‘‘(3) the number of individuals served through 
the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pur-
suant to subsection (i)— 
‘‘(1) shall not be used for any purpose other 
than the grant program under subsection (b); and 
‘‘(2) shall be subject to the same requirements 
as substance use disorders prevention and treatment 
programs under titles V and XIX of the Public 
Health Service Act (42 U.S.C. 290aa et seq., 300w 
et seq.). 
‘‘(e) INDIAN TRIBES, TRIBAL ORGANIZATIONS, AND 
URBAN INDIAN ORGANIZATIONS.—The Secretary, in con-
sultation with Indian Tribes, Tribal organizations, and 
Urban Indian organizations, shall identify and establish 
appropriate mechanisms for Indian Tribes, Tribal organi-
zations, and Urban Indian organizations to demonstrate 
or report the information as required under subsections 
(b), (c), and (d). 
‘‘(f) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2024, and biennially thereafter, the Secretary 
shall 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, 
and the Committees on Appropriations of the House of
Representatives and the Senate, a report that includes a 
summary of the information provided to the Secretary in 
reports made pursuant to subsections (c) and (e), includ-
ing— 
‘‘(1) the purposes for which grant funds are 
awarded under this section; 
‘‘(2) the activities of the grant recipients; and 
‘‘(3) for each State, Indian Tribe, Tribal orga-
nization, and Urban Indian organization that re-
ceives a grant under this section, the funding level 
provided to such recipient. 
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary, in-
cluding through the Tribal Training and Technical Assist-
ance Center of the Substance Abuse and Mental Health 
Services Administration, shall provide States, Indian 
Tribes, Tribal organizations, and Urban Indian organiza-
tions, as applicable, with technical assistance concerning 
grant application and submission procedures under this 
section, award management activities, and enhancing out-
reach and direct support to rural and underserved commu-
nities and providers in addressing substance use disorders. 
‘‘(h) DEFINITIONS.—In this section: 
‘‘(1) INDIAN TRIBE.—The term ‘Indian Tribe’ 
has the meaning given the term ‘Indian tribe’ in sec-
tion 4 of the Indian Self-Determination and Edu-
cation Assistance Act (25 U.S.C. 5304). 
‘‘(2) TRIBAL ORGANIZATION.—The term ‘Tribal 
organization’ has the meaning given the term ‘tribal 
organization’ in such section 4. 
‘‘(3) STATE.—The term ‘State’ has the mean-
ing given such term in section 1954(b) of the Public 
Health Service Act (42 U.S.C. 300x–64(b)). 
‘‘(4) URBAN INDIAN ORGANIZATION.—The term 
‘Urban Indian organization’ has the meaning given 
such term in section 4 of the Indian Health Care 
Improvement Act. 
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—For purposes of carrying 
out the grant program under subsection (b), there is 
authorized to be appropriated $1,750,000,000 for 
each of fiscal years 2022 through 2027, to remain 
available until expended. 
‘‘(2) FEDERAL ADMINISTRATIVE EXPENSES.— 
Of the amounts made available for each fiscal year 
to award grants under subsection (b), the Secretary 
shall not use more than 20 percent for Federal ad-
ministrative expenses, training, technical assistance, 
and evaluation.
‘‘(3) SET ASIDE.—Of the amounts made avail-
able for each fiscal year to award grants under sub-
section (b) for a fiscal year, the Secretary shall— 
‘‘(A) award 5 percent to Indian Tribes, 
Tribal organizations, and Urban Indian organi-
zations; and 
‘‘(B) of the amount remaining after appli-
cation of subparagraph (A), set aside up to 15 
percent for awards to States with the highest 
age-adjusted rate of drug overdose death based 
on the ordinal ranking of States according to 
the Director of the Centers for Disease Control 
and Prevention.’’. 
Passed the House of Representatives October 20, 
2021. 
Attest: 
Clerk.
117TH CONGRESS 
1ST SESSION 
H. R. 2379 
AN ACT 
To amend the 21st Century Cures Act to reauthor-
ize and expand a grant program for State re-
sponse to the opioid use disorders crisis, and for 
other purposes.