HR 4582 — Protecting Kids from Fentanyl Act of 2023

(a) Preventive health services, comprehensive public health services, emergency medical services, etc. (1) Except as provided in subsections (b) and (c), payments made to a State under section 300w–2 of this title may be used for the following: (A) Activities consistent with making progress toward achieving the objectives established by the Secretary for the health status of the population of the United States for the year 2000 (in this part referred to as “year 2000 health objectives”). (B) Preventive health service programs for the control of rodents and for community and school-based fluoridation programs. (C) Feasibility studies and planning for emergency medical services systems and the establishment, expansion, and improvement of such systems. Amounts for such systems may not be used for the costs of the operation of the systems or the purchase of equipment for the systems, except that such amounts may be used for the payment of not more than 50 percent of the costs of purchasing communications equipment for the systems. Amounts may be expended for feasibility studies or planning for the trauma-care components of such systems only if the studies or planning, respectively, is consistent with the requirements of section 300d–13(a) of this title. (D) Providing services to victims of sex offenses and for prevention of sex offenses. (E) The establishment, operation, and coordination of effective and cost-efficient systems to reduce the prevalence of illness due to asthma and asthma-related illnesses, especially among children, by reducing the level of exposure to cockroach allergen or other known asthma triggers through the use of integrated pest management, as applied to cockroaches or other known allergens. Amounts expended for such systems may include the costs of building maintenance and the costs of programs to promote community participation in the carrying out at such sites of integrated pest management, as applied to cockroaches or other known allergens. For purposes of this subparagraph, the term “integrated pest management” means an approach to the management of pests in public facilities that combines biological, cultural, physical, and chemical tools in a way that minimizes economic, health, and environmental risks. (F) With respect to activities described in any of subparagraphs (A) through (E), related planning, administration, and educational activities. (G) Monitoring and evaluation of activities carried out under any of subparagraphs (A) through (F). (2) Except as provided in subsection (b), amounts paid to a State under section 300w–2 of this title from its allotment under section 300w–1(b) of this title may only be used for providing services to rape victims and for rape prevention. (3) The Secretary may provide technical assistance to States in planning and operating activities to be carried out under this part. (b) Prohibited uses A State may not use amounts paid to it under section 300w–2 of this title to— (1) provide inpatient services, (2) make cash payments to intended recipients of health services, (3) purchase or improve land, purchase, construct, or permanently improve (other than minor remodeling) any building or other facility, or purchase major medical equipment, (4) satisfy any requirement for the expenditure of non-Federal funds as a condition for the receipt of Federal funds, or (5) provide financial assistance to any entity other than a public or nonprofit private entity. Except as provided in subsection (a)(1)(E), the Secretary may waive the limitation contained in paragraph (3) upon the request of a State if the Secretary finds that there are extraordinary circumstances to justify the waiver and that granting the waiver will assist in carrying out this part. (c) Transfer of funds A State may transfer not more than 7 percent of the amount allotted to the State under section 300w–1(a) of this title for any fiscal year for use by the State under part B of this subchapter and title V of the...