US Code

Public Law 119-73 (01/23/2026)

42 U.S.C. § 290bb–7

Substance use disorder treatment and early intervention services for children, adolescents, and young adults

(a)

In general

section 5304 of title 25The 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 ), 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)

Priority

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)

Duration of grants

The Secretary shall award grants, contracts, or cooperative agreements under subsection (a) for periods not to exceed 5 fiscal years.

(d)

Application

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)

Evaluation

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)

Authorization of appropriations

There are authorized to be appropriated to carry out this section, $29,605,000 for each of fiscal years 2023 through 2027.

July 1, 1944, ch. 373Pub. L. 106–310, div. B, title XXXI, § 3104(a)114 Stat. 1171Pub. L. 114–255, div. B, title X, § 10003130 Stat. 1264Pub. L. 115–271, title VII, § 7102(a)132 Stat. 4038Pub. L. 117–328, div. FF, title I, § 1412136 Stat. 5701(, title V, § 514, as added , , ; amended , , ; , , ; , , .)

Editorial Notes

Codification

section 290bb–9 of this titlePub. L. 114–255, div. B, title IX, § 9017130 Stat. 1248Another section 514 of act , was classified to prior to repeal by , , .

Amendments

Pub. L. 117–328, § 1412(1)2022—Subsec. (a). , substituted “Indian Tribes or Tribal organizations” for “Indian tribes or tribal organizations” in introductory provisions.

Pub. L. 117–328, § 1412(2)Subsec. (f). , substituted “2023 through 2027” for “2018 through 2022”.

Pub. L. 115–271, § 7102(a)(3)2018—, 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.

Pub. L. 115–271, § 7102(a)(2)Subsec. (a)(2). , substituted “children, adolescents, and young adults, including” for “children, including”.

Pub. L. 114–255, § 10003(1)2016—, substituted “use disorder treatment and early intervention” for “abuse treatment” in section catchline.

Pub. L. 114–255, § 10003(2)Subsec. (a). , 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.”

Pub. L. 114–255, § 10003(3)(A)Subsec. (b)(1). , 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;”.

Pub. L. 114–255, § 10003(3)(B)Subsec. (b)(2). , struck out “treatment” after “provision of” and inserted “substance abuse,” after “child welfare,”.

Pub. L. 114–255, § 10003(3)(C)Subsec. (b)(3). , substituted “substance use disorders, including children and adolescents with co-occurring mental illness and substance use disorders,” for “substance abuse disorders”.

Pub. L. 114–255, § 10003(3)(D)Subsec. (b)(5). , substituted “services; and” for “treatment;”.

Pub. L. 114–255, § 10003(3)(E)Subsec. (b)(6). , substituted “treatment.” for “substance abuse treatment; and”.

Pub. L. 114–255, § 10003(3)(F)Subsec. (b)(7). , struck out par. (7) which read as follows: “address the relationship between substance abuse and violence.”

Pub. L. 114–255, § 10003(4)Subsec. (f). , 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.”