Title 42The Public Health and WelfareRelease 119-73

§290bb–22 Priority substance use disorder prevention 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 2— - center for substance abuse prevention › § 290bb–22

Last updated Apr 6, 2026|Official source

Summary

The Secretary must fund and help programs that meet top substance use prevention needs across regions or the nation. Funding supports three things: projects to develop and apply prevention knowledge and evaluate them; training and technical help; and targeted programs to build local capacity, including responses to new drug problems. The Secretary sets these priorities after talking with States and other groups and must meet with them at least once a year. The Secretary will especially consider using promising, research-based prevention methods, adding prevention into primary health care, and focusing on high‑risk groups. People who get grants, contracts, or cooperative agreements must follow application rules the Secretary sets. Payments can last no more than five years. The Secretary may require matching non‑Federal funds or that recipients keep spending at least the prior year’s level. Each research project must be evaluated and the results shared with public and private groups. The Secretary must run public and professional education programs and try to link findings to State prevention and treatment agencies. Congress authorized $218,219,000 for each fiscal year 2023 through 2027.

Full Legal Text

Title 42, §290bb–22

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Secretary shall address priority substance use disorder prevention 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 prevention and the conduct or support of evaluations of such projects;
(2)training and technical assistance; and
(3)targeted capacity response programs, including such programs that focus on emerging drug use issues.
(b)(1)Priority substance use disorder prevention needs of regional and national significance shall be determined by the Secretary in consultation with the 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—
(A)applying the most promising strategies and research-based primary prevention approaches;
(B)promoting the integration of substance use disorder prevention information and activities into primary health care systems; and
(C)substance use disorder prevention among high-risk groups.
(c)(1)Recipients of grants, contracts, and 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 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 and to health professionals. 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, $218,219,000 for each of fiscal years 2023 through 2027.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Section was formerly classified to section 290aa–7 of this title prior to renumbering by Pub. L. 102–321.

Prior Provisions

A prior section 516 of act
July 1, 1944, was classified to section 290cc–1 of this title, prior to repeal by Pub. L. 102–321, title I, § 123(c),
July 10, 1992, 106 Stat. 363.

Amendments

2022—Subsec. (a). Pub. L. 117–328, § 1214(1)(B), substituted “Tribes or Tribal organizations” for “tribes or tribal organizations” in concluding provisions. Subsec. (a)(3). Pub. L. 117–328, § 1214(1)(A), substituted “use” for “abuse”. Subsec. (b). Pub. L. 117–328, § 1214(2), substituted “use disorder” for “abuse” in heading. Subsec. (f). Pub. L. 117–328, § 1214(3), substituted “$218,219,000 for each of fiscal years 2023 through 2027” for “$211,148,000 for each of fiscal years 2018 through 2022”. 2016—Pub. L. 114–255, § 7005(1), substituted “use disorder” for “abuse” in section catchline. Subsec. (a). Pub. L. 114–255, § 7005(2)(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,” for “Indian tribes and tribal organizations,”. Subsec. (a)(3). Pub. L. 114–255, § 7005(2)(B), inserted “, including such programs that focus on emerging drug abuse issues” before period. Subsec. (b). Pub. L. 114–255, § 7005(3), substituted “use disorder” for “abuse” in pars. (1) and (2)(B) and added par. (2)(C). Subsec. (e). Pub. L. 114–255, § 7005(4), substituted “use disorder” for “abuse”. Subsec. (f). Pub. L. 114–255, § 7005(5), substituted “$211,148,000 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 prevention needs of regional and national significance for provisions relating to community programs. 1992—Pub. L. 102–321, § 113(f)(4), amended section generally, substituting provisions relating to community programs for provisions relating to alcohol and drug abuse information clearinghouse.

Statutory Notes and Related Subsidiaries

Effective Date

of 1992 AmendmentAmendment by Pub. L. 102–321 effective Oct. 1, 1992, with provision for programs providing financial assistance, see section 801(c), (d) of Pub. L. 102–321, set out as a note under section 236 of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 290bb–22

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73