[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4489 Introduced in House (IH)]

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118th CONGRESS
  1st Session
                                H. R. 4489

 To amend the 21st Century Cures Act to clarify that grants for State 
 and Tribal response to opioid use disorders may, at the discretion of 
  the Secretary of Health and Human Services, also be used to address 
         associated health conditions, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              July 6, 2023

Mr. Guthrie (for himself and Ms. Kuster) introduced the following bill; 
       which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
 To amend the 21st Century Cures Act to clarify that grants for State 
 and Tribal response to opioid use disorders may, at the discretion of 
  the Secretary of Health and Human Services, also be used to address 
         associated health conditions, 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. ADDRESSING ASSOCIATED HEALTH CONDITIONS THROUGH GRANT 
              PROGRAM FOR STATE AND TRIBAL RESPONSE TO OPIOID USE 
              DISORDERS.

    (a) Additional Use of Funds.--Section 1003(b) of the 21st Century 
Cures Act (42 U.S.C. 290ee-3 note) is amended by adding at the end the 
following:
            ``(5) Associated health conditions.--The Secretary may 
        authorize the recipient of a grant under this subsection, in 
        addition to using the grant for activities described in 
        paragraph (4) with respect to opioid misuse and use disorders 
        and stimulant misuse and use disorders, to use the grant to for 
        similar activities with respect to associated health 
        conditions.''.
    (b) Annual Report to Congress.--Section 1003(f) of the 21st Century 
Cures Act (42 U.S.C. 290ee-3 note) is amended--
            (1) in paragraph (2), strike ``and'' at the end;
            (2) in paragraph (3), strike the period at the end and 
        insert a semicolon; and
            (3) by adding at the end the following:
            ``(4) the amount of funds each State that receiving a grant 
        under subsection (b) received for the 12-month grant cycle 
        covered by the report;
            ``(5) the amount of grant funds each such State spent for 
        such grant cycle, disaggregated by the uses for which such 
        funds were spent, including each allowable use under paragraphs 
        (4) and (5) of subsection (b);
            ``(6) how many such States for such grant cycle did not 
        spend all of the grant funds before such grant cycle expired;
            ``(7) how many such States for such grant cycle requested 
        waivers to extend the grant cycle; and
            ``(8) challenges for such States to spend all of the funds 
        allocated and the reason for such challenges, including to what 
        extent reporting requirements or other requirements placed an 
        increased burden on the ability of such States to spend all of 
        the funds.''.
    (c) Technical Assistance.--Section 1003(g) of the 21st Century 
Cures Act (42 U.S.C. 290ee-3 note) is amended by inserting after 
``substance use disorders'' the following: ``(including associated 
health conditions)''.
    (d) Associated Health Conditions Defined.--Section 1003(h) of the 
21st Century Cures Act (42 U.S.C. 290ee-3 note) is amended--
            (1) by redesignating paragraphs (1) through (4) as 
        paragraphs (2) through (5); and
            (2) by inserting before paragraph (2), as redesignated, the 
        following:
            ``(1) Associated health conditions.--The term `associated 
        health conditions' includes any disorder or health condition 
        that is co-occurring with opioid misuse and use disorders and 
        stimulant misuse and use disorders, including polydrug use and 
        alcohol use disorder.''.
    (e) Rule of Construction.--Nothing in this Act or the amendments 
made by this Act shall be construed to change the allocation of funds 
among grantees pursuant to the minimum allocations and formula 
methodology under section 1003 of the 21st Century Cures Act (42 U.S.C. 
290ee-3 note).
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