I
119th CONGRESS
2d Session
H. R. 10487
IN THE HOUSE OF REPRESENTATIVES
September 17, 2026
Mr. Burchett introduced the following bill; which was referred to the Committee on Financial Services
A BILL
To amend title IV of the McKinney-Vento Homeless Assistance Act to require project sponsors to offer substance use disorder treatment to persons admitted to emergency shelter, transitional housing, or permanent housing, and for other purposes.
Short title
This Act may be cited as the Recovery First Housing Act
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Drug and alcohol treatment requirement
Title IV, subtitle A, of the McKinney-Vento Homeless Assistance Act is amending by adding at the end the following:
Drug and alcohol treatment requirement
In general
Any project sponsor receiving funds under this title to provide emergency shelter, transitional housing, or permanent housing shall offer substance use disorder treatment, including step-down treatment, to each person with a substance use disorder as determined by the project sponsor that such project sponsor admits to such emergency shelter, transitional housing, or permanent housing.
Exception
Subsection (a) shall not apply to a project sponsor who admits a person who is an unaccompanied minor.
Definitions
Substance use disorder treatment
The term substance use disorder treatment
means an evidence-based substance use disorder intervention that—
is delivered by a licensed provider; and
provides an appropriate level of care consisting of medically supervised withdrawal management, residential treatment, intensive outpatient treatment, outpatient treatment, medication-assisted treatment where clinically indicated, recovery housing with clinical support, or step-down treatment.
Step-down treatment
The term step-down treatment
means a structured, phased approach designed to transition unhoused individuals or individuals requiring medical intervention from intensive care to less intensive, community-based, outpatient services to promote recovery, stability, and self-sufficiency.
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