State Opioid Response Grant Authorization Act of 2021
This bill reauthorizes through FY2027 and otherwise changes the State Opioid Response Grant program. This program, which is managed by the Substance Abuse and Mental Health Services Administration, provides funding for states, territories, and Indian tribes and tribal organizations to address the opioid crisis.
Specific changes to the program include (1) expanding its scope to also address stimulant use and misuse, (2) establishing a funding methodology and minimum funding allocations, and (3) allowing the use of grant funds for recovery support services.
The bill also requires the Government Accountability Office to report on issues concerning the funding and other aspects of the program.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2379 Introduced in House (IH)]
<DOC>
117th CONGRESS
1st Session
H. R. 2379
To amend the 21st Century Cures Act to reauthorize and expand a grant
program for State response to the opioid use disorders crisis, and for
other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 8, 2021
Mr. Trone (for himself and Ms. Sherrill) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To amend the 21st Century Cures Act to reauthorize and expand a grant
program for State response to the opioid use disorders crisis, 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 ``State Opioid Response Grant
Authorization Act of 2021''.
SEC. 2. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO SUBSTANCE USE
DISORDERS OF SIGNIFICANCE.
Section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee-3 note)
is amended to read as follows:
``SEC. 1003. GRANT PROGRAM FOR STATE AND TRIBAL RESPONSE TO SUBSTANCE
USE DISORDERS OF SIGNIFICANCE.
``(a) In General.--The Secretary of Health and Human Services
(referred to in this section as the `Secretary') shall carry out the
grant program described in subsection (b) for purposes of addressing
substance use disorders of significance, including opioid and stimulant
use disorders, within States, Indian Tribes, and populations served by
Tribal organizations and Urban Indian organizations.
``(b) Grants Program.--
``(1) In general.--Subject to the availability of
appropriations, the Secretary shall award grants to States,
Indian Tribes, Tribal organizations, and Urban Indian
organizations for the purpose of addressing substance use
disorders of significance, including opioid and stimulant use
disorders, within such States, such Indian Tribes, and
populations served by such Tribal organizations and Urban
Indian organizations, in accordance with paragraph (2).
``(2) Minimum allocations; preference.--In determining
grant amounts for each recipient of a grant under paragraph
(1), the Secretary shall--
``(A) ensure that each State and the District of
Columbia receives not less than $4,000,000; and
``(B) give preference to States, Indian Tribes,
Tribal organizations, and Urban Indian organizations
whose populations have an incidence or prevalence of
opioid use disorders that is substantially higher
relative to the populations of other States, other
Indian Tribes, Tribal organizations, or Urban Indian
organizations, as applicable.
``(3) Formula methodology.--
``(A) In general.--Not less than 15 days before
publishing a funding opportunity announcement with
respect to grants under this section, the Secretary
shall--
``(i) develop a formula methodology to be
followed in allocating grant funds awarded
under this section among grantees, which
includes performance assessments for
continuation awards; and
``(ii) submit the formula methodology to--
``(I) the Committee on Energy and
Commerce and the Committee on
Appropriations of the House of
Representatives; and
``(II) the Committee on Health,
Education, Labor, and Pensions and the
Committee on Appropriations of the
Senate.
``(B) Formula adjustments.--The Secretary may make
adjustments to the formula developed under subparagraph
(A)(i) in order to ensure that no State receives an
amount for a fiscal year that is significantly lower
than the amount received by the State for the previous
fiscal year.
``(4) Use of funds.--Grants awarded under this subsection
shall be used for carrying out activities that supplement
activities pertaining to substance use disorders of
significance, including opioid and stimulant use disorders,
undertaken by the State agency responsible for administering
the substance abuse prevention and treatment block grant under
subpart II of part B of title XIX of the Public Health Service
Act (42 U.S.C. 300x-21 et seq.), which may include public
health-related activities such as the following:
``(A) Implementing prevention activities, and
evaluating such activities to identify effective
strategies to prevent substance use disorders.
``(B) Establishing or improving prescription drug
monitoring programs.
``(C) Training for health care practitioners, such
as best practices for prescribing opioids, pain
management, recognizing potential cases of substance
use disorders, referral of patients to treatment
programs, preventing diversion of controlled
substances, and overdose prevention.
``(D) Supporting access to health care services,
including--
``(i) services provided by federally
certified opioid treatment programs;
``(ii) outpatient and residential substance
use disorder treatment services that utilize
medication-assisted treatment, as appropriate;
or
``(iii) other appropriate health care
providers to treat substance use disorders.
``(E) Recovery support services, including
community-based services that include peer supports,
and address housing needs and family issues.
``(F) Other public health-related activities, as
the State, Indian Tribe, Tribal organization, or Urban
Indian organization determines appropriate, related to
addressing substance use disorders within the State,
Indian Tribe, Tribal organization, or Urban Indian
organization, including directing resources in
accordance with local needs related to substance use
disorders.
``(c) Accountability and Oversight.--A State receiving a grant
under subsection (b) shall include in reporting related to substance
use disorders submitted to the Secretary pursuant to section 1942 of
the Public Health Service Act (42 U.S.C. 300x-52), a description of--
``(1) the purposes for which the grant funds received by
the State under such subsection for the preceding fiscal year
were expended and a description of the activities of the State
under the grant; and
``(2) the ultimate recipients of amounts provided to the
State through the grant.
``(d) Limitations.--Any funds made available pursuant to subsection
(i)--
``(1) notwithstanding any transfer authority in any
appropriations Act, shall not be used for any purpose other
than the grant program in subsection (b); and
``(2) shall be subject to the same requirements as
substance use disorders prevention and treatment programs under
titles V and XIX of the Public Health Service Act (42 U.S.C.
290aa et seq., 300w et seq.).
``(e) Indian Tribes, Tribal Organizations, and Urban Indian
Organizations.--The Secretary, in consultation with Indian Tribes,
Tribal organizations, and Urban Indian organizations, shall identify
and establish appropriate mechanisms for Indian Tribes, Tribal
organizations, and Urban Indian organizations to demonstrate or report
the information as required under subsections (b), (c), and (d).
``(f) Report to Congress.--Not later than September 30, 2024, and
biennially thereafter, the Secretary shall submit to the Committee on
Health, Education, Labor, and Pensions of the Senate and the Committee
on Energy and Commerce of the House of Representatives, and the
Committees on Appropriations of the House of Representatives and the
Senate, a report that includes--
``(1) a summary of the information provided to the
Secretary in reports made pursuant to subsections (c) and (e),
including the purposes for which grant funds are awarded under
this section and the activities of such grant recipients; and
``(2) with respect to States that experience significant
reductions in funding compared to previous years based on
reduced mortality rates, an analysis of the impact of such
reductions on such States and the extent to which such
reductions have impacted outreach and direct support services
to providers and underserved communities, and statewide
treatment and recovery outcomes in such States.
``(g) Technical Assistance.--The Secretary, including through the
Tribal Training and Technical Assistance Center of the Substance Abuse
and Mental Health Services Administration, shall provide States, Indian
Tribes, Tribal organizations, and Urban Indian organizations, as
applicable, with technical assistance concerning grant application and
submission procedures under this section, award management activities,
and enhancing outreach and direct support to rural and underserved
communities and providers in addressing substance use disorders.
``(h) Definitions.--In this section:
``(1) Indian tribe.--The term `Indian Tribe' has the
meaning given the term `Indian tribe' in section 4 of the
Indian Self-Determination and Education Assistance Act (25
U.S.C. 5304).
``(2) Tribal organization.--The term `Tribal organization'
has the meaning given the term `tribal organization' in such
section 4.
``(3) State.--The term `State' has the meaning given such
term in section 1954(b) of the Public Health Service Act (42
U.S.C. 300x-64(b)).
``(4) Urban indian organization.--The term `Urban Indian
organization' has the meaning given such term in section 4 of
the Indian Health Care Improvement Act.
``(i) Authorization of Appropriations.--
``(1) In general.--For purposes of carrying out the grant
program under subsection (b), there is authorized to be
appropriated $1,750,000,000 for each of fiscal years 2022
through 2027, to remain available until expended.
``(2) Federal administrative expenses.--Of the amounts made
available for each fiscal year to award grants under subsection
(b), the Secretary shall not use more than 2 percent for
Federal administrative expenses, training, technical
assistance, and evaluation.
``(3) Set aside.--Of the amounts made available for each
fiscal year to award grants under subsection (b) for a fiscal
year, the Secretary shall--
``(A) award 5 percent to Indian Tribes, Tribal
organizations, and Urban Indian organizations; and
``(B) of the amount remaining after application of
subparagraph (A), set aside up to 15 percent for awards
to States with the highest age-adjusted rate of drug
overdose death based on the ordinal ranking of States
according to the Director of the Centers for Disease
Control and Prevention.''.
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
Subcommittee Consideration and Mark-up Session Held.
Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .
Committee Consideration and Mark-up Session Held.
Ordered to be Reported (Amended) by Voice Vote.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 117-149.
Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 117-149.
Placed on the Union Calendar, Calendar No. 109.
Mr. Pallone moved to suspend the rules and pass the bill, as amended.
Considered under suspension of the rules. (consideration: CR H5647-5650)
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DEBATE - The House proceeded with forty minutes of debate on H.R. 2379.
At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.
Considered as unfinished business. (consideration: CR H5699-5700)
Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 380 - 46 (Roll no. 320).(text: CR 10/19/2021 H5647-5648)
Roll Call #320 (House)On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 380 - 46 (Roll no. 320). (text: CR 10/19/2021 H5647-5648)
Roll Call #320 (House)Motion to reconsider laid on the table Agreed to without objection.
Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.