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H.R. 4489House118th Congress (2023-2025)In Committee

To amend the 21st Century Cures Act to clarify that grants for State and Tribal response to opioid use disorders may, at the discretion of the Secretary of Health and Human Services, also be used to address associated health conditions, and for other purposes.

Sponsored by Brett GuthrieRep. Brett Guthrie (R-KY)
Introduced July 6, 2023

AI-Generated Summary

Updated January 20, 2026 at 9:39 AM UTC

The bill changes the 21st Century Cures Act so that the Secretary of Health and Human Services can let state and tribal grant programs for opioid and stimulant misuse also fund treatment of health conditions that occur alongside those disorders, such as polydrug or alcohol use. It adds new reporting requirements about how grant money is spent and defines what counts as an “associated health condition.” The changes affect states, tribal governments that receive these grants and the HHS agency that oversees them.

Key Provisions

  • Allows grant recipients to use funds for activities addressing health conditions that co‑occur with opioid or stimulant misuse, like polydrug use or alcohol use disorder.
  • Requires an annual report to Congress that details each state’s grant amount received, how the money was spent broken down by purpose, any unspent funds, waiver requests, and challenges to spending the funds.
  • Expands technical assistance language to include associated health conditions.
  • Defines “associated health conditions” as any disorder or health condition that occurs together with opioid or stimulant misuse, including polydrug and alcohol use disorders.
  • States that these amendments do not change the existing formula or minimum allocations for grant funding.

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

Health Subcommittee

July 7, 2023

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HouseIntro Referral

Introduced in House

July 6, 2023

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

Energy and Commerce Committee

July 6, 2023

HouseCommittee

Referred to the Subcommittee on Health.

Health Subcommittee

July 7, 2023

Bill Text

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Introduced in HouseIssued July 6, 2023

I

118th CONGRESS

1st Session

H. R. 4489

IN THE HOUSE OF REPRESENTATIVES

July 6, 2023

Mr. Guthrie (for himself and Ms. Kuster) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend the 21st Century Cures Act to clarify that grants for State and Tribal response to opioid use disorders may, at the discretion of the Secretary of Health and Human Services, also be used to address associated health conditions, and for other purposes.

1.

Addressing associated health conditions through grant program for State and Tribal response to opioid use disorders

(a)

Additional use of funds

Section 1003(b) of the 21st Century Cures Act (42 U.S.C. 290ee–3 note) is amended by adding at the end the following:

(5)

Associated health conditions

The Secretary may authorize the recipient of a grant under this subsection, in addition to using the grant for activities described in paragraph (4) with respect to opioid misuse and use disorders and stimulant misuse and use disorders, to use the grant to for similar activities with respect to associated health conditions.

.

(b)

Annual report to Congress

Section 1003(f) of the 21st Century Cures Act (42 U.S.C. 290ee–3 note) is amended—

(1)

in paragraph (2), strike and at the end;

(2)

in paragraph (3), strike the period at the end and insert a semicolon; and

(3)

by adding at the end the following:

(4)

the amount of funds each State that receiving a grant under subsection (b) received for the 12-month grant cycle covered by the report;

(5)

the amount of grant funds each such State spent for such grant cycle, disaggregated by the uses for which such funds were spent, including each allowable use under paragraphs (4) and (5) of subsection (b);

(6)

how many such States for such grant cycle did not spend all of the grant funds before such grant cycle expired;

(7)

how many such States for such grant cycle requested waivers to extend the grant cycle; and

(8)

challenges for such States to spend all of the funds allocated and the reason for such challenges, including to what extent reporting requirements or other requirements placed an increased burden on the ability of such States to spend all of the funds.

.

(c)

Technical assistance

Section 1003(g) of the 21st Century Cures Act (42 U.S.C. 290ee–3 note) is amended by inserting after substance use disorders the following: (including associated health conditions).

(d)

Associated health conditions defined

Section 1003(h) of the 21st Century Cures Act (42 U.S.C. 290ee–3 note) is amended—

(1)

by redesignating paragraphs (1) through (4) as paragraphs (2) through (5); and

(2)

by inserting before paragraph (2), as redesignated, the following:

(1)

Associated health conditions

The term associated health conditions includes any disorder or health condition that is co-occurring with opioid misuse and use disorders and stimulant misuse and use disorders, including polydrug use and alcohol use disorder.

.

(e)

Rule of construction

Nothing in this Act or the amendments made by this Act shall be construed to change the allocation of funds among grantees pursuant to the minimum allocations and formula methodology under section 1003 of the 21st Century Cures Act (42 U.S.C. 290ee–3 note).