Title: TARA Act
Policy area: Health

Summary:
Tribal Addiction and Recovery Act of 2018 or the TARA Act
This bill amends the 21st Century Cures Act to give Indian tribes and tribal organizations access to the opioid grant program designated for the state response to the opioid crisis.

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5140 Introduced in House (IH)]

<DOC>






115th CONGRESS
  2d Session
                                H. R. 5140

   To make improvements to the Account For the State Response to the 
             Opioid Abuse Crisis to improve tribal health.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 1, 2018

  Mr. Mullin (for himself and Mr. Gianforte) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To make improvements to the Account For the State Response to the 
             Opioid Abuse Crisis to improve tribal health.

    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 ``Tribal Addiction and Recovery Act of 
2018'' or the ``TARA Act''.

SEC. 2. ACCOUNT FOR THE STATE RESPONSE TO THE OPIOID ABUSE CRISIS.

    Section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee-3 note) 
is amended--
            (1) in the section heading, by inserting ``and tribal'' 
        after ``state'';
            (2) in subsection (a), by inserting after ``within the 
        States'' the following: ``, Indian tribes, and tribal 
        organizations'';
            (3) in subsection (b)--
                    (A) in paragraph (1), by inserting ``and Tribal'' 
                after ``State'';
                    (B) in paragraph (2)(A)(ii), by striking 
                ``$500,000,000'' and inserting ``$525,000,000''; and
                    (C) in paragraph (3)(B), by inserting ``and 
                Tribal'' after ``State'';
            (4) in subsection (c)--
                    (A) in paragraph (1)--
                            (i) in the paragraph heading, by striking 
                        ``State response to the opioid'' and inserting 
                        ``State and tribal response to the opioid'';
                            (ii) in the first sentence--
                                    (I) by inserting after ``grants to 
                                States'' the following: ``, Indian 
                                tribes, and tribal organizations'';
                                    (II) by inserting after ``such 
                                States'' the following: ``, Indian 
                                tribes, and tribal organizations, 
                                respectively''; and
                                    (III) by striking ``in accordance 
                                with subparagraph (B)'' and inserting 
                                ``in accordance with this subsection''; 
                                and
                            (iii) in the second sentence--
                                    (I) by inserting after ``to 
                                States'' the following: ``, Indian 
                                tribes, and tribal organizations''; and
                                    (II) by inserting after ``other 
                                States'' the following: ``, Indian 
                                tribes, and tribal organizations, 
                                respectively'';
                    (B) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A)--
                                    (I) by inserting after ``to a 
                                State'' the following: ``, Indian 
                                tribe, or tribal organization''; and
                                    (II) by inserting after ``by the 
                                State agency'' the following: ``or 
                                tribal entity'';
                            (ii) in subparagraph (A), by inserting 
                        ``and tribal'' after ``State''; and
                            (iii) in subparagraph (E)--
                                    (I) by inserting ``, Indian tribe, 
                                or tribal organization, as the case may 
                                be,'' after ``as the State''; and
                                    (II) by inserting after ``within 
                                the State'' the following: ``, Indian 
                                tribe, or tribal organization, 
                                respectively''; and
                    (C) by adding at the end the following:
            ``(3) Other permissible uses.--Grants awarded to a State, 
        Indian tribe, or tribal organization under this subsection may 
        be used to carry out activities to prevent and treat 
        prescription drug abuse and the use of other addictive 
        substances (such as alcohol, heroin, and methamphetamine), 
        including by providing mental health services.'';
            (5) in subsection (d)--
                    (A) in the matter preceding paragraph (1), by 
                inserting ``, Indian tribe, or tribal organization'' 
                after ``A State''; and
                    (B) by inserting ``, Indian tribe, or tribal 
                organization'' after ``the State'' each place that such 
                term appears;
            (6) by redesignating subsection (f) as subsection (g); and
            (7) by inserting after subsection (e) the following new 
        subsection:
    ``(f) Definitions.--In this section, the terms `Indian tribe' and 
`tribal organization' have the meaning given those terms in section 4 
of the Indian Self-Determination and Education Assistance Act (25 
U.S.C. 5304).''.
                                 <all>