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B26-0226 • 2025

Place-Based Substance Use Disorder Outreach Amendment Act of 2025

Place-Based Substance Use Disorder Outreach Amendment Act of 2025

Healthcare Housing Taxes
Enacted

This bill passed the Legislature and reached final enactment based on the latest official action.

Sponsor
Nadeau
Last action
2026-06-05
Official status
Under Congressional Review
Effective date
Not listed

Plain English Breakdown

The official text states the law takes effect after approval, a veto override (if needed), and a 30-day congressional review period. The exact date depends on these future steps.

Place-Based Substance Use Disorder Outreach Amendment Act of 2026

This law creates a program in the District of Columbia to send outreach teams into specific neighborhoods with high rates of substance use activity.

What This Bill Does

  • Establishes the Place-Based Substance Use Disorder Outreach Program within the Department of Behavioral Health.
  • Issues grants to non-profit organizations that provide direct support, relationship building, and help accessing services in designated areas.
  • Allows the Department to designate specific neighborhoods as high-need areas for up to 180 days based on public health data.
  • Requires the Department to notify local businesses and community groups when an area is designated for outreach efforts.
  • Mandates annual reports published online that show how many people were engaged, connected to treatment, or received harm reduction supplies.

Who It Names or Affects

  • The District of Columbia Department of Behavioral Health
  • Non-profit organizations receiving grants under the new program
  • Residents living in designated high-need areas with substance use activity
  • Local businesses and community groups located near designated areas

Terms To Know

High-need area
A specific neighborhood, corridor, or block cluster where the Department finds a high concentration of substance use disorder activity, including overdoses.
Direct support
Behavioral health services that include assessment and intervention for individuals using substances.
Resource brokering
Helping people access public benefits like housing, food, Medicaid, or transportation to reach healthcare appointments.

Limits and Unknowns

  • The law does not take effect until the Chief Financial Officer certifies that funding is included in an approved budget.
  • The specific geographic boundaries of high-need areas are determined by the Department and can change if data shows activity has shifted.

Bill History

  1. 2026-06-05 Council of the District of Columbia LIMS

    Act A26-0320 Published in DC Register Vol 73 and Page 008157

  2. 2026-06-04 Council of the District of Columbia LIMS

    Transmitted to Congress, Projected Law Date is Jul 18, 2026

  3. 2026-05-29 Council of the District of Columbia LIMS

    Returned from Mayor

  4. 2026-05-28 Council of the District of Columbia LIMS

    Signed by the Mayor and Enacted with Act Number A26-0320

  5. 2026-05-14 Council of the District of Columbia LIMS

    Transmitted to Mayor, Response Due on May 29, 2026

  6. 2026-05-05 Council of the District of Columbia LIMS

    Legislative Meeting

  7. 2026-03-31 Council of the District of Columbia LIMS

    Legislative Meeting

  8. 2026-03-09 Council of the District of Columbia LIMS

    Committee Mark-up of B26-0226 by the Health Committee

  9. 2025-12-10 Council of the District of Columbia LIMS

    Public Hearing on B26-0226

  10. 2025-11-14 Council of the District of Columbia LIMS

    Notice of Public Hearing Published in the District of Columbia Register

  11. 2025-11-06 Council of the District of Columbia LIMS

    Notice of Public Hearing filed in the Office of Secretary by Health

  12. 2025-04-22 Council of the District of Columbia LIMS

    Referred to Committee on Health

  13. 2025-04-18 Council of the District of Columbia LIMS

    Notice of Intent to Act on B26-0226 Published in the District of Columbia Register

  14. 2025-04-11 Council of the District of Columbia LIMS

    B26-0226 Introduced by Councilmember Nadeau at Office of the Secretary

Official Summary Text

Place-Based Substance Use Disorder Outreach Amendment Act of 2025

Current Bill Text

Read the full stored bill text
ENROLLED ORIGINAL
AN ACT
D.C. ACT 26-320
IN THE COUNCIL OF THE DISTRICT OF COLUMBIA
MAY 28, 2026
ToamendtheDepartmentofBehavioralHealthEstablishmentActof2013toestablisha
programforplace-basedsubstanceusedisorderoutreach.
BEIT ENACTED BY THE COUNCIL OF THE DISTRICT OF COLUMBIA, Thatthis
actmay be citedasthe“Place-BasedSubstanceUse DisorderOutreachAmendment Act of
2026”.
See2.TheDepartmentofBehavioralHealthEstablishmentActof2013,effective
December24,2013(D.C.Law20-61;D.C.OfficialCode§7-1141.01etseq.),isamendedby
addinganewPartCtoreadasfollows:“PARTC.
“See.5120d.Definitions.
“Forthepurposesofthispart,theterm:
(1)“Directsupport”meansbehavioralhealtherisesassessmentandintervention
services.(2)“High-needarea”meansadefinedgeographicarea,whichmayincludea
neighborhood,corridor,orclusterofblocks,designatedbytheDepartmentasexperiencinga
disproportionatelyhighconcentrationofsubstanceusedisorderactivity,includingopioiduse,
overdoses,orrelatedbehavioralhealthserviceneeds,basedonavailablepublichealthdata,
serviceutilizationdata,orotherrelevantindicators.
(3)“Relationshipdevelopment”meansregularinteractions,andthe
incorporationofpeersupports,whenpossible,thatfosteropencommunicationsandencourage
activeengagementwithbehavioralhealthservicesforindividualsusingsubstances.
(4)“Resourcebrokering”meansassistancewithaccessingsupportiveservices
andpublicbenefits,includinghousing,food,Medicaid,SocialSecurityIncomeorSocial
SecurityDisabilityInsurance,andtransportationservicesneededtoaccessprimaryand
behavioralhealthcare.
“Sec,5120e,EstablishmentofthePlace-BasedSubstanceUseDisorderOutreach
Program.
1
ENROLLED ORIGINAL
“(a)There isestablished,withintheDepartment,thePlace-BasedSubstanceUse
DisorderOutreachProgram(“Program”),whichshallissuegrantsto501(¢)(3)not-for-profit
organizationswithexperienceinprovidingdirectsupports,relationshipdevelopment,and
resourcebrokeringtoindividualsinneedofsubstanceusetreatmentandbehavioralhealth
servicesinhigh-needareas.
“(b)(1)TheDepartment,inconsultationwiththegrantees,maydesignateahigh-need
areaforaperiodoftimetobedeterminedbytheDepartmentbasedonprogrammaticneeds,but
nottoexceed180days.
“(2)Notwithstandingparagraph(1)ofthissubsection,theDepartmentmay
designateahigh-needareaforaperiodnottoexceed90daysiftheDepartmentdeterminesthat
emergent circumstanceswarrantimmediate intervention.
“(3)TheDepartmentmaymodifythegeographicboundariesofahigh-needarea
ifdataindicatesthatsubstanceuse activityhas shiftedtonearbylocations.
“(c)Indesignatingahigh-needarea,theDepartmentshallconsiderwhether,withinthe
preceding6-monthperiod,therewasadisproportionatelyhighrateof:
(1)Substantiatedreportsofsubstanceuseinpublicspaces;
(2)Hospitalizations,overdoses,anddeathsfromsubstanceuse;
“(3)Highreoccurrencesofthesameindividualsusingsubstancesinthesame

vicinity;or
“(4)Areaswithahighconcentrationofpedestrianandbusinessinteractionwithpeopleexperiencingsubstanceusedisorder.“(d)Foreachdesignatedhigh-needarea,theDepartmentshallwithin45daysofthedesignation:
“(1)Notifylocalbusinesses,businessimprovementdistricts,andrelevantcommunity-basedorganizationsofthehigh-needareadesignationandprovideinformationon:“(A)ThepurposeandscopeoftheProgram,includingtheservicesandsupportsavailable;
“(B)Howtocontactthegranteeassignedtothearea;and“(C)Howtorequestservicesorsupportforindividualswhomayneedsubstanceusedisordertreatmentorbehavioralhealthservices;and
(2)Makereasonableeffortstoensurethatcontactinformationfortheassignedgranteeismaintainedandupdatedthroughoutthedesignationperiod.“(©Beginning6monthsafterthispartisapplicable,andannuallythereafter,theDepartmentshallpublishprogramperformancedata,foreachdesignatedhigh-needarea,ona
publiclyaccessiblewebsiteandreportthatincludes:“(1)Programperformancemetrics,brokendownbylocation,includingthe:
“(A)Numberofindividualsengagedthroughoutreachefforts;“(B)Numberandpercentageofindividualsengagedmorethanonceand3ormoretimes; “(C)Numberofindividualsconnectedtosubstanceusedisordertreatment
2
ENROLLED ORIGINAL
programs,primaryhealthcare,mentalhealthservices,housingassistance,employmentsupport,
orotherservices;«(D)Numberofindividualswhosuccessfullyattendedatleastone
appointmentorintakefollowingreferral,totheextentsuchdataisavailable;
“(B)Averagelengthoftimebetweeninitialoutreachengagementand
connectiontoservices;
(PF)Numberofoverdosereversalsorinterventionsperformedusing
overdosereversalmedications;
“(G)Amountofharmreductionsuppliesdistributed;and
“(H)Numberofeducationalsessions,workshops,orpreventionactivities
deliveredtotargetpopulations,andotherperformancedataasdeterminedbytheDirector;
“(2)A summaryofbarrierstoindividualsreceivingservicesandthestepstaken
orplannedtoaddressthosebarriers,including:
“(A)Servicecapacitylimitations;
“(B)Eligibilitybarriers;
“(C)Individualrefusalordisengagement;and
“(D)Delaysrelatedtohousing,insurance,oridentificationrequirements;
and “(3)Foreachdesignatedhigh-needarea,anarrativedescribing:
(A)Observedchangesinsubstanceuseactivitywithinthearea;
“(B)Anydisplacementofactivitytonearbylocations;
“(C)Changesmadetooutreachstrategies;
“(D)Outreachandengagementwithlocalbusinesses,business
improvementdistricts,andcommunity-basedorganizations;and
“(B)Feedbackreceivedfromcommunitymembers,businesses,orservice
providers,includinganyeffortsmadetosolicitsuchfeedback.
*(f)TheDepartmentshallestablishregularinteragencycoordinationmeetings,or
developwrittenprotocolstosupportcollaboration,with:
“(1)TheMetropolitanPoliceDepartment;
(2)TheDepartmentofHumanServices;
“(3)TheChildandFamilyServicesAgency;
“(4)TheDepartmentofHealth;
“(5)TheOfficeoftheDeputyMayorforPlanningandEconomicDevelopment;

and (6)AnyotheragencytheDepartmentdeemsappropriate.”.
Seo.3.Applicability.
(a)Thisactshallapplyuponthedateofinclusionofitsfiscaleffectinanapprovedbudget
andfinancialplan.
(b)TheChiefFinancialOfficershallcertifythedateoftheinclusionofthefiscaleffectin
3
ENROLLED ORIGINAL
anapprovedbudgetandfinancialplan,andprovidenoticetotheBudgetDirectoroftheCouncil
ofthecertification.
(@)(1)TheBudgetDirectorshallcausethenoticeofthecertificationtobepublishedinthe
DistrictofColumbiaRegister.
(Q)Thedateofpublicationofthenoticeofthecertificationshallnotaffectthe
applicabilityofthisact.
Sec.4.Fiscalimpactstatement.
TheCounciladoptsthefiscalimpactstatementinthecommitteereportasthefiscal
impactstatementrequiredbysection4aoftheGeneralLegislativeProceduresActof1975,
approvedOctober16,2006(120Stat.2038;D.C.OfficialCode§1-301.478).
Sec.5.Effectivedate.
‘ThisactshalltakeeffectafterapprovalbytheMayor(orintheeventofvetobythe
Mayor,ationbytheCounciltooverridetheveto)anda30-dayperiodofcongressionalreview
asprovidedinsection602(c)(1)oftheDistrictofColumbiaHomeRuleAct,approvedDecember
24,1973(87Stat.813;D.C.OfficialCode§1-206.02(e)(1)).

ED
MAY 28, 2026

[X]ITEMONCONSENTCALENDAR
COUNCILOFTHE DISTRICTOF COLUMBIA
WASHINGTON,DC,20004
[XTACTION FirstReading,CC
{X]VOTEDATE March31,2026
[xTVOICEVOTE ‘Approved
RECORDEDVOTEONREQUEST
‘ABSENT eee
{JROLLCALLVOTE~Result

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CERTIFICATIONRECORD
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DocketNo,826-0226
! [X]ITEMONCONSENTCALENDAR
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{X1VOTEDATE May5,2026
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