,,ii  #aac? ,,congress  #a/ ,session    
,s4 #cdh  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ad1 #bjac    
,mr4 ,rockefell] 7= himself1 ,mr4       
,man*91 & ,mrs4 ,gillibr&7 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to      
provide = increas$ ,f$]al ov]sight (    
prescription opioid treatm5t & assi/ance
 to ,/ates 9 r$uc+ opioid abuse1        
div]sion1 & dea?s4  #a4 ,%ort title ,?is
 ,act may be cit$ z ! ,prescription     
,drug ,abuse ,prev5tion & ,treatm5t ,act
 ( #bjac4  #b4 ,f9d+s ,congress makes ! 
foll[+ f9d+s3  7#a7 ,nonm$ical use (    
prescription pa9 reliev]s is a matt] (  
increas+ public heal? conc]n4 ,accord+  
to ! ,sub/ance ,abuse & ,m5tal ,heal?   
,s]vices ,adm9i/ration1 ! proportion (  
all sub/ance abuse treatm5t admissions  
ag$ #ab or old] t report$ any pa9       
reliev] abuse increas$ m ?an #djj p]c5t 
betwe5 #aiih & #bjjh1 f #b4b to #i4h    
p]c5t4  7#b7 ,9 #bjjh1 among !          

population ( ! ,unit$ ,/ates ag$ #ab or 
old]1 nonm$ical use ( prescription pa9  
reliev]s 0 ! second mo/ preval5t type ( 
illicit drug use1 aft] m>ijuana use4    
7#c7 ,:5 us$ prop]ly "u m$ical          
sup]vision1 prescription opiates enable 
individuals ) *ronic pa9 to lead        
productive lives4 ,h[ev]1 :5 tak5 )\t a 
physician's ov]sight & direction1       
opiates c cause s]i\s adv]se heal?      
effects1 result+ 9 dep5d5ce1 abuse1 &   
dea?4  7#d7 ,z ) any controll$ sub/ance1
 !re is a risk ( abuse ( me?adone & o!r 
opiates4  7#e7 ,me?adone is an          
ext5sively te/$1 f$]ally approv$1 &     
widely accept$ me?od ( treat+ addiction 
to prescription pa9 reliev]s or opiates4
  7#f7 ,= m ?an #cj ye>s1 ?is syn!tic   
prescription drug has be5 us$ = pa9     
managem5t & treatm5t = addiction to     
h]o91 morph9e1 & o!r opioid drugs4  7#g7
 ,! efficacy & l[] co/ ( me?adone has   
result$ 9 its be+ prescrib$ = pa9       
managem5t4  7#h7 ,prescriptions =       
me?adone h increas$ by ne>ly #gjj p]c5t 

f #aiih ?r\gh #bjjf4  7#i7 ,accord+ to !
 ,c5t]s = ,disease ,control &           
,prev5tion1 ! numb] ( poison+ dea?s     
involv+ me?adone increas$ ne>ly #g-;fold
 f almo/ #gij 9 #aiii to almo/ #e1dbj 9 
#bjjf1 :i* is ! mo/ rapid increase among
 opioid analgesics & o!r n>cotics       
involv$ 9 poison+ dea?s4  7#aj7 ,!      
age-specific rates ( me?adone dea? are  
high] = p]sons age #ce to #dd & #de to  
#ed ?an = o!r age gr\ps4 ,h[ev]1 ! rate 
( me?adone dea?s 9 y\ng] individuals    
7age #ae to #bd7 increas$ #aa-;fold f   
#aiii ?r\gh #bjje4  7#aa7 ,dea?s f      
me?adone & o!r opiates may actually be  
und]report$4 ,!re is no compreh5sive    
database ( drug-relat$ dea?s 9 ! ,unit$ 
,/ates4  7#ab7 ,! lack ( /&>diz$ report+
 by ,m$ical ,exam9]s precludes a uni=m  
def9ition ( cause ( dea? on dea?        
c]tificates4  7#ac7 ,! ,controll$       
,sub/ances ,act 7#ba ,u4,s4,c4 #hja et  
seq47 requires t e p]son :o disp5ses or 
:o proposes to disp5se controll$        
n>cotics1 includ+ me?adone1 :e!r = pa9  

managem5t or opioid treatm5t obta9 a    
regi/ration f ,drug ,en=cem5t           
,adm9i/ration4 ,un=tunately !re is no   
requirem5t z a condition ( receiv+ !    
regi/ration t ^! practition]s receive   
any education on ! use ( ^! controll$   
n>cotics1 includ+ me?adone4  7#ad7      
,curr5t ,f$]al ov]sight ( me?adone & o!r
 opioids is inadequate to address ! gr[+
 numb] ( opioid-relat$ ov]doses & dea?s4
  7#ae7 ,f$]al legislation is ne$$ to   
av]t opioid abuse1 misuse1 & dea?1 )\t  
r$uc+ pati5t access to ne$$ c>e4  #c4   
,consum] education campaign ,"p ,a (    
title ,v ( ! ,public ,heal? ,s]vice ,act
 7#db ,u4,s4,c4 #bij;aa et seq47 is     
am5d$ by add+ at ! end ! foll[+3        
#ejf;,c4 ,consum] education campaign    
7a7 ,9 g5]al ,! ,adm9i/rator %all aw>d  
grants to ,/ates & nonpr(it entities = !
 purpose ( conduct+ culturally s5sitive 
consum] education ab\t opioid abuse1    
includ+ me?adone abuse4 ,su* education  
%all include in=mation on ! dang]s (    
opioid abuse1 h[ to prev5t opioid abuse 

includ+ ?r\gh safe disposal (           
prescription m$ications & o!r safety    
precautions1 & detection ( e>ly w>n+    
signs ( addiction4  7b7 ,eligibility ,to
 be eligible to receive a grant "u      
subsection 7a71 an entity %all--  7#a7  
be a ,/ate or nonpr(it entity2 &  7#b7  
submit to ! ,adm9i/rator an application 
at su* "t1 9 su* mann]1 & conta9+ su*   
in=mation z ! ,adm9i/rator may require4 
7c7 ,priority ,9 aw>d+ grants "u ?is    
section1 ! ,adm9i/rator %all give       
priority to applicants t are ,/ates or  
communities ) a high incid5ce ( abuse ( 
me?adone & o!r opioids1 & opioid-relat$ 
dea?s4  7d7 ,evaluations ,! ,adm9i/rator
 %all develop a process to evaluate !   
effectiv5ess ( activities c>ri$ out by  
grantees "u ?is section at r$uc+ abuse (
 me?adone & o!r opioids4  7e7           
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #ae1jjj1jjj = ea* ( fiscal  
ye>s #bjad ?r\gh #bjah4  4  #d4         
,practition] education  7a7 ,education  

requirem5ts  7#a7 ,regi/ration          
consid]ation ,section #cjc7;f7 ( !      
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;f77 is am5d$ by ins]t+  
aft] p>agraph 7#e7 ! foll[+3  7#f7 ,!   
applicant's compliance ) ! tra9+        
requirem5ts describ$ 9 subsection       
7g77#c7 dur+ any previ\s p]iod 9 :i* !  
applicant has be5 subject to su* tra9+  
requirem5ts4  4  7#b7 ,tra9+ requirem5ts
 ,section #cjc7;g7 ( ! ,controll$       
,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77
 is am5d$ by add+ at ! end ! foll[+3    
7#c7 7,a7 ,to be regi/]$ to prescribe or
 o!rwise disp5se me?adone or o!r        
opioids1 a practition] describ$ 9       
p>agraph 7#a7 %all comply ) ! #af-;h\r  
tra9+ requirem5t ( subp>agraph 7,b7 at  
lea/ once dur+ ea* #c-ye> p]iod4  7,b7  
,! tra9+ requirem5t ( ?is subp>agraph is
 t ! practition] has complet$ n less ?an
 #af h\rs ( tra9+ 7?r\gh classroom      
situations1 sem9>s at pr(essional       
society meet+s1 electronic              
communications1 or o!rwise7 ) respect   

to--  7i7 ! treatm5t & managem5t (      
opioid-dep5d5t pati5ts2  7ii7 pa9       
managem5t treatm5t guidel9es2 &  7iii7  
e>ly detection ( opioid addiction1      
includ+ ?r\gh su* me?ods z ,scre5+1     
,brief ,int]v5tion1 & ,ref]ral to       
,treatm5t 7,,sbirt71  t is provid$ by ! 
,am]ican ,society ( ,addiction ,m$ic9e1 
! ,am]ican ,academy ( ,addiction        
,psy*iatry1 ! ,am]ican ,m$ical          
,association1 ! ,am]ican ,o/eopa?ic     
,association1 ! ,am]ican ,psy*iatric    
,association1 ! ,am]ican ,academy ( ,pa9
 ,managem5t1 ! ,am]ican ,pa9 ,society1 !
 ,am]ican ,academy ( ,pa9 ,m$ic9e1 !    
,am]ican ,bo>d ( ,pa9 ,m$ic9e1 !        
,am]ican ,society ( ,int]v5tional ,pa9  
,physicians1 or any o!r organization t !
 ,secret>y det]m9es is appropriate =    
purposes ( ?is subp>agraph4  4  7b7     
,requirem5ts = p>ticipation 9 opioid    
treatm5t programs ,effective ,july #a1  
#bjad1 a physician practic+ 9 an opioid 
treatm5t program %all comply ) !        
requirem5ts ( section #cjc7;g77#c7 ( !  

,controll$ ,sub/ances ,act 7z add$ by   
subsection 7a77 ) respect to requir$    
m9imum tra9+ at lea/ once dur+ ea*      
#c-ye> p]iod4  7c7 ,def9ition ,9 ?is    
section1 ! t]m opioid treatm5t program  
has ! mean+ giv5 su* t]m 9 section #h4b 
( title #db1 ,code ( ,f$]al ,regulations
 7or any successor regulation74  7d7    
,fund+ ,! ,drug ,en=cem5t ,adm9i/ration 
%all fund ! en=cem5t ( ! requirem5ts    
specifi$ 9 section #cjc7;g77#c7 ( !     
,controll$ ,sub/ances ,act 7z add$ by   
subsection 7a77 ?r\gh ! use ( a portion 
( ! lic5s+ fees paid by controll$       
sub/ance prescrib]s "u ! ,controll$     
,sub/ances ,act 7#ba ,u4,s4,c4 #hja et  
seq474  #e4 ,moratorium on me?adone     
hydro*loride tablets  7a7 ,9 g5]al      
,not)/&+ any o!r provision ( law1 dur+ !
 p]iod beg9n+ on ! date ( enactm5t ( ?is
 ,act & end+ on ! date describ$ 9       
subsection 7b71 no individual or entity 
may prescribe or o!rwise disp5se a      
#dj-mg diskette ( me?adone unless su*   
prescription or disp5sation is consi/5t 

) ! me?adone #dj-mg diskette policy ( ! 
,drug ,en=cem5t ,adm9i/ration z 9 effect
 on ! date ( enactm5t ( ?is ,act1 except
 t su* prohibition %all ext5d to        
hospitals unless su* hospitals provide =
 direct pati5t sup]vision ) respect to  
su* me?adone4  7b7 ,end+ date (         
moratorium ,! moratorium "u subsection  
7a7 %all cease to h =ce & effect--  7#a7
 on ! date t ! ,controll$ ,sub/ances    
,cl9ical ,/&>ds ,commission publi%es 9 !
 ,f$]al ,regi/] dos+ guidel9es = all =ms
 ( me?adone1 9 accordance ) section     
#ejf;,d7b77#a77;,a7 ( ! ,public ,heal?  
,s]vice ,act 7z add$ by section #g72 &  
7#b7 if1 z "p ( su* dos+ guidel9es1 su* 
,commission f9ds t #dj-mg diskettes (   
me?adone are safe & cl9ically           
appropriate4  #f4 ,op]ation ( opioid    
treatm5t programs ,section #cjc ( !     
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7 is am5d$ by add+ at !   
end ! foll[+3  7i7 7#a7 ,an opioid      
treatm5t program t is regi/]$ "u ?is    
section1 & t closes = bus9ess on any    

weekday or week5d day1 includ+ a ,f$]al 
or ,/ate holiday1 %all comply ) !       
requirem5ts ( ?is subsection4  7#b7 ,!  
program %all make acceptable arrangem5ts
 = ea* pati5t :o is re/rict$1 by ,f$]al 
regulation or guidel9e or by !          
det]m9ation ( ! program m$ical director1
 f hav+ a take home dose ( a controll$  
sub/ance relat$ to ! treatm5t involv$1  
to receive a dose ( t sub/ance "u       
appropriate sup]vision dur+ ! closure4  
7#c7 ,! ,adm9i/rator ( ! ,sub/ance      
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration %all issue a notice t     
ref]5ces regulations on acceptable      
arrangem5ts "u ?is subsection1 or %all  
promulgate regulations on su* acceptable
 arrangem5ts4  4  #g4 ,e/abli%m5t ( !   
,controll$ ,sub/ances ,cl9ical ,/&>ds   
,commission ,"p ,a ( title ,v ( !       
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bij;aa et seq471 z am5d$ by  
section #c1 is fur!r am5d$ by add+ at ! 
end ! foll[+3  #ejf;,d4 ,e/abli%m5t ( ! 
,controll$ ,sub/ances ,cl9ical ,/&>ds   

,commission  7a7 ,9 g5]al ,! ,secret>y  
%all e/abli% a ,controll$ ,sub/ances    
,cl9ical ,/&>ds ,commission 7ref]r$ to 9
 ?is section z ! ,commission71 to be    
compos$ ( repres5tatives f !            
,adm9i/ration1 ! ,c5t]s = ,disease      
,control & ,prev5tion1 ! ,food & ,drug  
,adm9i/ration1 ! ,pa9 ,managem5t        
,consortia ( ! ,national ,in/itutes (   
,heal?1 & o!r ag5cies t ! ,secret>y may 
deem necess>y1 to develop--  7#a7       
appropriate & safe dos+ guidel9es = all 
=ms ( me?adone1 includ+ recomm5dations =
 maximum daily doses ( all =ms z provid$
 = 9 subsection 7b77#a72  7#b7 b5*m>k   
guidel9es = ! r$uction ( me?adone abuse1
 z provid$ = 9 subsection 7b77#b72  7#c7
 appropriate conv]sion factors = use by 
heal? c>e provid]s 9 transition+ pati5ts
 f "o opioid to ano!r2  7#d7 specific   
guidel9es = initiat+ pa9 managem5t )    
me?adone t prescrib+ practition]s %all  
comply ) 9 ord] to meet c]tification    
requirem5ts set =? 9 "p ,c ( !          
,controll$ ,sub/ances ,act 7#ba         

,u4,s4,c4 #hba et seq472 &  7#e7 pati5t 
& practition] education guidel9es = bo? 
me?adone ma9t5ance !rapy & pa9 managem5t
 t apply to safe & effective use &      
include detoxification4  7b7 ,guidel9es 
7#a7 ,publication ( dos+ guidel9es  7,a7
 ,9 g5]al ,n lat] ?an #b ye>s aft] !    
date ( enactm5t ( ?is section1 !        
,commission e/abli%$ "u subsection 7a7  
%all publi% 9 ! ,f$]al ,regi/]--  7i7   
safe & cl9ically appropriate dos+       
guidel9es = all =ms ( me?adone us$ = bo?
 pa9 managem5t & opioid treatm5t        
programs1 includ+ recomm5dations =      
maximum daily doses ( all =ms1 includ+  
recomm5dations = ! induction process =  
pati5ts :o are newly prescrib$ me?adone2
  7ii7 requirem5ts = individual pati5t  
c>e plans1 includ+ initial & foll[-up   
pati5t physical exam9ation guidel9es1 & 
recomm5dations = scre5+ pati5ts = *ronic
 or acute m$ical conditions t may cause 
an imm$iate & adv]se reaction to        
me?adone2  7iii7 appropriate conv]sion  
factors = use by heal? c>e provid]s 9   

transition+ pati5ts f "o opioid to      
ano!r2  7iv7 specific guidel9es =       
initiat+ pa9 managem5t ) me?adone1 t    
prescrib+ physicians or o!r cl9icians   
%all comply ) 9 ord] to meet ,drug      
,en=cem5t ,adm9i/ration c]tification &  
re-c]tification requirem5ts2 &  7v7     
cons5sus guidel9es = pa9 managem5t )    
prescription opioid drugs4  7,b7 ,updat+
 ( guidel9es ,n lat] ?an #c ye>s aft] ! 
publication ( guidel9es "u subp>agraph  
7,a71 & at lea/ e #c ye>s !reaft]1 !    
,commission %all update su* guidel9es4  
7#b7 ,publication ( b5*m>k guidel9es    
7,a7 ,9 g5]al ,n lat] ?an #c ye>s aft] !
 date ( enactm5t ( ?is section1 !       
,commission e/abli%$ "u subsection 7a7  
%all publi% 9 ! ,f$]al ,regi/]--  7i7 ! 
initial b5*m>k guidel9es = ! r$uction ( 
me?adone abuse to be us$--  7,i7 by     
opioid treatm5t programs 9 provid+      
me?adone !rapy2 &  7,,ii7 by entities 9 
! initial accr$itation or c]tification1 
& ! re-accr$itation & re-c]tification1 (
 su* opioid treatm5t programs2  7ii7 a  

model policy = disp5s+ me?adone to be   
us$ by ph>maci/s t disp5se me?adone1 :i*
 %\ld include education & tra9+         
guidel9es = su* ph>maci/s2  7iii7 !     
cont9u+ education guidel9es t all       
prescrib]s %all comply ) 9 ord] to meet 
,drug ,en=cem5t ,adm9i/ration           
c]tification & re-c]tification          
requirem5ts1 z set =? 9 section         
#cjc7;g77#c7 ( ! ,controll$ ,sub/ances  
,act 7#ba ,u4,s4,c4 #hbc7;g77#c771 :i*  
%\ld include a m9imum ( #af tra9+ h\rs  
at lea/ e #c ye>s t include !           
integration ( bo? addiction & pa9       
managem5t curricula2 &  7iv7 pati5t     
education guidel9es = bo? opioid        
treatm5t programs & pa9 managem5t1      
includ+ recomm5dations = pati5t c\nsel+ 
prior to & dur+ opioid addiction        
treatm5t or treatm5t = pa94  7,b7       
,updat+ ( guidel9es ,n lat] ?an #a ye>  
aft] ! publication ( guidel9es "u       
subp>agraph 7,a71 & at lea/ annually    
!reaft]1 ! ,commission %all update !    
guidel9es publi%$ "u clauses 7iii7 &    

7iv7 ( su* subp>agraph4  7#c7           
,consultation ,9 develop+ & publi%+ !   
guidel9es "u ?is section1 ! ,commission 
%all consult ) relevant pr(essional     
organizations ) exp]tise 9 ! area (     
addiction1 relevant pr(essional         
organizations ) exp]tise 9 ! area ( pa9 
managem5t1 physician gr\ps1 ph>macy     
gr\ps 7includ+ ! ,national ,association 
( ,bo>ds ( ,ph>macy71 pati5t            
repres5tatives1 & any o!r organization t
 ! ,secret>y det]m9es is appropriate =  
purposes ( ?is section4  7c7 ,website ,n
 lat] ?an #ahj days aft] ! date (       
enactm5t ( ?is section1 ! ,commission   
%all e/abli% & op]ate a ,commission     
website4  7d7 ,me?adone toolkit ,n lat] 
?an #a ye> aft] ! date ( enactm5t ( ?is 
section1 ! ,commission %all e/abli%1 &  
di/ribute to practition]s t are regi/]$ 
to prescribe or o!rwise disp5se         
me?adone1 a me?adone toolkit4 ,!        
,commission %all make ! compon5ts ( !   
toolkit t are available 9 electronic =m 
available on ! ,commission website4  7e7

 ,practition] education program ,!      
,commission %all develop a practition]  
education program t %all be us$ = !     
practition] education describ$ 9 section
 #cjc7;g77#c7 ( ! ,controll$ ,sub/ances 
,act1 & %all make su* program available 
to provid]s ( su* practition] education4
  7f7 ,au?orization ( appropriations    
,!re is au?oriz$ to be appropriat$ to   
c>ry out ?is section su* sums z may be  
necess>y = ea* ( fiscal ye>s #bjad ?r\gh
 #bjah4  4  #h4 ,prescription monitor+  
program ,section #cii,o ( ! ,public     
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#c7 is am5d$--  7#a7 9 subsection
 7d77#a71 by ins]t+ 7includ+ prescrib]s 
( me?adone7 aft] disp5s]s2  7#b7 9      
subsection 7e71 by add+ at ! end !      
foll[+3  7#e7 ,subject to ! requirem5ts 
( section #edc1 ! ,/ate %all1 at !      
reque/ ( a ,f$]al1 ,/ate1 or local (fic]
 ^: duties include en=c+ laws relat+ to 
drugs1 provide to su* (fic] in=mation f 
! database relat+ to an individual :o is
 ! subject ( an active drug-relat$      

inve/igation conduct$ by ! (fic]'s      
employ+ gov]nm5t entity4  2 &  7#c7 by  
/rik+ subsection 7n7 & ins]t+ ! foll[+3 
7n7 ,appropriations ,!re is au?oriz$ to 
be appropriat$ to c>ry out ?is section  
#be1jjj1jjj = ea* ( fiscal ye>s #bjad   
?r\gh #bjah4  4  #i4 ,mortality report+ 
,"p ,a ( title ,v ( ! ,public ,heal?    
,s]vice ,act 7#db ,u4,s4,c4 #bij;aa et  
seq471 z am5d$ by section #g1 is fur!r  
am5d$ by add+ at ! end ! foll[+3        
#ejf;,e4 ,mortality report+  7a7 ,model 
,opioid ,treatm5t ,program ,mortality   
,report  7#a7 ,9 g5]al ,n lat] ?an ,july
 #a1 #bjad1 ! ,secret>y1 act+ ?r\gh !   
,adm9i/rator1 %all require t a ,model   
,opioid ,treatm5t ,program ,mortality   
,report be complet$ & submitt$ to !     
,adm9i/rator = ea* individual :o dies   
:ile receiv+ treatm5t 9 an opioid       
treatm5t program4  7#b7 ,requirem5t (   
,/ates t receive fund+ = ! ,controll$   
,sub/ance ,monitor+ ,program ,z a       
condition = receiv+ funds "u section    
#cii,o1 ea* ,/ate %all require t any    

individual :o signs a dea? c]tificate   
:]e an opioid drug is detect$ 9 ! body (
 ! deceas$1 or :]e su* drug is o!rwise  
associat$ ) ! dea?1 report su* dea? to !
 ,adm9i/rator by submitt+ a ,model      
,opioid ,treatm5t ,program ,mortality   
,report describ$ 9 p>agraph 7#c74 ,su*  
report %all be submitt$ to !            
,adm9i/rator on or be=e ! lat] (--  7,a7
 #ij days aft] ! date ( sign+ ! dea?    
c]tificate2 or  7,b7 z soon z           
practicable aft] ! date on :i* !        
necess>y po/mortem & toxicology reports 
become available to su* individual1 z   
requir$ by ! ,secret>y4  7#c7           
,developm5t ,! ,adm9i/rator1 9          
consultation ) ,/ate & local m$ical     
exam9]s1 prescrib+ physicians1          
hospitals1 & any o!r organization t !   
,adm9i/rator det]m9es appropriate1 %all 
develop a ,model ,opioid ,treatm5t      
,program ,mortality ,report to be us$ "u
 p>agraphs 7#a7 & 7#b74  7b7 ,national  
,opioid ,dea? ,regi/ry  7#a7 ,9 g5]al ,n
 lat] ?an ,july #a1 #bjad1 !            

,adm9i/rator %all e/abli% & implem5t1   
?r\gh ! ,national ,c5t] = ,heal?        
,/ati/ics1 a ,national ,opioid ,dea?    
,regi/ry 7ref]r$ to 9 ?is subsection z !
 ,regi/ry7 to track opioid-relat$ dea?s 
& in=mation relat$ to su* dea?s4  7#b7  
,consultation ,9 e/abli%+ ! uni=m       
report+ crit]ia = ! ,regi/ry1 !         
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion %all consult ) !          
,adm9i/rator1 ,/ate & local m$ical      
exam9]s1 prescrib+ physicians1          
hospitals1 & any o!r organization t !   
,director det]m9es is appropriate =     
purposes ( ?is subsection4  7#c7        
,requirem5ts ,! regi/ry %all be design$ 
z a uni=m report+ sy/em = opioid-relat$ 
dea?s & %all require ! report+ (        
in=mation ) respect to su* dea?s1       
includ+--  7,a7 ! p>ticul> drug         
=mulation us$ at ! "t ( dea?2  7,b7 !   
dosage level2  7,c7 a description ( !   
circum/ances surr\nd+ ! dea? 9 relation 
to ! recomm5d$ dosage involv$2  7,d7 a  
disclosure ( :e!r ! m$ication involv$ c 

be trac$ back to a physician's          
prescription2  7,e7 a disclosure ( :e!r 
! individual 0 9 an opioid treatm5t     
program at ! "t ( dea?2  7,f7 ! age &   
sex ( ! individual2 &  7,g7 o!r         
non-p]sonal in=mation su* z t includ$ 9 
fil$ ,national ,association ( ,m$ical   
,exam9]s ,p$iatric ,toxicology ,regi/ry 
case reports z requir$ "u ! privacy /&>d
 = ! de-id5tification ( heal? in=mation 
pursuant to ! regulations conta9$ 9 "p  
#afd ( title #de1 ,code ( ,f$]al        
,regulations4  7#d7 ,au?orization ,!re  
is au?oriz$ to be appropriat$ #e1jjj1jjj
 = ea* ( fiscal ye>s #bjad ?r\gh #bjah  
to c>ry out ?is subsection4  7c7 ,report
 on ,regi/ry in=mation ,n lat] ?an !    
,janu>y #a ( ! fir/ fiscal ye> beg9n+ #b
 ye>s aft] ! date ( enactm5t ( ?is      
section1 & ea* ,janu>y #a !reaft]1 !    
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion %all submit to ! ,secret>y
 a report1 bas$ on in=mation conta9$ 9 !
 ,regi/ry describ$ 9 subsection 7b71    
conc]n+ ! numb] ( me?adone-relat$ dea?s 

9 ! ,unit$ ,/ates = ! ye> = :i* ! report
 is submitt$4  4  #aj4 ,additional      
report+ ,"p ,a ( title ,v ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bij;aa et seq471 z am5d$ by section #i1
 is fur!r am5d$ by add+ at ! end !      
foll[+3  #ejf;,f4 ,additional report+   
7a7 ,report on me?adone usage  7#a7 ,9  
g5]al ,n lat] ?an ,janu>y #a ( ! fir/   
fiscal ye> beg9n+ #b ye>s aft] ! date ( 
enactm5t ( ?is section1 & ea* ,janu>y #a
 !reaft]1 ! ,adm9i/rator & !            
,commission] ( ,food & ,drugs %all      
submit to ! ,secret>y a report conta9+  
detail$ /ati/ics on me?adone usage =    
opioid treatm5t & pa9 managem5t4 ,su*   
/ati/ics %all include--  7,a7 in=mation 
on ! di/ribution ( prescrib$ doses (    
me?adone at f$]ally qualifi$ heal?      
c5t]s1 opioid treatm5t cl9ics1 o!r      
heal?-relat$ cl9ics1 physician (fices1  
ph>macies1 & hospitals2 &  7,b7         
in=mation relat+ to adv]se heal? ev5ts  
result+ f su* me?adone usage4  7#b7     
,availability ( in=mation ,! ,secret>y  

%all make ! reports submitt$ "u p>agraph
 7#a7 available to ! g5]al public1      
includ+ ?r\gh ! use ( ! ,int]net website
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices4  7b7 ,annual report on        
effectiv5ess ,n lat] ?an ,septemb] #cj1 
#bjad1 & annually !reaft] until         
,septemb] #cj1 #bjaf1 ! ,secret>y %all  
submit to ! appropriate committees (    
,congress1 a report conc]n+ !           
effectiv5ess ( ! me?adone ma9t5ance     
!rapy program4 ,su* report %all evaluate
 ! success ( ef=ts to r$uce opioid      
addiction & me?adone-relat$ dea?s1      
includ+ ! impact ( heal? c>e provid] &  
pati5t education4  7c7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjad ?r\gh #bjah4  4  #aa4        
,developm5t ( prescription drug abuse   
prev5tion & treatm5t quality measures   
across ea* relevant provid] sett+       
,subp>t ,i ( "p ,d ( title ,,ix ( !     
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #bii;b-#ca et seq47 is am5d$  
by add+ at ! end ! foll[+3  #icb4       
,developm5t ( prescription drug abuse   
prev5tion & treatm5t quality measures   
across ea* relevant provid] sett+  7a7  
,9 g5]al ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality & 9 consultation ) !        
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ! ,adm9i/rator ( !       
,sub/ance ,abuse & ,m5tal ,heal?        
,s]vices ,adm9i/ration1 & ! ,director ( 
! ,c5t]s = ,m$ic>e  ,m$icaid ,s]vices1  
%all require ! developm5t & application 
( specific prescription drug abuse      
prev5tion & treatm5t quality measures = 
ea* relevant heal? c>e provid] sett+1 z 
id5tifi$ by ! ,director4  7b7           
,dissem9ation ,n lat] ?an ,april #a1    
#bjaf1 ! ,secret>y %all dissem9ate !    
quality measure requirem5ts develop$ "u 
subsection 7a7 to all affect$ provid]s4 
7c7 ,types ( measures ,quality measures 
develop$ "u ?is section may be          
/ructure-ori5t$ 7su* z ! requir$ pres5ce

 ( a hospital-bas$ treatm5t program71   
process-ori5t$ 7su* z requir+ pati5ts to
 be in=m$ ( ! addictive qualities ( !   
m$ication be+ prescrib$71 or            
outcome-ori5t$ 7su* z assess+ family    
satisfaction ) c>e74  4