Comprehensive Addiction Resources Emergency Act of 2024

# Summary of the Proposed Substance Use Disorder Treatment and Prevention Bill This document is a comprehensive legislative proposal focused on addressing substance use disorder through a public health approach rather than a criminal justice approach. The key elements include: ## Main Components (Title XXXIV of the Public Health Service Act) **Subtitle A: Local and State Grants** - Establishes a grant program for local and state entities to provide substance use disorder treatment - Requires establishment of a "planning council" for each locality - Specifies funding requirements and administrative structures **Subtitle B: State and Tribal Grants** - Creates a grant program for states and tribes to address substance use disorder - Includes requirements for planning councils and other administrative structures - Provides significant funding for these programs **Subtitle C: Other Grant Program** - Establishes a grant program for public entities, nonprofits, Indian entities, and Medicaid providers - Prioritizes organizations serving underserved populations - Includes specific requirements for applications and service delivery **Subtitle D: Innovation, Training, and Health Systems Strengthening** - Creates "Special projects of national significance" for innovative treatment models - Establishes education and training centers for health professionals - Provides funding to increase substance use disorder treatment provider capacity - Includes programs to support workers with substance use disorder ## Key Funding Authorizations The bill authorizes substantial annual funding across all subtitles: - **Subtitle A:** $4.6 billion annually (2024-2033) - **Subtitle B:** $4.6 billion annually (2024-2033) - **Subtitle C:** $1 billion annually (2024-2033) - **Subtitle D:** - Special projects: $500 million annually - Education/training: $500 million annually - Provider capacity: $50 million annually - Employee support: $40 million annually - Research: $10 million annually ## Additional Key Provisions 1. **Amendments to Controlled Substances Act:** - Requires "covered persons" (dispensers, distributors, manufacturers of schedule II controlled substances) to submit annual certifications regarding diversion controls and misbranding - Establishes civil and criminal penalties for failure to submit or submitting false certifications - Creates a "Comprehensive Addiction Resources Fund" to collect penalties and supplement substance use disorder treatment funding 2. **General Limitations on Fund Use:** - Funds can only be used for public health purposes - Prohibits use of funds for incarceration, institutionalization, or involuntary treatment of individuals with substance use disorder - Prohibits use of funds for activities inconsistent with public health purposes 3. **Federal Drug Demand Reduction Activities:** - Requires the Director of National Drug Control Policy to publish an online list of all drug control program grant programs - Mandates annual review of federally funded demand reduction activities for effectiveness and efficiency ## Overall Approach The bill represents a significant shift toward a public health model for addressing substance use disorder, emphasizing: - Treatment rather than punishment - Prevention and early intervention - Training for health professionals - Support for underserved populations - Evidence-based treatment models - Comprehensive data collection and research This legislation is designed to provide substantial, sustained funding for a comprehensive approach to the opioid crisis and broader substance use disorder treatment, with specific requirements to ensure accountability, effectiveness, and public health focus.