II 118th CONGRESS 1st Session S. 1991 IN THE SENATE OF THE UNITED STATES June 14, 2023 Mr. McConnell introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To reauthorize certain programs under the SUPPORT for Patients and Communities Act, and for other purposes.

1. Short title This Act may be cited as the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 or the CAREER Act of 2023 . 2. Treatment, recovery, and workforce support grants Section 7183 of the SUPPORT for Patients and Communities Act ( 42 U.S.C. 290ee–8 ) is amended— (1) in subsection (b), by inserting each before for a period ; (2) by amending subsection (c)(2) to read as follows: (2) Rates The rates described in this paragraph are the following: (A) The amount by which the average rate of drug overdose deaths in the State, adjusted for age, for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ) is above the average national overdose mortality rate, as determined by the Director of the Centers for Disease Control and Prevention, for the same period. (B) The amount by which the average rate of unemployment for the State, based on data provided by the Bureau of Labor Statistics, for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ) is above the national average for the same period. (C) The amount by which the average rate of labor force participation in the State, based on data provided by the Bureau of Labor Statistics, for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ) is below the national average for the same period. ; (3) in subsection (g)— (A) in paragraphs (1) and (3), by redesignating subparagraphs (A) and (B) as clauses (i) and (ii), respectively, and adjusting the margins accordingly; (B) by redesignating paragraphs (1) through (3) as subparagraphs (A) through (C), respectively, and adjusting the margins accordingly; (C) by striking An entity and inserting the following: (1) In general An entity ; and (D) by adding at the end the following: (2) Transportation services An entity receiving a grant under this section may use the funds for providing transportation for individuals to participate in an activity supported by a grant under this section, which transportation shall be to or from a place of work or a place where the individual is receiving vocational education or job training services or receiving services directly linked to treatment of or recovery from a substance use disorder. ; (4) in subsection (j)— (A) in paragraph (1), by inserting for each grant cycle after grant period ; and (B) in paragraph (2)— (i) in the matter preceding subparagraph (A)— (I) by striking the preliminary report and inserting each preliminary report ; and (II) by inserting for the grant cycle after final report ; and (ii) in subparagraph (A), by striking (g)(3) and inserting (g)(1)(C) ; and (5) in subsection (k), by striking $5,000,000 for each of fiscal years 2019 through 2023 and inserting $36,000,000 for each of fiscal years 2024 through 2028 . 3. Reauthorization of the Recovery Housing Program (a) In general Section 8071 of the SUPPORT for Patients and Communities Act ( 42 U.S.C. 5301 note; Public Law 115–271 ) is amended— (1) by striking the section heading and inserting Recovery Housing Program ; (2) in subsection (a), by striking through 2023 and inserting through 2028 ; (3) in subsection (b)— (A) in paragraph (1), by striking not later than 60 days after the date of enactment of this Act and inserting not later than 60 days after the date of enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ; and (B) in paragraph (2)(B)(i)— (i) in subclause (I), by striking for calendar years 2013 through 2017 and inserting for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ) ; (ii) in subclause (II), by striking for calendar years 2013 through 2017 and inserting for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ) ; and (iii) in subclause (III), by striking the period at the end and inserting for the period of 5 calendar years for which there is available data, including if necessary provisional data, immediately preceding the grant cycle (which shall be the period of calendar years 2018 through 2022 for the first grant cycle following the enactment of the Comprehensive Addiction Recovery through Effective Employment and Reentry Act of 2023 ). ; and (4) in subsection (f), by striking For the 2-year period following the date of enactment of this Act, the and inserting The . (b) Clerical amendment The table of contents in section 1(b) of the SUPPORT for Patients and Communities Act ( Public Law 115–271 ; 132 Stat. 3894) is amended by striking the item relating to section 8071 and inserting the following: Sec. 8071. Recovery Housing Program. .