Sec. 7181. STATE RESPONSE TO THE OPIOID ABUSE CRISIS
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## SEC. 7181 STATE RESPONSE TO THE OPIOID ABUSE CRISIS ###
(a)In General **[**[42 U.S.C. 290ee-3 note](/us/usc/t42/s290ee-3)**]** Section 1003 of the 21st Century Cures Act (Public Law 114-255)is amended— ####
(1)in subsection (a)— #####
(A)by striking “the authorization of appropriations under subsection
(b)to carry out the grant program described in subsection (c)” and inserting “subsection
(h)to carry out the grant program described in subsection (b)”; and #####
(B)by inserting “and Indian Tribes” after “States”; ####
(2)by striking subsection (b); ####
(3)by redesignating subsections
(c)through
(e)as subsections
(b)through (d), respectively; ####
(4)by redesignating subsection
(f)as subsection (j); ####
(5)in subsection (b), as so redesignated— #####
(A)in paragraph (1)— ######
(i)in the paragraph heading, by inserting “and tribal” after “State”; ######
(ii)by striking “States for the purpose of addressing the opioid abuse crisis within such States” and inserting “States and Indian Tribes for the purpose of addressing the opioid abuse crisis within such States and Indian Tribes”; ######
(iii)by inserting “or Indian Tribes” after “preference to States”; and ######
(iv)by inserting before the period of the second sentence “or other Indian Tribes, as applicable”; and #####
(B)in paragraph (2)— ######
(i)in the matter preceding subparagraph (A), by striking “to a State”; ######
(ii)in subparagraph (A), by striking “Improving State” and inserting “Establishing or improving”; ######
(iii)in subparagraph (C), by inserting “preventing diversion of controlled substances,” after “treatment programs,”; and ######
(iv)in subparagraph (E), by striking “as the State determines appropriate, related to addressing the opioid abuse crisis within the State” and inserting “as the State or Indian Tribe determines appropriate, related to addressing the opioid abuse crisis within the State or Indian Tribe, including directing resources 132 STAT. 4069 in accordance with local needs related to substance use disorders”; ####
(6)in subsection (c), as so redesignated, by striking “subsection (c)” and inserting “subsection (b)”; ####
(7)in subsection (d), as so redesignated— #####
(A)in the matter preceding paragraph (1), by striking “the authorization of appropriations under subsection (b)” and inserting “subsection (h)”; and #####
(B)in paragraph (1), by striking “subsection (c)” and inserting “subsection (b)”; and ####
(8)by inserting after subsection (d), as so redesignated, the following: > > ### “(e) Indian Tribes > > > #### “(1) Definition > > For purposes of this section, the term ‘Indian Tribe’ has the meaning given the term ‘Indian tribe’ in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304). > > > #### “(2) Appropriate mechanisms > > The Secretary, in consultation with Indian Tribes, shall identify and establish appropriate mechanisms for Tribes to demonstrate or report the information as required under subsections (b), (c), and (d). > > > ### “(f) Report to Congress > > Not later than 1 year after the date on which amounts are first awarded after the date of enactment of this subsection, pursuant to subsection (b), and annually thereafter, the Secretary shall submit to the Committee on Health, Education, Labor, and Pensions of the Senate and the Committee on Energy and Commerce of the House of Representatives a report summarizing the information provided to the Secretary in reports made pursuant to subsection (c), including the purposes for which grant funds are awarded under this section and the activities of such grant recipients. > > > ### “(g) Technical Assistance > > The Secretary, including through the Tribal Training and Technical Assistance Center of the Substance Abuse and Mental Health Services Administration, shall provide State agencies and Indian Tribes, as applicable, with technical assistance concerning grant application and submission procedures under this section, award management activities, and enhancing outreach and direct support to rural and underserved communities and providers in addressing the opioid crisis. > > > ### “(h) Authorization of Appropriations > > For purposes of carrying out the grant program under subsection (b), there is authorized to be appropriated $500,000,000 for each of fiscal years 2019 through 2021, to remain available until expended. > > > ### “(i) Set Aside > > Of the amounts made available for each fiscal year to award grants under subsection
(b)for a fiscal year, 5 percent of such amount for such fiscal year shall be made available to Indian Tribes, and up to 15 percent of such amount for such fiscal year may be set aside for States with the highest age-adjusted rate of drug overdose death based on the ordinal ranking of States according to the Director of the Centers for Disease Control and Prevention.” > . ###
(b)Conforming Amendment Section 1004(c) of the 21st Century Cures Act (Public Law 114-255) is amended by striking “, the FDA Innovation Account, or the Account For the State Response to the Opioid Abuse Crisis” and inserting “or the FDA Innovation Account”.
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Sec. 7181
STATE RESPONSE TO THE OPIOID ABUSE CRISIS
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