,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #dcif  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,janu>y #bh1 #bjaf    
,mr4 ,pallone introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committees
 on ! ,judici>y1 ,ways & ,means1 &      
,education & ! ,work=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 support a       
compreh5sive public heal? response to ! 
h]o9 & prescription drug abuse crisis4  
#a4 ,%ort title2 table ( cont5ts  7a7   
,%ort title ,?is ,act may be cit$ z !   
,h]o9 & ,prescription ,drug ,abuse      
,prev5tion & ,r$uction ,act4  7b7 ,table
 ( cont5ts ,! table ( cont5ts = ?is ,act
 is z foll[s3  ,sec4 #a4 ,%ort title2   
table ( cont5ts4 ,title ,i--,prev5tion  
,sec4 #aja4 ,practition] education4     
,sec4 #ajb4 ,co-prescrib+ opioid ov]dose
 rev]sal drugs grant program4 ,sec4     
#ajc4 ,opioid ov]dose rev]sal           

co-prescrib+ guidel9es4 ,sec4 #ajd4     
,surveillance capacity build+4 ,title   
,,ii--,crisis ,sec4 #bja4 ,grants to    
support syr+e ex*ange programs4 ,sec4   
#bjb4 ,grant program to r$uce drug      
ov]dose dea?s4 ,title ,,iii--,treatm5t  
,sec4 #cja4 ,expansion ( pati5t limits  
"u waiv]4 ,sec4 #cjb4 ,def9itions4 ,sec4
 #cjc4 ,evaluation by assi/ant ,secret>y
 = plann+ & evaluation4 ,sec4 #cjd4     
,reau?orization ( resid5tial treatm5t   
programs = pregnant & po/p>tum wom54    
,sec4 #cje4 ,pilot program grants =     
,/ate sub/ance abuse ag5cies4 ,sec4     
#cjf4 ,evid5ce-bas$ opioid & h]o9       
treatm5t & int]v5tions demon/ration4    
,sec4 #cjg4 ,adolesc5t treatm5t &       
recov]y s]vices demon/ration grant      
program4 ,sec4 #cjh4 ,/r5g!n+ p>ity 9   
m5tal heal? & sub/ance use disord]      
b5efits4 ,sec4 #cji4 ,/udy on treatm5t  
infra/ructure4 ,sec4 #caj4 ,sub/ance use
 disord] pr(essional loan repaym5t      
program4 ,title ,,iv--,recov]y ,sec4    
#dja4 ,national y\? recov]y initiative4 

,sec4 #djb4 ,grants to enhance & exp&   
recov]y support s]vices4  ,i ,prev5tion 
#aja4 ,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 opioids = ! treatm5t 
( pa91 or pa9 managem5t1 a practition]  
describ$ 9 p>agraph 7#a7 %all comply ) !
 #ab-;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 #ab 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     
,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  7c7 ,au?orization (             
,appropriations ,!re is au?oriz$ to be  
appropriat$ to c>ry out ?is section     
#a1jjj1jjj = ea* ( fiscal ye>s #bjag    
?r\gh #bjba4  #ajb4 ,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 title 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 ,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 #aciex7aa7771 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 a program approv$ by a ,/ate 
sub/ance abuse ag5cy1 or any o!r entity 
t ! ,secret>y deems appropriate4  7#c7  
,co-prescrib+ ,= purposes ( ?is title1 !
 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 & processes1 consi/5t
 ) applicable ,f$]al & ,/ate privacy    
rules1 = track+ pati5ts p>ticipat+ 9 !  
program describ$ 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 drug 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  7f7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to c>ry out ?is section &   
section #ajc #d1jjj1jjj = ea* ( fiscal  
ye>s #bjag ?r\gh #bjba4  #ajc4 ,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$ical ,association2 &   
7,c7 ! ,c5t]s = ,disease ,control &     
,prev5tion4  #ajd4 ,surveillance        
capacity build+  7a7 ,program au?oriz$  
,! ,secret>y ( ,heal? & ,human ,s]vices1
 act+ ?r\gh ! ,director ( ! ,c5t]s =    
,disease ,control & ,prev5tion1 %all    
aw>d coop]ative agreem5ts or grants 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 grant or 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 grant or 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 
describ$ 9 p>agraph 7#a7 %all include-- 
7,a7 a description ( ! activities to be 
fund$ ?r\gh ! grant or coop]ative       
agreem5t2 &  7,b7 evid5ce t ! eligible  
entity has ! capacity to c>ry out su*   
activities4  7d7 ,report ,z a condition 
( receipt ( a grant or coop]ative       
agreem5t "u ?is section1 an eligible    
entity %all agree to prep>e & submit1 n 
lat] ?an #ij days aft] ! end ( ! grant  
or coop]ative agreem5t p]iod1 a report  
to ! ,secret>y describ+ ! results ( !   
activities support$ ?r\gh ! grant or    
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 is  
au?oriz$ to be appropriat$ to c>ry out  

?is section #e1jjj1jjj = ea* ( ! fiscal 
ye>s #bjag ?r\gh #bjba4  ,,ii ,crisis   
#bja4 ,grants to support syr+e ex*ange  
programs  7a7 ,9 g5]al ,! ,secret>y (   
,heal? & ,human ,s]vices may aw>d grants
 to ,/ate1 local1 & tribal gov]nm5ts &  
community organizations to support syr+e
 ex*ange programs4  7b7 ,use ( funds    
,grants "u subsection 7a7 may be us$ to 
support c>ry+ out syr+e ex*ange         
programs1 includ+ ?r\gh--  7#a7 provid+ 
outrea*1 c\nsel+1 heal? education1 case 
managem5t1 syr+e disposal1 & o!r s]vices
 z det]m9$ appropriate by ! ,secret>y ( 
,heal? & ,human ,s]vices2 &  7#b7       
provid+ te*nical assi/ance1 includ+     
tra9+ & capacity build+1 to assi/ !     
developm5t & implem5tation ( syr+e      
ex*ange programs4  7c7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ #ae1jjj1jjj = ea* ( fiscal  
ye>s #bjag ?r\gh #bjba to c>ry out ?is  
section1 ( :i*--  7#a7 at lea/ #ae p]c5t
 %all be = syr+e ex*ange programs t h   
be5 9 op]ation = less ?an #c ye>s2 &    

7#b7 #e p]c5t %all be = te*nical        
assi/ance "u subsection 7b77#b74  #bjb4 
,grant program to r$uce drug ov]dose    
dea?s  7a7 ,program au?oriz$ ,!         
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,adm9i/rator ( ! ,sub/ance 
,abuse & ,m5tal ,heal? ,s]vices         
,adm9i/ration1 %all aw>d grants or 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 grant or          
coop]ative agreem5t "u ?is section1 an  
entity %all be a p>tn]%ip betwe5 any ( !
 foll[+3 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 grant or coop]ative    
agreem5t "u ?is section %all submit to !
 ,secret>y ( ,heal? & ,human ,s]vices 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 ! grant or coop]ative agreem5t2 & 
7,b7 evid5ce t ! eligible entity has !  
capacity to c>ry out su* activities4    
7d7 ,priority ,9 ent]+ into grants &    
coop]ative agreem5ts "u subsection 7a71 
! ,secret>y ( ,heal? & ,human ,s]vices  
%all give priority to eligible entities 
t--  7#a7 include 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 
grant or coop]ative agreem5t "u ?is     
section1 an eligible entity %all agree  
to use ! grant or 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 prescriptions ( 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 ( ,heal? &     

,human ,s]vices %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$2 
7,d7 coord9at+ & h>moniz+ data          
collection measures2  7,e7 evaluat+ !   
effects ( ! program on ov]dose rates2 & 
7,f7 education & outrea* to ! public    
ab\t ov]dose prev5tion & prescription ( 
naloxone & o!r simil>ly effective       
m$ication4  7#b7 ,reports to c5t] ,z a  
condition on receipt ( a grant or       
coop]ative agreem5t "u ?is section1 an  
eligible entity %all agree to prep>e &  
submit1 n lat] ?an #ij days aft] ! end (
 ! aw>d p]iod1 a report to su* coord9at+
 c5t] & ! ,secret>y ( ,heal? & ,human   

,s]vices describ+ ! results ( !         
activities support$ ?r\gh ! grant or    
coop]ative agreem5t4  7g7 ,duration ,!  
p]iod ( a grant or coop]ative agreem5t  
"u ?is section %all be #d ye>s4  7h7    
,def9ition ,9 ?is "p1 ! t]m drug--  7#a7
 means 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 is au?oriz$ to be   
appropriat$ #bj1jjj1jjj to c>ry out ?is 
section = ea* ( ! fiscal ye>s #bjag     
?r\gh #bjba4  ,,iii ,treatm5t  #cja4    
,expansion ( pati5t limits "u waiv]     
,section #cjc7;g77#b77;,b7 ( !          
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,b77 is am5d$-- 
7#a7 9 clause 7i71 by /rik+ physician & 
ins]t+ practition]2  7#b7 9 clause      
7iii7-- 7,a7 by /rik+ #cj & ins]t+ #ajj2
 &  7,b7 by /rik+ 1 unless1 n soon] &   
all t foll[s ?r\gh ! end & ins]t+ a     

p]iod2 &  7#c7 by ins]t+ at ! end !     
foll[+ new clause3  7iv7 ,n e>li] ?an #a
 ye> aft] ! date on :i* a qualify+      
practition] obta9$ an initial waiv]     
pursuant to clause 7iii71 ! qualify+    
practition] may submit a second         
notification to ! ,secret>y ( ! ne$ &   
int5t ( ! qualify+ practition] to treat 
an unlimit$ numb] ( pati5ts1 if !       
qualify+ practition]--  7,i7  7aa7      
satisfies ! requirem5ts ( item 7aa71    
7bb71 7cc71 or 7dd7 ( subp>agraph       
7,g77ii77,i72 &  7bb7 agrees to fully   
p>ticipate 9 ! ,prescription ,drug      
,monitor+ ,program ( ! ,/ate 9 :i* !    
qualify+ practition] is lic5s$1 pursuant
 to applicable ,/ate guidel9es2 or      
7,,ii7  7aa7 satisfies ! requirem5ts (  
item 7ee71 7ff71 or 7gg7 ( subp>agraph  
7,g77ii77,i72  7bb7 agrees to fully     
p>ticipate 9 ! ,prescription ,drug      
,monitor+ ,program ( ! ,/ate 9 :i* !    
qualify+ practition] is lic5s$1 pursuant
 to applicable ,/ate guidel9es2  7cc7   
practices 9 a qualifi$ practice sett+2 &

  7dd7 has complet$ n less ?an #bd h\rs 
( tra9+ 7?r\gh classroom situations1    
sem9>s at pr(essional society meet+s1   
electronic communications1 or o!rwise7 )
 respect to ! treatm5t & managem5t (    
opiate-dep5d5t pati5ts = sub/ance use   
disord]s 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 or   
any o!r organization t ! ,secret>y      
det]m9es is appropriate = purposes ( ?is
 subclause4  4  #cjb4 ,def9itions       
,section #cjc7;g77#b77;,g7 ( !          
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;g77#b77;,g77 is am5d$-- 
7#a7 by /rik+ clause 7ii7 & ins]t+ !    
foll[+3  7ii7 ,! t]m qualify+           
practition] means ! foll[+3 7,i7 ,a     
physician :o is lic5s$ "u ,/ate law & :o
 meets #a or m ( ! foll[+ conditions3   
7aa7 ,! physician holds a 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 bo>d c]tification 9 addiction   
m$ic9e f ! ,am]ican ,o/eopa?ic          
,association4  7dd7 ,! physician holds a
 bo>d c]tification f ! ,am]ican ,bo>d ( 
,addiction ,m$ic9e4  7ee7 ,! physician  
has complet$ n less ?an #h h\rs ( tra9+ 
7?r\gh classroom situations1 sem9> at   
pr(essional society meet+s1 electronic  
communications1 or o!rwise7 ) respect to
 ! treatm5t & managem5t ( opiate-dep5d5t
 pati5ts = sub/ance use disord]s 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 or any o!r    
organization t ! ,secret>y det]m9es is  
appropriate = purposes ( ?is subclause4 
7ff7 ,! physician has p>ticipat$ z an   
inve/igator 9 #a or m cl9ical trials    

lead+ to ! approval ( a n>cotic drug 9  
s*$ule ,,iii1 ,,iv1 or ,v = ma9t5ance or
 detoxification treatm5t1 z demon/rat$  
by a /atem5t submitt$ to ! ,secret>y by 
?is sponsor ( su* approv$ drug4  7gg7 ,!
 physician has su* o!r tra9+ or exp]i5ce
 z ! ,secret>y det]m9es w demon/rate !  
ability ( ! physician to treat & manage 
opiate-dep5d5t pati5ts4  7,,ii7 ,a nurse
 practition] or physician assi/ant :o is
 lic5s$ "u ,/ate law & meets all ( !    
foll[+ conditions3  7aa7 ,! nurse       
practition] or physician assi/ant is    
lic5s$ "u ,/ate law to prescribe s*$ule 
,,iii1 ,,iv1 or ,v m$ications = pa94    
7bb7 ,! nurse practition] or physician  
assi/ant satisfies #a or m ( ! foll[+3  
7,,aa7 ,has complet$ n few] ?an #bd h\rs
 ( tra9+ 7?r\gh classroom situations1   
sem9> at pr(essional society meet+s1    
electronic communications1 or o!rwise7 )
 respect to ! treatm5t & managem5t (    
opiate-dep5d5t pati5ts = sub/ance use   
disord]s provid$ by ! ,am]ican ,society 
( ,addiction ,m$ic9e1 ! ,am]ican        

,academy ( ,addiction ,psy*iatry1 !     
,am]ican ,m$ical ,association1 !        
,am]ican ,o/eopa?ic ,association1 !     
,am]ican ,psy*iatric ,association1 or   
any o!r organization t ! ,secret>y      
det]m9es is appropriate = purposes ( ?is
 subclause4 7,,bb7 ,has su* o!r tra9+ or
 exp]i5ce z ! ,secret>y det]m9es w      
demon/rate ! ability ( ! nurse          
practition] or physician assi/ant to    
treat & manage opiate-dep5d5t pati5ts4  
7cc7 ,! nurse practition] or physician  
assi/ant practices )9 ! scope ( _! ,/ate
 lic5se1 includ+ compliance ) any       
sup]vision or collaboration requirem5ts 
"u ,/ate law4  7dd7 ,! nurse practition]
 or physician assi/ant practice 9 a     
qualifi$ practice sett+4  2 &  7#b7 by  
add+ at ! end ! foll[+3  7iii7 ,! t]m   
qualifi$ practice sett+ means #a or m ( 
! foll[+ treatm5t sett+s3 7,i7 ,a       
,national ,committee = ,quality         
,assurance-recogniz$ ,pati5t-,c5t]$     
,m$ical ,home or ,pati5t-,c5t]$         
,specialty ,practice4  7,,ii7 ,a ,c5t]s 

= ,m$icaid  ,m$ic>e ,s]vices-recogniz$  
,acc\ntable ,c>e ,organization4  7,,iii7
 ,a cl9ical facility adm9i/]$ by !      
,dep>tm5t ( ,vet]ans ,affairs1 ,dep>tm5t
 ( ,def5se1 or ,indian ,heal? ,s]vice4  
7,,iv7 ,a ,behavioral ,heal? ,home      
accr$it$ by ! ,jo9t ,commission4  7,v7  
,a ,f$]ally-qualifi$ heal? c5t] 7z def9$
 9 section #aije7l77#b77;,b7 ( ! ,social
 ,security ,act 7#db ,u4,s4,c4          
#acif;d7l77#b77;,b777 or a              
,f$]ally-qualifi$ heal? c5t] look-alike4
  7,,vi7 ,a ,sub/ance ,abuse & ,m5tal   
,heal? ,s]vices-c]tifi$ ,opioid         
,treatm5t ,program4  7,,vii7 ,a cl9ical 
program ( a ,/ate or ,f$]al jail1       
prison1 or o!r facility :]e individuals 
are inc>c]at$4  7,,viii7 ,a cl9ic t     
demon/rates compliance ) ! ,model       
,policy on ,,data #bjjj & ,treatm5t (   
,opioid ,addiction 9 ! ,m$ical ,(fice   
issu$ by ! ,f$]ation ( ,/ate ,m$ical    
,bo>ds4  7,,ix7 ,a treatm5t sett+ t is  
"p ( an ,accr$itation ,c\ncil =         
,graduate ,m$ical ,education1 ,am]ican  

,association ( ,colleges ( ,o/eopa?ic   
,m$ic9e1 or ,am]ican ,o/eopa?ic         
,association-accr$it$ resid5cy or       
fell[%ip tra9+ program4  7,x7 ,any o!r  
practice sett+ approv$ by a ,/ate       
regulatory bo>d1 ,/ate sub/ance abuse   
ag5cy1 or ,/ate ,m$icaid ,plan to       
provide addiction treatm5t s]vices4     
7,,xi7 ,any o!r practice sett+ approv$  
by ! ,secret>y4  4  #cjc4 ,evaluation by
 assi/ant ,secret>y = plann+ &          
evaluation ,two ye>s aft] ! date on :i* 
! fir/ notification "u clause 7iv7 (    
section #cjc7;g77#b77;,b7 ( ! ,controll$
 ,sub/ances ,act 7#ba ,u4,s4,c4         
#hbc7;g77#b77;,b771 z add$ by section   
#cja1 is receiv$ by ! ,secret>y ( ,heal?
 & ,human ,s]vices1 ! ,assi/ant         
,secret>y = ,plann+ & ,evaluation %all  
initiate an evaluation ( ! effectiv5ess 
( ! am5dm5ts made by sections #cja &    
#cjb1 :i* %all include an evaluation (--
  7#a7 any *anges 9 ! availability & use
 ( m$ication-assi/$ treatm5t = opioid   
addiction2  7#b7 ! quality (            

m$ication-assi/$ treatm5t programs2     
7#c7 ! integration ( m$ication-assi/$   
treatm5t ) r\t9e heal?c>e s]vices2  7#d7
 div]sion ( opioid addiction treatm5t   
m$ication2  7#e7 *anges 9 ,/ate or local
 policies & legislation relat+ to opioid
 addiction treatm5t2  7#f7 ! use ( nurse
 practition]s & physician assi/ants :o  
prescribe opioid addiction m$ication2   
7#g7 ! use ( ,prescription ,drug        
,monitor+ ,programs by waiv$            
practition]s to maximize safety ( pati5t
 c>e & prev5t div]sion ( opioid         
addiction m$ication2  7#h7 ! f9d+s ( !  
,drug ,en=cem5t ,adm9i/ration           
inspections ( waiv$ practition]s1       
includ+ ! frequ5cy ) :i* ! ,drug        
,en=cem5t ,adm9i/ration f9ds no         
docum5tation ( access to behavioral     
heal? s]vices2 &  7#i7 ! effectiv5ess ( 
cross-ag5cy collaboration betwe5        
,dep>tm5t ( ,heal? & ,human ,s]vices & !
 ,drug ,en=cem5t ,adm9i/ration = exp&+  
effective opioid addiction treatm5t4    
#cjd4 ,reau?orization ( resid5tial      

treatm5t programs = pregnant & po/p>tum 
wom5 ,section #ejh ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a7 
is am5d$-- 7#a7 9 subsection 7p71 by    
ins]t+ 7o!r ?an subsection 7r77 aft]    
section2 &  7#b7 9 subsection 7r71 by   
/rik+ su* sums & all t foll[s ?r\gh     
#bjjc & ins]t+ #dj1jjj1jjj = ea* (      
fiscal ye>s #bjag ?r\gh #bjba4  #cje4   
,pilot program grants = ,/ate sub/ance  
abuse ag5cies  7a7 ,9 g5]al ,section    
#ejh ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bij;bb-#a7 is am5d$--   
7#a7 by r$esignat+ subsection 7r71 z    
am5d$ by section #cjd1 z subsection 7s72
 &  7#b7 by ins]t+ aft] subsection 7q7 !
 foll[+ new subsection3  7r7 ,pilot     
program = ,/ate sub/ance abuse ag5cies  
7#a7 ,9 g5]al ,f am\nts made available  
"u subsection 7s71 ! ,director ( ! ,c5t]
 = ,sub/ance ,abuse ,treatm5t %all c>ry 
out a pilot program "u :i* competitive  
grants are made by ! ,director to ,/ate 
sub/ance abuse ag5cies to--  7,a7       
enhance flexibility 9 ! use ( funds     

design$ to support family-bas$ s]vices =
 pregnant & po/p>tum wom5 ) a prim>y    
diagnosis ( a sub/ance use disord]1     
includ+ opioid use disord]s2  7,b7 help 
,/ate sub/ance abuse ag5cies address    
id5tifi$ gaps 9 s]vices furni%$ to su*  
wom5 along ! cont9uum ( c>e1 includ+    
s]vices provid$ to wom5 9 non-resid5tial
 bas$ sett+s2 &  7,c7 promote a         
coord9at$1 effective1 & effici5t ,/ate  
sy/em manag$ by ,/ate sub/ance abuse    
ag5cies by enc\rag+ new approa*es &     
models ( s]vice deliv]y4  7#b7          
,requirem5ts ,9 c>ry+ out ! pilot       
program "u ?is subsection1 ! ,director  
%all-- 7,a7 require ,/ate sub/ance abuse
 ag5cies to submit to ! ,director       
applications1 9 su* =m & mann] & conta9+
 su* in=mation z specifi$ by !          
,director1 to be eligible to receive a  
grant "u ! program2  7,b7 id5tify1 bas$ 
on su* submitt$ applications1 ,/ate     
sub/ance abuse ag5cies t are eligible = 
su* grants2  7,c7 require s]vices       
propos$ to be furni%$ ?r\gh su* a grant 

to support family-bas$ treatm5t & o!r   
s]vices = pregnant & po/p>tum wom5 ) a  
prim>y diagnosis ( a sub/ance use       
disord]1 includ+ opioid use disord]s2   
7,d7 n require t s]vices furni%$ ?r\gh  
su* a grant be provid$ solely to wom5 t 
reside 9 facilities2  7,e7 n require t  
grant recipi5ts "u ! program make       
available ?r\gh use ( ! grant all       
s]vices describ$ 9 subsection 7d72 &    
7,f7 consid] n apply+ requirem5ts       
describ$ 9 p>agraphs 7#a7 & 7#b7 (      
subsection 7f7 to applicants1 dep5d+ on 
! circum/ances ( ! applicant4  7#c7     
,requir$ s]vices  7,a7 ,9 g5]al ,!      
,director %all specify a m9imum set (   
s]vices requir$ to be made available to 
eligible wom5 ?r\gh a grant aw>d$ "u !  
pilot program "u ?is subsection4 ,su*   
m9imum set--  7i7 %all include          
requirem5ts describ$ 9 subsection 7c7 & 
be bas$ on ! recomm5dations submitt$ "u 
subp>agraph 7,b72 &  7ii7 may be select$
 f among ! s]vices describ$ 9 subsection
 7d7 & include o!r s]vices z            

appropriate4  7,b7 ,/akehold] input ,!  
,director %all conv5e & solicit         
recomm5dations f /akehold]s1 includ+    
,/ate sub/ance abuse ag5cies1 heal? c>e 
provid]s1 p]sons 9 recov]y f sub/ance   
abuse1 & o!r appropriate individuals1 = 
! m9imum set ( s]vices describ$ 9       
subp>agraph 7,a74  7#d7 ,duration ,!    
pilot program "u ?is subsection %all n  
exce$ #e ye>s4  7#e7 ,evaluation &      
,report to ,congress ,! ,director ( !   
,c5t] = ,behavioral ,heal? ,/ati/ics &  
,quality %all fund an evaluation ( !    
pilot program at ! conclusion ( ! fir/  
grant cycle fund$ by ! pilot program4 ,!
 ,director ( ! ,c5t] = ,behavioral      
,heal? ,/ati/ics & ,quality1 9          
coord9ation ) ! ,director ( ! ,c5t] =   
,sub/ance ,abuse ,treatm5t %all submit  
to ! relevant committees ( jurisdiction 
( ! ,h\se ( ,repres5tatives & ! ,s5ate a
 report on su* evaluation4 ,! report    
%all include at a m9imum outcomes       
in=mation f ! pilot program1 includ+ any
 result+ r$uctions 9 ! use ( alcohol &  

o!r drugs2 engagem5t 9 treatm5t s]vices2
 ret5tion 9 ! appropriate level &       
duration ( s]vices2 increas$ access to !
 use ( m$ications approv$ by ! ,food &  
,drug ,adm9i/ration = ! treatm5t (      
sub/ance use disord]s 9 comb9ation )    
c\nsel+2 & o!r appropriate measures4    
7#f7 ,/ate sub/ance abuse ag5cies def9$ 
,= purposes ( ?is subsection1 ! t]m     
,/ate sub/ance abuse ag5cy means1 )     
respect to a ,/ate1 ! ag5cy 9 su* ,/ate 
t manages ! ,sub/ance ,abuse ,prev5tion 
& ,treatm5t ,block ,grant "u "p ,b (    
title ,,xix4  4  7b7 ,fund+ ,subsection 
7s7 ( section #ejh ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb-#a71
 z am5d$ by section #cjd & r$esignat$ by
 subsection 7a71 is fur!r am5d$ by add+ 
at ! end ! foll[+ new s5t5ce3 ,( !      
am\nts made available = a ye> pursuant  
to ! previ\s s5t5ce to c>ry out ?is     
section1 n m ?an #be p]c5t ( su* am\nts 
%all be made available = su* ye> to c>ry
 out subsection 7r71 o!r ?an p>agraph   
7#e7 ( su* subsection44  #cjf4          

,evid5ce-bas$ opioid & h]o9 treatm5t &  
int]v5tions demon/ration ,subp>t #a ( "p
 ,b ( title ,v ( ! ,public ,heal?       
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et  
seq47 is am5d$--  7#a7 by r$esignat+    
section #ead 7#db ,u4,s4,c4 #bij;bb-#i71
 z add$ by section #cfcb ( !            
,me?amphetam9e ,anti-,prolif]ation ,act 
( #bjjj 7,public ,law #ajf-caj2 #aad    
,/at4 #abcf71 z section #ead;,b2 &  7#b7
 by add+ at ! end ! foll[+3  #ead;,c4   
,evid5ce-bas$ opioid & h]o9 treatm5t &  
int]v5tions demon/ration  7a7 ,grants   
7#a7 ,au?ority to make grants ,!        
,director ( ! ,c5t] = ,sub/ance ,abuse  
,treatm5t 7ref]r$ to 9 ?is section z !  
,director7 %all aw>d grants to ,/ate    
sub/ance abuse ag5cies1 units ( local   
gov]nm5t1 nonpr(it organizations1 &     
,indian tribes or tribal organizations  
7z def9$ 9 section #d ( ! ,indian ,heal?
 ,c>e ,improvem5t ,act 7#be ,u4,s4,c4   
#afjc77 t h a high rate1 or h _h a rapid
 increase1 9 ! use ( h]o9 or o!r        
opioids1 9 ord] to p]mit su* entities to

 exp& activities1 includ+ an expansion 9
 ! availability ( m$ication assi/$      
treatm5t1 evid5ce-bas$ c\nsel+1 or      
behavioral !rapies ) respect to !       
treatm5t ( addiction 9 ! specific       
geographical areas ( su* entities :]e   
!re is a rate or rapid increase 9 ! use 
( h]o9 or o!r opioids4  7#b7 ,recipi5ts 
,! entities receiv+ grants "u p>agraph  
7#a7 %all be select$ by ! ,director4    
7#c7 ,nature ( activities ,! grant funds
 aw>d$ "u p>agraph 7#a7 %all be us$ =   
activities t are bas$ on reliable       
sci5tific evid5ce ( efficacy 9 !        
treatm5t ( problems relat$ to h]o9 or   
o!r opioids4  7b7 ,geographic           
di/ribution ,! ,director %all ensure t  
grants aw>d$ "u subsection 7a7 are      
di/ribut$ equitably among ! v>i\s       
regions ( ! ,nation & among rural1      
urban1 & suburban areas t are affect$ by
 ! use ( h]o9 or o!r opioids4  7c7      
,additional activities ,! ,director     
%all-- 7#a7 evaluate ! activities       
support$ by grants aw>d$ "u subsection  

7a72  7#b7 dissem9ate widely su*        
significant in=mation d]iv$ f !         
evaluation z ! ,director consid]s       
appropriate2  7#c7 provide ,/ates1      
,indian tribes & tribal organizations1 &
 provid]s ) te*nical assi/ance 9        
connection ) ! provision ( treatm5t (   
problems relat$ to h]o9 & o!r opioids2 &
  7#d7 fund only ^? applications t      
specifically support recov]y s]vices z a
 critical compon5t ( ! grant program4   
7d7 ,def9ition ,! t]m m$ication assi/$  
treatm5t means ! use1 = problems relat+ 
to h]o9 & o!r opioids1 ( m$ications     
approv$ by ! ,food & ,drug ,adm9i/ration
 9 comb9ation ) c\nsel+ & behavioral    
!rapies4  7e7 ,au?orization (           
appropriations  7#a7 ,9 g5]al ,!re is   
au?oriz$ to be appropriat$ to c>ry out  
?is section #cjj1jjj1jjj = ea* ( fiscal 
ye>s #bjag ?r\gh #bjba4  7#b7 ,use (    
c]ta9 funds ,( ! funds appropriat$ to   
c>ry out ?is section 9 any fiscal ye>1 n
 m ?an #e p]c5t ( su* funds %all be     
available to ! ,director = purposes (   

c>ry+ out subsection 7c74  4  #cjg4     
,adolesc5t treatm5t & recov]y s]vices   
demon/ration grant program ,subp>t #a ( 
"p ,b ( title ,v ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bij;bb et  
seq471 z am5d$ by section #cjf1 is fur!r
 am5d$ by add+ at ! end ! foll[+3       
#ead;,d4 ,grants to improve access to   
treatm5t & recov]y = adolesc5ts  7a7 ,9 
g5]al ,! ,secret>y1 act+ ?r\gh !        
,director ( ! ,c5t] = ,sub/ance ,abuse  
,treatm5t1 %all aw>d grants1 contracts1 
or coop]ative agreem5ts to eligible     
,/ate sub/ance abuse ag5cies & o!r      
entities det]m9$ appropriate by !       
,director = ! purpose ( increas+ !      
capacity ( sub/ance use disord] treatm5t
 & recov]y s]vices = adolesc5ts4  7b7   
,eligibility ,to be eligible to receive 
a grant1 contract1 or coop]ative        
agreem5t "u subsection 7a7 an entity    
%all--  7#a7 prep>e & submit to !       
,director an application at su* "t1 9   
su* mann]1 & conta9 su* in=mation z !   
,director may require1 includ+ a plan = 

! evaluation ( any activities c>ri$ out 
) ! funds provid$ "u ?is section2  7#b7 
ensure t all entities receiv+ support "u
 ! grant1 contract1 or coop]ative       
agreem5t comply ) all applicable ,/ate  
lic5sure or c]tification requirem5ts    
reg>d+ ! provision ( ! s]vices involv$2 
&  7#c7 provide ! ,director ) p]iodic   
evaluations ( ! progress ( ! activities 
fund$ "u ?is section & an evaluation at 
! completion ( su* activities1 z !      
,director det]m9es to be appropriate4   
7c7 ,priority ,9 aw>d+ grants1          
contracts1 & coop]ative agreem5ts "u    
subsection 7a71 ! ,director %all give   
priority to applicants :o propose to    
fill a demon/rat$ geographic ne$ =      
adolesc5t specific resid5tial treatm5t  
s]vices4  7d7 ,use ( funds ,am\nts aw>d$
 "u grants1 contracts1 or coop]ative    
agreem5ts "u ?is section may be us$ to  
enable heal? c>e provid]s or facilities 
t provide treatm5t & recov]y assi/ance =
 adolesc5ts ) a sub/ance use disord] to 
provide ! foll[+ s]vices3  7#a7         

,individualiz$ pati5t c5t]$ c>e t is    
specific to circum/ances ( ! individual 
pati5t4  7#b7 ,cl9ically appropriate1   
trauma-in=m$1 g5d]-specific & age       
appropriate treatm5t s]vices t are bas$ 
on reliable sci5tific evid5ce ( efficacy
 9 ! treatm5t ( problems relat$ to      
sub/ance use disord]s4  7#c7 ,cl9ically 
appropriate c>e to address treatm5t =   
sub/ance use & any co-occurr+ physical &
 m5tal heal? disord]s at ! same         
location1 & ?r\gh access to prim>y c>e  
s]vices4  7#d7 ,coord9ation ( treatm5t  
s]vices ) recov]y & o!r social support1 
includ+ educational1 vocational tra9+1  
assi/ance ) ! juv5ile ju/ice sy/em1 *ild
 welf>e1 & m5tal heal? ag5cies4  7#e7   
,aft]c>e & long-t]m recov]y support1    
includ+ pe] support s]vices4  7e7       
,duration ( assi/ance ,grants1          
contracts1 & coop]ative agreem5ts aw>d$ 
"u subsection 7a7 %all be = a p]iod n to
 exce$ #e ye>s4  7f7 ,additional        
activities ,! ,director %all-- 7#a7     
collect & evaluate ! activities c>ri$   

out ) am\nts receiv$ "u subsection 7a72 
7#b7 dissem9ate widely su* significant  
in=mation d]iv$ f ! evaluation z !      
,secret>y consid]s appropriate2 &  7#c7 
provide ,/ates1 ,indian tribes & tribal 
organizations1 & provid]s ) te*nical    
assi/ance 9 connection ) ! provision (  
treatm5t & recov]y s]vices fund$ ?r\gh  
?is section to adolesc5ts relat$ to !   
abuse ( h]o9 & o!r opioids4  7g7        
,au?orization ( appropriations  7#a7 ,9 
g5]al ,!re is au?oriz$ to be appropriat$
 to c>ry out ?is section1 #be1jjj1jjj = 
ea* ( fiscal ye>s #bjag ?r\gh #bjba4    
7#b7 ,use ( c]ta9 funds ,( ! funds      
appropriat$ to c>ry out ?is section 9   
any fiscal ye>1 n m ?an #e p]c5t ( su*  
funds %all be available to ! ,director =
 purposes ( c>ry+ out subsection 7f74  4
  #cjh4 ,/r5g!n+ p>ity 9 m5tal heal? &  
sub/ance use disord] b5efits  7a7       
,public ,heal? ,s]vice ,act ,section    
#bgbf7;a7 ( ! ,public ,heal? ,s]vice    
,act 7#db ,u4,s4,c4 #cjj;gg-#bf7;a77 is 
am5d$ by add+ at ! end ! foll[+ new     

p>agraphs3  7#f7 ,disclosure & en=cem5t 
requirem5ts  7,a7 ,disclosure           
requirem5ts  7i7 ,regulations ,n lat]   
?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 
coop]ation ) ! ,secret>ies ( ,labor & ! 
,treasury1 z appropriate1 %all issue    
additional regulations = c>ry+ out ?is  
section1 includ+ an explanation (       
docum5ts t mu/ be disclos$ by plans &   
issu]s1 ! process gov]n+ su* disclosures
 by plans & issu]s1 & analyses t mu/ be 
conduct$ by plans & issu]s by a gr\p    
heal? plan or heal? insurance issu] (f]+
 heal? insurance cov]age 9 ! gr\p or    
individual m>ket 9 ord] = su* plan or   
issu] to demon/rate compliance ) !      
provisions ( ?is section4  7ii7         
,disclosure requirem5ts ,docum5ts       
requir$ to be disclos$ by a gr\p heal?  
plan or heal? insurance issu] (f]+ heal?
 insurance cov]age 9 ! gr\p or          
individual m>ket "u clause 7i7 %all     
include an annual report t details !    
specific analyses p]=m$ to ensure       
compliance ( su* plan or cov]age ) ! law

 & regulations4 ,at a m9imum1 ) respect 
to ! application ( non-quantitative     
treatm5t limitations 79 ?is p>agraph    
ref]r$ to z ,n,q,t,ls7 to b5efits "u !  
plan or cov]age1 su* report %all--  7,i7
 id5tify ! specific factors ! plan or   
cov]age us$ 9 p]=m+ its ,,nqtl analysis2
  7,,ii7 id5tify & def9e ! specific     
evid5ti>y /&>ds reli$ on to evaluate !  
factors2  7,,iii7 describe h[ !         
evid5ti>y /&>ds are appli$ to ea* s]vice
 category = m5tal heal?1 sub/ance use   
disord]s1 m$ical b5efits1 & surgical    
b5efits2  7,,iv7 disclose ! results ( ! 
analyses ( ! specific evid5ti>y /&>ds 9 
ea* s]vice category2 &  7,v7 disclose ! 
specific f9d+s ( ! plan or cov]age 9 ea*
 s]vice category & ! conclusions rea*$ )
 respect to :e!r ! processes1 /rategies1
 evid5ti>y /&>ds1 or o!r factors us$ 9  
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    

limitation ) respect to m$ical &        
surgical b5efits 9 ! same               
classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,labor & ! ,treasury1 z appropriate1  
%all issue guidance to gr\p heal? plans 
& heal? insurance issu]s (f]+ heal?     
insurance cov]age 9 ! gr\p or individual
 m>kets on h[ to satisfy ! requirem5ts (
 ?is section ) respect to mak+ in=mation
 available to curr5t & pot5tial         
p>ticipants & b5efici>ies4 ,su*         
in=mation %all include c]tificate (     
cov]age docum5ts & in/rum5ts "u :i* !   
plan or cov]age involv$ is adm9i/]$ &   
op]at$ t specify1 include1 or ref] to   
proc$ures1 =mulas1 & me?odologies appli$
 to det]m9e a p>ticipant or b5efici>y's 
b5efit "u ! plan or cov]age1 reg>dless (
 :e!r su* in=mation is conta9$ 9 a      
docum5t designat$ z ! plan docum5t4 ,su*
 guidance %all include a disclosure ( h[
 ! plan or cov]age involv$ has provid$ t
 processes1 /rategies1 evid5ti>y /&>ds1 
& o!r factors us$ 9 apply+ ! ,,nqtl to  

m5tal heal? or sub/ance use disord]     
b5efits are comp>able to1 & appli$ no m 
/r+5tly ?an1 ! processes1 /rategies1    
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! limitation ) respect to m$ical 
& surgical b5efits 9 ! same             
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph & p>agraph 7#g71 ! t]ms       
non-quantitative treatm5t limitations1  
comp>able to1 & appli$ no m /r+5tly ?an 
h ! mean+s giv5 su* t]ms 9 sections #adf
 & #adg ( title #de1 ,code ( ,f$]al     
,regulations 7or any successor          
regulation74  7,b7 ,en=cem5t  7i7       
,process = compla9ts ,! ,secret>y1 9    
coop]ation ) ! ,secret>ies ( ,labor & ! 
,treasury1 z appropriate1 %all1 )       
respect to gr\p heal? plans & heal?     
insurance issu]s (f]+ heal? insurance   
cov]age 9 ! gr\p or individual m>ket1   
issue guidance to cl>ify ! process &    
timel9e = curr5t & pot5tial p>ticipants 
& b5efici>ies 7& au?oriz$ repres5tatives
 & heal? c>e provid]s ( su* p>ticipants 
& b5efici>ies7 ) respect to su* plans & 

cov]age to file =mal compla9ts ( su*    
plans or issu]s be+ 9 violation ( ?is   
section1 includ+ guidance1 by plan type1
 on ! relevant ,/ate1 regional1 &       
national (fices ) :i* su* compla9ts %\ld
 be fil$4  7ii7 ,au?ority = public      
en=cem5t ,! ,secret>y1 9 consultation ) 
! ,secret>ies ( ,labor & ! ,treasury1   
%all make available to ! public on !    
,consum] ,p>ity ,portal website e/abli%$
 "u p>agraph 7#g7 de-id5tifi$ in=mation 
on audits & inve/igations ( gr\p heal?  
plans & heal? insurance issu]s conduct$ 
"u ?is section4  7iii7 ,audits  7,i7    
,r&omiz$ audits ,! ,secret>y 9          
coop]ation ) ! ,secret>ies ( ,labor & ! 
,treasury1 is au?oriz$ to conduct       
r&omiz$ audits ( gr\p heal? plans &     
heal? insurance issu]s (f]+ heal?       
insurance cov]age 9 ! gr\p or individual
 m>ket to det]m9e compliance ) ?is      
section4 ,su* audits %all be conduct$ on
 no few] ?an twelve plans & issu]s p]   
plan ye>4 ,in=mation f su* audits %all  
be made pla9ly available on ! ,consum]  

,p>ity ,portal website e/abli%$ "u      
p>agraph 7#g74  7,,ii7 ,additional      
audits ,9 ! case ( a gr\p heal? plan or 
heal? insurance issu] (f]+ heal?        
insurance cov]age 9 ! gr\p or individual
 m>ket ) respect to :i* any claim has   
be5 fil$ dur+ a plan ye>1 ! ,secret>y   
may audit ! books & records ( su* plan  
or issu] to det]m9e compliance ) ?is    
section4 ,in=mation detail+ ! results ( 
! audit %all be made available on !     
,consum] ,p>ity ,portal website e/abli%$
 "u p>agraph 7#g74  7iv7 ,d5ial rates ,!
 ,secret>y %all collect in=mation on !  
rates ( & reasons = d5ial by gr\p heal? 
plans & heal? insurance issu]s (f]+     
heal? insurance cov]age 9 ! gr\p or     
individual m>ket ( claims = outpati5t & 
inpati5t m5tal heal? & sub/ance use     
disord] s]vices comp>$ to ! rates ( &   
reasons = d5ial ( claims = m$ical &     
surgical s]vices4 ,= ! fir/ plan ye>    
beg9n+ at lea/ two ye>s aft] ! date ( ! 
enactm5t ( ?is p>agraph & ea* subsequ5t 
plan ye>1 ! ,secret>y %all submit to !  

,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives & ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate1 & make pla9ly      
available on ! ,consum] ,p>ity ,portal  
website "u p>agraph 7#g71 ! in=mation   
collect$ "u ! previ\s s5t5ce ) respect  
to ! previ\s plan ye>4  7#g7 ,consum]   
,p>ity ,portal website ,! ,secret>y1 9  
consultation ) ! ,secret>ies ( ,labor & 
! ,treasury1 %all e/abli% a "o-/op      
,int]net website portal =--  7,a7       
submitt+ compla9ts & violations relat+  
to ?is section1 section #gab ( !        
,employee ,retirem5t ,income ,security  
,act ( #aigd1 & section #ihab ( !       
,int]nal ,rev5ue ,code ( #aihf2 &  7,b7 
= ea* ( su* ,secret>ies to submit       
in=mation 9 ord] to provide su*         
in=mation to heal? c>e consum]s pursuant
 to p>agraph 7#f71 section #gab7;a77#f7 
( ! ,employee ,retirem5t ,income        
,security ,act ( #aigd1 & section       
#ihab7;a77#f7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf4  ,su* portal %all h ! ability 

to take basic in=mation relat$ to !     
compla9t1 includ+ "n1 contact in=mation1
 & brief n>rative1 & transmit su*       
in=mation 9 a timely fa%ion to !        
appropriate ,/ate or ,f$]al en=cem5t    
ag5cy4 ,once ! consum] in=mation is     
submitt$1 su* portal %all provide !     
consum] ) contact in=mation = !         
appropriate en=cem5t ag5cy to foll[-up  
on ! compla9t4  4  7b7 ,employee        
,retirem5t ,income ,security ,act (     
#aigd ,section #gab7;a7 ( ! ,employee   
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4 #aahe;a7a77 is     
am5d$ by add+ at ! end ! foll[+ new     
p>agraph3  7#f7 ,disclosure & en=cem5t  
requirem5ts  7,a7 ,disclosure           
requirem5ts  7i7 ,regulations ,n lat]   
?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ! ,treasury1 z        
appropriate1 %all issue additional      
regulations = c>ry+ out ?is section1    
includ+ an explanation ( docum5ts t mu/ 
be disclos$ by plans & issu]s1 ! process

 gov]n+ su* disclosures by plans &      
issu]s1 & analyses t mu/ be conduct$ by 
plans & issu]s by a gr\p heal? plan 7or 
heal? insurance cov]age (f]$ 9          
connection ) su* a plan7 9 ord] = su*   
plan or issu] to demon/rate compliance )
 ! provisions ( ?is section4  7ii7      
,disclosure requirem5ts ,docum5ts       
requir$ to be disclos$ by a gr\p heal?  
plan 7or heal? insurance cov]age (f]$ 9 
connection ) su* a plan7 "u clause 7i7  
%all include an annual report t details 
! specific analyses p]=m$ to ensure     
compliance ( su* plan or cov]age ) ! law
 or regulations4 ,at a m9imum1 ) respect
 to ! application ( non-quantitative    
treatm5t limitations 79 ?is p>agraph    
ref]r$ to z ,n,q,t,ls7 to b5efits "u !  
plan or cov]age1 su* report %all--  7,i7
 id5tify ! specific factors ! plan or   
cov]age us$ 9 p]=m+ its ,,nqtl analysis2
  7,,ii7 id5tify & def9e ! specific     
evid5ti>y /&>ds reli$ on to evaluate !  
factors2  7,,iii7 describe h[ !         
evid5ti>y /&>ds are appli$ to ea* s]vice

 category = m5tal heal?1 sub/ance use   
disord]s1 m$ical b5efits1 & surgical    
b5efits2  7,,iv7 disclose ! results ( ! 
analyses ( ! specific evid5ti>y /&>ds 9 
ea* s]vice category2 &  7,v7 disclose ! 
specific f9d+s ( ! plan or cov]age 9 ea*
 s]vice category & ! conclusions rea*$ )
 respect to :e!r ! processes1 /rategies1
 evid5ti>y /&>ds1 or o!r factors us$ 9  
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    
limitation ) respect to m$ical &        
surgical b5efits 9 ! same               
classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,heal? & ,human ,s]vices & !          
,treasury1 z appropriate1 %all issue    
guidance to gr\p heal? plans 7& heal?   
insurance cov]age (f]$ 9 connection )   
su* a plan7 on h[ to satisfy !          
requirem5ts ( ?is section ) respect to  
mak+ in=mation available to curr5t &    

pot5tial p>ticipants & b5efici>ies4 ,su*
 in=mation %all include c]tificate (    
cov]age docum5ts & in/rum5ts "u :i* !   
plan or cov]age involv$ is adm9i/]$ &   
op]at$ t specify1 include1 or ref] to   
proc$ures1 =mulas1 & me?odologies appli$
 to det]m9e a p>ticipant or b5efici>y's 
b5efit "u ! plan or cov]age1 reg>dless (
 :e!r su* in=mation is conta9$ 9 a      
docum5t designat$ z ! plan docum5t4 ,su*
 guidance %all include a disclosure ( h[
 ! plan or cov]age involv$ has provid$ t
 processes1 /rategies1 evid5ti>y /&>ds1 
& o!r factors us$ 9 apply+ ! ,,nqtl to  
m5tal heal? or sub/ance use disord]     
b5efits are comp>able to1 & appli$ no m 
/r+5tly ?an1 ! processes1 /rategies1    
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! limitation ) respect to m$ical 
& surgical b5efits 9 ! same             
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph1 ! t]ms non-quantitative      
treatm5t limitations1 comp>able to1 &   
appli$ no m /r+5tly ?an h ! mean+s giv5 
su* t]ms 9 sections #adf & #adg ( title 

#de1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  7,b7 ,en=cem5t 
7i7 ,process = compla9ts ,! ,secret>y1 9
 coop]ation ) ! ,secret>ies ( ,heal? &  
,human ,s]vices & ! ,treasury1 z        
appropriate1 %all1 ) respect to gr\p    
heal? plans 7& heal? insurance cov]age  
(f]$ 9 connection ) su* a plan71 issue  
guidance to cl>ify ! process & timel9e =
 curr5t & pot5tial p>ticipants &        
b5efici>ies 7& au?oriz$ repres5tatives &
 heal? c>e provid]s ( su* p>ticipants & 
b5efici>ies7 ) respect to su* plans 7&  
cov]age7 to file =mal compla9ts ( su*   
plans 7or cov]age7 be+ 9 violation ( ?is
 section1 includ+ guidance1 by plan     
type1 on ! relevant ,/ate1 regional1 &  
national (fices ) :i* su* compla9ts %\ld
 be fil$4  7ii7 ,au?ority = public      
en=cem5t ,! ,secret>y1 9 consultation ) 
! ,secret>ies ( ,labor & ! ,treasury1   
%all make available to ! public on !    
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   
,heal? ,s]vice ,act de-id5tifi$         

in=mation on audits & inve/igations (   
gr\p heal? plans 7& heal? insurance     
cov]age (f]$ 9 connection ) su* a plan7 
conduct$ "u ?is section4  7iii7 ,audits 
7,i7 ,r&omiz$ audits ,! ,secret>y 9     
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ! ,treasury1 is       
au?oriz$ to conduct r&omiz$ audits (    
gr\p heal? plans 7& heal? insurance     
cov]age (f]$ 9 connection ) su* a plan7 
to det]m9e compliance ) ?is section4    
,su* audits %all be conduct$ on no few] 
?an twelve plans & cov]age p] plan ye>4 
,in=mation f su* audits %all be made    
pla9ly available on ! ,consum] ,p>ity   
,portal website e/abli%$ "u section     
#bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice
 ,act4  7,,ii7 ,additional audits ,9 !  
case ( a gr\p heal? plan 7or heal?      
insurance cov]age (f]$ 9 connection )   
su* a plan7 ) respect to :i* any claim  
has be5 fil$ dur+ a plan ye>1 !         
,secret>y may audit ! books & records ( 
su* plan 7or cov]age7 to det]m9e        
compliance ) ?is section4 ,in=mation    

detail+ ! results ( ! audit %all be made
 available on ! ,consum] ,p>ity ,portal 
website e/abli%$ "u section             
#bgbf7;a77#g7 ( ! ,public ,heal? ,s]vice
 ,act4  7iv7 ,d5ial rates ,! ,secret>y  
%all collect in=mation on ! rates ( &   
reasons = d5ial by gr\p heal? plans 7&  
heal? insurance cov]age (f]$ 9          
connection ) su* a plan7 ( claims =     
outpati5t & inpati5t m5tal heal? &      
sub/ance use disord] s]vices comp>$ to !
 rates ( & reasons = d5ial ( claims =   
m$ical & surgical s]vices4 ,= ! fir/    
plan ye> beg9n+ at lea/ two ye>s aft] ! 
date ( ! enactm5t ( ?is p>agraph & ea*  
subsequ5t plan ye>1 ! ,secret>y %all    
submit to ! ,committee on ,en]gy &      
,comm]ce ( ! ,h\se ( ,repres5tatives & !
 ,committee on ,heal?1 ,education1      
,labor1 & ,p5sions ( ! ,s5ate1 & make   
pla9ly available on ! ,consum] ,p>ity   
,portal website "u section #bgbf7;a77#g7
 ( ! ,public ,heal? ,s]vice ,act1 !     
in=mation collect$ "u ! previ\s s5t5ce )
 respect to ! previ\s plan ye>4  4  7c7 

,int]nal ,rev5ue ,code ( #aihf ,section 
#ihab7;a7 ( ! ,int]nal ,rev5ue ,code (  
#aihf is am5d$ by add+ at ! end ! foll[+
 new p>agraph3  7#f7 ,disclosure &      
en=cem5t requirem5ts  7,a7 ,disclosure  
requirem5ts  7i7 ,regulations ,n lat]   
?an ,decemb] #ca1 #bjaf1 ! ,secret>y1 9 
coop]ation ) ! ,secret>ies ( ,heal? &   
,human ,s]vices & ,labor1 z appropriate1
 %all issue additional regulations =    
c>ry+ out ?is section1 includ+ an       
explanation ( docum5ts t mu/ be disclos$
 by plans & issu]s1 ! process gov]n+ su*
 disclosures by plans & issu]s1 &       
analyses t mu/ be conduct$ by plans &   
issu]s by a gr\p heal? plan 9 ord] = su*
 plan to demon/rate compliance ) !      
provisions ( ?is section4  7ii7         
,disclosure requirem5ts ,docum5ts       
requir$ to be disclos$ by a gr\p heal?  
plan "u clause 7i7 %all include an      
annual report t details ! specific      
analyses p]=m$ to ensure compliance (   
su* plan ) ! law & regulations4 ,at a   
m9imum1 ) respect to ! application (    

non-quantitative treatm5t limitations 79
 ?is p>agraph ref]r$ to z ,n,q,t,ls7 to 
b5efits "u ! plan or cov]age1 su* report
 %all--  7,i7 id5tify ! specific factors
 ! plan or cov]age us$ 9 p]=m+ its      
,,nqtl analysis2  7,,ii7 id5tify & def9e
 ! specific evid5ti>y /&>ds reli$ on to 
evaluate ! factors2  7,,iii7 describe h[
 ! evid5ti>y /&>ds are appli$ to ea*    
s]vice category = m5tal heal?1 sub/ance 
use disord]s1 m$ical b5efits1 & surgical
 b5efits2  7,,iv7 disclose ! results ( !
 analyses ( ! specific evid5ti>y /&>ds 9
 ea* s]vice category2 &  7,v7 disclose !
 specific f9d+s ( ! plan 9 ea* s]vice   
category & ! conclusions rea*$ ) respect
 to :e!r ! processes1 /rategies1        
evid5ti>y /&>ds1 or o!r factors us$ 9   
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    
limitation ) respect to m$ical &        
surgical b5efits 9 ! same               

classification4  7iii7 ,guidance ,!     
,secret>y1 9 coop]ation ) ! ,secret>ies 
( ,heal? & ,human ,s]vices & ,labor1 z  
appropriate1 %all issue guidance to gr\p
 heal? plans on h[ to satisfy !         
requirem5ts ( ?is section ) respect to  
mak+ in=mation available to curr5t &    
pot5tial p>ticipants & b5efici>ies4 ,su*
 in=mation %all include c]tificate (    
cov]age docum5ts & in/rum5ts "u :i* !   
plan involv$ is adm9i/]$ & op]at$ t     
specify1 include1 or ref] to proc$ures1 
=mulas1 & me?odologies appli$ to det]m9e
 a p>ticipant or b5efici>y's b5efit "u !
 plan1 reg>dless ( :e!r su* in=mation is
 conta9$ 9 a docum5t designat$ z ! plan 
docum5t4 ,su* guidance %all include a   
disclosure ( h[ ! plan involv$ has      
provid$ t processes1 /rategies1         
evid5ti>y /&>ds1 & o!r factors us$ 9    
apply+ ! ,,nqtl to m5tal heal? or       
sub/ance use disord] b5efits are        
comp>able to1 & appli$ no m /r+5tly ?an1
 ! processes1 /rategies1 evid5ti>y      
/&>ds1 or o!r factors us$ 9 apply+ !    

limitation ) respect to m$ical &        
surgical b5efits 9 ! same               
classification4  7iv7 ,def9itions ,9 ?is
 p>agraph1 ! t]ms non-quantitative      
treatm5t limitations1 comp>able to1 &   
appli$ no m /r+5tly ?an h ! mean+s giv5 
su* t]ms 9 sections #adf & #adg ( title 
#de1 ,code ( ,f$]al ,regulations 7or any
 successor regulation74  7,b7 ,en=cem5t 
7i7 ,process = compla9ts ,! ,secret>y1 9
 coop]ation ) ! ,secret>ies ( ,heal? &  
,human ,s]vices & ,labor1 z appropriate1
 %all1 ) respect to gr\p heal? plans1   
issue guidance to cl>ify ! process &    
timel9e = curr5t & pot5tial p>ticipants 
& b5efici>ies 7& au?oriz$ repres5tatives
 & heal? c>e provid]s ( su* p>ticipants 
& b5efici>ies7 ) respect to su* plans 7&
 cov]age7 to file =mal compla9ts ( su*  
plans be+ 9 violation ( ?is section1    
includ+ guidance1 by plan type1 on !    
relevant ,/ate1 regional1 & national    
(fices ) :i* su* compla9ts %\ld be fil$4
  7ii7 ,au?ority = public en=cem5t ,!   
,secret>y1 9 consultation ) !           

,secret>ies ( ,labor & ! ,treasury1 %all
 make available to ! public on !        
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   
,heal? ,s]vice ,act de-id5tifi$         
in=mation on audits & inve/igations (   
gr\p heal? plans conduct$ "u ?is        
section4  7iii7 ,audits  7,i7 ,r&omiz$  
audits ,! ,secret>y 9 coop]ation ) !    
,secret>ies ( ,heal? & ,human ,s]vices &
 ,labor1 is au?oriz$ to conduct r&omiz$ 
audits ( gr\p heal? plans to det]m9e    
compliance ) ?is section4 ,su* audits   
%all be conduct$ on no few] ?an twelve  
plans p] plan ye>4 ,in=mation f su*     
audits %all be made pla9ly available on 
! ,consum] ,p>ity ,portal website       
e/abli%$ "u section #bgbf7;a77#g7 ( !   
,public ,heal? ,s]vice ,act4  7,,ii7    
,additional audits ,9 ! case ( a gr\p   
heal? plan ) respect to :i* any claim   
has be5 fil$ dur+ a plan ye>1 !         
,secret>y may audit ! books & records ( 
su* plan to det]m9e compliance ) ?is    
section4 ,in=mation detail+ ! results ( 

! audit %all be made available on !     
,consum] ,p>ity ,portal website e/abli%$
 "u section #bgbf7;a77#g7 ( ! ,public   
,heal? ,s]vice ,act4  7iv7 ,d5ial rates 
,! ,secret>y %all collect in=mation on !
 rates ( & reasons = d5ial by gr\p heal?
 plans ( claims = outpati5t & inpati5t  
m5tal heal? & sub/ance use disord]      
s]vices comp>$ to ! rates ( & reasons = 
d5ial ( claims = m$ical & surgical      
s]vices4 ,= ! fir/ plan ye> beg9n+ at   
lea/ two ye>s aft] ! date ( ! enactm5t (
 ?is p>agraph & ea* subsequ5t plan ye>1 
! ,secret>y %all submit to ! ,committee 
on ,en]gy & ,comm]ce ( ! ,h\se (        
,repres5tatives & ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate1 & make pla9ly available on ! 
,consum] ,p>ity ,portal website "u      
section #bgbf7;a77#g7 ( ! ,public ,heal?
 ,s]vice ,act1 ! in=mation collect$ "u !
 previ\s s5t5ce ) respect to ! previ\s  
plan ye>4  4  7d7 ,au?orization (       
appropriations ,!re is au?oriz$ to be   
appropriat$ #b1jjj1jjj = ea* ( fiscal   

ye>s #bjag ?r\gh #bjba to c>ry out ?is  
section1 includ+ ! am5dm5ts made by ?is 
section4  #cji4 ,/udy on treatm5t       
infra/ructure ,n lat] ?an #bd mon?s aft]
 ! date ( enactm5t ( ?is ,act1 !        
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all initiate an evaluation1 & submit to
 ,congress a report1 ( ! 9-pati5t &     
outpati5t treatm5t capacity1            
availability1 & ne$s ( ! ,unit$ ,/ates1 
:i* %all include1 to ! ext5t data is    
available--  7#a7 ! capacity ( acute    
resid5tial or inpati5t detoxification   
programs2  7#b7 ! capacity ( inpati5t   
cl9ical /abilization programs1          
transitional resid5tial support s]vices1
 & resid5tial rehabilitation programs2  
7#c7 ! capacity ( demographic specific  
resid5tial or inpati5t treatm5t         
programs1 su* z ^? design$ = pregnant   
wom5 or adolesc5ts2  7#d7 geographical  
diff]5ces ( ! availability ( resid5tial 
& outpati5t treatm5t & recov]y options =
 sub/ance use disord]s across ! cont9uum
 ( c>e2  7#e7 ! availability (          

resid5tial & outpati5t treatm5t programs
 t (f] treatm5t options bas$ on reliable
 sci5tific evid5ce ( efficacy = !       
treatm5t ( sub/ance use disord]s1       
includ+ ! use ( ,food & ,drug           
,adm9i/ration-approv$ m$ic9es &         
evid5ce-bas$ nonph>macological !rapies2 
7#f7 ! numb] ( pati5ts 9 resid5tial &   
specialty outpati5t treatm5t s]vices =  
sub/ance use disord]s2 &  7#g7 an       
assessm5t ( ! ne$ = resid5tial &        
outpati5t treatm5t = sub/ance use       
disord]s across ! cont9uum ( c>e4  #caj4
 ,sub/ance use disord] pr(essional loan 
repaym5t program ,subp>t #c ( "p ,e (   
title ,,vii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bie;f et seq47 is  
am5d$ by add+ at ! end ! foll[+3  #ggi4 
,sub/ance use disord] pr(essional loan  
repaym5t program  7a7 ,e/abli%m5t ,!    
,secret>y %all e/abli% & c>ry out a     
sub/ance use disord] heal? pr(essional  
loan repaym5t program "u :i* qualifi$   
heal? pr(essionals agree to be employ$  
full-"t = a specifi$ p]iod 7:i* %all be 

n less ?an #b ye>s7 9 provid+ sub/ance  
use disord] prev5tion & treatm5t        
s]vices4  7b7 ,program adm9i/ration     
,?r\gh ! program e/abli%$ "u ?is        
section1 ! ,secret>y %all ent] into     
contracts ) qualifi$ heal? pr(essionals 
"u :i*--  7#a7 a qualifi$ heal?         
pr(essional agrees to provide sub/ance  
use disord] prev5tion & treatm5t s]vices
 ) respect to an area or population t 7z
 det]m9$ by ! ,secret>y7--  7,a7 has a  
%ortage ( su* s]vices 7z def9$ by !     
,secret>y72 &  7,b7 has a suffici5t     
population ( individuals ) a sub/ance   
use disord] to support ! provision ( su*
 s]vices2 &  7#b7 ! ,secret>y agrees to 
make paym5ts on ! pr9cipal & int]e/ (   
und]graduate1 or graduate education     
loans ( ! qualifi$ heal? pr(essional--  
7,a7 ( n m ?an #ce1jjj = ea* ye> (      
s]vice describ$ 9 p>agraph 7#a72 &  7,b7
 = n m ?an #c ye>s4  7c7 ,qualifi$ heal?
 pr(essional def9$ ,9 ?is section1 ! t]m
 qualifi$ heal? pr(essional means an    
individual :o is 7or w be ^u !          

completion ( ! individual's graduate    
education7 a psy*iatri/1 psy*ologi/1    
nurse practition]1 physician assi/ant1  
cl9ical social work]1 sub/ance abuse    
c\nselor1 or o!r sub/ance use disord]   
heal? pr(essional4  7d7 ,priority ,9    
ent]+ into agreem5ts "u ?is section1 !  
,secret>y %all give priority to         
applicants :o--  7#a7 h famili>ity )    
evid5ce-bas$ me?ods & culturally &      
l+ui/ically compet5t heal? c>e s]vices2 
&  7#b7 demon/rate f9ancial ne$4  7e7   
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ #bj1jjj1jjj =
 ea* ( fiscal ye>s #bjag ?r\gh #bjba to 
c>ry out ?is section4  4  ,,iv ,recov]y 
#dja4 ,national y\? recov]y initiative  
7a7 ,def9itions ,9 ?is section3 7#a7    
,eligible entity ,! t]m eligible entity 
means--  7,a7 a high s*ool t has be5    
accr$it$ z a recov]y high s*ool by !    
,association ( ,recov]y ,s*ools2  7,b7  
an accr$it$ high s*ool t is seek+ to    
e/abli% or exp& recov]y support s]vices2
  7,c7 an in/itution ( high] education2 

7,d7 a recov]y program at a nonpr(it    
collegiate in/itution2 or  7,e7 a       
nonpr(it organization4  7#b7 ,in/itution
 ( high] education ,! t]m in/itution (  
high] education has ! mean+ giv5 ! t]m 9
 section #aja ( ! ,high] ,education ,act
 ( #aife 7#bj ,u4,s4,c4 #ajja74  7#c7   
,recov]y program ,! t]m recov]y         
program-- 7,a7 means a program to help  
individuals :o are recov]+ f sub/ance   
use disord]s to initiate1 /abilize1 &   
ma9ta9 heal?y & productive lives 9 !    
community2 &  7,b7 includes pe]-to-pe]  
support & communal activities to build  
recov]y skills & supportive social      
networks4  7b7 ,grants au?oriz$ ,!      
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,sub/ance ,abuse & ,m5tal  
,heal? ,s]vices ,adm9i/ration1 9        
consultation ) ! ,secret>y ( ,education1
 may aw>d grants to eligible entities to
 enable ! entities to--  7#a7 provide   
sub/ance use recov]y support s]vices to 
"y p 9 high s*ool & enroll$ 9           
in/itutions ( high] education2  7#b7    

help build communities ( support = "y p 
9 recov]y ?r\gh a spectrum ( activities 
su* z c\nsel+ & heal?y & wellness-ori5t$
 social activities2 &  7#c7 enc\rage    
initiatives design$ to help "y p a*ieve 
& su/a9 recov]y f sub/ance use disord]s4
  7c7 ,use ( funds ,grants aw>d$ "u     
subsection 7b7 may be us$ = activities  
to develop1 support1 & ma9ta9 y\?       
recov]y support s]vices1 includ+--  7#a7
 ! developm5t & ma9t5ance ( a d$icat$   
physical space = recov]y programs2  7#b7
 d$icat$ /aff = ! provision ( recov]y   
programs2  7#c7 heal?y & wellness-ori5t$
 social activities & community          
engagem5t2  7#d7 e/abli%m5t ( recov]y   
high s*ools2  7#e7 coord9ation ( recov]y
 programs )-- 7,a7 sub/ance use disord] 
treatm5t programs & sy/ems2  7,b7       
provid]s ( m5tal heal? s]vices2  7,c7   
prim>y c>e provid]s2  7,d7 ! crim9al    
ju/ice sy/em1 includ+ ! juv5ile ju/ice  
sy/em2  7,e7 employ]s2  7,f7 h\s+       
s]vices2  7,g7 *ild welf>e s]vices2     
7,h7 in/itutions ( second>y high]       

education & in/itutions ( high]         
education2 &  7,i7 o!r programs or      
s]vices relat$ to ! welf>e ( an         
individual 9 recov]y f a sub/ance use   
disord]2  7#f7 ! developm5t ( pe]-to-pe]
 support programs or s]vices2 &  7#g7   
additional activities t help y\?s & "y  
adults to a*ieve recov]y f sub/ance use 
disord]s4  7d7 ,te*nical support ,!     
,secret>y ( ,heal? & ,human ,s]vices    
%all provide te*nical support to        
recipi5ts ( grants "u ?is section4  7e7 
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #cj1jjj1jjj = ea* ( fiscal  
ye>s #bjag ?r\gh #bjba4  #djb4 ,grants  
to enhance & exp& recov]y support       
s]vices ,subp>t #a ( "p ,b ( title ,v ( 
! ,public ,heal? ,s]vice ,act 7#db      
,u4,s4,c4 #bij;bb et seq471 z am5d$ by  
sections #cjf & #cjg1 is fur!r am5d$ by 
add+ at ! end ! foll[+3  #ead;,e4       
,grants to enhance & exp& recov]y       
support s]vices  7a7 ,9 g5]al ,!        
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !

 ,sub/ance ,abuse & ,m5tal ,heal?       
,s]vices ,adm9i/ration1 %all aw>d grants
 to ,/ate sub/ance abuse ag5cies &      
nonpr(it organizations to develop1 exp&1
 & enhance recov]y support s]vices =    
individuals ) sub/ance use disord]s4    
7b7 ,eligible entities ,9 ! case ( an   
applicant t is n a ,/ate sub/ance abuse 
ag5cy1 to be eligible to receive a grant
 "u ?is section1 ! entity %all--  7#a7  
prep>e & submit to ! ,secret>y an       
application at su* "t1 9 su* mann]1 &   
conta9 su* in=mation z ! ,secret>y may  
require1 includ+ a plan = ! evaluation (
 any activities c>ri$ out ) ! funds     
provid$ "u ?is section2  7#b7 demon/rate
 ! inclusion ( individuals 9 recov]y f a
 sub/ance use disord] 9 lead]%ip levels 
or gov]n+ bodies ( ! entity2  7#c7 h z a
 prim>y mission ! provision ( long-t]m  
recov]y support = sub/ance use disord]s2
 &  7#d7 be accr$it$ by ! ,c\ncil on !  
,accr$itation ( ,pe] ,recov]y ,support  
,s]vices or meet any applicable ,/ate   
c]tification requirem5ts reg>d+ !       

provision ( ! recov]y s]vices involv$4  
7c7 ,use ( funds ,am\nts aw>d$ "u a     
grant "u ?is section %all be us$ to     
provide = ! foll[+ activities3  7#a7    
,educat+ & m5tor+ t assi/s individuals &
 families ) sub/ance use disord]s 9     
navigat+ sy/ems ( c>e4  7#b7 ,pe]       
recov]y support s]vices :i* include pe] 
coa*+ & m5tor+4  7#c7 ,recov]y-focus$   
community education & outrea* programs1 
includ+ tra9+ on ! use ( all =ms (      
opioid ov]dose antagoni/s us$ to c\nt] !
 effects ( an ov]dose4  7#d7 ,tra9+1    
m5tor+1 & education to develop & enhance
 pe] m5tor+ & coa*+4  7#e7 ,programs    
aim$ at id5tify+ & r$uc+ /igma &        
discrim9atory practices t s]ve z b>ri]s 
to sub/ance use disord] recov]y &       
treatm5t ( ^! disord]s4  7#f7 ,develop+ 
p>tn]%ips betwe5 networks t support     
recov]y & o!r community organizations & 
s]vices1 includ+--  7,a7 public &       
private sub/ance use disord] treatm5t   
programs & sy/ems2  7,b7 heal? c>e      
provid]s2  7,c7 recov]y-focus$ addiction

 & recov]y pr(essionals2  7,d7 fai?-bas$
 organizations2  7,e7 organizations     
focus$ on crim9al ju/ice re=m2  7,f7    
s*ools2 &  7,g7 social s]vice ag5cies 9 
! community1 includ+ educational1       
juv5ile ju/ice1 *ild welf>e1 h\s+1 &    
m5tal heal? ag5cies4  7d7 ,au?orization 
( appropriations ,!re is au?oriz$ to be 
appropriat$ to c>ry out ?is section1    
#ajj1jjj1jjj = ea* ( fiscal ye>s #bjag  
?r\gh #bjba4  4