#aad? ,,congress  #b;d ,session  ,h4 ,r4
 #dfda  ,,an ,,act  ,to provide = !     
e/abli%m5t ( an int]-ag5cy task =ce to  
review1 modify1 & update be/ practices =
 pa9 managem5t & prescrib+ pa9          
m$ication1 & = o!r purposes4  #a4       
,developm5t ( be/ practices = ! use (   
prescription opioids  7a7 ,def9itions ,9
 ?is section-- 7#a7 ! t]m ,secret>y     
means ! ,secret>y ( ,heal? & ,human     
,s]vices2 &  7#b7 ! t]m task =ce means !
 ,pa9 ,managem5t ,be/ ,practices        
,int]-,ag5cy ,task ,=ce conv5$ "u       
subsection 7b74  7b7 ,int]-,ag5cy ,task 
,=ce ,n lat] ?an ,decemb] #ad1 #bjah1 ! 
,secret>y1 9 coop]ation ) ! ,secret>y ( 
,vet]ans ,affairs1 ! ,secret>y (        
,def5se1 & ! ,adm9i/rator ( ! ,drug     
,en=cem5t ,adm9i/ration1 %all conv5e a  
,pa9 ,managem5t ,be/ ,practices         
,int]-,ag5cy ,task ,=ce to review1      
modify1 & update1 z appropriate1 be/    
practices = pa9 managem5t 7includ+      
*ronic & acute pa97 & prescrib+ pa9     
m$ication4  7c7 ,memb]%ip ,! task =ce   

%all be compris$ (-- 7#a7 repres5tatives
 (--  7,a7 ! ,dep>tm5t ( ,heal? & ,human
 ,s]vices2  7,b7 ! ,dep>tm5t ( ,vet]ans 
,affairs2  7,c7 ! ,food & ,drug         
,adm9i/ration2  7,d7 ! ,dep>tm5t (      
,def5se2  7,e7 ! ,drug ,en=cem5t        
,adm9i/ration2  7,f7 ! ,c5t]s = ,disease
 ,control & ,prev5tion2  7,g7 ! ,heal?  
,res\rces & ,s]vices ,adm9i/ration2     
7,h7 ! ,indian ,heal? ,s]vice2  7,i7 !  
,national ,academy ( ,m$ic9e2  7,j7 !   
,national ,in/itutes ( ,heal?2  7,k7 !  
,(fice ( ,national ,drug ,control       
,policy2  7,l7 ! ,sub/ance ,abuse &     
,m5tal ,heal? ,s]vices ,adm9i/ration2 & 
7,m7 ! ,(fice ( ,wom5's ,heal?2  7#b7   
,/ate m$ical bo>ds2  7#c7 subject to    
subsection 7e71 physicians1 d5ti/s1 &   
nonphysician prescrib]s2  7#d7          
hospitals2  7#e7 subject to subsection  
7e71 ph>maci/s & ph>macies2  7#f7 fir/  
respond]s2  7#g7 exp]ts 9 ! fields ( pa9
 rese>* & addiction rese>*2  7#h7 exp]ts
 9 ! fields ( adolesc5t & "y adult      
addiction rese>*2  7#i7 repres5tatives  

(-- 7,a7 pa9 managem5t pr(essional      
organizations2  7,b7 ! m5tal heal?      
treatm5t community2  7,c7 ! addiction   
treatm5t & recov]y community2  7,d7 pa9 
advocacy gr\ps2  7,e7 vet]an s]vice     
organizations2 &  7,f7 gr\ps ) exp]tise 
on ov]dose rev]sal2  7#aj7 a p]son 9    
recov]y f addiction to m$ication =      
*ronic pa92  7#aa7 a p]son 9 recov]y f  
addiction to m$ication = *ronic pa91 ^: 
addiction began 9 adolesc5ce or "y      
adul?ood2  7#ab7 a p]son ) *ronic pa92  
7#ac7 an exp]t on active duty milit>y1  
arm$ =ces p]sonnel1 & vet]an heal? &    
prescription opioid addiction2  7#ad7 an
 exp]t 9 ! field ( m9ority heal?2 &     
7#ae7 o!r /akehold]s1 z ! ,secret>y     
det]m9es appropriate4  7d7 ,condition on
 p>ticipation on task =ce ,an individual
 repres5t+ a pr(ession or entity        
describ$ 9 p>agraph 7#c7 or 7#e7 (      
subsection 7c7 may n s]ve z a memb] ( ! 
task =ce unless su* individual--  7#a7  
is curr5tly lic5s$ 9 a ,/ate 9 :i* su*  
individual is practic+ 7z def9$ by su*  

,/ate7 su* pr(ession 7or1 9 ! case ( an 
individual repres5t+ an entity1 a ,/ate 
9 :i* ! entity is engag$ 9 bus9ess72 &  
7#b7 is curr5tly practic+ 7z def9$ by   
su* ,/ate7 su* pr(ession 7or1 9 ! case (
 an individual repres5t+ an entity1 !   
entity is 9 op]ation74  7e7 ,duties ,!  
task =ce %all-- 7#a7 n lat] ?an #ahj    
days aft] ! date on :i* ! task =ce is   
conv5$ "u subsection 7b71 review1       
modify1 & update1 z appropriate1 be/    
practices = pa9 managem5t 7includ+      
*ronic & acute pa97 & prescrib+ pa9     
m$ication1 tak+ into consid]ation--     
7,a7 exi/+ pa9 managem5t rese>*2  7,b7  
rese>* on tr5ds 9 areas & communities 9 
:i* ! prescription opioid abuse rate &  
fatality rate exce$ ! national av]age   
prescription opioid abuse rate &        
fatality rate2  7,c7 recomm5dations f   
relevant conf]5ces & exi/+ relevant     
evid5ce-bas$ guidel9es2  7,d7 ongo+     
ef=ts at ! ,/ate & local levels & by    
m$ical pr(essional organizations to     
develop improv$ pa9 managem5t /rategies1

 includ+ consid]ation ( diff]5ces )9 &  
betwe5 classes ( opioids1 ! availability
 ( opioids ) abuse det]r5t te*nology1 & 
ph>macological1 nonph>macological1      
m$ical device alt]natives to opioids to 
r$uce opioid mono!rapy 9 appropriate    
cases & ! coord9ation ( in=mation       
collect$ f ,/ate prescription drug      
monitor+ programs = ! purpose ( prev5t+ 
! div]sion ( pa9 m$ication2  7,e7 ongo+ 
ef=ts at ! ,f$]al1 ,/ate1 & local levels
 to exam9e ! pot5tial b5efits (         
electronic prescrib+ ( opioids1 includ+ 
any public comm5ts collect$ 9 ! c\rse ( 
^? ef=ts2  7,f7 ! managem5t ( high-risk 
populations1 o!r ?an populations :o     
suff] pa91 :o--  7i7 may use or be      
prescrib$ b5zodiazep9es1 alcohol1 &     
div]t$ opioids2 or  7ii7 receive opioids
 9 ! c\rse ( m$ical c>e2  7,g7 ! di/9ct 
ne$s ( adolesc5ts & "y adults ) respect 
to pa9 managem5t1 pa9 m$ication1        
sub/ance use disord]1 & m$ication-assi/$
 treatm5t2  7,h7 ! #bjaf ,guidel9e =    
,prescrib+ ,opioids = ,*ronic ,pa9 issu$

 by ! ,c5t]s = ,disease ,control &      
,prev5tion2  7,i7 ! practice (          
co-prescrib+ naloxone = bo? pa9 pati5ts 
receiv+ *ronic opioid !rapy & pati5ts   
be+ treat$ = opioid use disord]s2  7,j7 
rese>* t has be51 or is be+1 conduct$ or
 support$ by ! ,f$]al ,gov]nm5t on      
prev5tion (1 treatm5t =1 & recov]y f    
sub/ance use by & sub/ance use disord]s 
among adolesc5ts & "y adults relative to
 any unique circum/ances 7includ+ social
 & biological circum/ances7 ( adolesc5ts
 & "y adults t may make                 
adolesc5t-specific & "y adult-specific  
treatm5t protocols necess>y1 includ+ any
 effects t sub/ance use & sub/ance use  
disord]s may h on bra9 developm5t & !   
implications = treatm5t & recov]y2  7,k7
 ,f$]al non-rese>* programs & activities
 t address prev5tion (1 treatm5t =1 &   
recov]y f sub/ance use by & sub/ance use
 disord]s among adolesc5ts & "y adults1 
includ+ an assessm5t ( ! effectiv5ess ( 
su* programs & activities 9-- 7i7       
prev5t+ sub/ance use by & sub/ance use  

disord]s among adolesc5ts & "y adults2  
7ii7 treat+ su* adolesc5ts & "y adults 9
 a way t acc\nts = any unique           
circum/ances fac$ by adolesc5ts & "y    
adults2 &  7iii7 support+ long-t]m      
recov]y among adolesc5ts & "y adults2 & 
7,l7 gaps t h be5 id5tifi$ by ,f$]al    
(ficials & exp]ts 9 ,f$]al ef=ts relat+ 
to prev5tion (1 treatm5t =1 & recov]y f 
sub/ance use by & sub/ance use disord]s 
among adolesc5ts & "y adults1 includ+   
gaps 9 rese>*1 data collection1 &       
measures to evaluate ! effectiv5ess (   
,f$]al ef=ts1 & ! reasons = su* gaps2   
7#b7 solicit & take into consid]ation   
public comm5t on ! practices develop$ "u
 p>agraph 7#a71 am5d+ su* be/ practices 
if appropriate2  7#c7 develop a /rategy 
= dissem9at+ in=mation ab\t ! be/       
practices develop$ "u p>agraphs 7#a7 &  
7#b7 to prescrib]s1 ph>maci/s1 ,/ate    
m$ical bo>ds1 educational in/itutions t 
educate prescrib]s & ph>maci/s1 & o!r   
p>ties1 z ! ,secret>y det]m9es          
appropriate2  7#d7 review1 modify1 &    

update be/ practices = pa9 managem5t &  
prescrib+ pa9 m$ication1 specifically z 
x p]ta9s to physician education &       
consum] education2 &  7#e7 exam9e &     
id5tify-- 7,a7 ! ext5t ( ! ne$ = !      
developm5t ( new ph>macological1        
nonph>macological1 & m$ical device      
alt]natives to opioids2  7,b7 ! curr5t  
/atus ( rese>* ef=ts to develop su*     
alt]natives2 &  7,c7 ! ph>macological1  
nonph>macological1 & m$ical device      
alt]natives to opioids t are curr5tly   
available t c\ld be bett] utiliz$4  7f7 
,consid]ation ( /udy results ,9 review+1
 modify+1 & updat+1 be/ practices = pa9 
managem5t & prescrib+ pa9 m$ication1 !  
task =ce %all take into consid]ation    
exi/+ private sector1 ,/ate1 & local    
gov]nm5t ef=ts relat$ to pa9 managem5t &
 prescrib+ pa9 m$ication4  7g7          
,limitation ,! task =ce %all n h        
rulemak+ au?ority4  7h7 ,report ,n lat] 
?an #bgj days aft] ! date on :i* ! task 
=ce is conv5$ "u subsection 7b71 ! task 
=ce %all submit to ,congress a report t 

includes-- 7#a7 ! /rategy = dissem9at+  
be/ practices = pa9 managem5t 7includ+  
*ronic & acute pa97 & prescrib+ pa9     
m$ication1 z develop$ "u subsection 7e72
  7#b7 ! results ( a feasibility /udy on
 l9k+ ! be/ practices describ$ 9        
p>agraph 7#a7 to receiv+ & r5ew+        
regi/rations "u section #cjc7;f7 ( !    
,controll$ ,sub/ances ,act 7#ba         
,u4,s4,c4 #hbc7;f772  7#c7              
recomm5dations = effectively apply+ !   
be/ practices describ$ 9 p>agraph 7#a7  
to improve prescrib+ practices at m$ical
 facilities1 includ+ m$ical facilities (
 ! ,vet]ans ,heal? ,adm9i/ration &      
,indian ,heal? ,s]vice2  7#d7 ! modifi$ 
& updat$ be/ practices describ$ 9       
subsection 7e77#d72 &  7#e7 ! results ( 
! exam9ation & id5tification conduct$   
pursuant to subsection 7e77#d71 &       
recomm5dations reg>d+--  7,a7 !         
developm5t ( new ph>macological1        
nonph>macological1 & m$ical device      
alt]natives to opioids2 &  7,b7 !       
improv$ utilization ( ph>macological1   

nonph>macological1 & m$ical device      
alt]natives to opioids t are curr5tly   
available4  ,pass$ ! ,h\se (            
,repres5tatives ,may #aa1 #bjaf4;,cl]k4