Title 42The Public Health and WelfareRelease 119-73

§290ee–7 Comprehensive opioid recovery centers

Title 42 › Chapter CHAPTER 6A— - PUBLIC HEALTH SERVICE › Subchapter SUBCHAPTER III–A— - SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION › Part Part D— - Miscellaneous Provisions Relating to Substance Abuse and Mental Health › § 290ee–7

Last updated Apr 6, 2026|Official source

Summary

The Secretary must award competitive grants to qualified groups to create or run comprehensive opioid recovery centers. Grants last between 3 and 5 years and can be renewed if the center sends required data. At least 10 grants must be given, and no more than one grant can go to entities in the same State for the same grant period. Eligible applicants are organizations that provide treatment and related services for people with substance use disorders and must apply and show they can carry out the required work. Priority goes to centers in States, or serving Indian Tribes, whose age-adjusted drug overdose death rate is higher than the national rate. The Secretary may also prefer centers that use technology-enabled collaborative learning models. Each center must do intake and regular patient assessments, offer a full range of treatment services (including all approved medicines and devices to treat substance use disorder and reverse overdoses, medically supervised withdrawal, counseling by qualified staff, treatment for co-occurring mental disorders, infection testing, residential and outpatient programs, recovery housing, peer and community supports, job and education help, and other best practices), and must include medication-assisted treatment without excluding those who use it. Centers must provide onsite medication and toxicology services, run a secure interoperable electronic health record, offer family supports, and do outreach, training, and public education. Within 90 days after the first grant year ends and then yearly, centers must report on programs funded, health outcomes (measured by an independent evaluator), retention rates, and other required information, including status of referrals or contracts. All reporting must follow Federal and State privacy laws. Congress authorized $10,000,000 for each fiscal year 2026 through 2030 to carry out this program.

Full Legal Text

Title 42, §290ee–7

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

(a)The Secretary shall award grants on a competitive basis to eligible entities to establish or operate a comprehensive opioid recovery center (referred to in this section as a “Center”). A Center may be a single entity or an integrated delivery network.
(b)(1)A grant awarded under subsection (a) shall be for a period of not less than 3 years and not more than 5 years.
(2)A grant awarded under subsection (a) may be renewed, on a competitive basis, for additional periods of time, as determined by the Secretary. In determining whether to renew a grant under this paragraph, the Secretary shall consider the data submitted under subsection (h).
(c)The Secretary shall allocate the amounts made available under subsection (j) such that not fewer than 10 grants may be awarded. Not more than one grant shall be made to entities in a single State for any one period.
(d)(1)An entity is eligible for a grant under this section if the entity offers treatment and other services for individuals with a substance use disorder.
(2)In order to be eligible for a grant under subsection (a), an entity shall submit an application to the Secretary at such time, in such manner, and containing such information and assurances, including relevant documentation, as the Secretary may require. Such application shall include—
(A)evidence that such entity carries out, or has the demonstrated capability to carry out, through referral or contractual arrangements, the activities described in subsection (g); and
(B)such other information as the Secretary may require.
(e)In awarding grants under subsection (a), the Secretary shall give priority to eligible entities—
(1)located in a State with an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate, as determined by the Director of the Centers for Disease Control and Prevention; or
(2)serving an Indian Tribe (as defined in section 5304 of title 25) with an age-adjusted rate of drug overdose deaths that is above the national overdose mortality rate, as determined through appropriate mechanisms determined by the Secretary in consultation with Indian Tribes.
(f)In awarding grants under subsection (a), the Secretary may give preference to eligible entities utilizing technology-enabled collaborative learning and capacity building models, including such models as defined in section 2 of the Expanding Capacity for Health Outcomes Act (Public Law 114–270; 130 Stat. 1395), to conduct the activities described in this section.
(g)Each Center shall, at a minimum, carry out the following activities directly, through referral, or through contractual arrangements, which may include carrying out such activities through technology-enabled collaborative learning and capacity building models described in subsection (f):
(1)Each Center shall—
(A)Ensure that intake, evaluations, and periodic patient assessments meet the individualized clinical needs of patients, including by reviewing patient placement in treatment settings to support meaningful recovery.
(B)Provide the full continuum of treatment services, including—
(i)all drugs and devices approved or cleared under the Federal Food, Drug, and Cosmetic Act and all biological products licensed under section 262 of this title to treat substance use disorders or reverse overdoses, pursuant to Federal and State law;
(ii)medically supervised withdrawal management, that includes patient evaluation, stabilization, and readiness for and entry into treatment;
(iii)counseling provided by a program counselor or other certified professional who is licensed and qualified by education, training, or experience to assess the psychological and sociological background of patients, to contribute to the appropriate treatment plan for the patient, and to monitor patient progress;
(iv)treatment, as appropriate, for patients with co-occurring substance use and mental disorders;
(v)testing, as appropriate, for infections commonly associated with illicit drug use;
(vi)residential rehabilitation, and outpatient and intensive outpatient programs;
(vii)recovery housing;
(viii)community-based and peer recovery support services;
(ix)job training, job placement assistance, and continuing education assistance to support reintegration into the workforce; and
(x)other best practices to provide the full continuum of treatment and services, as determined by the Secretary.
(C)Ensure that all programs covered by the Center include medication-assisted treatment, as appropriate, and do not exclude individuals receiving medication-assisted treatment from any service.
(D)Periodically conduct patient assessments to support sustained and clinically significant recovery, as defined by the Assistant Secretary for Mental Health and Substance Use.
(E)Provide onsite access to medication, as appropriate, and toxicology services; for purposes of carrying out this section.
(F)Operate a secure, confidential, and interoperable electronic health information system.
(G)Offer family support services such as child care, family counseling, and parenting interventions to help stabilize families impacted by substance use disorder, as appropriate.
(2)Each Center shall carry out outreach activities regarding the services offered through the Centers, which may include—
(A)training and supervising outreach staff, as appropriate, to work with State and local health departments, health care providers, the Indian Health Service, State and local educational agencies, schools funded by the Indian Bureau of Education, institutions of higher education, State and local workforce development boards, State and local community action agencies, public safety officials, first responders, Indian Tribes, child welfare agencies, as appropriate, and other community partners and the public, including patients, to identify and respond to community needs;
(B)ensuring that the entities described in subparagraph (A) are aware of the services of the Center; and
(C)disseminating and making publicly available, including through the internet, evidence-based resources that educate professionals and the public on opioid use disorder and other substance use disorders, including co-occurring substance use and mental disorders.
(h)(1)With respect to a grant awarded under subsection (a), not later than 90 days after the end of the first year of the grant period, and annually thereafter for the duration of the grant period (including the duration of any renewal period for such grant), the entity shall submit data, as appropriate, to the Secretary regarding—
(A)the programs and activities funded by the grant;
(B)health outcomes of the population of individuals with a substance use disorder who received services from the Center, evaluated by an independent program evaluator through the use of outcomes measures, as determined by the Secretary;
(C)the retention rate of program participants; and
(D)any other information that the Secretary may require for the purpose of—ensuring 11 So in original. that the Center is complying with all the requirements of the grant, including providing the full continuum of services described in subsection (g)(1)(B).
(2)An entity carrying out activities described in subsection (g) through referral or contractual arrangements shall include in the submissions required under paragraph (1) information related to the status of such referrals or contractual arrangements, including an assessment of whether such referrals or contractual arrangements are supporting the ability of such entity to carry out such activities.
(i)The provisions of this section, including with respect to data reporting and program oversight, shall be subject to all applicable Federal and State privacy laws.
(j)There is authorized to be appropriated $10,000,000 for each of fiscal years 2026 through 2030 for purposes of carrying out this section.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

section 2 of the Expanding Capacity for Health Outcomes Act, referred to in subsec. (f), is section 2 of Pub. L. 114–270, Dec. 14, 2016, 130 Stat. 1395, which is not classified to the Code. The Federal Food, Drug, and Cosmetic Act, referred to in subsec. (g)(1)(B)(i), is act June 25, 1938, ch. 675, 52 Stat. 1040, which is classified generally to chapter 9 (§ 301 et seq.) of Title 21, Food and Drugs. For complete classification of this Act to the Code, see section 301 of Title 21 and Tables.

Amendments

2025—Subsec. (d)(2). Pub. L. 119–44, § 303(1)(A), substituted “, in such manner, and containing such information and assurances, including relevant documentation,” for “and in such manner” in introductory provisions. Subsec. (d)(2)(A). Pub. L. 119–44, § 303(1)(B), substituted “has the demonstrated capability to carry out, through referral or contractual arrangements” for “is capable of coordinating with other entities to carry out”. Subsec. (h). Pub. L. 119–44, § 303(2), designated existing provisions as par. (1), inserted heading, redesignated former pars. (1) to (4) as subpars. (A) to (D), respectively, of par. (1) and realigned margins, and added par. (2). Subsec. (j). Pub. L. 119–44, § 303(3), substituted “2026 through 2030” for “2019 through 2023”.

Reference

Citations & Metadata

Citation

42 U.S.C. § 290ee–7

Title 42The Public Health and Welfare

Last Updated

Apr 6, 2026

Release point: 119-73