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Read twice and referred to the Committee on Banking, Housing, and Urban Affairs.
Last progress February 10, 2025 (12 months ago)
Introduced on February 10, 2025 by Addison Mitchell McConnell
Updates the CAREER Act grant rules by extending authorization through 2030, changing how certain grant areas and data are defined, and allowing limited transportation funding for grant recipients. It also updates the years of data used for rate-setting to 2018–2022, moves a reporting deadline to September 30, 2030, and revises an annual funding amount for later fiscal years, plus clerical and table-of-contents edits. The changes require federal agencies to use specified CDC overdose data for one measure of overdose rates, adjust program reporting and data criteria, and make several conforming and administrative edits to headings and statutory text to reflect the extensions and updates.
Amend the section heading of Section 7183 of the SUPPORT for Patients and Communities Act (42 U.S.C. 290ee–8) by inserting additional text (the exact inserted text is not shown in the provided excerpt).
Insert additional text into subsection (b) of Section 7183 (the specific insertion is not shown in the provided excerpt).
In subsection (c)(1), replace the phrase "the rates described in paragraph (2)" with "the average rates for calendar years 2018 through 2022 described in paragraph (2)."
Rewrite subsection (c)(2) so that the rates used are defined as: (A) the highest age-adjusted average rates of drug overdose deaths for calendar years 2018 through 2022 using CDC data (including provisional 2022 data if needed); (B) the highest average rates of unemployment for calendar years 2018 through 2022 using Bureau of Labor Statistics data; and (C) the lowest average labor force participation rates for calendar years 2018 through 2022 using Bureau of Labor Statistics data.
Make multiple changes to subsection (g): (a) redesignate some subparagraphs and clauses (paragraphs (1)–(3) become subparagraphs (A)–(C); subparagraphs (A) and (B) within certain paragraphs are redesignated as clauses (i) and (ii)); (b) replace the matter preceding subparagraph (A) with the text shown (begins "(1) In general An entity; and"); and (c) add at the end two new parts: (2) Transportation services — allows an entity receiving a grant under this section to use not more than 5 percent of grant funds to provide transportation for individuals to participate in a grant-supported activity (transportation must be to or from a place of work, vocational education or job training, or services directly linked to treatment or recovery from a substance use disorder); and (3) Limitation — the Secretary may not require an entity to, or give priority to an entity that plans to, use grant funds for activities not specified in this subsection.
Who is affected and how:
Grant recipients (states, local government agencies, health care entities, nonprofits, and community organizations): The primary direct effect is on entities eligible to receive CAREER Act grants. They will see program rules updated—especially new allowance to use limited funds for transportation—potentially easing client access to services. Changes in rate-setting data years and overdose measures may alter allocations among grant areas.
People with substance use disorders and communities affected by overdose: Indirect beneficiaries include people seeking treatment and recovery services. The transportation allowance can reduce barriers to program access for clients who lack reliable transit. Adjusted funding formulas and data sources may shift where and how funds are targeted, affecting local service capacity.
Federal agencies and public health data offices (HHS/CDC): Agencies must update guidance, data collection and analysis processes to use the specified 2018–2022 CDC data and implement new reporting timelines. They will also need to revise grant terms to permit the transportation funding use and incorporate the adjusted authorized funding levels into planning.
State governments and program administrators: State-level administrators will need to adjust planning and reporting to align with the new data criteria, the extended authorization period, and the revised report deadline. Changes to future authorized funding levels may affect budget planning.
Fiscal and operational effects: The bill does not itself appropriate funds; it changes authorization and program rules. Implementation will require administrative work by agencies and recipients. The net funding impact depends on whether Congress appropriates funds consistent with the revised authorization levels in future appropriations acts.
Overall, the bill is procedural and programmatic rather than structural: it refines definitions, data sources, allowable uses, timelines, and authorization dates to continue and better target existing grant activities for overdose prevention and related services.