,,ii  #aac? ,,congress  #a/ ,session    
,s4 #afeg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #f1 #bjac,mr4 
,udall ( ,new ,mexico introduc$ ! foll[+
 bill2 :i* 0 read twice & ref]r$ to !   
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to r$uce
 prescription drug misuse & abuse4  #a4 
,%ort title ,?is ,act may be cit$ z !   
,increas+ ! ,safety ( ,prescription     
,drug ,use ,act ( #bjac4  #b4           
,prescription drug monitor+ program  7a7
 ,controll$ sub/ance monitor+ program   
,section #cii,o ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bdc;g-#c7  
is am5d$-- 7#a7 9 subsection 7e71 by    
add+ at ! end ! foll[+3  7#e7 ,! ,/ate  
%all-- 7,a7 ensure t ! database-- 7i7 is
 int]op]able ) ! controll$ sub/ance     
monitor+ program ( o!r ,/ates & o!r     
,f$]al ag5cies & across appropriate     
,/ate ag5cies1 includ+ heal? ag5cies1 z 
det]m9$ by ! ,secret>y2  7ii7 is        
int]op]able ) electronic heal? records &
 e-prescrib+1 :]e appropriate2 &  7iii7 

provides automatic1 real-"t or daily    
in=mation ab\t a pati5t :5 a practition]
 7or ! designee ( a practition]1 :]e    
p]mitt$7 reque/s in=mation ab\t su*     
pati5t2  7,b7 require practition]s to   
use ,/ate database in=mation to help    
det]m9e :e!r to prescribe or r5ew a     
prescription = a controll$ sub/ance2 &  
7,c7 require disp5s]s1 or _! designees1 
:]e p]mitt$1 to ent] data requir$ by !  
,secret>y1 includ+ ! "n ( ! pati5t1 !   
date1 & prescription dose1 into !       
database = a controll$ sub/ance4  7#f7  
,not)/&+ section #edc & any o!r         
provision ( law1 ! data requir$ to be   
ent]$ "u p>agraph 7#e77;,c7 %all include
 in=mation ) respect to me?adone t is   
disp5s$ to a pati5t1 if applicable4     
7#g7 ,! ,/ate %all ensure t-- 7,a7 any  
p]son :o receives pati5t in=mation ?r\gh
 ! database may disclose & use su*      
in=mation only to c>ry out ! (ficial    
duties ( t p]son ) reg>d to ! pati5t2 & 
7,b7 not)/&+ subsection 7f77#a77;,b71 no
 in=mation kept 9 accordance ) a        

database develop$ or ma9ta9$ ?r\gh a    
grant "u ?is section may be us$ to      
conduct a crim9al inve/igation or       
sub/antiate any crim9al *>ges aga9/ a   
pati5t or to conduct any inve/igation ( 
a pati5t relat+ to me?adone use ( !     
pati5t4  2 &  7#b7 9 subsection 7n71 by 
/rik+ ,to c>ry out ?is section & all t  
foll[s ?r\gh ! p]iod at ! end & ins]t+  
,!re are au?oriz$ to be appropriat$ =   
fiscal ye>s #bjad ?r\gh #bjah su* sums z
 may be necess>y to c>ry out ?is        
section44  7b7 ,confid5tiality ( records
 ,section #edc7;a7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4             
#bij;dd-#b7;a77 is am5d$ by ins]t+ or1 )
 respect to me?adone1 z requir$ "u      
section #cii,o7e77#f7 be=e ! p]iod at ! 
end4  7c7 ,requirem5ts = ,f$]al heal?   
c>e programs ,heal? c>e practition]s 7z 
def9$ 9 p>agraph 7#g7 ( section         
#cii,o7m7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #bhj;g-#c7m777 &    
disp5s]s 7z def9$ 9 p>agraph 7#d7 ( su* 
section7 :o p>ticipate 9 or are employ$ 

by a ,f$]al heal? c>e program or f$]ally
 fund$ heal? c>e program1 includ+ !     
,indian ,heal? ,s]vice1 ! ,dep>tm5t (   
,vet]ans ,affairs1 ! ,dep>tm5t (        
,def5se1 ! ,f$]al ,bureau ( ,prisons1 ! 
,m$ic>e program "u title ,,xviii ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acie et seq471 a ,/ate ,m$icaid plan "u
 title ,,xix ( ! ,social ,security ,act 
7#db ,u4,s4,c4 #acif et seq471 !        
,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig;aa et seq471 &     
,f$]ally qualifi$ heal? c5t]s1 %all use 
! databases ( ! controll$ sub/ance      
monitor+ programs "u section #cii,o ( ! 
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhj;g-#c71 if su* databases  
are available to ! practition] or       
disp5s]4  #c4 ,pilot project  7a7 ,9    
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices 7ref]r$ to 9 ?is subsection z !
 ,secret>y7 %all aw>d grants to "o or m 
,/ates to c>ry out a #a-ye> pilot       
project to develop a /&>diz$ pe] review 

process & me?odology to review &        
evaluate prescrib+ & ph>macy disp5s+    
patt]ns1 ?r\gh a review ( prescription  
drug monitor+ programs 7ref]r$ to 9 ?is 
section z ,,pdmp7 9 ! ,/ates receiv+ su*
 grants4  7b7 ,me?odology ,! recipi5ts (
 a grant "u ?is section %all develop a  
sy/ematic1 /&>diz$ me?odology to id5tify
 & inve/igate que/ionable or            
inappropriate prescrib+ & disp5s+       
patt]ns ( sub/ances on s*$ule ,,ii or   
,,iii "u section #bjb ( ! ,controll$    
,sub/ances ,act 7#ba ,u4,s4,c4 #hab74   
,su* pe] review me?odology & prescrib+ &
 disp5s+ patt]ns %all be %>$ ) !        
appropriate ,/ate heal? pr(ession bo>d4 
7c7 ,requirem5ts ,a ,/ate receiv+ a     
grant "u ?is section %all-- 7#a7 )      
respect to controll$ sub/ances = :i* a  
prescrib] is requir$ to h a lic5se issu$
 by ! ,drug ,en=cem5t ,adm9i/ration 9   
ord] to prescribe su* controll$         
sub/ances1 make ! in=mation ) respect to
 su* controll$ sub/ances f ! ,,pdmp     
available to ,/ate regulation & lic5s+  

bo>ds2 &  7#b7 ) respect to any o!r     
controll$ sub/ances1 may make !         
in=mation ) respect to su* controll$    
sub/ances f ! ,,pdmp available to ,/ate 
regulation & lic5s+ bo>ds4  7d7         
,subgrantees ,a quality improvem5t      
organization ) :i* ! ,secret>y has ent]$
 into a contract "u "p ,b ( title ,,xi (
 ! ,social ,security ,act may s]ve z !  
subgrantee "u ?is subsection to develop 
pe] review processes z describ$ 9       
subsection 7a74  #d4 ,prescription drug 
& o!r controll$ sub/ance abuse prev5tion
 ,"p ,p ( title ,,iii ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4 #bhj;g7 is 
am5d$ by add+ at ! end ! foll[+3        
#cii,v-#f4 ,prescription drug & o!r     
controll$ sub/ance abuse prev5tion  7a7 
,tra9+ grants  7#a7 ,9 g5]al ,!         
,secret>y %all aw>d #e-ye> grants to    
eligible entities to facilitate tra9+ 9 
ord] to increase ! capacity ( heal? c>e 
provid]s to conduct pati5t scre5+ &     
brief int]v5tions1 su* z 9 heal? c>e    
sett+s to prev5t ! abuse ( prescription 

drugs & o!r controll$ sub/ances4 ,!     
grant program "u ?is section may be     
coord9at$ ) ! ,scre5+ ,brief ,int]v5tion
 & ,ref]ral to ,treatm5t grant program (
 ! ,sub/ance ,abuse & ,m5tal ,heal?     
,s]vices ,adm9i/ration1 or o!r          
appropriate program4  7#b7 ,eligible    
entities ,9 ?is subsection1 ! t]m       
eligible entity includes-- 7,a7 ,/ates2 
7,b7 cont9u+ education entities1 su* z  
heal? pr(ession bo>ds or heal? accr$it+ 
bodies2 &  7,c7 o!r appropriate heal? or
 pr(essional education organizations or 
in/itutions4  7b7 ,f$]al heal? c>e      
work]s ,heal? c>e provid]s :o p>ticipate
 9 or are employ$ by a ,f$]al heal? c>e 
program1 includ+ ! ,indian ,heal?       
,s]vice1 ! ,dep>tm5t ( ,vet]ans         
,affairs1 ! ,dep>tm5t ( ,def5se1 !      
,f$]al ,bureau ( ,prisons1 ! ,m$ic>e    
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq471 a ,/ate ,m$icaid plan "u title   
,,xix ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif et seq471 ! ,/ate       

,*ildr5's ,heal? ,insurance ,program "u 
title ,,xxi ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig;aa et seq471 &     
,f$]ally qualifi$ heal? c5t]s1 %all     
scre5 pati5ts = abuse ( prescription    
drugs or o!r controll$ sub/ances1       
conduct brief int]v5tions1 & provide    
ref]rals = kn[n or suspect$ abuse (     
prescription drugs or o!r controll$     
sub/ances1 z appropriate4  7c7          
,expansion ( prescrib+ au?ority ,!      
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 %all aw>d grants to      
,/ates = ! purpose ( evaluat+ ! prospect
 ( ! heal? pr(essions bo>d ( su* ,/ates 
review+ & exp&+ prescrib+ au?orities (  
provid]s1 su* z advance practice nurses 
& physician's assi/ants1 9 ord] to      
control ! abuse ( prescription drugs or 
o!r controll$ sub/ances ) respect to    
specific drugs & o!r controll$          
sub/ances1 z appropriate4  4  #e4       
,prescription drug abuse tra9+ & scre5+ 
programs  7a7 ,cont9u+ education grants 

,! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y7 
%all aw>d grants to ,/ates to develop   
cont9u+ education crit]ia & review      
processes t all[ ,/ate heal? pr(ession  
bo>ds or ,/ate ag5cies to c]tify        
appropriate education & tra9+ = in=m$ & 
safe prescrib+ ( opioids & o!r drugs on 
s*$ule ,,ii & ,,iii "u section #bjb ( ! 
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hab74  7b7 ,regi/ration )    
,,dea ,a practition] :o regi/]s or r5ews
 a regi/ration "u section #cjc7;f7 ( !  
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;f77 %all1 at ! "t (     
regi/]+1 c]tify to ! ,attorney ,g5]al t 
su* practition] has complet$ cont9u+    
m$ical education-- 7#a7 9 ! case ( a    
practition] regi/]+ = ! fir/ "t1 )      
respect to prescription drug abuse2 &   
7#b7 9 ! case ( a practition] r5ew+ a   
regi/ration1 ) respect to m$ical und]/&+
 ( ! prop] use ( all drugs li/$ 9 !     
s*$ules "u section #bjb ( ! ,controll$  
,sub/ances ,act 7#ba ,u4,s4,c4 #hab74   

7c7 ,scre5+ program ,! ,attorney ,g5]al 
%all require t a practition] regi/]$ "u 
section #cjc7;f7 ( ! ,controll$         
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;f77
 conduct pati5t scre5+ = pot5tial drug  
misuse or abuse be=e prescrib+ a drug   
li/$ on s*$ule ,,ii or ,,iii "u section 
#bjb ( ! ,controll$ ,sub/ances ,act 7#ba
 ,u4,s4,c4 #hab71 accord+ to /&>ds      
e/abli%$ by ! applicable ,/ate lic5s+   
body4  #f4 ,,fda review ( naloxone ,!   
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,commission] ( ,food &     
,drugs1 %all conduct a review ( naloxone
 to consid] :e!r naloxone %\ld cease to 
be subject to section #ejc7;b7 ( !      
,f$]al ,food1 ,drug1 & ,cosmetic ,act   
7#ba ,u4,s4,c4 #cec7;b77 & be available 
z a beh9d-!-c\nt] drug1 9 ord] to       
increase access ( su* drug to           
community-bas$ organizations & /reet    
outrea* organizations4  #g4             
,prescription drug disposal ,! ,secret>y
 ( ,heal? & ,human ,s]vices %all conv5e 
or coord9ate ) an exi/+ entity an       

int]ag5cy work+ gr\p to enc\rage ,/ates 
& local gov]nm5ts to increase           
opportunities = disposal ( opiates1 su* 
z frequ5t take-back programs & fix$     
m$ic9e disposal sites at law en=cem5t   
public build+s1 & to r$uce opportunities
 = abuse ( opiates1 su* z e/abli%+      
opioid disp5s+ limits at hospital       
em]g5cy dep>tm5ts4  #h4 ,,gao report ,! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all review prescription drug abuse     
programs & policies 9 ,f$]al ag5cies &  
be/ practices ) respect to prescription 
drug abuse programs ( ! ,/ates &1 n lat]
 ?an #ah mon?s aft] ! date ( enactm5t ( 
?is ,act1 %all issue a report to        
,congress on its f9d+s & recomm5dations 
on ways to r$uce prescription drug      
abuse4