,,ii #aacth ,,congress #b;d ,session ,s4 #bebi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #be1 #bjad ,mrs4 ,shaheen 7for herself1 ,mr4 ,toomey1 ,mr4 ,durbin1 and ,mr4 ,sessions7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend and reauthorize the controlled substance monitoring program under section #cii,o of the ,public ,health ,service ,act4 #a4 ,short title ,this ,act may be cited as the ,national ,all ,schedules ,prescription ,electronic ,reporting ,reauthorization ,act of #bjad4 #b4 ,amendment to purpose ,paragraph 7#a7 of section #b of the ,national ,all ,schedules ,prescription ,electronic ,reporting ,act of #bjje 7,public ,law #aji-fj7 is amended to read as follows3 7#a7 foster the establishment of ,state-administered controlled substance monitoring systems in order to ensure that-- 7,a7 health care providers have access to the accurate1 timely prescription history information that they may use as a tool for the early identification of patients at risk for addiction in order to initiate appropriate medical interventions and avert the tragic personal1 family1 and community consequences of untreated addiction2 and 7,b7 appropriate law enforcement1 regulatory1 and ,state professional licensing authorities have access to prescription history information for the purposes of investigating drug diversion and prescribing and dispensing practices of errant prescribers or pharmacists2 and 4 #c4 ,amendments to controlled substance monitoring program ,section #cii,o of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g-#c7 is amended-- 7#a7 in subsection 7a77#a7-- 7,a7 in subparagraph 7,a71 by striking or2 7,b7 in subparagraph 7,b71 by striking the period at the end and inserting 2 or2 and 7,c7 by adding at the end the following3 7,c7 to maintain and operate an existing ,state-controlled substance monitoring program4 2 7#b7 by amending subsection 7b7 to read as follows3 7b7 ,minimum requirements ,the ,secretary shall maintain and1 as appropriate1 supplement or revise 7after publishing proposed additions and revisions in the ,federal ,register and receiving public comments thereon7 minimum requirements for criteria to be used by ,states for purposes of clauses 7ii71 7v71 7vi71 and 7vii7 of subsection 7c77#a77;,a74 2 7#c7 in subsection 7c7-- 7,a7 in paragraph 7#a77;,b7-- 7i7 in the matter preceding clause 7i71 by striking 7a77#a77;,b7 and inserting 7a77#a77;,b7 or 7a77#a77;,c72 7ii7 in clause 7i71 by striking program to be improved and inserting program to be improved or maintained2 7iii7 by redesignating clauses 7iii7 and 7iv7 as clauses 7iv7 and 7v71 respectively2 7iv7 by inserting after clause 7ii71 the following3 7iii7 a plan to apply the latest advances in health information technology in order to incorporate prescription drug monitoring program data directly into the workflow of prescribers and dispensers to ensure timely access to patients' controlled prescription drug history2 2 7v7 in clause 7iv7 7as so redesignated71 by inserting before the semicolon the following3 and at least one health information technology system such as electronic health records1 health information exchanges1 and e-prescribing systems2 and 7vi7 in clause 7v7 7as so redesignated71 by striking public health and inserting public health or public safety2 7,b7 in paragraph 7#c7-- 7i7 by striking ,if a ,state that submits and inserting the following3 7,a7 ,in general ,if a ,state that submits 2 7ii7 by inserting before the period at the end and include timelines for full implementation of such interoperability4 ,the ,state shall also describe the manner in which it will achieve interoperability between its monitoring program and health information technology systems1 as allowable under ,state law1 and include timelines for the implementation of such interoperability2 and 7iii7 by adding at the end the following3 7,b7 ,monitoring of efforts ,the ,secretary shall monitor ,state efforts to achieve interoperability1 as described in subparagraph 7,a74 2 7,c7 in paragraph 7#e7-- 7i7 by striking implement or improve and inserting establish1 improve1 or maintain2 and 7ii7 by adding at the end the following3 ,the ,secretary shall redistribute any funds that are so returned among the remaining grantees under this section in accordance with the formula described in subsection 7a77#b77;,b742 7#d7 in subsection 7d7-- 7,a7 in the matter preceding paragraph 7#a7-- 7i7 by striking ,in implementing or improving and all that follows through 7a77#a77;,b7 and inserting ,in establishing1 improving1 or maintaining a controlled substance monitoring program under this section1 a ,state shall comply1 or with respect to a ,state that applies for a grant under subparagraph 7,b7 or 7,c7 of subsection 7a77#a72 and 7ii7 by striking public health and inserting public health or public safety2 and 7,b7 by adding at the end the following3 7#e7 ,the ,state shall report on interoperability with the controlled substance monitoring program of ,federal agencies1 where appropriate1 interoperability with health information technology systems such as electronic health records1 health information exchanges1 and e-prescribing1 where appropriate1 and whether or not the ,state provides automatic1 real-time or daily information about a patient when a practitioner 7or the designee of a practitioner1 where permitted7 requests information about such patient4 2 7#e7 in subsections 7e71 7f77#a71 and 7g71 by striking implementing or improving each place it appears and inserting establishing1 improving1 or maintaining2 7#f7 in subsection 7f7-- 7,a7 in paragraph 7#a77;,b7 by striking misuse of a schedule ,,ii1 ,,iii1 or ,,iv substance and inserting misuse of a controlled substance included in schedule ,,ii1 ,,iii1 or ,,iv of section #bjb7;c7 of the ,controlled ,substance ,act2 and 7,b7 by adding at the end the following3 7#c7 ,evaluation and reporting ,subject to subsection 7g71 a ,state receiving a grant under subsection 7a7 shall provide the ,secretary with aggregate data and other information determined by the ,secretary to be necessary to enable the ,secretary-- 7,a7 to evaluate the success of the ,state's program in achieving its purposes2 or 7,b7 to prepare and submit the report to ,congress required by subsection 7k77#b74 7#d7 ,research by other entities ,a department1 program1 or administration receiving nonidentifiable information under paragraph 7#a77;,d7 may make such information available to other entities for research purposes4 2 7#g7 by striking subsection 7k72 7#h7 by redesignating subsections 7h7 through 7j7 as subsections 7i7 through 7k71 respectively2 7#i7 in subsections 7c77#a77;,a77iv7 and 7d77#d71 by striking subsection 7h7 each place it appears and inserting subsection 7i72 7#aj7 by inserting after subsection 7g7 the following3 7h7 ,education and access to the monitoring system ,a ,state receiving a grant under subsection 7a7 shall take steps to-- 7#a7 facilitate prescriber and dispenser use of the ,state's controlled substance monitoring system2 and 7#b7 educate prescribers and dispenser on the benefits of the system both to them and society4 2 7#aa7 in subsection 7k77#b77;,a71 as redesignated-- 7,a7 in clause 7ii71 by striking or affected and inserting 1 established or strengthened initiatives to ensure linkages to substance use disorder services1 or affected 2 and 7,b7 in clause 7iii71 by striking including an assessment and inserting between controlled substance monitoring programs and health information technology systems1 and including an assessment 2 7#ab7 in subsection 7l77#a71 by striking establishment1 implementation1 or improvement and inserting establishment1 improvement1 or maintenance2 7#ac7 in subsection 7m77#h71 by striking and the ,district of ,columbia and inserting 1 the ,district of ,columbia1 and any commonwealth or territory of the ,united ,states2 and 7#ad7 by amending subsection 7n71 to read as follows3 7o7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated #g1jjj1jjj for each of fiscal years #bjad through #bjah4 4