Sec. 402. Program to support coordination and continuation of care for drug overdose patients
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The Secretary of Health and Human Services (referred to in this section as the Secretary ) shall identify or facilitate the development of best practices for— emergency treatment of known or suspected drug overdose; coordination and continuation of care and treatment, including, as appropriate, through referrals, of individuals after an opioid overdose; and the provision of overdose reversal medication, as appropriate. The Secretary shall award grants on a competitive basis to eligible entities to support implementation of voluntary programs for care and treatment of individuals after an opioid overdose, as appropriate, which may include implementation of the best practices described in subsection (a).
In this section, the term eligible entity means an entity that offers treatment or other services for individuals in response to, or following, drug overdoses or a drug overdose. An eligible entity desiring a grant under this section, in consultation with the principal agency of a State in which such entity offers treatment or other services that is responsible for carrying out the block grant for prevention and treatment of substance abuse under subpart II of part B of title XIX of the Public Health Service Act ( 42 U.S.C. 300x–21 et seq.), shall submit an application to the Secretary, at such time and in such manner as the Secretary may require, that includes— evidence that such eligible entity carries out, or is capable of coordinating with other entities to carry out, the activities described in paragraph (4); and such additional information as the Secretary may require.
An eligible entity awarded a grant under this section shall use such grant funds to— hire or utilize recovery coaches to help support recovery, including by— connecting patients to a continuum of care services, such as— treatment and recovery support programs; programs that provide non-clinical recovery support services; peer support networks; recovery community organizations; health care providers, including physicians and other providers of behavioral health and primary care; educational and vocational schools; employers; housing services; and child welfare agencies; providing education on overdose prevention to patients; and providing other services the Secretary determines necessary to help ensure continued connection with recovery support services; establish policies and procedures that address the provision of overdose reversal medication, the administration of all drugs approved by the Food and Drug Administration to treat substance use disorder, and subsequent continuation of, or referral to, evidence-based treatment for patients with a substance use disorder who have experienced a non-fatal drug overdose, in order to prevent relapse, and reduce recidivism and future overdose; develop or implement best practices for treating non-fatal drug overdoses, including, with respect to care coordination and integrated care models, for long term treatment and recovery options for individuals with a substance use disorder who have experienced a non-fatal drug overdose; and establish integrated models of care for individuals who have experienced a non-fatal drug overdose which may include patient assessment, follow up, and transportation to and from treatment facilities.
In addition to the uses described in paragraph (4), a grant awarded under this section may be used, directly or through contractual arrangements, to provide— all drugs approved by the Food and Drug Administration to treat substance use disorders, pursuant to Federal and State law; withdrawal and detoxification services that include patient evaluation, stabilization, and preparation for treatment of substance use disorder, including treatment described in subparagraph (A), as appropriate; or mental health services provided by a program counselor, social worker, therapist, or other certified professional who is licensed and qualified by education, training, or experience to assess the psychosocial background of patients, to contribute to the appropriate treatment plan for patients with substance use disorder, and to monitor patient progress.
In awarding grants under this section, the Secretary shall give preference to eligible entities that meet any or all of the following criteria: The eligible entity is a critical access hospital (as defined in section 1861(mm)(1) of the Social Security Act ( 42 U.S.C. 1395x(mm)(1) )), a low volume hospital (as defined in section 1886(d)(12)(C)(i) of such Act ( 42 U.S.C. 1395ww(d)(12)(C)(i) )), or a sole community hospital (as defined in section 1886(d)(5)(D)(iii) of such Act ( 42 U.S.C. 1395ww(d)(5)(D)(iii) )).
The eligible entity is located in a State with an overdose mortality rate that is above the national overdose mortality rate, as determined by the Director of the Centers for Disease Control and Prevention. The eligible entity demonstrates that recovery coaches will be placed in both health care settings and community settings. A grant awarded to an eligible entity under this section shall be for a period of not more than 5 years. In this section, the term recovery coach means an individual— with knowledge of, or experience with, recovery from a substance use disorder; and who has completed training from, and is determined to be in good standing by, a recovery services organization capable of conducting such training and making such determination.
Each eligible entity awarded a grant under this section shall submit to the Secretary an annual report for each year for which the entity has received such grant that includes information on— the number of individuals treated by the entity for non-fatal overdoses, including the number of non-fatal overdoses where overdose reversal medication was administered; the number of individuals administered medication-assisted treatment by the entity; the number of individuals referred by the entity to other treatment facilities after a non-fatal overdose, the types of such other facilities, and the number of such individuals admitted to such other facilities pursuant to such referrals; and the frequency and number of patients with reoccurrences, including readmissions for non-fatal overdoses and evidence of relapse related to substance abuse disorder.
Not later than 5 years after the date of enactment of this Act, the Secretary shall submit to Congress a report that includes an evaluation of the effectiveness of the grant program carried out under this section with respect to long term health outcomes of the population of individuals who have experienced a drug overdose, the percentage of patients treated or referred to treatment by grantees, and the frequency and number of patients who experienced relapse, were readmitted for treatment, or experienced another overdose.
The requirements 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 to carry out this section such sums as may be necessary for each of fiscal years 2019 through 2023.
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- 42 USC 300x–21
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Sec. 402
Program to support coordination and continuation of care for drug overdose patients
Cite42 USC 300x–21
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