SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Comprehensive Opioid 
Recovery Centers Act of 2018’’. 
SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS. 
(a) IN GENERAL.—Part D of title V of the Public 
Health Service Act is amended by adding at the end the 
following new section: 
‘‘SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS. 
‘‘(a) IN
GENERAL.—The Secretary shall award 
grants on a competitive basis to eligible entities to estab-
lish or operate a comprehensive opioid recovery center (re-
ferred to in this section as a ‘Center’). 
‘‘(b) GRANT PERIOD.— 
‘‘(1) IN
GENERAL.—A grant awarded under 
subsection (a) shall be for a period not less than 3 
years and not more than 5 years. 
‘‘(2) RENEWAL.—A grant awarded under sub-
section (a) may be renewed, on a competitive basis, 
for additional periods of time, as determined by the 
Secretary. In determining whether to renew a grant 
under this paragraph, the Secretary shall consider 
the data submitted under subsection (h). 
‘‘(c) MINIMUM NUMBER
OF CENTERS.—The Sec-
retary shall allocate the amounts made available under 
subsection (i) in such amounts that not fewer than 10 
Centers will be established across the United States.
‘‘(d) APPLICATION.—In order to be eligible for a 
grant under subsection (a), an entity shall submit an ap-
plication to the Secretary at such time and in such manner 
as the Secretary may require. Such application shall in-
clude— 
‘‘(1) evidence that such entity carries out, or is 
capable of coordinating with other entities to carry 
out, the activities described in subsection (g); and 
‘‘(2) such other information as the Secretary 
may require. 
‘‘(e) PRIORITY.—In awarding grants under sub-
section (a), the Secretary shall give priority to eligible enti-
ties located in a State or Indian country (as defined in 
section 1151 of title 18, United States Code)— 
‘‘(1) with a high per capita drug overdose mor-
tality rate, as determined by the Director of the 
Centers for Disease Control and Prevention; or 
‘‘(2) based on any other criteria or need, as de-
termined by the Secretary. 
‘‘(f) USE
OF GRANT FUNDS.—An eligible entity 
awarded a grant under subsection (a) shall use the grant 
funds to establish or operate a Center to carry out the 
activities described in subsection (g). 
‘‘(g) CENTER ACTIVITIES
AND SERVICES.—Each 
Center shall, at a minimum, carry out the activities de-
scribed in this subsection. In the case of a Center that 
determines that a service described in paragraph (2) can-
not reasonably be carried out by the Center, such Center 
shall contract with such other entities as may be necessary 
to ensure that patients have access to the full range of 
services described in such paragraph. 
‘‘(1) COMMUNITY
OUTREACH.—Each Center 
shall carry out the following outreach activities: 
‘‘(A) Train and supervise outreach staff to 
work with schools, workplaces, faith-based orga-
nizations, State and local health departments, 
law enforcement, and first responders to ensure 
that such institutions are aware of the services 
of the Center. 
‘‘(B) Disseminate and make available on-
line evidence-based resources that educate pro-
fessionals and the public on opioid use disorder 
and other substance use disorders. 
‘‘(2) TREATMENT AND RECOVERY SERVICES.— 
Each Center shall provide the following treatment 
and recovery services: 
‘‘(A) Ensure that intake evaluations meet 
the clinical needs of patients. 
‘‘(B) Periodically conduct patient assess-
ments to ensure continued and meaningful re-
covery, as defined by the Assistant Secretary 
for Mental Health and Substance Use. 
‘‘(C) Provide the full continuum of treat-
ment services, including— 
‘‘(i) all drugs approved under section 
505 of the Federal Food, Drug, and Cos-
metic Act and all biological products li-
censed under section 351 of this Act, in-
cluding methadone, to treat substance use 
disorders, including opioid use disorder 
and alcohol use disorder; 
‘‘(ii) withdrawal management, which 
shall include medically supervised detoxi-
fication that includes patient evaluation, 
stabilization, and readiness for and entry 
into treatment; 
‘‘(iii) counseling and case manage-
ment, including counseling and recovery 
services for any possible co-occurring men-
tal illness; 
‘‘(iv) residential rehabilitation; 
‘‘(v) recovery housing; 
‘‘(vi) community-based and peer re-
covery support services;
‘‘(vii) job training and placement as-
sistance to support reintegration into the 
workforce; and 
‘‘(viii) other best practices, as deter-
mined by the Secretary. 
‘‘(D) Administer an onsite pharmacy and 
provide toxicology services. 
‘‘(E) Establish and operate a secure and 
confidential electronic health information sys-
tem. 
‘‘(F) Offer family support services such as 
child care, family counseling, and parenting 
interventions to help stabilize families impacted 
by substance use disorder. 
‘‘(h) DATA
REPORTING
AND
PROGRAM
OVER-
SIGHT.—With respect to a grant awarded under sub-
section (a) to an eligible entity for a Center, not later than 
90 days after the end of the first year of the grant period, 
and annually thereafter for the duration of the grant pe-
riod (including the duration of any renewal period for such 
grant), the entity shall submit data, as appropriate, to the 
Secretary regarding— 
‘‘(1) the programs and activities funded by the 
grant;
‘‘(2) health outcomes of individuals with a sub-
stance use disorder who received services from the 
Center; 
‘‘(3) the effectiveness of interventions designed, 
tested, and evaluated by the Center; and 
‘‘(4) any other information that the Secretary 
may require for the purpose of— 
‘‘(A) evaluating the effectiveness of the 
Center; and 
‘‘(B) ensuring that the Center is complying 
with all the requirements of the grant, including 
providing the full continuum of services de-
scribed in subsection (g)(2)(C) and providing 
drugs and devices for overdose reversal under 
such subsection. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated $10,000,000 for each of fis-
cal years 2019 through 2023 for purposes of carrying out 
this section.’’. 
(b) REPORTS TO CONGRESS.— 
(1) PRELIMINARY REPORT.—Not later than 3 
years after the date of the enactment of this Act, the 
Secretary of Health and Human Services shall sub-
mit to Congress a preliminary report that analyzes
data submitted under section 550(h) of the Public 
Health Service Act, as added by subsection (a). 
(2) FINAL
REPORT.—Not later than 1 year 
after submitting the preliminary report required 
under paragraph (1), the Secretary of Health and 
Human Services shall submit to Congress a final re-
port that includes— 
(A) an evaluation of the effectiveness of 
comprehensive opioid recovery centers estab-
lished or operated pursuant to section 550 of 
the Public Health Service Act, as added by sub-
section (a); 
(B) recommendations on whether the grant 
program established under such section 550 
should be reauthorized and expanded; and 
(C) standards and best practices for the 
treatment of substance use disorders, as identi-
fied through such grant program. 
Passed the House of Representatives June 12, 2018. 
Attest: 
Clerk.