HR 7666 RFS
‘‘(e) APPLICATION.—An entity desiring an award 
under subsection (b) shall submit an application to the 
Secretary at such time, in such manner, and accompanied 
by such information as the Secretary may reasonably re-
quire. 
‘‘(f) REPORT.—Not later than 3 years after the date 
of the enactment of the Restoring Hope for Mental Health 
and Well-Being Act of 2022, and annually thereafter, the 
Secretary shall prepare and submit, to the Committee on 
Health, Education, Labor, and Pensions of the Senate, 
and the Committee on Energy and Commerce of the 
House of Representatives, a report describing the services 
provided pursuant to this section. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section, 
$40,000,000 for each of fiscal years 2023 through 2027.’’. 
Subtitle B—Summer Barrow Pre-
vention, Treatment, and Recov-
ery 
SEC. 211. GRANTS FOR THE BENEFIT OF HOMELESS INDI-
VIDUALS. 
Section 506(e) of the Public Health Service Act (42 
U.S.C. 290aa–5(e)) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00077
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
SEC. 212. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS 
OF REGIONAL AND NATIONAL SIGNIFICANCE. 
Section 509 of the Public Health Service Act (42 
U.S.C. 290bb–2) is amended— 
(1) in the section heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; 
(2) in subsection (a)— 
(A) by striking ‘‘tribes and tribal organiza-
tions (as the terms ‘Indian tribes’ and ‘tribal 
organizations’ 
are 
defined’’ 
and 
inserting 
‘‘Tribes and Tribal organizations (as such 
terms are defined’’; and 
(B) in paragraph (3), by striking ‘‘in sub-
stance abuse’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE DIS-
ORDER’’; and 
(4) in subsection (f), by striking ‘‘$333,806,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$521,517,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 213. EVIDENCE-BASED PRESCRIPTION OPIOID AND 
HEROIN TREATMENT AND INTERVENTIONS 
DEMONSTRATION. 
Section 514B of the Public Health Service Act (42 
U.S.C. 290bb–10) is amended— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00078
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
(1) in subsection (a)(1)— 
(A) by striking ‘‘substance abuse’’ and in-
serting ‘‘substance use disorder’’; 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; and 
(C) by striking ‘‘addiction’’ and inserting 
‘‘substance use disorders’’; 
(2) in subsection (e)(3), by striking ‘‘tribes and 
tribal organizations’’ and inserting ‘‘Tribes and 
Tribal organizations’’; and 
(3) in subsection (f), by striking ‘‘2017 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
SEC. 214. PRIORITY SUBSTANCE USE DISORDER PREVEN-
TION NEEDS OF REGIONAL AND NATIONAL 
SIGNIFICANCE. 
Section 516 of the Public Health Service Act (42 
U.S.C. 290bb–22) is amended— 
(1) in subsection (a)— 
(A) in paragraph (3), by striking ‘‘abuse’’ 
and inserting ‘‘use’’; and 
(B) in the matter following paragraph (3), 
by striking ‘‘tribes or tribal organizations’’ and 
inserting ‘‘Tribes or Tribal organizations’’; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00079
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
(2) in subsection (b), in the subsection heading, 
by striking ‘‘ABUSE’’ and inserting ‘‘USE DIS-
ORDER’’; and 
(3) in subsection (f), by striking ‘‘$211,148,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$218,219,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 215. SOBER TRUTH ON PREVENTING (STOP) UNDER-
AGE DRINKING REAUTHORIZATION. 
Section 519B of the Public Health Service Act (42 
U.S.C. 290bb–25b) is amended— 
(1) by amending subsection (a) to read as fol-
lows: 
‘‘(a) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘alcohol beverage industry’ 
means the brewers, vintners, distillers, importers, 
distributors, and retail or online outlets that sell or 
serve beer, wine, and distilled spirits. 
‘‘(2) The term ‘school-based prevention’ means 
programs, which are institutionalized, and run by 
staff members or school-designated persons or orga-
nizations in any grade of school, kindergarten 
through 12th grade. 
‘‘(3) The term ‘youth’ means persons under the 
age of 21.’’; and 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00080
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
(2) by striking subsections (c) through (g) and 
inserting the following: 
‘‘(c) INTERAGENCY COORDINATING COMMITTEE; AN-
NUAL REPORT ON STATE UNDERAGE DRINKING PREVEN-
TION AND ENFORCEMENT ACTIVITIES.— 
‘‘(1) INTERAGENCY COORDINATING COMMITTEE 
ON THE PREVENTION OF UNDERAGE DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary, in col-
laboration with the Federal officials specified in 
subparagraph (B), shall continue to support 
and enhance the efforts of the interagency co-
ordinating committee, that began operating in 
2004, focusing on underage drinking (referred 
to in this subsection as the ‘Committee’). 
‘‘(B) OTHER AGENCIES.—The officials re-
ferred to in subparagraph (A) are the Secretary 
of Education, the Attorney General, the Sec-
retary of Transportation, the Secretary of the 
Treasury, the Secretary of Defense, the Sur-
geon General, the Director of the Centers for 
Disease Control and Prevention, the Director of 
the National Institute on Alcohol Abuse and Al-
coholism, the Assistant Secretary for Mental 
Health and Substance Use, the Director of the 
National Institute on Drug Abuse, the Assist-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00081
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
ant Secretary for Children and Families, the 
Director of the Office of National Drug Control 
Policy, the Administrator of the National High-
way Traffic Safety Administration, the Admin-
istrator of the Office of Juvenile Justice and 
Delinquency Prevention, the Chairman of the 
Federal Trade Commission, and such other 
Federal officials as the Secretary of Health and 
Human Services determines to be appropriate. 
‘‘(C) CHAIR.—The Secretary of Health 
and Human Services shall serve as the chair of 
the Committee. 
‘‘(D) DUTIES.—The Committee shall guide 
policy and program development across the 
Federal Government with respect to underage 
drinking, provided, however, that nothing in 
this section shall be construed as transferring 
regulatory or program authority from an Agen-
cy to the Coordinating Committee. 
‘‘(E) CONSULTATIONS.—The Committee 
shall actively seek the input of and shall consult 
with all appropriate and interested parties, in-
cluding States, public health research and inter-
est groups, foundations, and alcohol beverage 
industry trade associations and companies. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00082
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(I) Patterns and consequences 
of underage drinking as reported in 
research and surveys such as, but not 
limited to, Monitoring the Future, 
Youth Risk Behavior Surveillance 
System, the National Survey on Drug 
Use and Health, and the Fatality 
Analysis Reporting System. 
‘‘(II) Measures of the availability 
of alcohol from commercial and non- 
commercial sources to underage popu-
lations. 
‘‘(III) Measures of the exposure 
of underage populations to messages 
regarding alcohol in advertising, social 
media, and the entertainment media. 
‘‘(IV) Surveillance data, includ-
ing information on the onset and 
prevalence of underage drinking, con-
sumption patterns, beverage pref-
erences, prevalence of drinking among 
students at institutions of higher edu-
cation, correlations between adult and 
youth drinking, and the means of un-
derage access, including trends over 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00084
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
time for these surveillance data. The 
Secretary shall develop a plan to im-
prove the collection, measurement, 
and consistency of reporting Federal 
underage alcohol data. 
‘‘(V) Any additional findings re-
sulting from research conducted or 
supported under subsection (f). 
‘‘(VI) Evidence-based best prac-
tices to prevent and reduce underage 
drinking including a review of the re-
search literature related to State laws, 
regulations, and policies designed to 
prevent and reduce underage drink-
ing, 
as 
described 
in 
paragraph 
(2)(B)(i). 
‘‘(2) ANNUAL
REPORT
ON
STATE
UNDERAGE 
DRINKING PREVENTION AND ENFORCEMENT ACTIVI-
TIES.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
with input and collaboration from other appro-
priate Federal agencies, States, Indian Tribes, 
territories, and public health, consumer, and al-
cohol beverage industry groups, annually issue 
a report on each State’s performance in enact-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00085
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
ing, enforcing, and creating laws, regulations, 
and policies to prevent or reduce underage 
drinking based on an assessment of best prac-
tices 
developed 
pursuant 
to 
paragraph 
(1)(F)(ii)(VI) and subparagraph (B)(i). For 
purposes of this paragraph, each such report, 
with respect to a year, shall be referred to as 
the ‘State Report’. Each State Report shall be 
designed as a resource tool for Federal agencies 
assisting States in the their underage drinking 
prevention efforts, State public health and law 
enforcement agencies, State and local policy-
makers, and underage drinking prevention coa-
litions including those receiving grants pursuant 
to subsection (e). 
‘‘(B) STATE PERFORMANCE MEASURES.— 
‘‘(i) IN
GENERAL.—The Secretary 
shall develop, in consultation with the 
Committee, a set of measures to be used in 
preparing the State Report on best prac-
tices as they relate to State laws, regula-
tions, policies, and enforcement practices. 
‘‘(ii) STATE REPORT CONTENT.—The 
State Report shall include updates on 
State laws, regulations, and policies in-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00086
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
cluded in previous reports to Congress, in-
cluding with respect to the following: 
‘‘(I) Whether or not the State 
has 
comprehensive 
anti-underage 
drinking laws such as for the illegal 
sale, purchase, attempt to purchase, 
consumption, or possession of alcohol; 
illegal use of fraudulent ID; illegal 
furnishing or obtaining of alcohol for 
an individual under 21 years; the de-
gree of strictness of the penalties for 
such offenses; and the prevalence of 
the enforcement of each of these in-
fractions. 
‘‘(II) Whether or not the State 
has comprehensive liability statutes 
pertaining to underage access to alco-
hol such as dram shop, social host, 
and house party laws, and the preva-
lence of enforcement of each of these 
laws. 
‘‘(III) Whether or not the State 
encourages and conducts comprehen-
sive enforcement efforts to prevent 
underage access to alcohol at retail 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00087
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
outlets, such as random compliance 
checks and shoulder tap programs, 
and the number of compliance checks 
within alcohol retail outlets measured 
against the number of total alcohol re-
tail outlets in each State, and the re-
sult of such checks. 
‘‘(IV) Whether or not the State 
encourages training on the proper 
selling and serving of alcohol for all 
sellers and servers of alcohol as a con-
dition of employment. 
‘‘(V) Whether or not the State 
has policies and regulations with re-
gard to direct sales to consumers and 
home delivery of alcoholic beverages. 
‘‘(VI) Whether or not the State 
has programs or laws to deter adults 
from purchasing alcohol for minors; 
and the number of adults targeted by 
these programs. 
‘‘(VII) Whether or not the State 
has enacted graduated drivers licenses 
and the extent of those provisions. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00088
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(iii) ADDITIONAL
CATEGORIES.—In 
addition to the updates on State laws, reg-
ulations, and policies listed in clause (ii), 
the Secretary shall consider the following: 
‘‘(I) Whether or not States have 
adopted laws, regulations, and policies 
that deter underage alcohol use, as 
described in ‘The Surgeon General’s 
Call to Action to Prevent and Reduce 
Underage Drinking’ issued in 2007 
and ‘Facing Addiction in America: 
The Surgeon General’s Report on Al-
cohol, Drugs and Health’ issued in 
2016, including restrictions on low- 
price, high-volume drink specials, and 
wholesaler pricing provisions. 
‘‘(II) Whether or not States have 
adopted laws, regulations, and policies 
designed to reduce alcohol advertising 
messages attractive to youth and 
youth exposure to alcohol advertising 
and marketing in measured and 
unmeasured media and digital and so-
cial media. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00089
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(III) Whether or not States 
have laws and policies that promote 
underage drinking prevention policy 
development by local jurisdictions. 
‘‘(IV) Whether or not States 
have adopted laws, regulations, and 
policies to restrict youth access to al-
coholic beverages that may pose spe-
cial risks to youth, including but not 
limited to alcoholic mists, gelatins, 
freezer pops, premixed caffeinated al-
coholic beverages, and flavored malt 
beverages. 
‘‘(V) Whether or not States have 
adopted uniform best practices proto-
cols for conducting compliance checks 
and shoulder tap programs. 
‘‘(VI) Whether or not States 
have adopted uniform best practices 
penalty protocols for violations of laws 
prohibiting retail licensees from sell-
ing or furnishing of alcohol to minors. 
‘‘(iv) UNIFORM
DATA
SYSTEM.—For 
performance measures related to enforce-
ment of underage drinking laws as speci-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00090
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
fied in clauses (ii) and (iii), the Secretary 
shall develop and test a uniform data sys-
tem for reporting State enforcement data, 
including the development of a pilot pro-
gram for this purpose. The pilot program 
shall include procedures for collecting en-
forcement data from both State and local 
law enforcement jurisdictions. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $1,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(d) NATIONAL MEDIA CAMPAIGN TO PREVENT UN-
DERAGE DRINKING.— 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the National Highway Traffic Safety Ad-
ministration, shall develop an intensive, multifaceted, 
adult-oriented national media campaign to reduce 
underage drinking by influencing attitudes regarding 
underage drinking, increasing the willingness of 
adults to take actions to reduce underage drinking, 
and encouraging public policy changes known to de-
crease underage drinking rates. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00091
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(2) PURPOSE.—The purpose of the national 
media campaign described in this section shall be to 
achieve the following objectives: 
‘‘(A) Instill a broad societal commitment to 
reduce underage drinking. 
‘‘(B) Increase specific actions by adults 
that are meant to discourage or inhibit under-
age drinking. 
‘‘(C) Decrease adult conduct that tends to 
facilitate or condone underage drinking. 
‘‘(3) COMPONENTS.—When implementing the 
national media campaign described in this section, 
the Secretary shall— 
‘‘(A) educate the public about the public 
health and safety benefits of evidence-based 
policies to reduce underage drinking, including 
minimum legal drinking age laws, and build 
public and parental support for and cooperation 
with enforcement of such policies; 
‘‘(B) educate the public about the negative 
consequences of underage drinking; 
‘‘(C) promote specific actions by adults 
that are meant to discourage or inhibit under-
age drinking, including positive behavior mod-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00092
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
eling, general parental monitoring, and con-
sistent and appropriate discipline; 
‘‘(D) discourage adult conduct that tends 
to facilitate underage drinking, including the 
hosting of underage parties with alcohol and 
the purchasing of alcoholic beverages on behalf 
of underage youth; 
‘‘(E) establish collaborative relationships 
with local and national organizations and insti-
tutions to further the goals of the campaign 
and assure that the messages of the campaign 
are disseminated from a variety of sources; 
‘‘(F) conduct the campaign through multi- 
media sources; and 
‘‘(G) conduct the campaign with regard to 
changing demographics and cultural and lin-
guistic factors. 
‘‘(4) CONSULTATION REQUIREMENT.—In devel-
oping and implementing the national media cam-
paign described in this section, the Secretary shall 
consult recommendations for reducing underage 
drinking published by the National Academy of 
Sciences and the Surgeon General. The Secretary 
shall also consult with interested parties including 
medical, public health, and consumer and parent 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00093
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
groups, law enforcement, institutions of higher edu-
cation, community organizations and coalitions, and 
other stakeholders supportive of the goals of the 
campaign. 
‘‘(5) ANNUAL
REPORT.—The Secretary shall 
produce an annual report on the progress of the de-
velopment or implementation of the media campaign 
described in this subsection, including expenses and 
projected costs, and, as such information is avail-
able, report on the effectiveness of such campaign in 
affecting adult attitudes toward underage drinking 
and adult willingness to take actions to decrease un-
derage drinking. 
‘‘(6) RESEARCH
ON
YOUTH-ORIENTED
CAM-
PAIGN.—The Secretary may, based on the avail-
ability of funds, conduct research on the potential 
success of a youth-oriented national media campaign 
to reduce underage drinking. The Secretary shall re-
port any such results to Congress with policy rec-
ommendations on establishing such a campaign. 
‘‘(7) ADMINISTRATION.—The Secretary may 
enter into a subcontract with another Federal agen-
cy to delegate the authority for execution and ad-
ministration of the adult-oriented national media 
campaign. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00094
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(8) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this section $2,500,000 for each of fiscal years 2023 
through 2027. 
‘‘(e) COMMUNITY-BASED COALITION ENHANCEMENT 
GRANTS TO PREVENT UNDERAGE DRINKING.— 
‘‘(1) AUTHORIZATION OF PROGRAM.—The As-
sistant Secretary for Mental Health and Substance 
Use, in consultation with the Director of the Office 
of National Drug Control Policy, shall award en-
hancement grants to eligible entities to design, im-
plement, evaluate, and disseminate comprehensive 
strategies to maximize the effectiveness of commu-
nity-wide approaches to preventing and reducing un-
derage drinking. This subsection is subject to the 
availability of appropriations. 
‘‘(2) PURPOSES.—The purposes of this sub-
section are to— 
‘‘(A) prevent and reduce alcohol use among 
youth in communities throughout the United 
States; 
‘‘(B) strengthen collaboration among com-
munities, the Federal Government, Tribal Gov-
ernments, and State and local governments; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00095
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
‘‘(C) enhance intergovernmental coopera-
tion and coordination on the issue of alcohol 
use among youth; 
‘‘(D) serve as a catalyst for increased cit-
izen participation and greater collaboration 
among all sectors and organizations of a com-
munity that first demonstrates a long-term 
commitment to reducing alcohol use among 
youth; 
‘‘(E) implement state-of-the-art science- 
based strategies to prevent and reduce underage 
drinking by changing local conditions in com-
munities; and 
‘‘(F) enhance, not supplant, effective local 
community initiatives for preventing and reduc-
ing alcohol use among youth. 
‘‘(3) APPLICATION.—An eligible entity desiring 
an enhancement grant under this subsection shall 
submit an application to the Assistant Secretary at 
such time, and in such manner, and accompanied by 
such information and assurances, as the Assistant 
Secretary may require. Each application shall in-
clude— 
‘‘(A) a complete description of the entity’s 
current underage alcohol use prevention initia-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00096
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
tives and how the grant will appropriately en-
hance the focus on underage drinking issues; or 
‘‘(B) a complete description of the entity’s 
current initiatives, and how it will use this 
grant to enhance those initiatives by adding a 
focus on underage drinking prevention. 
‘‘(4) USES
OF
FUNDS.—Each eligible entity 
that receives a grant under this subsection shall use 
the grant funds to carry out the activities described 
in such entity’s application submitted pursuant to 
paragraph (3) and obtain specialized training and 
technical assistance by the entity funded under sec-
tion 4 of Public Law 107–82, as amended (21 
U.S.C. 1521 note). Grants under this subsection 
shall not exceed $60,000 per year and may not ex-
ceed four years. 
‘‘(5) SUPPLEMENT
NOT
SUPPLANT.—Grant 
funds provided under this subsection shall be used to 
supplement, not supplant, Federal and non-Federal 
funds available for carrying out the activities de-
scribed in this subsection. 
‘‘(6) EVALUATION.—Grants under this sub-
section shall be subject to the same evaluation re-
quirements and procedures as the evaluation re-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00097
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
quirements and procedures imposed on recipients of 
drug-free community grants. 
‘‘(7) DEFINITIONS.—For purposes of this sub-
section, the term ‘eligible entity’ means an organiza-
tion that is currently receiving or has received grant 
funds under the Drug-Free Communities Act of 
1997. 
‘‘(8) ADMINISTRATIVE
EXPENSES.—Not more 
than 6 percent of a grant under this subsection may 
be expended for administrative expenses. 
‘‘(9) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $11,500,000 for each of fiscal years 
2023 through 2027. 
‘‘(f) GRANTS
TO PROFESSIONAL PEDIATRIC PRO-
VIDER ORGANIZATIONS TO REDUCE UNDERAGE DRINK-
ING
THROUGH
SCREENING
AND
BRIEF
INTERVEN-
TIONS.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary for Mental Health 
and Substance Use, shall make one or more grants 
to professional pediatric provider organizations to in-
crease among the members of such organizations ef-
fective practices to reduce the prevalence of alcohol 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00098
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
HR 7666 RFS
use among individuals under the age of 21, including 
college students. 
‘‘(2) PURPOSES.—Grants under this subsection 
shall be made to promote the practices of— 
‘‘(A) screening adolescents for alcohol use; 
‘‘(B) offering brief interventions to adoles-
cents to discourage such use; 
‘‘(C) educating parents about the dangers 
of and methods of discouraging such use; 
‘‘(D) diagnosing and treating alcohol use 
disorders; and 
‘‘(E) referring patients, when necessary, to 
other appropriate care. 
‘‘(3) USE OF FUNDS.—A professional pediatric 
provider organization receiving a grant under this 
section may use the grant funding to promote the 
practices specified in paragraph (2) among its mem-
bers by— 
‘‘(A) providing training to health care pro-
viders; 
‘‘(B) disseminating best practices, includ-
ing culturally and linguistically appropriate best 
practices, and developing, printing, and distrib-
uting materials; and 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00099
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
100 
HR 7666 RFS
‘‘(C) supporting other activities approved 
by the Assistant Secretary. 
‘‘(4) APPLICATION.—To be eligible to receive a 
grant under this subsection, a professional pediatric 
provider organization shall submit an application to 
the Assistant Secretary at such time, and in such 
manner, and accompanied by such information and 
assurances as the Secretary may require. Each ap-
plication shall include— 
‘‘(A) a description of the pediatric provider 
organization; 
‘‘(B) a description of the activities to be 
completed that will promote the practices speci-
fied in paragraph (2); 
‘‘(C) a description of the organization’s 
qualifications for performing such practices; 
and 
‘‘(D) a timeline for the completion of such 
activities. 
‘‘(5) DEFINITIONS.—For the purpose of this 
subsection: 
‘‘(A) BRIEF
INTERVENTION.—The term 
‘brief intervention’ means, after screening a pa-
tient, providing the patient with brief advice 
and other brief motivational enhancement tech-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00100
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
101 
HR 7666 RFS
niques designed to increase the insight of the 
patient regarding the patient’s alcohol use, and 
any realized or potential consequences of such 
use to effect the desired related behavioral 
change. 
‘‘(B) ADOLESCENTS.—The term ‘adoles-
cents’ means individuals under 21 years of age. 
‘‘(C) PROFESSIONAL PEDIATRIC PROVIDER 
ORGANIZATION.—The term ‘professional pedi-
atric provider organization’ means an organiza-
tion or association that— 
‘‘(i) consists of or represents pediatric 
health care providers; and 
‘‘(ii) is qualified to promote the prac-
tices specified in paragraph (2). 
‘‘(D) SCREENING.—The term ‘screening’ 
means using validated patient interview tech-
niques to identify and assess the existence and 
extent of alcohol use in a patient. 
‘‘(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $3,000,000 for each of fiscal years 
2023 through 2027. 
‘‘(g) DATA COLLECTION AND RESEARCH.— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00101
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
102 
HR 7666 RFS
‘‘(1) ADDITIONAL
RESEARCH
ON
UNDERAGE 
DRINKING.— 
‘‘(A) IN GENERAL.—The Secretary shall, 
subject to the availability of appropriations, col-
lect data, and conduct or support research that 
is not duplicative of research currently being 
conducted or supported by the Department of 
Health and Human Services, on underage 
drinking, with respect to the following: 
‘‘(i) Improve data collection in sup-
port of evaluation of the effectiveness of 
comprehensive community-based programs 
or strategies and statewide systems to pre-
vent and reduce underage drinking, across 
the underage years from early childhood to 
age 21, such as programs funded and im-
plemented by governmental entities, public 
health interest groups and foundations, 
and alcohol beverage companies and trade 
associations, through the development of 
models of State-level epidemiological sur-
veillance of underage drinking by funding 
in States or large metropolitan areas new 
epidemiologists focused on excessive drink-
ing including underage alcohol use. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00102
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
103 
HR 7666 RFS
‘‘(ii) Obtain and report more precise 
information than is currently collected on 
the scope of the underage drinking prob-
lem and patterns of underage alcohol con-
sumption, including improved knowledge 
about the problem and progress in pre-
venting, reducing, and treating underage 
drinking, as well as information on the 
rate of exposure of youth to advertising 
and other media messages encouraging and 
discouraging alcohol consumption. 
‘‘(iii) Synthesize, expand on, and 
widely disseminate existing research on ef-
fective strategies for reducing underage 
drinking, including translational research, 
and make this research easily accessible to 
the general public. 
‘‘(iv) Improve and conduct public 
health surveillance on alcohol use and alco-
hol-related conditions in States by increas-
ing the use of surveys, such as the Behav-
ioral Risk Factor Surveillance System, to 
monitor binge and excessive drinking and 
related harms among individuals who are 
at least 18 years of age, but not more than 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00103
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
104 
HR 7666 RFS
20 years of age, including harm caused to 
self or others as a result of alcohol use 
that is not duplicative of research currently 
being conducted or supported by the De-
partment of Health and Human Services. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
to carry out this paragraph $5,000,000 for each 
of fiscal years 2023 through 2027. 
‘‘(2) 
NATIONAL
ACADEMY
OF
SCIENCES 
STUDY.— 
‘‘(A) IN
GENERAL.—Not later than 12 
months after the enactment of the Restoring 
Hope for Mental Health and Well-Being Act of 
2022, the Secretary shall— 
‘‘(i) contract with the National Acad-
emy of Sciences to study developments in 
research on underage drinking and the 
public policy implications of these develop-
ments; and 
‘‘(ii) report to the Congress on the re-
sults of such review. 
‘‘(B) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—There is authorized to be appropriated 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00104
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
105 
HR 7666 RFS
to carry out this paragraph $500,000 for fiscal 
year 2023.’’. 
SEC. 216. GRANTS FOR JAIL DIVERSION PROGRAMS. 
Section 520G of the Public Health Service Act (42 
U.S.C. 290bb–38) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘up to 125’’; and 
(B) by striking ‘‘tribes and tribal organiza-
tions’’ and inserting ‘‘Tribes and Tribal organi-
zations’’; 
(2) in subsection (b)(2), by striking ‘‘tribes, and 
tribal organizations’’ and inserting ‘‘Tribes, and 
Tribal organizations’’; 
(3) in subsection (c)— 
(A) in paragraph (1), by striking ‘‘tribe or 
tribal organization’’ and inserting ‘‘Tribe or 
Tribal organization, health facility or program 
described in subsection (a), or public or non-
profit entity referred to in subsection (a)’’; and 
(B) in paragraph (2)(A)(iii), by striking 
‘‘tribe, or tribal organization’’ and inserting 
‘‘Tribe, or Tribal organization’’; 
(4) in subsection (e)— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00105
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
106 
HR 7666 RFS
(A) in the matter preceding paragraph (1), 
by striking ‘‘tribe, or tribal organization’’ and 
inserting ‘‘Tribe, or Tribal organization’’; and 
(B) in paragraph (5), by striking ‘‘or ar-
rest’’ and inserting ‘‘, arrest, or release’’; 
(5) in subsection (f), by striking ‘‘tribe, or trib-
al organization’’ each place it appears and inserting 
‘‘Tribe, or Tribal organization’’; 
(6) in subsection (h), by striking ‘‘tribe, or trib-
al organization’’ and inserting ‘‘Tribe, or Tribal or-
ganization’’; and 
(7) in subsection (j), by striking ‘‘$4,269,000 
for each of fiscal years 2018 through 2022’’ and in-
serting ‘‘$14,000,000 for each of fiscal years 2023 
through 2027’’. 
SEC. 217. FORMULA GRANTS TO STATES. 
Section 521 of the Public Health Service Act (42 
U.S.C. 290cc–21) is amended by striking ‘‘2018 through 
2022’’ and inserting ‘‘2023 through 2027’’. 
SEC. 218. PROJECTS FOR ASSISTANCE IN TRANSITION 
FROM HOMELESSNESS. 
Section 535(a) of the Public Health Service Act (42 
U.S.C. 290cc–35(a)) is amended by striking ‘‘2018 
through 2022’’ and inserting ‘‘2023 through 2027’’. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00106
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
107 
HR 7666 RFS
SEC. 219. GRANTS FOR REDUCING OVERDOSE DEATHS. 
(a) GRANTS.— 
(1) REPEAL OF MAXIMUM GRANT AMOUNT.— 
Paragraph (2) of section 544(a) of the Public 
Health Service Act (42 U.S.C. 290dd–3(a)) is here-
by repealed. 
(2) ELIGIBLE
ENTITY; SUBGRANTS.—Section 
544(a) of the Public Health Service Act (42 U.S.C. 
290dd–3(a)) is amended by striking paragraph (3) 
and inserting the following: 
‘‘(2) ELIGIBLE ENTITY.—For purposes of this 
section, the term ‘eligible entity’ means a State, Ter-
ritory, locality, Indian Tribe (as defined in the Fed-
erally Recognized Indian Tribe List Act of 1994), 
Tribal organization, or Urban Indian organization 
(as those terms are defined in section 4 of the In-
dian Health Care Improvement Act). 
‘‘(3) SUBGRANTS.—For the purposes for which 
a grant is awarded under this section, the eligible 
entity receiving the grant may award subgrants to a 
Federally qualified health center (as defined in sec-
tion 1861(aa) of the Social Security Act), an opioid 
treatment program (as defined in section 8.2 of title 
42, Code of Federal Regulations (or any successor 
regulations)), any practitioner dispensing narcotic 
drugs pursuant to section 303(g) of the Controlled 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00107
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
108 
HR 7666 RFS
Substances Act, or any nonprofit organization that 
the Secretary deems appropriate.’’. 
(3) PRESCRIBING.—Section 544(a)(4) of the 
Public Health Service Act (42 U.S.C. 290dd– 
3(a)(4)) is amended— 
(A) in subparagraph (A), by inserting ‘‘, 
including patients prescribed with both an 
opioid and a benzodiazepine’’ before the semi-
colon at the end; and 
(B) in subparagraph (D), by striking 
‘‘drug overdose’’ and inserting ‘‘substance over-
dose’’. 
(4) USE OF FUNDS.—Paragraph (5) of section 
544(c) of the Public Health Service Act (42 U.S.C. 
290dd–3(c)) is amended to read as follows: 
‘‘(5) To establish protocols to connect patients 
who have experienced an overdose with appropriate 
treatment, including overdose reversal medications, 
medication assisted treatment, and appropriate 
counseling and behavioral therapies.’’. 
(5) IMPROVING ACCESS TO OVERDOSE TREAT-
MENT.—Section 544 of the Public Health Service 
Act (42 U.S.C. 290dd–3) is amended— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00108
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
109 
HR 7666 RFS
(A) 
by 
redesignating 
subsections 
(d) 
through (f) as subsections (e) through (g), re-
spectively; 
(B) in subsection (f), as so redesignated, 
by striking ‘‘subsection (d)’’ and inserting ‘‘sub-
section (e)’’; and 
(C) by inserting after subsection (c) the 
following: 
‘‘(d) IMPROVING ACCESS
TO OVERDOSE TREAT-
MENT.— 
‘‘(1) INFORMATION ON BEST PRACTICES.— 
‘‘(A) HEALTH
AND
HUMAN
SERVICES.— 
The Secretary of Health and Human Services 
may provide information to States, localities, 
Indian Tribes, Tribal organizations, and Urban 
Indian organizations on best practices for pre-
scribing or co-prescribing a drug or device ap-
proved, cleared, or otherwise authorized under 
the Federal Food, Drug, and Cosmetic Act for 
emergency treatment of known or suspected 
opioid overdose, including for patients receiving 
chronic opioid therapy and patients being treat-
ed for opioid use disorders. 
‘‘(B) DEFENSE.—The Secretary of De-
fense may provide information to prescribers 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00109
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
110 
HR 7666 RFS
within Department of Defense medical facilities 
on best practices for prescribing or co-pre-
scribing a drug or device approved, cleared, or 
otherwise authorized under the Federal Food, 
Drug, and Cosmetic Act for emergency treat-
ment of known or suspected opioid overdose, in-
cluding for patients receiving chronic opioid 
therapy and patients being treated for opioid 
use disorders. 
‘‘(C) VETERANS AFFAIRS.—The Secretary 
of Veterans Affairs may provide information to 
prescribers within Department of Veterans Af-
fairs medical facilities on best practices for pre-
scribing or co-prescribing a drug or device ap-
proved, cleared, or otherwise authorized under 
the Federal Food, Drug, and Cosmetic Act for 
emergency treatment of known or suspected 
opioid overdose, including for patients receiving 
chronic opioid therapy and patients being treat-
ed for opioid use disorders. 
‘‘(2) RULE
OF
CONSTRUCTION.—Nothing in 
this subsection shall be construed as establishing or 
contributing to a medical standard of care.’’. 
(6) AUTHORIZATION
OF
APPROPRIATIONS.— 
Section 544(g) of the Public Health Service Act (42 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00110
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
111 
HR 7666 RFS
U.S.C. 290dd–3), as redesignated, is amended by 
striking ‘‘fiscal years 2017 through 2021’’ and in-
serting ‘‘fiscal years 2023 through 2027’’. 
(7) TECHNICAL AMENDMENTS.— 
(A) Section 544 of the Public Health Serv-
ice Act (42 U.S.C. 290dd–3), as amended, is 
further amended by striking ‘‘approved or 
cleared’’ each place it appears and inserting 
‘‘approved, cleared, or otherwise authorized’’. 
(B) Section 107 of the Comprehensive Ad-
diction and Recovery Act of 2016 (Public Law 
114–198) is amended by striking subsection 
(b). 
SEC. 220. OPIOID OVERDOSE REVERSAL MEDICATION AC-
CESS AND EDUCATION GRANT PROGRAMS. 
(a) GRANTS.—Section 545 of the Public Health Serv-
ice Act (42 U.S.C. 290ee) is amended— 
(1) in the section heading, by striking ‘‘AC-
CESS AND EDUCATION GRANT PROGRAMS’’ and 
inserting ‘‘ACCESS, EDUCATION, AND
CO-PRE-
SCRIBING GRANT PROGRAMS’’; 
(2) in the heading of subsection (a), by striking 
‘‘GRANTS TO STATES’’ and inserting ‘‘GRANTS’’; 
(3) in subsection (a), by striking ‘‘shall make 
grants to States’’ and inserting ‘‘shall make grants 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00111
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
112 
HR 7666 RFS
to States, localities, Indian Tribes (as defined by the 
Federally Recognized Indian Tribe List Act of 
1994), Tribal organizations, and Urban Indian orga-
nizations (as those terms are defined in section 4 of 
the Indian Health Care Improvement Act)’’; 
(4) in subsection (a)(1), by striking ‘‘implement 
strategies for pharmacists to dispense a drug or de-
vice’’ and inserting ‘‘implement strategies that in-
crease access to drugs or devices’’; 
(5) by redesignating paragraphs (3) and (4) as 
paragraphs (4) and (5), respectively; and 
(6) by inserting after paragraph (2) the fol-
lowing: 
‘‘(3) encourage health care providers to co-pre-
scribe, as appropriate, drugs or devices approved, 
cleared, or otherwise authorized under the Federal 
Food, Drug, and Cosmetic Act for emergency treat-
ment of known or suspected opioid overdose;’’. 
(b) GRANT PERIOD.—Section 545(d)(2) of the Public 
Health Service Act (42 U.S.C. 290ee(d)(2)) is amended 
by striking ‘‘3 years’’ and inserting ‘‘5 years’’. 
(c) LIMITATION.—Paragraph (3) of section 545(d) of 
the Public Health Service Act (42 U.S.C. 290ee(d)) is 
amended to read as follows: 
‘‘(3) LIMITATIONS.—A State may— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00112
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
113 
HR 7666 RFS
‘‘(A) use not more than 10 percent of a 
grant under this section for educating the pub-
lic pursuant to subsection (a)(5); and 
‘‘(B) use not less than 20 percent of a 
grant under this section to offset cost-sharing 
for distribution and dispensing of drugs or de-
vices approved, cleared, or otherwise authorized 
under the Federal Food, Drug, and Cosmetic 
Act for emergency treatment of known or sus-
pected opioid overdose.’’. 
(d) AUTHORIZATION OF APPROPRIATIONS.—Section 
545(h)(1) of the Public Health Service Act, is amended 
by striking ‘‘fiscal years 2017 through 2019’’ and insert-
ing ‘‘fiscal years 2023 through 2027’’. 
(e) TECHNICAL AMENDMENT.—Section 545 of the 
Public Health Service Act (42 U.S.C. 290ee), as amended, 
is further amended by striking ‘‘approved or cleared’’ each 
place it appears and inserting ‘‘approved, cleared, or oth-
erwise authorized’’. 
SEC. 221. STATE DEMONSTRATION GRANTS FOR COM-
PREHENSIVE OPIOID ABUSE RESPONSE. 
Section 548 of the Public Health Service Act (42 
U.S.C. 290ee–3) is amended— 
(1) in the section heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00113
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
114 
HR 7666 RFS
(2) in subsection (b)— 
(A) in the subsection heading, by striking 
‘‘ABUSE’’ and inserting ‘‘USE DISORDER’’; 
(B) in paragraph (1), by striking ‘‘abuse’’ 
and inserting ‘‘use disorder’’; 
(C) in paragraph (2)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘abuse’’ and insert-
ing ‘‘use disorder’’; 
(ii) in subparagraph (A), by striking 
‘‘opioid use, treatment, and addiction re-
covery’’ and inserting ‘‘opioid use dis-
orders, and treatment for, and recovery 
from opioid use disorders’’; 
(iii) in subparagraph (C), by striking 
‘‘addiction’’ each place it appears and in-
serting ‘‘use disorder’’; 
(iv) by amending subparagraph (D) to 
read as follows: 
‘‘(D) developing, implementing, and ex-
panding efforts to prevent overdose death from 
opioid or other prescription medication use dis-
orders; and’’; and 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00114
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
115 
HR 7666 RFS
(v) in subparagraph (E), by striking 
‘‘abuse’’ and inserting ‘‘use disorders’’; 
and 
(D) in paragraph (4), by striking ‘‘abuse’’ 
each place it appears and inserting ‘‘use dis-
orders’’; and 
(3) by striking ‘‘2017 through 2021’’ and in-
serting ‘‘2023 through 2027’’. 
SEC. 222. EMERGENCY DEPARTMENT ALTERNATIVES TO 
OPIOIDS. 
Section 7091 of the SUPPORT for Patients and 
Communities Act (Public Law 115–271) is amended— 
(1) in the section heading, by striking ‘‘DEM-
ONSTRATION’’ (and by conforming the item relat-
ing to such section in the table of contents in section 
1(b)); 
(2) in subsection (a)— 
(A) by amending the subsection heading to 
read as follows: ‘‘GRANT PROGRAM’’; and 
(B) in paragraph (1), by striking ‘‘dem-
onstration’’; 
(3) in subsection (b), in the subsection heading, 
by striking ‘‘DEMONSTRATION’’; 
(4) in subsection (d)(4), by striking ‘‘tribal’’ 
and inserting ‘‘Tribal’’; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00115
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
116 
HR 7666 RFS
(5) in subsection (f), by striking ‘‘Not later 
than 1 year after completion of the demonstration 
program under this section, the Secretary shall sub-
mit a report to the Congress on the results of the 
demonstration program’’ and inserting ‘‘Not later 
than the end of each of fiscal years 2024 and 2027, 
the Secretary shall submit to the Congress a report 
on the results of the program’’; and 
(6) in subsection (g), by striking ‘‘2019 through 
2021’’ and inserting ‘‘2023 through 2027’’. 
Subtitle C—Excellence in Recovery 
Housing 
SEC. 231. CLARIFYING THE ROLE OF SAMHSA IN PRO-
MOTING THE AVAILABILITY OF HIGH-QUAL-
ITY RECOVERY HOUSING. 
Section 501(d) of the Public Health Service Act (42 
U.S.C. 290aa) is amended— 
(1) in paragraph (24)(E), by striking ‘‘and’’ at 
the end; 
(2) in paragraph (25), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(26) collaborate with national accrediting enti-
ties, reputable providers, organizations or individuals 
with established expertise in delivery of recovery 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00116
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
117 
HR 7666 RFS
housing services, States, Federal agencies (including 
the Department of Health and Human Services, the 
Department of Housing and Urban Development, 
and the agencies listed in section 550(e)(2)(B)), and 
other relevant stakeholders, to promote the avail-
ability of high-quality recovery housing and services 
for individuals with a substance use disorder.’’. 
SEC. 232. DEVELOPING GUIDELINES FOR STATES TO PRO-
MOTE THE AVAILABILITY OF HIGH-QUALITY 
RECOVERY HOUSING. 
Section 550(a) of the Public Health Service Act (42 
U.S.C. 290ee–5(a)) (relating to national recovery housing 
best practices) is amended— 
(1) by amending paragraph (1) to read as fol-
lows: 
‘‘(1) IN GENERAL.—The Secretary, in consulta-
tion with the individuals and entities specified in 
paragraph (2), shall build on existing best practices 
and previously developed guidelines to develop and 
periodically update consensus-based best practices, 
which may include model laws for implementing sug-
gested minimum standards for operating, and pro-
moting the availability of, high-quality recovery 
housing.’’; 
(2) in paragraph (2)— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00117
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
118 
HR 7666 RFS
(A) by striking subparagraphs (A) and (B) 
and inserting the following: 
‘‘(A) Officials representing the agencies de-
scribed in subsection (e)(2).’’; and 
(B) by redesignating subparagraphs (C) 
through (G) as subparagraphs (B) through (F), 
respectively; and 
(3) by adding at the end the following: 
‘‘(3) AVAILABILITY.—The best practices re-
ferred to in paragraph (1) shall be— 
‘‘(A) made publicly available; and 
‘‘(B) published on the public website of the 
Substance Abuse and Mental Health Services 
Administration. 
‘‘(4) EXCLUSION
OF
GUIDELINE
ON
TREAT-
MENT
SERVICES.—In developing the guidelines 
under paragraph (1), the Secretary may not include 
any guidelines with respect to substance use disorder 
treatment services.’’. 
SEC. 233. COORDINATION OF FEDERAL ACTIVITIES TO PRO-
MOTE 
THE 
AVAILABILITY 
OF 
RECOVERY 
HOUSING. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing 
best practices) is amended— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00118
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
119 
HR 7666 RFS
(1) by redesignating subsections (e), (f), and 
(g) as subsections (g), (h), and (i), respectively; and 
(2) by inserting after subsection (d) the fol-
lowing: 
‘‘(e) COORDINATION OF FEDERAL ACTIVITIES TO 
PROMOTE THE AVAILABILITY OF HOUSING FOR INDIVID-
UALS
EXPERIENCING
HOMELESSNESS, 
INDIVIDUALS 
WITH A MENTAL ILLNESS, AND INDIVIDUALS WITH A 
SUBSTANCE USE DISORDER.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Assistant Secretary, and the Secretary 
of Housing and Urban Development shall convene 
an interagency working group for the following pur-
poses: 
‘‘(A) To increase collaboration, coopera-
tion, and consultation among the Department 
of Health and Human Services, the Department 
of Housing and Urban Development, and the 
Federal agencies listed in paragraph (2)(B), 
with respect to promoting the availability of 
housing, including recovery housing, for individ-
uals experiencing homelessness, individuals with 
mental illnesses, and individuals with substance 
use disorder. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00119
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
120 
HR 7666 RFS
‘‘(B) To align the efforts of such agencies 
and avoid duplication of such efforts by such 
agencies. 
‘‘(C) To develop objectives, priorities, and 
a long-term plan for supporting State, Tribal, 
and local efforts with respect to the operation 
of recovery housing that is consistent with the 
best practices developed under this section. 
‘‘(D) To coordinate enforcement of fair 
housing practices, as appropriate, among Fed-
eral and State agencies. 
‘‘(E) To coordinate data collection on the 
quality of recovery housing. 
‘‘(2) COMPOSITION.—The interagency working 
group under paragraph (1) shall be composed of— 
‘‘(A) the Secretary, acting through the As-
sistant Secretary, and the Secretary of Housing 
and Urban Development, who shall serve as the 
co-chairs; and 
‘‘(B) representatives of each of the fol-
lowing Federal agencies: 
‘‘(i) The Centers for Medicare & Med-
icaid Services. 
‘‘(ii) The Substance Abuse and Men-
tal Health Services Administration. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00120
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
121 
HR 7666 RFS
‘‘(iii) The Health Resources and Serv-
ices Administration. 
‘‘(iv) The Office of Inspector General. 
‘‘(v) The Indian Health Service. 
‘‘(vi) The Department of Agriculture. 
‘‘(vii) The Department of Justice. 
‘‘(viii) The Office of National Drug 
Control Policy. 
‘‘(ix) The Bureau of Indian Affairs. 
‘‘(x) The Department of Labor. 
‘‘(xi) The Department of Veterans Af-
fairs. 
‘‘(xii) Any other Federal agency as 
the co-chairs determine appropriate. 
‘‘(3) MEETINGS.—The working group shall 
meet on a quarterly basis. 
‘‘(4) REPORTS TO CONGRESS.—Not later than 
4 years after the date of the enactment of this sec-
tion, the working group shall submit to the Com-
mittee on Energy and Commerce, the Committee on 
Ways and Means, the Committee on Agriculture, 
and the Committee on Financial Services of the 
House of Representatives and the Committee on 
Health, Education, Labor, and Pensions, the Com-
mittee on Agriculture, Nutrition, and Forestry, and 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00121
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
122 
HR 7666 RFS
the Committee on Finance of the Senate a report 
describing the work of the working group and any 
recommendations of the working group to improve 
Federal, State, and local coordination with respect 
to recovery housing and other housing resources and 
operations for individuals experiencing homelessness, 
individuals with a mental illness, and individuals 
with a substance use disorder.’’. 
SEC. 234. NAS STUDY AND REPORT. 
(a) IN GENERAL.—Not later than 60 days after the 
date of enactment of this Act, the Secretary of Health and 
Human Services, acting through the Assistant Secretary 
for Mental Health and Substance Use shall— 
(1) contract with the National Academies of 
Sciences, Engineering, and Medicine— 
(A) to study the quality and effectiveness 
of recovery housing in the United States and 
whether the availability of such housing meets 
demand; and 
(B) to identify recommendations to pro-
mote the availability of high-quality recovery 
housing; and 
(2) report to the Congress on the results of 
such review. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00122
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
123 
HR 7666 RFS
(b) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section there is authorized to be appropriated 
$1,500,000 for fiscal year 2023. 
SEC. 235. GRANTS FOR STATES TO PROMOTE THE AVAIL-
ABILITY OF RECOVERY HOUSING AND SERV-
ICES. 
Section 550 of the Public Health Service Act (42 
U.S.C. 290ee–5) (relating to national recovery housing 
best practices), as amended by sections 232 and 233, is 
further amended by inserting after subsection (e) (as in-
serted by section 233) the following: 
‘‘(f) GRANTS FOR IMPLEMENTING NATIONAL RECOV-
ERY HOUSING BEST PRACTICES.— 
‘‘(1) IN GENERAL.—The Secretary shall award 
grants to States (and political subdivisions thereof), 
Tribes, and territories— 
‘‘(A) for the provision of technical assist-
ance to implement the guidelines and rec-
ommendations developed under subsection (a); 
and 
‘‘(B) to promote— 
‘‘(i) the availability of recovery hous-
ing for individuals with a substance use 
disorder; and 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00123
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
124 
HR 7666 RFS
‘‘(ii) the maintenance of recovery 
housing in accordance with best practices 
developed under this section. 
‘‘(2) STATE
PROMOTION
PLANS.—Not later 
than 90 days after receipt of a grant under para-
graph (1), and every 2 years thereafter, each State 
(or political subdivisions thereof,) Tribe, or territory 
receiving a grant under paragraph (1) shall submit 
to the Secretary, and publish on a publicly accessible 
internet website of the State (or political subdivi-
sions thereof), Tribe, or territory— 
‘‘(A) the plan of the State (or political sub-
divisions thereof), Tribe, or territory, with re-
spect to the promotion of recovery housing for 
individuals with a substance use disorder lo-
cated within the jurisdiction of such State (or 
political subdivisions thereof), Tribe, or terri-
tory; and 
‘‘(B) a description of how such plan is con-
sistent with the best practices developed under 
this section.’’. 
SEC. 236. FUNDING. 
Subsection (i) of section 550 of the Public Health 
Service Act (42 U.S.C. 290ee–5) (relating to national re-
covery housing best practices), as redesignated by section 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00124
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
125 
HR 7666 RFS
233, is amended by striking ‘‘$3,000,000 for the period 
of fiscal years 2019 through 2021’’ and inserting 
‘‘$5,000,000 for the period of fiscal years 2023 through 
2027’’. 
SEC. 237. TECHNICAL CORRECTION. 
Title V of the Public Health Service Act (42 U.S.C. 
290aa et seq.) is amended— 
(1) by redesignating section 550 (relating to 
Sobriety Treatment and Recovery Teams) (42 
U.S.C. 290ee–10), as added by section 8214 of Pub-
lic Law 115–271, as section 550A; and 
(2) by moving such section so it appears after 
section 550 (relating to national recovery housing 
best practices). 
Subtitle D—Substance Use Preven-
tion, Treatment, and Recovery 
Services Block Grant 
SEC. 241. ELIMINATING STIGMATIZING LANGUAGE RELAT-
ING TO SUBSTANCE USE. 
(a) BLOCK GRANTS FOR PREVENTION AND TREAT-
MENT OF SUBSTANCE USE.—Part B of title XIX of the 
Public Health Service Act (42 U.S.C. 300x et seq.) is 
amended— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00125
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
126 
HR 7666 RFS
(1) in the part heading, by striking ‘‘SUB-
STANCE
ABUSE’’ and inserting ‘‘SUBSTANCE 
USE’’; 
(2) in subpart II, by amending the subpart 
heading to read as follows: ‘‘Block Grants for 
Substance Use Prevention, Treatment, 
and Recovery Services’’; 
(3) in section 1922(a) (42 U.S.C. 300x– 
22(a))— 
(A) in paragraph (1), in the matter pre-
ceding subparagraph (A), by striking ‘‘sub-
stance abuse’’ and inserting ‘‘substance use dis-
orders’’; and 
(B) by striking ‘‘such abuse’’ each place it 
appears in paragraphs (1) and (2) and insert-
ing ‘‘such disorders’’; 
(4) in section 1923 (42 U.S.C. 300x–23)— 
(A) in the section heading, by striking 
‘‘SUBSTANCE
ABUSE’’ and inserting ‘‘SUB-
STANCE USE’’; and 
(B) in subsection (a), by striking ‘‘drug 
abuse’’ and inserting ‘‘substance use disorders’’; 
(5) in section 1925(a)(1) (42 U.S.C. 300x– 
25(a)(1)), by striking ‘‘alcohol or drug abuse’’ and 
inserting ‘‘alcohol or other substance use disorders’’; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00126
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
129 
HR 7666 RFS
(3) in section 1976 (42 U.S.C. 300y–11), by 
striking ‘‘intravenous abuse’’ each place it appears 
and inserting ‘‘intravenous use’’. 
SEC. 242. AUTHORIZED ACTIVITIES. 
Section 1921(b) of the Public Health Service Act (42 
U.S.C. 300x–21(b)) is amended by striking ‘‘prevent and 
treat substance use disorders’’ and inserting ‘‘prevent, 
treat, and provide recovery support services for substance 
use disorders’’. 
SEC. 243. REQUIREMENTS RELATING TO CERTAIN INFEC-
TIOUS 
DISEASES 
AND 
HUMAN 
IMMUNO-
DEFICIENCY VIRUS. 
Section 1924 of the Public Health Service Act (42 
U.S.C. 300x–24) is amended— 
(1) in the section heading, by striking ‘‘TUBER-
CULOSIS
AND
HUMAN
IMMUNODEFICIENCY 
VIRUS’’ and inserting ‘‘TUBERCULOSIS, VIRAL 
HEPATITIS, AND HUMAN IMMUNODEFICIENCY 
VIRUS’’; 
(2) by amending subsection (a)(2) to read as 
follows: 
‘‘(2) DESIGNATED STATES.— 
‘‘(A) FISCAL
YEARS
THROUGH
FISCAL 
YEAR 2024.—For purposes of this subsection, 
through September 30, 2024, a State described 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00129
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
130 
HR 7666 RFS
in this paragraph is any State whose rate of 
cases of acquired immune deficiency syndrome 
is 10 or more such cases per 100,000 individ-
uals (as indicated by the number of such cases 
reported to and confirmed by the Director of 
the Centers for Disease Control and Prevention 
for the most recent calendar year for which 
such data are available). 
‘‘(B) FISCAL YEAR 2025 AND SUCCEEDING 
FISCAL YEARS.— 
‘‘(i) IN
GENERAL.—Beginning with 
fiscal year 2025, for purposes of this sub-
section, a State described in this para-
graph is any State whose rate of cases of 
human immunodeficiency virus is 10 or 
more such cases per 100,000 individuals 
(as indicated by the number of such cases 
newly reported to and confirmed by the Di-
rector of the Centers for Disease Control 
and Prevention for the most recent cal-
endar year for which such data are avail-
able). 
‘‘(ii) CONTINUATION OF DESIGNATED 
STATE STATUS.—In the case of a State 
whose rate of cases of human immuno-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00130
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
131 
HR 7666 RFS
deficiency virus falls below the threshold 
specified in clause (i) for a calendar year, 
such State shall, notwithstanding clause 
(i), continue to be described in this para-
graph unless the rate of cases falls below 
such threshold for three consecutive cal-
endar years.’’. 
(3) by redesignating subsections (c) and (d) as 
subsections (d) and (e), respectively; and 
(4) by inserting after subsection (b) the fol-
lowing: 
‘‘(c) VIRAL HEPATITIS.— 
‘‘(1) IN GENERAL.—A funding agreement for a 
grant under section 1921 is that the State involved 
will require that any entity receiving amounts from 
the grant for operating a program of treatment for 
substance use disorders— 
‘‘(A) will, directly or through arrangements 
with other public or nonprofit private entities, 
routinely make available viral hepatitis services 
to each individual receiving treatment for such 
disorders; and 
‘‘(B) in the case of an individual in need 
of such treatment who is denied admission to 
the program on the basis of the lack of the ca-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00131
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
132 
HR 7666 RFS
pacity of the program to admit the individual, 
will refer the individual to another provider of 
viral hepatitis services. 
‘‘(2) VIRAL
HEPATITIS
SERVICES.—For pur-
poses of paragraph (1), the term ‘viral hepatitis 
services’, with respect to an individual, means— 
‘‘(A) screening the individual for viral hep-
atitis; and 
‘‘(B) referring the individual to a provider 
whose practice includes viral hepatitis vaccina-
tion and treatment.’’. 
SEC. 244. STATE PLAN REQUIREMENTS. 
Section 1932(b)(1)(A) of the Public Health Service 
Act (42 U.S.C. 300x–32(b)(1)(A)) is amended— 
(1) by redesignating clauses (vi) through (ix) as 
clauses (vii) through (x), respectively; and 
(2) by inserting after clause (v) the following: 
‘‘(vi) provides a description of— 
‘‘(I) the State’s comprehensive 
statewide recovery support services ac-
tivities, including the number of indi-
viduals being served, target popu-
lations, and priority needs; and 
‘‘(II) the amount of funds re-
ceived under this subpart expended on 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00132
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
133 
HR 7666 RFS
recovery 
support 
services, 
disaggregated by the amount ex-
pended for type of service activity;’’. 
SEC. 245. UPDATING CERTAIN LANGUAGE RELATING TO 
TRIBES. 
Section 1933(d) of the Public Health Service Act (42 
U.S.C. 300x–33(d)) is amended— 
(1) in paragraph (1)— 
(A) in subparagraph (A)— 
(i) by striking ‘‘of an Indian tribe or 
tribal organization’’ and inserting ‘‘of an 
Indian Tribe or Tribal organization’’; and 
(ii) by striking ‘‘such tribe’’ and in-
serting ‘‘such Tribe’’; 
(B) in subparagraph (B)— 
(i) by striking ‘‘tribe or tribal organi-
zation’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(ii) by striking ‘‘Secretary under this’’ 
and inserting ‘‘Secretary under this sub-
part’’; and 
(C) in the matter following subparagraph 
(B), by striking ‘‘tribe or tribal organization’’ 
and inserting ‘‘Tribe or Tribal organization’’; 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00133
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
134 
HR 7666 RFS
(2) by amending paragraph (2) to read as fol-
lows: 
‘‘(2) INDIAN TRIBE OR TRIBAL ORGANIZATION 
AS
GRANTEE.—The amount reserved by the Sec-
retary on the basis of a determination under this 
subsection shall be granted to the Indian Tribe or 
Tribal organization serving the individuals for whom 
such a determination has been made.’’; 
(3) in paragraph (3), by striking ‘‘tribe or trib-
al organization’’ and inserting ‘‘Tribe or Tribal or-
ganization’’; and 
(4) in paragraph (4)— 
(A) in the paragraph heading, by striking 
‘‘DEFINITION’’ and inserting ‘‘DEFINITIONS’’; 
and 
(B) by striking ‘‘The terms’’ and all that 
follows through ‘‘given such terms’’ and insert-
ing the following: ‘‘The terms ‘Indian Tribe’ 
and ‘Tribal organization’ have the meanings 
given the terms ‘Indian tribe’ and ‘tribal orga-
nization’ ’’. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00134
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
136 
HR 7666 RFS
SEC. 248. STUDY ON ASSESSMENT FOR USE IN DISTRIBU-
TION OF LIMITED STATE RESOURCES. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Assistant Secretary 
for Mental Health and Substance Use (in this section re-
ferred to as the ‘‘Secretary’’), shall, in consultation with 
States and other local entities providing prevention, treat-
ment, or recovery support services related to substance 
use, conduct a study to develop a model needs assessment 
process for States to consider to help determine how best 
to allocate block grant funding received under subpart II 
of part B of title XIX of the Public Health Service Act 
(42 U.S.C. 300x–21) to provide services to substance use 
disorder prevention, treatment, and recovery support. The 
study shall include cost estimates with each model needs 
assessment process. 
(b) REPORT.—Not later than 2 years after the date 
of the enactment of this Act, the Secretary shall submit 
to the Committee on Energy and Commerce of the House 
of Representatives and the Committee on Health, Edu-
cation, Labor, and Pensions of the Senate a report on the 
results of the study conducted under paragraph (1). 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00136
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
137 
HR 7666 RFS
Subtitle E—Timely Treatment for 
Opioid Use Disorder 
SEC. 251. STUDY ON EXEMPTIONS FOR TREATMENT OF 
OPIOID USE DISORDER THROUGH OPIOID 
TREATMENT PROGRAMS DURING THE COVID– 
19 PUBLIC HEALTH EMERGENCY. 
(a) STUDY.—The Assistant Secretary for Mental 
Health and Substance Use shall conduct a study, in con-
sultation with patients and other stakeholders, on activi-
ties carried out pursuant to exemptions granted— 
(1) to a State (including the District of Colum-
bia or any territory of the United States) or an 
opioid treatment program; 
(2) pursuant to section 8.11(h) of title 42, Code 
of Federal Regulations; and 
(3) during the period— 
(A) beginning on the declaration of the 
public health emergency for the COVID–19 
pandemic under section 319 of the Public 
Health Service Act (42 U.S.C. 247d); and 
(B) ending on the earlier of— 
(i) the termination of such public 
health emergency, including extensions 
thereof pursuant to such section 319; and 
(ii) the end of calendar year 2022. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00137
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
138 
HR 7666 RFS
(b) PRIVACY.—The section does not authorize the 
disclosure by the Department of Health and Human Serv-
ices of individually identifiable information about patients. 
(c) FEEDBACK.—In conducting the study under sub-
section (a), the Assistant Secretary for Mental Health and 
Substance Use shall gather feedback from the States and 
opioid treatment programs on their experiences in imple-
menting exemptions described in subsection (a). 
(d) REPORT.—Not later than 180 days after the end 
of the period described in subsection (a)(3)(B), and sub-
ject to subsection (c), the Assistant Secretary for Mental 
Health and Substance Use shall publish a report on the 
results of the study under this section. 
SEC. 252. CHANGES TO FEDERAL OPIOID TREATMENT 
STANDARDS. 
(a) MOBILE MEDICATION UNITS.—Section 302(e) of 
the Controlled Substances Act (21 U.S.C. 822(e)) is 
amended by adding at the end the following: 
‘‘(3) Notwithstanding paragraph (1), a registrant 
that is dispensing pursuant to section 303(g) narcotic 
drugs to individuals for maintenance treatment or detoxi-
fication treatment shall not be required to have a separate 
registration to incorporate one or more mobile medication 
units into the registrant’s practice to dispense such nar-
cotics at locations other than the registrant’s principal 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00138
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
139 
HR 7666 RFS
place of business or professional practice described in 
paragraph (1), so long as the registrant meets such stand-
ards for operation of a mobile medication unit as the At-
torney General may establish.’’. 
(b) REVISE OPIOID TREATMENT PROGRAM ADMIS-
SION CRITERIA TO ELIMINATE REQUIREMENT THAT PA-
TIENTS HAVE AN OPIOID USE DISORDER FOR AT LEAST 
1 YEAR.—Not later than 18 months after the date of en-
actment of this Act, the Secretary of Health and Human 
Services shall revise section 8.12(e)(1) of title 42, Code 
of Federal Regulations (or successor regulations), to elimi-
nate the requirement that an opioid treatment program 
only admit an individual for treatment under the program 
if the individual has been addicted to opioids for at least 
1 year before being so admitted for treatment. 
(c) FINAL REGULATION ON PERIODS FOR TAKE- 
HOME SUPPLY REQUIREMENTS.— 
(1) IN GENERAL.—Not later than 18 months 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services shall promul-
gate a final regulation amending paragraphs (i)(3)(i) 
through (i)(3)(vi) of section 8.12 of title 42, Code of 
Federal Regulations, as appropriate based on the 
findings of the study under section 251 of this Act. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00139
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
140 
HR 7666 RFS
(2) CRITERIA.—The regulation under para-
graph (1) shall establish relevant criteria for the 
medical director or an appropriately licensed practi-
tioner of an opioid treatment program, to determine 
whether a patient is stable and may qualify for un-
supervised use, which criteria may allow for consid-
eration of each of the following: 
(A) Whether the benefits of providing un-
supervised doses to a patient outweigh the 
risks. 
(B) The patient’s demonstrated adherence 
to their treatment plan. 
(C) The patient’s history of negative toxi-
cology tests. 
(D) Whether there is an absence of serious 
behavioral problems. 
(E) The patient’s stability in living ar-
rangements and social relationships. 
(F) Whether there is an absence of sub-
stance misuse-related behaviors. 
(G) Whether there is an absence of recent 
diversion activity. 
(H) Whether there is an assurance that 
the medication can be safely stored by the pa-
tient. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00140
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
141 
HR 7666 RFS
(I) Any other criterion the Secretary of 
Health and Human Services determines appro-
priate. 
(3) PROHIBITED
SOLE
CONSIDERATION.—The 
regulation under paragraph (1) shall prohibit the 
medical director of an opioid treatment program 
from considering, as the sole consideration in deter-
mining whether a patient is sufficiently responsible 
in handling opioid drugs for unsupervised use, 
whether the patient has an absence of recent misuse 
of drugs (whether narcotic or nonnarcotic), including 
alcohol. 
Subtitle F—Additional Provisions 
Relating to Addiction Treatment 
SEC. 261. PROHIBITION. 
Notwithstanding any provision of this Act and the 
amendments made by this Act, no funds made available 
to carry out this Act or any amendment made by this Act 
shall be used to purchase, procure, or distribute pipes or 
cylindrical objects intended to be used to smoke or inhale 
illegal scheduled substances. 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00141
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
142 
HR 7666 RFS
SEC. 262. ELIMINATING ADDITIONAL REQUIREMENTS FOR 
DISPENSING NARCOTIC DRUGS IN SCHEDULE 
III, IV, AND V FOR MAINTENANCE OR DETOXI-
FICATION TREATMENT. 
(a) IN GENERAL.—Section 303(g) of the Controlled 
Substances Act (21 U.S.C. 823(g)) is amended— 
(1) by striking paragraph (2); 
(2) by striking ‘‘(g)(1) Except as provided in 
paragraph (2), practitioners who dispense narcotic 
drugs to individuals for maintenance treatment or 
detoxification treatment’’ and inserting ‘‘(g) Practi-
tioners who dispense narcotic drugs (other than nar-
cotic drugs in schedule III, IV, or V) to individuals 
for maintenance treatment or detoxification treat-
ment’’; 
(3) by redesignating subparagraphs (A), (B), 
and (C) as paragraphs (1), (2), and (3), respectively; 
and 
(4) in paragraph (2), as so redesignated— 
(A) by striking ‘‘(i) security of stocks’’ and 
inserting ‘‘(A) security of stocks’’; and 
(B) by striking ‘‘(ii) the maintenance of 
records’’ and inserting ‘‘(B) the maintenance of 
records’’. 
(b) CONFORMING CHANGES.— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00142
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
143 
HR 7666 RFS
(1) Subsections (a) and (d)(1) of section 304 of 
the Controlled Substances Act (21 U.S.C. 824) are 
each amended by striking ‘‘303(g)(1)’’ each place it 
appears and inserting ‘‘303(g)’’. 
(2) Section 309A(a)(2) of the Controlled Sub-
stances Act (21 U.S.C. 829a) is amended— 
(A) in the matter preceding subparagraph 
(A), by striking ‘‘the controlled substance is to 
be administered for the purpose of maintenance 
or 
detoxification 
treatment 
under 
section 
303(g)(2)’’ and inserting ‘‘the controlled sub-
stance is a narcotic drug in schedule III, IV, or 
V to be administered for the purpose of mainte-
nance or detoxification treatment’’; and 
(B) by striking ‘‘and—’’ and all that fol-
lows through ‘‘is to be administered by injection 
or implantation;’’ and inserting ‘‘and is to be 
administered by injection or implantation;’’. 
(3) Section 520E–4(c) of the Public Health 
Service Act (42 U.S.C. 290bb–36d(c)) is amended 
by striking ‘‘information on any qualified practi-
tioner that is certified to prescribe medication for 
opioid dependency under section 303(g)(2)(B) of the 
Controlled Substances Act’’ and inserting ‘‘informa-
tion on any practitioner who prescribes narcotic 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00143
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
144 
HR 7666 RFS
drugs in schedule III, IV, or V of section 202 of the 
Controlled Substances Act for the purpose of main-
tenance or detoxification treatment’’. 
(4) Section 544(a)(3) of the Public Health 
Service Act (42 U.S.C. 290dd–3), as added by sec-
tion 219(a)(2), is amended by striking ‘‘any practi-
tioner dispensing narcotic drugs pursuant to section 
303(g) of the Controlled Substances Act’’ and in-
serting ‘‘any practitioner dispensing narcotic drugs 
for the purpose of maintenance or detoxification 
treatment’’. 
(5) Section 1833(bb)(3)(B) of the Social Secu-
rity Act (42 U.S.C. 1395l(bb)(3)(B)) is amended by 
striking ‘‘first receives a waiver under section 303(g) 
of the Controlled Substances Act on or after Janu-
ary 1, 2019’’ and inserting ‘‘first begins prescribing 
narcotic drugs in schedule III, IV, or V of section 
202 of the Controlled Substances Act for the pur-
pose of maintenance or detoxification treatment on 
or after January 1, 2021’’. 
(6) Section 1834(o)(3)(C)(ii) of the Social Se-
curity Act (42 U.S.C. 1395m(o)(3)(C)(ii)) is amend-
ed by striking ‘‘first receives a waiver under section 
303(g) of the Controlled Substances Act on or after 
January 1, 2019’’ and inserting ‘‘first begins pre-
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00144
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
145 
HR 7666 RFS
scribing narcotic drugs in schedule III, IV, or V of 
section 202 of the Controlled Substances Act for the 
purpose of maintenance or detoxification treatment 
on or after January 1, 2021’’. 
(7) Section 1866F(c)(3) of the Social Security 
Act (42 U.S.C. 1395cc–6(c)(3)) is amended— 
(A) in subparagraph (A), by adding ‘‘and’’ 
at the end; 
(B) in subparagraph (B), by striking ‘‘; 
and’’ and inserting a period; and 
(C) by striking subparagraph (C). 
(8) Section 1903(aa)(2)(C) of the Social Secu-
rity Act (42 U.S.C. 1396b(aa)(2)(C)) is amended— 
(A) in clause (i), by adding ‘‘and’’ at the 
end; 
(B) by striking clause (ii); and 
(C) by redesignating clause (iii) as clause 
(ii). 
SEC. 263. REQUIRING PRESCRIBERS OF CONTROLLED SUB-
STANCES TO COMPLETE TRAINING. 
Section 303 of the Controlled Substances Act (21 
U.S.C. 823) is amended by adding at the end the fol-
lowing: 
‘‘(l) REQUIRED TRAINING FOR PRESCRIBERS.— 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00145
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB
146 
HR 7666 RFS
‘‘(1) TRAINING REQUIRED.—As a condition on 
registration under this section to dispense controlled 
substances in schedule II, III, IV, or V, the Attorney 
General shall require any qualified practitioner, be-
ginning with the first applicable registration for the 
practitioner, to meet the following: 
‘‘(A) If the practitioner is a physician (as 
defined under section 1861(r) of the Social Se-
curity Act), the practitioner meets one or more 
of the following conditions: 
‘‘(i) The physician holds a board cer-
tification in addiction psychiatry or addic-
tion medicine from the American Board of 
Medical Specialties. 
‘‘(ii) The physician holds a board cer-
tification from the American Board of Ad-
diction Medicine. 
‘‘(iii) The physician holds a board cer-
tification in addiction medicine from the 
American Osteopathic Association. 
‘‘(iv) The physician has, with respect 
to the treatment and management of pa-
tients with opioid or other substance use 
disorders, or the safe pharmacological 
management of dental pain and screening, 
VerDate Sep 11 2014 
05:03 Jun 24, 2022
Jkt 029200
PO 00000
Frm 00146
Fmt 6652
Sfmt 6201
E:\BILLS\H7666.RFS
H7666
pbinns on DSKJLVW7X2PROD with $$_JOB