I 115th CONGRESS 2d Session H. R. 5140 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.

1. Short title This Act may be cited as the Tribal Addiction and Recovery Act of 2018 or the TARA Act . 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 ). .