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II
118TH CONGRESS
1ST SESSION
S. 1991
To reauthorize certain programs under the SUPPORT for Patients and
Communities Act, and for other purposes.
IN THE SENATE OF THE UNITED STATES
JUNE 14, 2023
Mr. MCCONNELL introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
A BILL
To reauthorize certain programs under the SUPPORT for
Patients and Communities Act, and for other purposes.
Be it enacted by the Senate and House of Representa-
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tives of the United States of America in Congress assembled,
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SECTION 1. SHORT TITLE.
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This Act may be cited as the ‘‘Comprehensive Addic-
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tion Recovery through Effective Employment and Reentry
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Act of 2023’’ or the ‘‘CAREER Act of 2023’’.
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SEC. 2. TREATMENT, RECOVERY, AND WORKFORCE SUP-
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PORT GRANTS.
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Section 7183 of the SUPPORT for Patients and
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Communities Act (42 U.S.C. 290ee–8) is amended—
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•S 1991 IS
(1) in subsection (b), by inserting ‘‘each’’ before
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‘‘for a period’’;
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(2) by amending subsection (c)(2) to read as
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follows:
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‘‘(2) RATES.—The rates described in this para-
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graph are the following:
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‘‘(A) The amount by which the average
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rate of drug overdose deaths in the State, ad-
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justed for age, for the period of 5 calendar
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years for which there is available data, includ-
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ing if necessary provisional data, immediately
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preceding the grant cycle (which shall be the
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period of calendar years 2018 through 2022 for
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the first grant cycle following the enactment of
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the Comprehensive Addiction Recovery through
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Effective Employment and Reentry Act of
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2023) is above the average national overdose
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mortality rate, as determined by the Director of
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the Centers for Disease Control and Prevention,
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for the same period.
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‘‘(B) The amount by which the average
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rate of unemployment for the State, based on
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data provided by the Bureau of Labor Statis-
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tics, for the period of 5 calendar years for
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which there is available data, including if nec-
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•S 1991 IS
essary provisional data, immediately preceding
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the grant cycle (which shall be the period of cal-
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endar years 2018 through 2022 for the first
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grant cycle following the enactment of the Com-
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prehensive Addiction Recovery through Effec-
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tive Employment and Reentry Act of 2023) is
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above the national average for the same period.
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‘‘(C) The amount by which the average
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rate of labor force participation in the State,
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based on data provided by the Bureau of Labor
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Statistics, for the period of 5 calendar years for
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which there is available data, including if nec-
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essary provisional data, immediately preceding
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the grant cycle (which shall be the period of cal-
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endar years 2018 through 2022 for the first
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grant cycle following the enactment of the Com-
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prehensive Addiction Recovery through Effec-
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tive Employment and Reentry Act of 2023) is
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below the national average for the same pe-
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riod.’’;
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(3) in subsection (g)—
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(A) in paragraphs (1) and (3), by redesig-
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nating subparagraphs (A) and (B) as clauses
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(i) and (ii), respectively, and adjusting the mar-
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gins accordingly;
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•S 1991 IS
(B)
by
redesignating
paragraphs
(1)
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through (3) as subparagraphs (A) through (C),
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respectively, and adjusting the margins accord-
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ingly;
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(C) by striking ‘‘An entity’’ and inserting
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the following:
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‘‘(1) IN GENERAL.—An entity’’; and
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(D) by adding at the end the following:
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‘‘(2) TRANSPORTATION
SERVICES.—An entity
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receiving a grant under this section may use the
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funds for providing transportation for individuals to
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participate in an activity supported by a grant under
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this section, which transportation shall be to or from
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a place of work or a place where the individual is re-
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ceiving vocational education or job training services
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or receiving services directly linked to treatment of
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or recovery from a substance use disorder.’’;
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(4) in subsection (j)—
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(A) in paragraph (1), by inserting ‘‘for
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each grant cycle’’ after ‘‘grant period’’; and
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(B) in paragraph (2)—
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(i) in the matter preceding subpara-
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graph (A)—
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(I) by striking ‘‘the preliminary
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report’’ and inserting ‘‘each prelimi-
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nary report’’; and
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(II) by inserting ‘‘for the grant
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cycle’’ after ‘‘final report’’; and
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(ii) in subparagraph (A), by striking
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‘‘(g)(3)’’ and inserting ‘‘(g)(1)(C)’’; and
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(5) in subsection (k), by striking ‘‘$5,000,000
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for each of fiscal years 2019 through 2023’’ and in-
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serting ‘‘$36,000,000 for each of fiscal years 2024
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through 2028’’.
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SEC. 3. REAUTHORIZATION OF THE RECOVERY HOUSING
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PROGRAM.
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(a) IN GENERAL.—Section 8071 of the SUPPORT
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for Patients and Communities Act (42 U.S.C. 5301 note;
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Public Law 115–271) is amended—
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(1) by striking the section heading and insert-
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ing ‘‘RECOVERY HOUSING PROGRAM’’;
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(2) in subsection (a), by striking ‘‘through
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2023’’ and inserting ‘‘through 2028’’;
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(3) in subsection (b)—
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(A) in paragraph (1), by striking ‘‘not
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later than 60 days after the date of enactment
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of this Act’’ and inserting ‘‘not later than 60
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days after the date of enactment of the Com-
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•S 1991 IS
prehensive Addiction Recovery through Effec-
1
tive Employment and Reentry Act of 2023’’;
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and
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(B) in paragraph (2)(B)(i)—
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(i) in subclause (I), by striking ‘‘for
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calendar years 2013 through 2017’’ and
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inserting ‘‘for the period of 5 calendar
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years for which there is available data, in-
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cluding if necessary provisional data, im-
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mediately preceding the grant cycle (which
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shall be the period of calendar years 2018
11
through 2022 for the first grant cycle fol-
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lowing the enactment of the Comprehen-
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sive Addiction Recovery through Effective
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Employment and Reentry Act of 2023)’’;
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(ii) in subclause (II), by striking ‘‘for
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calendar years 2013 through 2017’’ and
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inserting ‘‘for the period of 5 calendar
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years for which there is available data, in-
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cluding if necessary provisional data, im-
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mediately preceding the grant cycle (which
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shall be the period of calendar years 2018
22
through 2022 for the first grant cycle fol-
23
lowing the enactment of the Comprehen-
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sive Addiction Recovery through Effective
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Employment and Reentry Act of 2023)’’;
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and
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(iii) in subclause (III), by striking the
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period at the end and inserting ‘‘for the
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period of 5 calendar years for which there
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is available data, including if necessary
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provisional data, immediately preceding the
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grant cycle (which shall be the period of
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calendar years 2018 through 2022 for the
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first grant cycle following the enactment of
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the Comprehensive Addiction Recovery
11
through Effective Employment and Re-
12
entry Act of 2023).’’; and
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(4) in subsection (f), by striking ‘‘For the 2-
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year period following the date of enactment of this
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Act, the’’ and inserting ‘‘The’’.
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(b) CLERICAL AMENDMENT.—The table of contents
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in section 1(b) of the SUPPORT for Patients and Com-
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munities Act (Public Law 115–271; 132 Stat. 3894) is
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amended by striking the item relating to section 8071 and
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inserting the following:
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‘‘Sec. 8071. Recovery Housing Program.’’.
Æ
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