I 
117TH CONGRESS 
1ST SESSION H. R. 2379 
To amend the 21st Century Cures Act to reauthorize and expand a grant 
program for State response to the opioid use disorders crisis, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 8, 2021 
Mr. TRONE (for himself and Ms. SHERRILL) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the 21st Century Cures Act to reauthorize and 
expand a grant program for State response to the opioid 
use disorders crisis, and for other purposes. 
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 ‘‘State Opioid Response 
Grant Authorization Act of 2021’’. 
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
Section 1003 of the 21st Century Cures Act (42 
U.S.C. 290ee–3 note) is amended to read as follows: 
‘‘SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RE-
SPONSE TO SUBSTANCE USE DISORDERS OF 
SIGNIFICANCE. 
‘‘(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘Sec-
retary’) shall carry out the grant program described in 
subsection (b) for purposes of addressing substance use 
disorders of significance, including opioid and stimulant 
use disorders, within States, Indian Tribes, and popu-
lations served by Tribal organizations and Urban Indian 
organizations. 
‘‘(b) GRANTS PROGRAM.— 
‘‘(1) IN GENERAL.—Subject to the availability 
of appropriations, the Secretary shall award grants 
to States, Indian Tribes, Tribal organizations, and 
Urban Indian organizations for the purpose of ad-
dressing substance use disorders of significance, in-
cluding opioid and stimulant use disorders, within 
such States, such Indian Tribes, and populations 
served by such Tribal organizations and Urban In-
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
dian organizations, in accordance with paragraph 
(2). 
‘‘(2) MINIMUM ALLOCATIONS; PREFERENCE.— 
In determining grant amounts for each recipient of 
a grant under paragraph (1), the Secretary shall— 
‘‘(A) ensure that each State and the Dis-
trict of Columbia receives not less than 
$4,000,000; and 
‘‘(B) give preference to States, Indian 
Tribes, Tribal organizations, and Urban Indian 
organizations whose populations have an inci-
dence or prevalence of opioid use disorders that 
is substantially higher relative to the popu-
lations of other States, other Indian Tribes, 
Tribal organizations, or Urban Indian organiza-
tions, as applicable. 
‘‘(3) FORMULA METHODOLOGY.— 
‘‘(A) IN GENERAL.—Not less than 15 days 
before publishing a funding opportunity an-
nouncement with respect to grants under this 
section, the Secretary shall— 
‘‘(i) develop a formula methodology to 
be followed in allocating grant funds 
awarded under this section among grant-
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
ees, which includes performance assess-
ments for continuation awards; and 
‘‘(ii) submit the formula methodology 
to— 
‘‘(I) the Committee on Energy 
and Commerce and the Committee on 
Appropriations of the House of Rep-
resentatives; and 
‘‘(II) the Committee on Health, 
Education, Labor, and Pensions and 
the Committee on Appropriations of 
the Senate. 
‘‘(B) FORMULA ADJUSTMENTS.—The Sec-
retary may make adjustments to the formula 
developed under subparagraph (A)(i) in order 
to ensure that no State receives an amount for 
a fiscal year that is significantly lower than the 
amount received by the State for the previous 
fiscal year. 
‘‘(4) USE OF FUNDS.—Grants awarded under 
this subsection shall be used for carrying out activi-
ties that supplement activities pertaining to sub-
stance use disorders of significance, including opioid 
and stimulant use disorders, undertaken by the 
State agency responsible for administering the sub-
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
stance abuse prevention and treatment block grant 
under subpart II of part B of title XIX of the Public 
Health Service Act (42 U.S.C. 300x–21 et seq.), 
which may include public health-related activities 
such as the following: 
‘‘(A) Implementing prevention activities, 
and evaluating such activities to identify effec-
tive strategies to prevent substance use dis-
orders. 
‘‘(B) Establishing or improving prescrip-
tion drug monitoring programs. 
‘‘(C) Training for health care practitioners, 
such as best practices for prescribing opioids, 
pain management, recognizing potential cases 
of substance use disorders, referral of patients 
to treatment programs, preventing diversion of 
controlled substances, and overdose prevention. 
‘‘(D) Supporting access to health care 
services, including— 
‘‘(i) services provided by federally cer-
tified opioid treatment programs; 
‘‘(ii) outpatient and residential sub-
stance use disorder treatment services that 
utilize medication-assisted treatment, as 
appropriate; or 
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
‘‘(iii) other appropriate health care 
providers to treat substance use disorders. 
‘‘(E) Recovery support services, including 
community-based services that include peer sup-
ports, and address housing needs and family 
issues. 
‘‘(F) Other public health-related activities, 
as the State, Indian Tribe, Tribal organization, 
or Urban Indian organization determines appro-
priate, related to addressing substance use dis-
orders within the State, Indian Tribe, Tribal or-
ganization, or Urban Indian organization, in-
cluding directing resources in accordance with 
local needs related to substance use disorders. 
‘‘(c) ACCOUNTABILITY AND OVERSIGHT.—A State re-
ceiving a grant under subsection (b) shall include in re-
porting related to substance use disorders submitted to the 
Secretary pursuant to section 1942 of the Public Health 
Service Act (42 U.S.C. 300x–52), a description of— 
‘‘(1) the purposes for which the grant funds re-
ceived by the State under such subsection for the 
preceding fiscal year were expended and a descrip-
tion of the activities of the State under the grant; 
and 
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS
‘‘(2) the ultimate recipients of amounts pro-
vided to the State through the grant. 
‘‘(d) LIMITATIONS.—Any funds made available pur-
suant to subsection (i)— 
‘‘(1) notwithstanding any transfer authority in 
any appropriations Act, shall not be used for any 
purpose other than the grant program in 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 
VerDate Sep 11 2014 
04:18 May 26, 2021
Jkt 019200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H2379.IH
H2379
kjohnson on DSK79L0C42PROD with BILLS