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Title 42, The Public Health and WelfareRelease 119-110

§300x–28 Additional Agreements

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER XVII — BLOCK GRANTS › Part B — Block Grants Regarding Mental Health and Substance Use › subpart ii — block grants for substance use prevention, treatment, and recovery services › § 300x–28

Last updated Sep 22, 2026|Official source

Summary

States that get these grants must make sure people are sent to the treatment that fits them best. They must give ongoing training to prevention, treatment, and recovery staff on recent state trends, better and proven treatment methods, performance-based accountability, data collection and reporting, and other topics that improve care. States must also coordinate prevention and treatment with other services like health, social, correctional and criminal justice, education, vocational rehab, and employment. The Secretary (a federal official) can waive any of these rules if they are not needed to keep quality. The Secretary must approve or deny a waiver request within 120 days. Any approved waiver only lasts for that fiscal year.

Full Legal Text

Title 42, §300x–28

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

(a)Improvement of process for appropriate referrals for treatment
With respect to individuals seeking treatment services, a funding agreement for a grant under section 300x–21 of this title is that the State involved will improve the process in the State for referring the individuals to treatment facilities that can provide to the individuals the treatment modality that is most appropriate for the individuals.
(b)Professional development
A funding agreement for a grant under section 300x–21 of this title is that the State involved will ensure that prevention, treatment, and recovery personnel operating in the State’s substance use disorder prevention, treatment, and recovery systems have an opportunity to receive training, on an ongoing basis, concerning—
(1)recent trends in substance use disorders in the State;
(2)improved methods and evidence-based practices for providing substance use disorder prevention and treatment services;
(3)performance-based accountability;
(4)data collection and reporting requirements; and
(5)any other matters that would serve to further improve the delivery of substance use disorder prevention and treatment services within the State.
(c)Coordination of various activities and services
A funding agreement for a grant under section 300x–21 of this title is that the State involved will coordinate prevention and treatment activities with the provision of other appropriate services (including health, social, correctional and criminal justice, educational, vocational rehabilitation, and employment services).
(d)Waiver of requirement
(1)In general
Upon the request of a State, the Secretary may provide to a State a waiver of any or all of the requirements established in this section if the Secretary determines that, with respect to services for the prevention and treatment of substance use disorders, the requirement involved is unnecessary for maintaining quality in the provision of such services in the State.
(2)Date certain for acting upon request
The Secretary shall approve or deny a request for a waiver under paragraph (1) not later than 120 days after the date on which the request is made.
(3)Applicability of waiver
Any waiver provided by the Secretary under paragraph (1) shall be applicable only to the fiscal year involved.

Legislative History

Notes & Related Subsidiaries

Repeal of Subsection (d)Pub. L. 106–310, div. B, title XXXIII, § 3303(f)(2), Oct. 17, 2000, 114 Stat. 1211, provided that, effective upon publication of

Regulations

developed in accordance with section 300x–32(e)(1) of this title, subsection (d) of this section is repealed.

Editorial Notes

Prior Provisions

A prior section 1928 of act July 1, 1944, was classified to section 300y–7 of this title prior to repeal by Pub. L. 99–280.

Amendments

2016—Subsec. (a). Pub. L. 114–255, § 8002(e)(1), struck out “(relative to fiscal year 1992)” after “State involved will improve”. Subsec. (b). Pub. L. 114–255, § 8002(e)(2), added subsec. (b) and struck out former subsec. (b). Prior to amendment, text read as follows: “With respect to any facility for treatment services or prevention actitivities that is receiving amounts from a grant under section 300x–21 of this title, a funding agreement for a State for a grant under such section is that continuing education in such services or activities (or both, as the case may be) will be made available to employees of the facility who provide the services or activities.” Subsec. (d)(1). Pub. L. 114–255, § 8002(e)(3), substituted “substance use disorders” for “substance abuse”.

Statutory Notes and Related Subsidiaries

Effective Date

of 2000 Amendment Pub. L. 106–310, div. B, title XXXIII, § 3303(f)(2), Oct. 17, 2000, 114 Stat. 1211, provided that the amendment made by section 3303(f)(2) is effective upon the publication of the

Regulations

developed in accordance with section 300x–32(e)(1) of this title.

Reference

Citations & Metadata

Citation

42 U.S.C. § 300x–28

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110