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It details restrictions on using Federal funds for harm reduction or safe consumption efforts that facilitate illegal drug use, including limitations on drug paraphernalia and certain overdose hotline support. It further addresses proper use of SAMHSA funding for MAT/MOUD, emphasizing comprehensive treatment, clinician training, and ongoing review, and includes antidiscrimination certification and executive pay compliance references.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/behavioral-health-block-grant-requirements-general-compliance-and-prohibitions/393146/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/behavioral-health-block-grant-requirements-general-compliance-and-prohibitions/393146.png","ImageObject",442,249,{"name":88,"@type":89},"percent12345","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-10","2026-09-25",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What regulations govern the Behavioral Health Block Grant award administration?","Question",{"text":109,"@type":110},"The award is subject to administrative requirements for HHS block grants under 45 CFR 96 and applicable regulations under 2 CFR 200 and 2 CFR 300.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What restrictions apply to SAMHSA funds for harm reduction or safe consumption efforts?",{"text":114,"@type":110},"Federal funds may not support harm reduction or safe consumption efforts that facilitate illegal drug use, including prohibited purchase/distribution of drug paraphernalia as defined by law.",{"name":116,"@type":107,"acceptedAnswer":117},"How should SAMHSA funding be used for MAT/MOUD?",{"text":118,"@type":110},"Use SAMHSA funding to provide comprehensive treatment and recovery support services rather than medication-only models, including clinically indicated medications alongside psychosocial and recovery supports, with ongoing review at least annually.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},393146,1791330131,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":25,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":47},1099529851338,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","General Behavioral Health Block Grant Requirements  \n1. Applicable Regulatory Provisions  \nThis award is subject to the administrative requirements for HHS block grants under 45 CFR 96 ( [https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-96](https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-A/part-96)) and any applicable regulations from 2 CFR 200 ( [https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200](https://www.ecfr.gov/current/title-2/subtitle-A/chapter-II/part-200))  \nand 2 CFR 300 ( [https://www.ecfr.gov/current/title-2/subtitle-B/chapter-III/part-300](https://www.ecfr.gov/current/title-2/subtitle-B/chapter-III/part-300)) .  \n2. Use of Supplies and Services for Harm Reduction Activities  \nSAMHSA recipients are prohibited from using Federal funds, directly or indirectly, including through cost-sharing, matching funds, or subsequent reimbursement, to support so-called \"harm reduction\"or \"safe consumption\" efforts that facilitate illegal drug use.  \nGrant funds may not be used to purchase, distribute, or support drug paraphernalia as defined bylaw. This includes, but is not limited to, syringes or needles for illicit drug injection; pipes or supplies for safer smoking kits; fentanyl test strips or any other substance test kits, including xylazine and medetomidine test strips*; distribute any other drug paraphernalia or supplies that promote or facilitate drug use not listed here; purchase or distribute any other drug paraphernalia or supplies that promote or facilitate drug use not listed as acceptable in the Dear Colleague Letter: Updated Funding Guidance for Grantees on Supplies and Services (April 24, 2026) . Funds also may not support overdose hotlines whose primary purpose is to enable drug use by providing real-time virtual or phone-based accompaniment.  \nThese restrictions do not prohibit funding for legally permissible, evidence-based activities, such asthe distribution of life-saving overdose prevention and response services, including  \npurchase/distribution of naloxone or nalmefene and/or other infectious disease prevention services.  \nFailure to comply with the programmatic requirements in these letters: Dear Colleague Letter: Executive Order on Ending Crime and Disorder on America's Streets America's Streets and the Dear Colleague Letter: Updated Funding Guidance for Grantees on Supplies and Services (April 24, 2026)(which provides updated guidance for grantees on the supplies and services previously defined under harm reduction that can be supported with SAMHSA funding), may result in enforcement actions consistent with 42 U.S.C 300x 55.  \n* This prohibition does not apply to law enforcement, emergency medical services, public health officials, or healthcare professionals using drug testing technologies in the regular course of discharging their professional duties, or as specifically authorized by the program statute.  \n3. Appropriate use of Funds for Medication-Assisted Treatment (MAT)/ Medications for Opioid Use Disorder (MOUD)  \nAs referenced in the Dear Colleague Letter: Updated Guidance on Medication-Assisted Treatment (MAT) and Medications for Opioid Use Disorder (MOUD), SAMHSA funding should be used to provide comprehensive treatment and recovery support services rather than medication-only models for opioid use disorder. Services should include medications, where clinically indicated, in conjunction with psychosocial and other treatment and recovery support services. Funding can also  \nbe used to support individualized tapering and discontinuation of medications when clinically indicated.  \nUpon achieving stability in treatment and building sufficient recovery support, and at least annually, clinicians should engage in a discussion with patients to assess treatment and recovery goals and the continued use of medications. Continuation should be evaluated on an individual basis, taking into consideration progress toward treatment goals, stability in treatment, ","cbCaivEo6SMnRt7V","https://ap.wps.com/l/cbCaivEo6SMnRt7V","pdf",716727,"English","# General Behavioral Health Block Grant Requirements\n## Applicable Regulatory Provisions\n## Use of Supplies and Services for Harm Reduction Activities\n## Appropriate use of Funds for Medication-Assisted Treatment (MAT)/ Medications for Opioid Use Disorder (MOUD)\n## Antidiscrimination Compliance Requirement\n## Executive Pay","[{\"question\":\"What regulations govern the Behavioral Health Block Grant award administration?\",\"answer\":\"The award is subject to administrative requirements for HHS block grants under 45 CFR 96 and applicable regulations under 2 CFR 200 and 2 CFR 300.\"},{\"question\":\"What restrictions apply to SAMHSA funds for harm reduction or safe consumption efforts?\",\"answer\":\"Federal funds may not support harm reduction or safe consumption efforts that facilitate illegal drug use, including prohibited purchase/distribution of drug paraphernalia as defined by law.\"},{\"question\":\"How should SAMHSA funding be used for MAT/MOUD?\",\"answer\":\"Use SAMHSA funding to provide comprehensive treatment and recovery support services rather than medication-only models, including clinically indicated medications alongside psychosocial and recovery supports, with ongoing review at least annually.\"}]","Behavioral Health Block Grant Requirements - General Compliance and Prohibitions | PDF",1790379049]