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Code · BILL · 115th Congress · S. 2730 (Introduced in Senate) — To amend the Public Health Service Act to establish a pilot program to help individuals in recovery from a substance... · Sec. 2

Sec. 2. Pilot program to help individuals in recovery from a substance use disorder transition to independent living and the workforce

1,693 words·~8 min read·/bill/115/s/2730/is/section-2

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Part B of title III of the Public Health Service Act ( 42 U.S.C. 243 et seq.) is amended by adding at the end the following: The Secretary shall establish a pilot program to award 5-year grants under subsection (b)(1) to States, and 1-year grants under subsection (b)(2) to States or Indian tribes, for the purpose of making subgrants to entities under subsection
(c)to help individuals in recovery from a substance use disorder transition from treatment to independent living and the workforce. The Secretary shall award 5-year grants under this paragraph to 5 States that submit an application under paragraph (3). Such States shall be selected— from among the 10 States with the highest rate of death due to drug overdose per 100,000 people, based on data from the Centers for Disease Control and Prevention for calendar years 2013 through 2017; and based on the merits of the proposal included in such application and the preferences described in subparagraph (B). The Secretary, in selecting States for a grant under this paragraph, shall give priority to States from among the States described in subparagraph
(A)with the combination of— the highest average rates of unemployment based on data provided by the Bureau of Labor Statistics for calendar years 2013 through 2017; the lowest average labor force participation rates based on data provided by the Bureau of Labor Statistics for calendar years 2013 through 2017; and the highest prevalence of opioid use disorder based on data provided by the Substance Abuse and Mental Health Services Administration for calendar years 2013 through 2017 as may be available. The funds from a 5-year grant awarded under this paragraph shall be provided to each of the 5 selected States on an annual basis for each of fiscal years 2019 through 2023. The funds awarded under clause
(i)for a fiscal year shall remain available for the State to make subgrants under subsection
(c)for such fiscal year, except a State may carry over (subject to subclause (II)) not more than 10 percent of such funds for the following fiscal year for such purpose. A State may make a request to the Secretary to carry over more than 10 percent of the funds awarded under clause
(i)for a fiscal year for the following fiscal year for such purpose, and the Secretary may grant such request as the Secretary determines appropriate. Any amount carried over under this clause shall not impact the amount of the funds the Secretary awards the State for such following fiscal year. Any funds awarded under clause
(i)that are not expended during the fiscal year for which the funds are awarded and that are not carried over for the following fiscal year under clause
(ii)shall be returned to the Secretary to carry out this section. Any funds returned to the Secretary after fiscal year 2023 shall be returned to the general fund of the Treasury. The Secretary shall, for each of fiscal years 2019 through 2023, award 1-year grants to States or Indian tribes under this paragraph that submit an application in accordance with paragraph (3). Such States or Indian tribes shall be selected for a grant under this paragraph based on criteria established by the Secretary. The funds awarded through a grant under subparagraph
(A)for a fiscal year shall remain available for the State or Indian tribe to make subgrants under subsection
(c)for such fiscal year and may not be carried over for such following fiscal year. Any funds awarded through a grant under subparagraph
(A)that are not expended during the fiscal year of the grant shall be returned to the Secretary to carry out this section. Any funds returned to the Secretary after fiscal year 2023 shall be returned to the general fund of the Treasury. Each State desiring a grant under paragraph
(1)and each State or Indian tribe desiring a grant under paragraph
(2)shall submit an application to the Secretary at such time and in such manner as the Secretary may reasonably require for such grant. An application submitted under subparagraph
(A)shall contain such information as the Secretary may reasonably require, including a proposal for awarding subgrants under subsection
(c)and a method for evaluating such subgrants. An application submitted under subparagraph
(A)for a grant awarded under subsection (b)(1) shall include an assurance that not less than 50 percent of the funds awarded through the grant will be used towards making subgrants under subsection
(c)to the entities applying for such subgrants that serve the areas in the State with the highest prevalence of substance use disorder, based on data determined appropriate by the Secretary. Each State that receives a grant under subsection (b)(1) and each State or Indian tribe that receives a grant under subsection (b)(2) shall award subgrants on a competitive basis to entities that meet the requirements under paragraphs
(2)and (3). An entity that desires a subgrant under this subsection shall submit an application to the State or Indian tribe at such time and in such manner as the State or Indian tribe may reasonably require. An application submitted under subparagraph
(A)by an entity shall contain such information as the State or Indian tribe may reasonably require, including a demonstration that the entity has one or more of the following abilities: The ability to partner with local stakeholders, which may include local employers, community stakeholders, and local and State governments, to identify gaps in the workforce due to the prevalence of substance use disorders. The ability to partner with local stakeholders, which may include local employers, community stakeholders, and local and State governments, to offer transitional services, including employment and career counseling or job placement, to help individuals in recovery from a substance use disorder transition into the workforce. The ability to partner with local stakeholders, which may include local employers, community stakeholders, and local and State governments, to assist employers with informing their employees of the resources, such as treatment options for a substance use disorder, that are available to them. An entity receiving a subgrant under this subsection shall use the subgrant funds for more than one of the following: To hire specialists with an expertise in treating substance use disorders, including through residential treatment, to assist with the treatment provided through a subgrant under this subsection, which may include the use of medication-assisted treatment. To provide wrap-around services to encourage substance use disorder prevention, treatment, recovery, and rehabilitation, with a focus on ensuring long-term recovery and symptom remission. To help individuals transition from inpatient treatment for a substance use disorder to the workforce by providing— career services described in paragraph (2), and training services described in paragraph (3), of section 134(c) of the Workforce Innovation and Opportunity Act ( 29 U.S.C. 3174(c) ); and related services described in section 134(a)(4)(D) of such Act ( 42 U.S.C. 3174(a)(4)(D) ). To implement innovative technologies to make substance use disorder treatment more affordable and accessible, which may include the use of telemedicine, and may assist individuals in finding and maintaining employment throughout recovery. To provide ongoing outpatient substance use disorder treatment programs, including peer support meetings, for individuals who have recovered or are in recovery from a substance use disorder while they transition from receiving treatment for such disorder to entering the workforce and maintaining employment. To assist patients, including through hiring case managers, care coordinators, or trained peer recovery coaches, in recovery from a substance use disorder, including through programs to provide services to develop daily living skills, provide counseling, and provide housing assistance, and through other appropriate Federal Government assistance programs. With respect to an entity that provides the full continuum of substance use disorder treatment services, which may include detoxification, residential rehabilitation, recovery housing, evidence-based treatments (which may include the use of medication-assisted treatment), counseling, and recovery supports, to expand such services to include services that may include— short-term prevocational training services, such as the development of learning skills, communication skills, interviewing skills, punctuality, personal maintenance skills, and professional conduct; vocational training, which shall emphasize the skills or knowledge necessary for a particular job function or trade; and care coordination throughout the short- and long-term substance use disorder recovery process. Any other service determined by the Secretary as necessary for achieving the goal of transitioning individuals from treatment for substance use disorders to independent living and the workforce or to encouraging substance use disorder prevention in the workforce. The Secretary may, in carrying out the pilot program under this section, consult with the Assistant Secretary for Substance Use and Mental Health, the Administrator of the Health Resources and Services Administration, the Secretary of Labor, the Secretary of Housing and Urban Development, and the Secretary of Education. Not later than December 31, 2021, each State that has received a grant under subsection (b)(1) shall report to the Secretary on its progress and effectiveness in meeting the objectives of the pilot program under this section, including the progress and effectiveness of the entities receiving subgrants under subsection
(c)as demonstrated through reports of such progress and effectiveness submitted to the State by such entities. Not later than December 31 of the fiscal year following the fiscal year for which a grant is awarded under subsection (b)(2), the State or Indian tribe receiving such grant shall report to the Secretary on its progress and effectiveness in meeting the objectives of the pilot program under this section, including the progress and effectiveness of the entities receiving subgrants under subsection
(c)which may be demonstrated through reports of such progress and effectiveness submitted to the State or Indian tribe by such entities. Not later than December 31, 2024, the Secretary shall submit a report to Congress, including any applicable authorizing committee of the Senate or House of Representatives, evaluating the grants awarded under this section. There is authorized to be appropriated $200,000,000, for each of fiscal years 2019 through 2023, to carry out this section. Out of such amount appropriated for each such fiscal year— 75 percent shall be used to make grants under subsection (b)(1); and 25 percent shall be used to make grants under subsection (b)(2). .
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Sec. 2
Pilot program to help individuals in recovery from a substance use disorder transition to independent living and the workforce
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