Title 42 — The Public Health and WelfareRelease 119-73
§290bb–2 Priority substance use disorder treatment needs of regional and national significance
Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III–A— - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION › Part Part B— - Centers and Programs › Subpart subpart 1— - center for substance abuse treatment › § 290bb–2
Summary
The Secretary must pay for and support top regional and national needs in substance use disorder treatment. Support comes as: research and projects that test and spread better treatment and rehab; training and technical help for providers; and targeted programs that help States, local governments, communities, and Indian Tribes and Tribal organizations respond to new drug trends and when substance use disorders happen with mental illness or other conditions. The Secretary picks priorities after talking with States and others each year and must try to promote putting substance use treatment into regular primary health care. Grant and contract winners must follow application rules the Secretary sets. Payments for any award can’t go on longer than 5 years. The Secretary can require matching funds or that groups keep spending at least what they spent the year before. Projects must be evaluated and the results shared with the public, health workers, and relevant agencies. Congress authorized $521,517,000 for each of fiscal years 2023 through 2027 to carry out these activities.
Full Legal Text
Title 42, §290bb–2
The Public Health and Welfare — Source: USLM XML via OLRC
(a)The Secretary shall address priority substance use disorder treatment needs of regional and national significance (as determined under subsection (b)) through the provision of or through assistance for—
(1)knowledge development and application projects for treatment and rehabilitation and the conduct or support of evaluations of such projects;
(2)training and technical assistance; and
(3)targeted capacity response programs that permit States, local governments, communities, and Indian Tribes and Tribal organizations (as such terms are defined in section 5304 of title 25) to focus on emerging trends in substance use disorders and co-occurrence of substance use disorders with mental illness or other conditions.
(b)(1)Priority substance use disorder treatment needs of regional and national significance shall be determined by the Secretary after consultation with States and other interested groups. The Secretary shall meet with the States and interested groups on an annual basis to discuss program priorities.
(2)In developing program priorities under paragraph (1), the Secretary shall give special consideration to promoting the integration of substance use disorder treatment services into primary health care systems.
(c)(1)Recipients of grants, contracts, or cooperative agreements under this section shall comply with information and application requirements determined appropriate by the Secretary.
(2)With respect to a grant, contract, or cooperative agreement awarded under this section, the period during which payments under such award are made to the recipient may not exceed 5 years.
(3)The Secretary may, for projects carried out under subsection (a), require that entities that apply for grants, contracts, or cooperative agreements under that project provide non-Federal matching funds, as determined appropriate by the Secretary, to ensure the institutional commitment of the entity to the projects funded under the grant, contract, or cooperative agreement. Such non-Federal matching funds may be provided directly or through donations from public or private entities and may be in cash or in kind, fairly evaluated, including plant, equipment, or services.
(4)With respect to activities for which a grant, contract, or cooperative agreement is awarded under this section, the Secretary may require that recipients for specific projects under subsection (a) agree to maintain expenditures of non-Federal amounts for such activities at a level that is not less than the level of such expenditures maintained by the entity for the fiscal year preceding the fiscal year for which the entity receives such a grant, contract, or cooperative agreement.
(d)The Secretary shall evaluate each project carried out under subsection (a)(1) and shall disseminate the findings with respect to each such evaluation to appropriate public and private entities.
(e)The Secretary shall establish comprehensive information and education programs to disseminate and apply the findings of the knowledge development and application, training and technical assistance programs, and targeted capacity response programs under this section to the general public, to health professionals and other interested groups. The Secretary shall make every effort to provide linkages between the findings of supported projects and State agencies responsible for carrying out substance use disorder prevention and treatment programs.
(f)There are authorized to be appropriated to carry out this section, $521,517,000 for each of fiscal years 2023 through 2027.
Legislative History
Notes & Related Subsidiaries
Editorial Notes
Prior Provisions
A prior section 290bb–2, act
July 1, 1944, ch. 373, title V, § 513, formerly § 512, formerly Pub. L. 91–616, title V, § 504, formerly § 503, as added Pub. L. 94–371, § 7,
July 26, 1976, 90 Stat. 1039; amended Pub. L. 96–180, § 15, Jan. 2, 1980, 93 Stat. 1305; renumbered § 504 of Pub. L. 91–616 and amended Pub. L. 97–35, title IX, § 965(a), (c), Aug. 13, 1981, 95 Stat. 594; Pub. L. 97–414, § 9(e), Jan. 4, 1983, 96 Stat. 2064; renumbered § 512 of act
July 1, 1944, and amended Apr. 26, 1983, Pub. L. 98–24, § 2(b)(9), 97 Stat. 179; renumbered § 513 and amended Oct. 19, 1984, Pub. L. 98–509, title II, §§ 206(a), 207(a), 98 Stat. 2361, 2362; Oct. 27, 1986, Pub. L. 99–570, title IV, § 4010(a), 100 Stat. 3207–115;
July 22, 1987, Pub. L. 100–77, title VI, § 613(c), 101 Stat. 524; Nov. 4, 1988, Pub. L. 100–607, title VIII, § 822, 102 Stat. 3171; Nov. 7, 1988, Pub. L. 100–628, title VI, § 622, 102 Stat. 3244; Nov. 18, 1988, Pub. L. 100–690, title II, § 2056(a), 102 Stat. 4211; Aug. 16, 1989, Pub. L. 101–93, § 5(t)(1), 103 Stat. 615; Nov. 29, 1990, Pub. L. 101–645, title V, § 522, 104 Stat. 4734, authorized appropriations to carry out alcohol abuse and alcoholism research, prior to repeal by Pub. L. 102–321, § 122(d)[(e)]. A prior section 509 of act
July 1, 1944, which was classified to section 290aa–7 of this title, was renumbered section 516 of act
July 1, 1944, by Pub. L. 102–321 and transferred to section 290bb–22 of this title.
Amendments
2022—Pub. L. 117–328, § 1212(1), substituted “use disorder” for “abuse” in section catchline. Subsec. (a)(3). Pub. L. 117–328, § 1212(2), substituted “Tribes and Tribal organizations (as such terms are defined” for “tribes and tribal organizations (as the terms ‘Indian tribes’ and ‘tribal organizations’ are defined” and “in substance use disorders” for “in substance abuse”. Subsec. (b). Pub. L. 117–328, § 1212(3), substituted “use disorder” for “abuse” in heading. Subsec. (f). Pub. L. 117–328, § 1212(4), substituted “$521,517,000 for each of fiscal years 2023 through 2027” for “$333,806,000 for each of fiscal years 2018 through 2022”. 2016—Subsec. (a). Pub. L. 114–255, § 7004(1)(A), (C), in introductory provisions, substituted “use disorder” for “abuse” and, in concluding provisions, inserted “, contracts,” before “or cooperative agreements” and substituted “Indian tribes or tribal organizations (as such terms are defined in section 5304 of title 25), health facilities, or programs operated by or in accordance with a contract or grant with the Indian Health Service, or” for “Indian tribes and tribal organizations,”. Subsec. (a)(3). Pub. L. 114–255, § 7004(1)(B), inserted before period at end “that permit States, local governments, communities, and Indian tribes and tribal organizations (as the terms ‘Indian tribes’ and ‘tribal organizations’ are defined in section 5304 of title 25) to focus on emerging trends in substance abuse and co-occurrence of substance use disorders with mental illness or other conditions”. Subsec. (b). Pub. L. 114–255, § 7004(2), substituted “use disorder” for “abuse” in pars. (1) and (2). Subsec. (e). Pub. L. 114–255, § 7004(3), substituted “use disorder” for “abuse”. Subsec. (f). Pub. L. 114–255, § 7004(4), substituted “$333,806,000 for each of fiscal years 2018 through 2022.” for “$300,000,000 for fiscal year 2001 and such sums as may be necessary for each of the fiscal years 2002 and 2003.” 2000—Pub. L. 106–310 amended section catchline and text generally, substituting provisions relating to priority substance abuse treatment needs of regional and national significance for provisions relating to outpatient treatment programs for pregnant and postpartum women.
Statutory Notes and Related Subsidiaries
Effective Date
Section effective Oct. 1, 1992, with provision for programs providing financial assistance, see section 801(c), (d) of Pub. L. 102–321, set out as an
Effective Date
of 1992 Amendment note under section 236 of this title.
Reference
Citations & Metadata
Citation
42 U.S.C. § 290bb–2
Title 42 — The Public Health and Welfare
Last Updated
Apr 6, 2026
Release point: 119-73