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I
118TH CONGRESS
1ST SESSION H. R. 4088
To amend the SUPPORT for Patients and Communities Act to reauthorize
a program to support individuals in substance use disorder treatment
and recovery to live independently and participate in the workforce,
and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JUNE 14, 2023
Mr. BARR (for himself and Ms. DAVIDS of Kansas) introduced the following
bill; which was referred to the Committee on Education and the Work-
force, and in addition to the Committee on Energy and Commerce, for
a period to be subsequently determined by the Speaker, in each case for
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned
A BILL
To amend the SUPPORT for Patients and Communities
Act to reauthorize a program to support individuals in
substance use disorder treatment and recovery to live
independently and participate in the workforce, 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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•HR 4088 IH
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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(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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•HR 4088 IH
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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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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•HR 4088 IH
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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(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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•HR 4088 IH
(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 ‘‘$12,000,000 for each of fiscal years 2024
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through 2028’’.
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Æ
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