H.R. 2379House117th Congress (2021-2023)Passed House

State Opioid Response Grant Authorization Act of 2021

Introduced April 8, 2021

AI-Generated Summary

Updated February 8, 2026 at 1:21 AM UTC

The State Opioid Response Grant Authorization Act of 2021 amends the 21st Century Cures Act to reauthorize and expand a federal grant program that helps states, Indian tribes, tribal organizations, and urban Indian organizations tackle opioid and stimulant misuse. It authorizes up to $1.75 billion each fiscal year from 2022 through 2027 and sets a minimum grant of $4 million for each state. The law directs how funds are allocated, used, and reported, aiming to improve prevention, treatment, and recovery services across affected communities.

Key Provisions

  • Each state must receive at least $4 million in grant funding, with extra preference for areas with higher opioid or stimulant use rates.
  • The Secretary must develop a formula for allocating funds, include performance assessments, and submit the formula to relevant House and Senate committees before issuing a funding announcement.
  • Grants can be used for prevention activities, prescription‑drug monitoring, practitioner training, medication‑assisted treatment, recovery support, and other public‑health actions tailored to local needs.
  • Recipients must report how grant money was spent, who received it, and how many individuals were served, as part of existing substance‑use reporting requirements.
  • A maximum of 20 percent of each year’s grant pool may be used for federal administrative costs, training, technical assistance, and evaluation.
  • At least 5 percent of each year’s funds are set aside for Indian tribes, tribal organizations, and urban Indian organizations; up to an additional 15 percent is reserved for states with the highest age‑adjusted overdose death rates.
  • The Comptroller General must report to Congress within two years on how funds have been allocated and their impact, and the Secretary must submit biennial reports summarizing grant purposes, activities, and funding levels.

Legislative Activity

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17 earlier actions
SenateIntro Referral Latest Action

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

October 21, 2021

View full timeline
HouseIntro Referral

Introduced in House

April 8, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

April 8, 2021

HouseCommittee

Referred to the Subcommittee on Health.

April 13, 2021

HouseCommittee

Subcommittee Consideration and Mark-up Session Held.

July 15, 2021

HouseCommittee

Forwarded by Subcommittee to Full Committee (Amended) by Voice Vote .

July 15, 2021

HouseCommittee

Committee Consideration and Mark-up Session Held.

July 21, 2021

HouseCommittee

Ordered to be Reported (Amended) by Voice Vote.

July 21, 2021

HouseCommittee

Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 117-149.

October 19, 2021

HouseCalendars

Placed on the Union Calendar, Calendar No. 109.

October 19, 2021

HouseFloor

Mr. Pallone moved to suspend the rules and pass the bill, as amended.

October 19, 2021 • 4:08 PM

HouseFloor

Considered under suspension of the rules. (consideration: CR H5647-5650)

October 19, 2021 • 4:08 PM

HouseFloor

DEBATE - The House proceeded with forty minutes of debate on H.R. 2379.

October 19, 2021 • 4:08 PM

HouseFloor

At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 8, rule XX, the Chair announced that further proceedings on the motion would be postponed.

October 19, 2021 • 4:22 PM

HouseFloor

Considered as unfinished business. (consideration: CR H5699-5700)

October 20, 2021 • 2:03 PM

HouseFloor

Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 380 - 46 (Roll no. 320).(text: CR 10/19/2021 H5647-5648)

October 20, 2021 • 2:22 PM

HouseFloor

On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays: (2/3 required): 380 - 46 (Roll no. 320). (text: CR 10/19/2021 H5647-5648)

October 20, 2021 • 2:22 PM

HouseFloor

Motion to reconsider laid on the table Agreed to without objection.

October 20, 2021 • 2:22 PM

SenateIntro Referral

Received in the Senate and Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

October 21, 2021

Floor Debate

8 members

What members said about H.R. 2379 on the floor

4 Republicans4 Democrats
Frank Pallone, Jr.
Rep. Frank Pallone, Jr.D-NJ-6 · Oct 19, 2021

Madam Speaker, I move to suspend the rules and pass the bill (H.R. 2379) to amend the 21st Century Cures Act to reauthorize and expand a grant program for State response to the opioid use disorders…

Theodore E. Deutch
Rep. Theodore E. DeutchD-FL-22 · Oct 19, 2021

Madam Speaker, I thank the gentleman from New Jersey for yielding. Madam Speaker, I rise in support of H.R. 2379 to extend and broaden our efforts to help Americans with substance use disorder get…

Brett Guthrie
Rep. Brett GuthrieR-KY-2 · Oct 19, 2021

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I rise today in support of H.R. 2379, the State Opioid Response Grant Authorization Act. This important bill authorizes the…

David J. Trone
Rep. David J. TroneD-MD-6 · Oct 19, 2021

Madam Speaker, I rise today to urge my colleagues to support my bill, the State Opioid Response Grant Authorization Act. This bipartisan bill directly addresses the worsening opioid crisis by…

John R. Curtis
Rep. John R. CurtisR-UT-3 · Oct 19, 2021

Madam Speaker, I rise today in support of H.R. 2379, the State Opioid Response Grant Authorization Act. This legislation provides critical resources to State and local governments combating the…

Show 3 more
David N. Cicilline
Rep. David N. CicillineD-RI-1 · Oct 19, 2021

Madam Speaker, I thank the gentleman for yielding. Across the country, the opioid epidemic is devastating families and communities. In Rhode Island, the COVID-19 pandemic is only worsening this…

Vicky Hartzler
Rep. Vicky HartzlerR-MO-4 · Oct 20, 2021

Madam Speaker, on Wednesday, October 20, 2021, I was unable to vote on Roll Call No. 320. Had I been present, I would have voted as follows: ``yea'' on rollcall No. 320. Members Recorded Pursuant to…

Bob Good
Rep. Bob GoodR-VA-5 · Oct 19, 2021

Madam Speaker, on that I demand the yeas and nays.

Bill Text

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Latest
Referred in SenateIssued October 21, 2021

IIB

117th CONGRESS

1st Session

H. R. 2379

IN THE SENATE OF THE UNITED STATES

October 21, 2021

Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions

AN ACT

To amend the 21st Century Cures Act to reauthorize and expand a grant program for State response to the opioid use disorders crisis, and for other purposes.

1.

Short title

This Act may be cited as the State Opioid Response Grant Authorization Act of 2021.

2.

Grant program for State and Tribal response to opioid and stimulant use and misuse

Section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee–3 note) is amended to read as follows:

1003.

Grant program for State and Tribal response to opioid and stimulant use and misuse

(a)

In general

The Secretary of Health and Human Services (referred to in this section as the Secretary) shall carry out the grant program described in subsection (b) for purposes of addressing opioid and stimulant use and misuse, within States, Indian Tribes, and populations served by Tribal organizations and Urban Indian organizations.

(b)

Grants program

(1)

In general

Subject to the availability of appropriations, the Secretary shall award grants to States, Indian Tribes, Tribal organizations, and Urban Indian organizations for the purpose of addressing opioid and stimulant use and misuse, within such States, such Indian Tribes, and populations served by such Tribal organizations and Urban Indian organizations, in accordance with paragraph (2).

(2)

Minimum allocations; preference

In determining grant amounts for each recipient of a grant under paragraph (1), the Secretary shall—

(A)

ensure that each State receives not less than $4,000,000; and

(B)

give preference to States, Indian Tribes, Tribal organizations, and Urban Indian organizations whose populations have an incidence or prevalence of opioid use disorders or stimulant use or misuse that is substantially higher relative to the populations of other States, other Indian Tribes, Tribal organizations, or Urban Indian organizations, as applicable.

(3)

Formula methodology

(A)

In general

Before publishing a funding opportunity announcement with respect to grants under this section, the Secretary shall—

(i)

develop a formula methodology to be followed in allocating grant funds awarded under this section among grantees, which includes performance assessments for continuation awards; and

(ii)

not later than 30 days after developing the formula methodology under clause (i), submit the formula methodology to—

(I)

the Committee on Energy and Commerce and the Committee on Appropriations of the House of Representatives; and

(II)

the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate.

(B)

Report

Not later than two years after the date of the enactment of the State Opioid Response Grant Authorization Act of 2021, the Comptroller General of the United States 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 that—

(i)

assesses how grant funding is allocated to States under this section and how such allocations have changed over time;

(ii)

assesses how any changes in funding under this section have affected the efforts of States to address opioid or stimulant use or misuse; and

(iii)

assesses the use of funding provided through the grant program under this section and other similar grant programs administered by the Substance Abuse and Mental Health Services Administration.

(4)

Use of funds

Grants awarded under this subsection shall be used for carrying out activities that supplement activities pertaining to opioid and stimulant use and misuse, undertaken by the State agency responsible for administering the substance abuse prevention and treatment block grant under subpart II of part B of title XIX of the Public Health Service Act (42 U.S.C. 300x–21 et seq.), which may include public health-related activities such as the following:

(A)

Implementing prevention activities, and evaluating such activities to identify effective strategies to prevent substance use disorders.

(B)

Establishing or improving prescription drug monitoring programs.

(C)

Training for health care practitioners, such as best practices for prescribing opioids, pain management, recognizing potential cases of substance use disorders, referral of patients to treatment programs, preventing diversion of controlled substances, and overdose prevention.

(D)

Supporting access to health care services, including—

(i)

services provided by federally certified opioid treatment programs;

(ii)

outpatient and residential substance use disorder treatment services that utilize medication-assisted treatment, as appropriate; or

(iii)

other appropriate health care providers to treat substance use disorders.

(E)

Recovery support services, including—

(i)

community-based services that include peer supports;

(ii)

mutual aid recovery programs that support medication-assisted treatment; or

(iii)

services to address housing needs and family issues.

(F)

Other public health-related activities, as the State, Indian Tribe, Tribal organization, or Urban Indian organization determines appropriate, related to addressing substance use disorders within the State, Indian Tribe, Tribal organization, or Urban Indian organization, including directing resources in accordance with local needs related to substance use disorders.

(c)

Accountability and oversight

A State receiving a grant under subsection (b) shall include in reporting related to substance use disorders submitted to the Secretary pursuant to section 1942 of the Public Health Service Act (42 U.S.C. 300x–52), a description of—

(1)

the purposes for which the grant funds received by the State under such subsection for the preceding fiscal year were expended and a description of the activities of the State under the grant;

(2)

the ultimate recipients of amounts provided to the State; and

(3)

the number of individuals served through the grant.

(d)

Limitations

Any funds made available pursuant to subsection (i)—

(1)

shall not be used for any purpose other than the grant program under subsection (b); and

(2)

shall be subject to the same requirements as substance use disorders prevention and treatment programs under titles V and XIX of the Public Health Service Act (42 U.S.C. 290aa et seq., 300w et seq.).

(e)

Indian Tribes, Tribal organizations, and Urban Indian organizations

The Secretary, in consultation with Indian Tribes, Tribal organizations, and Urban Indian organizations, shall identify and establish appropriate mechanisms for Indian Tribes, Tribal organizations, and Urban Indian organizations to demonstrate or report the information as required under subsections (b), (c), and (d).

(f)

Report to Congress

Not later than September 30, 2024, and biennially 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, and the Committees on Appropriations of the House of Representatives and the Senate, a report that includes a summary of the information provided to the Secretary in reports made pursuant to subsections (c) and (e), including—

(1)

the purposes for which grant funds are awarded under this section;

(2)

the activities of the grant recipients; and

(3)

for each State, Indian Tribe, Tribal organization, and Urban Indian organization that receives a grant under this section, the funding level provided to such recipient.

(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 States, Indian Tribes, Tribal organizations, and Urban Indian organizations, 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 substance use disorders.

(h)

Definitions

In this section:

(1)

Indian Tribe

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)

Tribal organization

The term Tribal organization has the meaning given the term tribal organization in such section 4.

(3)

State

The term State has the meaning given such term in section 1954(b) of the Public Health Service Act (42 U.S.C. 300x–64(b)).

(4)

Urban Indian organization

The term Urban Indian organization has the meaning given such term in section 4 of the Indian Health Care Improvement Act.

(i)

Authorization of appropriations

(1)

In general

For purposes of carrying out the grant program under subsection (b), there is authorized to be appropriated $1,750,000,000 for each of fiscal years 2022 through 2027, to remain available until expended.

(2)

Federal administrative expenses

Of the amounts made available for each fiscal year to award grants under subsection (b), the Secretary shall not use more than 20 percent for Federal administrative expenses, training, technical assistance, and evaluation.

(3)

Set aside

Of the amounts made available for each fiscal year to award grants under subsection (b) for a fiscal year, the Secretary shall—

(A)

award 5 percent to Indian Tribes, Tribal organizations, and Urban Indian organizations; and

(B)

of the amount remaining after application of subparagraph (A), set aside up to 15 percent for awards to 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.

.

Passed the House of Representatives October 20, 2021.

Cheryl L. Johnson,

Clerk