,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bejd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ai1 #bjad ,ms4  
,ayotte 7= h]self & ,mr4 ,donnelly7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to address prescription     
opioid & h]o9 abuse4  #a4 ,%ort title   
,?is ,act may be cit$ z ! ,h]o9 &       
,prescription ,opioid ,abuse ,prev5tion1
 ,education1 & ,en=cem5t ,act ( #bjad4  
#b4 ,f9d+s  7#a7 ,! ,controll$          
,sub/ances ,act 7#ba ,u4,s4,c4 #hja et  
seq47 decl>es t _m controll$ sub/ances h
 a useful & legitimate m$ical purpose & 
are necess>y to ma9ta9 ! heal? & g5]al  
welf>e ( ! p ( ! ,unit$ ,/ates4  7#b7   
,heal? c>e pr(essionals1 m$ical exp]ts1 
rese>*]s1 & sci5ti/s h f\nd pa9 to be a 
major national heal? problem4  7#c7 ,!  
responsible treatm5t ( pa9 is a high    
priority = our ,nation & ! ne$s (       
individuals ) pa9 mu/ be tak5 into      
c>eful consid]ation :5 tak+ /eps to     

prev5t prescription drug misuse & abuse4
  7#d7 ,:5 no long] ne$$ or want$ =     
legitimate pa9 managem5t or heal?       
treatm5t1 prescription opioids are      
susceptible to div]sion4 ,prescription  
opioids also may be abus$ by individuals
 :o 7 n prescrib$ su* drugs or misus$ by
 individuals n tak+ su* drugs z direct$4
  7#e7 ,approximately #d out ( #e new   
h]o9 us]s report t !y became addict$ to 
prescription opioids be=e !y us$ h]o9 = 
! fir/ "t4  7#f7 ,accord+ to ! ,national
 ,in/itute on ,drug ,abuse1 h]o9 atta*es
 to ! same bra9 cell receptors z        
prescription opioids4  7#g7 ,! l[ co/ & 
high purity ( curr5tly available h]o9   
has contribut$ to an increase 9 h]o9    
use4  7#h7 ,m p are us+ h]o91 & are us+ 
h]o9 at a y\ng] age4 ,! ,national       
,survey on ,drug ,use & ,heal? reports t
 new h]o9 us]s numb]$ #adb1jjj 9 #bjaj1 
& increas$ to #agh1jjj 9 #bjaa4 ,9      
#bjaa1 ! av]age age at fir/ use among   
h]o9 abus]s betwe5 #ab & #di ye>s 0     
#bb4a ye>s4 ,9 #bjji1 ! av]age age at   

fir/ use among h]o9 abus]s betwe5 #ab & 
#di ye>s 0 #be4e ye>s4  7#i7 ,accord+ to
 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1
 h]o9 use rose #gi p]c5t nationwide     
betwe5 #bjjg & #bjab4  7#aj7 ,dea?s f   
h]o9 ov]dose h significantly increas$ 9 
communities across ! ,unit$ ,/ates4     
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! numb] ( dea?s involv+  
h]o9 increas$ by #aaj p]c5t f #bjjf to  
#bjaa4 ,f #bjaj to #bjaa1 ! numb] ( h]o9
 dea?s rose f #c1jcf to #d1cig4  7#aa7  
,! ,edw>d ,byrne ,memorial ,ju/ice      
,assi/ance ,grant ,program is critical  
to fight+ ! prescription opioid abuse & 
h]o9 use epidemics1 & %\ld be reau?oriz$
 & fully fund$4  #c4 ,developm5t ( be/  
prescrib+ practices  7a7 ,int]-,ag5cy   
task =ce ,n lat] ?an #abj days aft] !   
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices 7ref]r$ to 9 
?is section z ! ,secret>y71 9 coop]ation
 ) ! ,secret>y ( ,vet]ans ,affairs1 !   
,secret>y ( ,def5se1 & ! ,adm9i/rator ( 
! ,drug ,en=cem5t ,adm9i/ration1 %all   

conv5e a ,pa9 ,managem5t ,be/ ,practices
 ,int]-,ag5cy ,task ,=ce 7ref]r$ to 9   
?is section z ! task =ce74  7b7         
,memb]%ip ,! task =ce %all be compris$  
(-- 7#a7 repres5tatives (-- 7,a7 !      
,dep>tm5t ( ,heal? & ,human ,s]vices2   
7,b7 ! ,dep>tm5t ( ,vet]ans ,affairs2   
7,c7 ! ,dep>tm5t ( ,def5se2  7,d7 !     
,drug ,en=cem5t ,adm9i/ration2 &  7,e7 !
 ,in/itute ( ,m$ic9e2  7#b7 ! ,director 
( ! ,national ,in/itutes ( ,heal?2  7#c7
 physicians & non-physician prescrib]s2 
7#d7 ph>maci/s2  7#e7 exp]ts 9 ! fields 
( pa9 rese>* & addiction rese>*2  7#f7  
repres5tatives (-- 7,a7 pa9 managem5t   
pr(essional organizations2  7,b7 ! m5tal
 heal? treatm5t community2 &  7,c7 pa9  
advocacy gr\ps2 &  7#g7 o!r /akehold]s1 
z ! ,secret>y det]m9es appropriate4  7c7
 ,duties ,! task =ce %all-- 7#a7 n lat] 
?an #ahj days aft] ! date on :i* ! task 
=ce is conv5$1 develop be/ practices =  
pa9 managem5t & prescription pa9        
m$ication prescrib+ practices1 tak+ into
 consid]ation-- 7,a7 exi/+ pa9 managem5t

 rese>*2  7,b7 recomm5dations f relevant
 conf]5ces2 &  7,c7 ongo+ ef=ts at !    
,/ate & local levels & by m$ical        
pr(essional organizations to develop    
improv$ pa9 managem5t /rategies2  7#b7  
solicit & take into consid]ation public 
comm5t on ! practices develop$ "u       
p>agraph 7#a71 am5d+ su* be/ practices  
if appropriate2 &  7#c7 develop a       
/rategy = dissem9at+ in=mation ab\t !   
be/ practices develop$ "u p>agraphs 7#a7
 & 7#b7 to prescrib]s1 ph>maci/s1 ,/ate 
m$ical bo>ds1 & o!r p>ties1 z !         
,secret>y det]m9es appropriate4  7d7    
,limitation ,! task =ce %all n h        
rulemak+ au?ority4  7e7 ,report ,n lat] 
?an #bgj days aft] ! date on :i* ! task 
=ce is conv5$ "u subsection 7a71 ! task 
=ce %all submit to ,congress a report t 
includes-- 7#a7 ! /rategy = dissem9at+  
be/ practices develop$ "u subsection    
7c72  7#b7 ! results ( a feasibility    
/udy on l9k+ be/ practices develop$ "u  
p>agraphs 7#a7 & 7#b7 ( subsection 7c7  
to receiv+ & r5ew+ regi/rations "u      

section #cjc7;f7 ( ! ,controll$         
,sub/ances ,act 7#ba ,u4,s4,c4          
#hbc7;f772 &  7#c7 recomm5dations on h[ 
to apply su* be/ practices to improve   
prescrib+ practices at m$ical facilities
 ( ! ,vet]ans ,heal? ,adm9i/ration4  #d4
 ,h>old ,rog]s ,prescription ,drug      
,monitor+ ,program  7a7 ,au?orization ( 
appropriations ,to c>ry out ! ,h>old    
,rog]s ,prescription ,drug ,monitor+    
,program e/abli%$ "u ! ,dep>tm5ts (     
,comm]ce1 ,ju/ice1 & ,/ate1 ! ,judici>y1
 & ,relat$ ,ag5cies ,appropriations     
,act1 #bjjb 7,public ,law #ajg-gg2 #aae 
,/at4 #gdh71 !re is au?oriz$ to be      
appropriat$ #i1jjj1jjj = ea* ( fiscal   
ye>s #bjae ?r\gh #bjai4  7b7 ,,gao      
report ,n lat] ?an ,octob] #a1 #bjaf1 ! 
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all submit to ,congress a report on !  
effectiv5ess ( ! ,h>old ,rog]s          
,prescription ,drug ,monitor+ ,program 9
 r$uc+ prescription drug abuse1 &1 to ! 
ext5t practicable1 any correspond+      
increase or decrease 9 ! use ( h]o94    

#e4 ,reau?orization ( ,byrne ,ju/ice    
,assi/ance ,grant program ,section #ejh 
( title ,i ( ! ,omnibus ,crime ,control 
& ,safe ,/reets ,act ( #aifh 7#db       
,u4,s4,c4 #cgeh7 is am5d$ by /rik+ #bjjf
 ?r\gh #bjab & ins]t+ #bjae ?r\gh #bjai4
  #f4 ,(fice ( ,national ,drug ,control 
,policy  7a7 ,update ( plan ,to acc\nt =
 increas$ h]o9 use ,n lat] ?an #ahj days
 aft] ! date ( enactm5t ( ?is ,act1 !   
,director ( ! ,(fice ( ,national ,drug  
,control ,policy %all revise ! #bjaa    
,prescription ,drug ,abuse ,prev5tion   
,plan to reassess ! approa* "u su* plan 
to address+ prescription drug abuse 9   
light ( an increase 9 h]o9 use1 & to    
outl9e actions or programs t c be c>ri$ 
out to r$uce & prev5t su* abuse4  7b7   
,,gao recomm5dations = int]-,ag5cy      
coord9ation ,! ,director %all ensure t !
 ,(fice ( ,national ,drug ,control      
,policy takes into acc\nt ! report ( !  
,gov]nm5t ,acc\ntability ,(fice entitl$ 
,(fice ( ,national ,drug ,control       
,policy3 ,(fice ,c\ld ,bett] ,id5tify   

,opportunities to ,increase ,program    
,coord9ation issu$ on ,m>* #bf1 #bjac   
7,,gao-#ac-ccc71 & id5tifies            
opportunities to enhance int]ag5cy      
coord9ation z "p ( ! ,prescription ,drug
 ,abuse ,prev5tion ,plan1 z revis$ "u   
subsection 7a74  #g4 ,aw>5ess campaigns 
7a7 ,9 g5]al ,! ,secret>y ( ,heal? &    
,human ,s]vices %all advance ! education
 & aw>5ess ( provid]s1 pati5ts1 & o!r   
appropriate /akehold]s reg>d+ ! risk (  
abuse ( prescription opioid drugs if su*
 products are n tak5 z prescrib$4  7b7  
,drug-,free m$ia campaign  7#a7 ,9 g5]al
 ,! ,(fice ( ,national ,drug ,control   
,policy1 9 coord9ation ) ! ,secret>y (  
,heal? & ,human ,s]vices & ! ,attorney  
,g5]al1 %all e/abli% a national drug    
aw>5ess campaign4  7#b7 ,requirem5ts ,! 
national drug aw>5ess campaign "u       
p>agraph 7#a7 %all-- 7,a7 take into     
acc\nt ! association betwe5 prescription
 opioid abuse & h]o9 use2 &  7,b7       
emphasize ! simil>ities betwe5 h]o9 &   
prescription opioids & ! effects ( h]o9 

& prescription opioids on ! human body4 
7#c7 ,available funds ,funds = !        
national drug aw>5ess campaign may be   
d]iv$ f am\nts appropriat$ to ! ,(fice (
 ,national ,drug ,control ,policy &     
o!rwise available = obligation &        
exp5diture4