Substance Use Prevention, Treatment, and Recovery Services Block Grant Act of 2022
This bill reauthorizes through FY2027 and modifies the Substance Abuse Prevention and Treatment Block Grant, which supports state, tribal, and territorial efforts to prevent and treat substance use disorders.
Specifically, the bill expands the scope of the grant to include the provision of recovery support services. Grant recipients must include information about recovery support activities in their plans for expending grant funds.
Additionally, the Substance Abuse and Mental Health Services Administration must conduct a study to develop a model needs assessment process for grant recipients to use when determining the allocation of grant funding among prevention, treatment, and recovery support activities.
The bill also revises multiple provisions to eliminate stigmatizing terms (e.g., substance abuse) and otherwise align with current legislative drafting conventions.
[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 7235 Introduced in House (IH)]
<DOC>
117th CONGRESS
2d Session
H. R. 7235
To amend title XIX of the Public Health Service Act to make certain
improvements with respect to block grants for substance use prevention,
treatment, and recovery services, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
March 28, 2022
Mr. Tonko (for himself, Mr. Guthrie, Ms. Wild, and Mr. McKinley)
introduced the following bill; which was referred to the Committee on
Energy and Commerce
_______________________________________________________________________
A BILL
To amend title XIX of the Public Health Service Act to make certain
improvements with respect to block grants for substance use prevention,
treatment, and recovery services, 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 ``Substance Use Prevention, Treatment,
and Recovery Services Block Grant Act of 2022''.
SEC. 2. ELIMINATING STIGMATIZING LANGUAGE RELATING TO SUBSTANCE USE.
(a) Block Grants for Prevention and Treatment of Substance Use.--
Part B of title XIX of the Public Health Service Act (42 U.S.C. 300x et
seq.) is amended--
(1) in the part heading, by striking ``substance abuse''
and inserting ``substance use'';
(2) in subpart II, by amending the subpart heading to read
as follows: ``Block Grants for Substance Use Prevention,
Treatment, and Recovery Services'';
(3) in section 1922(a) (42 U.S.C. 300x-22(a))--
(A) in paragraph (1), in the matter preceding
subparagraph (A), by striking ``substance abuse'' and
inserting ``substance use disorders''; and
(B) by striking ``such abuse'' each place it
appears in paragraphs (1) and (2) and inserting ``such
use'';
(4) in section 1923 (42 U.S.C. 300x-23)--
(A) in the section heading, by striking ``substance
abuse'' and inserting ``substance use''; and
(B) by striking ``drug abuse'' each place it
appears in subsections (a) and (b) and inserting
``substance use disorders'';
(5) in section 1925(a)(1) (42 U.S.C. 300x-25(a)(1)), by
striking ``alcohol or drug abuse'' and inserting ``alcohol or
other substance use disorders'';
(6) in section 1926(b)(2)(B) (42 U.S.C. 300x-26(b)(2)(B)),
by striking ``substance abuse'';
(7) in section 1931(b)(2) (42 U.S.C. 300x-31(b)(2)), by
striking ``substance abuse'' and inserting ``substance use
disorders'';
(8) in section 1933(d)(1) (42 U.S.C. 300x-33(d)), in the
matter following subparagraph (B), by striking ``abuse of
alcohol and other drugs'' and inserting ``use of substances'';
(9) by amending paragraph (4) of section 1934 (42 U.S.C.
300x-34) to read as follows:
``(4) The term `substance use disorder' means the recurrent
use of alcohol or other drugs that causes clinically
significant impairment.'';
(10) in section 1935 (42 U.S.C. 300x-35)--
(A) in subsection (a), by striking ``substance
abuse'' and inserting ``substance use disorders''; and
(B) in subsection (b)(1), by striking ``substance
abuse'' each place it appears and inserting ``substance
use disorders'';
(11) in section 1949 (42 U.S.C. 300x-59), by striking
``substance abuse'' each place it appears in subsections (a)
and (d) and inserting ``substance use disorders'';
(12) in section 1954(b)(4) (42 U.S.C. 300x-64(b)(4))--
(A) by striking ``substance abuse'' each place it
appears and inserting ``substance use disorders''; and
(B) by striking ``such abuse'' and inserting ``such
disorders'';
(13) in section 1955 (42 U.S.C. 300x-65), by striking
``substance abuse'' each place it appears and inserting
``substance use disorder''; and
(14) in section 1956 (42 U.S.C. 300x-66), by striking
``substance abuse'' each place it appears and inserting
``substance use disorders''.
(b) Certain Programs Regarding Mental Health and Substance Abuse.--
Part C of title XIX of the Public Health Service Act (42 U.S.C. 300y et
seq.) is amended--
(1) in the part heading, by striking ``substance abuse''
and inserting ``substance use'';
(2) in section 1971 (42 U.S.C. 300y), by striking
``substance abuse'' each place it appears in subsections (a),
(b), and (f) and inserting ``substance use''; and
(3) in section 1976 (42 U.S.C. 300y-11), by striking
``intravenous abuse'' and inserting ``intravenous use''.
SEC. 3. AUTHORIZED ACTIVITIES.
Section 1921(b) of the Public Health Service Act (42 U.S.C. 300x-
21(b)) is amended by striking ``prevent and treat substance use
disorders'' and inserting ``prevent, treat, and provide recovery
support services for substance use disorders''.
SEC. 4. REQUIREMENTS RELATING TO CERTAIN INFECTIOUS DISEASES AND HUMAN
IMMUNODEFICIENCY VIRUS.
Section 1924 of the Public Health Service Act (42 U.S.C. 300x-24)
is amended--
(1) in the section heading, by striking ``tuberculosis and
human immunodeficiency virus'' and inserting ``tuberculosis,
viral hepatitis, and human immunodeficiency virus'';
(2) by redesignating subsections (c) and (d) as subsections
(d) and (e), respectively; and
(3) by inserting after subsection (b) the following:
``(c) Viral Hepatitis.--
``(1) In general.--A funding agreement for a grant under
section 1921 is that the State involved will require that any
entity receiving amounts from the grant for operating a program
of treatment for substance use disorders--
``(A) will, directly or through arrangements with
other public or nonprofit private entities, routinely
make available viral hepatitis services to each
individual receiving treatment for such disorders; and
``(B) in the case of an individual in need of such
treatment who is denied admission to the program on the
basis of the lack of the capacity of the program to
admit the individual, will refer the individual to
another provider of viral hepatitis services.
``(2) Viral hepatitis services.--For purposes of paragraph
(1), the term `viral hepatitis services', with respect to an
individual, means--
``(A) screening the individual for viral hepatitis;
and
``(B) referring the individual to a provider
specializing in viral hepatitis treatment.''.
SEC. 5. STATE PLAN REQUIREMENTS.
Section 1932(b)(1)(A) is amended--
(1) by redesignating clauses (vi) through (ix) as clauses
(vii) through (x), respectively; and
(2) by inserting after clause (v) the following:
``(vi) provides a description of--
``(I) the State's comprehensive
statewide recovery support services
activities, including the number of
individuals being served, target
populations, and priority needs; and
``(II) the amount of funds received
under this subpart expended on recovery
support services;''.
SEC. 6. UPDATING CERTAIN LANGUAGE RELATING TO TRIBES.
Section 1933(d) of the Public Health Service Act (300x-33(d)) is
amended--
(1) in the subsection heading, by striking ``Tribes and
Tribal Organizations'' and inserting ``Tribes and Tribal
Organizations'';
(2) in paragraph (1)--
(A) in subparagraph (A)--
(i) by striking ``of an Indian tribe or
tribal organization'' and inserting ``of an
Indian Tribe or Tribal organization''; and
(ii) by striking ``such tribe'' and
inserting ``such Tribe'';
(B) in subparagraph (B)--
(i) by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal
organization''; and
(ii) by striking ``Secretary under this''
and inserting ``Secretary under this subpart'';
and
(C) in the matter following subparagraph (B), by
striking ``tribe or tribal organization'' and inserting
``Tribe or Tribal organization'';
(3) by amending paragraph (2) to read as follows:
``(2) Indian tribe or tribal organization as grantee.--The
amount reserved by the Secretary on the basis of a
determination under this subsection shall be granted to the
Indian Tribe or Tribal organization serving the individuals for
whom such a determination has been made.'';
(4) in paragraph (3), by striking ``tribe or tribal
organization'' and inserting ``Tribe or Tribal organization'';
and
(5) in paragraph (4)--
(A) in the paragraph heading, by striking
``Definition'' and inserting ``Definitions''; and
(B) by striking ``The terms'' and all that follows
through ``given such terms'' and inserting the
following: ``The terms `Indian Tribe' and `Tribal
organization' have the meanings given the terms `Indian
tribe' and `tribal organization'''.
SEC. 7. BLOCK GRANTS FOR SUBSTANCE USE PREVENTION, TREATMENT, AND
RECOVERY SERVICES.
(a) In General.--Section 1935(a) of the Public Health Service Act
(42 U.S.C. 300x-35(a)), as amended by section 2, is further amended by
striking ``appropriated'' and all that follows through ``2022..'' and
inserting the following: ``appropriated $1,908,079,000 for each of
fiscal years 2023 through 2027.''.
(b) Technical Corrections.--Section 1935(b)(1)(B) of the Public
Health Service Act (42 U.S.C. 300x-35(b)(1)(B)) is amended by striking
``the collection of data in this paragraph is''.
SEC. 8. STUDY ON ASSESSMENT FOR USE IN DISTRIBUTION OF LIMITED STATE
RESOURCES.
(a) In General.--The Secretary of Health and Human Services, acting
through the Assistant Secretary for Mental Health and Substance Use (in
this section referred to as the ``Secretary''), shall, in consultation
with States and other local entities providing prevention, treatment,
or recovery support services related to substance use, conduct a study
to develop a model needs assessment process for States to consider to
help determine how best to allocate block grant funding received under
subpart II of part B of title XIX of the Public Health Service Act (42
U.S.C. 300x-21) to provide services to substance use disorder
prevention, treatment, and recovery support. The study must include
cost estimates with each model needs assessment process.
(b) Report.--Not later than 2 years after the date of the enactment
of this Act, the Secretary shall submit to the Committee on Energy and
Commerce of the House of Representatives and the Committee on Health,
Education, Labor and Pensions of the Senate a report on the results of
the study conducted under paragraph (1).
<all>
Introduced in House
Introduced in House
Referred to the House Committee on Energy and Commerce.
Referred to the Subcommittee on Health.
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