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.....................................................................
(Original Signature of Member)

H. R. ll

114TH CONGRESS
2D SESSION

To provide funding for opioid and heroin abuse prevention and treatment,
and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

N of New Mexico introduced the following bill; which was
Mr. BEN RAY LUJA
referred to the Committee on llllllllllllll

A BILL
To provide funding for opioid and heroin abuse prevention
and treatment, and for other purposes.
1

Be it enacted by the Senate and House of Representa-

2 tives of the United States of America in Congress assembled,

3

SECTION 1. SHORT TITLE.

This Act may be cited as the Opioid and Heroin

5 Abuse Crisis Investment Act of 2016.

6

SEC. 2. FUNDING FOR OPIOID AND HEROIN ABUSE PRE-

7
8

VENTION AND TREATMENT.

(a) FUNDING.There are authorized to be appro-

9 priated, and are appropriated, out of monies in the Treasf:\VHLC\051016\051016.404.xml

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2
1 ury not otherwise obligated, $1,164,600,000 for the period
2 of fiscal years 2017 and 2018, to improve opioid pre3 scribing practices and expand access to substance use
4 treatment and to reduce opioid use disorders and overdose,
5 to be made available in accordance with this Act and the
6 amendments made by this Act.
7

(b) STATE TARGETED RESPONSE COOPERATIVE

8 AGREEMENTS.Subpart 1 of part B of title V of the Pub9 lic Health Service Act (42 U.S.C. 290bb et seq.) is amend10 ed by inserting after section 509 the following:
11

SEC. 510. STATE TARGETED RESPONSE COOPERATIVE

12
13

AGREEMENTS.

(a) IN GENERAL.The Secretary shall enter into

14 additional targeted response cooperative agreements with

15 States under this title to expand opioid treatment capacity
16 and make services more affordable to those who cannot
17 afford such services.
18

(b) AWARDING

OF

FUNDING.The Secretary shall

19 allocate funding to States under this section based on

20
21

(1) the severity of the opioid epidemic in the

State; and

22

(2) the strength of the strategy of the State

23

to respond to such epidemic.

24

(c) USE

OF

FUNDS.Amounts received by a State

25 under this section shall be used to expand treatment ca-

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3
1 pacity and make services more affordable to those who
2 cannot afford such services and to help individuals seek
3 treatment, successfully complete treatment, and sustain
4 recovery.
5

(d) FUNDING.From amounts appropriated under

6 section 2(a) of the Opioid and Heroin Abuse Crisis Invest7 ment Act, $465,000,000 is available to carry out this sec8 tion for each of fiscal years 2017 and 2018..
9
10

(c) TREATMENT

FOR

PRESCRIPTION DRUG ABUSE

HEROIN USE.Section 331(b) of the Public Health

AND

11 Service Act (42 U.S.C. 254d(b)) is amended by adding

12 at the end the following:
13

(3)(A) The Secretary shall use amounts made avail-

14 able under subparagraph (B) to support enhanced loan re15 payment awards to increase the number of clinicians in
16 the Corps with medication assisted treatment training to
17 treat individuals with opioid use disorders through loan
18 repayments to clinicians.
19

(B) From amounts appropriated under section 2(a)

20 of the Opioid and Heroin Abuse Crisis Investment Act,

21 $25,000,000 is available to carry out this paragraph for
22 each of fiscal years 2017 and 2018..
23
24

(d) EVALUATION
MENT.Subpart

OF

MEDICATION-ASSISTED TREAT-

1 of part B of title V of the Public

25 Health Service Act (42 U.S.C. 290bb et seq.) is amended

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4
1 by inserting after section 510, as added by subsection (b),
2 the following:
3

SEC. 511. EVALUATION OF MEDICATION-ASSISTED TREAT-

MENT.

(a) IN GENERAL.In order to assess the treatment

6 outcomes of patients with opioid addiction receiving medi7 cation-assisted treatment, the Secretary shall evaluate the
8 short, medium, and long-term outcomes of such substance
9 abuse treatment programs in order to increase effective10 ness in reducing opioid use disorders, overdose, and death.
11

(b) FUNDING.From amounts appropriated under

12 section 2(a) of the Opioid and Heroin Abuse Crisis Invest13 ment Act, $15,000,000 is available to carry out this sec14 tion for each of fiscal years 2017 and 2018..
15
16

(e) MEDICATION-ASSISTED TREATMENT

DRUG

SCRIPTION

AND

FOR

PRE-

OPIOID ADDICTION.Section 509

17 of the Public Health Service Act (42 U.S.C. 290bb-2) is

18 amended
19

(1) by redesignating subsection (f) as sub-

20

section (g); and

21

(2) by inserting after subsection (e), the fol-

22

lowing:

23

(f) MEDICATION-ASSISTED TREATMENT

24

SCRIPTION

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FOR

PRE-

DRUG AND OPIOID ADDICTION.

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5
1

GENERAL.In

(1) IN

carrying out this sec-

tion, the Secretary shall use amounts made available

under paragraph (3) to award grants to States to

expand or enhance medication assisted treatment

utilizing medications approved by the Food and

Drug Administration in combination with psycho-

social services, recovery support services, and coordi-

nation with HIV or hepatitis C direct services.

(2) FUNDING.From amounts appropriated

10

under section 2(a) of the Opioid and Heroin Abuse

11

Crisis Investment Act, $50,100,000 is available to

12

carry out this subsection for fiscal year 2017..

13

(f) DISSEMINATION

14

VENTING

OF

GUIDELINES

FOR

PRE-

PRESCRIPTION DRUG OVERDOSE.Section 317

15 of the Public Health Service Act (42 U.S.C. 247b) is

16 amended by adding at the end the following:
17
18

(n) DISSEMINATION
VENTING

19

GUIDELINES

FOR

PRE-

PRESCRIPTION DRUG OVERDOSE.

(1) IN

GENERAL.The

Director of the Cen-

20

ters for Disease Control and Prevention shall dis-

21

seminate guidelines to improve opioid prescribing

22

practices to reduce opioid use disorders and over-

23

dose.

24
25

(2) USE

15:43 May 10, 2016

OF FUNDS.In

carrying out this sub-

section, the Director of the Centers for Disease Con-

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OF

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6
1

trol and Prevention shall use amounts made avail-

able under paragraph (3) to

(A) pilot test, evaluate, and adapt com-

prehensive tools and dissemination strategies to

convey opioid prescribing guidelines of the Cen-

ters for Disease Control and Prevention in suc-

cinct, usable formats accessible to health care

providers;

(B) develop, evaluate, and publicly dis-

10

seminate clinical decision support tools derived

11

from the opioid prescribing guidelines of the

12

Centers for Disease Control and Prevention;

13

(C) establish training modules in partner-

14

ship with professional societies and health sys-

15

tems, including online modules available for

16

continuing medical education credits and main-

17

tenance of certification; and

18

(D) coordinate with Office of the Na-

19

tional Coordinator for Health Information

20

Technology to ensure that guidelines developed

21

under this subsection are effectively dissemi-

22

nated and translated into clinical support tools

23

for integration into clinical workflow.

24

(3) FUNDING.From amounts appropriated

25

under section 2(a) of the Opioid and Heroin Abuse

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7
1

Crisis Investment Act, $10,000,000 is available to

carry out this subsection for fiscal year 2017..

(g) RURAL OPIOID OVERDOSE REVERSAL GRANT

4 PROGRAM.Section 330A of the Public Health Service

5 Act (42 U.S.C. 254c) is amended
6
7

(1) by redesignating subsection (j) as subsection (k); and

8
9
10

(2) by inserting after subsection (i), the following:

(j) RURAL OPIOID OVERDOSE REVERSAL GRANT

11 PROGRAM.
12

(1) IN

Director may award

13

grants to eligible entities to implement activities for

14

the prevention, intervention, and treatment of opioid

15

misuse and overdose.

16
17

(2) ELIGIBILITY.To be eligible to receive a

grant under this subsection, an entity

18

(A) shall be a rural public or rural non-

19

profit private entity; and

20

(B) shall represent a network composed

21

of participants

22

(i) that include 3 or more health

23

care providers; and

24

(ii) that may be nonprofit or for-

25

profit entities.

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GENERAL.The

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8
1
2

(3) USE

OF FUNDS.Amounts

awarded under

a grant under this subsection shall be used

(A) to provide opioid misuse education

and prevention services;

(B) to provide training to licensed health

care professionals and first responders in the

recognition of the signs of opioid overdose and

learn

naloxone;

the

appropriate

way

to

administer

10

(C) to provide appropriate transportation

11

services to a hospital or clinic for continued

12

care after administration;

13

(D) to refer those individuals with a drug

14

dependency to an appropriate substance use

15

disorder treatment centers where care coordina-

16

tion is provided by a team of providers; and

17

(E) to purchase naloxone and opioid over-

18

dose reversal devices.

19

(4) FUNDING.From amounts appropriated

20

under section 2(a) of the Opioid and Heroin Abuse

21

Crisis Investment Act, $10,000,000 is available to

22

carry out this subsection for fiscal year 2017..

23

(h) PRESCRIPTION DRUG OVERDOSE INITIATIVE.

24 Section 3001(c) of the Public Health Service Act (42

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9
1 U.S.C. 300jj-11(c)) is amended by adding at the end the
2 following:
3
4

(9) PRESCRIPTION

DRUG OVERDOSE INITIA-

TIVE.

(A) IN

GENERAL.The

Secretary, acting

through the National Coordinator, shall use

amounts made available under subparagraph

(B) to expand efforts to harmonize technical

standards to support prescription drug moni-

10

toring programs and health information tech-

11

nology interoperability.

12

(B) FUNDING.From amounts appro-

13

priated under section 2(a) of the Opioid and

14

Heroin

15

$5,000,000 is available to carry out this para-

16

graph for fiscal year 2017..

17

(i) BUREAU

Abuse

OF

Crisis

Investment

Act,

PRISONS TREATMENT PROGRAMS.

18 Section 4042 of title 18, United States Code, is amended

19 by adding at the end the following:
20

(e) TREATMENT PROGRAMS.

21

(1) IN

Director of the Bureau

22

of Prisons shall use amounts made available under

23

paragraph (2) to support drug treatment programs

24

within the Bureau of Prisons, including expanding

25

the medication-assisted treatment pilot.

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1

(2) FUNDING.From amounts appropriated

under section 2(a) of the Opioid and Heroin Abuse

Crisis Investment Act, $3,000,000 is available to

carry out this subsection for fiscal year 2017..

(j) SECOND CHANCE ACT

OF

2007.Section 201 of

6 the Second Chance Act of 2007 (42 U.S.C. 17521) is

7 amended
8
9

(1) by redesignating subsection (f) as subsection (g); and

10

(2) by inserting after subsection (e), the fol-

11

lowing:

12

(f) COMMUNITY REINTEGRATION.

13

(1) IN

Attorney General shall

14

use amounts made available under paragraph (2) to

15

carry out activities to reduce recidivism and increase

16

public safety by helping justice-involved individuals

17

successfully reintegrate into the community, includ-

18

ing by carrying out activities including providing

19

treatment for co-occurring disorders and providing

20

family-based substance abuse treatment.

21

(2) FUNDING.From amounts appropriated

22

under section 2(a) of the Opioid and Heroin Abuse

23

Crisis Investment Act, $50,000,000 is available to

24

carry out this subsection for fiscal year 2017..

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11
1
2

(k)

RESIDENTIAL

MENT.Section

SUBSTANCE

ABUSE

TREAT-

503 of the Controlled Substances Act (21

3 U.S.C. 873) is amended by adding at the end the fol4 lowing:

5

(e)(1) In carrying out this section, the Attorney

6 General may use amounts made available under paragraph

7 (2) to provide support for State, local, and tribal govern8 ments in the development of residential and aftercare serv9 ices for substance-involved inmates.
10

(2) From amounts appropriated under section 2(a)

11 of the Opioid and Heroin Abuse Crisis Investment Act,

12 $14,000,000 is available to carry out this section for fiscal
13 year 2017..
14

(l) HEROIN ENFORCEMENT GROUPS.Part E of the

15 Controlled Substances Act (21 U.S.C. 871 et seq.) is

16 amended by adding at the end the following:
17

SEC. 521. HEROIN ENFORCEMENT GROUPS.

18

(a) IN GENERAL.The Attorney General shall use

19 amounts made available under subsection (b) to establish

20 new heroin enforcement groups within the Drug Enforce21 ment Administration to target, disrupt, and dismantle her22 oin trafficking organizations.
23

(b) FUNDING.From amounts appropriated under

24 section 2(a) of the Opioid and Heroin Abuse Crisis Invest-

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12
1 ment Act, $12,500,000 is available to carry out this sec2 tion for fiscal year 2017..
3

(m)

EMERGENCY

DESIGNATION.The

amounts

4 made available by this Act are designated as an emergency

5 requirement pursuant to section 4(g) of the Statutory
6 Pay-As-You-Go Act of 2010 (2 U.S.C. 933(g)).

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