I 
119TH CONGRESS 
1ST SESSION H. R. 4342 
To amend the 21st Century Cures Act to improve the administration, 
oversight, and impact of opioid use disorder grants, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 10, 2025 
Mr. MCDOWELL introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
A BILL 
To amend the 21st Century Cures Act to improve the admin-
istration, oversight, and impact of opioid use disorder 
grants, and for other purposes. 
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 ‘‘Clarity for Opioid-Use 
Reduction and Expenditures Act’’ or the ‘‘CURE Act’’. 
SEC. 2. IMPROVING ADMINISTRATION, OVERSIGHT, AND IM-
PACT OF OPIOID USE DISORDER GRANTS. 
(a) ACCOUNTABILITY AND OVERSIGHT.—Subsection 
(c) of section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3a) is amended to read as follows: 
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‘‘(c) ACCOUNTABILITY AND OVERSIGHT.— 
‘‘(1) STANDARDIZED SYSTEM FOR DATA COL-
LECTION.—The Secretary shall develop and imple-
ment a standardized system for collecting data from 
States receiving grants under subsection (b). 
‘‘(2) SUBMISSION OF DATA.—A State receiving 
a grant under subsection (b) shall submit to the Sec-
retary, through the standardized system referred to 
in paragraph (1), on a quarterly basis, a description 
of— 
‘‘(A) the purposes for which the grant 
funds received by the State under such sub-
section for the preceding fiscal year were ex-
pended and a description of the activities of the 
State under the grant; 
‘‘(B) the ultimate recipients of amounts 
provided to the State, including the name, loca-
tion, and taxpayer identification number of any 
grant subrecipients; 
‘‘(C) the number of individuals served 
through the grant; and 
‘‘(D) such other information as determined 
appropriate by the Secretary. 
‘‘(3) USE OF OTHER FEDERAL GRANT-TRACK-
ING
SYSTEMS.—The Secretary shall, in collecting 
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data through the standardized system referred to in 
paragraph (1), to the extent feasible, make use of 
other Federal grant-tracking systems to avoid dupli-
cation of efforts.’’. 
(b) REPORT TO CONGRESS.—Section 1003(f) of the 
21st Century Cures Act (42 U.S.C. 290ee–3a(f)) is 
amended— 
(1) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) the activities of the recipients and sub-
recipients of the grants; and’’; and 
(2) by amending paragraph (3) to read as fol-
lows: 
‘‘(3) each entity that receives a grant or is a 
subrecipient of a grant under this section, including 
the funding level provided to such recipient or sub-
recipient.’’. 
(c) APPLICABILITY.—The amendments made by sub-
sections (a) and (b) shall apply beginning 180 days after 
the date of enactment of this Act. 
Æ 
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