[Congressional Bills 113th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5339 Introduced in House (IH)]
113th CONGRESS
2d Session
H. R. 5339
To authorize the Administrator of the Substance Abuse and Mental Health
Services Administration, acting through the Director of the Center for
Substance Abuse Treatment, to award grants to States to expand access
to clinically appropriate services for opioid abuse, dependence, or
addiction.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
July 31, 2014
Mr. Foster (for himself, Mr. Sean Patrick Maloney of New York, Mr. Ryan
of Ohio, Ms. Esty, and Ms. Shea-Porter) introduced the following bill;
which was referred to the Committee on Energy and Commerce
_______________________________________________________________________
A BILL
To authorize the Administrator of the Substance Abuse and Mental Health
Services Administration, acting through the Director of the Center for
Substance Abuse Treatment, to award grants to States to expand access
to clinically appropriate services for opioid abuse, dependence, or
addiction.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Expanding Opportunities for Recovery
Act of 2014''.
SEC. 2. OPIOID ADDICTION TREATMENT.
(a) In General.--The Administrator of the Substance Abuse and
Mental Health Services Administration, acting through the Director of
the Center for Substance Abuse Treatment (in this section referred to
as the ``Administrator'') shall award grants to States to expand access
to clinically appropriate services for opioid abuse, dependence, or
addiction.
(b) Requirements.--As conditions on the receipt of a grant under
this section, a State shall agree to comply with the following:
(1) The grant will be administered through the head of the
State's primary agency responsible for programs and activities
relating to the treatment of substance abuse.
(2) The services through the grant will be evidence-based
such as medication-assisted treatment for substance use
disorder.
(3) The services through the grant will be provided
according to a physician or a clinician's recommendation to
ensure that individuals receive the optimal level of substance
use disorder treatment for the amount of time that is deemed
medically necessary.
(4) The services through the grant will be provided
exclusively to individuals--
(A) who lack health insurance; or
(B) whose health insurance--
(i) does not cover such services; or
(ii) places other barriers on the receipt
of such services, such as--
(I) limiting coverage of such
services to a certain period of time;
or
(II) imposing non-quantitative
treatment limitations that are more
stringent than treatment limitations
imposed on other medical conditions
(such as a requirement to use less
expensive services, like out-patient
treatment, prior to more expensive, but
physician-recommended services, such as
in-patient or residential treatment).
(5) The grant will not be used to pay or subsidize the cost
of more than 60 consecutive days of opioid abuse, dependence,
or addiction treatment in the case of any individual.
(c) Permissible Provision of Medications.--In expanding access to
clinically appropriate services for opioid abuse, dependence, or
addiction through a grant under this section, a State may provide for
the use of medications, in conjunction with other treatment, so long
as--
(1) the medications are lawfully marketed under the Federal
Food, Drug, and Cosmetic Act (21 U.S.C. 301 et seq.);
(2) are clinically indicated to address the abuse,
dependence, or addiction; and
(3) are offered consistent with consumer choice.
(d) Coordination.--The Administrator shall coordinate the program
under this section with the program 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.).
(e) Evaluation; Dissemination of Information; Technical
Assistance.--
(1) In general.--The Administrator shall--
(A) require States receiving a grant under this
section to report appropriate outcome measures
associated with use of the grant, including any--
(i) decreases in substance use;
(ii) changes in retention in care;
(iii) connections to the next appropriate
level of care;
(iv) decreases in involvement with criminal
justice activities; and
(v) other outcome data as appropriate;
(B) require States receiving a grant under this
section to report data on individuals' length of time
under clinically appropriate addiction treatment, and
the use of medication-assisted treatment;
(C) evaluate the activities supported by grants
under this section;
(D) submit to the Congress and the Secretary, and
make publicly available on the Internet site of the
Substance Abuse and Mental Health Services
Administration, information about the results of such
evaluation; and
(E) offer technical assistance to States receiving
a grant under this section regarding activities funded
through the grant.
(2) Use of certain funds.--Of the funds appropriated to
carry out this section for any fiscal year, 5 percent shall be
available to carry out activities under this subsection.
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