---
kind: "section"
citation: "42 U.S.C. § 290bb–7"
title: "42"
title_heading: "The Public Health and Welfare"
number: "290bb–7"
heading: "Substance use disorder treatment and early intervention services for children, adolescents, and young adults"
release: "119-102"
date: "2026-07-12"
url: "https://uscodex.org/usc/42/290bb-7"
units:
  - "Chapter 6A — Public Health Service"
  - "Subchapter III–A — Substance Abuse and Mental Health Services Administration"
  - "Part B — Centers and Programs"
  - "Subpart 1 — center for substance abuse treatment"
---

# §290bb–7. Substance use disorder treatment and early intervention services for children, adolescents, and young adults

- (a) **In general—** The [Secretary](/usc/42/201.md?p=c) shall award grants, contracts, or cooperative agreements to public and private [nonprofit](/usc/42/300s–3.md?p=3) entities, including Indian Tribes or Tribal organizations (as such terms are defined in [section 5304 of title 25](/usc/25/5304.md)), or health facilities or [programs](/usc/42/274l–1.md?p=4) operated by or in accordance with a contract or grant with the Indian Health [Service](/usc/42/201.md?p=a), for the purpose of—
  - (1) providing early identification and [services](/usc/42/201.md?p=a) to meet the needs of children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults who are at risk of substance use disorders;
  - (2) providing substance use disorder [treatment](/usc/42/11851.md?p=11) [services](/usc/42/201.md?p=a) for children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults, including children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults with co-occurring mental illness and substance use disorders; and
  - (3) providing assistance to pregnant women, and parenting women, with substance use disorders, in obtaining [treatment](/usc/42/11851.md?p=11) [services](/usc/42/201.md?p=a), linking mothers to community resources to support independent family lives, and staying in recovery so that children are in safe, stable home environments and receive appropriate health [care services](/usc/42/300z–1.md?p=a-7).
- (b) **Priority—** In awarding grants, contracts, or cooperative agreements under [subsection (a)](#a), the [Secretary](/usc/42/201.md?p=c) shall give priority to applicants who propose to—
  - (1) apply evidence-based and cost-effective methods;
  - (2) coordinate the provision of [services](/usc/42/201.md?p=a) with other social [service](/usc/42/201.md?p=a) [agencies](/usc/42/8262.md?p=1) in the community, including educational, juvenile justice, child welfare, substance abuse, and mental health [agencies](/usc/42/8262.md?p=1);
  - (3) provide a continuum of integrated [treatment](/usc/42/11851.md?p=11) [services](/usc/42/201.md?p=a), including case management, for children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults with substance use disorders, including children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults with co-occurring mental illness and substance use disorders, and their families;
  - (4) provide [treatment](/usc/42/11851.md?p=11) that is gender-specific and culturally appropriate;
  - (5) involve and work with families of children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults receiving [services](/usc/42/201.md?p=a); and
  - (6) provide aftercare services for children, [adolescents](/usc/42/300z–1.md?p=a-9), and young adults and their families after completion of [treatment](/usc/42/11851.md?p=11).
- (c) **Duration of grants—** The [Secretary](/usc/42/201.md?p=c) shall award grants, contracts, or cooperative agreements under [subsection (a)](#a) for periods not to exceed 5 fiscal years.
- (d) **Application—** An entity desiring a grant, contract, or cooperative agreement under [subsection (a)](#a) shall submit an application to the [Secretary](/usc/42/201.md?p=c) at such time, in such manner, and accompanied by such information as the [Secretary](/usc/42/201.md?p=c) may reasonably require.
- (e) **Evaluation—** An entity that receives a grant, contract, or cooperative agreement under [subsection (a)](#a) shall submit, in the application for such grant, contract, or cooperative agreement, a plan for the evaluation of any [project](/usc/42/13641.md?p=2) undertaken with funds provided under this section. Such entity shall provide the [Secretary](/usc/42/201.md?p=c) with periodic evaluations of the progress of such [project](/usc/42/13641.md?p=2) and such evaluation at the completion of such [project](/usc/42/13641.md?p=2) as the [Secretary](/usc/42/201.md?p=c) determines to be appropriate.
- (f) **Authorization of appropriations—** There are authorized to be appropriated to carry out this section, $29,605,000 for each of fiscal years 2023 through 2027.

## Source credit

(July 1, 1944, ch. 373, title V, § 514, as added Pub. L. 106–310, div. B, title XXXI, § 3104(a), Oct. 17, 2000, 114 Stat. 1171; amended Pub. L. 114–255, div. B, title X, § 10003, Dec. 13, 2016, 130 Stat. 1264; Pub. L. 115–271, title VII, § 7102(a), Oct. 24, 2018, 132 Stat. 4038; Pub. L. 117–328, div. FF, title I, § 1412, Dec. 29, 2022, 136 Stat. 5701.)

## Notes

### Editorial Notes

### Codification

Another section 514 of act July 1, 1944, was classified to section 290bb–9 of this title prior to repeal by Pub. L. 114–255, div. B, title IX, § 9017, Dec. 13, 2016, 130 Stat. 1248.

### Amendments

2022—Subsec. (a). Pub. L. 117–328, § 1412(1), substituted “Indian Tribes or Tribal organizations” for “Indian tribes or tribal organizations” in introductory provisions.

Subsec. (f). Pub. L. 117–328, § 1412(2), substituted “2023 through 2027” for “2018 through 2022”.

2018—Pub. L. 115–271, § 7102(a)(3), substituted “children, adolescents, and young adults” for “children and adolescents” wherever appearing.

Pub. L. 115–271, § 7102(a)(1), substituted “children, adolescents, and young adults” for “children and adolescents” in section catchline.

Subsec. (a)(2). Pub. L. 115–271, § 7102(a)(2), substituted “children, adolescents, and young adults, including” for “children, including”.

2016—Pub. L. 114–255, § 10003(1), substituted “use disorder treatment and early intervention” for “abuse treatment” in section catchline.

Subsec. (a). Pub. L. 114–255, § 10003(2), added subsec. (a) and struck out former subsec. (a). Prior to amendment, text read as follows: “The Secretary shall award grants, contracts, or cooperative agreements to public and private nonprofit entities, including Native Alaskan entities and Indian tribes and tribal organizations, for the purpose of providing substance abuse treatment services for children and adolescents.”

Subsec. (b)(1). Pub. L. 114–255, § 10003(3)(A), added par. (1) and struck out former par. (1) which read as follows: “apply evidenced-based and cost effective methods for the treatment of substance abuse among children and adolescents;”.

Subsec. (b)(2). Pub. L. 114–255, § 10003(3)(B), struck out “treatment” after “provision of” and inserted “substance abuse,” after “child welfare,”.

Subsec. (b)(3). Pub. L. 114–255, § 10003(3)(C), substituted “substance use disorders, including children and adolescents with co-occurring mental illness and substance use disorders,” for “substance abuse disorders”.

Subsec. (b)(5). Pub. L. 114–255, § 10003(3)(D), substituted “services; and” for “treatment;”.

Subsec. (b)(6). Pub. L. 114–255, § 10003(3)(E), substituted “treatment.” for “substance abuse treatment; and”.

Subsec. (b)(7). Pub. L. 114–255, § 10003(3)(F), struck out par. (7) which read as follows: “address the relationship between substance abuse and violence.”

Subsec. (f). Pub. L. 114–255, § 10003(4), substituted “$29,605,000 for each of fiscal years 2018 through 2022.” for “$40,000,000 for fiscal year 2001, and such sums as may be necessary for fiscal years 2002 and 2003.”