,i #aad? ,,congress #a/ ,session ,h4 ,r4 #bhgb ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,june #bd1 #bjae ,mr4 ,buc%on 7= himself & ,mr4 ,womack7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ! ,judici>y1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,a ,,bill ,to am5d ! ,controll$ ,sub/ances ,act to mod]nize ! treatm5t ( opioid addiction1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,opioid ,addiction ,treatm5t ,mod]nization ,act4 #b4 ,f9d+s ,! ,congress f9ds t opioid addiction has become a public heal? epidemic t mu/ be address$ by increas+ aw>5ess & access to all treatm5t options = opioid addiction1 ov]dose rev]sal1 & relapse prev5tion4 #c4 ,opioid addiction treatm5t mod]nization 7a7 ,9 g5]al ,section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 is am5d$-- 7#a7 by add+ at ! end ! foll[+3 7#c7 ,! /&>ds "u p>agraph 7#a77;,a7 7= det]m9+ :e!r a practition] is qualifi$ to engage 9 ! treatm5t ) respect to :i* regi/ration is s\ght7 %all include a requirem5t = completion1 e #b ye>s1 ( tra9+-- 7,a7 provid$ 7?r\gh classroom situations1 sem9>s at pr(essional society meet+s1 electronic communications1 or o!rwise7 by an organization su* z ! ,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 ,association = ! ,treatm5t ( ,opioid ,dep5d5ce1 ! ,national ,c\ncil = ,behavioral ,heal?1 or any o!r organization t ! ,secret>y det]m9es is appropriate2 & 7,b7 address+-- 7i7 opioid detoxification2 7ii7 appropriate cl9ical use ( all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid addiction2 7iii7 ! ne$ = initial & p]iodic assessm5ts ( ea* pati5t2 7iv7 ! developm5t ( an individualiz$ treatm5t plan = ea* pati5t2 & 7v7 ! importance ( provid+ ov]dose rev]sal & relapse prev5tion1 & appropriate c\nsel+ & o!r s]vices4 2 7#b7 9 p>agraph 7#b77;,b71 by ins]t+ & annually !reaft]1 aft] be=e ! initial disp5s+ ( n>cotic drugs 9 s*$ule ,,iii1 ,,iv1 or ,v or comb9ations ( su* drugs to pati5ts = ma9t5ance or detoxification treatm5t12 7#c7 by am5d+ p>agraph 7#b77;,b77ii7 to read z foll[s3 7ii7 ,) respect to pati5ts to :om ! practition] w provide su* drugs or comb9ations ( drugs1 ! practition] has ! capacity to provide directly or by ref]ral-- 7,i7 all drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid addiction1 includ+1 z available1 opioid ma9t5ance1 detoxification1 & ov]dose rev]sal & relapse prev5tion2 & 7,,ii7 appropriate c\nsel+ & ancill>y s]vices4 2 7#d7 by r$esignat+ clause 7iii7 ( p>agraph 7#b77;,b7 z clause 7iv72 7#e7 aft] p>agraph 7#b77;,b77ii71 by ins]t+ ! foll[+3 7iii7 ,! practition] ma9ta9s a div]sion control plan t conta9s specific measures to r$uce ! likelihood ( ! div]sion ( controll$ sub/ances prescrib$ by ! practition] = ! treatm5t ( opioid addiction4 2 7#f7 by am5d+ p>agraph 7#b77;,g77ii7 to read z foll[s3 7ii7 ,! t]m qualify+ physician means a physician :o meets ! foll[+3 7,i7 ,! physician is lic5s$ "u ,/ate law4 7,,ii7 ,! physician meets "o or m ( ! foll[+ conditions3 7aa7 ,! physician holds a subspecialty bo>d c]tification 9 addiction psy*iatry f ! ,am]ican ,bo>d ( ,m$ical ,specialties4 7bb7 ,! physician holds an addiction c]tification f ! ,am]ican ,society ( ,addiction ,m$ic9e4 7cc7 ,! physician holds a subspecialty bo>d c]tification 9 addiction m$ic9e f ! ,am]ican ,o/eopa?ic ,association4 7dd7 ,! physician has p>ticipat$ z an inve/igator 9 "o or m cl9ical trials lead+ to ! approval ( a n>cotic drug 9 s*$ule ,,iii1 ,,iv1 or ,v = ma9t5ance or detoxification treatm5t or ! approval ( a drug = ! treatm5t ( opioid addiction1 z demon/rat$ by a /atem5t submitt$ to ! ,secret>y by ! sponsor ( su* approv$ drug4 7ee7 ,! physician has su* o!r tra9+ or exp]i5ce z ! ,/ate m$ical lic5s+ bo>d 7( ! ,/ate 9 :i* ! physician w provide ma9t5ance or detoxification treatm5t7 consid]s to demon/rate ! ability ( ! physician to treat & manage opiate-dep5d5t pati5ts4 7ff7 ,! physician has su* o!r tra9+ or exp]i5ce z ! ,secret>y consid]s to demon/rate ! ability ( ! physician to treat & manage opiate-dep5d5t pati5ts4 ,any crit]ia ( ! ,secret>y "u ?is item %all be e/abli%$ by regulation4 ,any su* crit]ia are effective only = #c ye>s aft] ! date on :i* ! crit]ia are promulgat$1 b may be ext5d$ = su* additional discrete #c-ye> p]iods z ! ,secret>y consid]s appropriate = purposes ( ?is item4 ,su* an ext5sion ( crit]ia may only be effectuat$ ?r\gh a /atem5t publi%$ 9 ! ,f$]al ,regi/] by ! ,secret>y dur+ ! #cj-;day p]iod prec$+ ! end ( ! #c-ye> p]iod involv$4 7iii7 ,! physician completes1 ) respect to ! treatm5t & managem5t ( opiate-dep5d5t pati5ts1 n less ?an #h h\rs ( tra9+ describ$ 9 p>agraph 7#c7 n less frequ5tly ?an e #b ye>s4 7iv7 ,! physician obta9s 9 writ+ f ea* pati5t a sign$ ackn[l$gm5t t ! pati5t-- 7,i7 w be subject to m$ication adh]5ce & sub/ance use monitor+2 7,,ii7 und]/&s available treatm5t options1 includ+ drugs approv$ by ! ,food & ,drug ,adm9i/ration = ! treatm5t ( opioid addiction & _! pot5tial risks & b5efits2 & 7,,iii7 has an individualiz$ treatm5t plan4 2 & 7#g7 by am5d+ p>agraph 7#b77;,h77ii7 to read z foll[s3 7ii7 ,n lat] ?an "o ye> aft] ! date ( enactm5t ( ! ,opioid ,addiction ,treatm5t ,mod]nization ,act1 ! ,secret>y %all update ! treatm5t improvem5t protocol conta9+ be/ practice guidel9es = ! treatm5t ( opiate-dep5d5t pati5ts4 ,! ,secret>y %all update su* protocol 9 consultation ) ! ,director ( ! ,national ,in/itute on ,drug ,abuse1 ! ,adm9i/rator ( ! ,drug ,en=cem5t ,adm9i/ration1 ! ,commission] ( ,food & ,drugs1 ! ,adm9i/rator ( ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration1 & o!r sub/ance abuse disord] pr(essionals4 ,updates to ! protocol %all be guid$ by sci5ce4 4 7b7 ,inspection au?ority ,! ,secret>y ( ,heal? & ,human ,s]vices or ! ,attorney ,g5]al ( ! ,unit$ ,/ates may inspect p]sons t are regi/]$ "u section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 to ensure compliance ) ! requirem5ts 9 ?is ,act 7& ! am5dm5ts made by ?is ,act7 ) respect to :i* noncompliance may result 9 a revocation or susp5sion ( ! practition]'s regi/ration4 7c7 ,c]tification ( compliance ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 all practition]s :o1 z ( su* date ( enactm5t1 are p]mitt$ to disp5se n>cotic drugs to individuals 7= ma9t5ance treatm5t or detoxification treatm5t7 pursuant to p>agraph 7#a7 or 7#b7 ( section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g77 %all submit a c]tification to ! ,secret>y ( ,heal? & ,human ,s]vices ( compliance ) ! provisions ( su* section #cjc7;g71 z am5d$ by ?is ,act4 7d7 ,reports to ,congress 7#a7 ,9 g5]al ,n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act1 & e #e ye>s !reaft]1 ! ,comptroll] ,g5]al ( ! ,unit$ ,/ates %all-- 7,a7 p]=m a ?or\gh review ( ! provision ( opioid addiction treatm5t s]vices 9 ! ,unit$ ,/ates2 & 7,b7 submit a report to ! ,congress on ! f9d+s & conclusions ( su* review4 7#b7 ,cont5ts ,ea* report "u p>agraph 7#a7 %all include-- 7,a7 an assessm5t ( compliance ) ! requirem5ts ( section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act1 z am5d$ by ?is ,act2 7,b7 a description ( ! measures tak5 by ! ,secret>y ( ,heal? & ,human ,s]vices to ensure su* compliance2 & 7,c7 an assessm5t (-- 7i7 :e!r ! full range ( sci5ce- & evid5ce-bas$ treatm5t options = opioid addiction are fully integrat$ into treatm5t2 & 7ii7 ! circum/ances surr\nd+ m$ication div]sion & misuse4