text: SECTION 1. SHORT TITLE.
  
      This Act may be cited as the ``Comprehensive Opioid Recovery 
  Centers Act of 2018''.
  
  SEC. 2. COMPREHENSIVE OPIOID RECOVERY CENTERS.
  
      (a) In General.--Part D of title V of the Public Health Service Act 
  is amended by adding at the end the following new section:
  
  ``SEC. 550. COMPREHENSIVE OPIOID RECOVERY CENTERS.
  
      ``(a) In General.--The Secretary shall award grants on a 
  competitive basis to eligible entities to establish or operate a 
  comprehensive opioid recovery center (referred to in this section as a 
  `Center').
      ``(b) Grant Period.--
              ``(1) In general.--A grant awarded under subsection (a) 
          shall be for a period not less than 3 years and not more than 5 
          years.
              ``(2) Renewal.--A grant awarded under subsection (a) may be 
          renewed, on a competitive basis, for additional periods of 
          time, as determined by the Secretary. In determining whether to 
          renew a grant under this paragraph, the Secretary shall 
          consider the data submitted under subsection (h).
      ``(c) Minimum Number of Centers.--The Secretary shall allocate the 
  amounts made available under subsection (i) in such amounts that not 
  fewer than 10 Centers will be established across the United States.
      ``(d) Application.--In order to be eligible for a grant under 
  subsection (a), an entity shall submit an application to the Secretary 
  at such time and in such manner as the Secretary may require. Such 
  application shall include--
              ``(1) evidence that such entity carries out, or is capable 
          of coordinating with other entities to carry out, the 
          activities described in subsection (g); and
              ``(2) such other information as the Secretary may require.
      ``(e) Priority.--In awarding grants under subsection (a), the 
  Secretary shall give priority to eligible entities located in a State 
  or Indian country (as defined in section 1151 of title 18, United 
  States Code)--
              ``(1) with a high per capita drug overdose mortality rate, 
          as determined by the Director of the Centers for Disease 
          Control and Prevention; or
              ``(2) based on any other criteria or need, as determined by 
          the Secretary.
      ``(f) Use of Grant Funds.--An eligible entity awarded a grant under 
  subsection (a) shall use the grant funds to establish or operate a 
  Center to carry out the activities described in subsection (g).
      ``(g) Center Activities and Services.--Each Center shall, at a 
  minimum, carry out the activities described in this subsection. In the 
  case of a Center that determines that a service described in paragraph 
  (2) cannot reasonably be carried out by the Center, such Center shall 
  contract with such other entities as may be necessary to ensure that 
  patients have access to the full range of services described in such 
  paragraph.
              ``(1) Community outreach.--Each Center shall carry out the 
          following outreach activities:
                      ``(A) Train and supervise outreach staff to work 
                  with schools, workplaces, faith-based organizations, 
                  State and local health departments, law enforcement, 
                  and first responders to ensure that such institutions 
                  are aware of the services of the Center.
                      ``(B) Disseminate and make available online 
                  evidence-based resources that educate professionals and 
                  the public on opioid use disorder and other substance 
                  use disorders.
              ``(2) Treatment and recovery services.--Each Center shall 
          provide the following treatment and recovery services:
                      ``(A) Ensure that intake evaluations meet the 
                  clinical needs of patients.
                      ``(B) Periodically conduct patient assessments to 
                  ensure continued and meaningful recovery, as defined by 
                  the Assistant Secretary for Mental Health and Substance 
                  Use.
                      ``(C) Provide the full continuum of treatment 
                  services, including--
                              ``(i) all drugs approved under section 505 
                          of the Federal Food, Drug, and Cosmetic Act and 
                          all biological products licensed under section 
                          351 of this Act, including methadone, to treat 
                          substance use disorders, including opioid use 
                          disorder and alcohol use disorder;
                              ``(ii) withdrawal management, which shall 
                          include medically supervised detoxification 
                          that includes patient evaluation, 
                          stabilization, and readiness for and entry into 
                          treatment;
                              ``(iii) counseling and case management, 
                          including counseling and recovery services for 
                          any possible co-occurring mental illness;
                              ``(iv) residential rehabilitation;
                              ``(v) recovery housing;
                              ``(vi) community-based and peer recovery 
                          support services;
                              ``(vii) job training and placement 
                          assistance to support reintegration into the 
                          workforce; and
                              ``(viii) other best practices, as 
                          determined by the Secretary.
                      ``(D) Administer an onsite pharmacy and provide 
                  toxicology services.
                      ``(E) Establish and operate a secure and 
                  confidential electronic health information system.
                      ``(F) Offer family support services such as child 
                  care, family counseling, and parenting interventions to 
                  help stabilize families impacted by substance use 
                  disorder.
      ``(h) Data Reporting and Program Oversight.--With respect to a 
  grant awarded under subsection (a) to an eligible entity for a Center, 
  not later than 90 days after the end of the first year of the grant 
  period, and annually thereafter for the duration of the grant period 
  (including the duration of any renewal period for such grant), the 
  entity shall submit data, as appropriate, to the Secretary regarding--
              ``(1) the programs and activities funded by the grant;
              ``(2) health outcomes of individuals with a substance use 
          disorder who received services from the Center;
              ``(3) the effectiveness of interventions designed, tested, 
          and evaluated by the Center; and
              ``(4) any other information that the Secretary may require 
          for the purpose of--
                      ``(A) evaluating the effectiveness of the Center; 
                  and
                      ``(B) ensuring that the Center is complying with 
                  all the requirements of the grant, including providing 
                  the full continuum of services described in subsection 
                  (g)(2)(C) and providing drugs and devices for overdose 
                  reversal under such subsection.
      ``(i) Authorization of Appropriations.--There is authorized to be 
  appropriated $10,000,000 for each of fiscal years 2019 through 2023 for 
  purposes of carrying out this section.''.
      (b) Reports to Congress.--
              (1) Preliminary report.--Not later than 3 years after the 
          date of the enactment of this Act, the Secretary of Health and 
          Human Services shall submit to Congress a preliminary report 
          that analyzes data submitted under section 550(h) of the Public 
          Health Service Act, as added by subsection (a).
              (2) Final report.--Not later than 1 year after submitting 
          the preliminary report required under paragraph (1), the 
          Secretary of Health and Human Services shall submit to Congress 
          a final report that includes--
                      (A) an evaluation of the effectiveness of 
                  comprehensive opioid recovery centers established or 
                  operated pursuant to section 550 of the Public Health 
                  Service Act, as added by subsection (a);
                      (B) recommendations on whether the grant program 
                  established under such section 550 should be 
                  reauthorized and expanded; and
                      (C) standards and best practices for the treatment 
                  of substance use disorders, as identified through such 
                  grant program.
  
              Passed the House of Representatives June 12, 2018.
  
              Attest:
  
                                                   KAREN L. HAAS,
  
                                                                   Clerk.
target: Comprehensive Opioid Recovery Centers Act of 2018 This bill amends the Public Health Service Act to require the Department of Health and Human Services to award grants to establish or operate comprehensive opioid recovery centers. Priority for grants must be given to entities located in states or Indian country with a high per capita drug overdose mortality rate. Each center must carry out specified outreach activities and specified treatment and recovery services.
feat_title: Comprehensive Opioid Recovery Centers Act of 2018