[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[S. 4301 Introduced in Senate (IS)]
<DOC>
117th CONGRESS
2d Session
S. 4301
To reauthorize and improve the block grants for prevention and
treatment of substance abuse.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 25, 2022
Ms. Hassan (for herself, Ms. Murkowski, and Mr. Lujan) introduced the
following bill; which was read twice and referred to the Committee on
Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To reauthorize and improve the block grants for prevention and
treatment of substance abuse.
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 Act''.
SEC. 2. OTHER AMENDMENTS TO THE BLOCK GRANTS FOR PREVENTION AND
TREATMENT OF SUBSTANCE ABUSE.
(a) Certain Allocations.--
(1) Allocations regarding recovery.--Section 1922 of the
Public Health Service Act (42 U.S.C. 300x-22) is amended by
adding at the end the following:
``(c) Allocations Regarding Recovery.--
``(1) In general.--A funding agreement for this grant under
section 1921 is that, in expending the grant, the State
involved will expend not less than 10 percent each fiscal year
for programs for community-based and peer recovery support
services for individuals with a substance use disorder.
``(2) Special rule for 2023.--Notwithstanding paragraph
(1), for fiscal year 2023, a State shall expend not less than 7
percent for programs described in such paragraph, provided
that, in fiscal year 2024, the State expends for such programs
an amount equal to any difference between 10 percent of the
grant amount for fiscal year 2023 and the amount actually
expended for such programs in fiscal year 2023, in addition to
meeting the requirements of paragraph (1) with respect to grant
amounts for fiscal year 2024.''.
(2) Technical amendment.--Effective as if included in the
enactment of the Children's Health Act of 2000 (Public Law 106-
310), section 3303(f)(2)(A) of the Children's Health Act of
2000 (Public Law 106-310; 114 Stat. 1211) is amended by
striking ``section 1922(c) of the Public Health Service Act (42
U.S.C. 300x-22(c))'' and inserting ``section 1922(b) of the
Public Health Service Act, as amended by section 3303(a),''.
(b) Public Health Promotion for Recovery.--
(1) Formula grants.--Section 1921(b) of the Public Health
Service Act (42 U.S.C. 300x-21(b)) is amended--
(A) by inserting ``, including measures for
infrastructure, education, or outreach to prevent
overdose or other health risks,'' after ``substance use
disorders''; and
(B) by inserting ``evidence-based or evidence-
informed'' after ``evaluating''.
(2) Certain restrictions on expenditures.--Section
1931(a)(1) of the Public Health Service Act (42 U.S.C. 300x-
31(a)(1)) is amended--
(A) in subparagraph (E), by striking ``; or'' and
inserting a semicolon;
(B) in subparagraph (F), by striking the period and
inserting ``; or''; and
(C) by adding at the end the following:
``(G) in a manner that excludes individuals on the
basis that such individuals receive drugs approved by
the Food and Drug Administration for the treatment of
substance use disorders.''.
(c) Restrictions on Expenditure of Grant.--Section 1931(a) of the
Public Health Service Act (42 U.S.C. 300x-31(a)) is amended--
(1) in paragraph (1)(F), by inserting ``, except that the
State may use such grant to provide support to programs that
include infrastructure, education, or outreach services''
before the period; and
(2) by amending paragraph (3) to read as follows:
``(3) Limitation regarding penal and correctional
institutions.--A funding agreement for this grant under section
1921 is that, in expending the grant, the State involved will
expend not more than such a percentage of the block grant
treatment budget, between 5 and 10 percent, as the Secretary
may specify, for the purpose of providing treatment services in
penal or correctional institutions of the State.''.
(d) Study on Assessment for Use in Distribution of Limited State
Resources.--
(1) In general.--The Secretary of Health and Human Services
(referred to in this section as the ``Secretary''), acting
through the Assistant Secretary for Mental Health and Substance
Use, in consultation with States and other local entities
providing prevention, treatment, or recovery support services
related to substance use, shall 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 et seq.) to provide services to
substance use disorder prevention, treatment, and recovery
support. The study shall include cost estimates with each model
needs assessment process.
(2) Report.--Not later than 1 year after the date of the
enactment of this Act, 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 a report on the results of the study conducted
under paragraph (1).
(e) Funding.--Section 1935(a) of the Public Health Service Act (42
U.S.C. 300x-35(a)) is amended by striking ``$1,858,079,000 for each of
fiscal years 2018 through 2022.'' and inserting ``$3,200,000,000 for
each of fiscal years 2023 through 2027''.
SEC. 3. 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 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'';
(3) 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'';
(4) 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'';
(5) in section 1926(b)(2)(B) (42 U.S.C. 300x-26(b)(2)(B)),
by striking ``substance abuse'';
(6) in section 1931(b)(2) (42 U.S.C. 300x-31(b)(2)), by
striking ``substance abuse'' and inserting ``substance use
disorders'';
(7) 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'';
(8) 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.'';
(9) 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'';
(10) 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'';
(11) 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'';
(12) in section 1955 (42 U.S.C. 300x-65), by striking
``substance abuse'' each place it appears and inserting
``substance use disorder''; and
(13) 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''.
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