,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #cgai  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,octob] #h1 #bjae ,mr4
 ,gu9ta 7= himself & ,ms4 ,ku/]7        
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ! ,judici>y1 & 9       
addition to ! ,committee on ,en]gy &    
,comm]ce1 = 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 provide = ! compreh5sive   
approa* to eradication ( ! h]o9         
epidemic1 to develop ! be/ practices 9  
law en=cem5t & prescription m$ication   
prescrib+ practices1 & = o!r purposes4  
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,/op ! ,ov]dose ,problem ,already     
,becom+ a ,univ]sal ,sub/ance ,epidemic 
,act ( #bjae or ! ,,/op ,,abuse ,act (  
#bjae4  #b4 ,f9d+s ,congress f9ds !     
foll[+3  7#a7 ,prev5tion & int]v5tion   
are ! be/ inve/m5t4  7#b7 ,accord+ to ! 
#bjab ,national ,survey on ,drug ,usage 
& ,heal?1 ! p]c5t ( ,new ,hamp%ire      

resid5ts #ab & old] report+ ev] hav+ us$
 h]o9 has d\bl$ s9ce #bjjd1 #a4b p]c5t 9
 #bjje & #c4c p]c5t 9 #bjaa4  7#c7 ,!   
numb] ( pati5ts 9 ,new ,hamp%ire admitt$
 to ,/ate-fund$ treatm5t programs = h]o9
 rea*$ #a1edj 9 #bjac1 a major increase 
f ! #hje report$ 9 #bjjd4  7#d7         
,prescription opioid us]s admitt$ rose f
 #bac 9 #bjjd to #a1big 9 #bjac4  7#e7  
,drug poison+ 7m commonly call$ ov]dose7
 is ! numb] "o cause ( injury-relat$    
dea? 9 ! ,unit$ ,/ates & dea?s involv+  
h]o9 h be5 on a /eady increase 9 rec5t  
ye>s4  7#f7 ,9 #bjab1 #bh ,/ates report$
 t ! dea? rate = h]o9 ov]dose _h d\bl$ f
 #bjaj ?r\gh #bjab4  7#g7 ,! increase   
d\bl$ f #a4b p]c5t to #b4a p]c5t p]     
#ajj1jjj population1 reflect+ ! numb] ( 
dea?s hav+ increas$ f #a1ggi to #c1fce4 
7#h7 ,! numb] ( drug-poison+ dea?s      
involv+ h]o9 0 ne>ly f\r times high] =  
m5 7#f1ebe dea?s7 ?an wom5 7#a1gcb      
dea?s7 9 #bjac4  7#i7 ,! rate (         
h]o9-relat$ ov]doses 0 highe/ among     
adults ag$ #be to #dd f #bjjj ?r\gh     

#bjac2 ?is is a #b4h-p]c5t increase f   
#a4i to #e4d4  7#aj7 ,9 #bjac1 ! ,midwe/
 & ,nor!a/ regions _h high] rates 7#d4c 
& #c4i p] #ajj1jjj1 respectively74 ,f   
#bjjj ?r\gh #bjac1 ! age-adju/$ rate =  
h]o9-relat$ drug-poison+ dea?s increas$ 
9 ! ,midwe/ region expon5tially 7f #j4d 
to #d4c p] #ajj1jjj71 increas$ m ?an    
#d-;fold 9 ! ,nor!a/ region 7f #j4i to  
#c4i71 increas$ m ?an #c-;fold 9 ! ,s\? 
region 7f #j4e to #a4g71 & d\bl$ 9 !    
,we/ region 7f #j4i to #a4h74  7#aa7 ,! 
greate/ increase = drug-poison+ rates 0 
se5 9 ! ,midwe/ region4  #c4 ,developm5t
 ( be/ practices  7a7 ,int]ag5cy ,task  
,=ce ,n lat] ?an #abj days aft] ! date (
 enactm5t ( ?is ,act1 ! ,secret>y (     
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,secret>y71 9 coop]ation
 ) ! ,secret>y ( ,vet]ans ,affairs1 !   
,secret>y ( ,def5se1 ! ,adm9i/rator ( ! 
,drug ,en=cem5t ,adm9i/ration1 !        
,secret>y ( ,homel& ,security1 & !      
,attorney ,g5]al ( ! ,unit$ ,/ates1 %all
 conv5e an ,int]ag5cy ,task ,=ce to     

,address ,opioid ,abuse 7ref]r$ to 9 ?is
 section z ! ,task ,=ce74  7b7 ,memb]%ip
 ,! ,task ,=ce %all-- 7#a7 be compris$ (
 two repres5tatives ( ea* ! ,dep>tm5t ( 
,heal? & ,human ,s]vices1 includ+ !     
,c5t]s = ,disease ,control & ,prev5tion1
 ! ,dep>tm5t ( ,vet]ans ,affairs1 !     
,dep>tm5t ( ,def5se1 ! ,drug ,en=cem5t  
,adm9i/ration1 ! ,(fice ( ,national     
,drug ,control ,policy1 ! ,national     
,academy ( ,m$ic9e1 ! ,national         
,in/itutes ( ,heal?1 ! ,indian ,heal?   
,s]vice1 ! ,dep>tm5t ( ,homel&          
,security1 & ! ,sub/ance ,abuse & ,m5tal
 ,heal? ,s]vices ,adm9i/ration2 &  7#b7 
include physicians1 d5ti/s1             
non-physician prescrib]s1 ph>maci/s1    
exp]ts 9 ! fields ( pa9 rese>* &        
addiction rese>*1 & repres5tatives ( !  
m5tal heal? treatm5t community1 !       
addiction treatm5t community1 & pa9     
advocacy gr\ps4  7c7 ,duties  7#a7 ,be/ 
practices ,n lat] ?an #ahj days aft] !  
date on :i* ! ,task ,=ce is conv5$1 !   
,task ,=ce %all-- 7,a7 develop be/      

practices = pa9 managem5t & prescription
 m$ication prescrib+ practices1 tak+    
into consid]ation recomm5dations f--    
7i7 relevant conf]5ces2  7ii7 ongo+     
ef=ts at ! ,/ate & local levels2 &      
7iii7 m$ical pr(essional organizations  
to develop improv$ pa9 managem5t        
/rategies2  7,b7 solicit & take into    
consid]ation public comm5ts on ! be/    
practices develop$ "u subp>agraph 7,a72 
7,c7 develop a /rategy = dissem9at+     
in=mation ab\t ! be/ practices "u       
subp>agraph 7,a7 to all m$ical & em]g5cy
 p]sonnel :o en=ce1 prescribe1 & treat  
opioid & h]o9 addiction2 &  7,d7 conduct
 a /udy on ! feasibility ( implem5t+ !  
be/ practices develop$ "u subp>agraph   
7,a74  7#b7 ,report to ,congress ,n lat]
 ?an #bgj days aft] ! date on :i* !     
,task ,=ce is conv5$1 ! ,task ,=ce %all 
submit to ! ,congress a report t        
includes--  7,a7 ! /rategy "u p>agraph  
7#a77;,c7 = dissem9at+ ! be/ practices  
"u p>agraph 7#a77;,a72  7,b7 ! results (
 ! feasibility /udy conduct$ "u p>agraph

 7#a77;,d72 &  7,c7 recomm5dations on h[
 to apply su* be/ practices to improve  
prescrib+ practices at m$ical           
facilities1 includ+ m$ical facilities ( 
! ,vet]ans ,heal? ,adm9i/ration4  7d7   
,no rulemak+ au?ority ,! ,task ,=ce %all
 n h rulemak+ au?ority4  #d4            
,community-bas$ coalition enhancem5t    
grants to address local drug crises     
,title ,i ( ! ,omnibus ,crime ,control &
 ,safe ,/reets ,act ( #aifh 7#db        
,u4,s4,c4 #cgaa et seq47 is am5d$ by    
add+ at ! end ( ! foll[+3  ,,ll ,grants 
to combat drug crises & inc>c]ation     
relat$ to drug use  #cjba4              
,community-bas$ coalition to address    
local drug crises  7a7 ,def9itions ,9   
?is section3 7#a7 ,drug-,free           
,communities ,act ( #aiig ,! t]m        
,drug-,free ,communities ,act ( #aiig   
means *apt] #b ( ! ,national ,n>cotics  
,lead]%ip ,act ( #aihh 7#ba ,u4,s4,c4   
#aeba et seq472  7#b7 ,eligible entity  
,! t]m eligible entity means an eligible
 coalition 7z su* t]m is def9$ "u       

section #ajbc ( ! ,drug-,free           
,communities ,act ( #aiig 7#ba ,u4,s4,c4
 #aebc77 t--  7,a7 on or be=e ! date (  
submitt+ an application = a grant "u ?is
 section1 receiv$ a grant "u !          
,drug-,free ,communities ,act ( #aiig2 &
  7,b7 has demon/rat$ t !re is a local  
drug crisis 9 ! area s]vic$ by ! entity1
 z det]m9$ by ! ,attorney ,g5]al bas$ on
 ! ,monitor+ ,future ,survey publi%$ by 
! ,national ,in/itute on ,drug ,abuse & 
! ,national ,survey on ,drug ,use &     
,heal? by ! ,sub/ance ,abuse & ,m5tal   
,heal? ,s]vice ,adm9i/ration4  7#c7     
,local drug crisis ,! t]m local drug    
crisis means1 ) respect to ! area s]vic$
 by an eligible entity-- 7,a7 a sudd5   
increase 9 ! abuse ( opioids1 z docum5t$
 by local data2 or  7,b7 ! abuse (      
prescription m$ications1 specifically   
opioids1 t is significantly high] ?an ! 
national av]age1 ov] a su/a9$ p]iod (   
"t1 z docum5t$ by local data4  7b7      
,program au?oriz$ ,! ,attorney ,g5]al1 9
 coord9ation ) ! ,director ( ! ,national

 ,in/itute on ,drug ,abuse & !          
,adm9i/rator ( ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration1   
may make grants to eligible entities to 
implem5t compreh5sive1 community-wide   
/rategies t address local drug crises )9
 ! area s]v$ by ! eligible entity4  7c7 
,application  7#a7 ,9 g5]al ,an eligible
 entity desir+ a grant "u ?is section   
%all submit an application to !         
,attorney ,g5]al at su* "t1 9 su* mann]1
 & accompani$ by su* in=mation z !      
,attorney ,g5]al may require4  7#b7     
,crit]ia ,z "p ( an application = a     
grant "u ?is section1 ! ,attorney ,g5]al
 %all require an eligible entity to     
submit a detail$ compreh5sive1          
multi-sector plan = address+ ! local    
drug crisis )9 ! area s]v$ by ! eligible
 entity4  7d7 ,use ( ,funds ,an eligible
 entity %all use a grant receiv$ "u ?is 
section-- 7#a7 = programs design$ to    
implem5t compreh5sive1 community-wide   
prev5tion /rategies to address ! local  
drug crisis 9 ! area s]v$ by ! eligible 

entity1 9 accordance ) ! plan submitt$  
"u subsection 7c77#b72 &  7#b7 to obta9 
specializ$ tra9+ & te*nical assi/ance f 
! ,national ,community ,antidrug        
,coalition ,in/itute4  7e7 ,grant       
,am\nts & ,duration  7#a7 ,am\nts ,!    
,attorney ,g5]al may n aw>d a grant "u  
?is section = a fiscal ye> 9 an am\nt t 
exce$s--  7,a7 ! am\nt ( non-,f$]al     
funds rais$ by ! eligible entity1       
includ+ 9-k9d contributions1 = t fiscal 
ye>2 or  7,b7 #ge1jjj4  7#b7 ,duration  
,! ,attorney ,g5]al may n aw>d a grant  
"u ?is section = a p]iod exce$+ #d ye>s4
  7f7 ,supplem5t ,n ,supplant ,an       
eligible entity %all use ,f$]al funds   
receiv$ "u ?is section only to supplem5t
 funds t w\ld1 9 ! abs5ce ( ^? ,f$]al   
funds1 be made available f o!r ,f$]al & 
non-,f$]al s\rces = ! activities        
describ$ 9 ?is section1 & n to supplant 
^? funds4  7g7 ,evaluation ,a grant "u  
?is section %all be subject to ! same   
evaluation requirem5ts & proc$ures z !  
evaluation requirem5ts & proc$ures      

impos$ on ! recipi5t ( a grant "u !     
,drug-,free ,communities ,act ( #aiig4  
7h7 ,limitation on ,adm9i/rative        
,exp5ses ,n m ?an #h p]c5t ( ! am\nts   
made available to c>ry out ?is section =
 a fiscal ye> may be us$ by ! ,attorney 
,g5]al to pay = adm9i/rative exp5ses4   
7i7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #e1jjj1jjj = ea* (      
fiscal ye>s #bjaf ?r\gh #bjbj4  4  #e4  
,limitations on civil liability = c]ta9 
individuals work+ at opioid ov]dose     
programs  7a7 ,limitation on civil      
liability = individuals work+ = or      
volunte]+ at a ,/ate or local ag5cy     
opioid ov]dose program  7#a7 ,9 g5]al   
,not)/&+ any o!r provision ( law1 except
 z provid$ 9 p>agraph 7#b71 no          
individual :o provides an opioid ov]dose
 drug %all be liable = h>m caus$ by !   
em]g5cy adm9i/ration ( an opioid ov]dose
 drug by ano!r individual if !          
individual :o provides su* drug--  7,a7 
works = or volunte]s at an opioid       

ov]dose program2 &  7,b7 provides !     
opioid ov]dose drug z "p ( ! opioid     
ov]dose program to an individual        
au?oriz$ by ! program to receive an     
opioid ov]dose drug4  7#b7 ,exception   
,p>agraph 7#a7 %all n apply if ! h>m 0  
caus$ by ! gross neglig5ce or reckless  
misconduct ( ! individual :o provides ! 
drug4  7b7 ,limitation on civil         
liability = individuals :o adm9i/]      
opioid ov]dose drugs  7#a7 ,9 g5]al     
,not)/&+ any o!r provision ( law1 except
 z provid$ 9 p>agraph 7#b71 no          
individual %all be liable = h>m caus$ by
 ! em]g5cy adm9i/ration ( an opioid     
ov]dose drug to an individual :o has or 
reasonably appe>s to h suff]$ an ov]dose
 f h]o9 or ano!r opioid1 if--  7,a7 !   
individual :o adm9i/]s ! opioid ov]dose 
drug-- 7i7 obta9$ ! drug f a heal? c>e  
pr(essional or z "p ( an opioid ov]dose 
program2 or  7ii7 adm9i/]s ! drug       
pursuant to a prescription = an opioid  
ov]dose drug t is approv$ or lic5s$ "u  
section #eje ( ! ,f$]al ,food1 ,drug1 & 

,cosmetic ,act 7#ba ,u4,s4,c4 #cee7 or  
is lic5s$ "u section #cea ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bfb72 &  7,b7 ! individual :o adm9i/]s 
! opioid ov]dose drug 0 educat$ on-- 7i7
 :5 to adm9i/] ! drug2  7ii7 h[ to      
adm9i/] ! drug2 &  7iii7 /eps to be tak5
 aft] ! drug is adm9i/]$4  7#b7         
,exception ,p>agraph 7#a7 %all n apply  
to an individual if ! h>m 0 caus$ by !  
gross neglig5ce or reckless misconduct (
 ! individual :o adm9i/]s ! drug4  7c7  
,preemption & election ( ,/ate          
nonapplicability  7#a7 ,preemption      
,except z provid$ 9 p>agraph 7#b71 ?is  
section preempts ! law ( a ,/ate to !   
ext5t t su* law is inconsi/5t ) ?is     
section1 except t ?is section %all n    
preempt any ,/ate law t provides        
additional protection f liability relat+
 to ! adm9i/ration ( opioid ov]dose     
drugs or t %ields f liability any p]son 
:o provides or adm9i/]s opioid ov]dose  
drugs4  7#b7 ,election ( ,/ate reg>d+   
nonapplicability ,subsections 7a7 & 7b7 

%all n apply to any civil action 9 a    
,/ate c\rt aga9/ a p]son :o adm9i/]s    
opioid ov]dose drugs if--  7,a7 all     
p>ties to ! civil action are citiz5s ( !
 ,/ate 9 :i* su* action is br\ght2 &    
7,b7 ! ,/ate enacts legislation 9       
accordance ) ,/ate requirem5ts = enact+ 
legislation--  7i7 cit+ ! au?ority ( ?is
 p>agraph2  7ii7 decl>+ ! election ( !  
,/ate t su* subsections 7a7 & 7b7 %all n
 apply1 z ( a date c]ta91 to any civil  
actions cov]$ by ?is section2 &  7iii7  
conta9+ no o!r provisions4  7d7         
,def9itions ,9 ?is section --  7#a7 !   
t]m heal? c>e pr(essional means a p]son 
lic5s$ by a ,/ate to prescribe          
prescription drugs2  7#b7 ! t]m opioid  
ov]dose drug means a drug t1 :5         
adm9i/]$1 rev]ses 9 :ole or "p !        
ph>macological effects ( an opioid      
ov]dose 9 ! human body2 &  7#c7 ! t]m   
opioid ov]dose program means a program  
op]at$ by a local heal? dep>tm5t1       
community-bas$ organization1 sub/ance   
abuse treatm5t organization1 law        

en=cem5t ag5cy1 fire dep>tm5t1 o!r fir/ 
respond] dep>tm5t1 or volunt>y          
association or a program fund$ by a     
,f$]al1 ,/ate1 or local gov]nm5t t works
 to prev5t opioid ov]doses by 9 "p      
provid+ opioid ov]dose drugs & education
 to individuals at risk ( exp]i5c+ an   
opioid ov]dose or to an individual 9 a  
position to assi/ ano!r individual at   
risk ( exp]i5c+ an opioid ov]dose4  #f4 
,op]ation ( opioid treatm5t programs    
,section #cjc ( ! ,controll$ ,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$]al
 or ,/ate holiday1 %all comply ) !      
requirem5ts ( ?is subsection4  7#b7 ,=  
ea* pati5t :o is re/rict$ by a ,f$]al   
regulation or guidel9e or by !          
det]m9ation ( ! program m$ical director 
f hav+ a take-home dose ( a controll$   
sub/ance relat$ to ! treatm5t involv$1 !
 program %all make acceptable           

arrangem5ts = ! pati5t 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 ,treatm5t          
alt]native to inc>c]ation programs ,"p  
,,ll ( ! ,omnibus ,crime ,control &     
,safe ,/reets ,act ( #aifh1 z add$ by   
section #c1 is am5d$ by add+ at ! end ! 
foll[+3  #cjbb4 ,treatm5t alt]native to 
inc>c]ation programs  7a7 ,def9ition ,9 
?is section3 7#a7 ,! t]m eligible entity
 means a ,/ate1 unit ( local gov]nm5t1  
,indian tribe1 or nonpr(it organization4
  7#b7 ,! t]m eligible p>ticipant means 
an individual :o-- 7,a7 comes 9 contact 
) ! juv5ile ju/ice sy/em or crim9al     
ju/ice sy/em or is arre/$ or *>g$ ) an  
(f5se2  7,b7 has a hi/ory ( or a        
curr5t-- 7i7 sub/ance use disord]2  7ii7

 m5tal illness2 or  7iii7 co-occurr+    
m5tal illness & sub/ance use disord]2 & 
7,c7 has be5 approv$ = p>ticipation 9 a 
program fund$ "u ?is section by !       
relevant law en=cem5t ag5cy1 prosecut+  
attorney1 def5se attorney1 probation or 
corrections (ficial1 judge1 or          
repres5tative f ! relevant m5tal heal?  
or sub/ance abuse ag5cy1 z applicable4  
7b7 ,program au?oriz$ ,! ,attorney      
,g5]al may make grants to eligible      
entities to develop1 implem5t1 or exp& a
 treatm5t alt]native to inc>c]ation     
programs = eligible p>ticipants1        
includ+--  7#a7 programs = use be=e !   
fil+ ( crim9al *>ges aga9/ an           
individual1 :i* %all include-- 7,a7     
tra9+ = law en=cem5t (fic]s on sub/ance 
use disord]s1 m5tal illness1 &          
co-occurr+ m5tal illness & sub/ance use 
disord]s2  7,b7 ! use ( receiv+ c5t]s z 
alt]natives to inc>c]ation ( eligible   
p>ticipants2  7,c7 ! use ( specializ$   
response units = calls relat$ to        
sub/ance use disord]s1 m5tal illness1 & 

co-occurr+ m5tal illness & sub/ance use 
disord]s2 &  7,d7 o!r arre/ & pre-book+ 
treatm5t alt]native to inc>c]ation      
models2 &  7#b7 programs = use aft] !   
fil+ ( crim9al *>ges aga9/ an           
individual1 :i* %all include--  7,a7    
specializ$ cl9ical case managem5t2  7,b7
 pre-trial s]vices relat$ to sub/ance   
use disord]s1 m5tal illness1 &          
co-occurr+ m5tal illness & sub/ance use 
disord]s2  7,c7 prosecutor & def5se-bas$
 programs2  7,d7 specializ$ probation2  
7,e7 programs utiliz+ ! ,am]ican        
,society ( ,addition ,m$ic9e pati5t     
placem5t crit]ia2  7,f7 treatm5t &      
rehabilitation programs & recov]y       
support s]vices2 &  7,g7 drug c\rts1    
,,dwi c\rts1 & vet]ans treatm5t c\rts4  
7c7 ,application  7#a7 ,9 ,g5]al ,an    
eligible entity seek+ a grant "u ?is    
section %all submit an application to ! 
,attorney ,g5]al t meets ! crit]ia 9    
p>agraph 7#b7 at su* "t1 9 su* mann]1 & 
accompani$ by su* additional in=mation z
 ! ,attorney ,g5]al may reasonably      

require4  7#b7 ,crit]ia ,an eligible    
entity1 9 submitt+ an application "u    
p>agraph 7#a71 %all provide evid5ce t ! 
entity1 ) reg>d to ! alt]native to      
inc>c]ation program = :i* x seeks funds 
"u ?is section--  7,a7 has collaborat$  
or w collaborate ) ! ,/ate & local      
gov]nm5t ag5cies ov]see+ heal?1         
community corrections1 c\rts1           
prosecution1 sub/ance abuse1 m5tal      
heal?1 victims s]vices1 & employm5t     
s]vices1 & ) local law en=cem5t ag5cies2
  7,b7 has consult$ or w consult ) !    
,/ate au?ority = sub/ance abuse2  7,c7 w
 use evid5ce-bas$ scre5+ & assessm5t    
treatm5t practices2  7,d7 w use         
evid5ce-bas$ scre5+ & assessm5t tools to
 place p>ticipants 9 ! treatm5t         
alt]native to ! inc>c]ation program2 &  
7,e7 w use evid5ce-bas$ me?odology &    
outcome measurem5ts to evaluate !       
program1 & provide a description (--    
7i7 su* me?odology & measurem5ts1       
includ+ h[ su* measurem5ts w provide    
valid measures ( ! impact ( ! program2 &

  7ii7 h[ ! program c\ld be broadly     
replicat$ if demon/rat$ to be effective4
  7d7 ,requirem5ts ,an eligible entity  
aw>d$ a grant = a treatm5t alt]native to
 inc>c]ation program "u ?is section     
%all--  7#a7 det]m9e ! t]ms & conditions
 "u :i* eligible p>ticipants may        
p>ticipate 9 ! program1 tak+ into       
consid]ation ! collat]al consequ5ces (  
an arre/1 prosecution1 or crim9al       
conviction2  7#b7 ensure t ea* sub/ance 
abuse & m5tal heal? treatm5t compon5t ( 
! program is lic5s$ & qualifi$ by !     
relevant jurisdiction2  7#c7 organize an
 en=cem5t unit ( ! program compris$ (   
appropriately tra9$ law en=cem5t        
pr(essionals :o are sup]vis$ by ! ,/ate1
 tribal1 or local crim9al ju/ice ag5cy  
involv$ 9 ! adm9i/ration ( ! program1 ! 
duties ( :i* %all include--  7,a7 !     
v]ification ( addresses & o!r contacts (
 ea* eligible p>ticipant :o p>ticipates 
or seeks to p>ticipate 9 ! program2 &   
7,b7 if necess>y1 ! location1           
appreh5sion1 arre/1 & return to c\rt (  

an eligible p>ticipant 9 ! program :o   
has abscond$ f ! facility ( a treatm5t  
provid] or has o!rwise violat$ ! t]ms & 
conditions ( ! program1 consi/5t )      
,f$]al & ,/ate confid5tiality           
requirem5ts2  7#d7 notify ! relevant    
crim9al ju/ice entity if any eligible   
p>ticipant 9 ! program absconds f !     
facility ( ! treatm5t provid] or o!rwise
 violates ! t]ms & conditions ( !       
program1 consi/5t ) ,f$]al & ,/ate      
confid5tiality requirem5ts2 &  7#e7     
submit p]iodic reports on ! progress (  
treatm5t or o!r measur$ outcomes f      
p>ticipation 9 ! program ( ea* eligible 
(f5d] p>ticipat+ 9 ! program to !       
relevant ,/ate1 tribal1 or local crim9al
 ju/ice ag5cy1 consi/5t ) ,f$]al & ,/ate
 confid5tiality requirem5ts4  7e7 ,use (
 funds ,an eligible entity %all use a   
grant receiv$ "u ?is section = ! co/s ( 
! treatm5t alt]native to inc>c]ation    
program1 includ+--  7#a7 sal>ies1       
p]sonnel co/s1 equipm5t co/s1 & o!r co/s
 directly relat$ to ! op]ation ( !      

program1 includ+ ! en=cem5t unit2  7#b7 
paym5ts = treatm5t provid]s t are       
approv$ by ! relevant ,/ate or tribal   
jurisdiction & lic5s$1 if necess>y1 to  
provide ne$$ treatm5t to eligible (f5d]s
 p>ticipat+ 9 ! program1 includ+        
m$ication-assi/$ treatm5t1 aft]c>e      
sup]vision1 vocational tra9+1 education1
 & job placem5t2 &  7#c7 paym5ts to     
public & nonpr(it private entities t are
 approv$ by ! ,/ate or tribal           
jurisdiction & lic5s$1 if necess>y1 to  
provide alcohol & drug addiction        
treatm5t & m5tal heal? treatm5t to      
eligible (f5d]s p>ticipat+ 9 ! program4 
7f7 ,supplem5t ,n ,supplant ,an eligible
 entity %all use ,f$]al funds receiv$ "u
 ?is section only to supplem5t ! funds t
 w\ld1 9 ! abs5ce ( ^? ,f$]al funds1 be 
made available f o!r ,f$]al & non-,f$]al
 s\rces = activities describ$ 9 ?is     
section1 & n to supplant ^? funds4  7g7 
,geographic di/ribution ,! ,attorney    
,g5]al %all ensure t1 to ! ext5t        
practicable1 ! geographical di/ribution 

( grants aw>d$ "u ?is section is        
equitable & includes a grant to an      
eligible entity 9--  7#a7 ea* ,/ate2    
7#b7 rural1 suburban1 & urban areas2 &  
7#c7 tribal jurisdictions4  7h7 ,reports
 & ,evaluations  7#a7 ,9 ,g5]al ,ea*    
fiscal ye>1 a recipi5t ( a grant "u ?is 
section dur+ t fiscal ye> %all submit to
 ! ,attorney ,g5]al a report conta9+ !  
in=mation describ$ 9 p>agraph 7#b71 z   
well z su* additional in=mation z !     
,attorney ,g5]al may reasonably require4
 ,! recipi5t %all submit su* report 9   
su* =m & on su* dates z ! ,attorney     
,g5]al specifies4  7#b7 ,cont5ts ,a     
report submitt$ "u p>agraph 7#a7 %all-- 
7,a7 describe be/ practices = treatm5t  
alt]natives2 &  7,b7 id5tify tra9+      
requirem5ts = law en=cem5t (fic]s :o    
p>ticipate 9 treatm5t alt]natives to    
inc>c]ation programs4  7i7 ,au?orization
 ( ,appropriations ,!re is au?oriz$ to  
be appropriat$ to c>ry out ?is section  
#aj1jjj1jjj = ea* ( ! fiscal ye>s #bjaf 
?r\gh #bjbj4  4  #h4 ,reau?orization ( !

 high int5sity drug traffick+ area "u ! 
(fice ( national drug control policy    
,section #gjg ( ! ,(fice ( ,national    
,drug ,control ,policy ,reau?orization  
,act ( #aiih 7#ba ,u4,s4,c4 #agjf7 is   
am5d$ by /rik+ subsection 7p7 & ins]t+ !
 foll[+3  7p7 ,au?orization (           
appropriations ,!re is au?oriz$ to be   
appropriat$ to ! ,(fice ( ,national     
,drug ,control ,policy to c>ry out ?is  
section #bhj1jjj1jjj = ea* ( fiscal ye>s
 #bjaf ?r\gh #bjbj4  4  #i4             
,reau?orization ( ! controll$ sub/ance  
monitor+ program  7a7 ,am5dm5t to       
purpose ,p>agraph 7#a7 ( section #b ( ! 
,national ,all ,s*$ules ,prescription   
,electronic ,report+ ,act ( #bjje       
7,public ,law #aji-fj7 is am5d$ to read 
z foll[s3  7#a7 fo/] ! e/abli%m5t (     
,/ate-adm9i/]$ controll$ sub/ance       
monitor+ sy/ems 9 ord] to ensure t--    
7,a7 heal? c>e provid]s h access to !   
accurate1 timely prescription hi/ory    
in=mation t !y may use z a tool = ! e>ly
 id5tification ( pati5ts at risk =      

addiction 9 ord] to initiate appropriate
 m$ical int]v5tions & av]t ! tragic     
p]sonal1 family1 & community consequ5ces
 ( untreat$ addiction2 &  7,b7          
appropriate law en=cem5t1 regulatory1 & 
,/ate pr(essional lic5s+ au?orities h   
access to prescription hi/ory in=mation 
= ! purposes ( inve/igat+ drug div]sion 
& prescrib+ & disp5s+ practices ( errant
 prescrib]s or ph>maci/s2 &  4  7b7     
,am5dm5ts to controll$ sub/ance monitor+
 program ,section #cii,o ( ! ,public    
,heal? ,s]vice ,act 7#db ,u4,s4,c4      
#bhj;g-#c7 is am5d$-- 7#a7 9 subsection 
7a7--  7,a7 9 p>agraph 7#a7-- 7i7 9     
subp>agraph 7,a71 by /rik+ or2  7ii7 9  
subp>agraph 7,b71 by /rik+ ! p]iod at ! 
end & ins]t+ 2 or2 &  7iii7 by add+ at !
 end ! foll[+3  7,c7 to ma9ta9 & op]ate 
an exi/+ ,/ate-controll$ sub/ance       
monitor+ program4  2 &  7,b7 9 p>agraph 
7#c71 by ins]t+ by ! ,secret>y aft]     
,grants aw>d$2  7#b7 by am5d+ subsection
 7b7 to read z foll[s3  7b7 ,m9imum     
requirem5ts ,! ,secret>y %all ma9ta9 &1 

z appropriate1 supplem5t or revise 7aft]
 publi%+ propos$ additions & revisions 9
 ! ,f$]al ,regi/] & receiv+ public      
comm5ts !reon7 m9imum requirem5ts =     
crit]ia to be us$ by ,/ates = purposes (
 clauses 7ii71 7v71 7vi71 & 7vii7 (     
subsection 7c77#a77;,a74  2  7#c7 9     
subsection 7c7-- 7,a7 9 p>agraph        
7#a77;,b7--  7i7 9 ! matt] prec$+ clause
 7i71 by /rik+ 7a77#a77;,b7 & ins]t+    
7a77#a77;,b7 or 7a77#a77;,c72  7ii7 9   
clause 7i71 by /rik+ program to be      
improv$ & ins]t+ program to be improv$  
or ma9ta9$2  7iii7 by r$esignat+ clauses
 7iii7 & 7iv7 z clauses 7iv7 & 7v71     
respectively2  7iv7 by ins]t+ aft]      
clause 7ii7 ! foll[+3  7iii7 a plan to  
apply ! late/ advances 9 heal? in=mation
 te*nology 9 ord] to incorporate        
prescription drug monitor+ program data 
directly into ! workfl[ ( prescrib]s &  
disp5s]s to ensure timely access to     
pati5ts' controll$ prescription drug    
hi/ory2  2  7v7 9 clause 7iv71 z        
r$esignat$1 by ins]t+ be=e ! semicolon  

at ! end & at lea/ "o heal? in=mation   
te*nology sy/em su* z an electronic     
heal? records sy/em1 a heal? in=mation  
ex*ange1 or an e-prescrib+ sy/em2 &     
7vi7 9 clause 7v71 z r$esignat$1 by     
/rik+ public heal? & ins]t+ public heal?
 or public safety2  7,b7 9 p>agraph     
7#c7--  7i7 by /rik+ ,if a ,/ate t      
submits & ins]t+ ! foll[+3  7,a7 ,9     
g5]al ,if a ,/ate t submits  2  7ii7 by 
/rik+ ! p]iod at ! end & ins]t+ &       
include timel9es = full implem5tation ( 
su* int]op]ability4 ,! ,/ate %all also  
describe ! mann] 9 :i* x w a*ieve       
int]op]ability betwe5 its monitor+      
program & heal? in=mation te*nology     
sy/ems1 z all[able "u ,/ate law1 &      
include timel9es = implem5tation ( su*  
int]op]ability42 &  7iii7 by add+ at !  
end ! foll[+3  7,b7 ,monitor+ ( ef=ts ,!
 ,secret>y %all monitor ,/ate ef=ts to  
a*ieve int]op]ability1 z describ$ 9     
subp>agraph 7,a74  2  7,c7 9 p>agraph   
7#e7-- 7i7 by /rik+ implem5t or improve 
& ins]t+ e/abli%1 improve1 or ma9ta92 & 

7ii7 by add+ at ! end ! foll[+3 ,!      
,secret>y %all r$i/ribute any funds t   
are s return$ among ! rema9+ grantees "u
 ?is section 9 accordance ) ! =mula     
describ$ 9 subsection 7a77#b77;,b742    
7#d7 9 subsection 7d7-- 7,a7 9 ! matt]  
prec$+ p>agraph 7#a7--  7i7 by /rik+ ,9 
implem5t+ or improv+ & all t foll[s     
?r\gh 7a77#a77;,b7 & ins]t+ ,9 e/abli%+1
 improv+1 or ma9ta9+ a controll$        
sub/ance monitor+ program "u ?is        
section1 a ,/ate %all comply1 or )      
respect to a ,/ate t applies = a grant  
"u subp>agraph 7,b7 or 7,c7 ( subsection
 7a77#a72 &  7ii7 by /rik+ public heal? 
& ins]t+ public heal? or public safety2 
&  7,b7 by add+ at ! end ! foll[+3  7#e7
 ,! ,/ate %all report to ! ,secret>y    
on-- 7,a7 z appropriate1 int]op]ability 
) ! controll$ sub/ance monitor+ programs
 ( ,f$]al dep>tm5ts & ag5cies2  7,b7 z  
appropriate1 int]op]ability ) heal?     
in=mation te*nology sy/ems su* z        
electronic heal? records sy/ems1 heal?  
in=mation ex*anges1 & e-prescrib+       

sy/ems2 &  7,c7 :e!r or n ! ,/ate       
provides automatic1 real-"t or daily    
in=mation ab\t a pati5t :5 a practition]
 7or ! designee ( a practition]1 :]e    
p]mitt$7 reque/s in=mation ab\t su*     
pati5t4  2  7#e7 9 subsections 7e71     
7f77#a71 & 7g71 by /rik+ implem5t+ or   
improv+ ea* place x appe>s & ins]t+     
e/abli%+1 improv+1 or ma9ta9+2  7#f7 9  
subsection 7f7--  7,a7 9 p>agraph 7#a7--
 7i7 9 subp>agraph 7,b71 by /rik+ misuse
 ( a s*$ule ,,ii1 ,,iii1 or ,,iv        
sub/ance & ins]t+ misuse ( a controll$  
sub/ance includ$ 9 s*$ule ,,ii1 ,,iii1  
or ,,iv ( section #bjb7;c7 ( !          
,controll$ ,sub/ance ,act2 &  7ii7 9    
subp>agraph 7,d71 by ins]t+ a ,/ate     
sub/ance abuse ag5cy1 aft] a ,/ate heal?
 dep>tm5t12 &  7,b7 by add+ at ! end !  
foll[+3  7#c7 ,evaluation & report+     
,subject to subsection 7g71 a ,/ate     
receiv+ a grant "u subsection 7a7 %all  
provide ! ,secret>y ) aggregate data &  
o!r in=mation det]m9$ by ! ,secret>y to 
be necess>y to enable ! ,secret>y--     

7,a7 to evaluate ! success ( ! ,/ate's  
program 9 a*iev+ its purposes2 or  7,b7 
to prep>e & submit ! report to ,congress
 requir$ by subsection 7l77#b74  7#d7   
,rese>* by o!r entities ,a dep>tm5t1    
program1 or adm9i/ration receiv+        
nonid5tifiable in=mation "u p>agraph    
7#a77;,d7 may make su* in=mation        
available to o!r entities = rese>*      
purposes4  2  7#g7 by r$esignat+        
subsections 7h7 ?r\gh 7n7 z subsections 
7j7 ?r\gh 7p71 respectively2  7#h7 9    
subsections 7c77#a77;,a77iv7 & 7d77#d71 
by /rik+ subsection 7h7 ea* place x     
appe>s & ins]t+ subsection 7j72  7#i7 by
 ins]t+ aft] subsection 7g7 ! foll[+3   
7h7 ,education & access to ! monitor+   
sy/em ,a ,/ate receiv+ a grant "u       
subsection 7a7 %all take /eps to--  7#a7
 facilitate prescrib] & disp5s] use ( ! 
,/ate's controll$ sub/ance monitor+     
sy/em2  7#b7 educate prescrib]s &       
disp5s]s on ! b5efits ( ! sy/em bo? to  
!m & society2 &  7#c7 facilitate l9kage 
to ! ,/ate sub/ance abuse ag5cy &       

sub/ance abuse disord] s]vices4  7i7    
,consultation ) ,attorney ,g5]al ,9     
c>ry+ out ?is section1 ! ,secret>y %all 
consult ) ! ,attorney ,g5]al ( ! ,unit$ 
,/ates & o!r relevant ,f$]al (ficials   
to--  7#a7 ensure maximum coord9ation ( 
controll$ sub/ance monitor+ programs &  
relat$ activities2 &  7#b7 m9imize      
duplicative ef=ts & fund+4  2  7#aj7 9  
subsection 7l77#b77;,a71 z r$esignat$ by
 p>agraph 7#g7-- 7,a7 9 clause 7ii71 by 
ins]t+ 2 e/abli%$ or /r5g!n$ initiatives
 to ensure l9kages to sub/ance use      
disord] s]vices2 be=e or affect$ pati5t 
access2 &  7,b7 9 clause 7iii71 by      
ins]t+ & betwe5 controll$ sub/ance      
monitor+ programs & heal? in=mation     
te*nology sy/ems1 be=e 1 includ+ an     
assessm5t2  7#aa7 by /rik+ subsection   
7m7 7relat+ to pref]5ce71 z r$esignat$  
by p>agraph 7#g72  7#ab7 by r$esignat+  
subsections 7m7 ?r\gh 7o71 z r$esignat$ 
by p>agraph 7#g71 z subsections 7l7     
?r\gh 7o71 respectively2  7#ac7 9       
subsection 7m77#a71 z r$esignat$ by     

p>agraph 7#ab71 by /rik+ e/abli%m5t1    
implem5tation1 or improvem5t & ins]t+   
e/abli%m5t1 improvem5t1 or ma9t5ance2   
7#ad7 9 subsection 7n7--  7,a7 9        
p>agraph 7#e7-- 7i7 by /rik+ means !    
ability & ins]t+ ! foll[+3  means-- 7,a7
 ! ability  2  7ii7 by /rik+ ! p]iod at 
! end & ins]t+ 2 or2 &  7iii7 by add+ at
 ! end ! foll[+3  7,b7 %>+ ( ,/ate      
controll$ sub/ance monitor+ program     
in=mation ) a heal? in=mation te*nology 
sy/em su* z an electronic heal? records 
sy/em1 a heal? in=mation ex*ange1 or an 
e-prescrib+ sy/em4  2  7,b7 9 p>agraph  
7#g71 by /rik+ ph>macy & ins]t+         
ph>maci/2 &  7,c7 9 p>agraph 7#h71 by   
/rik+ & ! ,di/rict ( ,columbia & ins]t+ 
1 ! ,di/rict ( ,columbia1 & any         
commonweal? or t]ritory ( ! ,unit$      
,/ates2 &  7#ae7 by am5d+ subsection    
7o71 z r$esignat$ by p>agraph 7#ab71 to 
read z foll[s3  7o7 ,au?orization (     
appropriations ,to c>ry out ?is section1
 !re is au?oriz$ to be appropriat$      
#aj1jjj1jjj = ea* ( fiscal ye>s f #bjaf 

?r\gh #bjbj4  4  #aj4 ,(fset ,x is !    
s5se ( ,congress t ! am\nts exp5d$ to   
c>ry out ?is ,act & ! am5dm5ts made by  
?is ,act %\ld be (fset by a correspond+ 
r$uction 9 ,f$]al discretion>y sp5d+4