,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bgee  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #ca1 #bjad ,mr4  
,re$ 7= himself1 ,mr4 ,durb91 ,mr4      
,:iteh\se1 ,mr4 ,m>key1 & ,mr4 ,leahy7  
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to prev5t dea?s occurr+ f   
drug ov]doses4  #a4  ,%ort title  ,?is  
,act may be cit$ z ! ,ov]dose ,prev5tion
 ,act4  #b4  ,f9d+s  ,congress f9ds !   
foll[+3  7#a7 ,accord+ to ! ,c5t]s =    
,disease ,control & ,prev5tion1 ea* day 
9 ! ,unit$ ,/ates1 m ?an #ajj p die f a 
drug ov]dose4 ,among p #be to #fd ye>s  
old1 drug ov]dose causes m dea?s ?an    
motor vehicle accid5ts4  7#b7 ,! ,c5t]s 
= ,disease ,control & ,prev5tion reports
 t m ?an #da1jjj p 9 ! ,unit$ ,/ates di$
 f a drug ov]dose 9 #bjaa alone4 ,ne>ly 
#hj p]c5t ( ^? dea?s 7 due to           
un9t5tional drug ov]doses1 & _m c\ld h  
be5 prev5t$4  7#c7 ,dea?s result+ f     
un9t5tional drug ov]doses increas$ m ?an

 #cjj p]c5t betwe5 #aihj & #aiih1 &     
ne>ly tripl$ betwe5 #aiii & #bjaa4  7#d7
 ,n9ety-"o p]c5t ( all un9t5tional      
poison+ dea?s are due to drugs4 ,s9ce   
#aiii1 9 ! ,unit$ ,/ates ! population ( 
non-,hispanic ,:ites & ! population (   
,indians 7z def9$ 9 section #d ( !      
,indian ,self-,det]m9ation & ,education 
,assi/ance ,act 7#be ,u4,s4,c4 #dej;b77 
h se5 ! highe/ rates ( un9t5tional drug 
poison+ dea?s4  7#e7 ,opioid m$ications 
su* z oxycodone & hydrocodone are       
involv$ 9 #ee p]c5t ( all un9t5tional   
drug poison+ dea?s4  7#f7 ,betwe5 #aiii 
& #bjaj1 opioid m$ication ov]dose       
fatalities increas$ by m ?an #djj p]c5t 
among wom5 & #bfe p]c5t among m54  7#g7 
,milit>y vet]ans are at elevat$ risk (  
exp]i5c+ a drug ov]dose4 ,vet]ans :o    
s]v$ 9 ,vietnam1 ,iraq1 or ,afghani/an &
 :o h combat injuries1 po/traumatic     
/ress disord]1 & o!r co-occurr+ m5tal   
heal? diagnoses are at elevat$ risk (   
fatal drug ov]dose f opioid m$ications4 
7#h7 ,rural & suburban regions are      

disproportionately affect$ by opioid    
m$ication ov]doses4 ,urban c5t]s also   
cont9ue to /ruggle ) ov]dose1 :i* is !  
lead+ cause ( dea? among homeless       
adults4  7#i7 ,9 ! ye> #bjji alone1     
e/imat$ lo/ productivity & direct m$ical
 co/s f opioid m$ication poison+s exce$$
 #bj1jjj1jjj1jjj4  7#aj7 ,bo? fatal &   
nonfatal ov]doses place a heavy burd5 on
 public heal? & public safety res\rces1 
yet !re is no coord9at$ cross-,f$]al    
ag5cy response to prev5t ov]dose        
fatalities4  7#aa7 ,naloxone is a       
m$ication t rapidly rev]ses ov]dose f   
h]o9 & opioid m$ications4  7#ab7 ,9     
#bjab1 ! ,food & ,drug ,adm9i/ration    
held a public work%op 9 collaboration ) 
! ,national ,in/itute on ,drug ,abuse & 
! ,c5t]s = ,disease ,control &          
,prev5tion1 & ) p>ticipation f !        
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration & ! ,(fice (     
,national ,drug ,control ,policy1 to    
discuss mak+ naloxone m widely available
 outside ( conv5tional m$ical sett+s to 

r$uce ! incid5ce ( opioid ov]dose       
fatalities4  7#ac7 ,lawmak]s 9          
,cali=nia1 ,colorado1 ,connecticut1     
,georgia1 ,ill9ois1 ,k5tucky1 ,ma9e1    
,m>yl&1 ,massa*usetts1 ,m9nesota1 ,new  
,j]sey1 ,new ,mexico1 ,new ,york1 ,nor? 
,c>ol9a1 ,ohio1 ,oklahoma1 ,oregon1     
,rhode ,isl&1 ,t5nessee1 ,utah1 ,v]mont1
 ,virg9ia1 ,wa%+ton1 ,wiscons91 & !     
,di/rict ( ,columbia h remov$ legal     
imp$im5ts to increas+ naloxone          
prescription & its use by by/&]s :o are 
9 a position to respond to an ov]dose4  
7#ad7 ,! ,am]ican ,m$ical ,association1 
! ,nation's l>ge/ physician             
organization1 supports fur!r            
implem5tation ( community-bas$ programs 
t (f] naloxone & o!r opioid ov]dose     
prev5tion s]vices4  7#ae7               
,community-bas$ ov]dose prev5tion       
programs h successfully prev5t$ dea?s f 
opioid ov]doses by mak+ rescue tra9+ &  
naloxone available to fir/ respond]s1   
p>5ts1 & o!r by/&]s :o may enc\nt] an   
ov]dose4 ,a /udy fund$ by ! ,c5t]s =    

,disease ,control & ,prev5tion (        
community-bas$ ov]dose prev5tion        
programs provid$ by ! ,massa*usetts     
,dep>tm5t ( ,public ,heal? f\nd t       
communities ) access to ov]dose         
prev5tion programs exp]i5c$ l[]         
mortality rates f opioid ov]doses ?an   
communities t did n h access to ov]dose 
prev5tion programs dur+ ! /udy p]iod4   
7#af7 ,ov] #ej1jjj pot5tial by/&]s h be5
 tra9$ by ov]dose prev5tion programs 9 !
 ,unit$ ,/ates4 ,a ,c5t]s = ,disease    
,control & ,prev5tion report cr$its     
ov]dose prev5tion programs ) sav+ m ?an 
#aj1jjj lives s9ce #aiif4  7#ag7 ,at    
lea/ #ahh local ov]dose prev5tion       
programs are op]at+ 9 ! ,unit$ ,/ates1  
includ+ 9 major cities su* z ,baltimore1
 ,*icago1 ,los ,angeles1 ,new ,york     
,city1 ,bo/on1 ,san ,francisco1 &       
,philadelphia1 & /atewide 9 ,new        
,mexico1 ,massa*usetts1 & ,new ,york4   
,betwe5 #bjjf & #bjji1 ov]dose prev5tion
 programs facilitat$ by ! ,massa*usetts 
,dep>tm5t ( ,public ,heal? tra9$ m ?an  

#d1hjj p :o report$ m ?an #ejj rescues4 
,s9ce #bjjd1 a program adm9i/]$ by !    
,baltimore ,city ,heal? ,dep>tm5t has   
tra9$ m ?an #c1jjj p :o report$ m ?an   
#bbj rescues4 ,project ,laz>us1 an      
ov]dose prev5tion program 9 ,wilkes     
,c\nty1 ,nor? ,c>ol9a1 r$uc$ ov]dose    
dea?s #fi p]c5t betwe5 #bjji & #bjaa4   
7#ah7 ,9 ,ill9ois1 ! ,dep>tm5t ( ,human 
,s]vices1 ,division ( ,alcoholism &     
,sub/ance ,abuse has enroll$ ov] #bj    
drug ov]dose prev5tion programs ) ov]   
#ajj designat$ sites across ,ill9ois    
t>get+ multiple s]vice populations4 ,^! 
enrollees include police dep>tm5ts1     
c\nty heal? dep>tm5ts1 m$ical           
facilities1 lic5s$ sub/ance abuse       
treatm5t programs1 & community          
organizations4 ,/atewide1 ov] #b1jjj    
police (fic]s & m ?an #fjj o!rs h be5   
tra9$ ?us f>4 ,! ,du,page ,c\nty        
,ill9ois ,heal? ,dep>tm5t has tra9$ ov] 
#a1bjj police (fic]s & has report$ #ab  
ov]dose rev]sals4  7#ai7 ,! ,(fice (    
,national ,drug ,control ,policy        

supports equipp+ fir/ respond]s to help 
rev]se ov]doses4 ,police (fic]s on      
patrol 9 ,qu9cy1 ,massa*usetts1 h       
conduct$ #agj ov]dose rescues ) naloxone
 s9ce #bjaj4 ,! police dep>tm5t has     
report$ a #ie-p]c5t success rate )      
ov]dose rescue attempts by police       
(fic]s4 ,9 ,suffolk ,c\nty1 ,new ,york1 
police (fic]s h sav$ m ?an #ej lives )  
naloxone4  7#bj7 ,rese>* %[s t ! co/ p] 
ye> ( life ga9$ by mak+ naloxone        
available to rev]se ov]doses is )9 !    
range ( :at p 9 ! ,unit$ ,/ates usually 
pay = heal? treatm5ts4  7#ba7 ,ov]dose  
prev5tion programs are ne$$ 9           
correctional facilities1 addiction      
treatm5t programs1 & o!r places :]e p   
are at high] risk ( ov]dos+ aft] a p]iod
 ( ab/95ce4  7#bb7 ,p affect$ by drug   
ov]dose ga!r on ,augu/ #ca ( ea* ye> 9  
communities nationwide = ,ov]dose       
,aw>5ess ,day1 to m\rn & pay tribute to 
lov$ ones & raise aw>5ess ab\t ov]dose  
risk & prev5tion4  #c4  ,ov]dose        
prev5tion programs ,title ,,iii ( !     

,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bda et seq47 is am5d$ by add+
 at ! end ! foll[+3  ,w ,ov]dose        
prev5tion programs  #cii,,oo4           
,coop]ative agreem5t program to r$uce   
drug ov]dose dea?s  7a7  ,program       
au?oriz$  ,! ,secret>y1 act+ ?r\gh !    
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all ent] into coop]ative
 agreem5ts ) eligible entities to enable
 ! eligible entities to r$uce dea?s     
occurr+ f ov]doses ( drugs4  7b7        
,eligible entities ,to be eligible to   
receive a coop]ative agreem5t "u ?is    
section1 an entity %all be a ,/ate1     
local1 or tribal gov]nm5t1 a            
correctional in/itution1 a law en=cem5t 
ag5cy1 a community ag5cy1 a pr(essional 
organization 9 ! field ( poison control 
& surveillance1 or a private nonpr(it   
organization4  7c7 ,application  7#a7   
,9 g5]al  ,an eligible entity desir+ a  
coop]ative agreem5t "u ?is section %all 
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      

in=mation z ! ,secret>y may require4    
7#b7  ,cont5ts  ,an application "u      
p>agraph 7#a7 %all include--  7,a7 a    
description ( ! activities to be fund$  
?r\gh ! coop]ative agreem5t2 &  7,b7    
evid5ce t ! eligible entity has !       
capacity to c>ry out su* activities4    
7d7  ,priority  ,9 ent]+ into coop]ative
 agreem5ts "u subsection 7a71 !         
,secret>y %all give priority to eligible
 entities t--  7#a7 are a public heal?  
ag5cy or community-bas$ organization2 & 
7#b7 h exp]tise 9 prev5t+ dea?s occurr+ 
f ov]doses ( drugs 9 populations at high
 risk ( su* dea?s4  7e7  ,eligible      
activities  ,z a condition ( receipt ( a
 coop]ative agreem5t "u ?is section1 an 
eligible entity %all agree to use !     
coop]ative agreem5t to d ea* ( ! foll[+3
 7#a7 ,pur*ase & di/ribute ! drug       
naloxone or a simil>ly effective        
m$ication4  7#b7 ,c>ry out "o or m ( !  
foll[+ activities3  7,a7 ,educat+       
prescrib]s & ph>maci/s ab\t ov]dose     
prev5tion & naloxone prescription1 or   

prescription ( a simil>ly effective     
m$ication4  7,b7 ,tra9+ fir/ respond]s1 
o!r individuals 9 a position to respond 
to an ov]dose1 & law en=cem5t &         
corrections (ficials on ! effective     
response to individuals :o h ov]dos$ on 
drugs4 ,tra9+ pursuant to ?is           
subp>agraph may include any activity t  
is educational1 in/ructional1 or        
consultative 9 nature1 & may include    
volunte] tra9+1 aw>5ess build+ ex]cises1
 outrea* to individuals :o are at-risk (
 a drug ov]dose1 & di/ribution (        
educational mat]ials4  7,c7 ,implem5t+ &
 enhanc+ programs to provide ov]dose    
prev5tion1 recognition1 treatm5t1 &     
response to individuals 9 ne$ ( su*     
s]vices4  7,d7 ,educat+ ! public &      
provid+ outrea* to ! public ab\t ov]dose
 prev5tion & naloxone prescriptions1 or 
prescriptions ( o!r simil>ly effective  
m$ications4  7f7  ,coord9at+ c5t]  7#a7 
,e/abli%m5t  ,! ,secret>y %all e/abli% &
 provide = ! op]ation ( a coord9at+ c5t]
 responsible =--  7,a7 collect+1        

compil+1 & dissem9at+ data on ! programs
 & activities "u ?is section1 includ+   
track+ & evaluat+ ! di/ribution & use ( 
naloxone & o!r simil>ly effective       
m$ication2  7,b7 evaluat+ su* data &1   
bas$ on su* evaluation1 develop+ be/    
practices = prev5t+ dea?s occurr+ f drug
 ov]doses2  7,c7 mak+ su* be/ practices 
specific to ! type ( community involv$2 
7,d7 coord9at+ & h>moniz+ data          
collection measures2  7,e7 evaluat+ !   
effects ( ! program on ov]dose rates3 & 
7,f7 education & outrea* to ! public    
ab\t ov]dose prev5tion & prescription ( 
naloxone & o!r simil>ly effective       
m$ication4  7#b7  ,reports to c5t]  ,z a
 condition on receipt ( a coop]ative    
agreem5t "u ?is section1 an eligible    
entity %all agree to prep>e & submit1 n 
lat] ?an #ij days aft] ! end ( !        
coop]ative agreem5t p]iod1 a report to  
su* coord9at+ c5t] & ! ,secret>y        
describ+ ! results ( ! activities       
support$ ?r\gh ! coop]ative agreem5t4   
7g7 ,duration  ,! p]iod ( a coop]ative  

agreem5t "u ?is section %all be #d ye>s4
  7h7  ,def9ition ,9 ?is "p1 ! t]m drug 
means--  7#a7 a drug1 z def9$ 9 section 
#bja ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4 #cba72 &  
7#b7 includes controll$ sub/ances1 z    
def9$ 9 section #ajb ( ! ,controll$     
,sub/ances ,act 7#ba ,u4,s4,c4 #hjb74   
7i7 ,au?orization ( appropriations  ,!re
 are au?oriz$ to be appropriat$         
#bj1jjj1jjj to c>ry out ?is section =   
ea* ( ! fiscal ye>s #bjae ?r\gh #bjai4  
#cii,,oo-#a4  ,surveillance capacity    
build+  7a7  ,program au?oriz$  ,!      
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion1
 %all aw>d coop]ative agreem5ts to      
eligible entities to improve fatal &    
nonfatal drug ov]dose surveillance &    
report+ capabilities1 includ+--  7#a7   
provid+ tra9+ to improve id5tification (
 drug ov]dose z ! cause ( dea? by       
coron]s & m$ical exam9]s2  7#b7         
e/abli%+1 9 coop]ation ) ! ,national    
,poison ,data ,sy/em1 coron]s1 & m$ical 

exam9]s1 a compreh5sive national program
 = surveillance (1 & report+ to an      
electronic database on1 drug ov]dose    
dea?s 9 ! ,unit$ ,/ates2 &  7#c7        
e/abli%+1 9 coop]ation ) ! ,national    
,poison ,data ,sy/em1 a compreh5sive    
national program = surveillance (1 &    
report+ to an electronic database on1   
fatal & nonfatal drug ov]dose           
occurr5ces1 includ+ epidemiological &   
toxicologic analysis & tr5ds4  7b7      
,eligible entity ,to be eligible to     
receive a coop]ative agreem5t "u ?is    
section1 an entity %all be-- 7#a7 a     
,/ate1 local1 or tribal gov]nm5t2 or    
7#b7 ! ,national ,poison ,data ,sy/em   
work+ 9 conjunction ) a ,/ate1 local1 or
 tribal gov]nm5t4  7c7 ,application     
7#a7  ,9 g5]al  ,an eligible entity     
desir+ a coop]ative agreem5t "u ?is     
section %all submit to ! ,secret>y an   
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7#b7  ,cont5ts  ,! application
 describ$ 9 p>agraph 7#a7 %all include--

  7,a7 a description ( ! activities to  
be fund$ ?r\gh ! coop]ative agreem5t2 & 
7,b7 evid5ce t ! eligible entity has !  
capacity to c>ry out su* activities4    
7d7  ,report  ,z a condition ( receipt (
 a coop]ative agreem5t "u ?is section1  
an eligible entity %all agree to prep>e 
& submit1 n lat] ?an #ij days aft] ! end
 ( ! coop]ative agreem5t p]iod1 a report
 to ! ,secret>y describ+ ! results ( !  
activities support$ ?r\gh ! coop]ative  
agreem5t4  7e7 ,national poison data    
sy/em ,9 ?is section1 ! t]m ,national   
,poison ,data ,sy/em means ! sy/em      
op]at$ by ! ,am]ican ,association (     
,poison ,control ,c5t]s1 9 p>tn]%ip ) ! 
,c5t]s = ,disease ,control & ,prev5tion1
 = real-"t local1 ,/ate1 & national     
electronic report+1 & ! correspond+     
database network4  7f7 ,au?orization (  
appropriations  ,!re are au?oriz$ to be 
appropriat$ to c>ry out ?is section     
#e1jjj1jjj = ea* ( ! fiscal ye>s #bjae  
?r\gh #bjai4  #cii,,oo-#b4  ,r$uc+      
ov]dose dea?s  7a7  ,prev5tion ( drug   

ov]dose  ,n lat] ?an #ahj days aft] !   
date ( ! enactm5t ( ?is section1 !      
,secret>y1 9 consultation ) a task =ce  
compris$ ( /akehold]s1 %all develop a   
plan to r$uce ! numb] ( dea?s occurr+ f 
ov]doses ( drugs & %all submit ! plan to
 ,congress4 ,! plan %all include--  7#a7
 a plan = implem5tation ( a public heal?
 campaign to educate prescrib]s & !     
public ab\t ov]dose prev5tion &         
prescription ( naloxone & o!r simil>ly  
effective m$ication2  7#b7              
recomm5dations = improv+ & exp&+ ov]dose
 prev5tion programm+2 &  7#c7           
recomm5dations = su* legislative or     
adm9i/rative action z ! ,secret>y       
det]m9es appropriate4  7b7  ,task =ce   
repres5tation  7#a7  ,requir$ memb]s  ,!
 task =ce "u subsection 7a7 %all include
 at lea/ "o repres5tative ( ea* ( !     
foll[+3  7,a7 ,individuals directly     
impact$ by drug ov]dose4  7,b7 ,direct  
s]vice provid]s :o engage individuals at
 risk ( a drug ov]dose4  7,c7 ,drug     
ov]dose prev5tion advocates4  7,d7 ,!   

,national ,in/itute on ,drug ,abuse4    
7,e7 ,! ,c5t] = ,sub/ance ,abuse        
,treatm5t4  7,f7 ,! ,c5t]s = ,disease   
,control & ,prev5tion4  7,g7 ,! ,heal?  
,res\rces & ,s]vices ,adm9i/ration4     
7,h7 ,! ,food & ,drug ,adm9i/ration4    
7,i7 ,! ,(fice ( ,national ,drug        
,control ,policy4  7,j7 ,! ,am]ican     
,m$ical ,association4  7,k7 ,! ,am]ican 
,association ( ,poison ,control ,c5t]s4 
7,l7 ,! ,f$]al ,bureau ( ,prisons4  7,m7
 ,! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices4
  7,n7 ,! ,dep>tm5t ( ,ju/ice4  7,o7 ,! 
,dep>tm5t ( ,def5se4  7,p7 ,! ,dep>tm5t 
( ,vet]ans ,affairs4  7,q7 ,fir/        
respond]s4  7,r7 ,law en=cem5t4  7,s7   
,/ate ag5cies responsible = drug ov]dose
 prev5tion4  7#b7  ,additional memb]s   
,9 addition to ! repres5tatives requir$ 
by p>agraph 7#a71 ! task =ce "u         
subsection 7a7 may include o!r          
individuals ) exp]tise relat+ to drug   
ov]doses or repres5tatives ( entities ) 
exp]tise relat+ to drug ov]doses1 z !   
,secret>y det]m9es appropriate4  4  #d4 

,ov]dose prev5tion rese>* ,subp>t #ae ( 
"p ,c ( title ,,iv ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bheo et    
seq47 is am5d$ by add+ at ! end !       
foll[+3  #dfd,q4 ,ov]dose prev5tion     
rese>*  7a7  ,ov]dose rese>*  ,!        
,director ( ! ,in/itute %all prioritize 
& conduct or support rese>* on drug     
ov]dose & ov]dose prev5tion4 ,! prim>y  
aims ( ?is rese>* %all include--  7#a7  
an exam9ation ( circum/ances t          
contribute to drug ov]dose &            
id5tification ( drugs associat$ ) fatal 
ov]dose2  7#b7 an evaluation ( exi/+    
ov]dose prev5tion me?ods2  7#c7 pilot   
programs or rese>* trials on new ov]dose
 prev5tion /rategies or programs t h n  
be5 /udi$ 9 ! ,unit$ ,/ates2  7#d7      
sci5tific rese>* conc]n+ ! effectiv5ess 
( ov]dose prev5tion programs1 includ+ h[
 to effectively implem5t & su/a9 su*    
programs2  7#e7 comp>ative effectiv5ess 
rese>* ( model programs2 &  7#f7        
implem5tation ( sci5ce rese>* conc]n+   
effective ov]dose prev5tion programm+   

exam9+ h[ to implem5t & su/a9 ov]dose   
prev5tion programm+4  7b7  ,=mulations (
 naloxone  ,! ,director ( ! ,in/itute   
%all support rese>* on ! developm5t (   
=mulations ( naloxone1 & o!r simil>ly   
effective m$ications1 & dosage deliv]y  
devices specifically int5d$ to be us$ by
 lay p]sons or fir/ respond]s = !       
prehospital treatm5t ( un9t5tional drug 
ov]dose4  7c7  ,def9ition ,9 ?is        
section1 ! t]m drug has ! mean+ giv5 su*
 t]m 9 section #cii,,oo4  7d7           
,au?orization ( appropriations  ,!re are
 au?oriz$ to be appropriat$ to c>ry out 
?is section #e1jjj1jjj = ea* ( ! fiscal 
ye>s #bjae ?r\gh #bjai4  4