This bill amends the Public Health Service Act to formally establish and maintain the Rural Communities Opioid Response Program (RCORP) . The program's primary objective is to expand and strengthen prevention, treatment, and recovery services for substance use disorders, including opioid use disorder, and related behavioral health conditions in rural communities across the United States. Under this program, the Health Resources and Services Administration (HRSA) is authorized to award grants and cooperative agreements to various eligible entities, such as States, Indian Tribes, and State offices of rural health. These funds can be used for critical activities like planning to improve resource coordination, implementing evidence-based service delivery models, and responding to emerging public health issues related to substance use disorder. Grants may be awarded for up to five years, with the Administrator able to fully fund awards at the time of issuance. To support these efforts, the bill authorizes an appropriation of $165,000,000 for each of fiscal years 2026 through 2030 , ensuring continued support for rural communities battling substance use disorders.