Substance Use Prevention, Treatment, and Recovery Act
Bill: S.4301 | Sponsor: Sen. Hassan, Margaret Wood (D-NH)
Policy area: Health

Summary:
Substance Use Prevention, Treatment, and Recovery Act
This bill reauthorizes through FY2027 and modifies the Substance Abuse Prevention and Treatment Block Grant, which supports state, tribal, and territorial efforts to prevent and treat substance use disorders.
Among other changes, the bill requires grant recipients to expend a portion of the grant on recovery support services. Additionally, the Substance Abuse and Mental Health Services Administration must conduct a study to develop a model needs assessment process for grant recipients to use when determining the allocation of grant funding among prevention, treatment, and recovery support activities.
The bill also revises multiple provisions to eliminate stigmatizing terms (e.g., substance abuse) and otherwise align with current legislative drafting conventions.

To reauthorize and improve the block grants for prevention and 
                     treatment of substance abuse.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Substance Use Prevention, Treatment, 
and Recovery Act''.

SEC. 2. OTHER AMENDMENTS TO THE BLOCK GRANTS FOR PREVENTION AND 
              TREATMENT OF SUBSTANCE ABUSE.

    (a) Certain Allocations.--
            (1) Allocations regarding recovery.--Section 1922 of the 
        Public Health Service Act (42 U.S.C. 300x-22) is amended by 
        adding at the end the following:
    ``(c) Allocations Regarding Recovery.--
            ``(1) In general.--A funding agreement for this grant under 
        section 1921 is that, in expending the grant, the State 
        involved will expend not less than 10 percent each fiscal year 
        for programs for community-based and peer recovery support 
        services for individuals with a substance use disorder.
            ``(2) Special rule for 2023.--Notwithstanding paragraph 
        (1), for fiscal year 2023, a State shall expend not less than 7 
        percent for programs described in such paragraph, provided 
        that, in fiscal year 2024, the State expends for such programs 
        an amount equal to any difference between 10 percent of the 
        grant amount for fiscal year 2023 and the amount actually 
        expended for such programs in fiscal year 2023, in addition to 
        meeting the requirements of paragraph (1) with respect to grant 
        amounts for fiscal year 2024.''.
            (2) Technical amendment.--Effective as if included in the 
        enactment of the Children's Health Act of 2000 (Public Law 106-
        310), section 3303(f)(2)(A) of the Children's Health Act of 
        2000 (Public Law 106-310; 114 Stat. 1211) is amended by 
        striking ``section 1922(c) of the Public Health Service Act (42 
        U.S.C. 300x-22(c))'' and inserting ``section 1922(b) of the 
        Public Health Service Act, as amended by section 3303(a),''.
    (b) Public Health Promotion for Recovery.--
            (1) Formula grants.--Section 1921(b) of the Public Health 
        Service Act (42 U.S.C. 300x-21(b)) is amended--
                    (A) by inserting ``, including measures for 
                infrastructure, education, or outreach to prevent 
                overdose or other health risks,'' after ``substance use 
                disorders''; and
                    (B) by inserting ``evidence-based or evidence-
                informed'' after ``evaluating''.
            (2) Certain restrictions on expenditures.--Section 
        1931(a)(1) of the Public Health Service Act (42 U.S.C. 300x-
        31(a)(1)) is amended--
                    (A) in subparagraph (E), by striking ``; or'' and 
                inserting a semicolon;
                    (B) in subparagraph (F), by striking the period and 
                inserting ``; or''; and
                    (C) by adding at the end the following:
                    ``(G) in a manner that excludes individuals on the 
                basis that such individuals receive drugs approved by 
                the Food and Drug Administration for the treatment of 
                substance use disorders.''.
    (c) Restrictions on Expenditure of Grant.--Section 1931(a) of the 
Public Health Service Act (42 U.S.C. 300x-31(a)) is amended--
            (1) in paragraph (1)(F), by inserting ``, except that the 
        State may use such grant to provide support to programs that 
        include infrastructure, education, or outreach services'' 
        before the period; and
            (2) by amending paragraph (3) to read as follows:
            ``(3) Limitation regarding penal and correctional 
        institutions.--A funding agreement for this grant under section 
        1921 is that, in expending the grant, the State involved will 
        expend not more than such a percentage of the block grant 
        treatment budget, between 5 and 10 percent, as the Secretary 
        may specify, for the purpose of providing treatment services in 
        penal or correctional institutions of the State.''.
    (d) Study on Assessment for Use in Distribution of Limited State 
Resources.--
            (1) In general.--The Secretary of Health and Human Services 
        (referred to in this section as the ``Secretary''), acting 
        through the Assistant Secretary for Mental Health and Substance 
        Use, in consultation with States and other local entities 
        providing prevention, treatment, or recovery support services 
        related to substance use, shall 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 et seq.) to provide services to 
        substance use disorder prevention, treatment, and recovery 
        support. The study shall include cost estimates with each model 
        needs assessment process.
            (2) Report.--Not later than 1 year after the date of the 
        enactment of this Act, 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 a report on the results of the study conducted 
        under paragraph (1).
    (e) Funding.--Section 1935(a) of the Public Health Service Act (42 
U.S.C. 300x-35(a)) is amended by striking ``$1,858,079,000 for each of 
fiscal years 2018 through 2022.'' and inserting ``$3,200,000,000 for 
each of fiscal years 2023 through 2027''.

SEC. 3. ELIMINATING STIGMATIZING LANGUAGE RELATING TO SUBSTANCE USE.

    (a) Block Grants for Prevention and Treatment of Substance Use.--
Part B of title XIX of the Public Health Service Act (42 U.S.C. 300x et 
seq.) is amended--
            (1) in the part heading, by striking ``substance abuse'' 
        and inserting ``substance use'';
            (2) in section 1922(a) (42 U.S.C. 300x-22(a))--
                    (A) in paragraph (1), in the matter preceding 
                subparagraph (A), by striking ``substance abuse'' and 
                inserting ``substance use disorders''; and
                    (B) by striking ``such abuse'' each place it 
                appears in paragraphs (1) and (2) and inserting ``such 
                use'';
            (3) in section 1923 (42 U.S.C. 300x-23)--
                    (A) in the section heading, by striking ``substance 
                abuse'' and inserting ``substance use''; and
                    (B) by striking ``drug abuse'' each place it 
                appears in subsections (a) and (b) and inserting 
                ``substance use disorders'';
            (4) 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'';
            (5) in section 1926(b)(2)(B) (42 U.S.C. 300x-26(b)(2)(B)), 
        by striking ``substance abuse'';
            (6) in section 1931(b)(2) (42 U.S.C. 300x-31(b)(2)), by 
        striking ``substance abuse'' and inserting ``substance use 
        disorders'';
            (7) in section 1933(d)(1) (42 U.S.C. 300x-33(d)), in the 
        matter following subparagraph (B), by striking ``abuse of 
        alcohol and other drugs'' and inserting ``use of substances'';
            (8) by amending paragraph (4) of section 1934 (42 U.S.C. 
        300x-34) to read as follows:
            ``(4) The term `substance use disorder' means the recurrent 
        use of alcohol or other drugs that causes clinically 
        significant impairment.'';
            (9) in section 1935 (42 U.S.C. 300x-35)--
                    (A) in subsection (a), by striking ``substance 
                abuse'' and inserting ``substance use disorders''; and
                    (B) in subsection (b)(1), by striking ``substance 
                abuse'' each place it appears and inserting ``substance 
                use disorders'';
            (10) in section 1949 (42 U.S.C. 300x-59), by striking 
        ``substance abuse'' each place it appears in subsections (a) 
        and (d) and inserting ``substance use disorders'';
            (11) in section 1954(b)(4) (42 U.S.C. 300x-64(b)(4))--
                    (A) by striking ``substance abuse'' each place it 
                appears and inserting ``substance use disorders''; and
                    (B) by striking ``such abuse'' and inserting ``such 
                disorders'';
            (12) in section 1955 (42 U.S.C. 300x-65), by striking 
        ``substance abuse'' each place it appears and inserting 
        ``substance use disorder''; and
            (13) in section 1956 (42 U.S.C. 300x-66), by striking 
        ``substance abuse'' each place it appears and inserting 
        ``substance use disorders''.
    (b) Certain Programs Regarding Mental Health and Substance Abuse.--
Part C of title XIX of the Public Health Service Act (42 U.S.C. 300y et 
seq.) is amended--
            (1) in the part heading, by striking ``substance abuse'' 
        and inserting ``substance use'';
            (2) in section 1971 (42 U.S.C. 300y), by striking 
        ``substance abuse'' each place it appears in subsections (a), 
        (b), and (f) and inserting ``substance use''; and
            (3) in section 1976 (42 U.S.C. 300y-11), by striking 
        ``intravenous abuse'' and inserting ``intravenous use''.
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