retary’’) shall use any funds appropriated pursuant to the 
authorization of appropriations under subsection (c) to 
carry out the programs and activities described in sub-
section (d) to address the opioid and substance use epi-
demic. Such funds shall be in addition to any funds which 
are otherwise available to carry out such programs and 
activities. 
(b) OPIOID EPIDEMIC RESPONSE FUND.— 
(1) ESTABLISHMENT OF ACCOUNT.—There is 
established in the Treasury an account, to be known 
as the Opioid Epidemic Response Fund (referred to 
in this subsection as the ‘‘Funds’’), for purposes of 
funding the programs and activities described in 
subsection (d). 
(2) TRANSFER.—For each of fiscal years 2018 
through 2022, $5,000,000,000 shall be transferred 
to the Fund from the general fund of the Treasury. 
(3) 
AMOUNTS
DEPOSITED.—Any 
amounts 
transferred under paragraph (2) shall remain un-
available in the Fund until such amounts are appro-
priated pursuant to subsection (c). 
(c) APPROPRIATIONS.— 
(1) AUTHORIZATION OF APPROPRIATIONS.—For 
the period of fiscal years 2018 through 2022, there 
is authorized to be appropriated from the Fund to 
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS
the Department of Health and Human Services, for 
the purpose of carrying out the programs and activi-
ties described in subsection (d), an amount not to 
exceed the total amount transferred to the Fund 
under subsection (b)(2), to remain available until ex-
pended. 
(2) OFFSETTING FUTURE APPROPRIATIONS.— 
For any of fiscal years 2018 through 2022, for any 
discretionary appropriation to the Department of 
Health and Human Services (or any agency therein) 
pursuant to the authorization of appropriations 
under paragraph (1) for the purpose of carrying out 
the programs and activities described in subsection 
(d), the total amount of such appropriations for the 
applicable fiscal year (not to exceed the total amount 
remaining in the Account) shall be subtracted from 
the estimate of discretionary budget authority and 
the resulting outlays for any estimate under the 
Congressional Budget and Impoundment Control 
Act of 1974 or the Balanced Budget and Emergency 
Deficit Control Act of 1985, and the amount trans-
ferred to the Fund shall be reduced by the same 
amount. 
(d) PROGRAMS
AND
ACTIVITIES.—Of the total 
amount authorized to be appropriated from the Fund to 
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS
the Department of Health and Human Services by sub-
section (c)(1), such amount shall be allocated as follows: 
(1) SAMHSA.—For the Substance Abuse and 
Mental Health Services Administration to carry out 
programs and activities pursuant to section 102, 
$3,650,000,000 for each of fiscal years 2018 
through 2022. 
(2) CDC.—For the Centers for Disease Control 
and Prevention to carry out programs and activities 
pursuant to section 103, $500,000,000 for each of 
fiscal years 2018 through 2022. 
(3) FDA.—For the Food and Drug Adminis-
tration to carry out programs and activities pursu-
ant to section 104, $65,000,000 for each of fiscal 
years 2018 through 2022. 
(4) NIH.—For the National Institutes of 
Health to carry out programs and activities pursu-
ant to section 105, $500,000,000 for each of fiscal 
years 2018 through 2022. 
(5) HRSA.—For the Health Resources and 
Services Administration to carry out programs and 
activities pursuant to section 106, $235,000,000 for 
each of fiscal years 2018 through 2022. 
(6) ACF.—For the Administration for Children 
and Families to carry out programs and activities 
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS
pursuant to section 107, $50,000,000 for each of 
fiscal years 2018 through 2022. 
(e) ACCOUNTABILITY AND OVERSIGHT.— 
(1) WORK PLAN.— 
(A) IN
GENERAL.—Not later than 180 
days after the date of enactment of this Act, 
the Secretary of Health and Human Services 
shall submit to the Committee on Health, Edu-
cation, Labor, and Pensions and the Committee 
on Appropriations of the Senate and the Com-
mittee on Energy and Commerce and the Com-
mittee on Appropriations of the House of Rep-
resentatives, a work plan including the proposed 
allocation of funds appropriated pursuant to the 
authorization of appropriations under sub-
section (c) for each of fiscal years 2018 through 
2022 and the contents described in subpara-
graph (B). 
(B) CONTENTS.—The work plan submitted 
under subparagraph (A) shall include— 
(i) the amount of money to be obli-
gated or expended out of the Fund in each 
fiscal year for each program and activity 
described in subsection (d); and 
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS
(ii) a description and justification of 
each such program and activity. 
(2) REPORTS.— 
(A) ANNUAL
REPORTS.—Not later than 
October 1 of each of fiscal years 2019 through 
2023, the Secretary of Health and Human 
Services shall submit to the Committee on 
Health, Education, Labor, and Pensions and 
the Committee on Appropriations of the Senate 
and the Committee on Energy and Commerce 
and the Committee on Appropriations of the 
House of Representatives, a report including— 
(i) the amount of money obligated or 
expended out of the Fund in the prior fis-
cal year for each program and activity de-
scribed in subsection (d); 
(ii) a description of all programs and 
activities using funds provided pursuant to 
the authorization of appropriations under 
subsection (c); and 
(iii) how the programs and activities 
are responding to the opioid epidemic. 
(B) ADDITIONAL
REPORTS.—At the re-
quest of the Committee on Health, Education, 
Labor, and Pensions or the Committee on Ap-
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS
propriations of the Senate, or the Committee on 
Energy and Commerce or the Committee on 
Appropriations of the House of Representatives, 
the Commissioner shall provide an update in 
the form of testimony and any additional re-
ports to the respective congressional committee 
regarding the allocation of funding under this 
section or the description of the programs and 
activities undertaken with such funding. 
(f) LIMITATIONS.—Notwithstanding any transfer au-
thority authorized by this Act or any appropriations Act, 
any funds made available pursuant to the authorization 
of appropriations under subsection (c) may not be used 
for any purpose other than the programs and activities 
described in subsection (d) to address the opioid and sub-
stance use epidemic. 
(g) SUNSET.—This section shall expire at the end of 
fiscal year 2027. 
SEC. 102. SUBSTANCE ABUSE AND MENTAL HEALTH SERV-
ICES ADMINISTRATION. 
The entirety of the funds made available pursuant to 
section 101(d)(1) shall be for carrying out subsections (c) 
and (d) of section 1003 of the 21st Century Cures Act, 
as amended by section 203. 
VerDate Sep 11 2014 
03:36 Feb 08, 2018
Jkt 079200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H4938.IH
H4938
lotter on DSKBCFDHB2PROD with BILLS