I 118th CONGRESS 1st Session H. R. 4489 IN THE HOUSE OF REPRESENTATIVES July 6, 2023 Mr. Guthrie (for himself and Ms. Kuster ) introduced the following bill; which was referred to the Committee on Energy and Commerce A BILL To amend the 21st Century Cures Act to clarify that grants for State and Tribal response to opioid use disorders may, at the discretion of the Secretary of Health and Human Services, also be used to address associated health conditions, and for other purposes.

1. Addressing associated health conditions through grant program for State and Tribal response to opioid use disorders (a) Additional use of funds Section 1003(b) of the 21st Century Cures Act ( 42 U.S.C. 290ee–3 note) is amended by adding at the end the following: (5) Associated health conditions The Secretary may authorize the recipient of a grant under this subsection, in addition to using the grant for activities described in paragraph (4) with respect to opioid misuse and use disorders and stimulant misuse and use disorders, to use the grant to for similar activities with respect to associated health conditions. . (b) Annual report to Congress Section 1003(f) of the 21st Century Cures Act ( 42 U.S.C. 290ee–3 note) is amended— (1) in paragraph (2), strike and at the end; (2) in paragraph (3), strike the period at the end and insert a semicolon; and (3) by adding at the end the following: (4) the amount of funds each State that receiving a grant under subsection (b) received for the 12-month grant cycle covered by the report; (5) the amount of grant funds each such State spent for such grant cycle, disaggregated by the uses for which such funds were spent, including each allowable use under paragraphs (4) and (5) of subsection (b); (6) how many such States for such grant cycle did not spend all of the grant funds before such grant cycle expired; (7) how many such States for such grant cycle requested waivers to extend the grant cycle; and (8) challenges for such States to spend all of the funds allocated and the reason for such challenges, including to what extent reporting requirements or other requirements placed an increased burden on the ability of such States to spend all of the funds. . (c) Technical assistance Section 1003(g) of the 21st Century Cures Act ( 42 U.S.C. 290ee–3 note) is amended by inserting after substance use disorders the following: (including associated health conditions) . (d) Associated health conditions defined Section 1003(h) of the 21st Century Cures Act ( 42 U.S.C. 290ee–3 note) is amended— (1) by redesignating paragraphs (1) through (4) as paragraphs (2) through (5); and (2) by inserting before paragraph (2), as redesignated, the following: (1) Associated health conditions The term associated health conditions includes any disorder or health condition that is co-occurring with opioid misuse and use disorders and stimulant misuse and use disorders, including polydrug use and alcohol use disorder. . (e) Rule of construction Nothing in this Act or the amendments made by this Act shall be construed to change the allocation of funds among grantees pursuant to the minimum allocations and formula methodology under section 1003 of the 21st Century Cures Act ( 42 U.S.C. 290ee–3 note).