Sec. 6101. COMBATING SUBSTANCE USE DISORDER IN RURAL AMERICA; PRIORITIZATIONS
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## SEC. 6101 COMBATING SUBSTANCE USE DISORDER IN RURAL AMERICA; PRIORITIZATIONS ###
(a)Combating Substance Use Disorder in Rural America ####
(1)Prioritizations The Secretary shall make the following prioritizations and set asides for fiscal years 2019 through 2025: #####
(A)Distance learning and telemedicine ######
(i)Substance use disorder set-aside Subject to clause (ii), the Secretary shall make available not less than 20 percent of amounts made available under section 2335A of the Food, Agriculture, Conservation, and Trade Act of 1990 (7 U.S.C. 950aaa-2) for financial assistance under chapter 1 of subtitle D of title XXIII of such Act for telemedicine projects that provide substance use disorder treatment services. ######
(ii)Exception In the case of a fiscal year for which the Secretary determines that there are not sufficient qualified applicants to receive financial assistance for projects providing substance use disorder treatment services to reach the 20-percent requirement under clause (i), the Secretary may make available less than 20 percent of amounts made available under such section 2335A for those services. #####
(B)Community facilities direct loans and grants ######
(i)Substance use disorder selection priority In selecting recipients of direct loans or grants for the development of essential community facilities under section 306(a) of the Consolidated Farm and Rural Development Act (7 U.S.C. 1926(a)), the Secretary shall give priority to entities eligible for those direct loans or grants— ######
(I)to develop facilities to provide substance use disorder (including opioid substance use disorder)— ######
(aa)prevention services; ######
(bb)treatment services; ######
(cc)recovery services; or ######
(dd)any combination of those services; and ######
(II)that employ staff that have appropriate expertise and training in how to identify and treat individuals with substance use disorders. ######
(ii)Use of funds An eligible entity described in clause
(i)that receives a direct loan or grant described in that clause may use the direct loan or grant funds for the development of telehealth facilities and systems to provide telehealth services for substance use disorder treatment. #####
(C)Rural health and safety education programs; substance use disorder selection priority In making grants under section 502(i) of the Rural Development Act of 1972 (7 U.S.C. 2662(i)), the Secretary shall give priority to an applicant that will use the grant for substance use disorder education and treatment and the prevention of substance use disorder. ####
(2)Limitation on other reprioritizations For fiscal years 2019 through 2025, the Secretary shall not make any national reprioritizations within the Rural Health and Safety Education Programs, the Community Facilities direct loan and grant programs, or the Distance Learning and Telemedicine programs under section 608 of the Rural Development Act of 1972. ####
(3)Technical amendments Title V of the Rural Development Act of 1972 (7 U.S.C. 2661 et seq.) is amended— #####
(A)**[**[7 U.S.C. 2662](/us/usc/t7/s2662)**]** in section 502, in the matter preceding subsection (a), by inserting “(referred to in this title as the ‘Secretary’)” after “Agriculture”; and #####
(B)**[**[7 U.S.C. 2662](/us/usc/t7/s2662)**]** by striking “Secretary of Agriculture” each place it appears (other than in section 502 in the matter preceding subsection (a)) and inserting “Secretary”. ###
(b)Temporary Prioritization of Rural Health Assistance Title VI of the Rural Development Act of 1972 (7 U.S.C. 2204a-2204b) is amended by adding at the end the following: > > ## “SEC. SEC. 608 TEMPORARY PRIORITIZATION OF RURAL HEALTH ASSISTANCE > > **[**[7 U.S.C. 2204b-2](/us/usc/t7/s2204b-2)**]** > > > ### “(a) Authority to Temporarily Prioritize Certain Rural Development Applications > > Notwithstanding any other provision of law, the Secretary, after consultation with such public health officials as may be necessary, may announce through a Federal Register notice pursuant to section 553(b)(3)(B) of title 5, United States Code, a temporary reprioritization, on a national or multistate basis, for certain rural development loan and grant applications to assist rural communities in responding to a significant public health disruption. > > > ### “(b) Public Health Disruption > > For the purposes of this section, the term ‘public health disruption’ means an unanticipated increase in mortality or morbidity in rural communities, when compared to non-rural communities, caused by identifiable events, actions, or behavioral trends, which can be remediated by the programs of the Rural Development mission area. When measuring a public health disruption, the Secretary may analyze data on a national or multi-state basis. > > > ### “(c) Content of Announcement > > In the announcement, the Secretary shall— > > > #### “(1) > > describe the nature of the public health disruption, including the causes, effects, affected populations, and affected States; > > > #### “(2) > > explain how the programs of the Department of Agriculture will work in remedying the public health disruption; > > > #### “(3) > > identify the services, treatments, or infrastructure best suited to address the public health disruption; > > > #### “(4) > > establish— > > > ##### “(A) > > the start and end dates of the reprioritization; > > > ##### “(B) > > the programs subject to reprioritization and the modifications to the application process; > > > ##### “(C) > > the process for making reprioritizations for applicable programs; > > > ##### “(D) > > the amount of funds set-aside for applicable programs, except that a set-aside for such a program shall not be greater than 20 percent of the amounts appropriated for the program for the fiscal year involved; and > > > ##### “(E) > > the region in which the reprioritization is in effect; and > > > #### “(5) > > instruct program administrators to implement the reprioritization during the application window or announcement after the announcement takes effect. > > > ### “(d) Limitations on Reprioritizations > > When announcing the reprioritization, the Secretary shall— > > > #### “(1) > > establish an initial total time period of less than 4 years, except as provided for in subsection (e); > > > #### “(2) > > implement only 1 nationally applicable reprioritization at a time; > > > #### “(3) > > implement only 1 regionally applicable reprioritization per State at a time; and > > > #### “(4) > > not use reprioritizations to allocate additional funds to an affected State. > > > ### “(e) Extension > > The Secretary may extend an announcement under subsection
(a)for no more than 6 years in total, except that nothing shall prevent the Secretary from renewing reprioritizations by making a new announcement under subsection (a). > > > ### “(f) Rescinding the Announcement > > The Secretary may rescind a reprioritization announcement made under subsection
(a)at any time the Secretary determines that the temporary reprioritizations are no longer needed or effective. > > > ### “(g) Notice > > Not later than 48 hours after making, extending, or rescinding an announcement under this section, the Secretary shall submit to the Committee on Agriculture of the House of Representatives and the Committee on Agriculture, Nutrition, and Forestry of the Senate, and transmit to the Secretary of Health and Human Services, a written notice of the declaration, extension, or rescission.” > .
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- 7 USC 2204a-2204b
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Sec. 6101
COMBATING SUBSTANCE USE DISORDER IN RURAL AMERICA; PRIORITIZATIONS
Cite7 USC 2204a-2204b
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