Title 42The Public Health and WelfareRelease 119-73

§290bb–7 Substance use disorder treatment and early intervention services for children, adolescents, and young adults

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–7

Last updated Apr 6, 2026|Official source

Summary

The Secretary must give grants, contracts, or cooperative agreements to public or private nonprofit groups, including Indian Tribes, Tribal organizations, and health programs run with the Indian Health Service. Money must be used to spot kids, teens, and young adults at risk of substance use and to offer early help. It must pay for treatment for young people with substance use disorders, including those who also have mental health problems. It must also help pregnant and parenting women with substance use disorders get treatment, connect them to community supports, and help keep children in safe, stable homes with proper health care. Priority goes to programs that use proven, cost-effective approaches and that work with schools, juvenile justice, child welfare, substance abuse, and mental health agencies. Priority also goes to programs that offer a full range of coordinated services (including case management), are gender- and culture-sensitive, involve families, and provide aftercare. Awards can last up to 5 fiscal years. Applicants must apply as the Secretary requires and include a plan to evaluate the project and send periodic and final reports. Congress authorized $29,605,000 for each of fiscal years 2023 through 2027.

Full Legal Text

Title 42, §290bb–7

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

(a)The Secretary shall award grants, contracts, or cooperative agreements to public and private nonprofit entities, including Indian Tribes or Tribal organizations (as such terms are defined in section 5304 of title 25), or health facilities or programs operated by or in accordance with a contract or grant with the Indian Health Service, for the purpose of—
(1)providing early identification and services to meet the needs of children, adolescents, and young adults who are at risk of substance use disorders;
(2)providing substance use disorder treatment services for children, adolescents, and young adults, including children, adolescents, and young adults with co-occurring mental illness and substance use disorders; and
(3)providing assistance to pregnant women, and parenting women, with substance use disorders, in obtaining treatment services, linking mothers to community resources to support independent family lives, and staying in recovery so that children are in safe, stable home environments and receive appropriate health care services.
(b)In awarding grants, contracts, or cooperative agreements under subsection (a), the Secretary shall give priority to applicants who propose to—
(1)apply evidence-based and cost-effective methods;
(2)coordinate the provision of services with other social service agencies in the community, including educational, juvenile justice, child welfare, substance abuse, and mental health agencies;
(3)provide a continuum of integrated treatment services, including case management, for children, adolescents, and young adults with substance use disorders, including children, adolescents, and young adults with co-occurring mental illness and substance use disorders, and their families;
(4)provide treatment that is gender-specific and culturally appropriate;
(5)involve and work with families of children, adolescents, and young adults receiving services; and
(6)provide aftercare services for children, adolescents, and young adults and their families after completion of treatment.
(c)The Secretary shall award grants, contracts, or cooperative agreements under subsection (a) for periods not to exceed 5 fiscal years.
(d)An entity desiring a grant, contract, or cooperative agreement under subsection (a) shall submit an application to the Secretary at such time, in such manner, and accompanied by such information as the Secretary may reasonably require.
(e)An entity that receives a grant, contract, or cooperative agreement under subsection (a) shall submit, in the application for such grant, contract, or cooperative agreement, a plan for the evaluation of any project undertaken with funds provided under this section. Such entity shall provide the Secretary with periodic evaluations of the progress of such project and such evaluation at the completion of such project as the Secretary determines to be appropriate.
(f)There are authorized to be appropriated to carry out this section, $29,605,000 for each of fiscal years 2023 through 2027.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

Codification Another section 514 of act July 1, 1944, was classified to section 290bb–9 of this title prior to repeal by Pub. L. 114–255, div. B, title IX, § 9017, Dec. 13, 2016, 130 Stat. 1248.

Amendments

2022—Subsec. (a). Pub. L. 117–328, § 1412(1), substituted “Indian Tribes or Tribal organizations” for “Indian tribes or tribal organizations” in introductory provisions. Subsec. (f). Pub. L. 117–328, § 1412(2), substituted “2023 through 2027” for “2018 through 2022”. 2018—Pub. L. 115–271, § 7102(a)(3), substituted “children, adolescents, and young adults” for “children and adolescents” wherever appearing. Pub. L. 115–271, § 7102(a)(1), substituted “children, adolescents, and young adults” for “children and adolescents” in section catchline. Subsec. (a)(2). Pub. L. 115–271, § 7102(a)(2), substituted “children, adolescents, and young adults, including” for “children, including”. 2016—Pub. L. 114–255, § 10003(1), substituted “use disorder treatment and early intervention” for “abuse treatment” in section catchline. Subsec. (a). Pub. L. 114–255, § 10003(2), added subsec. (a) and struck out former subsec. (a). Prior to amendment, text read as follows: “The Secretary shall award grants, contracts, or cooperative agreements to public and private nonprofit entities, including Native Alaskan entities and Indian tribes and tribal organizations, for the purpose of providing substance abuse treatment services for children and adolescents.” Subsec. (b)(1). Pub. L. 114–255, § 10003(3)(A), added par. (1) and struck out former par. (1) which read as follows: “apply evidenced-based and cost effective methods for the treatment of substance abuse among children and adolescents;”. Subsec. (b)(2). Pub. L. 114–255, § 10003(3)(B), struck out “treatment” after “provision of” and inserted “substance abuse,” after “child welfare,”. Subsec. (b)(3). Pub. L. 114–255, § 10003(3)(C), substituted “substance use disorders, including children and adolescents with co-occurring mental illness and substance use disorders,” for “substance abuse disorders”. Subsec. (b)(5). Pub. L. 114–255, § 10003(3)(D), substituted “services; and” for “treatment;”. Subsec. (b)(6). Pub. L. 114–255, § 10003(3)(E), substituted “treatment.” for “substance abuse treatment; and”. Subsec. (b)(7). Pub. L. 114–255, § 10003(3)(F), struck out par. (7) which read as follows: “address the relationship between substance abuse and violence.” Subsec. (f). Pub. L. 114–255, § 10003(4), substituted “$29,605,000 for each of fiscal years 2018 through 2022.” for “$40,000,000 for fiscal year 2001, and such sums as may be necessary for fiscal years 2002 and 2003.”

Reference

Citations & Metadata

Citation

42 U.S.C. § 290bb–7

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73