Sec. 1401. Comprehensive opioid recovery centers
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/bill/115/hr/6/eas/section-1401A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
The Secretary shall award grants on a competitive basis to eligible entities to establish or operate a comprehensive opioid recovery center (referred to in this section as a Center ). A Center may be a single entity or an integrated delivery network. A grant awarded under subsection
(a)shall be for a period not more than 5 years. A grant awarded under subsection
(a)may be renewed, on a competitive basis, for additional periods of time, as determined by the Secretary. In determining whether to renew a grant under this paragraph, the Secretary shall consider the data submitted under subsection (h). The Secretary shall allocate the amounts made available under subsection
(j)such that not fewer than 10 grants may be awarded. Not more than one grant shall be made to entities in a single State for any one period. An entity is eligible for a grant under this section if the entity offers treatment and other services for individuals with a substance use disorder. In order to be eligible for a grant under subsection (a), an entity shall submit an application to the Secretary at such time and in such manner as the Secretary may require. Such application shall include— evidence that such entity carries out, or is capable of coordinating with other entities to carry out, the activities described in subsection (g); and such other information as the Secretary may require. In awarding grants under subsection (a), the Secretary shall give priority to eligible entities located in a State or Indian Tribe with an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate, as determined by the Director of the Centers for Disease Control and Prevention. In awarding grants under subsection (a), the Secretary may give preference to eligible entities utilizing technology-enabled collaborative learning and capacity building models, including such models as defined in section 2 of the Expanding Capacity for Health Outcomes Act (Public Law 114–270; 130 Stat. 1395), to conduct the activities described in this section. Each Center shall, at a minimum, carry out the following activities directly, through referral, or through contractual arrangements, which may include carrying out such activities through technology-enabled collaborative learning and capacity building models described in subsection (f): Each Center shall— ensure that intake and evaluations meet the individualized clinical needs of patients, including by offering assessments for services and care recommendations through independent, evidence-based verification processes for reviewing patient placement in treatment settings; provide the full continuum of treatment services, including— all drugs approved by the Food and Drug Administration to treat substance use disorders, pursuant to Federal and State law; medically supervised withdrawal management that includes patient evaluation, stabilization, and readiness for and entry into treatment; counseling provided by a program counselor or other certified professional who is licensed and qualified by education, training, or experience to assess the psychological and sociological background of patients, to contribute to the appropriate treatment plan for the patient, and to monitor patient progress; treatment, as appropriate, for patients with co-occurring substance use and mental disorders; testing, as appropriate, for infections commonly associated with illicit drug use; residential rehabilitation, and outpatient and intensive outpatient programs; recovery housing; community-based and peer recovery support services; job training, job placement assistance, and continuing education assistance to support reintegration into the workforce; and other best practices to provide the full continuum of treatment and services, as determined by the Secretary; ensure that all programs covered by the Center include medication-assisted treatment, as appropriate, and do not exclude individuals receiving medication-assisted treatment from any service; periodically conduct patient assessments to support sustained and clinically significant recovery, as defined by the Assistant Secretary for Mental Health and Substance Use; administer an onsite pharmacy and provide toxicology services, for purposes of carrying out this section; and operate a secure, confidential, and interoperable electronic health information system. Each Center shall carry out outreach activities to publicize the services offered through the Centers, which may include— training and supervising outreach staff, as appropriate, to work with State and local health departments, health care providers, the Indian Health Service, State and local educational agencies, schools funded by the Indian Bureau of Education, institutions of higher education, State and local workforce development boards, State and local community action agencies, public safety officials, first responders, Indian Tribes, child welfare agencies, as appropriate, and other community partners and the public, including patients, to identify and respond to community needs; ensuring that the entities described in subparagraph
(A)are aware of the services of the Center; and disseminating and making publicly available, including through the internet, evidence-based resources that educate professionals and the public on opioid use disorder and other substance use disorders, including co-occurring substance use and mental disorders. With respect to a grant awarded under subsection (a), not later than 90 days after the end of the first year of the grant period, and annually thereafter for the duration of the grant period (including the duration of any renewal period for such grant), the entity shall submit data, as appropriate, to the Secretary regarding— the programs and activities funded by the grant; health outcomes of the population of individuals with a substance use disorder who received services from the Center, evaluated by an independent program evaluator through the use of outcomes measures, as determined by the Secretary; the retention rate of program participants; and any other information that the Secretary may require for the purpose of ensuring that the Center is complying with all the requirements of the grant, including providing the full continuum of services described in subsection (g)(1)(B). The provisions of this section, including with respect to data reporting and program oversight, shall be subject to all applicable Federal and State privacy laws. There is authorized to be appropriated $10,000,000 for each of fiscal years 2019 through 2023 for purposes of carrying out this section. Not later than 3 years after the date of the enactment of this Act, the Secretary shall submit to Congress a preliminary report that analyzes data submitted under subsection (h). Not later than 2 years after submitting the preliminary report required under paragraph (1), the Secretary shall submit to Congress a final report that includes— an evaluation of the effectiveness of the comprehensive services provided by the Centers established or operated pursuant to this section with respect to health outcomes of the population of individuals with substance use disorder who receive services from the Center, which shall include an evaluation of the effectiveness of services for treatment and recovery support and to reduce relapse, recidivism, and overdose; and recommendations, as appropriate, regarding ways to improve Federal programs related to substance use disorders, which may include dissemination of best practices for the treatment of substance use disorders to health care professionals.
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- 130 Stat. 1395
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