Title: Summer Barrow Prevention, Treatment, and Recovery Act
Policy area: Health

Summary:
Summer Barrow Prevention, Treatment, and Recovery Act
This bill reauthorizes through FY2027 and modifies multiple grants, programs, and other activities that support prevention and treatment of substance use disorders.
Specifically, the bill addresses

[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7234 Introduced in House (IH)]

<DOC>






117th CONGRESS
  2d Session
                                H. R. 7234

To amend the Public Health Service Act to reauthorize certain programs 
 with respect to mental health conditions and substance use disorders, 
                        and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 28, 2022

   Ms. Spanberger (for herself, Mr. O'Halleran, Ms. Salazar, and Mr. 
  Armstrong) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to reauthorize certain programs 
 with respect to mental health conditions and substance use disorders, 
                        and for other purposes.

    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 ``Summer Barrow Prevention, Treatment, 
and Recovery Act''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
Sec. 3. Grants for the benefit of homeless individuals.
Sec. 4. Priority substance abuse treatment needs of regional and 
                            national significance.
Sec. 5. Evidence-based prescription opioid and heroin treatment and 
                            interventions demonstration.
Sec. 6. Priority substance use disorder prevention needs of regional 
                            and national significance.
Sec. 7.  Sober Truth on Preventing (STOP) Underage Drinking 
                            Reauthorization.
Sec. 8. Grants for jail diversion programs.
Sec. 9. Formula grants to States.
Sec. 10. Projects for Assistance in Transition From Homelessness.
Sec. 11. Grants for reducing overdose deaths.
Sec. 12. Opioid overdose reversal medication access and education grant 
                            programs.
Sec. 13. State demonstration grants for comprehensive opioid abuse 
                            response.
Sec. 14. Emergency department alternatives to opioids.

SEC. 3. GRANTS FOR THE BENEFIT OF HOMELESS INDIVIDUALS.

    Section 506(e) of the Public Health Service Act (42 U.S.C. 290aa-
5(e)) is amended by striking ``2018 through 2022'' and inserting ``2023 
through 2027''.

SEC. 4. PRIORITY SUBSTANCE ABUSE TREATMENT NEEDS OF REGIONAL AND 
              NATIONAL SIGNIFICANCE.

    Section 509 of the Public Health Service Act (42 U.S.C. 290bb-2) is 
amended--
            (1) in the section heading, by striking ``abuse'' and 
        inserting ``use disorder'';
            (2) in subsection (a)--
                    (A) by striking ``tribes and tribal organizations'' 
                each place it appears and inserting ``Tribes and Tribal 
                organizations''; and
                    (B) in paragraph (3), by striking ``in substance 
                abuse'';
            (3) in subsection (b), in the subsection heading, by 
        striking ``Abuse'' and inserting ``Use Disorder''; and
            (4) in subsection (f), by striking ``$333,806,000 for each 
        of fiscal years 2018 through 2022'' and inserting 
        ``$521,517,000 for each of fiscal years 2023 through 2027''.

SEC. 5. EVIDENCE-BASED PRESCRIPTION OPIOID AND HEROIN TREATMENT AND 
              INTERVENTIONS DEMONSTRATION.

    Section 514B of the Public Health Service Act (42 U.S.C. 290bb-10) 
is amended--
            (1) in subsection (a)(1)--
                    (A) by striking ``substance abuse'' and inserting 
                ``substance use disorder'';
                    (B) by striking ``tribes and tribal organizations'' 
                and inserting ``Tribes and Tribal organizations''; and
                    (C) by striking ``addiction'' and inserting 
                ``substance use disorders'';
            (2) in subsection (e)(3), by striking ``tribes and tribal 
        organizations'' and inserting ``Tribes and Tribal 
        organizations''; and
            (3) in subsection (f), by striking ``2017 through 2021'' 
        and inserting ``2023 through 2027''.

SEC. 6. PRIORITY SUBSTANCE USE DISORDER PREVENTION NEEDS OF REGIONAL 
              AND NATIONAL SIGNIFICANCE.

    Section 516 of the Public Health Service Act (42 U.S.C. 290bb-22) 
is amended--
            (1) in subsection (a)--
                    (A) in paragraph (3), by striking ``abuse'' and 
                inserting ``use''; and
                    (B) in the matter following paragraph (3), by 
                striking ``tribes or tribal organizations'' each place 
                it appears and inserting ``Tribes or Tribal 
                organizations'';
            (2) in subsection (b), in the subsection heading, by 
        striking ``Abuse'' and inserting ``Use Disorder''; and
            (3) in subsection (f), by striking ``$211,148,000 for each 
        of fiscal years 2018 through 2022'' and inserting 
        ``$218,219,000 for each of fiscal years 2023 through 2027''.

SEC. 7. SOBER TRUTH ON PREVENTING (STOP) UNDERAGE DRINKING 
              REAUTHORIZATION.

    Section 519B of the Public Health Service Act (42 U.S.C. 290bb-25b) 
is amended to read as follows:

``SEC. 519B. PROGRAMS TO REDUCE UNDERAGE DRINKING.

    ``(a) Definitions.--For purposes of this section:
            ``(1) The term `alcohol beverage industry' means the 
        brewers, vintners, distillers, importers, distributors, and 
        retail or online outlets that sell or serve beer, wine, and 
        distilled spirits.
            ``(2) The term `school-based prevention' means programs, 
        which are institutionalized, and run by staff members or 
        school-designated persons or organizations in any grade of 
        school, kindergarten through 12th grade.
            ``(3) The term `youth' means persons under the age of 21.
    ``(b) Sense of Congress.--It is the sense of the Congress that:
            ``(1) A multifaceted effort is needed to more successfully 
        address the problem of underage drinking in the United States. 
        A coordinated approach to prevention, intervention, treatment, 
        enforcement, and research is key to making progress. This 
        section recognizes the need for a focused national effort, and 
        addresses particulars of the Federal portion of that effort, as 
        well as Federal support for State activities.
            ``(2) The Secretary shall continue to conduct research and 
        collect data on the short- and long-range impact of alcohol use 
        and abuse upon adolescent brain development and other organ 
        systems.
            ``(3) States and communities, including colleges and 
        universities, are encouraged to adopt comprehensive prevention 
        approaches, including--
                    ``(A) evidence-based screening, programs, and 
                curricula;
                    ``(B) brief intervention strategies;
                    ``(C) consistent policy enforcement; and
                    ``(D) science-based strategies to reduce underage 
                drinking.
            ``(4) Public health groups, consumer groups, and the 
        alcohol beverage industry should continue and expand evidence-
        based efforts to prevent and reduce underage drinking.
            ``(5) The entertainment industries and social media 
        platforms have a powerful impact on youth, and they should use 
        rating systems and marketing codes to reduce the likelihood 
        that underage audiences will be exposed to movies, recordings, 
        television programs, or social media with unsuitable alcohol 
        content.
            ``(6) The National Collegiate Athletic Association, its 
        member colleges and universities, and athletic conferences 
        should affirm a commitment to a policy of discouraging alcohol 
        use among underage students and other young fans.
            ``(7) Alcohol is a unique product and should be regulated 
        differently than other products by the States and Federal 
        Government. States have primary authority to regulate alcohol 
        distribution and sale, and the Federal Government should 
        support and supplement these State efforts. States also have a 
        responsibility to fight youth access to alcohol and reduce 
        underage drinking. Continued State regulation and licensing of 
        the manufacture, importation, sale, distribution, 
        transportation, and storage of alcoholic beverages are clearly 
        in the public interest and are critical to promoting 
        responsible consumption, preventing illegal access to alcohol 
        by persons under 21 years of age from commercial and 
        noncommercial sources, maintaining industry integrity and an 
        orderly marketplace, and furthering effective State tax 
        collection.
            ``(8) The age-21 minimum drinking law, enacted in 1984, has 
        been a remarkably effective public health and safety policy, as 
        evidenced by the fact that the percentage of 12th graders who 
        have drunk alcohol in the past month has fallen by one-half 
        since the enactment of such law.
            ``(9) The age-21 law has also has been significantly 
        effective in reducing drinking and driving traffic fatalities, 
        as the National Highway Traffic Safety Administration (NHTSA) 
        estimates that the age-21 law has saved over 31,000 lives since 
        its inception.
            ``(10) Community awareness, support, and mobilization 
        provide an important context for the effective enforcement of 
        the age-21 minimum drinking law.
    ``(c) Interagency Coordinating Committee; Annual Report on State 
Underage Drinking Prevention and Enforcement Activities.--
            ``(1) Interagency coordinating committee on the prevention 
        of underage drinking.--
                    ``(A) In general.--The Secretary, in collaboration 
                with the Federal officials specified in subparagraph 
                (B), shall continue to support and enhance the efforts 
                of the interagency coordinating committee, that began 
                operating in 2004, focusing on underage drinking 
                (referred to in this subsection as the `Committee').
                    ``(B) Other agencies.--The officials referred to in 
                subparagraph (A) are the Secretary of Education, the 
                Attorney General, the Secretary of Transportation, the 
                Secretary of the Treasury, the Secretary of Defense, 
                the Surgeon General, the Director of the Centers for 
                Disease Control and Prevention, the Director of the 
                National Institute on Alcohol Abuse and Alcoholism, the 
                Assistant Secretary for Mental Health and Substance 
                Use, the Director of the National Institute on Drug 
                Abuse, the Assistant Secretary for Children and 
                Families, the Director of the Office of National Drug 
                Control Policy, the Administrator of the National 
                Highway Traffic Safety Administration, the 
                Administrator of the Office of Juvenile Justice and 
                Delinquency Prevention, the Chairman of the Federal 
                Trade Commission, and such other Federal officials as 
                the Secretary of Health and Human Services determines 
                to be appropriate.
                    ``(C) Chair.--The Secretary of Health and Human 
                Services shall serve as the chair of the Committee.
                    ``(D) Duties.--The Committee shall guide policy and 
                program development across the Federal Government with 
                respect to underage drinking, provided, however, that 
                nothing in this section shall be construed as 
                transferring regulatory or program authority from an 
                Agency to the Coordinating Committee.
                    ``(E) Consultations.--The Committee shall actively 
                seek the input of and shall consult with all 
                appropriate and interested parties, including States, 
                public health research and interest groups, 
                foundations, and alcohol beverage industry trade 
                associations and companies.
                    ``(F) Annual report.--
                            ``(i) In general.--The Secretary, on behalf 
                        of the Committee, shall annually submit to the 
                        Congress a report that summarizes--
                                    ``(I) all programs and policies of 
                                Federal agencies designed to prevent 
                                and reduce underage drinking, focusing 
                                particularly on programs and policies 
                                that support the adoption and 
                                enforcement of State policies designed 
                                to prevent and reduce underage drinking 
                                as specified in paragraph (2);
                                    ``(II) the extent of progress in 
                                preventing and reducing underage 
                                drinking at State and national levels;
                                    ``(III) data that the Secretary 
                                shall collect with respect to the 
                                information specified in clause (ii); 
                                and
                                    ``(IV) such other information 
                                regarding underage drinking as the 
                                Secretary determines to be appropriate.
                            ``(ii) Certain information.--The report 
                        under clause (i) shall include information on 
                        the following:
                                    ``(I) Patterns and consequences of 
                                underage drinking as reported in 
                                research and surveys such as, but not 
                                limited to, Monitoring the Future, 
                                Youth Risk Behavior Surveillance 
                                System, the National Survey on Drug Use 
                                and Health, and the Fatality Analysis 
                                Reporting System.
                                    ``(II) Measures of the availability 
                                of alcohol from commercial and non-
                                commercial sources to underage 
                                populations.
                                    ``(III) Measures of the exposure of 
                                underage populations to messages 
                                regarding alcohol in advertising, 
                                social media, and the entertainment 
                                media.
                                    ``(IV) Surveillance data, including 
                                information on the onset and prevalence 
                                of underage drinking, consumption 
                                patterns, beverage preferences, 
                                prevalence of drinking among students 
                                at institutions of higher education, 
                                correlations between adult and youth 
                                drinking, and the means of underage 
                                access, including trends over time for 
                                these surveillance data. The Secretary 
                                shall develop a plan to improve the 
                                collection, measurement, and 
                                consistency of reporting Federal 
                                underage alcohol data.
                                    ``(V) Any additional findings 
                                resulting from research conducted or 
                                supported under subsection (f).
                                    ``(VI) Evidence-based best 
                                practices to prevent and reduce 
                                underage drinking including a review of 
                                the research literature related to 
                                State laws, regulations, and policies 
                                designed to prevent and reduce underage 
                                drinking, as described in paragraph 
                                (2)(B)(i).
            ``(2) Annual report on state underage drinking prevention 
        and enforcement activities.--
                    ``(A) In general.--The Secretary shall, with input 
                and collaboration from other appropriate Federal 
                agencies, States, Indian Tribes, territories, and 
                public health, consumer, and alcohol beverage industry 
                groups, annually issue a report on each State's 
                performance in enacting, enforcing, and creating laws, 
                regulations, and policies to prevent or reduce underage 
                drinking based on an assessment of best practices 
                developed pursuant to paragraph (1)(F)(ii)(VI) and 
                subparagraph (B)(i). For purposes of this paragraph, 
                each such report, with respect to a year, shall be 
                referred to as the `State Report'. Each State Report 
                shall be designed as a resource tool for Federal 
                agencies assisting States in the their underage 
                drinking prevention efforts, State public health and 
                law enforcement agencies, State and local policymakers, 
                and underage drinking prevention coalitions including 
                those receiving grants pursuant to subsection (e).
                    ``(B) State performance measures.--
                            ``(i) In general.--The Secretary shall 
                        develop, in consultation with the Committee, a 
                        set of measures to be used in preparing the 
                        State Report on best practices as they relate 
                        to State laws, regulations, policies, and 
                        enforcement practices.
                            ``(ii) State report content.--The State 
                        Report shall include updates on State laws, 
                        regulations, and policies included in previous 
                        reports to Congress, including with respect to 
                        the following:
                                    ``(I) Whether or not the State has 
                                comprehensive anti-underage drinking 
                                laws such as for the illegal sale, 
                                purchase, attempt to purchase, 
                                consumption, or possession of alcohol; 
                                illegal use of fraudulent ID; illegal 
                                furnishing or obtaining of alcohol for 
                                an individual under 21 years; the 
                                degree of strictness of the penalties 
                                for such offenses; and the prevalence 
                                of the enforcement of each of these 
                                infractions.
                                    ``(II) Whether or not the State has 
                                comprehensive liability statutes 
                                pertaining to underage access to 
                                alcohol such as dram shop, social host, 
                                and house party laws, and the 
                                prevalence of enforcement of each of 
                                these laws.
                                    ``(III) Whether or not the State 
                                encourages and conducts comprehensive 
                                enforcement efforts to prevent underage 
                                access to alcohol at retail outlets, 
                                such as random compliance checks and 
                                shoulder tap programs, and the number 
                                of compliance checks within alcohol 
                                retail outlets measured against the 
                                number of total alcohol retail outlets 
                                in each State, and the result of such 
                                checks.
                                    ``(IV) Whether or not the State 
                                encourages training on the proper 
                                selling and serving of alcohol for all 
                                sellers and servers of alcohol as a 
                                condition of employment.
                                    ``(V) Whether or not the State has 
                                policies and regulations with regard to 
                                direct sales to consumers and home 
                                delivery of alcoholic beverages.
                                    ``(VI) Whether or not the State has 
                                programs or laws to deter adults from 
                                purchasing alcohol for minors; and the 
                                number of adults targeted by these 
                                programs.
                                    ``(VII) Whether or not the State 
                                has enacted graduated drivers licenses 
                                and the extent of those provisions.
                            ``(iii) Additional categories.--In addition 
                        to the updates on State laws, regulations, and 
                        policies listed in clause (ii), the Secretary 
                        shall consider the following:
                                    ``(I) Whether or not States have 
                                adopted laws, regulations, and policies 
                                that deter underage alcohol use, as 
                                described in `The Surgeon General's 
                                Call to Action to Prevent and Reduce 
                                Underage Drinking' issued in 2007 and 
                                `Facing Addiction in America: The 
                                Surgeon General's Report on Alcohol, 
                                Drugs and Health' issued in 2016, 
                                including restrictions on low-price, 
                                high-volume drink specials, and 
                                wholesaler pricing provisions.
                                    ``(II) Whether or not States have 
                                adopted laws, regulations, and policies 
                                designed to reduce alcohol advertising 
                                messages attractive to youth and youth 
                                exposure to alcohol advertising and 
                                marketing in measured and unmeasured 
                                media and digital and social media.
                                    ``(III) Whether or not States have 
                                laws and policies that promote underage 
                                drinking prevention policy development 
                                by local jurisdictions.
                                    ``(IV) Whether or not States have 
                                adopted laws, regulations, and policies 
                                to restrict youth access to alcoholic 
                                beverages that may pose special risks 
                                to youth, including but not limited to 
                                alcoholic mists, gelatins, freezer 
                                pops, premixed caffeinated alcoholic 
                                beverages, and flavored malt beverages.
                                    ``(V) Whether or not States have 
                                adopted uniform best practices 
                                protocols for conducting compliance 
                                checks and shoulder tap programs.
                                    ``(VI) Whether or not States have 
                                adopted uniform best practices penalty 
                                protocols for violations of laws 
                                prohibiting retail licensees from 
                                selling or furnishing of alcohol to 
                                minors.
                            ``(iv) Uniform data system.--For 
                        performance measures related to enforcement of 
                        underage drinking laws as specified in clauses 
                        (ii) and (iii), the Secretary shall develop and 
                        test a uniform data system for reporting State 
                        enforcement data, including the development of 
                        a pilot program for this purpose. The pilot 
                        program shall include procedures for collecting 
                        enforcement data from both State and local law 
                        enforcement jurisdictions.
            ``(3) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $1,000,000 for 
        each of fiscal years 2023 through 2027.
    ``(d) National Media Campaign To Prevent Underage Drinking.--
            ``(1) In general.--The Secretary, in consultation with the 
        National Highway Traffic Safety Administration, shall develop 
        an intensive, multifaceted, adult-oriented national media 
        campaign to reduce underage drinking by influencing attitudes 
        regarding underage drinking, increasing the willingness of 
        adults to take actions to reduce underage drinking, and 
        encouraging public policy changes known to decrease underage 
        drinking rates.
            ``(2) Purpose.--The purpose of the national media campaign 
        described in this section shall be to achieve the following 
        objectives:
                    ``(A) Instill a broad societal commitment to reduce 
                underage drinking.
                    ``(B) Increase specific actions by adults that are 
                meant to discourage or inhibit underage drinking.
                    ``(C) Decrease adult conduct that tends to 
                facilitate or condone underage drinking.
            ``(3) Components.--When implementing the national media 
        campaign described in this section, the Secretary shall--
                    ``(A) educate the public about the public health 
                and safety benefits of evidence-based policies to 
                reduce underage drinking, including minimum legal 
                drinking age laws, and build public and parental 
                support for and cooperation with enforcement of such 
                policies;
                    ``(B) educate the public about the negative 
                consequences of underage drinking;
                    ``(C) promote specific actions by adults that are 
                meant to discourage or inhibit underage drinking, 
                including positive behavior modeling, general parental 
                monitoring, and consistent and appropriate discipline;
                    ``(D) discourage adult conduct that tends to 
                facilitate underage drinking, including the hosting of 
                underage parties with alcohol and the purchasing of 
                alcoholic beverages on behalf of underage youth;
                    ``(E) establish collaborative relationships with 
                local and national organizations and institutions to 
                further the goals of the campaign and assure that the 
                messages of the campaign are disseminated from a 
                variety of sources;
                    ``(F) conduct the campaign through multi-media 
                sources; and
                    ``(G) conduct the campaign with regard to changing 
                demographics and cultural and linguistic factors.
            ``(4) Consultation requirement.--In developing and 
        implementing the national media campaign described in this 
        section, the Secretary shall consult recommendations for 
        reducing underage drinking published by the National Academy of 
        Sciences and the Surgeon General. The Secretary shall also 
        consult with interested parties including medical, public 
        health, and consumer and parent groups, law enforcement, 
        institutions of higher education, community organizations and 
        coalitions, and other stakeholders supportive of the goals of 
        the campaign.
            ``(5) Annual report.--The Secretary shall produce an annual 
        report on the progress of the development or implementation of 
        the media campaign described in this subsection, including 
        expenses and projected costs, and, as such information is 
        available, report on the effectiveness of such campaign in 
        affecting adult attitudes toward underage drinking and adult 
        willingness to take actions to decrease underage drinking.
            ``(6) Research on youth-oriented campaign.--The Secretary 
        may, based on the availability of funds, conduct research on 
        the potential success of a youth-oriented national media 
        campaign to reduce underage drinking. The Secretary shall 
        report any such results to Congress with policy recommendations 
        on establishing such a campaign.
            ``(7) Administration.--The Secretary may enter into a 
        subcontract with another Federal agency to delegate the 
        authority for execution and administration of the adult-
        oriented national media campaign.
            ``(8) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this section $2,500,000 for 
        each of fiscal years 2023 through 2027.
    ``(e) Community-Based Coalition Enhancement Grants To Prevent 
Underage Drinking.--
            ``(1) Authorization of program.--The Assistant Secretary 
        for Mental Health and Substance Use, in consultation with the 
        Director of the Office of National Drug Control Policy, shall 
        award enhancement grants to eligible entities to design, 
        implement, evaluate, and disseminate comprehensive strategies 
        to maximize the effectiveness of community-wide approaches to 
        preventing and reducing underage drinking. This subsection is 
        subject to the availability of appropriations.
            ``(2) Purposes.--The purposes of this subsection are to--
                    ``(A) prevent and reduce alcohol use among youth in 
                communities throughout the United States;
                    ``(B) strengthen collaboration among communities, 
                the Federal Government, Tribal Governments, and State 
                and local governments;
                    ``(C) enhance intergovernmental cooperation and 
                coordination on the issue of alcohol use among youth;
                    ``(D) serve as a catalyst for increased citizen 
                participation and greater collaboration among all 
                sectors and organizations of a community that first 
                demonstrates a long-term commitment to reducing alcohol 
                use among youth;
                    ``(E) implement state-of-the-art science-based 
                strategies to prevent and reduce underage drinking by 
                changing local conditions in communities; and
                    ``(F) enhance, not supplant, effective local 
                community initiatives for preventing and reducing 
                alcohol use among youth.
            ``(3) Application.--An eligible entity desiring an 
        enhancement grant under this subsection shall submit an 
        application to the Assistant Secretary at such time, and in 
        such manner, and accompanied by such information and 
        assurances, as the Assistant Secretary may require. Each 
        application shall include--
                    ``(A) a complete description of the entity's 
                current underage alcohol use prevention initiatives and 
                how the grant will appropriately enhance the focus on 
                underage drinking issues; or
                    ``(B) a complete description of the entity's 
                current initiatives, and how it will use this grant to 
                enhance those initiatives by adding a focus on underage 
                drinking prevention.
            ``(4) Uses of funds.--Each eligible entity that receives a 
        grant under this subsection shall use the grant funds to carry 
        out the activities described in such entity's application 
        submitted pursuant to paragraph (3) and obtain specialized 
        training and technical assistance by the entity funded under 
        section 4 of Public Law 107-82, as amended (21 U.S.C. 1521 
        note). Grants under this subsection shall not exceed $60,000 
        per year and may not exceed four years.
            ``(5) Supplement not supplant.--Grant funds provided under 
        this subsection shall be used to supplement, not supplant, 
        Federal and non-Federal funds available for carrying out the 
        activities described in this subsection.
            ``(6) Evaluation.--Grants under this subsection shall be 
        subject to the same evaluation requirements and procedures as 
        the evaluation requirements and procedures imposed on 
        recipients of drug-free community grants.
            ``(7) Definitions.--For purposes of this subsection, the 
        term `eligible entity' means an organization that is currently 
        receiving or has received grant funds under the Drug-Free 
        Communities Act of 1997.
            ``(8) Administrative expenses.--Not more than 6 percent of 
        a grant under this subsection may be expended for 
        administrative expenses.
            ``(9) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $11,500,000 for 
        each of fiscal years 2023 through 2027.
    ``(f) Grants to Professional Pediatric Provider Organizations To 
Reduce Underage Drinking Through Screening and Brief Interventions.--
            ``(1) In general.--The Secretary, acting through the 
        Assistant Secretary for Mental Health and Substance Use, shall 
        make one or more grants to professional pediatric provider 
        organizations to increase among the members of such 
        organizations effective practices to reduce the prevalence of 
        alcohol use among individuals under the age of 21, including 
        college students.
            ``(2) Purposes.--Grants under this subsection shall be made 
        to promote the practices of--
                    ``(A) screening children and adolescents for 
                alcohol use;
                    ``(B) offering brief interventions to children and 
                adolescents to discourage such use;
                    ``(C) educating parents about the dangers of and 
                methods of discouraging such use;
                    ``(D) diagnosing and treating alcohol use 
                disorders; and
                    ``(E) referring patients, when necessary, to other 
                appropriate care.
            ``(3) Use of funds.--A professional pediatric provider 
        organization receiving a grant under this section may use the 
        grant funding to promote the practices specified in paragraph 
        (2) among its members by--
                    ``(A) providing training to health care providers;
                    ``(B) disseminating best practices, including 
                culturally and linguistically appropriate best 
                practices, and developing, printing, and distributing 
                materials; and
                    ``(C) supporting other activities approved by the 
                Assistant Secretary.
            ``(4) Application.--To be eligible to receive a grant under 
        this subsection, a professional pediatric provider organization 
        shall submit an application to the Assistant Secretary at such 
        time, and in such manner, and accompanied by such information 
        and assurances as the Secretary may require. Each application 
        shall include--
                    ``(A) a description of the pediatric provider 
                organization;
                    ``(B) a description of the activities to be 
                completed that will promote the practices specified in 
                paragraph (2);
                    ``(C) a description of the organization's 
                qualifications for performing such practices; and
                    ``(D) a timeline for the completion of such 
                activities.
            ``(5) Definitions.--For the purpose of this subsection:
                    ``(A) Brief intervention.--The term `brief 
                intervention' means, after screening a patient, 
                providing the patient with brief advice and other brief 
                motivational enhancement techniques designed to 
                increase the insight of the patient regarding the 
                patient's alcohol use, and any realized or potential 
                consequences of such use to effect the desired related 
                behavioral change.
                    ``(B) Children and adolescents.--The term `children 
                and adolescents' means individuals under 21 years of 
                age.
                    ``(C) Professional pediatric provider 
                organization.--The term `professional pediatric 
                provider organization' means an organization or 
                association that--
                            ``(i) consists of or represents pediatric 
                        health care providers; and
                            ``(ii) is qualified to promote the 
                        practices specified in paragraph (2).
                    ``(D) Screening.--The term `screening' means using 
                validated patient interview techniques to identify and 
                assess the existence and extent of alcohol use in a 
                patient.
            ``(6) Authorization of appropriations.--There is authorized 
        to be appropriated to carry out this subsection $3,000,000 for 
        each of fiscal years 2023 through 2027.
    ``(g) Data Collection and Research.--
            ``(1) Additional research on underage drinking.--
                    ``(A) In general.--The Secretary shall, subject to 
                the availability of appropriations, collect data, and 
                conduct or support research that is not duplicative of 
                research currently being conducted or supported by the 
                Department of Health and Human Services, on underage 
                drinking, with respect to the following:
                            ``(i) Improve data collection in support of 
                        evaluation of the effectiveness of 
                        comprehensive community-based programs or 
                        strategies and statewide systems to prevent and 
                        reduce underage drinking, across the underage 
                        years from early childhood to age 21, such as 
                        programs funded and implemented by governmental 
                        entities, public health interest groups and 
                        foundations, and alcohol beverage companies and 
                        trade associations, through the development of 
                        models of State-level epidemiological 
                        surveillance of underage drinking by funding in 
                        States or large metropolitan areas new 
                        epidemiologists focused on excessive drinking 
                        including underage alcohol use.
                            ``(ii) Obtain and report more precise 
                        information than is currently collected on the 
                        scope of the underage drinking problem and 
                        patterns of underage alcohol consumption, 
                        including improved knowledge about the problem 
                        and progress in preventing, reducing, and 
                        treating underage drinking, as well as 
                        information on the rate of exposure of youth to 
                        advertising and other media messages 
                        encouraging and discouraging alcohol 
                        consumption.
                            ``(iii) Synthesize, expand on, and widely 
                        disseminate existing research on effective 
                        strategies for reducing underage drinking, 
                        including translational research, and make this 
                        research easily accessible to the general 
                        public.
                            ``(iv) Improve and conduct public health 
                        surveillance on alcohol use and alcohol-related 
                        conditions in States by increasing the use of 
                        surveys, such as the Behavioral Risk Factor 
                        Surveillance System, to monitor binge and 
                        excessive drinking and related harms among 
                        individuals who are at least 18 years of age, 
                        but not more than 20 years of age, including 
                        harm caused to self or others as a result of 
                        alcohol use that is not duplicative of research 
                        currently being conducted or supported by the 
                        Department of Health and Human Services.
                    ``(B) Authorization of appropriations.--There is 
                authorized to be appropriated to carry out this 
                paragraph $5,000,000 for each of fiscal years 2023 
                through 2027.
            ``(2) National academy of sciences study.--
                    ``(A) In general.--Not later than 12 months after 
                the enactment of the Sober Truth on Preventing Underage 
                Drinking Reauthorization Act, the Secretary shall--
                            ``(i) contract with the National Academy of 
                        Sciences to conduct a review of the research 
                        literature regarding the influence of drinking 
                        alcohol on the development of the adolescent 
                        brain and the public policy implications of 
                        this research; and
                            ``(ii) report to the Congress on the 
                        results of such review.
                    ``(B) Authorization of appropriations.--There is 
                authorized to be appropriated to carry out this 
                paragraph $500,000 for fiscal year 2023.''.

SEC. 8. GRANTS FOR JAIL DIVERSION PROGRAMS.

    Section 520G of the Public Health Service Act (42 U.S.C. 290bb-38) 
is amended--
            (1) in subsection (a)--
                    (A) by striking ``up to'' and inserting ``at 
                least''; and
                    (B) by striking ``tribes and tribal organizations'' 
                and inserting ``Tribes and Tribal organizations'';
            (2) in subsection (b)(2), by striking ``tribes, and tribal 
        organizations'' and inserting ``Tribes, and Tribal 
        organizations'';
            (3) in subsection (c)--
                    (A) in paragraph (1), by striking ``tribe or tribal 
                organization'' and inserting ``Tribe or Tribal 
                organization''; and
                    (B) in paragraph (2)(A)(iii), by striking ``tribe, 
                or tribal organization'' and inserting ``Tribe, or 
                Tribal organization'';
            (4) in subsection (e)--
                    (A) in the matter preceding paragraph (1), by 
                striking ``tribe, or tribal organization'' and 
                inserting ``Tribe, or Tribal organization''; and
                    (B) in paragraph (5), by striking ``or arrest'' and 
                inserting ``, arrest, or release'';
            (5) in subsection (f), by striking ``tribe, or tribal 
        organization'' each place it appears and inserting ``Tribe, or 
        Tribal organization'';
            (6) in subsection (h), by striking ``tribe, or tribal 
        organization'' and inserting ``Tribe, or Tribal organization''; 
        and
            (7) in subsection (j), by striking ``$4,269,000 for each of 
        fiscal years 2018 through 2022'' and inserting ``$18,000,000 
        for each of fiscal years 2023 through 2027''.

SEC. 9. FORMULA GRANTS TO STATES.

    Section 521 of the Public Health Service Act (42 U.S.C. 290cc-21) 
is amended by striking ``2018 through 2022'' and inserting ``2023 
through 2027''.

SEC. 10. PROJECTS FOR ASSISTANCE IN TRANSITION FROM HOMELESSNESS.

    Section 535(a) of the Public Health Service Act (42 U.S.C. 290cc-
35(a)) is amended by striking ``2018 through 2022'' and inserting 
``2023 through 2027''.

SEC. 11. GRANTS FOR REDUCING OVERDOSE DEATHS.

    Section 544 of the Public Health Service Act (42 U.S.C. 290dd-3) is 
amended--
            (1) in subsection (b)(1), by striking ``abuse'' and 
        inserting ``use disorder''; and
            (2) in subsection (f), by striking ``2017 through 2021'' 
        and inserting ``2023 through 2027''.

SEC. 12. OPIOID OVERDOSE REVERSAL MEDICATION ACCESS AND EDUCATION GRANT 
              PROGRAMS.

    Section 545 of the Public Health Service Act (42 U.S.C. 290ee) is 
amended--
            (1) in subsection (c)(2), by striking ``abuse'' and 
        inserting ``use disorder''; and
            (2) in subsection (h)(1), by striking ``2017 through 2019'' 
        and inserting ``2023 through 2027''.

SEC. 13. STATE DEMONSTRATION GRANTS FOR COMPREHENSIVE OPIOID ABUSE 
              RESPONSE.

    Section 548 of the Public Health Service Act (42 U.S.C. 290ee-3) is 
amended--
            (1) in the section heading, by striking ``abuse'' and 
        inserting ``use disorder'';
            (2) in subsection (b)--
                    (A) in the subsection heading, by striking 
                ``Abuse'' and inserting ``Use Disorder'';
                    (B) in paragraph (1), by striking ``abuse'' and 
                inserting ``use disorder'';
                    (C) in paragraph (2)--
                            (i) in the matter preceding subparagraph 
                        (A), by striking ``abuse'' and inserting ``use 
                        disorder'';
                            (ii) in subparagraph (A), by striking 
                        ``opioid use, treatment, and addiction 
                        recovery'' and inserting ``opioid use 
                        disorders, and treatment for, and recovery from 
                        opioid use disorders'';
                            (iii) in subparagraph (C), by striking 
                        ``addiction'' each place it appears and 
                        inserting ``use disorder'';
                            (iv) by amending subparagraph (D) to read 
                        as follows:
                    ``(D) developing, implementing, and expanding 
                efforts to prevent overdose death from opioid or other 
                prescription medication use disorders; and''; and
                            (v) in subparagraph (E), by striking 
                        ``abuse'' and inserting ``use disorders''; and
                    (D) in paragraph (4), by striking ``abuse'' each 
                place it appears and inserting ``use disorders''; and
            (3) by striking ``2017 through 2021'' and inserting ``2023 
        through 2027''.

SEC. 14. EMERGENCY DEPARTMENT ALTERNATIVES TO OPIOIDS.

    Section 7091 of the SUPPORT for Patients and Communities Act 
(Public Law 115-271) is amended--
            (1) in the section heading, by striking ``demonstration'';
            (2) in subsection (a)--
                    (A) by amending the subsection heading to read as 
                follows: ``Grant Program''; and
                    (B) in paragraph (1), by striking 
                ``demonstration'';
            (3) in subsection (b), in the subsection heading, by 
        striking ``Demonstration'';
            (4) in subsection (d)(4), by striking ``tribal'' and 
        inserting ``Tribal'';
            (5) in subsection (f), by striking ``Not later than 1 year 
        after completion of the demonstration program under this 
        section, the Secretary shall submit a report to the Congress on 
        the results of the demonstration program'' and inserting ``Not 
        later than the end of each of fiscal years 2024 and 2027, the 
        Secretary shall submit to the Congress a report on the results 
        of the program''; and
            (6) in subsection (g), by striking ``2019 through 2021'' 
        and inserting ``2023 through 2027''.
                                 <all>