42 U.S.C. § 290ee–7 — Comprehensive opioid recovery centers

(a) In general The Secretary awards competitive grants to eligible entities to establish or operate a comprehensive opioid recovery center ("Center"), which may be a single entity or an integrated delivery network. (b) Grant period (1) A grant lasts at least 3 and no more than 5 years. (2) It may be renewed competitively, and the Secretary must consider the data reported under (h) in deciding whether to renew. (c) Minimum number of Centers The Secretary must fund at least 10 Centers, and no more than one grant may go to entities in a single state for any one period. (d) Application (1) An entity is eligible if it offers treatment and other services for people with a substance use disorder. (2) To apply, an entity must submit required information and assurances, including evidence it can carry out — directly, by referral, or by contract — the activities in (g). (e) Priority The Secretary gives priority to applicants located in a state, or serving an Indian Tribe, with an age-adjusted drug overdose death rate above the national average. (f) Preference The Secretary may give preference to applicants using technology-enabled collaborative learning and capacity building models (as defined in the Expanding Capacity for Health Outcomes Act) to carry out their activities. (g) Center activities Each Center must, directly, by referral, or by contract: (1) Treatment and recovery services — (A) ensure intake, evaluations, and periodic assessments meet each patient's individualized needs, including reviewing treatment placement to support meaningful recovery; (B) provide the full continuum of treatment services, including: all approved drugs, devices, and biological products to treat substance use disorders or reverse overdoses; medically supervised withdrawal management; counseling by a licensed, qualified professional; treatment for co-occurring substance use and mental disorders; testing for infections commonly linked to illicit drug use; residential, outpatient, and intensive outpatient programs; recovery housing; community-based and peer recovery support; job training, placement, and continuing education; and other best practices the Secretary determines; (C) always include medication-assisted treatment where appropriate, and never exclude patients receiving it from any service; (D) periodically assess patients to support sustained, clinically significant recovery; (E) provide onsite access to medication and toxicology services, as appropriate; (F) operate a secure, confidential, interoperable electronic health information system; and (G) offer family support services, such as child care, family counseling, and parenting interventions, as appropriate. (2) Outreach — Each Center must carry out outreach on its services, which may include: (A) training and supervising outreach staff to work with state and local health departments, health providers, the Indian Health Service, state and local educational agencies, schools funded by the Bureau of Indian Education, colleges, state and local workforce boards, community action agencies, public safety officials, first responders, Indian Tribes, and child welfare agencies to identify and respond to community needs; (B) making sure those entities know about the Center's services; and (C) publicly disseminating, including online, evidence-based resources educating professionals and the public on opioid and other substance use disorders, including co-occurring conditions. (h) Data reporting and program oversight (1) Within 90 days of the end of the grant's first year, and annually after that (including during any renewal), a grantee must report data to the Secretary on: (A) the programs and activities the grant funded; (B) health outcomes for patients the Center served, evaluated by an independent program evaluator; (C) the retention rate of program participants; and (D) any other information the Secretary requires to confirm the grantee is meeting all grant requirements, including providing the full continuum of services under (g)(1)(B). (2) An entity carrying out (g) activities through referral or contract must also report on the status of those referrals or contracts, including whether they're supporting the entity's ability to carry out those activities. (i) Privacy All data reporting and program oversight under this section must follow applicable federal and state privacy laws. (j) Authorization of appropriations Congress authorized $10,000,000 for each of fiscal years 2026 through 2030.