,,ib ,union ,cal5d> ,no4 #dab #aad? ,,congress #b;d ,session ,h4 ,r4 #dfda ,report ,no4 #aad-ecf ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #bf1 #bjaf ,mrs4 ,brooks ( ,indiana 7= h]self & ,mr4 ,k5n$y7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,may #c1 #bjaf;,additional sponsor3 ,mr4 ,olson ,may #c1 #bjaf ,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$ ,/rike out all aft] ! enact+ clause & ins]t ! "p pr9t$ 9 italic ,= text ( introduc$ bill1 see copy ( bill z introduc$ on ,febru>y #bf1 #bjaf ,a ,,bill ,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$ic9e2 7,j7 ! ,national ,in/itutes ( ,heal?2 7,k7 ! ,(fice ( ,national ,drug ,control ,policy2 & 7,l7 ! ,sub/ance ,abuse & ,m5tal ,heal? ,s]vices ,adm9i/ration2 7#b7 ,/ate m$ical bo>ds2 7#c7 physicians1 d5ti/s1 & nonphysician prescrib]s2 7#d7 hospitals2 7#e7 ph>maci/s & ph>macies2 7#f7 exp]ts 9 ! fields ( pa9 rese>* & addiction rese>*2 7#g7 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 gr\ps ) exp]tise on ov]dose rev]sal2 7#h7 a p]son 9 recov]y f addiction to m$ication = *ronic pa92 7#i7 a p]son ) *ronic pa92 & 7#aj7 o!r /akehold]s1 z ! ,secret>y det]m9es appropriate4 7d7 ,duties ,! task =ce %all-- 7#a7 n lat] ?an #ahj days aft] ! date on :i* ! task =ce is conv5$ "u subsection 7b71 review1 modify1 & update1 z appropriate1 be/ practices = pa9 managem5t 7includ+ *ronic & acute pa97 & prescrib+ pa9 m$ication1 tak+ into consid]ation-- 7,a7 exi/+ pa9 managem5t rese>*2 7,b7 recomm5dations f relevant conf]5ces & exi/+ relevant evid5ce-bas$ guidel9es2 7,c7 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 cases2 7,d7 ! 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$ical c>e2 & 7,e7 ! #bjaf ,guidel9e = ,prescrib+ ,opioids = ,*ronic ,pa9 issu$ by ! ,c5t]s = ,disease ,control & ,prev5tion2 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$ical bo>ds1 educational in/itutions t educate prescrib]s & ph>maci/s1 & o!r p>ties1 z ! ,secret>y det]m9es appropriate4 7e7 ,limitation ,! task =ce %all n h rulemak+ au?ority4 7f7 ,report ,n lat] ?an #bgj days aft] ! date on :i* ! task =ce is conv5$ "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 7d72 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]vice4 ,may #c1 #bjaf ,report$ ) an am5dm5t1 committ$ to ! ,committee ( ! ,:ole ,h\se on ! ,/ate ( ! ,union1 & ord]$ to be pr9t$