Sec. 8002. SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT

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## SEC. 8002 SUBSTANCE ABUSE PREVENTION AND TREATMENT BLOCK GRANT ###

(a)Formula Grants Section 1921(b) of the Public Health Service Act (42 U.S.C. 300x-21(b)) is amended— ####

(1)by inserting “carrying out the plan developed in accordance with section 1932(b) and for” after “for the purpose of”; and ####

(2)by striking “abuse” and inserting “use disorders”. ###

(b)Outreach to Persons Who Inject Drugs Section 1923(b) of the Public Health Service Act (42 U.S.C. 300x-23(b)) is amended— ####

(1)in the subsection heading, by striking “Regarding Intravenous Substance Abuse” and inserting “to Persons Who Inject Drugs”; and ####

(2)by striking “for intravenous drug abuse” and inserting “for persons who inject drugs”. ###

(c)Requirements Regarding Tuberculosis and Human Immunodeficiency Virus Section 1924 of the Public Health Service Act (42 U.S.C. 300x-24) is amended— ####

(1)in subsection (a)(1)— #####

(A)in the matter preceding subparagraph (A), by striking “substance abuse” and inserting “substance use disorders”; and #####

(B)in subparagraph (A), by striking “such abuse” and inserting “such disorders”; ####

(2)in subsection (b)— #####

(A)in paragraph (1)(A), by striking “substance abuse” and inserting “substance use disorders”; #####

(B)in paragraph (2), by inserting “and Prevention” after “Disease Control”; #####

(C)in paragraph (3)— ######

(i)in the paragraph heading, by striking “abuse” and inserting “use disorders”; and ######

(ii)by striking “substance abuse” and inserting “substance use disorders”; and #####

(D)in paragraph (6)(B), by striking “substance abuse” and inserting “substance use disorders”; ####

(3)by striking subsection (d); and ####

(4)by redesignating subsection

(e)as subsection (d). ###

(d)Group Homes Section 1925 of the Public Health Service Act (42 U.S.C. 300x-25) is amended— ####

(1)in the section heading, by striking “recovering substance abusers” and inserting “persons in recovery from substance use disorders”; and ####

(2)in subsection (a), in the matter preceding paragraph (1), by striking “recovering substance abusers” and inserting “persons in recovery from substance use disorders”. ###

(e)Additional Agreements Section 1928 of the Public Health Service Act (42 U.S.C. 300x-28) is amended— ####

(1)in subsection (a), by striking “(relative to fiscal year 1992)”; ####

(2)by striking subsection

(b)and inserting the following: > > ### “(b) Professional Development > > A funding agreement for a grant under section 1921 is that the State involved will ensure that prevention, treatment, and recovery personnel operating in the State’s substance use disorder prevention, treatment, and recovery systems have an opportunity to receive training, on an ongoing basis, concerning— > > > #### “(1) > > recent trends in substance use disorders in the State; > > > #### “(2) > > improved methods and evidence-based practices for providing substance use disorder prevention and treatment services; > > > #### “(3) > > performance-based accountability; > > > #### “(4) > > data collection and reporting requirements; and > > > #### “(5) > > any other matters that would serve to further improve the delivery of substance use disorder prevention and treatment services within the State.” > ; and ####

(3)in subsection (d)(1), by striking “substance abuse” and inserting “substance use disorders”. ###

(f)Repeal Section 1929 of the Public Health Service Act (42 U.S.C. 300x-29) is repealed. ###

(g)Maintenance of Effort Section 1930 of the Public Health Service Act (42 U.S.C. 300x-30) is amended— ####

(1)in subsection (c)(1), by striking “in the State justify the waiver” and inserting “exist in the State, or any part of the State, to justify the waiver”; and ####

(2)in subsection (d), by inserting at the end the following: > > #### “(3) Alternative > > A State that has failed to comply with this section and would otherwise be subject to a reduction in the State’s allotment under section 1921, may, upon request by the State, in lieu of having the State’s allotment under section 1921 reduced, agree to comply with a negotiated agreement that is approved by the Secretary and carried out in accordance with guidelines issued by the Secretary. If a State fails to enter into or comply with a negotiated agreement, the Secretary may take action under this paragraph or the terms of the negotiated agreement.” > . ###

(h)Restrictions on Expenditures Section 1931(b)(1) of the Public Health Service Act (42 U.S.C. 300x-31(b)(1)) is amended by striking “substance abuse” and inserting “substance use disorders”. ###

(i)Application Section 1932 of the Public Health Service Act (42 U.S.C. 300x-32) is amended— ####

(1)in subsection (a)— #####

(A)in the matter preceding paragraph (1), by striking “subsections

(c)and (d)(2)” and inserting “subsection (c)”; and #####

(B)in paragraph (5), by striking “the information required in section 1929, the information required in section 1930(c)(2), and”; ####

(2)in subsection (b)— #####

(A)by striking paragraph

(1)and inserting the following: > > #### “(1) In general > > In order for a State to be in compliance with subsection (a)(6), the State shall submit to the Secretary a plan that, at a minimum, includes the following: > > > ##### “(A) > > A description of the State’s system of care that— > > > ###### “(i) > > identifies the single State agency responsible for the administration of the program, including any third party who administers substance use disorder services and is responsible for complying with the requirements of the grant; > > > ###### “(ii) > > provides information on the need for substance use disorder prevention and treatment services in the State, including estimates on the number of individuals who need treatment, who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorder, persons who inject drugs, and persons who are experiencing homelessness; > > > ###### “(iii) > > provides aggregate information on the number of individuals in treatment within the State, including the number of such individuals who are pregnant women, women with dependent children, individuals with a co-occurring mental health and substance use disorder, persons who inject drugs, and persons who are experiencing homelessness; > > > ###### “(iv) > > provides a description of the system that is available to provide services by modality, including the provision of recovery support services; > > > ###### “(v) > > provides a description of the State’s comprehensive statewide prevention efforts, including the number of individuals being served in the system, target populations, and priority needs, and provides a description of the amount of funds from the prevention set-aside expended on primary prevention; > > > ###### “(vi) > > provides a description of the financial resources available; > > > ###### “(vii) > > describes the existing substance use disorders workforce and workforce trained in treating co-occurring substance use and mental disorders; > > > ###### “(viii) > > includes a description of how the State promotes evidence-based practices; and > > > ###### “(ix) > > describes how the State integrates substance use disorder services and primary health care, which in the case of those individuals with co-occurring mental health and substance use disorders may include providing both mental health and substance use disorder services in primary care settings or providing primary and specialty care services in community-based mental health and substance use disorder service settings. > > > ##### “(B) > > The establishment of goals and objectives for the period of the plan, including targets and milestones that are intended to be met, and the activities that will be undertaken to achieve those targets. > > > ##### “(C) > > A description of how the State will comply with each funding agreement for a grant under section 1921 that is applicable to the State, including a description of the manner in which the State intends to expend grant funds.” > ; and #####

(B)in paragraph (2)— ######

(i)in the paragraph heading, by striking “authority of secretary regarding modifications” and inserting “modifications”; ######

(ii)by striking “ As a condition ” and inserting the following: > > ##### “(A) Authority of secretary > > As a condition;” > ; and ######

(iii)by adding at the end the following: > > ##### “(B) State request for modification > > If the State determines that a modification to such plan is necessary, the State may request the Secretary to approve the modification. Any such modification shall be in accordance with paragraph

(1)and section 1941.” > ; and #####

(C)in paragraph (3), by inserting, “, including any modification under paragraph (2)” after “subsection (a)(6)”; and ####

(3)in subsection (e)(2), by striking “section 1922(c)” and inserting “section 1922(b)”. ###

(j)Definitions Section 1934 of the Public Health Service Act (42 U.S.C. 300x-34) is amended— ####

(1)in paragraph (3), by striking “substance abuse” and inserting “substance use disorders”; and ####

(2)in paragraph (7), by striking “substance abuse” and inserting “substance use disorders”. ###

(k)Funding Section 1935 of the Public Health Service Act (42 U.S.C. 300x-35) is amended— ####

(1)in subsection (a)— #####

(A)by striking “section 505” and inserting “section 505(d)”; and #####

(B)by striking “$2,000,000,000 for fiscal year 2001, and such sums as may be necessary for each of the fiscal years 2002 and 2003” and inserting “$1,858,079,000 for each of fiscal years 2018 through 2022.”; and ####

(2)in subsection (b)(1)(B) by striking “sections 505 and” and inserting “sections 505(d) and”.

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