Title III — Treatment and recovery

S. 2839 · 113th Congress · Sep 17, 2014 · Lineage

III Treatment and recovery

Sec. 301 Evidence-based opioid and heroin treatment and interventions demonstration

Subpart 1 of part B of title V of the Public Health Service Act (42 U.S.C. 290bb et seq.) is amended—

(1)

by redesignating section 514 (42 U.S.C. 290bb–9), as added by section 3632 of the Methamphetamine Anti-Proliferation Act of 2000 (Public Law 106–310; 114 Stat. 1236), as section 514B; and

(2)

by adding at the end the following:

“514C. Evidence-based opioid and heroin treatment and interventions demonstration

“(a) Grants

“(1) Authority to make grants—The Director of the Center for Substance Abuse Treatment (referred to in this section as the “Director”) may award grants to State substance abuse agencies, units of local government, nonprofit organizations, and Indian tribes or tribal organizations (as defined in section 4 of the Indian Health Care Improvement Act (25 U.S.C. 1603)) that have a high rate, or have had a rapid increase, in the use of heroin or other opioids, in order to permit such entities to expand activities, including an expansion in the availability of medication assisted treatment, with respect to the treatment of addiction in the specific geographical areas of such entities where there is a rate or rapid increase in the use of heroin or other opioids.

“(2) Recipients—The entities receiving grants under paragraph (1) shall be selected by the Director.

“(3) Nature of activities—The grant funds awarded under paragraph (1) shall be used for activities that are based on reliable scientific evidence of efficacy in the treatment of problems related to heroin or other opioids.

“(b) Geographic distribution—The Director shall ensure that grants awarded under subsection (a) are distributed equitably among the various regions of the Nation and among rural, urban, and suburban areas that are affected by the use of heroin or other opioids.

“(c) Additional activities—The Director shall—

“(1) evaluate the activities supported by grants awarded under subsection (a);

“(2) disseminate widely such significant information derived from the evaluation as the Director considers appropriate;

“(3) provide States, Indian tribes and tribal organizations, and providers with technical assistance in connection with the provision of treatment of problems related to heroin and other opioids; and

“(4) fund only those applications that specifically support recovery services as a critical component of the grant program.

“(d) Definition—The term medication assisted treatment means the use, for problems relating to heroin and other opioids, of medications approved by the Food and Drug Administration in combination with counseling and behavioral therapies.

“(e) Authorization of appropriations

“(1) In general—There are authorized to be appropriated to carry out this section $10,000,000 for fiscal year 2016 and such sums as may be necessary for each of fiscal years 2016 through 2020.

“(2) Use of certain funds—Of the funds appropriated to carry out this section in any fiscal year, the lesser of 5 percent of such funds or $1,000,000 shall be available to the Director for purposes of carrying out subsection (c).”

Sec. 302 Criminal justice medication assisted treatment and interventions demonstration

(a)

Definitions— In this section—

(1)

the term criminal justice agency means a State, local, or tribal—

(A)

court;

(B)

prison;

(C)

jail; or

(D)

other agency that performs the administration of criminal justice, including prosecution, pretrial services, and community supervision; and

(2)

the term eligible entity means a State, unit of local government, or Indian tribe.

(b)

Program authorized— The Attorney General, in coordination with the Secretary of Health and Human Services and the Director of the Office of National Drug Control Policy, may make grants to eligible entities to implement medication assisted treatment programs through criminal justice agencies.

(c)

Application—

(1)

In general— An eligible entity desiring a grant under this section shall submit an application to the Attorney General—

(A)

that meets the criteria under paragraph (2); and

(B)

at such time, in such manner, and accompanied by such information as the Attorney General may require.

(2)

Criteria— An eligible entity, in submitting an application under paragraph (1), shall—

(A)

certify that each medication assisted treatment program funded with a grant under this section has been developed in consultation with the Single State Authority for Substance Abuse; and

(B)

describe how data will be collected and analyzed to determine the effectiveness of the program described in subparagraph (A).

(d)

Use of funds— An eligible entity shall use a grant received under this section for expenses of—

(1)

a medication assisted treatment program, including the expenses of prescribing medications recognized by the Food and Drug Administration for opioid treatment in conjunction with psychological and behavioral therapy;

(2)

training criminal justice agency personnel and treatment providers on medication assisted treatment;

(3)

cross-training personnel providing behavioral health and health services, administration of medicines, and other administrative expenses, including required reports; and

(4)

the provision of recovery coaches who are responsible for providing mentorship and transition plans to individuals reentering society following incarceration or alternatives to incarceration.

(e)

Grant amounts and duration—

(1)

Maximum amount— The Attorney General may not award a grant under this section in an amount that exceeds $750,000.

(2)

Duration— The Attorney General shall award grants under this section for a period not to exceed 2 years.

(f)

Technical assistance— The Attorney General, in coordination with the Director of the National Institute on Drug Abuse and the Secretary of Health and Human Services, shall provide technical assistance and training for an eligible entity receiving a grant under this section.

(g)

Reports—

(1)

In general— An eligible entity receiving a grant under this subsection shall submit a report to the Attorney General on the outcomes of each grant received under this section for individuals receiving medication assisted treatment, based on—

(A)

the recidivism of the individuals;

(B)

the treatment outcomes of the individuals, including maintaining abstinence from illegal, unauthorized, and unprescribed opioids and heroin;

(C)

the housing status of the individuals; and

(D)

the employment status of the individuals.

(2)

Contents and timing— Each report described in paragraph (1) shall be submitted annually in such form, containing such information, and on such dates as the Attorney General shall specify.

(h)

Authorization of appropriations— There are authorized to be appropriated to carry out this section $5,000,000 for each of fiscal years 2016 through 2020.

Sec. 303 National youth recovery initiative

(a)

Definitions— In this section:

(1)

Eligible entity— The term eligible entity means—

(A)

a high school that has been accredited as a recovery high school by the Association of Recovery High Schools;

(B)

an accredited high school that is seeking to establish or expand recovery support services;

(C)

an institution of higher education;

(D)

a recovery program at a nonprofit collegiate institution; or

(E)

a nonprofit organization.

(2)

Institution of higher education— The term institution of higher education has the meaning given the term in section 101 of the Higher Education Act of 1965 (20 U.S.C. 1001).

(3)

Recovery program— The term recovery program—

(A)

means a program to help individuals who are recovering from substance use disorders to initiate, stabilize, and maintain healthy and productive lives in the community; and

(B)

includes peer-to-peer support and communal activities to build recovery skills and supportive social networks.

(b)

Grants authorized— The ONDCP Recovery Branch, in consultation with the Secretary of Education, may award grants to eligible entities to enable the entities to—

(1)

provide substance use recovery support services to young people in high school and enrolled in institutions of higher education;

(2)

help build communities of support for young people in recovery through a spectrum of activities such as counseling and healthy and wellness-oriented social activities; and

(3)

encourage initiatives designed to help young people achieve and sustain recovery from substance use disorders.

(c)

Use of funds— Grants awarded under subsection (b) may be used for activities to develop, support, and maintain youth recovery support services, including—

(1)

the development and maintenance of a dedicated physical space for recovery programs;

(2)

dedicated staff for the provision of recovery programs;

(3)

healthy and wellness-oriented social activities and community engagement;

(4)

establishment of recovery high schools;

(5)

coordination of recovery programs with—

(A)

substance use disorder treatment programs and systems;

(B)

primary care providers;

(C)

the criminal justice system, including the juvenile justice system;

(D)

employers;

(E)

housing services;

(F)

child welfare services;

(G)

institutions of secondary higher education and institutions of higher education; and

(H)

other programs or services related to the welfare of an individual in recovery from a substance use disorder;

(6)

the development of peer-to-peer support programs or services; and

(7)

additional activities that help youths and young adults to achieve recovery from substance use disorders.

(d)

Resource center— The ONDCP Recovery Branch shall establish a resource center to provide technical support to recipients of grants under this section.

(e)

Authorization of appropriations— There are authorized to be appropriated to carry out this section $3,000,000 for fiscal year 2016 and each of the 5 succeeding fiscal years.

Sec. 304 Building communities of recovery

(a)

Definition— In this section, the term recovery community organization means an independent nonprofit organization that—

(1)

mobilizes resources within and outside of the recovery community to increase the prevalence and quality of long-term recovery from substance use disorders; and

(2)

is wholly or principally governed by people in recovery for substance use disorders who reflect the community served.

(b)

Grants authorized— The ONDCP Recovery Branch, in consultation with the Substance Abuse and Mental Health Services Administration, may award grants to recovery community organizations to enable such organizations to develop, expand, and enhance recovery services.

(c)

Maximum grant amount— The ONDCP Recovery Branch may not award a grant under this section in an amount that exceeds $200,000.

(d)

Federal share— The Federal share of the costs of a program funded by a grant under this section may not exceed 50 percent.

(e)

Use of funds— Grants awarded under subsection (b)—

(1)

shall be used to develop, expand, and enhance community and statewide recovery support services; and

(2)

may be used to—

(A)

advocate for individuals in recovery from substance use disorders;

(B)

build connections between recovery networks, between recovery community organizations, and with other recovery support services, including—

(i)

substance use disorder treatment programs and systems;

(ii)

primary care providers;

(iii)

the criminal justice system;

(iv)

employers;

(v)

housing services;

(vi)

child welfare agencies; and

(vii)

other recovery support services that facilitate recovery from substance use disorders;

(C)

reduce the stigma associated with substance use disorders;

(D)

conduct public education and outreach on issues relating to substance use disorders and recovery, including—

(i)

how to identify the signs of addiction;

(ii)

the resources that are available for individuals struggling with addiction;

(iii)

the resources that are available to help support individuals in recovery; and

(iv)

information on the medical consequences of substance use disorders, including neonatal abstinence syndrome and potential infection with human immunodeficiency virus and viral hepatitis; and

(E)

carry out other activities that strengthen the network of community support for individuals in recovery.

(f)

Resource center— The ONDCP Recovery Branch shall establish a resource center to provide technical assistance to recipients of grants under this section and to provide information to individuals seeking to support people in recovery from substance use disorders.

(g)

Authorization of appropriations— There are authorized to be appropriated to carry out this section $50,700,000 in fiscal year 2016 and each of the 3 succeeding fiscal years.