I 
113TH CONGRESS 
2D SESSION 
H. R. 5339 
To authorize the Administrator of the Substance Abuse and Mental Health 
Services Administration, acting through the Director of the Center for 
Substance Abuse Treatment, to award grants to States to expand access 
to clinically appropriate services for opioid abuse, dependence, or addic-
tion. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 31, 2014 
Mr. FOSTER (for himself, Mr. SEAN PATRICK MALONEY of New York, Mr. 
RYAN of Ohio, Ms. ESTY, and Ms. SHEA-PORTER) introduced the fol-
lowing bill; which was referred to the Committee on Energy and Com-
merce 
A BILL 
To authorize the Administrator of the Substance Abuse and 
Mental Health Services Administration, acting through 
the Director of the Center for Substance Abuse Treat-
ment, to award grants to States to expand access to 
clinically appropriate services for opioid abuse, depend-
ence, or addiction. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Expanding Opportuni-
ties for Recovery Act of 2014’’. 
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SEC. 2. OPIOID ADDICTION TREATMENT. 
(a) IN GENERAL.—The Administrator of the Sub-
stance Abuse and Mental Health Services Administration, 
acting through the Director of the Center for Substance 
Abuse Treatment (in this section referred to as the ‘‘Ad-
ministrator’’) shall award grants to States to expand ac-
cess to clinically appropriate services for opioid abuse, de-
pendence, or addiction. 
(b) REQUIREMENTS.—As conditions on the receipt of 
a grant under this section, a State shall agree to comply 
with the following: 
(1) The grant will be administered through the 
head of the State’s primary agency responsible for 
programs and activities relating to the treatment of 
substance abuse. 
(2) The services through the grant will be evi-
dence-based such as medication-assisted treatment 
for substance use disorder. 
(3) The services through the grant will be pro-
vided according to a physician or a clinician’s rec-
ommendation to ensure that individuals receive the 
optimal level of substance use disorder treatment for 
the amount of time that is deemed medically nec-
essary. 
(4) The services through the grant will be pro-
vided exclusively to individuals— 
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(A) who lack health insurance; or 
(B) whose health insurance— 
(i) does not cover such services; or 
(ii) places other barriers on the re-
ceipt of such services, such as— 
(I) limiting coverage of such serv-
ices to a certain period of time; or 
(II) 
imposing 
non-quantitative 
treatment limitations that are more 
stringent than treatment limitations 
imposed on other medical conditions 
(such as a requirement to use less ex-
pensive services, like out-patient treat-
ment, prior to more expensive, but 
physician-recommended services, such 
as in-patient or residential treatment). 
(5) The grant will not be used to pay or sub-
sidize the cost of more than 60 consecutive days of 
opioid abuse, dependence, or addiction treatment in 
the case of any individual. 
(c) PERMISSIBLE PROVISION OF MEDICATIONS.—In 
expanding access to clinically appropriate services for 
opioid abuse, dependence, or addiction through a grant 
under this section, a State may provide for the use of 
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medications, in conjunction with other treatment, so long 
as— 
(1) the medications are lawfully marketed 
under the Federal Food, Drug, and Cosmetic Act 
(21 U.S.C. 301 et seq.); 
(2) are clinically indicated to address the abuse, 
dependence, or addiction; and 
(3) are offered consistent with consumer choice. 
(d) COORDINATION.—The Administrator shall coordi-
nate the program under this section with the program for 
prevention and treatment of substance abuse under sub-
part II of part B of title XIX of the Public Health Service 
Act (42 U.S.C. 300x–21 et seq.). 
(e) EVALUATION; DISSEMINATION OF INFORMATION; 
TECHNICAL ASSISTANCE.— 
(1) IN GENERAL.—The Administrator shall— 
(A) require States receiving a grant under 
this section to report appropriate outcome 
measures associated with use of the grant, in-
cluding any— 
(i) decreases in substance use; 
(ii) changes in retention in care; 
(iii) connections to the next appro-
priate level of care; 
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(iv) decreases in involvement with 
criminal justice activities; and 
(v) other outcome data as appropriate; 
(B) require States receiving a grant under 
this section to report data on individuals’ length 
of time under clinically appropriate addiction 
treatment, and the use of medication-assisted 
treatment; 
(C) evaluate the activities supported by 
grants under this section; 
(D) submit to the Congress and the Sec-
retary, and make publicly available on the 
Internet site of the Substance Abuse and Men-
tal Health Services Administration, information 
about the results of such evaluation; and 
(E) offer technical assistance to States re-
ceiving a grant under this section regarding ac-
tivities funded through the grant. 
(2) USE OF CERTAIN FUNDS.—Of the funds ap-
propriated to carry out this section for any fiscal 
year, 5 percent shall be available to carry out activi-
ties under this subsection. 
Æ 
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