An Act amending the act of April 9, 1929 (P.L.177, No.175), known as The Administrative Code of 1929, in powers and duties of the Department of Drug and Alcohol Programs, establishing the Contingency Management Support Grant Program.

PRIOR PRINTER'S NO. 2493 PRINTER'S NO. 2546
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No. 1974
Session of
2025
INTRODUCED BY VENKAT, FLICK, HILL-EVANS, SANCHEZ, K. HARRIS,
FLEMING, CIRESI, KINKEAD, CEPEDA-FREYTIZ, CURRY, RIVERA,
STEELE, MADDEN AND SAMUELSON, OCTOBER 21, 2025
AS REPORTED FROM COMMITTEE ON HUMAN SERVICES, HOUSE OF
REPRESENTATIVES, AS AMENDED, OCTOBER 29, 2025
AN ACT
Amending the act of April 9, 1929 (P.L.177, No.175), entitled
"An act providing for and reorganizing the conduct of the
executive and administrative work of the Commonwealth by the
Executive Department thereof and the administrative
departments, boards, commissions, and officers thereof,
including the boards of trustees of State Normal Schools, or
Teachers Colleges; abolishing, creating, reorganizing or
authorizing the reorganization of certain administrative
departments, boards, and commissions; defining the powers and
duties of the Governor and other executive and administrative
officers, and of the several administrative departments,
boards, commissions, and officers; fixing the salaries of the
Governor, Lieutenant Governor, and certain other executive
and administrative officers; providing for the appointment of
certain administrative officers, and of all deputies and
other assistants and employes in certain departments, boards,
and commissions; providing for judicial administration; and
prescribing the manner in which the number and compensation
of the deputies and all other assistants and employes of
certain departments, boards and commissions shall be
determined," in powers and duties of the Department of Drug
and Alcohol Programs, establishing the Contingency Management
Support Grant Program.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Article XXIII-A of the act of April 9, 1929
(P.L.177, No.175), known as The Administrative Code of 1929, is
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amended by adding a subarticle to read:
SUBARTICLE C
CONTINGENCY MANAGEMENT SUPPORT GRANT PROGRAM
Section 2321-A. Definitions.
The following words and phrases when used in this subarticle
shall have the meanings given to them in this section unless the
context clearly indicates otherwise:
"ASAM Criteria." The American Society of Addiction Medicine
Criteria, 3rd Edition, 2013.
"Department." The Department of Drug and Alcohol Programs of
the Commonwealth.
"Grant." A grant awarded by the department under the
program.
"Grantee." The single county authority that receives a grant
from the department.
"Incentive." A noncash item of nominal value provided to a
participant only upon objective verification that a treatment
goal under a contingency management plan has been met. The term
includes a gift card or voucher that is nontransferable, not
convertible to cash and not redeemable for alcohol, tobacco or
gambling.
"Participant." An individual enrolled in outpatient,
intensive outpatient, partial hospitalization or narcotic
treatment program services who has been clinically assessed as
having a stimulant use disorder under the ASAM Criteria.
"Program." The Contingency Management Support Grant Program
established under section 2322-A.
"Single county authority." The county agency that the
department designates as the local drug and alcohol agency.
Section 2322-A. Establishment and administration of program.
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(a) Establishment.--The Contingency Management Support Grant
Program is established in the department to support single
county authorities in designing, implementing, expanding and
evaluating evidence-based contingency management strategies for
participants with stimulant use disorder.
(b) Administration.--The department shall develop, announce,
award and administer grants and provide technical assistance on
program design, fidelity and evaluation.
(B) ADMINISTRATION.--
(1) THE DEPARTMENT SHALL DEVELOP, ANNOUNCE, AWARD AND
ADMINISTER GRANTS AND PROVIDE TECHNICAL ASSISTANCE ON PROGRAM
DESIGN, FIDELITY AND EVALUATION.
(2) GUIDANCE FROM THE DEPARTMENT SHALL INCLUDE STANDARDS
FOR THE DESIGN AND IMPLEMENTATION OF CONTINGENCY MANAGEMENT
PROGRAM STRUCTURES THAT COMPLY WITH ALL APPLICABLE FEDERAL
AND STATE LAWS, INCLUDING LAWS RELATING TO FRAUD AND ABUSE.
Section 2323-A. Applicants and selection process.
(a) Applicants.--A single county authority may apply for a
grant individually or in collaboration with one or more
providers:
(1) licensed to provide drug and alcohol treatment
services in this Commonwealth; and
(2) located within the county's jurisdiction.
(b) Selection.--The department shall publish application
procedures and selection criteria on the department's publicly
accessible Internet website.
Section 2324-A. Allowable uses of grants.
Grants may be used for any of the following:
(1) Planning and implementing, including staff training,
drug-testing supplies, secure incentive-tracking systems and
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reasonable administrative costs necessary for program
delivery.
(2) Noncash incentives for participants, not to exceed
$750 per participant in a 12-month period during the
contingency management treatment phase. Incentives shall
consist only of small-value, noncash items such as gift
cards, food vouchers, transit or transportation vouchers or
other items the department approves.
(3) Technical assistance and fidelity support, including
the implementation of incentive-tracking systems and the
development of policies and procedures.
(4) Program evaluation and reporting.
(5) Outreach and engagement, including participant
education and referral coordination.
Section 2325-A. Prohibited uses of funds.
(a) Supplanting.--Grants shall supplement and not supplant
existing substance use disorder treatment or other health care
services.
(b) Other prohibitions.--Grants may not be used for any of
the following:
(1) Services otherwise reimbursable by Medicaid or a
participant's insurer.
(2) Cash or cash-equivalent incentives, or any incentive
redeemable for alcohol, tobacco or gambling.
(3) Incentives used to steer a participant to a
particular provider, payer or product.
Section 2326-A. Program requirements.
An initiative supported by the program shall meet all of the
following criteria:
(1) Be delivered in outpatient or similar nonresidential
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settings and provided in conjunction with other evidence-
based treatment and recovery support services for substance
use disorder, as clinically appropriate .
(2) Provide a structured schedule of incentives awarded
only upon objective verification of treatment goals, which
may include stimulant-negative test results verified by urine
testing or another objective test the department approves and
documented attendance at counseling or therapy sessions.
(3) Provide at least three months of continued treatment
and recovery support services after the incentive phase
during which no incentives are provided.
(4) Ensure a participant is not penalized for declining
to participate in a recommended service or for failing to
meet a treatment goal.
(5) Limit incentives to an aggregate value not exceeding
$750 for any participant in a 12-month period during the
contingency management treatment phase.
(6) Align service delivery conditions with the ASAM
Criteria.
Section 2327-A. Participant eligibility and consent.
A participant shall:
(1) receive a clinical assessment and a determination of
stimulant use disorder in accordance with the ASAM Criteria;
(2) be enrolled in outpatient, intensive outpatient,
partial hospitalization or narcotic treatment program
services;
(3) provide a stimulant-negative urine drug test or
another objective test the department approves prior to
receiving an incentive; and
(4) provide informed consent that explains program
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goals, incentive conditions, privacy protections and
grievance procedures.
Section 2328-A. Program integrity and privacy.
(a) Policies.--A grantee shall adopt written policies to
prevent fraud, diversion and duplication of incentives and to
prohibit steering or inducement regarding the choice of
provider, payer or product.
(b) Tracking.--A grantee shall use an auditable system to
track incentives and maintain controls over inventory, issuance
and reconciliation.
(c) Training.--A grantee shall ensure that staff receive
initial and periodic training on contingency management
principles, ethics and fidelity.
(d) Privacy.--A grantee shall obtain and maintain
participant consents and protect participant information
consistent with Federal and State law, including 42 CFR Pt. 2
(relating to confidentiality of substance use disorder patient
records) and 45 CFR Pt. 164 (relating to security and privacy),
as applicable.
Section 2329-A. Applications.
A prospective grantee must submit an application for a grant
to the department in a form and manner specified by the
department under section 2323-A(b). The application shall
include all of the following information:
(1) A work plan describing the contingency management
model, target population, service setting, staffing and
fidelity plan.
(2) A budget, including the incentive plan and tracking
systems.
(3) A monitoring and evaluation plan, including outcome
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metrics, data collection and data-privacy safeguards.
Section 2330-A. Reporting and evaluation.
(a) Grantee reports.--A grantee shall report outcomes and
expenditures to the department in the form and frequency as
determined by the department.
(b) Department reporting.--The department shall include the
following information in the annual report required under
section 2301-A(7)(i), which may not include personally
identifiable information of participants:
(1) Grants awarded and geographic distribution.
(2) The number of participants served.
(3) A review of information reported by single county
authorities, including outcomes, participant engagement,
retention and continuing care.
(4) Findings and recommendations for program
improvement.
(c) Evaluation criteria.--The department shall establish
evaluation criteria, including outcomes related to stimulant
abstinence, treatment retention and program fidelity.
Section 2331-A. Funding.
Subject to the availability of Federal funds, Federal State
Opioid Response grant funds appropriated by the General Assembly
shall be the primary source of funding for the purposes of this
subarticle. The following shall apply:
(1) If Federal funds are insufficient or unavailable,
the department may use other money appropriated by the
General Assembly.
(2) The department may use a portion of any money
allocated for the program for Statewide technical assistance,
fidelity support and evaluation.
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Section 2332-A. Guidelines and regulations.
The department shall issue guidelines and may promulgate
regulations as necessary to implement this subarticle.
Section 2333-A. Construction.
Nothing in this subarticle shall be construed to require
participation by a provider or a participant or to alter a
requirement under Federal or State law governing
confidentiality, professional licensure or payer coverage.
Section 2. This act shall take effect in 60 days.
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