. 7801). 
(D) HOMELESS YOUTH.—The term ‘‘homeless youth’’ has 
the meaning given the term ‘‘homeless children or youths’’ 
in section 725 of the McKinney-Vento Homeless Assistance 
Act (42 U.S.C. 11434a). 
(E) INDIAN TRIBE; TRIBAL ORGANIZATION.—The terms 
‘‘Indian tribe’’ and ‘‘tribal organization’’ have the meanings 
given such terms in section 4 of the Indian Self-Determina-
tion and Education Assistance Act (25 U.S.C. 5304). 
(F) INSTITUTION
OF
HIGHER
EDUCATION.—The term 
‘‘institution of higher education’’ has the meaning given 
such term in section 101 of the Higher Education Act 
of 1965 (20 U.S.C. 1001) and includes a ‘‘postsecondary
H. R. 6—147 
vocational institution’’ as defined in section 102(c) of such 
Act (20 U.S.C. 1002(c)). 
(G) LOCAL EDUCATIONAL AGENCY.—The term ‘‘local edu-
cational agency’’ has the meaning given such term in sec-
tion 8101 of the Elementary and Secondary Education Act 
of 1965 (20 U.S.C. 7801). 
(H) LOCAL
BOARD; ONE-STOP
OPERATOR.—The terms 
‘‘local board’’ and ‘‘one-stop operator’’ have the meanings 
given such terms in section 3 of the Workforce Innovation 
and Opportunity Act (29 U.S.C. 3102). 
(I) OUT-OF-SCHOOL
YOUTH.—The term ‘‘out-of-school 
youth’’ has the meaning given such term in section 
129(a)(1)(B) of the Workforce Innovation and Opportunity 
Act (29 U.S.C. 3164(a)(1)(B)). 
(J) RECOVERY PROGRAM.—The term ‘‘recovery program’’ 
means a program— 
(i) to help children, adolescents, or young adults 
who are recovering from substance use disorders to 
initiate, stabilize, and maintain healthy and productive 
lives in the community; and 
(ii) that includes peer-to-peer support delivered by 
individuals with lived experience in recovery, and com-
munal activities to build recovery skills and supportive 
social networks. 
(K) STATE
EDUCATIONAL
AGENCY.—The term ‘‘State 
educational agency’’ has the meaning given such term in 
section 8101 of the Elementary and Secondary Education 
Act (20 U.S.C. 7801). 
(3) BEST PRACTICES.—The Secretary, in consultation with 
the Secretary of Education, shall— 
(A) identify or facilitate the development of evidence- 
based best practices for prevention of substance misuse 
and abuse by children, adolescents, and young adults, 
including for specific populations such as youth in foster 
care, homeless youth, out-of-school youth, and youth who 
are at risk of or have experienced trafficking that address— 
(i) primary prevention; 
(ii) appropriate recovery support services; 
(iii) appropriate use of medication-assisted treat-
ment for such individuals, if applicable, and ways of 
overcoming barriers to the use of medication-assisted 
treatment in such population; and 
(iv) efficient and effective communication, which 
may include the use of social media, to maximize out-
reach efforts; 
(B) disseminate such best practices to State educational 
agencies, local educational agencies, schools and dor-
mitories funded by the Bureau of Indian Education, institu-
tions of higher education, recovery programs at institutions 
of higher education, local boards, one-stop operators, family 
and youth homeless providers, and nonprofit organizations, 
as appropriate; 
(C) conduct a rigorous evaluation of each grant funded 
under this subsection, particularly its impact on the indica-
tors described in paragraph (7)(B); and 
(D) provide technical assistance for grantees under 
this subsection.