,i #aad? ,,congress #a/ ,session ,h4 ,r4 #cfhj ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,octob] #a1 #bjae ,mr4 ,s>banes introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to provide = ! ,secret>y ( ,heal? & ,human ,s]vices to c>ry out a grant program = co-prescrib+ opioid ov]dose rev]sal drugs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,co-,prescrib+ to ,r$uce ,ov]doses ,act ( #bjae4 #b4 ,co-prescrib+ opioid ov]dose rev]sal drugs grant program 7a7 ,e/abli%m5t 7#a7 ,9 g5]al ,n lat] ?an six mon?s aft] ! date ( ! enactm5t ( ?is ,act1 ! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli%1 9 accordance ) ?is section1 a f\r-ye> co-prescrib+ opioid ov]dose rev]sal drugs grant program 79 ?is ,act ref]r$ to z ! grant program7 "u :i* ! ,secret>y %all provide n m ?an a total ( #ab grants to eligible entities to c>ry out ! activities describ$ 9 subsection 7c74 7#b7 ,maximum grant am\nt ,a grant made "u ?is section may n be = m ?an #bjj1jjj p] grant ye>4 7#c7 ,eligible entity ,= purposes ( ?is section1 ! t]m eligible entity means a f$]ally qualifi$ heal? c5t] 7z def9$ 9 section #ahfa7;aa7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciex7aa771 an opioid treatm5t program "u "p #h ( title #db1 ,code ( ,f$]al ,regulations1 or section #cjc7;g7 ( ! ,controll$ ,sub/ances ,act 7#ba ,u4,s4,c4 #hbc7;g771 or any o!r entity t ! ,secret>y deems appropriate4 7#d7 ,co-prescrib+ ,= purposes ( ?is section & section #c1 ! t]m co-prescrib+ means1 ) respect to an opioid ov]dose rev]sal drug1 ! practice ( prescrib+ su* drug 9 conjunction ) an opioid prescription = pati5ts at an elevat$ risk ( ov]dose1 or 9 conjunction ) an opioid agoni/ approv$ "u section #eje ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 = ! treatm5t ( opioid abuse disord]s1 or 9 o!r circum/ances 9 :i* a provid] id5tifies a pati5t at an elevat$ risk = an int5tional or un9t5tional drug ov]dose f h]o9 or prescription opioid !rapies4 ,= purposes ( ! previ\s s5t5ce1 a pati5t may be at an elevat$ risk ( ov]dose if ! pati5t meets ! crit]ia "u ! exi/+ co-prescrib+ guidel9es t ! ,secret>y deems appropriate1 su* z ! crit]ia provid$ 9 ! ,opioid ,ov]dose ,toolkit publi%$ by ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration4 7b7 ,application ,to be eligible to receive a grant "u ?is section1 an eligible entity %all submit to ! ,secret>y ( ,heal? & ,human ,s]vices1 9 su* =m & mann] z specifi$ by ! ,secret>y1 an application t describes-- 7#a7 ! ext5t to :i* ! area to :i* ! entity w furni% s]vices ?r\gh use ( ! grant is exp]i5c+ significant morbidity & mortality caus$ by opioid abuse2 7#b7 ! crit]ia t w be us$ to id5tify eligible pati5ts to p>ticipate 9 su* program2 & 7#c7 h[ su* program w "w to try to id5tify ,/ate1 local1 or private fund+ to cont9ue ! program aft] expiration ( ! grant4 7c7 ,use ( funds ,an eligible entity receiv+ a grant "u ?is section may use ! grant = any ( ! foll[+ activities3 7#a7 ,to e/abli% a program = co-prescrib+ opioid ov]dose rev]sal drugs1 su* z naloxone4 7#b7 ,to tra9 & provide res\rces = heal? c>e provid]s & ph>maci/s on ! co-prescrib+ ( opioid ov]dose rev]sal drugs4 7#c7 ,to e/abli% me*anisms & processes = track+ pati5ts p>ticipat+ 9 ! program describ$ 9 p>agraph 7#a7 & ! heal? outcomes ( su* pati5ts4 7#d7 ,to pur*ase opioid ov]dose rev]sal drugs = di/ribution "u ! program describ$ 9 p>agraph 7#a74 7#e7 ,to (fset ! co-pays & o!r co/ %>+ associat$ ) opioid ov]dose rev]sal drugs to ensure t co/ is n a limit+ factor = eligible pati5ts4 7#f7 ,to conduct community outrea*1 9 conjunction ) community-bas$ organizations1 design$ to raise aw>5ess ( co-prescrib+ practices1 & ! availability ( opioid ov]dose rev]sal drugs4 7#g7 ,to e/abli% protocols to connect pati5ts :o h exp]i5c$ a drug ov]dose ) appropriate treatm5t1 includ+ m$ication assi/$ treatm5t & appropriate c\nsel+ & behavioral !rapies4 7d7 ,evaluations by recipi5ts ,z a condition ( receipt ( a grant "u ?is section1 an eligible entity %all1 = ea* ye> = :i* ! grant is receiv$1 submit to ! ,secret>y ( ,heal? & ,human ,s]vices in=mation on appropriate outcome measures specifi$ by ! ,secret>y to assess ! outcomes ( ! program fund$ by ! grant1 includ+-- 7#a7 ! numb] ( prescrib]s tra9$2 7#b7 ! numb] ( prescrib]s :o h co-prescrib$ an opioid ov]dose rev]sal drugs to at lea/ "o pati5t2 7#c7 ! total numb] ( prescriptions writt5 = opioid ov]dose rev]sal drugs2 7#d7 ! p]c5tage ( pati5ts at elevat$ risk :o receiv$ a prescription = an opioid ov]dose rev]sal drug2 7#e7 ! numb] ( pati5ts report+ use ( an opioid ov]dose rev]sal drug2 & 7#f7 any o!r outcome measures t ! ,secret>y deems appropriate4 7e7 ,reports by ,secret>y ,= ea* ye> ( ! grant program "u ?is section1 ! ,secret>y ( ,heal? & ,human ,s]vices %all submit to ! appropriate ,committees ( ! ,h\se ( ,repres5tatives & ( ! ,s5ate a report aggregat+ ! in=mation receiv$ f ! grant recipi5ts = su* ye> "u subsection 7d7 & evaluat+ ! outcomes a*iev$ by ! programs fund$ by grants made "u ?is section4 #c4 ,opioid ov]dose rev]sal co-prescrib+ guidel9es 7a7 ,9 g5]al ,! ,secret>y ( ,heal? & ,human ,s]vices %all e/abli% a grant program "u :i* ! ,secret>y %all aw>d grants to eligible ,/ate entities to develop opioid ov]dose rev]sal co-prescrib+ guidel9es4 7b7 ,eligible ,/ate entities ,= purposes ( subsection 7a71 eligible ,/ate entities are ,/ate dep>tm5ts ( heal? 9 conjunction ) ,/ate m$ical bo>ds2 city1 c\nty1 & local heal? dep>tm5ts2 & community /akehold] gr\ps involv$ 9 r$uc+ opioid ov]dose dea?s4 7c7 ,adm9i/rative provisions 7#a7 ,grant am\nts ,a grant made "u ?is section may n be = m ?an #bjj1jjj p] grant4 7#b7 ,prioritization ,9 aw>d+ grants "u ?is section1 ! ,secret>y %all give priority to eligible ,/ate entities :i* propose to base _! guidel9es on exi/+ guidel9es on co-prescrib+ to spe$ enactm5t1 includ+ guidel9es (-- 7,a7 ! ,dep>tm5t ( ,vet]ans ,affairs2 7,b7 nationwide m$ical societies1 su* z ! ,am]ican ,society ( ,addiction ,m$ic9e or ,am]ican ,m$ical ,association2 & 7,c7 ! ,c5t]s = ,disease ,control & ,prev5tion4 #d4 ,au?orization ( appropriations ,!re is au?oriz$ to be appropriat$ to c>ry out ?is ,act #d1jjj1jjj = ea* ( fiscal ye>s #bjaf ?r\gh #bjbj4